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

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

Page standards status: Informative

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    <DiagnosticReport xmlns="http://hl7.org/fhir">
      <id value="diagnostic-report-xray-with-dicom-example"/>
      <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"><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>
    </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>
    </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"/>
        </extension>
        <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/dicom-instance-uid">
        <extension url="uid">
          <valueString value="1.2.840.113619.2.55.3.2830498741.123.1234567890.2"/>
        </extension>
        <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/1.2.840.113619.2.55.3.2830498741.123.1234567890.2"/>
        </extension>
        <extension url="modality">
          <valueCode value="CR"/>
        </extension>
      </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"/>
          <display value="Radiology"/>
        </coding>
      </category>
      <code>
        <coding>
          <system
                  value="https://hl7.or.cr/fhir/terminology/CodeSystem/cr-report-codes"/>
          <code value="CXR"/>
          <display value="Radiografía de Tórax (Rayos X)"/>
        </coding>
        <text value="Radiografía de Tórax"/>
      </code>
      <subject>
        <display value="María Rodríguez García"/>
      </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>
      <result>🔗
        <reference value="Observation/observation-xray-lung-finding"/>
      </result>
      <composition>🔗
        <reference value="Composition/composition-xray-example"/>
      </composition>
      <conclusion
                  value="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."/>
      <conclusionCode>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="17621005"/>
          <display value="Normal"/>
        </coding>
      </conclusionCode>
    </DiagnosticReport>