bundle-report-structured
type: Bundle
node role: treeRoot
id:
  v: bundle-report-structured
meta:
  profile:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/BundleReportEuImaging
    l: BundleReportEuImaging
language:
  v: en
identifier:
  system:
    v: http://example.org/myhosptital/reportidentifiers
    l: reportidentifiers
  value:
    v: dfkjewoieoijwoskdjf
type:
  v: document
timestamp:
  v: 2025-09-05T00:00:00Z
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000001
    l: 11111111-2222-4333-8444-000000000001
  resource: 11111111-2222-4333-8444-000000000001
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000002
    l: 11111111-2222-4333-8444-000000000002
  resource: 11111111-2222-4333-8444-000000000002
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
    l: 11111111-2222-4333-8444-000000000003
  resource: 11111111-2222-4333-8444-000000000003
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000004
    l: 11111111-2222-4333-8444-000000000004
  resource: 11111111-2222-4333-8444-000000000004
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000005
    l: 11111111-2222-4333-8444-000000000005
  resource: 11111111-2222-4333-8444-000000000005
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
    l: 11111111-2222-4333-8444-000000000006
  resource: 11111111-2222-4333-8444-000000000006
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000007
    l: 11111111-2222-4333-8444-000000000007
  resource: 11111111-2222-4333-8444-000000000007
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000008
    l: 11111111-2222-4333-8444-000000000008
  resource: 11111111-2222-4333-8444-000000000008
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000009
    l: 11111111-2222-4333-8444-000000000009
  resource: 11111111-2222-4333-8444-000000000009
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000010
    l: 11111111-2222-4333-8444-000000000010
  resource: 11111111-2222-4333-8444-000000000010
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000011
    l: 11111111-2222-4333-8444-000000000011
  resource: 11111111-2222-4333-8444-000000000011
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000012
    l: 11111111-2222-4333-8444-000000000012
  resource: 11111111-2222-4333-8444-000000000012
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000013
    l: 11111111-2222-4333-8444-000000000013
  resource: 11111111-2222-4333-8444-000000000013
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000014
    l: 11111111-2222-4333-8444-000000000014
  resource: 11111111-2222-4333-8444-000000000014
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000015
    l: 11111111-2222-4333-8444-000000000015
  resource: 11111111-2222-4333-8444-000000000015
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000016
    l: 11111111-2222-4333-8444-000000000016
  resource: 11111111-2222-4333-8444-000000000016
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000017
    l: 11111111-2222-4333-8444-000000000017
  resource: 11111111-2222-4333-8444-000000000017
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000018
    l: 11111111-2222-4333-8444-000000000018
  resource: 11111111-2222-4333-8444-000000000018
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000019
    l: 11111111-2222-4333-8444-000000000019
  resource: 11111111-2222-4333-8444-000000000019
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000020
    l: 11111111-2222-4333-8444-000000000020
  resource: 11111111-2222-4333-8444-000000000020
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000021
    l: 11111111-2222-4333-8444-000000000021
  resource: 11111111-2222-4333-8444-000000000021
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000022
    l: 11111111-2222-4333-8444-000000000022
  resource: 11111111-2222-4333-8444-000000000022
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000023
    l: 11111111-2222-4333-8444-000000000023
  resource: 11111111-2222-4333-8444-000000000023
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000024
    l: 11111111-2222-4333-8444-000000000024
  resource: 11111111-2222-4333-8444-000000000024
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000025
    l: 11111111-2222-4333-8444-000000000025
  resource: 11111111-2222-4333-8444-000000000025
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000026
    l: 11111111-2222-4333-8444-000000000026
  resource: 11111111-2222-4333-8444-000000000026
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000027
    l: 11111111-2222-4333-8444-000000000027
  resource: 11111111-2222-4333-8444-000000000027
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000028
    l: 11111111-2222-4333-8444-000000000028
  resource: 11111111-2222-4333-8444-000000000028
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000029
    l: 11111111-2222-4333-8444-000000000029
  resource: 11111111-2222-4333-8444-000000000029
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000030
    l: 11111111-2222-4333-8444-000000000030
  resource: 11111111-2222-4333-8444-000000000030
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000031
    l: 11111111-2222-4333-8444-000000000031
  resource: 11111111-2222-4333-8444-000000000031
entry:
  full url:
    v: urn:uuid:11111111-2222-4333-8444-000000000032
    l: 11111111-2222-4333-8444-000000000032
  resource: 11111111-2222-4333-8444-000000000032

