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 - JSON Representation

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    {
      "resourceType" : "Bundle",
      "id" : "bundle-imaging-report-with-dicom-example",
      "meta" : {
        "profile" : [
          🔗 "https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-imaging-report-bundle"
        ]
      },
      "identifier" : {
        "system" : "urn:oid:2.16.840.1.113883.4.6.1",
        "value" : "DR-2026-BUNDLE-001"
      },
      "type" : "document",
      "timestamp" : "2026-01-20T10:30:00-06:00",
      "entry" : [
        {
          "fullUrl" : "urn:uuid:11111111-1111-1111-1111-111111111111",
          "resource" : {
            "resourceType" : "Composition",
            "id" : "bundle-composition-imaging",
            "meta" : {
              "profile" : [
                🔗 "https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-composition-imaging-report"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "status" : "final",
            "type" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "72134-0"
                }
              ]
            },
            "subject" : [
              {
                "reference" : "urn:uuid:33333333-3333-3333-3333-333333333333"
              }
            ],
            "date" : "2026-01-20T10:30:00-06:00",
            "author" : [
              {
                "display" : "Dr. Carlos López Martínez, Radiólogo"
              }
            ],
            "title" : "Radiografía de Tórax - Reporte Final",
            "section" : [
              {
                "title" : "Hallazgos Clínicos",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "72131-6"
                    }
                  ]
                },
                "text" : {
                  "status" : "generated",
                  "div" : "<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>"
                }
              },
              {
                "title" : "Impresión",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "72132-4"
                    }
                  ]
                },
                "text" : {
                  "status" : "generated",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Radiografía de tórax normal. No se evidencian hallazgos patológicos agudos.</p></div>"
                }
              },
              {
                "title" : "Recomendaciones",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "72133-2"
                    }
                  ]
                },
                "text" : {
                  "status" : "generated",
                  "div" : "<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>"
                }
              },
              {
                "title" : "Findings",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "72131-6"
                    }
                  ]
                },
                "text" : {
                  "status" : "generated",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Observations and clinical findings from the imaging study.</p></div>"
                },
                "entry" : [
                  {
                    "reference" : "urn:uuid:77777777-7777-7777-7777-777777777777"
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:22222222-2222-2222-2222-222222222222",
          "resource" : {
            "resourceType" : "DiagnosticReport",
            "id" : "bundle-diagnostic-report",
            "meta" : {
              "profile" : [
                🔗 "https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-diagnostic-report"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "uid",
                    "valueString" : "1.2.840.113619.2.55.3.2830498741.123.1234567890.1"
                  },
                  {
                    "url" : "seriesInstanceUid",
                    "valueString" : "1.2.840.113619.2.55.3.2830498741.123.1234567890"
                  },
                  {
                    "url" : "studyInstanceUid",
                    "valueString" : "1.2.840.113619.2.55.3.2830498741.123"
                  },
                  {
                    "url" : "accessUrl",
                    "valueUrl" : "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"
                  },
                  {
                    "url" : "modality",
                    "valueCode" : "CR"
                  }
                ],
                "url" : "https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid"
              },
              {
                "url" : "https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-impression",
                "valueReference" : {
                  "reference" : "urn:uuid:77777777-7777-7777-7777-777777777777"
                }
              }
            ],
            "identifier" : [
              {
                "system" : "urn:oid:2.16.840.1.113883.4.6.1",
                "value" : "DR-2026-001234"
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-diagnostic-service-sections",
                    "code" : "RAD"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "72134-0"
                }
              ],
              "text" : "Radiografía de Tórax"
            },
            "subject" : {
              "reference" : "urn:uuid:33333333-3333-3333-3333-333333333333"
            },
            "effectiveDateTime" : "2026-01-20T09:15:00-06:00",
            "issued" : "2026-01-20T10:30:00-06:00",
            "performer" : [
              {
                "display" : "Clínica de Radiología San José"
              }
            ],
            "resultsInterpreter" : [
              {
                "display" : "Dr. Carlos López Martínez"
              }
            ],
