HL7 Czech Imaging Report IG
0.1.0-ballot - ci-build CZ

HL7 Czech Imaging Report IG, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.1.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/img/ and changes regularly. See the Directory of published versions

## : Composition: PET+CT Imaging report

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    <Composition xmlns="http://hl7.org/fhir">
      <id value="a84899f0-a241-4f15-b5fd-47e8c9dbdc35"/>
      <meta>
        <profile
                 value="https://hl7.cz/fhir/img/StructureDefinition/cz-composition-imaging"/>
      </meta>
      <language value="en"/>
      <text>
        <status value="extensions"/>
      </text>
      <extension
                 url="http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference">
        <valueReference>
          <reference value="urn:uuid:9c23deff-bf1d-46f6-bd0e-005e52b42121"/>
        </valueReference>
      </extension>
      <identifier>
        <system value="http://example.org/myhospital/reportidentifiers"/>
        <value value="dfkjewoieoijwoskdje"/>
      </identifier>
      <status value="final"/>
      <type>
        <coding>
          <system value="http://loinc.org"/>
          <code value="87905-6"/>
        </coding>
      </type>
      <category>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
          <code value="RAD"/>
        </coding>
      </category>
      <category>
        <coding>
          <system value="http://loinc.org"/>
          <code value="18726-0"/>
        </coding>
      </category>
      <category>
        <coding>
          <system
                  value="http://hl7.eu/fhir/health-data-api/CodeSystem/eehrxf-document-priority-category-cs"/>
          <code value="Medical-Imaging"/>
        </coding>
      </category>
      <category>
        <coding>
          <system value="http://loinc.org"/>
          <code value="85430-7"/>
        </coding>
      </category>
      <subject>
        <reference value="urn:uuid:2ccb472f-5747-4939-a119-5597835ad7da"/>
      </subject>
      <date value="2025-05-20T12:02:00+01:00"/>
      <author>
        <reference value="urn:uuid:792a7a2e-4acd-42fd-bd2c-c2ff4e2f66a0"/>
      </author>
      <author>
        <reference value="urn:uuid:821077d6-ce17-4602-b3ad-d4bef845a950"/>
      </author>
      <title value="Zpráva z vyšetření PET+CT hlavy"/>
      <confidentiality value="N"/>
      <custodian>
        <reference value="urn:uuid:a4641bd0-34af-4038-a7db-872d08a54df9"/>
      </custodian>
      <section>
        <title value="Žádanka na obrazové vyšetření"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="55115-0"/>
            <display value="Requested imaging studies information Document"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
        </text>
        <entry>
          <reference value="urn:uuid:5be5b9c2-5ca6-4f2e-b3e2-47dc9b334a22"/>
        </entry>
      </section>
      <section>
        <extension url="http://hl7.org/fhir/StructureDefinition/note">
          <valueAnnotation id="clinical-question-note">
            <text value="Recidiva?"/>
          </valueAnnotation>
        </extension>
        <title value="Klinická otázka"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="18785-6"/>
            <display value="Radiology Reason for study (narrative)"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
        </text>
        <entry>
          <reference value="urn:uuid:9ee22843-2526-436f-bf66-3f9874869c08"/>
        </entry>
      </section>
      <section>
        <title value="Zobrazovací studie"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="18726-0"/>
            <display value="Radiology studies (set)"/>
          </coding>
        </code>
        <entry>
          <reference value="urn:uuid:e132f687-df35-4174-91bd-fe74cda5ac5d"/>
        </entry>
      </section>
      <section>
        <title value="Procedura"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="55111-9"/>
            <display value="Current imaging procedure descriptions Document"/>
          </coding>
        </code>
        <entry>
          <reference value="urn:uuid:74820e62-42c2-4a39-9ded-251f3b8a58d0"/>
        </entry>
        <entry>
          <reference value="urn:uuid:0bd84e75-9c5e-406b-90a8-e39a615e9cf6"/>
        </entry>
      </section>
      <section>
        <title value="Nálezy"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="59776-5"/>
            <display value="Procedure findings Narrative"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
        </text>
        <entry>
          <reference value="urn:uuid:1bcd2d5a-e401-4ac2-80d0-7ec558d6b250"/>
        </entry>
        <entry>
          <reference value="urn:uuid:2a00895f-9e01-4467-bf75-4f0c3552afa4"/>
        </entry>
      </section>
      <section>
        <title value="Doporučení"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="18783-1"/>
            <display value="Radiology Study recommendation (narrative)"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
        </text>
        <entry>
          <reference value="urn:uuid:b9af425a-a9d9-4685-800c-d0d661c1b7a4"/>
        </entry>
      </section>
      <section>
        <extension url="http://hl7.org/fhir/StructureDefinition/note">
          <valueAnnotation id="impression-note">
            <text
                  value="Zvýšená mitotická aktivita dorzálně za postresekční dutinou až fokálního charakteru při jejím laterálním okraji - nález vzbuzuje podezření na viabilní neoplazii.
    Nenalézáme žádná další jasná ložiska porušené hematoencefalické bariéry nebo zvýšené mitotické aktivity svědčící pro přítomnost viabilní neoplazie v mozku."/>
          </valueAnnotation>
        </extension>
        <title value="Výsledek"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="19005-8"/>
            <display value="Radiology Imaging study [Impression] (narrative)"/>
          </coding>
        </code>
        <text>
          <status value="additional"/>
        </text>
      </section>
      <section>
        <title value="History"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="11329-0"/>
            <display value="History general Narrative - Reported"/>
          </coding>
        </code>
        <entry>
          <reference value="urn:uuid:9f79ad8f-056e-4931-ae19-810064de607b"/>
        </entry>
        <entry>
          <reference value="urn:uuid:40fb226b-e11f-4d02-aa30-97ba51ab4ff6"/>
        </entry>
      </section>
      <section>
        <title value="Comparison"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="18834-2"/>
            <display value="Radiology Comparison study (narrative)"/>
          </coding>
        </code>
        <text>
          <status value="generated"/>
        </text>
        <emptyReason>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
            <code value="nilknown"/>
            <display value="Nil Known"/>
          </coding>
        </emptyReason>
      </section>
    </Composition>