Bundle: Imaging Report structured - HL7 Europe Imaging Report R4 v1.0.0-ballot

HL7 Europe Imaging Report R4
1.0.0-ballot - ci-build 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 structured

Document Details

Language: en

Profile: Bundle: Imaging Report

Final Document at 2025-09-05 02:22:00+0000 by PractitionerRole Cardiology, Organization Ultrasound centrum for 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)

Document Subject

Language: en

Profile: Patient (EU core)

3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)

Document Content

Stress echocardiography composition narrative. See section narratives below.

Imaging Study

Order

Accession Number: 87654321

History

Weight 80kg, Height: 180 cm, HT: 180 bpm, BP: 80/90 mm/Hg

Procedure

Unavailable

Comparison

Nil Known

Findings

Impression

This was a normal stress echocardiogram. Nothing wrong with this patient. See you next year.

Recommendations

Additional Resources Included in Document

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

Resource DiagnosticReport:

Id: DiagnosticReportStructured

Code:
STRESS TTE COMPLETE ( http://www.ama-assn.org/go/cpt: 93351 )

Identifier:
http://example.org/myhosptital/reportidentifiers: dfkjewoieoijwoskdjf

BasedOn: Identifier: Accession ID/87654321

Status: final

Category:
Cardiac Ultrasound ( http://terminology.hl7.org/CodeSystem/v2-0074: CUS )

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

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

Subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)

Period: 2003-06-01

Performer:
Organization Ultrasound centrum

Results Interpreter:
PractitionerRole Cardiology

Results interpreter:

Observation Radiology Study observation (narrative)

Observation NM Heart First pass and Wall motion at rest and W radionuclide IV

Observation NM Heart First pass and Wall motion at rest and W radionuclide IV

Observation NM Heart First pass and Wall motion at rest and W radionuclide IV

Observation NM Heart First pass and Wall motion at rest and W radionuclide IV

Observation NM Heart First pass and Wall motion at rest and W radionuclide IV

Observation NM Heart First pass and Wall motion at rest and W radionuclide IV

Observation NM Heart First pass and Wall motion at rest and W radionuclide IV

Observation NM Heart First pass and Wall motion at rest and W radionuclide IV

Observation NM Heart First pass and Wall motion at rest and W radionuclide IV

Observation NM Heart First pass and Wall motion at rest and W radionuclide IV

Observation NM Heart First pass and Wall motion at rest and W radionuclide IV

Observation NM Heart First pass and Wall motion at rest and W radionuclide IV

Observation NM Heart First pass and Wall motion at rest and W radionuclide IV

Observation NM Heart First pass and Wall motion at rest and W radionuclide IV

Observation NM Heart First pass and Wall motion at rest and W radionuclide IV

Observation NM Heart First pass and Wall motion at rest and W radionuclide IV

Observation NM Heart First pass and Wall motion W stress and W radionuclide IV

Observation NM Heart First pass and Wall motion W stress and W radionuclide IV

Observation NM Heart First pass and Wall motion W stress and W radionuclide IV

Observation NM Heart First pass and Wall motion W stress and W radionuclide IV

Observation NM Heart First pass and Wall motion W stress and W radionuclide IV

Observation NM Heart First pass and Wall motion W stress and W radionuclide IV

Observation NM Heart First pass and Wall motion W stress and W radionuclide IV

Observation NM Heart First pass and Wall motion W stress and W radionuclide IV

Observation NM Heart First pass and Wall motion W stress and W radionuclide IV

Observation NM Heart First pass and Wall motion W stress and W radionuclide IV

Observation NM Heart First pass and Wall motion W stress and W radionuclide IV

Observation NM Heart First pass and Wall motion W stress and W radionuclide IV

Observation NM Heart First pass and Wall motion W stress and W radionuclide IV

Observation NM Heart First pass and Wall motion W stress and W radionuclide IV

Observation NM Heart First pass and Wall motion W stress and W radionuclide IV

Observation NM Heart First pass and Wall motion W stress and W radionuclide IV

Conclusion: This was a normal stress echocardiogram. Nothing wrong with this patient See you next year.