11111111-2222-4333-8444-000000000001
type: Composition
id:
  v: CompositionStructured
meta:
  profile:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/CompositionEuImaging
    l: CompositionEuImaging
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Stress echocardiography composition narrative. See section narratives below.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/event-basedOn
    l: event-basedOn
  value: Reference
    type:
      v: ServiceRequest
      l: ServiceRequest
    identifier:
      system:
        v: http://example.org/myhosptital/accessionsystem
        l: accessionsystem
      value:
        v: 87654321
extension:
  url:
    v: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
    l: composition-diagnosticReportReference
  value: Reference
    l: 11111111-2222-4333-8444-000000000002
    reference:
      v: urn:uuid:11111111-2222-4333-8444-000000000002
identifier:
  system:
    v: http://example.org/myhosptital/reportidentifiers
    l: reportidentifiers
  value:
    v: dfkjewoieoijwoskdjf
version:
  v: 1
status:
  v: final
type:
  coding:
    system:
      v: http://www.ama-assn.org/go/cpt
      l: cpt
    code:
      v: 93351
    display:
      v: STRESS TTE COMPLETE
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0074
      l: v2-0074
    code:
      v: CUS
    display:
      v: Cardiac Ultrasound
category:
  coding:
    system:
      v: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs
      l: eehrxf-document-priority-category-cs
    code:
      v: Medical-Imaging
category:
  coding: https://loinc.org/rdf/85430-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 85430-7
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
date:
  v: 2025-09-05T02:22:00.000Z
author:
  l: 11111111-2222-4333-8444-000000000005
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000005
author:
  l: 11111111-2222-4333-8444-000000000007
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000007
title:
  v: Transthoracic echocardiogram
section:
  title:
    v: Imaging Study
  code:
    coding: https://loinc.org/rdf/18726-0
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 18726-0
      display:
        v: Radiology studies (set)
  entry:
    l: 11111111-2222-4333-8444-000000000004
    reference:
      v: urn:uuid:11111111-2222-4333-8444-000000000004
section:
  title:
    v: Order
  code:
    coding: https://loinc.org/rdf/55115-0
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 55115-0
      display:
        v: Requested imaging studies information Document
  entry:
    type:
      v: ServiceRequest
      l: ServiceRequest
    identifier:
      system:
        v: http://example.org/myhosptital/accessionsystem
        l: accessionsystem
      value:
        v: 87654321
section:
  title:
    v: History
  code:
    coding: https://loinc.org/rdf/11329-0
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 11329-0
      display:
        v: History general Narrative - Reported
  entry:
    l: 11111111-2222-4333-8444-000000000008
    reference:
      v: urn:uuid:11111111-2222-4333-8444-000000000008
  entry:
    l: 11111111-2222-4333-8444-000000000009
    reference:
      v: urn:uuid:11111111-2222-4333-8444-000000000009
section:
  title:
    v: Procedure
  code:
    coding: https://loinc.org/rdf/55111-9
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 55111-9
      display:
        v: Current imaging procedure descriptions Document
  text:
    status:
      v: generated
    div:
      v: Unavailable
  empty reason:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/list-empty-reason
        l: list-empty-reason
      code:
        v: unavailable
      display:
        v: Unavailable
section:
  title:
    v: Comparison
  code:
    coding: https://loinc.org/rdf/18834-2
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 18834-2
      display:
        v: Radiology Comparison study (narrative)
  text:
    status:
      v: generated
    div:
      v: Nil Known
  empty reason:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/list-empty-reason
        l: list-empty-reason
      code:
        v: nilknown
      display:
        v: Nil Known

