Reportes de Imágenes Médicas FHIR® - Costa Rica
0.0.1-draft - ci-build
Reportes de Imágenes Médicas FHIR® - Costa Rica
0.0.1-draft - ci-build
Reportes de Imágenes Médicas FHIR® - Costa Rica, published by Iniciativa HL7® Costa Rica. This guide is not an authorized publication; it is the continuous build for version 0.0.1-draft built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cr/imaging-report/ and changes regularly. See the Directory of published versions
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<identifier>
<system value="urn:oid:2.16.840.1.113883.4.6.1"/>
<value value="DR-2026-BUNDLE-001"/>
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<type value="document"/>
<timestamp value="2026-01-20T10:30:00-06:00"/>
<entry>
<fullUrl value="urn:uuid:11111111-1111-1111-1111-111111111111"/>
<resource>
<Composition>
<id value="bundle-composition-imaging"/>
<meta>
<profile
value="https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-composition-imaging-report"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_bundle-composition-imaging"> </a><p class="res-header-id"><b>Generated Narrative: Composition bundle-composition-imaging</b></p><a name="bundle-composition-imaging"> </a><a name="hcbundle-composition-imaging"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-cr-composition-imaging-report.html">CR Composition - Imaging Report</a></p></div><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 72134-0}">Informe de eventos de cáncer:{Configuración} :Punto temporal:Tipo:Documento:{Role}</span></p><p><b>date</b>: 2026-01-20 10:30:00-0600</p><p><b>author</b>: Dr. Carlos López Martínez, Radiólogo</p><p><b>title</b>: Radiografía de Tórax - Reporte Final</p></div>
</text>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="72134-0"/>
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<subject>
<reference value="urn:uuid:33333333-3333-3333-3333-333333333333"/>
</subject>
<date value="2026-01-20T10:30:00-06:00"/>
<author>
<display value="Dr. Carlos López Martínez, Radiólogo"/>
</author>
<title value="Radiografía de Tórax - Reporte Final"/>
<section>
<title value="Hallazgos Clínicos"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="72131-6"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><strong>Técnica:</strong> Radiografía de tórax posteroanterior (PA) y lateral.</p><p><strong>Hallazgos:</strong> Pulmones bien expandidos bilateralmente sin opacidades localizadas. Corazón de tamaño normal. Mediastino dentro de los límites normales. Diafragmas regulares y sin neumotórax. Hilios pulmonares normales.</p></div>
</text>
</section>
<section>
<title value="Impresión"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="72132-4"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Radiografía de tórax normal. No se evidencian hallazgos patológicos agudos.</p></div>
</text>
</section>
<section>
<title value="Recomendaciones"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="72133-2"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Seguimiento clínico según criterio médico. No se requieren estudios de imagen adicionales en este momento.</p></div>
</text>
</section>
<section>
<title value="Findings"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="72131-6"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Observations and clinical findings from the imaging study.</p></div>
</text>
<entry>
<reference value="urn:uuid:77777777-7777-7777-7777-777777777777"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:22222222-2222-2222-2222-222222222222"/>
<resource>
<DiagnosticReport>
<id value="bundle-diagnostic-report"/>
<meta>
<profile
