HL7 Europe Imaging Report R5, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.1-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/imaging-r5/ and changes regularly. See the Directory of published versions
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<id value="CompositionSemiStructured"/>
<meta>
<profile
value="http://hl7.eu/fhir/imaging-r5/StructureDefinition/CompositionEuImaging"/>
</meta>
<language value="en"/>
<text>
<status value="extensions"/>
</text>
<extension url="http://hl7.org/fhir/StructureDefinition/event-basedOn">
<valueReference>
<type value="ServiceRequest"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActClass#v2-0203"/>
<code value="ACSN"/>
</coding>
</type>
<system value="http://example.org/myhosptital/accessionsystem"/>
<value value="123456789"/>
</identifier>
</valueReference>
</extension>
<extension
url="http://hl7.eu/fhir/imaging-r5/StructureDefinition/DiagnosticReportEuImagingReferenceExtensionEuImaging">
<valueReference>🔗
<reference value="DiagnosticReport/DiagnosticReportSemiStructured"/>
</valueReference>
</extension>
<identifier>
<system value="http://example.org/myhosptital/reportidentifiers"/>
<value value="o32u4js8492ff"/>
</identifier>
<version value="1.0.0"/>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="24802-1"/>
<display value="MR Knee"/>
</coding>
</type>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
<code value="RAD"/>
<display value="Radiology"/>
</coding>
</category>
<subject>🔗
<reference value="Patient/PatientSemiStructuredReport"/>
</subject>
<date value="2025-05-08"/>
<author>🔗
<reference
value="PractitionerRole/PractitionerRoleSemiStructuredReportAuthor"/>
</author>
<author>🔗
<reference value="Organization/OrganizationSemiStructuredReport"/>
</author>
<title value="Radiology Report for the left/right foot study"/>
<section>
<title value="Imaging Study"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="18726-0"/>
</coding>
</code>
<text>
<extension url="http://hl7.org/fhir/StructureDefinition/textLink">
<extension url="htmlid">
<valueString value="study1"/>
</extension>
<extension url="data">
<valueUri value="#study1-ref"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/textLink">
<extension url="htmlid">
<valueString value="study2"/>
</extension>
<extension url="data">
<valueUri value="#study2-ref"/>
</extension>
</extension>
<status value="generated"/>
</text>
<entry id="study1-ref">🔗
<reference value="ImagingStudy/ImagingStudySemiStructuredReport1"/>
</entry>
<entry id="study2-ref">🔗
<reference value="ImagingStudy/ImagingStudySemiStructuredReport2"/>
</entry>
</section>
<section>
<title value="Order"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="55115-0"/>
<display value="Requested imaging studies information Document"/>
</coding>
</code>
<text>
<status value="generated"/>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="nilknown"/>
<display value="Nil Known"/>
</coding>
</emptyReason>
</section>
<section>
<title value="History"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11329-0"/>
<display value="History general Narrative - Reported"/>
</coding>
</code>
<text>
<status value="generated"/>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="nilknown"/>
<display value="Nil Known"/>
</coding>
</emptyReason>
</section>
<section>
<title value="Procedure"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="55111-9"/>
<display value="Current imaging procedure descriptions Document"/>
</coding>
</code>
<text>
<status value="generated"/>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="unavailable"/>
<display value="Unavailable"/>
</coding>
</emptyReason>
</section>
<section>
<title value="Comparison"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="18834-2"/>
<display value="Radiology Comparison study (narrative)"/>
</coding>
</code>
<text>
<status value="generated"/>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="nilknown"/>
<display value="Nil Known"/>
</coding>
</emptyReason>
</section>
<section>
<extension url="http://hl7.org/fhir/StructureDefinition/note">
<valueAnnotation id="finding-note1">
<text
value="Linker Fuß:
Allenfalls geringe Abflachung des Fußgewölbes und normale Dicke der Plantarfaszie. Regelrechte
Artikulation im Rückfuß, Mittelfuß und Vorfußes. Im Großzehengrundgelenk deutliche Verschmälerung des
Gelenkspaltes und Ausbildung von subchondralen Geröllzysten sowie deutliche postoperative
Veränderungen nach Umstellungsosteotomie. Die Beuge- und Strecksehnen sind intakt."/>
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<extension url="http://hl7.org/fhir/StructureDefinition/note">
<valueAnnotation id="finding-note2">
<text
value="Rechter Fuß:
Analog zur Gegenseite zeigt sich eine allenfalls geringe Abflachung des Fußgewölbes und unauffällige
Plantarfaszie. Normale Artikulation im Rückfuß, Mittelfußes und Vorfußes. Im Seitenvergleich rechts
geringere degenerative Veränderungen des Großzehengrundgelenkes. Keine Signalauffälligkeiten an den
Beuge- und Strecksehnen."/>
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</extension>
<title value="Findings"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="59776-5"/>
<display value="Procedure findings Narrative"/>
</coding>
</code>
<text>
<extension url="http://hl7.org/fhir/StructureDefinition/textLink">
<extension url="htmlid">
<valueString value="note1"/>
</extension>
<extension url="data">
<valueUri value="#finding-note1"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/textLink">
<extension url="htmlid">
<valueString value="note2"/>
</extension>
<extension url="data">
<valueUri value="#finding-note2"/>
</extension>
</extension>
<status value="generated"/>
</text>
</section>
<section>
<extension url="http://hl7.org/fhir/StructureDefinition/note">
<valueAnnotation id="impression-note">
<text
value="Beginnende Großzehengrundgelenksarthrose, links mehr als rechts. Z.n. Umstellungsosteotomie des MFK1 links."/>
</valueAnnotation>
</extension>
<title value="Impression"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="19005-8"/>
<display value="Radiology Imaging study [Impression] (narrative)"/>
</coding>
</code>
<text>
<extension url="http://hl7.org/fhir/StructureDefinition/textLink">
<extension url="htmlid">
<valueString value="note"/>
</extension>
<extension url="data">
<valueUri value="#impression-note"/>
</extension>
</extension>
<status value="generated"/>
</text>
</section>
<section>
<title value="Recommendations"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="18783-1"/>
<display value="Radiology Study recommendation (narrative)"/>
</coding>
</code>
<text>
<status value="generated"/>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="nilknown"/>
<display value="Nil Known"/>
</coding>
</emptyReason>
</section>
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