11111111-2222-4333-8444-000000000002
type: DiagnosticReport
id:
  v: DiagnosticReportStructured
meta:
  profile:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/DiagnosticReportEuImaging
    l: DiagnosticReportEuImaging
language:
  v: en
text:
  status:
    v: extensions
  div:
    v: 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/eu-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 Studies: ImagingStudy: extension = Upper trunk; identifier = Study Instance UID: DUI#urn:oid:1.3.46.670589.58.10.10562925256214266678.11674839624289915183; status = available; modality = Ultrasound; started = 2025-04-29 Composition: Transthoracic echocardiogram Results interpreter: 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 r…
extension:
  url:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/AnatomicalRegionExtension
    l: AnatomicalRegionExtension
  value: CodeableConcept
    coding: http://snomed.info/id/67734004
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 67734004
extension:
  url:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory
    l: HL7IDRPatientHistory
  value: Reference
    l: 11111111-2222-4333-8444-000000000008
    reference:
      v: urn:uuid:11111111-2222-4333-8444-000000000008
extension:
  url:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory
    l: HL7IDRPatientHistory
  value: Reference
    l: 11111111-2222-4333-8444-000000000009
    reference:
      v: urn:uuid:11111111-2222-4333-8444-000000000009
extension:
  url:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory
    l: HL7IDRPatientHistory
  value: Reference
extension:
  url:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory
    l: HL7IDRPatientHistory
  value: Reference
extension:
  url:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRRecommendation
    l: HL7IDRRecommendation
  value: Reference
    l: 11111111-2222-4333-8444-000000000031
    reference:
      v: urn:uuid:11111111-2222-4333-8444-000000000031
identifier:
  system:
    v: http://example.org/myhosptital/reportidentifiers
    l: reportidentifiers
  value:
    v: dfkjewoieoijwoskdjf
based on:
  type:
    v: ServiceRequest
    l: ServiceRequest
  identifier:
    system:
      v: http://example.org/myhosptital/accessionsystem
      l: accessionsystem
    value:
      v: 87654321
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0074
      l: v2-0074
    code:
      v: CUS
    display:
      v: Cardiac Ultrasound
category:
  coding:
    system:
      v: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs
      l: eehrxf-document-priority-category-cs
    code:
      v: Medical-Imaging
category:
  coding: https://loinc.org/rdf/85430-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 85430-7
code:
  coding:
    system:
      v: http://www.ama-assn.org/go/cpt
      l: cpt
    code:
      v: 93351
    display:
      v: STRESS TTE COMPLETE
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2003-06-01
performer:
  l: 11111111-2222-4333-8444-000000000007
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000007
results interpreter:
  l: 11111111-2222-4333-8444-000000000005
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000005
result:
  l: 11111111-2222-4333-8444-000000000010
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000010
result:
  l: 11111111-2222-4333-8444-000000000011
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000011
result:
  l: 11111111-2222-4333-8444-000000000012
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000012
result:
  l: 11111111-2222-4333-8444-000000000013
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000013
result:
  l: 11111111-2222-4333-8444-000000000014
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000014
result:
  l: 11111111-2222-4333-8444-000000000015
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000015
result:
  l: 11111111-2222-4333-8444-000000000016
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000016
result:
  l: 11111111-2222-4333-8444-000000000018
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000018
result:
  l: 11111111-2222-4333-8444-000000000019
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000019
result:
  l: 11111111-2222-4333-8444-000000000020
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000020
result:
  l: 11111111-2222-4333-8444-000000000021
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000021
result:
  l: 11111111-2222-4333-8444-000000000022
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000022
result:
  l: 11111111-2222-4333-8444-000000000023
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000023
result:
  l: 11111111-2222-4333-8444-000000000024
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000024
result:
  l: 11111111-2222-4333-8444-000000000025
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000025
result:
  l: 11111111-2222-4333-8444-000000000026
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000026
result:
  l: 11111111-2222-4333-8444-000000000027
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000027
result:
  l: 11111111-2222-4333-8444-000000000029
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000029
note:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/annotationType
      l: annotationType
    value: CodeableConcept
      coding: https://loinc.org/rdf/59776-5

11111111-2222-4333-8444-000000000003
type: Patient
id:
  v: PatientStructuredReport
meta:
  profile:
    v: http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu-core
    l: patient-eu-core
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Patient PatientStructuredReport Profile: Patient (EU core) 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)
identifier:
  value:
    v: 00 CARDIAC 2
name:
  use:
    v: official
  text:
    v: 3D TEE 2D
  family:
    v: 2D
  given:
    v: 3D TEE
birth date:
  v: 1976-04-29

11111111-2222-4333-8444-000000000004
type: ImagingStudy
id:
  v: ImagingStudStructuredReport
meta:
  profile:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImagingStudyEuImaging
    l: ImagingStudyEuImaging
language:
  v: en
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: ImagingStudy ImagingStudStructuredReport 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 BodySites - 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 BodySites - Concept * Heart structure (body structure) performer function: custodian actor: Organization Ultrasound centrum performer function: location actor: Organization Ultrasound centrum
extension:
  url:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/AnatomicalRegionExtension
    l: AnatomicalRegionExtension
  value: CodeableConcept
    coding: http://snomed.info/id/67734004
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 67734004
      display:
        v: Upper trunk
identifier:
  type:
    coding:
      system:
        v: http://hl7.eu/fhir/imaging-r5/CodeSystem/codesystem-missing-dicom-terminology
        l: codesystem-missing-dicom-terminology
      code:
        v: 0020000D
      display:
        v: Study Instance UID
  system:
    v: urn:dicom:uid
    l: uid
  value:
    v: urn:oid:1.3.46.670589.58.10.10562925256214266678.11674839624289915183
status:
  v: available
modality:
  coding:
    system:
      v: http://dicom.nema.org/resources/ontology/DCM
      l: DCM
    code:
      v: US
    display:
      v: Ultrasound
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
started:
  v: 2025-04-29
based on:
  identifier:
    system:
      v: http://example.org/myhosptital/accessionsystem
      l: accessionsystem
    value:
      v: 87654321
series:
  uid:
    v: 1.3.46.670589.58.10.10562925256214266678.11674839624289915183.1
  number:
    v: 1
  modality:
    coding:
      system:
        v: http://dicom.nema.org/resources/ontology/DCM
        l: DCM
      code:
        v: US
      display:
        v: Ultrasound
  description:
    v: Stress
  body site:
    concept:
      coding: http://snomed.info/id/67734004
  performer:
    actor:
      l: 11111111-2222-4333-8444-000000000007
      reference:
        v: urn:uuid:11111111-2222-4333-8444-000000000007
  performer:
    actor:
      l: 11111111-2222-4333-8444-000000000007
      reference:
        v: urn:uuid:11111111-2222-4333-8444-000000000007
series:
  uid:
    v: 1.3.46.670589.58.10.10562925256214266678.11674839624289915183.2
  number:
    v: 2
  modality:
    coding:
      system:
        v: http://dicom.nema.org/resources/ontology/DCM
        l: DCM
      code:
        v: US
      display:
        v: Ultrasound
  description:
    v: Rest
  body site:
    concept:
      coding: http://snomed.info/id/80891009
  performer:
    actor:
      l: 11111111-2222-4333-8444-000000000007
      reference:
        v: urn:uuid:11111111-2222-4333-8444-000000000007
  performer:
    actor:
      l: 11111111-2222-4333-8444-000000000007
      reference:
        v: urn:uuid:11111111-2222-4333-8444-000000000007