value="https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-diagnostic-report"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_bundle-diagnostic-report"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport bundle-diagnostic-report</b></p><a name="bundle-diagnostic-report"> </a><a name="hcbundle-diagnostic-report"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-cr-diagnostic-report.html">CR Diagnostic Report</a></p></div><h2><span title="Codes:{http://loinc.org 72134-0}">Radiografía de Tórax</span> (<span title="Codes:{https://hl7.or.cr/fhir/terminology/CodeSystem/cr-diagnostic-service-sections RAD}">RAD</span>) </h2><table class="grid"><tr><td>Subject</td><td>María Rodríguez García Female, DoB: 1975-05-15 ( urn:oid:2.16.840.1.113883.18.4#123456789)</td></tr><tr><td>When For</td><td>2026-01-20 09:15:00-0600</td></tr><tr><td>Reported</td><td>2026-01-20 10:30:00-0600</td></tr><tr><td>Performer</td><td> Clínica de Radiología San José</td></tr><tr><td>Identifier</td><td> <code>urn:oid:2.16.840.1.113883.4.6.1</code>/DR-2026-001234</td></tr></table><p><b>Report Details</b></p><table class="grid"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>Note</b></td></tr><tr><td><a href="Bundle-bundle-imaging-report-with-dicom-example.html#urn-uuid-77777777-7777-7777-7777-777777777777"><span title="Codes:{http://snomed.info/sct 19829001}">Hallazgo radiológico de pulmones</span></a> (<span title="Codes:{http://snomed.info/sct 39607008}">Lung</span>)</td><td><span title="Codes:{http://snomed.info/sct 17621005}">Normal</span></td><td>Final, <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}">Normal</span></td><td><blockquote><div><p>Pulmones bien expandidos bilateralmente. Hilios pulmonares normales. Diafragmas regulares.</p>
</div></blockquote></td></tr></table><div><p>Radiografía de tórax normal sin hallazgos patológicos.</p>
</div><p><b>Coded Conclusions:</b></p><ul><li><span title="Codes:{http://snomed.info/sct 17621005}">Normal</span></li></ul></div>
</text>
<extension
url="https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid">
<extension url="uid">
<valueString
value="1.2.840.113619.2.55.3.2830498741.123.1234567890.1"/>
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<extension url="seriesInstanceUid">
<valueString
value="1.2.840.113619.2.55.3.2830498741.123.1234567890"/>
</extension>
<extension url="studyInstanceUid">
<valueString value="1.2.840.113619.2.55.3.2830498741.123"/>
</extension>
<extension url="accessUrl">
<valueUrl
value="dicom-web://pacs.example.cr/studies/1.2.840.113619.2.55.3.2830498741.123/series/1.2.840.113619.2.55.3.2830498741.123.1234567890/instances/1.2.840.113619.2.55.3.2830498741.123.1234567890.1"/>
</extension>
<extension url="modality">
<valueCode value="CR"/>
</extension>
</extension>
<extension
url="https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-impression">
<valueReference>
<reference value="urn:uuid:77777777-7777-7777-7777-777777777777"/>
</valueReference>
</extension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.4.6.1"/>
<value value="DR-2026-001234"/>
</identifier>
<status value="final"/>
<category>
<coding>
<system
value="https://hl7.or.cr/fhir/terminology/CodeSystem/cr-diagnostic-service-sections"/>
<code value="RAD"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="72134-0"/>
</coding>
<text value="Radiografía de Tórax"/>
</code>
<subject>
<reference value="urn:uuid:33333333-3333-3333-3333-333333333333"/>
</subject>
<effectiveDateTime value="2026-01-20T09:15:00-06:00"/>
<issued value="2026-01-20T10:30:00-06:00"/>
<performer>
<display value="Clínica de Radiología San José"/>
</performer>
<resultsInterpreter>
<display value="Dr. Carlos López Martínez"/>
</resultsInterpreter>
<result>
<reference value="urn:uuid:77777777-7777-7777-7777-777777777777"/>
</result>
<study>
<reference value="urn:uuid:44444444-4444-4444-4444-444444444444"/>
</study>
<composition>
<reference value="urn:uuid:11111111-1111-1111-1111-111111111111"/>
</composition>
<conclusion
value="Radiografía de tórax normal sin hallazgos patológicos."/>
<conclusionCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="17621005"/>
</coding>
<text value="Normal"/>
</conclusionCode>
</DiagnosticReport>
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</entry>
<entry>
<fullUrl value="urn:uuid:33333333-3333-3333-3333-333333333333"/>
<resource>
<Patient>