Presented form:

application/pdf @ Binary/BinaryStructuredReport

Id:	DiagnosticReportStructured
Code:	STRESS TTE COMPLETE ( http://www.ama-assn.org/go/cpt: 93351 )
Identifier:	http://example.org/myhosptital/reportidentifiers: dfkjewoieoijwoskdjf
BasedOn:	Identifier: Accession ID/87654321
Status:	final
Category:	Cardiac Ultrasound ( http://terminology.hl7.org/CodeSystem/v2-0074: CUS ) ( http://hl7.eu/fhir/health-data-api/CodeSystem/eehrxf-document-priority-category-cs: Medical-Imaging ) ( http://loinc.org: 85430-7 )
Subject:	3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
Period:	2003-06-01
Performer:	Organization Ultrasound centrum
Results Interpreter:	PractitionerRole Cardiology
Results interpreter:	Observation Radiology Study observation (narrative) Observation NM Heart First pass and Wall motion at rest and W radionuclide IV Observation NM Heart First pass and Wall motion at rest and W radionuclide IV Observation NM Heart First pass and Wall motion at rest and W radionuclide IV Observation NM Heart First pass and Wall motion at rest and W radionuclide IV Observation NM Heart First pass and Wall motion at rest and W radionuclide IV Observation NM Heart First pass and Wall motion at rest and W radionuclide IV Observation NM Heart First pass and Wall motion at rest and W radionuclide IV Observation NM Heart First pass and Wall motion at rest and W radionuclide IV Observation NM Heart First pass and Wall motion at rest and W radionuclide IV Observation NM Heart First pass and Wall motion at rest and W radionuclide IV Observation NM Heart First pass and Wall motion at rest and W radionuclide IV Observation NM Heart First pass and Wall motion at rest and W radionuclide IV Observation NM Heart First pass and Wall motion at rest and W radionuclide IV Observation NM Heart First pass and Wall motion at rest and W radionuclide IV Observation NM Heart First pass and Wall motion at rest and W radionuclide IV Observation NM Heart First pass and Wall motion at rest and W radionuclide IV Observation NM Heart First pass and Wall motion W stress and W radionuclide IV Observation NM Heart First pass and Wall motion W stress and W radionuclide IV Observation NM Heart First pass and Wall motion W stress and W radionuclide IV Observation NM Heart First pass and Wall motion W stress and W radionuclide IV Observation NM Heart First pass and Wall motion W stress and W radionuclide IV Observation NM Heart First pass and Wall motion W stress and W radionuclide IV Observation NM Heart First pass and Wall motion W stress and W radionuclide IV Observation NM Heart First pass and Wall motion W stress and W radionuclide IV Observation NM Heart First pass and Wall motion W stress and W radionuclide IV Observation NM Heart First pass and Wall motion W stress and W radionuclide IV Observation NM Heart First pass and Wall motion W stress and W radionuclide IV Observation NM Heart First pass and Wall motion W stress and W radionuclide IV Observation NM Heart First pass and Wall motion W stress and W radionuclide IV Observation NM Heart First pass and Wall motion W stress and W radionuclide IV Observation NM Heart First pass and Wall motion W stress and W radionuclide IV Observation NM Heart First pass and Wall motion W stress and W radionuclide IV
Conclusion:	This was a normal stress echocardiogram. Nothing wrong with this patient See you next year.
Presented form:	application/pdf @ Binary/BinaryStructuredReport

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

Resource Patient:

Language: en
Profile: Patient (EU core)
3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)

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

Resource ImagingStudy:

Language: en
Profile: ImagingStudy: General
Extension: Anatomical Region: Upper trunk
identifier: Study Instance UID/urn:oid:1.3.46.670589.58.10.10562925256214266678.11674839624289915183
status: Available
modality: Ultrasound
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
started: 2025-04-29
basedOn: Identifier: Accession ID/87654321
series
uid: 1.3.46.670589.58.10.10562925256214266678.11674839624289915183.1
number: 1
modality: Ultrasound
description: Stress
bodySite: No display for ImagingStudy.series.bodySite (concept: Upper trunk)
performer
function: custodian
actor: Organization Ultrasound centrum
performer
function: location
actor: Organization Ultrasound centrum
series
uid: 1.3.46.670589.58.10.10562925256214266678.11674839624289915183.2
number: 2
modality: Ultrasound
description: Rest
bodySite: No display for ImagingStudy.series.bodySite (concept: Heart structure (body structure))
performer
function: custodian
actor: Organization Ultrasound centrum
performer
function: location
actor: Organization Ultrasound centrum

