EU Imaging Report R5
1.0.0-ballot - ci-build
150
EU Imaging Report R5
1.0.0-ballot - ci-build
150
EU Imaging Report R5, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/imaging-r5/ and changes regularly. See the Directory of published versions
{
"resourceType" : "Composition",
"id" : "CompositionStructured",
"meta" : {
"profile" : [
🔗 "http://hl7.eu/fhir/imaging-r5/StructureDefinition/CompositionEuImaging"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en-GB\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en-GB\"><p><b>Transthoracic echocardiogram</b> (stress TTE complete) — final report.</p><table><tr><td><b>Patient</b></td><td>3D TEE 2D, born 1976-04-29</td></tr><tr><td><b>Author</b></td><td>Prof. Philips van de Jochemsen, Ph.D. (Cardiology)</td></tr><tr><td><b>Organization</b></td><td>Ultrasound centrum</td></tr><tr><td><b>Report date</b></td><td>2025-09-05</td></tr><tr><td><b>Report identifier</b></td><td>dfkjewoieoijwoskdjf</td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/event-basedOn",
"valueReference" : {
"type" : "ServiceRequest",
"identifier" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "ACSN"
},
{
"system" : "http://dicom.nema.org/resources/ontology/DCM",
"code" : "121022",
"display" : "Accession Number"
}
]
},
"system" : "http://example.org/myhosptital/accessionsystem",
"value" : "87654321"
}
}
},
{
"url" : "http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference",
"valueReference" : {
🔗 "reference" : "DiagnosticReport/DiagnosticReportStructured"
}
}
],
"identifier" : [
{
"system" : "http://example.org/myhosptital/reportidentifiers",
"value" : "dfkjewoieoijwoskdjf"
}
],
"version" : "1",
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "93351",
"display" : "STRESS TTE COMPLETE"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
"code" : "CUS",
"display" : "Cardiac Ultrasound"
}
]
},
{
"coding" : [
{
"system" : "http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs",
"code" : "Medical-Imaging"
}
]
},
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "85430-7"
}
]
}
],
"subject" : [
{
🔗 "reference" : "Patient/PatientStructuredReport"
}
],
"date" : "2025-09-05T02:22:00.000Z",
"author" : [
{
🔗 "reference" : "PractitionerRole/PractitionerRoleStructuredReportAuthor"
},
{
🔗 "reference" : "Organization/OrganizationStructuredReport"
}
],
"title" : "Transthoracic echocardiogram",
"section" : [
{
"title" : "Imaging Study",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18726-0",
"display" : "Radiology studies (set)"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en-GB\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en-GB\">Stress transthoracic echocardiogram study.</div>"
},
"entry" : [
{
🔗 "reference" : "ImagingStudy/ImagingStudyStructuredReport"
}
]
},
{
"title" : "Order",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "55115-0",
"display" : "Requested imaging studies information Document"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en-GB\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en-GB\">Accession Number: 87654321</div>"
},
"entry" : [
{
"type" : "ServiceRequest",
"identifier" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "ACSN"
}
]
},
"system" : "http://example.org/myhosptital/accessionsystem",
"value" : "87654321"
}
}
]
},
{
"title" : "History",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11329-0",
"display" : "History general Narrative - Reported"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en-GB\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en-GB\">Weight 80kg, Height: 180 cm, HT: 180 bpm, BP: 80/90 mm/Hg</div>"
},
"entry" : [
{
🔗 "reference" : "Observation/WeightObservation"
},
{
🔗 "reference" : "Observation/HeightObservation"
},
{
🔗 "reference" : "Observation/BPObservation"
},
{
🔗 "reference" : "Observation/HRObservation"
}
]
},
{
"title" : "Procedure",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "55111-9",
"display" : "Current imaging procedure descriptions Document"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en-GB\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en-GB\">Unavailable</div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Unavailable"
}
]
}
},
{
"title" : "Comparison",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18834-2",
"display" : "Radiology Comparison study (narrative)"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en-GB\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en-GB\">Nil Known</div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "nilknown",
"display" : "Nil Known"
}
]
}
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/note",
"valueAnnotation" : {
"text" : "**Stress Findings**\nNormal baseline electrocardiogram. There was a maximum 1.5mm ST segment depression. The patient exhibited a hypertensive response with stress."
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/note",
"valueAnnotation" : {
"text" : "**Right Ventricle**\nThe right ventricle is not well visualized. There is mild right ventricular hypertrophy."
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/note",
"valueAnnotation" : {
"text" : "**Atria**\nA patent foramen ovale is present and there is low risk for embolism. The left atrium is small."
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/note",
"valueAnnotation" : {
"text" : "Mitral Valve\nThe mitral valve leaflets appear normal. There is no evidence of stenosis, fluttering, or prolapse. Mitral valve prolapse cannot be excluded. No significant mitral valve stenosis. The mitral regurgitant jet is posteriorly directed, which is consistent with anterior leaflet pathology. There is a porcine mitral valve."
