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

: Composition: structured report

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Composition/CompositionStructured> a fhir:Composition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "CompositionStructured"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.eu/fhir/imaging/StructureDefinition/CompositionEuImaging" ;
       fhir:index -1 ;
       fhir:link <http://hl7.eu/fhir/imaging/StructureDefinition/CompositionEuImaging>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ]
  ] ;
  fhir:DomainResource.extension [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/event-basedOn" ] ;
     fhir:Extension.valueReference [
       fhir:Reference.type [ fhir:value "ServiceRequest" ] ;
       fhir:Reference.identifier [
         fhir:Identifier.type [
           fhir:CodeableConcept.coding [
             fhir:index -1 ;
             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
             fhir:Coding.code [ fhir:value "ACSN" ]
           ], [
             fhir:index -1 ;
             fhir:Coding.system [ fhir:value "http://dicom.nema.org/resources/ontology/DCM" ] ;
             fhir:Coding.code [ fhir:value "121022" ] ;
             fhir:Coding.display [ fhir:value "Accession Number" ]
           ]
         ] ;
         fhir:Identifier.system [ fhir:value "http://example.org/myhosptital/accessionsystem" ] ;
         fhir:Identifier.value [ fhir:value "87654321" ]
       ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference" ] ;
     fhir:Extension.valueReference [
       fhir:link <http://hl7.org/fhir/DiagnosticReport/DiagnosticReportStructured> ;
       fhir:Reference.reference [ fhir:value "DiagnosticReport/DiagnosticReportStructured" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version" ] ;
     fhir:Extension.valueString [ fhir:value "1" ]
  ] ;
  fhir:Composition.identifier [
     fhir:Identifier.system [ fhir:value "http://example.org/myhosptital/reportidentifiers" ] ;
     fhir:Identifier.value [ fhir:value "dfkjewoieoijwoskdjf" ]
  ] ;
  fhir:Composition.status [ fhir:value "final"] ;
  fhir:Composition.type [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ] ;
       fhir:Coding.code [ fhir:value "93351" ] ;
       fhir:Coding.display [ fhir:value "STRESS TTE COMPLETE" ]
     ]
  ] ;
  fhir:Composition.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ] ;
       fhir:Coding.code [ fhir:value "CUS" ] ;
       fhir:Coding.display [ fhir:value "Cardiac Ultrasound" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://hl7.eu/fhir/health-data-api/CodeSystem/eehrxf-document-priority-category-cs" ] ;
       fhir:Coding.code [ fhir:value "Medical-Imaging" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a loinc:85430-7 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "85430-7" ]
     ]
  ] ;
  fhir:Composition.subject [
     fhir:link <http://hl7.org/fhir/Patient/PatientStructuredReport> ;
     fhir:Reference.reference [ fhir:value "Patient/PatientStructuredReport" ]
  ] ;
  fhir:Composition.date [ fhir:value "2025-09-05T02:22:00.000Z"^^xsd:dateTime] ;
  fhir:Composition.author [
     fhir:index -1 ;
     fhir:link <http://hl7.org/fhir/PractitionerRole/PractitionerRoleStructuredReportAuthor> ;
     fhir:Reference.reference [ fhir:value "PractitionerRole/PractitionerRoleStructuredReportAuthor" ]
  ], [
     fhir:index -1 ;
     fhir:link <http://hl7.org/fhir/Organization/OrganizationStructuredReport> ;
     fhir:Reference.reference [ fhir:value "Organization/OrganizationStructuredReport" ]
  ] ;
  fhir:Composition.title [ fhir:value "Transthoracic echocardiogram"] ;
  fhir:Composition.section [
     fhir:index -1 ;
     fhir:Composition.section.title [ fhir:value "Imaging Study" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a loinc:18726-0 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "18726-0" ] ;
         fhir:Coding.display [ fhir:value "Radiology studies (set)" ]
       ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/ImagingStudy/ImagingStudyStructuredReport> ;
       fhir:Reference.reference [ fhir:value "ImagingStudy/ImagingStudyStructuredReport" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Composition.section.title [ fhir:value "Order" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a loinc:55115-0 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "55115-0" ] ;
         fhir:Coding.display [ fhir:value "Requested imaging studies information Document" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index -1 ;
       fhir:Reference.type [ fhir:value "ServiceRequest" ] ;
       fhir:Reference.identifier [
         fhir:Identifier.type [
           fhir:CodeableConcept.coding [
             fhir:index -1 ;
             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
             fhir:Coding.code [ fhir:value "ACSN" ]
           ]
         ] ;
         fhir:Identifier.system [ fhir:value "http://example.org/myhosptital/accessionsystem" ] ;
         fhir:Identifier.value [ fhir:value "87654321" ]
       ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Composition.section.title [ fhir:value "History" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a loinc:11329-0 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "11329-0" ] ;
