Reportes de Imágenes Médicas FHIR® - Costa Rica
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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

: Ejemplo de Reporte Radiológico X-Ray con Acceso DICOM - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:DiagnosticReport ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "diagnostic-report-xray-with-dicom-example"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-diagnostic-report"^^xsd:anyURI ;
fhir:l <https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-diagnostic-report>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport diagnostic-report-xray-with-dicom-example</b></p><a name=\"diagnostic-report-xray-with-dicom-example\"> </a><a name=\"hcdiagnostic-report-xray-with-dicom-example\"> </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:{https://hl7.or.cr/fhir/terminology/CodeSystem/cr-report-codes CXR}\">Radiografía de Tórax</span> (<span title=\"Codes:{https://hl7.or.cr/fhir/terminology/CodeSystem/cr-diagnostic-service-sections RAD}\">Radiology</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Unable to get Patient Details</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=\"Observation-observation-xray-lung-finding.html\"><span title=\"Codes:{http://snomed.info/sct 19829001}\">Hallazgo radiológico de pulmones</span></a> (<span title=\"Codes:{http://snomed.info/sct 39607008}\">Pulmones</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.</p>\n</div></blockquote></td></tr></table><div><p>Radiografía de tórax posteroanterior: Pulmones bien expandidos bilateralmente. No hay opacidades localizadas ni consolidaciones. Corazón de tamaño normal. Mediastino dentro de los límites normales. Diafragmas regulares. Sin neumotórax. Hilios pulmonares normales.</p>\n</div><p><b>Coded Conclusions:</b></p><ul><li><span title=\"Codes:{http://snomed.info/sct 17621005}\">Normal</span></li></ul></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
    ( fhir:extension [
fhir:url [
fhir:v "uid"^^xsd:anyURI ;
fhir:l fhir:uid       ] ;
fhir:value [
a fhir:String ;
fhir:v "1.2.840.113619.2.55.3.2830498741.123.1234567890.1"       ]     ] [
fhir:url [
fhir:v "seriesInstanceUid"^^xsd:anyURI ;
fhir:l fhir:seriesInstanceUid       ] ;
fhir:value [
a fhir:String ;
fhir:v "1.2.840.113619.2.55.3.2830498741.123.1234567890"       ]     ] [
fhir:url [
fhir:v "studyInstanceUid"^^xsd:anyURI ;
fhir:l fhir:studyInstanceUid       ] ;
fhir:value [
a fhir:String ;
fhir:v "1.2.840.113619.2.55.3.2830498741.123"       ]     ] [
fhir:url [
fhir:v "accessUrl"^^xsd:anyURI ;
fhir:l fhir:accessUrl       ] ;
fhir:value [
a fhir:Url ;
fhir:v "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"^^xsd:anyURI ;
fhir:l fhir: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       ]     ] [
fhir:url [
fhir:v "modality"^^xsd:anyURI ;
fhir:l fhir:modality       ] ;
fhir:value [
a fhir:Code ;
fhir:v "CR"       ]     ] ) ;
fhir:url [
fhir:v "https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid"^^xsd:anyURI ;
fhir:l <https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid>     ]
  ] [
    ( fhir:extension [
fhir:url [
fhir:v "uid"^^xsd:anyURI ;
fhir:l fhir:uid       ] ;
fhir:value [
a fhir:String ;
fhir:v "1.2.840.113619.2.55.3.2830498741.123.1234567890.2"       ]     ] [
fhir:url [
fhir:v "seriesInstanceUid"^^xsd:anyURI ;
fhir:l fhir:seriesInstanceUid       ] ;
fhir:value [
a fhir:String ;
fhir:v "1.2.840.113619.2.55.3.2830498741.123.1234567890"       ]     ] [
fhir:url [
fhir:v "studyInstanceUid"^^xsd:anyURI ;
fhir:l fhir:studyInstanceUid       ] ;
fhir:value [
a fhir:String ;
fhir:v "1.2.840.113619.2.55.3.2830498741.123"       ]     ] [
fhir:url [
fhir:v "accessUrl"^^xsd:anyURI ;
fhir:l fhir:accessUrl       ] ;
fhir:value [
a fhir:Url ;
fhir:v "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/1.2.840.113619.2.55.3.2830498741.123.1234567890.2"^^xsd:anyURI ;
fhir:l fhir: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/1.2.840.113619.2.55.3.2830498741.123.1234567890.2       ]     ] [
fhir:url [
fhir:v "modality"^^xsd:anyURI ;
fhir:l fhir:modality       ] ;
fhir:value [
a fhir:Code ;
fhir:v "CR"       ]     ] ) ;
fhir:url [
fhir:v "https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid"^^xsd:anyURI ;
fhir:l <https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid>     ]
  ] ) ; # 
  fhir:identifier ( [
fhir:system [
fhir:v "urn:oid:2.16.840.1.113883.4.6.1"^^xsd:anyURI ;
fhir:l <urn:oid:2.16.840.1.113883.4.6.1>     ] ;
fhir:value [ fhir:v "DR-2026-001234" ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [
fhir:v "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-diagnostic-service-sections"^^xsd:anyURI ;
fhir:l <https://hl7.or.cr/fhir/terminology/CodeSystem/cr-diagnostic-service-sections>       ] ;
fhir:code [ fhir:v "RAD" ] ;
fhir:display [ fhir:v "Radiology" ]     ] )
  ] ) ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [
fhir:v "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-report-codes"^^xsd:anyURI ;
fhir:l <https://hl7.or.cr/fhir/terminology/CodeSystem/cr-report-codes>       ] ;
fhir:code [ fhir:v "CXR" ] ;
fhir:display [ fhir:v "Radiografía de Tórax (Rayos X)" ]     ] ) ;
fhir:text [ fhir:v "Radiografía de Tórax" ]
  ] ; # 
  fhir:subject [
fhir:display [ fhir:v "María Rodríguez García" ]
  ] ; # 
  fhir:effective [
a fhir:DateTime ;
fhir:v "2026-01-20T09:15:00-06:00"^^xsd:dateTime
  ] ; # 
  fhir:issued [ fhir:v "2026-01-20T10:30:00-06:00"^^xsd:dateTime] ; # 
  fhir:performer ( [
fhir:display [ fhir:v "Clínica de Radiología San José" ]
  ] ) ; # 
  fhir:result ( [
fhir:l fhir:Observation/observation-xray-lung-finding ;
fhir:reference [ fhir:v "Observation/observation-xray-lung-finding" ]
  ] ) ; # 
  fhir:composition [
fhir:l fhir:Composition/composition-xray-example ;
fhir:reference [ fhir:v "Composition/composition-xray-example" ]
  ] ; # 
  fhir:conclusion [ fhir:v "Radiografía de tórax posteroanterior: Pulmones bien expandidos bilateralmente. No hay opacidades localizadas ni consolidaciones. Corazón de tamaño normal. Mediastino dentro de los límites normales. Diafragmas regulares. Sin neumotórax. Hilios pulmonares normales."] ; # 
  fhir:conclusionCode ( [
    ( fhir:coding [
a sct:17621005 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>       ] ;
fhir:code [ fhir:v "17621005" ] ;
fhir:display [ fhir:v "Normal" ]     ] )
  ] ) . #