HL7 FHIR Costa Rica - Reportes de Imágenes Médicas
0.0.1-draft - ci-build

HL7 FHIR Costa Rica - Reportes de Imágenes Médicas, 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

## : Bundle Completo de Reporte de Imagen - TTL Representation

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix loinc: <https://loinc.org/rdf/> .
    @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:Bundle ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "bundle-imaging-report-with-dicom-example"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-imaging-report-bundle"^^xsd:anyURI ;
    fhir:l <https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-imaging-report-bundle>     ] )
      ] ; #
      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-BUNDLE-001" ]
      ] ; #
      fhir:type [ fhir:v "document"] ; #
      fhir:timestamp [ fhir:v "2026-01-20T10:30:00-06:00"^^xsd:dateTime] ; #
      fhir:entry ( [
    fhir:fullUrl [
    fhir:v "urn:uuid:11111111-1111-1111-1111-111111111111"^^xsd:anyURI ;
    fhir:l <urn:uuid:11111111-1111-1111-1111-111111111111>     ] ;
        ( fhir:resource <urn:uuid:11111111-1111-1111-1111-111111111111> )
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:22222222-2222-2222-2222-222222222222"^^xsd:anyURI ;
    fhir:l <urn:uuid:22222222-2222-2222-2222-222222222222>     ] ;
        ( fhir:resource <urn:uuid:22222222-2222-2222-2222-222222222222> )
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:33333333-3333-3333-3333-333333333333"^^xsd:anyURI ;
    fhir:l <urn:uuid:33333333-3333-3333-3333-333333333333>     ] ;
        ( fhir:resource <urn:uuid:33333333-3333-3333-3333-333333333333> )
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:44444444-4444-4444-4444-444444444444"^^xsd:anyURI ;
    fhir:l <urn:uuid:44444444-4444-4444-4444-444444444444>     ] ;
        ( fhir:resource <urn:uuid:44444444-4444-4444-4444-444444444444> )
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:55555555-5555-5555-5555-555555555555"^^xsd:anyURI ;
    fhir:l <urn:uuid:55555555-5555-5555-5555-555555555555>     ] ;
        ( fhir:resource <urn:uuid:55555555-5555-5555-5555-555555555555> )
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:66666666-6666-6666-6666-666666666666"^^xsd:anyURI ;
    fhir:l <urn:uuid:66666666-6666-6666-6666-666666666666>     ] ;
        ( fhir:resource <urn:uuid:66666666-6666-6666-6666-666666666666> )
      ] [
    fhir:fullUrl [
    fhir:v "urn:uuid:77777777-7777-7777-7777-777777777777"^^xsd:anyURI ;
    fhir:l <urn:uuid:77777777-7777-7777-7777-777777777777>     ] ;
        ( fhir:resource <urn:uuid:77777777-7777-7777-7777-777777777777> )
      ] ) . #

    <urn:uuid:11111111-1111-1111-1111-111111111111> a fhir:Composition ;
      fhir:id [ fhir:v "bundle-composition-imaging"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-composition-imaging-report"^^xsd:anyURI ;
    fhir:l <https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-composition-imaging-report>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "final"] ; #
      fhir:type [
        ( fhir:coding [
    a loinc:72134-0 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "72134-0" ]     ] )
      ] ; #
      fhir:subject ( [
    fhir:l <urn:uuid:33333333-3333-3333-3333-333333333333> ;
    fhir:reference [ fhir:v "urn:uuid:33333333-3333-3333-3333-333333333333" ]
      ] ) ; #
      fhir:date [ fhir:v "2026-01-20T10:30:00-06:00"^^xsd:dateTime] ; #
      fhir:author ( [
    fhir:display [ fhir:v "Dr. Carlos López Martínez, Radiólogo" ]
      ] ) ; #
      fhir:title [ fhir:v "Radiografía de Tórax - Reporte Final"] ; #
      fhir:section ( [
    fhir:title [ fhir:v "Hallazgos Clínicos" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:72131-6 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "72131-6" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]     ]
      ] [
    fhir:title [ fhir:v "Impresión" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:72132-4 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "72132-4" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Radiografía de tórax normal. No se evidencian hallazgos patológicos agudos.</p></div>"^^rdf:XMLLiteral ]     ]
      ] [
    fhir:title [ fhir:v "Recomendaciones" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:72133-2 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "72133-2" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]     ]
      ] [
    fhir:title [ fhir:v "Findings" ] ;
    fhir:code [
          ( fhir:coding [
    a loinc:72131-6 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "72131-6" ]       ] )     ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Observations and clinical findings from the imaging study.</p></div>"^^rdf:XMLLiteral ]     ] ;
        ( fhir:entry [
    fhir:l <urn:uuid:77777777-7777-7777-7777-777777777777> ;
    fhir:reference [ fhir:v "urn:uuid:77777777-7777-7777-7777-777777777777" ]     ] )
      ] ) . #