11111111-2222-4333-8444-000000000005
type: PractitionerRole
id:
  v: PractitionerRoleStructuredReportAuthor
meta:
  profile:
    v: http://hl7.eu/fhir/base-r5/StructureDefinition/practitionerRole-eu-core
    l: practitionerRole-eu-core
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: PractitionerRole PractitionerRoleStructuredReportAuthor Profile: PractitionerRole (EU core) practitioner: Practitioner Ph.D. Philips van de JOCHEMSEN, Prof.(official) organization: Organization Ultrasound centrum code: Cardiology
practitioner:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
organization:
  l: 11111111-2222-4333-8444-000000000007
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000007
code:
  coding: http://snomed.info/id/394579002
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 394579002
    display:
      v: Cardiology

11111111-2222-4333-8444-000000000006
type: Practitioner
id:
  v: PractitionerStructuredReportAuthor
meta:
  profile:
    v: http://hl7.eu/fhir/base-r5/StructureDefinition/practitioner-eu
    l: practitioner-eu
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner PractitionerStructuredReportAuthor Profile: Practitioner (EU base) name: Ph.D. Philips van de JOCHEMSEN, Prof.(Official)
name:
  use:
    v: official
  text:
    v: Ph.D. Philips van de JOCHEMSEN, Prof.
  family:
    v: van de Jochemsen
  given:
    v: Philips
  prefix:
    v: Ph.D.
  suffix:
    v: Prof.

11111111-2222-4333-8444-000000000007
type: Organization
id:
  v: OrganizationStructuredReport
meta:
  profile:
    v: http://hl7.eu/fhir/base-r5/StructureDefinition/organization-eu-core
    l: organization-eu-core
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Organization OrganizationStructuredReport Profile: Organization (EU core) name: Ultrasound centrum Contacts - Address * Geluidsstraat 2 VeelGeluid 999XS Nederland (work)
name:
  v: Ultrasound centrum
contact:
  address:
    use:
      v: work
    line:
      v: Geluidsstraat 2
      extension:
        value: String
      extension:
        value: String
    city:
      v: VeelGeluid
    postal code:
      v: 999XS
    country:
      v: Nederland

11111111-2222-4333-8444-000000000008
type: Observation
id:
  v: WeightObservation
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation WeightObservation 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 value: 80 kg (Details: UCUM codekg = 'kg')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: vital-signs
    display:
      v: Vital Signs
code:
  coding: https://loinc.org/rdf/29463-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 29463-7
    display:
      v: Body weight
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
value: Quantity
  value:
    v: 80
  unit:
    v: kg
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: kg

11111111-2222-4333-8444-000000000009
type: Observation
id:
  v: HeightObservation
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation HeightObservation 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 value: 180 cm (Details: UCUM codecm = 'cm')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: vital-signs
    display:
      v: Vital Signs
code:
  coding: https://loinc.org/rdf/8302-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 8302-2
    display:
      v: Body height
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
value: Quantity
  value:
    v: 180
  unit:
    v: cm
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: cm

urn:…
type: Observation
id:
  v: BPObservation
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation BPObservation 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 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]')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: vital-signs
    display:
      v: Vital Signs
code:
  coding: https://loinc.org/rdf/85354-9
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 85354-9
    display:
      v: Blood pressure panel with all children optional
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
component:
  code:
    coding: https://loinc.org/rdf/8480-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 8480-6
      display:
        v: Systolic blood pressure
  value: Quantity
    value:
      v: 60
    unit:
      v: mm/Hg
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: mm[Hg]
component:
  code:
    coding: https://loinc.org/rdf/8462-4
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 8462-4
      display:
        v: Diastolic blood pressure
  value: Quantity
    value:
      v: 90
    unit:
      v: mm/Hg
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: mm[Hg]