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/note",
"valueAnnotation" : {
"text" : "**Tricuspid Valve**\nThe tricuspid valve leaflets are thickened and/or calcified, but open well. There is a ruptured tricuspid valve chordae with a flail free wall leaflet. No significant tricuspid stenosis. There is mild to moderate tricuspid regurgitation. The prosthetic tricuspid valve is not well visualized."
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/note",
"valueAnnotation" : {
"text" : "**Aortic Valve**\nThe aortic valve is trileaflet. The aortic valve is normal in structure and function. Cannot exclude aortic valvular vegetation. Hemodynamically significant valvular aortic stenosis cannot be excluded. No aortic regurgitation is present. The prosthetic aortic valve is not well visualized."
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/note",
"valueAnnotation" : {
"text" : "**Pulmonic Valve**\nThe pulmonic valve is normal in structure and function. A pulmonic valvular vegetation cannot be excluded. Infundibular pulmonic stenosis is noted. There is no pulmonic valvular regurgitation. The prosthetic pulmonic valve is well‐seated."
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/note",
"valueAnnotation" : {
"text" : "**Vessels**\nThe aortic root is not well visualized but is probably normal size. Type B aortic dissection. The pulmonary artery is normal size."
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/note",
"valueAnnotation" : {
"text" : "**Pericardium**\nThere is pericardial thickening and/or a small pericardial effusion. Large left pleural effusion."
}
}
],
"title" : "Findings",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "59776-5",
"display" : "Findings"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en-GB\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en-GB\">Structured stress and rest wall motion findings with valve and pericardial assessment. See structured findings and key images below.</div>"
},
"entry" : [
{
🔗 "reference" : "Observation/RestWmsi01"
},
{
🔗 "reference" : "Observation/RestWmsi02"
},
{
🔗 "reference" : "Observation/RestWmsi03"
},
{
🔗 "reference" : "Observation/RestWmsi04"
},
{
🔗 "reference" : "Observation/RestWmsi05"
},
{
🔗 "reference" : "Observation/RestWmsi06"
},
{
🔗 "reference" : "Observation/RestWmsi07"
},
{
🔗 "reference" : "Observation/RestWmsi08"
},
{
🔗 "reference" : "Observation/RestWmsi09"
},
{
🔗 "reference" : "Observation/RestWmsi10"
},
{
🔗 "reference" : "Observation/RestWmsi12"
},
{
🔗 "reference" : "Observation/RestWmsi13"
},
{
🔗 "reference" : "Observation/RestWmsi14"
},
{
🔗 "reference" : "Observation/RestWmsi15"
},
{
🔗 "reference" : "Observation/RestWmsi16"
},
{
🔗 "reference" : "Observation/RestWmsi17"
},
{
🔗 "reference" : "Observation/StressWmsi01"
},
{
🔗 "reference" : "Observation/StressWmsi02"
},
{
🔗 "reference" : "Observation/StressWmsi03"
},
{
🔗 "reference" : "Observation/StressWmsi04"
},
{
🔗 "reference" : "Observation/StressWmsi05"
},
{
🔗 "reference" : "Observation/StressWmsi06"
},
{
🔗 "reference" : "Observation/StressWmsi07"
},
{
🔗 "reference" : "Observation/StressWmsi08"
},
{
🔗 "reference" : "Observation/StressWmsi09"
},
{
🔗 "reference" : "Observation/StressWmsi10"
},
{
🔗 "reference" : "Observation/StressWmsi12"
},
{
🔗 "reference" : "Observation/StressWmsi13"
},
{
🔗 "reference" : "Observation/StressWmsi14"
},
{
🔗 "reference" : "Observation/StressWmsi15"
},
{
🔗 "reference" : "Observation/StressWmsi16"
},
{
🔗 "reference" : "Observation/StressWmsi17"
},
{
🔗 "reference" : "Observation/RestWmsi11"
},
{
🔗 "reference" : "Observation/StressWmsi11"
},
{
🔗 "reference" : "Observation/NarrativeFindingsAll"
},
{
🔗 "reference" : "DocumentReference/WMSIImage"
},
{
🔗 "reference" : "DocumentReference/StructuredKeyImageRest"
},
{
🔗 "reference" : "DocumentReference/StructuredKeyImageStress"
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/note",
"valueAnnotation" : {
"text" : "This was a normal stress echocardiogram.\nNothing wrong with this patient\nSee you next year."
}
}
],
"title" : "Impression",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "19005-8",
"display" : "Radiology Imaging study [Impression] (narrative)"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en-GB\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en-GB\">This was a normal stress echocardiogram. Nothing wrong with this patient. See you next year.</div>"
}
},
{
"title" : "Recommendations",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18783-1",
"display" : "Radiology Study recommendation (narrative)"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en-GB\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en-GB\">Recommend follow-up echocardiogram next year.</div>"
},
"entry" : [
{
🔗 "reference" : "ServiceRequest/ComeBackNextYearServiceRequest"
}
]
}
]
}
IG © 2025+ HL7 Europe.
Package hl7.fhir.eu.imaging-r5#1.0.0-ballot based on FHIR 5.0.0.
Generated
2026-11-05