    <urn:uuid:22222222-2222-2222-2222-222222222222> a fhir:DiagnosticReport ;
      fhir:id [ fhir:v "bundle-diagnostic-report"] ; #
      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\"><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>\n</div></blockquote></td></tr></table><div><p>Radiografía de tórax normal sin hallazgos patológicos.</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:url [
    fhir:v "https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-impression"^^xsd:anyURI ;
    fhir:l <https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-impression>     ] ;
    fhir:value [
    a fhir:Reference ;
    fhir:l <urn:uuid:77777777-7777-7777-7777-777777777777> ;
    fhir:reference [ fhir:v "urn:uuid:77777777-7777-7777-7777-777777777777" ]     ]
      ] ) ; #
      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:code [
        ( fhir:coding [
    a loinc:72134-0 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "72134-0" ]     ] ) ;
    fhir:text [ fhir:v "Radiografía de Tórax" ]
      ] ; #
      fhir:subject [
    fhir:l <urn:uuid:33333333-3333-3333-3333-333333333333> ;
    fhir:reference [ fhir:v "urn:uuid:33333333-3333-3333-3333-333333333333" ]
      ] ; #
      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:resultsInterpreter ( [
    fhir:display [ fhir:v "Dr. Carlos López Martínez" ]
      ] ) ; #
      fhir:result ( [
    fhir:l <urn:uuid:77777777-7777-7777-7777-777777777777> ;
    fhir:reference [ fhir:v "urn:uuid:77777777-7777-7777-7777-777777777777" ]
      ] ) ; #
      fhir:study ( [
    fhir:l <urn:uuid:44444444-4444-4444-4444-444444444444> ;
    fhir:reference [ fhir:v "urn:uuid:44444444-4444-4444-4444-444444444444" ]
      ] ) ; #
      fhir:composition [
    fhir:l <urn:uuid:11111111-1111-1111-1111-111111111111> ;
    fhir:reference [ fhir:v "urn:uuid:11111111-1111-1111-1111-111111111111" ]
      ] ; #
      fhir:conclusion [ fhir:v "Radiografía de tórax normal sin hallazgos patológicos."] ; #
      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:text [ fhir:v "Normal" ]
      ] ) . #

    <urn:uuid:33333333-3333-3333-3333-333333333333> a fhir:Patient ;
      fhir:id [ fhir:v "bundle-patient"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:identifier ( [
    fhir:system [
    fhir:v "urn:oid:2.16.840.1.113883.18.4"^^xsd:anyURI ;
    fhir:l <urn:oid:2.16.840.1.113883.18.4>     ] ;
    fhir:value [ fhir:v "123456789" ]
      ] ) ; #
      fhir:name ( [
    fhir:family [ fhir:v "Rodríguez García" ] ;
        ( fhir:given [ fhir:v "María" ] )
      ] ) ; #
      fhir:gender [ fhir:v "female"] ; #
      fhir:birthDate [ fhir:v "1975-05-15"^^xsd:date] . #

    <urn:uuid:44444444-4444-4444-4444-444444444444> a fhir:ImagingStudy ;
      fhir:id [ fhir:v "bundle-imaging-study"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<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 &quot;urn:oid:&quot;. 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>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:identifier ( [
    fhir:system [
    fhir:v "urn:dicom:uid"^^xsd:anyURI ;
    fhir:l <urn:dicom:uid>     ] ;
    fhir:value [ fhir:v "1.2.840.113619.2.55.3.2830498741.123" ]
      ] ) ; #
      fhir:status [ fhir:v "available"] ; #
      fhir:subject [
    fhir:l <urn:uuid:33333333-3333-3333-3333-333333333333> ;
    fhir:reference [ fhir:v "urn:uuid:33333333-3333-3333-3333-333333333333" ]
      ] ; #
      fhir:started [ fhir:v "2026-01-20T09:00:00-06:00"^^xsd:dateTime] ; #
      fhir:numberOfSeries [ fhir:v "1"^^xsd:nonNegativeInteger] ; #
      fhir:numberOfInstances [ fhir:v "2"^^xsd:nonNegativeInteger] . #