Entry 5 - fullUrl = http://hl7.eu/fhir/imaging-r5/PractitionerRole/PractitionerRoleStructuredReportAuthor

Resource PractitionerRole:

Language: en
Profile: PractitionerRole (EU core)
practitioner: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
organization: Organization Ultrasound centrum
code: Cardiology

Entry 6 - fullUrl = http://hl7.eu/fhir/imaging-r5/Practitioner/PractitionerStructuredReportAuthor

Resource Practitioner:

Language: en
Profile: Practitioner (EU base)
name: Ph.D. Philips van de JOCHEMSEN, Prof.(Official)

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

Resource Organization:

Language: en
Profile: Organization (EU core)
name: Ultrasound centrum
Contacts
- Address
* Geluidsstraat 2 VeelGeluid 999XS Nederland (work)

Entry 8 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/WeightObservation

Resource Observation:

Language: en
status: Final
category: Vital Signs
code: Body weight
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: 80 kg (Details: UCUM codekg = 'kg')

Entry 9 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/HeightObservation

Resource Observation:

Language: en
status: Final
category: Vital Signs
code: Body height
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: 180 cm (Details: UCUM codecm = 'cm')

Entry 10 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/BPObservation

Resource Observation:

Language: en
status: Final
category: Vital Signs
code: Blood pressure panel with all children optional
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
component
code: Systolic blood pressure
value: 60 mm/Hg (Details: UCUM codemm[Hg] = 'mm[Hg]')
component
code: Diastolic blood pressure
value: 90 mm/Hg (Details: UCUM codemm[Hg] = 'mm[Hg]')

Entry 11 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/HRObservation

Resource Observation:

Language: en
status: Final
category: Vital Signs
code: Heart rate
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: 180 bpm (Details: UCUM code/min = '/min')

Entry 12 - fullUrl = http://hl7.eu/fhir/imaging-r5/DocumentReference/WMSIImage

Resource DocumentReference:

Language: en
status: Current
content
attachment
id
ig-loader-structured-wmsi.drawio.png
contentType: image/png

Entry 13 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/RestWmsi01

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Hypokinetic
bodySite: Left ventricular basal anterior Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 14 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/RestWmsi02

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Left ventricular basal anterior septum Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 15 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/RestWmsi03

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Heart ventricle Left basal inferior septum Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 16 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/RestWmsi04

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Left ventricular basal inferior Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 17 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/RestWmsi05

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Hypokinetic
bodySite: Heart ventricle Left basal inferior lateral Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 18 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/RestWmsi06

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Heart.ventricle.left.basal anterior lateral Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 19 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/RestWmsi07

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Left ventricular mid anterior Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 20 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/RestWmsi08

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Left ventricular mid anterior septum Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 21 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/RestWmsi09

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Heart ventricle Left mid inferior septum Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 22 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/RestWmsi10

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Left ventricular mid inferior Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 23 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/RestWmsi11

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Heart ventricle Left mid inferior lateral Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 24 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/RestWmsi12

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Heart ventricle Left mid anterior lateral Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 25 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/RestWmsi13

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Left ventricular apical anterior Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 26 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/RestWmsi14

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Left ventricular apical septum Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 27 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/RestWmsi15

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Left ventricular inferior apical Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 28 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/RestWmsi16

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Left ventricular lateral apical Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 29 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/RestWmsi17

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Heart ventricle Left apex Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 30 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/StressWmsi01

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Hypokinetic
bodySite: Left ventricular basal anterior Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 31 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/StressWmsi02

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Left ventricular basal anterior septum Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 32 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/StressWmsi03

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Heart ventricle Left basal inferior septum Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 33 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/StressWmsi04

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Left ventricular basal inferior Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 34 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/StressWmsi05

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Mildly hypokinetic
bodySite: Heart ventricle Left basal inferior lateral Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 35 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/StressWmsi06

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Heart.ventricle.left.basal anterior lateral Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 36 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/StressWmsi07

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Left ventricular mid anterior Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 37 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/StressWmsi08

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Left ventricular mid anterior septum Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 38 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/StressWmsi09

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Heart ventricle Left mid inferior septum Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 39 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/StressWmsi10

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Left ventricular mid inferior Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 40 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/StressWmsi11

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Heart ventricle Left mid inferior lateral Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 41 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/StressWmsi12

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Heart ventricle Left mid anterior lateral Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 42 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/StressWmsi13