            "result" : [
              {
                "reference" : "urn:uuid:77777777-7777-7777-7777-777777777777"
              }
            ],
            "study" : [
              {
                "reference" : "urn:uuid:44444444-4444-4444-4444-444444444444"
              }
            ],
            "composition" : {
              "reference" : "urn:uuid:11111111-1111-1111-1111-111111111111"
            },
            "conclusion" : "Radiografía de tórax normal sin hallazgos patológicos.",
            "conclusionCode" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "17621005"
                  }
                ],
                "text" : "Normal"
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:33333333-3333-3333-3333-333333333333",
          "resource" : {
            "resourceType" : "Patient",
            "id" : "bundle-patient",
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "identifier" : [
              {
                "system" : "urn:oid:2.16.840.1.113883.18.4",
                "value" : "123456789"
              }
            ],
            "name" : [
              {
                "family" : "Rodríguez García",
                "given" : [
                  "María"
                ]
              }
            ],
            "gender" : "female",
            "birthDate" : "1975-05-15"
          }
        },
        {
          "fullUrl" : "urn:uuid:44444444-4444-4444-4444-444444444444",
          "resource" : {
            "resourceType" : "ImagingStudy",
            "id" : "bundle-imaging-study",
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "identifier" : [
              {
                "system" : "urn:dicom:uid",
                "value" : "1.2.840.113619.2.55.3.2830498741.123"
              }
            ],
            "status" : "available",
            "subject" : {
              "reference" : "urn:uuid:33333333-3333-3333-3333-333333333333"
            },
            "started" : "2026-01-20T09:00:00-06:00",
            "numberOfSeries" : 1,
            "numberOfInstances" : 2
          }
        },
        {
          "fullUrl" : "urn:uuid:55555555-5555-5555-5555-555555555555",
          "resource" : {
            "resourceType" : "ServiceRequest",
            "id" : "bundle-service-request",
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "identifier" : [
              {
                "system" : "urn:oid:2.16.840.1.113883.4.6.1",
                "value" : "SR-2026-001"
              }
            ],
            "status" : "completed",
            "intent" : "order",
            "code" : {
              "concept" : {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "71045-9"
                  }
                ]
              }
            },
            "subject" : {
              "reference" : "urn:uuid:33333333-3333-3333-3333-333333333333"
            },
            "requester" : {
              "display" : "Centro de Salud Primario"
            }
          }
        },
        {
          "fullUrl" : "urn:uuid:66666666-6666-6666-6666-666666666666",
          "resource" : {
            "resourceType" : "Procedure",
            "id" : "bundle-procedure",
            "meta" : {
              "profile" : [
                🔗 "https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-procedure-imaging-acquisition"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "identifier" : [
              {
                "system" : "urn:oid:2.16.840.1.113883.4.6.1",
                "value" : "PROC-2026-001"
              }
            ],
            "basedOn" : [
              {
                "reference" : "urn:uuid:55555555-5555-5555-5555-555555555555"
              }
            ],
            "status" : "completed",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "363679005"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "71045-9"
                }
              ]
            },
            "subject" : {
              "reference" : "urn:uuid:33333333-3333-3333-3333-333333333333"
            },
            "performer" : [
              {
                "actor" : {
                  "display" : "Técnico en Radiología - Clínica San José"
                }
              }
            ],
            "report" : [
              {
                "reference" : "urn:uuid:22222222-2222-2222-2222-222222222222"
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:77777777-7777-7777-7777-777777777777",
          "resource" : {
            "resourceType" : "Observation",
            "id" : "bundle-observation",
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "status" : "final",
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "19829001"
                }
              ],
              "text" : "Hallazgo radiológico de pulmones"
            },
            "subject" : {
              "reference" : "urn:uuid:33333333-3333-3333-3333-333333333333"
            },
            "effectiveDateTime" : "2026-01-20T09:15:00-06:00",
            "performer" : [
              {
                "display" : "Dr. Carlos López Martínez"
              }
            ],
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "17621005"
                }
              ],
              "text" : "Normal"
            },
            "interpretation" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                    "code" : "N"
                  }
                ]
              }
            ],
            "note" : [
              {
                "text" : "Pulmones bien expandidos bilateralmente. Hilios pulmonares normales. Diafragmas regulares."
              }
            ],
            "bodySite" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "39607008"
                }
              ]
            }
          }
        }
      ]
    }