urn:…
type: Observation
id:
  v: HRObservation
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation HRObservation 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 value: 180 bpm (Details: UCUM code/min = '/min')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: vital-signs
    display:
      v: Vital Signs
code:
  coding: https://loinc.org/rdf/8867-4
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 8867-4
    display:
      v: Heart rate
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
value: Quantity
  value:
    v: 180
  unit:
    v: bpm
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: /min

urn:…
type: DocumentReference
id:
  v: WMSIImage
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: DocumentReference WMSIImage status: Current content Attachments - ContentType Data * image/png (base64 data - 530,808 base64 chars)
status:
  v: current
content:
  attachment:
    content type:
      v: image/png

urn:…
type: Observation
id:
  v: RestWmsi01
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation RestWmsi01 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39886-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39886-7
    display:
      v: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA9283-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA9283-8
    display:
      v: Hypokinetic
body site:
  coding: https://loinc.org/rdf/18121-4
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18121-4
    display:
      v: Left ventricular basal anterior Segmental wall motion by US

urn:…
type: Observation
id:
  v: RestWmsi02
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation RestWmsi02 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39886-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39886-7
    display:
      v: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/18122-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18122-2
    display:
      v: Left ventricular basal anterior septum Segmental wall motion by US

urn:…
type: Observation
id:
  v: RestWmsi03
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation RestWmsi03 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39886-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39886-7
    display:
      v: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/78192-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 78192-2
    display:
      v: Heart ventricle Left basal inferior septum Segmental wall motion by US

11111111-2222-4333-8444-000000000010
type: Observation
id:
  v: RestWmsi04
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation RestWmsi04 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39886-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39886-7
    display:
      v: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/18123-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18123-0
    display:
      v: Left ventricular basal inferior Segmental wall motion by US

11111111-2222-4333-8444-000000000011
type: Observation
id:
  v: RestWmsi05
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation RestWmsi05 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39886-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39886-7
    display:
      v: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA9283-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA9283-8
    display:
      v: Hypokinetic
body site:
  coding: https://loinc.org/rdf/78193-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 78193-0
    display:
      v: Heart ventricle Left basal inferior lateral Segmental wall motion by US

11111111-2222-4333-8444-000000000012
type: Observation
id:
  v: RestWmsi06
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation RestWmsi06 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39886-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39886-7
    display:
      v: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/78194-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 78194-8
    display:
      v: Heart.ventricle.left.basal anterior lateral Segmental wall motion by US

11111111-2222-4333-8444-000000000013
type: Observation
id:
  v: RestWmsi07
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation RestWmsi07 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39886-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39886-7
    display:
      v: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/18129-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18129-7
    display:
      v: Left ventricular mid anterior Segmental wall motion by US

11111111-2222-4333-8444-000000000014
type: Observation
id:
  v: RestWmsi08
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation RestWmsi08 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39886-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39886-7
    display:
      v: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/18130-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18130-5
    display:
      v: Left ventricular mid anterior septum Segmental wall motion by US

11111111-2222-4333-8444-000000000015
type: Observation
id:
  v: RestWmsi09
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation RestWmsi09 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39886-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39886-7
    display:
      v: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/78195-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 78195-5
    display:
      v: Heart ventricle Left mid inferior septum Segmental wall motion by US

11111111-2222-4333-8444-000000000016
type: Observation
id:
  v: RestWmsi10
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation RestWmsi10 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39886-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39886-7
    display:
      v: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/18131-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18131-3
    display:
      v: Left ventricular mid inferior Segmental wall motion by US

11111111-2222-4333-8444-000000000017
type: Observation
id:
  v: RestWmsi11
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation RestWmsi11 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39886-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39886-7
    display:
      v: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/78196-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 78196-3
    display:
      v: Heart ventricle Left mid inferior lateral Segmental wall motion by US

11111111-2222-4333-8444-000000000018
type: Observation
id:
  v: RestWmsi12
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation RestWmsi12 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39886-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39886-7
    display:
      v: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/78197-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 78197-1
    display:
      v: Heart ventricle Left mid anterior lateral Segmental wall motion by US