         fhir:Coding.display [ fhir:value "History general Narrative - Reported" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/WeightObservation> ;
       fhir:Reference.reference [ fhir:value "Observation/WeightObservation" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/HeightObservation> ;
       fhir:Reference.reference [ fhir:value "Observation/HeightObservation" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/BPObservation> ;
       fhir:Reference.reference [ fhir:value "Observation/BPObservation" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/HRObservation> ;
       fhir:Reference.reference [ fhir:value "Observation/HRObservation" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Composition.section.title [ fhir:value "Procedure" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a loinc:55111-9 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "55111-9" ] ;
         fhir:Coding.display [ fhir:value "Current imaging procedure descriptions Document" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ]
     ] ;
     fhir:Composition.section.emptyReason [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/list-empty-reason" ] ;
         fhir:Coding.code [ fhir:value "unavailable" ] ;
         fhir:Coding.display [ fhir:value "Unavailable" ]
       ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Composition.section.title [ fhir:value "Comparison" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a loinc:18834-2 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "18834-2" ] ;
         fhir:Coding.display [ fhir:value "Radiology Comparison study (narrative)" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ]
     ] ;
     fhir:Composition.section.emptyReason [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/list-empty-reason" ] ;
         fhir:Coding.code [ fhir:value "nilknown" ] ;
         fhir:Coding.display [ fhir:value "Nil Known" ]
       ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/note" ] ;
       fhir:Extension.valueAnnotation [
         fhir:Annotation.text [ fhir:value "**Stress Findings**\nNormal baseline electrocardiogram. There was a maximum 1.5mm ST segment depression. The patient exhibited a hypertensive response with stress." ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/note" ] ;
       fhir:Extension.valueAnnotation [
         fhir:Annotation.text [ fhir:value "**Right Ventricle**\nThe right ventricle is not well visualized. There is mild right ventricular hypertrophy." ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/note" ] ;
       fhir:Extension.valueAnnotation [
         fhir:Annotation.text [ fhir:value "**Atria**\nA patent foramen ovale is present and there is low risk for embolism. The left atrium is small." ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/note" ] ;
       fhir:Extension.valueAnnotation [
         fhir:Annotation.text [ fhir:value "Mitral Valve\nThe 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." ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/note" ] ;
       fhir:Extension.valueAnnotation [
         fhir:Annotation.text [ fhir:value "**Tricuspid Valve**\nThe 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." ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/note" ] ;
       fhir:Extension.valueAnnotation [
         fhir:Annotation.text [ fhir:value "**Aortic Valve**\nThe 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." ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/note" ] ;
       fhir:Extension.valueAnnotation [
         fhir:Annotation.text [ fhir:value "**Pulmonic Valve**\nThe 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." ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/note" ] ;
       fhir:Extension.valueAnnotation [
         fhir:Annotation.text [ fhir:value "**Vessels**\nThe aortic root is not well visualized but is probably normal size. Type B aortic dissection. The pulmonary artery is normal size." ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/note" ] ;
       fhir:Extension.valueAnnotation [
         fhir:Annotation.text [ fhir:value "**Pericardium**\nThere is pericardial thickening and/or a small pericardial effusion. Large left pleural effusion." ]
       ]
     ] ;
     fhir:Composition.section.title [ fhir:value "Findings" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a loinc:59776-5 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "59776-5" ] ;
         fhir:Coding.display [ fhir:value "Findings" ]
       ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/RestWmsi01> ;
       fhir:Reference.reference [ fhir:value "Observation/RestWmsi01" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/RestWmsi02> ;
       fhir:Reference.reference [ fhir:value "Observation/RestWmsi02" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/RestWmsi03> ;
       fhir:Reference.reference [ fhir:value "Observation/RestWmsi03" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/RestWmsi04> ;
       fhir:Reference.reference [ fhir:value "Observation/RestWmsi04" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/RestWmsi05> ;
       fhir:Reference.reference [ fhir:value "Observation/RestWmsi05" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/RestWmsi06> ;
       fhir:Reference.reference [ fhir:value "Observation/RestWmsi06" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/RestWmsi07> ;
