# Bundle de Reportes de Imágenes Médicas - HL7 FHIR Costa Rica - Reportes de Imágenes Médicas v0.0.1-draft

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Bundle de Reportes de Imágenes Médicas**

## Resource Profile: Bundle de Reportes de Imágenes Médicas 

| | | |
| :--- | :--- | :--- |
| *Official URL*:https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-imaging-report-bundle | *Version*:0.0.1 | |
| * Standards status: *[Draft](http://hl7.org/fhir/R5/versions.html#std-process) | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 0 | *Computable Name*:CRImagingReportBundle |
| **Copyright/Legal**: Utilizado con permiso de HL7 International, todos los derechos reservados Licencia Creative Commons | | |

 
Perfil FHIR Bundle para intercambiar reportes de imágenes médicas (Rayos X, RM, Tomografía, Mamografía, Ultrasonido) con acceso a imágenes DICOM. Este Bundle contiene estudios de imagen, reportes diagnósticos y referencias DICOM que pueden ser firmados digitalmente con JAdES para garantizar autenticidad e integridad. 

**Usages:**

* Examples for this Profile: [Bundle/bundle-imaging-report-with-dicom-example](Bundle-bundle-imaging-report-with-dicom-example.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/hl7.fhir.cr.imaging-report|current/StructureDefinition/cr-imaging-report-bundle)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-cr-imaging-report-bundle.csv), [Excel](StructureDefinition-cr-imaging-report-bundle.xlsx), [Schematron](StructureDefinition-cr-imaging-report-bundle.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "cr-imaging-report-bundle",
  "language" : "es",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 0
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "draft"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "cgp"
  }],
  "url" : "https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-imaging-report-bundle",
  "version" : "0.0.1",
  "name" : "CRImagingReportBundle",
  "title" : "Bundle de Reportes de Imágenes Médicas",
  "status" : "draft",
  "experimental" : false,
  "date" : "2025-12-25",
  "publisher" : "Iniciativa HL7 Costa Rica",
  "contact" : [{
    "name" : "Iniciativa HL7 Costa Rica",
    "telecom" : [{
      "system" : "url",
      "value" : "https://hl7.or.cr"
    },
    {
      "system" : "email",
      "value" : "info@hl7.or.cr"
    }]
  },
  {
    "name" : "Iniciativa HL7 Costa Rica",
    "telecom" : [{
      "system" : "email",
      "value" : "info@hl7.or.cr",
      "use" : "work"
    },
    {
      "system" : "url",
      "value" : "https://hl7.or.cr",
      "use" : "work"
    }]
  }],
  "description" : "Perfil FHIR Bundle para intercambiar reportes de imágenes médicas (Rayos X, RM, Tomografía, Mamografía, Ultrasonido) con acceso a imágenes DICOM. Este Bundle contiene estudios de imagen, reportes diagnósticos y referencias DICOM que pueden ser firmados digitalmente con JAdES para garantizar autenticidad e integridad.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "CR",
      "display" : "Costa Rica"
    }]
  }],
  "copyright" : "Utilizado con permiso de HL7 International, todos los derechos reservados Licencia Creative Commons",
  "fhirVersion" : "5.0.0",
  "mapping" : [{
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 V2 Mapping"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "cda",
    "uri" : "http://hl7.org/v3/cda",
    "name" : "CDA (R2)"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Bundle",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Bundle|5.0.0",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Bundle",
      "path" : "Bundle"
    },
    {
      "id" : "Bundle.type",
      "path" : "Bundle.type",
      "short" : "Tipo de Bundle",
      "definition" : "El tipo debe ser 'document' para representar un documento de reporte de imagen que será firmado digitalmente con JAdES y GAUDÍ",
      "fixedCode" : "document"
    },
    {
      "id" : "Bundle.timestamp",
      "path" : "Bundle.timestamp",
      "short" : "Fecha y hora del Bundle",
      "definition" : "Marca de tiempo cuando se creó el Bundle (para auditoría y firma JAdES)",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Bundle.entry",
      "path" : "Bundle.entry",
      "slicing" : {
        "discriminator" : [{
          "type" : "type",
          "path" : "resource"