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Left ventricular apical anterior Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 43 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/StressWmsi14

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Left ventricular apical septum Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 44 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/StressWmsi15

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Left ventricular inferior apical Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 45 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/StressWmsi16

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Left ventricular lateral apical Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 46 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/StressWmsi17

Resource Observation:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Final
code: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2023-06-01
performer: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official)
value: Normal or hyperkinetic
bodySite: Heart ventricle Left apex Segmental wall motion by US
derivedFrom: DocumentReference: status = current

Entry 47 - fullUrl = http://hl7.eu/fhir/imaging-r5/Observation/NarrativeFindingsAll

Resource Observation:

Language: en
Profile: Observation: Narrative Report
basedOn: Identifier: Accession ID/87654321
status: Final
code: Radiology Study observation (narrative)
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
effective: 2003-06-01
value: **Stress Findings** Normal baseline electrocardiogram. There was a maximum 1.5mm ST segment depression. The patient exhibited a hypertensive response with stress. **Right Ventricle** The right ventricle is not well visualized. There is mild right ventricular hypertrophy. **Atria** A patent foramen ovale is present and there is low risk for embolism. The left atrium is small. Mitral Valve The mitral valve leaflets appear normal. There is no evidence of stenosis, fluttering, or prolapse. Mitral valve prolapse cannot be excluded. No significant mitral valve stenosis. The mitral regurgitant jet is posteriorly directed, which is consistent with anterior leaflet pathology. There is a porcine mitral valve. **Tricuspid Valve** The tricuspid valve leaflets are thickened and/or calcified, but open well. There is a ruptured tricuspid valve chordae with a flail free wall leaflet. No significant tricuspid stenosis. There is mild to moderate tricuspid regurgitation. The prosthetic tricuspid valve is not well visualized. **Aortic Valve** The aortic valve is trileaflet. The aortic valve is normal in structure and function. Cannot exclude aortic valvular vegetation. Hemodynamically significant valvular aortic stenosis cannot be excluded. No aortic regurgitation is present. The prosthetic aortic valve is not well visualized. **Pulmonic Valve** The pulmonic valve is normal in structure and function. A pulmonic valvular vegetation cannot be excluded. Infundibular pulmonic stenosis is noted. There is no pulmonic valvular regurgitation. The prosthetic pulmonic valve is well-seated. **Vessels** The aortic root is not well visualized but is probably normal size. Type B aortic dissection. The pulmonary artery is normal size. **Pericardium** There is pericardial thickening and/or a small pericardial effusion. Large left pleural effusion.

Entry 48 - fullUrl = http://hl7.eu/fhir/imaging-r5/DocumentReference/StructuredKeyImageRest

Resource DocumentReference:

Language: en
Profile: DocumentReference: Key Image
Cross-version Extension for R5.DocumentReference.modality for use in FHIR R4: Ultrasound
status: Current
category: Key images Document Radiology
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
content
DocumentReference Thumbnail: false
attachment
id
ig-loader-structured-keyimage-rest.png
contentType: image/png
url: DocumentReference: extension = Ultrasound; status = current; category = Key images Document Radiology

Entry 49 - fullUrl = http://hl7.eu/fhir/imaging-r5/DocumentReference/StructuredKeyImageStress

Resource DocumentReference:

Language: en
Profile: DocumentReference: Key Image
Cross-version Extension for R5.DocumentReference.modality for use in FHIR R4: Ultrasound
status: Current
category: Key images Document Radiology
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
content
DocumentReference Thumbnail: false
attachment
id
ig-loader-structured-keyimage-stress.png
contentType: image/png
url: DocumentReference: extension = Ultrasound; status = current; category = Key images Document Radiology

Entry 50 - fullUrl = http://hl7.eu/fhir/imaging-r5/ServiceRequest/ComeBackNextYearServiceRequest

Resource ServiceRequest:

Language: en
basedOn: Identifier: Accession ID/87654321
status: Active
intent: Proposal
code: No display for ServiceRequest.code (concept: Cardiac echo study Procedure stress method)
subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
occurrence: 2004-06-01 --> 2004-06-01
requester: PractitionerRole Cardiology

Entry 51 - fullUrl = http://hl7.eu/fhir/imaging-r5/Binary/BinaryStructuredReport

Resource Binary:

Language: en
contentType: application/pdf
data: (base64 data - 1,091,408 base64 chars)

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