       fhir:Reference.reference [ fhir:value "Observation/RestWmsi07" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/RestWmsi08> ;
       fhir:Reference.reference [ fhir:value "Observation/RestWmsi08" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/RestWmsi09> ;
       fhir:Reference.reference [ fhir:value "Observation/RestWmsi09" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/RestWmsi10> ;
       fhir:Reference.reference [ fhir:value "Observation/RestWmsi10" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/RestWmsi12> ;
       fhir:Reference.reference [ fhir:value "Observation/RestWmsi12" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/RestWmsi13> ;
       fhir:Reference.reference [ fhir:value "Observation/RestWmsi13" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/RestWmsi14> ;
       fhir:Reference.reference [ fhir:value "Observation/RestWmsi14" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/RestWmsi15> ;
       fhir:Reference.reference [ fhir:value "Observation/RestWmsi15" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/RestWmsi16> ;
       fhir:Reference.reference [ fhir:value "Observation/RestWmsi16" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/RestWmsi17> ;
       fhir:Reference.reference [ fhir:value "Observation/RestWmsi17" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/StressWmsi01> ;
       fhir:Reference.reference [ fhir:value "Observation/StressWmsi01" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/StressWmsi02> ;
       fhir:Reference.reference [ fhir:value "Observation/StressWmsi02" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/StressWmsi03> ;
       fhir:Reference.reference [ fhir:value "Observation/StressWmsi03" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/StressWmsi04> ;
       fhir:Reference.reference [ fhir:value "Observation/StressWmsi04" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/StressWmsi05> ;
       fhir:Reference.reference [ fhir:value "Observation/StressWmsi05" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/StressWmsi06> ;
       fhir:Reference.reference [ fhir:value "Observation/StressWmsi06" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/StressWmsi07> ;
       fhir:Reference.reference [ fhir:value "Observation/StressWmsi07" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/StressWmsi08> ;
       fhir:Reference.reference [ fhir:value "Observation/StressWmsi08" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/StressWmsi09> ;
       fhir:Reference.reference [ fhir:value "Observation/StressWmsi09" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/StressWmsi10> ;
       fhir:Reference.reference [ fhir:value "Observation/StressWmsi10" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/StressWmsi12> ;
       fhir:Reference.reference [ fhir:value "Observation/StressWmsi12" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/StressWmsi13> ;
       fhir:Reference.reference [ fhir:value "Observation/StressWmsi13" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/StressWmsi14> ;
       fhir:Reference.reference [ fhir:value "Observation/StressWmsi14" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/StressWmsi15> ;
       fhir:Reference.reference [ fhir:value "Observation/StressWmsi15" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/StressWmsi16> ;
       fhir:Reference.reference [ fhir:value "Observation/StressWmsi16" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/StressWmsi17> ;
       fhir:Reference.reference [ fhir:value "Observation/StressWmsi17" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/RestWmsi11> ;
       fhir:Reference.reference [ fhir:value "Observation/RestWmsi11" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/StressWmsi11> ;
       fhir:Reference.reference [ fhir:value "Observation/StressWmsi11" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Observation/NarrativeFindingsAll> ;
       fhir:Reference.reference [ fhir:value "Observation/NarrativeFindingsAll" ]
     ], [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/DocumentReference/WMSIImage> ;
       fhir:Reference.reference [ fhir:value "DocumentReference/WMSIImage" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/note" ] ;
       fhir:Extension.valueAnnotation [
         fhir:Annotation.text [ fhir:value "This was a normal stress echocardiogram.\nNothing wrong with this patient\nSee you next year." ]
       ]
     ] ;
     fhir:Composition.section.title [ fhir:value "Impression" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a loinc:19005-8 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "19005-8" ] ;
         fhir:Coding.display [ fhir:value "Radiology Imaging study [Impression] (narrative)" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Composition.section.title [ fhir:value "Recommendations" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a loinc:18783-1 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "18783-1" ] ;
         fhir:Coding.display [ fhir:value "Radiology Study recommendation (narrative)" ]
       ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/ServiceRequest/ComeBackNextYearServiceRequest> ;
       fhir:Reference.reference [ fhir:value "ServiceRequest/ComeBackNextYearServiceRequest" ]
     ]
  ] .