11111111-2222-4333-8444-000000000019
type: Observation
id:
  v: RestWmsi13
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation RestWmsi13 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39886-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39886-7
    display:
      v: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/18119-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18119-8
    display:
      v: Left ventricular apical anterior Segmental wall motion by US

urn:…
type: Observation
id:
  v: RestWmsi14
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation RestWmsi14 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39886-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39886-7
    display:
      v: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/18120-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18120-6
    display:
      v: Left ventricular apical septum Segmental wall motion by US

urn:…
type: Observation
id:
  v: RestWmsi15
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation RestWmsi15 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39886-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39886-7
    display:
      v: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/18127-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18127-1
    display:
      v: Left ventricular inferior apical Segmental wall motion by US

urn:…
type: Observation
id:
  v: RestWmsi16
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation RestWmsi16 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39886-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39886-7
    display:
      v: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/18128-9
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18128-9
    display:
      v: Left ventricular lateral apical Segmental wall motion by US

urn:…
type: Observation
id:
  v: RestWmsi17
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation RestWmsi17 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39886-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39886-7
    display:
      v: NM Heart First pass and Wall motion at rest and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/78198-9
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 78198-9
    display:
      v: Heart ventricle Left apex Segmental wall motion by US

urn:…
type: Observation
id:
  v: StressWmsi01
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation StressWmsi01 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39888-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39888-3
    display:
      v: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA9283-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA9283-8
    display:
      v: Hypokinetic
body site:
  coding: https://loinc.org/rdf/18121-4
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18121-4
    display:
      v: Left ventricular basal anterior Segmental wall motion by US

urn:…
type: Observation
id:
  v: StressWmsi02
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation StressWmsi02 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39888-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39888-3
    display:
      v: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/18122-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18122-2
    display:
      v: Left ventricular basal anterior septum Segmental wall motion by US

11111111-2222-4333-8444-000000000020
type: Observation
id:
  v: StressWmsi03
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation StressWmsi03 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39888-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39888-3
    display:
      v: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/78192-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 78192-2
    display:
      v: Heart ventricle Left basal inferior septum Segmental wall motion by US

11111111-2222-4333-8444-000000000021
type: Observation
id:
  v: StressWmsi04
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation StressWmsi04 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39888-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39888-3
    display:
      v: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/18123-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18123-0
    display:
      v: Left ventricular basal inferior Segmental wall motion by US

11111111-2222-4333-8444-000000000022
type: Observation
id:
  v: StressWmsi05
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation StressWmsi05 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39888-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39888-3
    display:
      v: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA9282-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA9282-0
    display:
      v: Mildly hypokinetic
body site:
  coding: https://loinc.org/rdf/78193-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 78193-0
    display:
      v: Heart ventricle Left basal inferior lateral Segmental wall motion by US

11111111-2222-4333-8444-000000000023
type: Observation
id:
  v: StressWmsi06
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation StressWmsi06 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39888-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39888-3
    display:
      v: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/78194-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 78194-8
    display:
      v: Heart.ventricle.left.basal anterior lateral Segmental wall motion by US

11111111-2222-4333-8444-000000000024
type: Observation
id:
  v: StressWmsi07
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation StressWmsi07 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39888-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39888-3
    display:
      v: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/18129-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18129-7
    display:
      v: Left ventricular mid anterior Segmental wall motion by US

11111111-2222-4333-8444-000000000025
type: Observation
id:
  v: StressWmsi08
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation StressWmsi08 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39888-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39888-3
    display:
      v: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/18130-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18130-5
    display:
      v: Left ventricular mid anterior septum Segmental wall motion by US

11111111-2222-4333-8444-000000000026
type: Observation
id:
  v: StressWmsi09
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation StressWmsi09 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39888-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39888-3
    display:
      v: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/78195-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 78195-5
    display:
      v: Heart ventricle Left mid inferior septum Segmental wall motion by US

11111111-2222-4333-8444-000000000027
type: Observation
id:
  v: StressWmsi10
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation StressWmsi10 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39888-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39888-3
    display:
      v: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/18131-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18131-3
    display:
      v: Left ventricular mid inferior Segmental wall motion by US

11111111-2222-4333-8444-000000000028
type: Observation
id:
  v: StressWmsi11
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation StressWmsi11 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39888-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39888-3
    display:
      v: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/78196-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 78196-3
    display:
      v: Heart ventricle Left mid inferior lateral Segmental wall motion by US