<id value="bundle-patient"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_bundle-patient"> </a><p class="res-header-id"><b>Generated Narrative: Patient bundle-patient</b></p><a name="bundle-patient"> </a><a name="hcbundle-patient"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">María Rodríguez García Female, DoB: 1975-05-15 ( urn:oid:2.16.840.1.113883.18.4#123456789)</p><hr/></div>
</text>
<identifier>
<system value="urn:oid:2.16.840.1.113883.18.4"/>
<value value="123456789"/>
</identifier>
<name>
<family value="Rodríguez García"/>
<given value="María"/>
</name>
<gender value="female"/>
<birthDate value="1975-05-15"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:44444444-4444-4444-4444-444444444444"/>
<resource>
<ImagingStudy>
<id value="bundle-imaging-study"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="ImagingStudy_bundle-imaging-study"> </a><p class="res-header-id"><b>Generated Narrative: ImagingStudy bundle-imaging-study</b></p><a name="bundle-imaging-study"> </a><a name="hcbundle-imaging-study"> </a><p><b>identifier</b>: <a href="http://terminology.hl7.org/7.1.0/NamingSystem-dui.html" title="An OID issued under DICOM OID rules. DICOM OIDs are represented as plain OIDs, with a prefix of "urn:oid:". See https://www.dicomstandard.org/">DICOM Unique Id</a>/1.2.840.113619.2.55.3.2830498741.123</p><p><b>status</b>: Available</p><p><b>subject</b>: <a href="Bundle-bundle-imaging-report-with-dicom-example.html#urn-uuid-33333333-3333-3333-3333-333333333333">María Rodríguez García Female, DoB: 1975-05-15 ( urn:oid:2.16.840.1.113883.18.4#123456789)</a></p><p><b>started</b>: 2026-01-20 09:00:00-0600</p><p><b>numberOfSeries</b>: 1</p><p><b>numberOfInstances</b>: 2</p></div>
</text>
<identifier>
<system value="urn:dicom:uid"/>
<value value="1.2.840.113619.2.55.3.2830498741.123"/>
</identifier>
<status value="available"/>
<subject>
<reference value="urn:uuid:33333333-3333-3333-3333-333333333333"/>
</subject>
<started value="2026-01-20T09:00:00-06:00"/>
<numberOfSeries value="1"/>
<numberOfInstances value="2"/>
</ImagingStudy>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:55555555-5555-5555-5555-555555555555"/>
<resource>
<ServiceRequest>
<id value="bundle-service-request"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_bundle-service-request"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest bundle-service-request</b></p><a name="bundle-service-request"> </a><a name="hcbundle-service-request"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.4.6.1</code>/SR-2026-001</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><h3>Codes</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://loinc.org 71045-9}">I feel compassion for others in the difficulties they are facing in the past 7 days [FACIT]</span></td></tr></table><p><b>subject</b>: <a href="Bundle-bundle-imaging-report-with-dicom-example.html#urn-uuid-33333333-3333-3333-3333-333333333333">María Rodríguez García Female, DoB: 1975-05-15 ( urn:oid:2.16.840.1.113883.18.4#123456789)</a></p><p><b>requester</b>: Centro de Salud Primario</p></div>
</text>
<identifier>
<system value="urn:oid:2.16.840.1.113883.4.6.1"/>
<value value="SR-2026-001"/>
</identifier>
<status value="completed"/>
<intent value="order"/>
<code>
<concept>
<coding>
<system value="http://loinc.org"/>
<code value="71045-9"/>
</coding>
</concept>
</code>
<subject>
<reference value="urn:uuid:33333333-3333-3333-3333-333333333333"/>
</subject>
<requester>
<display value="Centro de Salud Primario"/>
</requester>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:66666666-6666-6666-6666-666666666666"/>
<resource>
<Procedure>
<id value="bundle-procedure"/>
<meta>
<profile
