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 - JSON Representation

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    {
      "resourceType" : "DiagnosticReport",
      "id" : "diagnostic-report-xray-with-dicom-example",
      "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\"><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>"
      },
      "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"
        },
        {
          "extension" : [
            {
              "url" : "uid",
              "valueString" : "1.2.840.113619.2.55.3.2830498741.123.1234567890.2"
            },
            {
              "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/1.2.840.113619.2.55.3.2830498741.123.1234567890.2"
            },
            {
              "url" : "modality",
              "valueCode" : "CR"
            }
          ],
          "url" : "https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid"
        }
      ],
      "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",
              "display" : "Radiology"
            }
          ]
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-report-codes",
            "code" : "CXR",
            "display" : "Radiografía de Tórax (Rayos X)"
          }
        ],
        "text" : "Radiografía de Tórax"
      },
      "subject" : {
        "display" : "María Rodríguez García"
      },
      "effectiveDateTime" : "2026-01-20T09:15:00-06:00",
      "issued" : "2026-01-20T10:30:00-06:00",
      "performer" : [
        {
          "display" : "Clínica de Radiología San José"
        }
      ],
      "result" : [
        {
          🔗 "reference" : "Observation/observation-xray-lung-finding"
        }
      ],
      "composition" : {
        🔗 "reference" : "Composition/composition-xray-example"
      },
      "conclusion" : "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" : "http://snomed.info/sct",
              "code" : "17621005",
              "display" : "Normal"
            }
          ]
        }
      ]
    }