11111111-2222-4333-8444-000000000029
type: Observation
id:
  v: StressWmsi12
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation StressWmsi12 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39888-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39888-3
    display:
      v: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/78197-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 78197-1
    display:
      v: Heart ventricle Left mid anterior lateral Segmental wall motion by US

urn:…
type: Observation
id:
  v: StressWmsi13
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation StressWmsi13 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39888-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39888-3
    display:
      v: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/18119-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18119-8
    display:
      v: Left ventricular apical anterior Segmental wall motion by US

urn:…
type: Observation
id:
  v: StressWmsi14
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation StressWmsi14 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39888-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39888-3
    display:
      v: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/18120-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18120-6
    display:
      v: Left ventricular apical septum Segmental wall motion by US

urn:…
type: Observation
id:
  v: StressWmsi15
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation StressWmsi15 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39888-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39888-3
    display:
      v: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/18127-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18127-1
    display:
      v: Left ventricular inferior apical Segmental wall motion by US

urn:…
type: Observation
id:
  v: StressWmsi16
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation StressWmsi16 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39888-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39888-3
    display:
      v: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/18128-9
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18128-9
    display:
      v: Left ventricular lateral apical Segmental wall motion by US

urn:…
type: Observation
id:
  v: StressWmsi17
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation StressWmsi17 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
status:
  v: final
code:
  coding: https://loinc.org/rdf/39888-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39888-3
    display:
      v: NM Heart First pass and Wall motion W stress and W radionuclide IV
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
effective: DateTime
  v: 2023-06-01
performer:
  l: 11111111-2222-4333-8444-000000000006
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000006
value: CodeableConcept
  coding: LA24346-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA24346-1
    display:
      v: Normal or hyperkinetic
body site:
  coding: https://loinc.org/rdf/78198-9
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 78198-9
    display:
      v: Heart ventricle Left apex Segmental wall motion by US

urn:…
type: DocumentReference
id:
  v: StructuredKeyImageRest
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: DocumentReference StructuredKeyImageRest status: Current subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2) content Attachments - ContentType Data * image/png (base64 data - 1,149,092 base64 chars)
status:
  v: current
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
content:
  attachment:
    content type:
      v: image/png

11111111-2222-4333-8444-000000000030
type: DocumentReference
id:
  v: StructuredKeyImageStress
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: DocumentReference StructuredKeyImageStress status: Current subject: 3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2) content Attachments - ContentType Data * image/png (base64 data - 2,853,252 base64 chars)
status:
  v: current
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
content:
  attachment:
    content type:
      v: image/png

11111111-2222-4333-8444-000000000031
type: ServiceRequest
id:
  v: ComeBackNextYearServiceRequest
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ServiceRequest ComeBackNextYearServiceRequest status: Active intent: Proposal Codes - Concept * Real time transthoracic echocardiography with 2-dimensional (2D) image documentation during rest and cardiovascular stress test using treadmill, bicycle exercise and pharmacologically induced stress, with interpretation and report, including performance of continuous electrocardiographic monitoring, with physician supervision 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
status:
  v: active
intent:
  v: proposal
code:
  concept:
    coding:
      system:
        v: http://www.ama-assn.org/go/cpt
        l: cpt
      code:
        v: 93351
      display:
        v: Real time transthoracic echocardiography with 2-dimensional (2D) image documentation during rest and cardiovascular stress test using treadmill, bicycle exercise and pharmacologically induced stress, with interpretation and report, including performance of continuous electrocardiographic monitoring, with physician supervision
subject:
  l: 11111111-2222-4333-8444-000000000003
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000003
occurrence: Period
  start:
    v: 2004-06-01
  end:
    v: 2004-06-01
requester:
  l: 11111111-2222-4333-8444-000000000005
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000005

11111111-2222-4333-8444-000000000032
type: Binary
id:
  v: BinaryStructuredReport
language:
  v: en
content type:
  v: application/pdf

system:
  v: http://terminology.hl7.org/CodeSystem/v2-0203
  l: v2-0203
code:
  v: ACSN

system:
  v: http://terminology.hl7.org/CodeSystem/v2-0203
  l: v2-0203
code:
  v: ACSN

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/note
    l: note
  value: Annotation
    text:
      v: **Stress Findings** Normal baseline electrocardiogram. There was a maximum 1.5mm ST segment depression. The patient exhibited a hypertensive response with stress.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/note
    l: note
  value: Annotation
    text:
      v: **Right Ventricle** The right ventricle is not well visualized. There is mild right ventricular hypertrophy.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/note
    l: note
  value: Annotation
    text:
      v: **Atria** A patent foramen ovale is present and there is low risk for embolism. The left atrium is small.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/note
    l: note
  value: Annotation
    text:
      v: 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.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/note
    l: note
  value: Annotation
    text:
      v: **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.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/note
    l: note
  value: Annotation
    text:
      v: **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.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/note
    l: note
  value: Annotation
    text:
      v: **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.
extension:
  url:
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    l: note
  value: Annotation
    text:
      v: **Vessels** The aortic root is not well visualized but is probably normal size. Type B aortic dissection. The pulmonary artery is normal size.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/note
    l: note
  value: Annotation
    text:
      v: **Pericardium** There is pericardial thickening and/or a small pericardial effusion. Large left pleural effusion.
title:
  v: Findings
code:
  coding: https://loinc.org/rdf/59776-5
    system:
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  reference:
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entry:
  l: 11111111-2222-4333-8444-000000000012
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000012
entry:
  l: 11111111-2222-4333-8444-000000000013
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000013
entry:
  l: 11111111-2222-4333-8444-000000000014
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000014
entry:
  l: 11111111-2222-4333-8444-000000000015
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000015
entry:
  l: 11111111-2222-4333-8444-000000000016
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000016
entry:
  l: 11111111-2222-4333-8444-000000000018
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000018
entry:
  l: 11111111-2222-4333-8444-000000000019
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000019
entry:
  l: 11111111-2222-4333-8444-000000000020
  reference:
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entry:
  l: 11111111-2222-4333-8444-000000000021
  reference:
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entry:
  l: 11111111-2222-4333-8444-000000000022
  reference:
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entry:
  l: 11111111-2222-4333-8444-000000000023
  reference:
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entry:
  l: 11111111-2222-4333-8444-000000000024
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000024
entry:
  l: 11111111-2222-4333-8444-000000000025
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000025
entry:
  l: 11111111-2222-4333-8444-000000000026
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000026
entry:
  l: 11111111-2222-4333-8444-000000000027
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000027
entry:
  l: 11111111-2222-4333-8444-000000000029
  reference:
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entry:
  l: 11111111-2222-4333-8444-000000000030
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000030