<http://hl7.org/fhir/DiagnosticReport/DiagnosticReportStructured> a fhir:DiagnosticReport .

<http://hl7.org/fhir/Patient/PatientStructuredReport> a fhir:Patient .

<http://hl7.org/fhir/PractitionerRole/PractitionerRoleStructuredReportAuthor> a fhir:PractitionerRole .

<http://hl7.org/fhir/Organization/OrganizationStructuredReport> a fhir:Organization .

<http://hl7.org/fhir/ImagingStudy/ImagingStudyStructuredReport> a fhir:ImagingStudy .

<http://hl7.org/fhir/Observation/WeightObservation> a fhir:Observation .

<http://hl7.org/fhir/Observation/HeightObservation> a fhir:Observation .

<http://hl7.org/fhir/Observation/BPObservation> a fhir:Observation .

<http://hl7.org/fhir/Observation/HRObservation> a fhir:Observation .

<http://hl7.org/fhir/Observation/RestWmsi01> a fhir:Observation .

<http://hl7.org/fhir/Observation/RestWmsi02> a fhir:Observation .

<http://hl7.org/fhir/Observation/RestWmsi03> a fhir:Observation .

<http://hl7.org/fhir/Observation/RestWmsi04> a fhir:Observation .

<http://hl7.org/fhir/Observation/RestWmsi05> a fhir:Observation .

<http://hl7.org/fhir/Observation/RestWmsi06> a fhir:Observation .

<http://hl7.org/fhir/Observation/RestWmsi07> a fhir:Observation .

<http://hl7.org/fhir/Observation/RestWmsi08> a fhir:Observation .

<http://hl7.org/fhir/Observation/RestWmsi09> a fhir:Observation .

<http://hl7.org/fhir/Observation/RestWmsi10> a fhir:Observation .

<http://hl7.org/fhir/Observation/RestWmsi12> a fhir:Observation .

<http://hl7.org/fhir/Observation/RestWmsi13> a fhir:Observation .

<http://hl7.org/fhir/Observation/RestWmsi14> a fhir:Observation .

<http://hl7.org/fhir/Observation/RestWmsi15> a fhir:Observation .

<http://hl7.org/fhir/Observation/RestWmsi16> a fhir:Observation .

<http://hl7.org/fhir/Observation/RestWmsi17> a fhir:Observation .

<http://hl7.org/fhir/Observation/StressWmsi01> a fhir:Observation .

<http://hl7.org/fhir/Observation/StressWmsi02> a fhir:Observation .

<http://hl7.org/fhir/Observation/StressWmsi03> a fhir:Observation .

<http://hl7.org/fhir/Observation/StressWmsi04> a fhir:Observation .

<http://hl7.org/fhir/Observation/StressWmsi05> a fhir:Observation .

<http://hl7.org/fhir/Observation/StressWmsi06> a fhir:Observation .

<http://hl7.org/fhir/Observation/StressWmsi07> a fhir:Observation .

<http://hl7.org/fhir/Observation/StressWmsi08> a fhir:Observation .

<http://hl7.org/fhir/Observation/StressWmsi09> a fhir:Observation .

<http://hl7.org/fhir/Observation/StressWmsi10> a fhir:Observation .

<http://hl7.org/fhir/Observation/StressWmsi12> a fhir:Observation .

<http://hl7.org/fhir/Observation/StressWmsi13> a fhir:Observation .

<http://hl7.org/fhir/Observation/StressWmsi14> a fhir:Observation .

<http://hl7.org/fhir/Observation/StressWmsi15> a fhir:Observation .

<http://hl7.org/fhir/Observation/StressWmsi16> a fhir:Observation .

<http://hl7.org/fhir/Observation/StressWmsi17> a fhir:Observation .

<http://hl7.org/fhir/Observation/RestWmsi11> a fhir:Observation .

<http://hl7.org/fhir/Observation/StressWmsi11> a fhir:Observation .

<http://hl7.org/fhir/Observation/NarrativeFindingsAll> a fhir:Observation .

<http://hl7.org/fhir/DocumentReference/WMSIImage> a fhir:DocumentReference .

<http://hl7.org/fhir/ServiceRequest/ComeBackNextYearServiceRequest> a fhir:ServiceRequest .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Composition/CompositionStructured.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Composition/CompositionStructured.ttl> .