    <urn:uuid:55555555-5555-5555-5555-555555555555> a fhir:ServiceRequest ;
      fhir:id [ fhir:v "bundle-service-request"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]
      ] ; #
      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 "SR-2026-001" ]
      ] ) ; #
      fhir:status [ fhir:v "completed"] ; #
      fhir:intent [ fhir:v "order"] ; #
      fhir:code [
    fhir:concept [
          ( fhir:coding [
    a loinc:71045-9 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "71045-9" ]       ] )     ]
      ] ; #
      fhir:subject [
    fhir:l <urn:uuid:33333333-3333-3333-3333-333333333333> ;
    fhir:reference [ fhir:v "urn:uuid:33333333-3333-3333-3333-333333333333" ]
      ] ; #
      fhir:requester [
    fhir:display [ fhir:v "Centro de Salud Primario" ]
      ] . #

    <urn:uuid:66666666-6666-6666-6666-666666666666> a fhir:Procedure ;
      fhir:id [ fhir:v "bundle-procedure"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-procedure-imaging-acquisition"^^xsd:anyURI ;
    fhir:l <https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-procedure-imaging-acquisition>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<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 '-&gt;María Rodríguez García  Female, DoB: 1975-05-15 ( urn:oid:2.16.840.1.113883.18.4#123456789)'</a></p></div>"^^rdf:XMLLiteral ]
      ] ; #
      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 "PROC-2026-001" ]
      ] ) ; #
      fhir:basedOn ( [
    fhir:l <urn:uuid:55555555-5555-5555-5555-555555555555> ;
    fhir:reference [ fhir:v "urn:uuid:55555555-5555-5555-5555-555555555555" ]
      ] ) ; #
      fhir:status [ fhir:v "completed"] ; #
      fhir:category ( [
        ( fhir:coding [
    a sct:363679005 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "363679005" ]     ] )
      ] ) ; #
      fhir:code [
        ( fhir:coding [
    a loinc:71045-9 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "71045-9" ]     ] )
      ] ; #
      fhir:subject [
    fhir:l <urn:uuid:33333333-3333-3333-3333-333333333333> ;
    fhir:reference [ fhir:v "urn:uuid:33333333-3333-3333-3333-333333333333" ]
      ] ; #
      fhir:performer ( [
    fhir:actor [
    fhir:display [ fhir:v "Técnico en Radiología - Clínica San José" ]     ]
      ] ) ; #
      fhir:report ( [
    fhir:l <urn:uuid:22222222-2222-2222-2222-222222222222> ;
    fhir:reference [ fhir:v "urn:uuid:22222222-2222-2222-2222-222222222222" ]
      ] ) . #

    <urn:uuid:77777777-7777-7777-7777-777777777777> a fhir:Observation ;
      fhir:id [ fhir:v "bundle-observation"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<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>\n</div></blockquote><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 39607008}\">Lung</span></p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "final"] ; #
      fhir:code [
        ( fhir:coding [
    a sct:19829001 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "19829001" ]     ] ) ;
    fhir:text [ fhir:v "Hallazgo radiológico de pulmones" ]
      ] ; #
      fhir:subject [
    fhir:l <urn:uuid:33333333-3333-3333-3333-333333333333> ;
    fhir:reference [ fhir:v "urn:uuid:33333333-3333-3333-3333-333333333333" ]
      ] ; #
      fhir:effective [
    a fhir:DateTime ;
    fhir:v "2026-01-20T09:15:00-06:00"^^xsd:dateTime
      ] ; #
      fhir:performer ( [
    fhir:display [ fhir:v "Dr. Carlos López Martínez" ]
      ] ) ; #
      fhir:value [
    a fhir:CodeableConcept ;
        ( 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:text [ fhir:v "Normal" ]
      ] ; #
      fhir:interpretation ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation>       ] ;
    fhir:code [ fhir:v "N" ]     ] )
      ] ) ; #
      fhir:note ( [
    fhir:text [ fhir:v "Pulmones bien expandidos bilateralmente. Hilios pulmonares normales. Diafragmas regulares." ]
      ] ) ; #
      fhir:bodySite [
        ( fhir:coding [
    a sct:39607008 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ] ;
    fhir:code [ fhir:v "39607008" ]     ] )
      ] . #