value="https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-procedure-imaging-acquisition"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_bundle-procedure"> </a><p class="res-header-id"><b>Generated Narrative: Procedure bundle-procedure</b></p><a name="bundle-procedure"> </a><a name="hcbundle-procedure"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-cr-procedure-imaging-acquisition.html">CR Procedure - Imaging Acquisition</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.4.6.1</code>/PROC-2026-001</p><p><b>basedOn</b>: <a href="Bundle-bundle-imaging-report-with-dicom-example.html#urn-uuid-55555555-5555-5555-5555-555555555555">ServiceRequest I feel compassion for others in the difficulties they are facing in the past 7 days [FACIT]</a></p><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 363679005}">Imaging</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 71045-9}">I feel compassion for others in the difficulties they are facing in the past 7 days [FACIT]</span></p><p><b>subject</b>: <a href="Bundle-bundle-imaging-report-with-dicom-example.html#urn-uuid-33333333-3333-3333-3333-333333333333">María Rodríguez García Female, DoB: 1975-05-15 ( urn:oid:2.16.840.1.113883.18.4#123456789)</a></p><h3>Performers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Actor</b></td></tr><tr><td style="display: none">*</td><td>Técnico en Radiología - Clínica San José</td></tr></table><p><b>report</b>: <a href="Bundle-bundle-imaging-report-with-dicom-example.html#urn-uuid-22222222-2222-2222-2222-222222222222">Diagnostic Report for 'Informe de eventos de cáncer:{Configuración} :Punto temporal:Tipo:Documento:{Role}' for '->María Rodríguez García Female, DoB: 1975-05-15 ( urn:oid:2.16.840.1.113883.18.4#123456789)'</a></p></div>
</text>
<identifier>
<system value="urn:oid:2.16.840.1.113883.4.6.1"/>
<value value="PROC-2026-001"/>
</identifier>
<basedOn>
<reference value="urn:uuid:55555555-5555-5555-5555-555555555555"/>
</basedOn>
<status value="completed"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="363679005"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="71045-9"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:33333333-3333-3333-3333-333333333333"/>
</subject>
<performer>
<actor>
<display value="Técnico en Radiología - Clínica San José"/>
</actor>
</performer>
<report>
<reference value="urn:uuid:22222222-2222-2222-2222-222222222222"/>
</report>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:77777777-7777-7777-7777-777777777777"/>
<resource>
<Observation>
<id value="bundle-observation"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_bundle-observation"> </a><p class="res-header-id"><b>Generated Narrative: Observation bundle-observation</b></p><a name="bundle-observation"> </a><a name="hcbundle-observation"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 19829001}">Hallazgo radiológico de pulmones</span></p><p><b>subject</b>: <a href="Bundle-bundle-imaging-report-with-dicom-example.html#urn-uuid-33333333-3333-3333-3333-333333333333">María Rodríguez García Female, DoB: 1975-05-15 ( urn:oid:2.16.840.1.113883.18.4#123456789)</a></p><p><b>effective</b>: 2026-01-20 09:15:00-0600</p><p><b>performer</b>: Dr. Carlos López Martínez</p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 17621005}">Normal</span></p><p><b>interpretation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}">Normal</span></p><p><b>note</b>: </p><blockquote><div><p>Pulmones bien expandidos bilateralmente. Hilios pulmonares normales. Diafragmas regulares.</p>
</div></blockquote><p><b>bodySite</b>: <span title="Codes:{http://snomed.info/sct 39607008}">Lung</span></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="19829001"/>
</coding>
<text value="Hallazgo radiológico de pulmones"/>
</code>
<subject>
<reference value="urn:uuid:33333333-3333-3333-3333-333333333333"/>
</subject>
<effectiveDateTime value="2026-01-20T09:15:00-06:00"/>
<performer>
<display value="Dr. Carlos López Martínez"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="17621005"/>
</coding>
<text value="Normal"/>
</valueCodeableConcept>
<interpretation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="N"/>
</coding>
</interpretation>
<note>
<text
value="Pulmones bien expandidos bilateralmente. Hilios pulmonares normales. Diafragmas regulares."/>
</note>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="39607008"/>
</coding>
</bodySite>
</Observation>
</resource>
</entry>
</Bundle>
IG © 2025+ Iniciativa HL7® Costa Rica. Package hl7.fhir.cr.imaging-report#0.0.1-draft based on FHIR 5.0.0. Generated 2026-05-03
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