extension:
  url:
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    l: note
  value: Annotation
    text:
      v: This was a normal stress echocardiogram. Nothing wrong with this patient See you next year.
title:
  v: Impression
code:
  coding: https://loinc.org/rdf/19005-8
    system:
      v: http://loinc.org
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    code:
      v: 19005-8
    display:
      v: Radiology Imaging study [Impression] (narrative)
text:
  status:
    v: generated
  div:
    v: This was a normal stress echocardiogram. Nothing wrong with this patient. See you next year.

title:
  v: Recommendations
code:
  coding: https://loinc.org/rdf/18783-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18783-1
    display:
      v: Radiology Study recommendation (narrative)
entry:
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  reference:
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v: ACSN

v: 59776-5

v: Procedure findings Narrative

v: **Stress Findings** Normal baseline electrocardiogram. There was a maximum 1.5mm ST segment depression. The patient exhibited a hypertensive response with stress.

extension:
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    l: annotationType
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      system:
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      display:
        v: Procedure findings Narrative
text:
  v: **Right Ventricle** The right ventricle is not well visualized. There is mild right ventricular hypertrophy.

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/annotationType
    l: annotationType
  value: CodeableConcept
    coding: https://loinc.org/rdf/59776-5
      system:
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        l: loinc.org
      code:
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      display:
        v: Procedure findings Narrative
text:
  v: **Atria** A patent foramen ovale is present and there is low risk for embolism. The left atrium is small.

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/annotationType
    l: annotationType
  value: CodeableConcept
    coding: https://loinc.org/rdf/59776-5
      system:
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        l: loinc.org
      code:
        v: 59776-5
      display:
        v: Procedure findings Narrative
text:
  v: 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.

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/annotationType
    l: annotationType
  value: CodeableConcept
    coding: https://loinc.org/rdf/59776-5
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 59776-5
      display:
        v: Procedure findings Narrative
text:
  v: **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.

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/annotationType
    l: annotationType
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      system:
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      code:
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      display:
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text:
  v: **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.

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/annotationType
    l: annotationType
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    coding: https://loinc.org/rdf/59776-5
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 59776-5
      display:
        v: Procedure findings Narrative
text:
  v: **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.

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/annotationType
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      system:
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        v: 59776-5
      display:
        v: Procedure findings Narrative
text:
  v: **Vessels** The aortic root is not well visualized but is probably normal size. Type B aortic dissection. The pulmonary artery is normal size.

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/annotationType
    l: annotationType
  value: CodeableConcept
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      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 59776-5
      display:
        v: Procedure findings Narrative
text:
  v: **Pericardium** There is pericardial thickening and/or a small pericardial effusion. Large left pleural effusion.

l: 11111111-2222-4333-8444-000000000004
reference:
  v: urn:uuid:11111111-2222-4333-8444-000000000004

comment:
  v: Rest

comment:
  v: Stress
link:
  l: 11111111-2222-4333-8444-000000000030
  reference:
    v: urn:uuid:11111111-2222-4333-8444-000000000030

l: 11111111-2222-4333-8444-000000000001
reference:
  v: urn:uuid:11111111-2222-4333-8444-000000000001

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

content type:
  v: application/pdf
language:
  v: de-DE
url:
  v: urn:uuid:11111111-2222-4333-8444-000000000032
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pages:
  v: 3

v: ACSN

v: 67734004

v: CST

v: LOC

v: 80891009

v: Heart structure (body structure)

v: CST

v: LOC

String
v: Geluidsstraat

String
v: 2