HL7 Europe Imaging Report R4
1.0.0-ballot - qa-preview 150

HL7 Europe Imaging Report R4, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/imaging-r4/ and changes regularly. See the Directory of published versions

Example Bundle: Bundle: Imaging Report semi-structured


Document Subject

Language: en

Profile: Patient (EU core)

Frau GuteFrage Test-Schusti(official) (no stated gender), DoB: 1976-04-29



Document Content

Radiology report composition narrative. See section narratives below.

Imaging Study

ImagingStudy:identifier = Study Instance UID: DUI#urn:oid:1.2.276.2000010.784732; status = available; modality = Magnetic Resonance; started = 2025-04-29
ImagingStudy:identifier = Study Instance UID: DUI#urn:oid:1.2.276.2000010.784733; status = available; modality = Magnetic Resonance; started = 2025-04-29

Order

Nil known

History

Nil known

Procedure

Unavailable

Comparison

Unavailable

Findings

Note:Linker Fuß:
Allenfalls geringe Abflachung des Fußgewölbes und normale Dicke der Plantarfaszie. Regelrechte Artikulation im Rückfuß, Mittelfuß und Vorfußes. Im Großzehengrundgelenk deutliche Verschmälerung des Gelenkspaltes und Ausbildung von subchondralen Geröllzysten sowie deutliche postoperative Veränderungen nach Umstellungsosteotomie. Die Beuge- und Strecksehnen sind intakt.
Note:Rechter Fuß:
Analog zur Gegenseite zeigt sich eine allenfalls geringe Abflachung des Fußgewölbes und unauffällige Plantarfaszie. Normale Artikulation im Rückfuß, Mittelfußes und Vorfußes. Im Seitenvergleich rechts geringere degenerative Veränderungen des Großzehengrundgelenkes. Keine Signalauffälligkeiten an den Beuge- und Strecksehnen.

Impression

Note:Beginnende Großzehengrundgelenksarthrose, links mehr als rechts. Z.n. Umstellungsosteotomie des MFK1 links.

Recommendations

Nil Known

Additional Resources Included in Document


Entry 2 - fullUrl = http://hl7.eu/fhir/imaging-r5/DiagnosticReport/DiagnosticReportSemiStructured

Resource DiagnosticReport:

Id: DiagnosticReportSemiStructured
Code:

( http://loinc.org: 24802-1 )

Identifier:

http://example.org/myhosptital/reportidentifiers: o32u4js8492ff

BasedOn: Identifier: Accession ID/123456789
Status: final
Category:

Radiologie ( http://terminology.hl7.org/CodeSystem/v2-0074: RAD )

( http://loinc.org: 85430-7 )

( http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs: Medical-Imaging )

Subject: Frau GuteFrage Test-Schusti(official) (no stated gender), DoB: 1976-04-29
Period: 2025-05-08
Performer:

Organization Radiology Zentrum Bremen

Results Interpreter:

PractitionerRole Radiologist

Conclusion:

Beginnende Großzehengrundgelenksarthrose, links mehr als rechts. Z.n. Umstellungsosteotomie des MFK1 links.

Presented form:
  • application/pdf @ http://hl7.eu/fhir/imaging-r5/Binary/BinarySemistructuredReport

Entry 3 - fullUrl = http://hl7.eu/fhir/imaging-r5/Patient/PatientSemiStructuredReport

Resource Patient:

Language: en

Profile: Patient (EU core)

Frau GuteFrage Test-Schusti(official) (no stated gender), DoB: 1976-04-29



Entry 4 - fullUrl = http://hl7.eu/fhir/imaging-r5/ImagingStudy/ImagingStudySemiStructuredReport1

Resource ImagingStudy:

Language: en

Profile: ImagingStudy: General

Extension: Anatomical Region: Lower extremity

identifier: Study Instance UID/urn:oid:1.2.276.2000010.784732

status: Available

modality: Magnetic Resonance

subject: Frau GuteFrage Test-Schusti(official) (no stated gender), DoB: 1976-04-29

started: 2025-04-29

basedOn: Identifier: Accession ID/123456789

series

uid: 1.2.276.2000010.784732.1

number: 1

modality: Magnetic Resonance

description: PD FatSat 3D (1.0mm) sagittal

bodySite: No display for ImagingStudy.series.bodySite (concept: Entire left foot (body structure))

laterality: Left lateral

performer

function: custodian

actor: Organization Radiology Zentrum Bremen

performer

function: location

actor: Organization Radiology Zentrum Bremen


Entry 5 - fullUrl = http://hl7.eu/fhir/imaging-r5/ImagingStudy/ImagingStudySemiStructuredReport2

Resource ImagingStudy:

Language: en

Profile: ImagingStudy: General

Extension: Anatomical Region: Lower extremity

identifier: Study Instance UID/urn:oid:1.2.276.2000010.784733

status: Available

modality: Magnetic Resonance

subject: Frau GuteFrage Test-Schusti(official) (no stated gender), DoB: 1976-04-29

started: 2025-04-29

basedOn: Identifier: Accession ID/123456789

series

uid: 1.2.276.2000010.784733.1

number: 1

modality: Magnetic Resonance

description: PD FatSat 3D (1.0mm) sagittal

bodySite: No display for ImagingStudy.series.bodySite (concept: Entire right foot (body structure))

laterality: Left lateral

performer

function: custodian

actor: Organization Radiology Zentrum Bremen

performer

function: location

actor: Organization Radiology Zentrum Bremen

series

uid: 1.2.276.2000010.784733.2

number: 2

modality: Magnetic Resonance

description: T1 (2.5mm) axial

bodySite: No display for ImagingStudy.series.bodySite (concept: Entire right foot (body structure))

laterality: Right lateral

performer

function: custodian

actor: Organization Radiology Zentrum Bremen

performer

function: location

actor: Organization Radiology Zentrum Bremen


Entry 6 - fullUrl = http://hl7.eu/fhir/imaging-r5/PractitionerRole/PractitionerRoleSemiStructuredReportAuthor

Resource PractitionerRole:

Language: en

Profile: PractitionerRole (EU core)

practitioner: Practitioner Dr. Lucas Gasenzer(official)

organization: Organization Radiology Zentrum Bremen

code: Radiologist


Entry 7 - fullUrl = http://hl7.eu/fhir/imaging-r5/Organization/OrganizationSemiStructuredReport

Resource Organization:

Language: en

Profile: Organization (EU core)

name: Radiology Zentrum Bremen

Contacts

-TelecomAddress
*+49 421 1234567Schwachhauser Heerstraße 54 Bremen 28209 Germany (work)

Entry 8 - fullUrl = http://hl7.eu/fhir/imaging-r5/Binary/BinarySemistructuredReport

Resource Binary:

Language: en

contentType: application/pdf

data: (base64 data - 263,952 base64 chars)