        }],
        "ordered" : true,
        "rules" : "open"
      },
      "min" : 2,
      "mustSupport" : true
    },
    {
      "id" : "Bundle.entry.fullUrl",
      "path" : "Bundle.entry.fullUrl",
      "short" : "URL única del recurso",
      "definition" : "Identificador único del recurso dentro del Bundle (requerido para firma JAdES)",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Bundle.entry.resource",
      "path" : "Bundle.entry.resource",
      "short" : "Recursos contenidos en el Bundle",
      "definition" : "Puede contener Patient, Practitioner, Organization, ImagingStudy, DiagnosticReport (reportes radiológicos) y Composition",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Bundle.entry:composition",
      "path" : "Bundle.entry",
      "sliceName" : "composition",
      "short" : "Composition - Índice del documento",
      "definition" : "Primera entrada: recurso Composition que actúa como índice narrativo del documento",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Bundle.entry:composition.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Composition"
      }]
    },
    {
      "id" : "Bundle.entry:diagnosticReport",
      "path" : "Bundle.entry",
      "sliceName" : "diagnosticReport",
      "short" : "DiagnosticReport - Reporte clínico",
      "definition" : "Segunda entrada: recurso DiagnosticReport con datos estructurados del reporte",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Bundle.entry:diagnosticReport.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "DiagnosticReport"
      }]
    },
    {
      "id" : "Bundle.entry:patient",
      "path" : "Bundle.entry",
      "sliceName" : "patient",
      "short" : "Patient - Paciente",
      "min" : 0,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Bundle.entry:patient.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Patient"
      }]
    },
    {
      "id" : "Bundle.entry:imagingStudy",
      "path" : "Bundle.entry",
      "sliceName" : "imagingStudy",
      "short" : "ImagingStudy - Estudio DICOM",
      "min" : 0,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Bundle.entry:imagingStudy.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "ImagingStudy"
      }]
    },
    {
      "id" : "Bundle.entry:serviceRequest",
      "path" : "Bundle.entry",
      "sliceName" : "serviceRequest",
      "short" : "ServiceRequest - Orden de imagen",
      "min" : 0,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Bundle.entry:serviceRequest.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "ServiceRequest"
      }]
    },
    {
      "id" : "Bundle.entry:procedure",
      "path" : "Bundle.entry",
      "sliceName" : "procedure",
      "short" : "Procedure - Procedimiento realizado",
      "min" : 0,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Bundle.entry:procedure.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Procedure"
      }]
    },
    {
      "id" : "Bundle.entry:observation",
      "path" : "Bundle.entry",
      "sliceName" : "observation",
      "short" : "Observation - Hallazgos clínicos",
      "min" : 0,
      "max" : "*",
      "mustSupport" : true
    },
    {
      "id" : "Bundle.entry:observation.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Observation"
      }]
    },
    {
      "id" : "Bundle.signature",
      "path" : "Bundle.signature",
      "short" : "Firma digital del Bundle",
      "definition" : "Firma digital JAdES o similar para garantizar autenticidad e integridad del documento de imagen",
      "mustSupport" : true
    },
    {
      "id" : "Bundle.signature.type",
      "path" : "Bundle.signature.type",
      "short" : "Tipo de firma",
      "definition" : "Código que indica el tipo de firma (p.ej. JAdES)",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Bundle.signature.when",
      "path" : "Bundle.signature.when",
      "short" : "Cuándo se firmó",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Bundle.signature.who",
      "path" : "Bundle.signature.who",
      "short" : "Quién firmó",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Bundle.signature.data",
      "path" : "Bundle.signature.data",
      "short" : "Datos de la firma",
      "definition" : "Contiene la firma digital en base64",
      "min" : 1,
      "mustSupport" : true
    }]
  }
}

```
