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

: DiagnosticReport: structured report

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{
  "resourceType" : "DiagnosticReport",
  "id" : "DiagnosticReportStructured",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.eu/fhir/imaging-r5/StructureDefinition/DiagnosticReportEuImaging"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-GB\" lang=\"en-GB\">\n<div>\n  <table class=\"grid dict\">\n        \n        <tr>\n            <th scope=\"row\"><b>Id: </b></th>\n            <td>DiagnosticReportStructured</td>\n        </tr>\n        \n\n        \n          <tr>\n            <th scope=\"row\"><b>Code: </b></th>\n            <td>\n\n  \n      <p style=\"margin-bottom: 5px;\">\n        \n          <span>STRESS TTE COMPLETE</span>\n        \n        \n          <span>(</span>\n            \n              <span><a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-CPT.html\">http://www.ama-assn.org/go/cpt</a>:</span>\n            \n            \n              <span>93351</span>\n            \n          <span>)</span>\n        \n      </p>\n  \n\n</td>\n          </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\">\n                <b>\n                    \n                        Identifier:\n                    \n                </b>\n            </th>\n            <td>\n              <p style=\"margin-bottom: 5px;\">\n                \n                  <span><a href=\"http://example.org/myhosptital/reportidentifiers\">http://example.org/myhosptital/reportidentifiers</a>: </span>\n                \n                \n                  <span>dfkjewoieoijwoskdjf</span>\n                \n              </p>\n            </td>\n        </tr>\n        \n       \n        \n        <tr>\n            <th scope=\"row\"><b>BasedOn: </b></th>\n            <td>Identifier: Accession ID/87654321</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Status: </b></th>\n            <td>final</td>\n        </tr>\n        \n\n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Category: </b></th>\n            <td>\n              \n                \n\n  \n      <p style=\"margin-bottom: 5px;\">\n        \n          <span>Cardiac Ultrasound</span>\n        \n        \n          <span>(</span>\n            \n              <span><a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-v2-0074.html\">http://terminology.hl7.org/CodeSystem/v2-0074</a>:</span>\n            \n            \n              <span>CUS</span>\n            \n          <span>)</span>\n        \n      </p>\n  \n\n\n              \n                \n\n  \n      <p style=\"margin-bottom: 5px;\">\n        \n        \n          <span>(</span>\n            \n              <span><a href=\"http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs\">http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs</a>:</span>\n            \n            \n              <span>Medical-Imaging</span>\n            \n          <span>)</span>\n        \n      </p>\n  \n\n\n              \n                \n\n  \n      <p style=\"margin-bottom: 5px;\">\n        \n        \n          <span>(</span>\n            \n              <span><a href=\"https://loinc.org/\">http://loinc.org</a>:</span>\n            \n            \n              <span>85430-7</span>\n            \n          <span>)</span>\n        \n      </p>\n  \n\n\n              \n            </td>\n        </tr>\n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Subject: </b></th>\n            \n              <td><a href=\"Patient-PatientStructuredReport.html\">3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)</a> </td>\n            \n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Period: </b></th>\n            <td>2003-06-01</td>\n        </tr>\n        \n        \n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Performer: </b></th>\n            <td>\n            \n              <p><a href=\"Organization-OrganizationStructuredReport.html\">Ultrasound centrum</a></p>\n            \n            </td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Results Interpreter: </b></th>\n            <td>\n            \n              <p><a href=\"PractitionerRole-PractitionerRoleStructuredReportAuthor.html\">Ph.D. Philips van de JOCHEMSEN, Prof.(official): Cardiology at Ultrasound centrum</a></p>\n            \n            </td>\n        </tr>\n        \n\n        \n          <tr>\n              <th scope=\"row\"><b>Studies: </b></th>\n                <td>\n                <ul>\n                  \n                    <li><a href=\"ImagingStudy-ImagingStudyStructuredReport.html\">ImagingStudy: extension = Upper trunk; identifier = Study Instance UID: DICOM Unique Id#urn:oid:1.3.46.670589.58.10.10562925256214266678.11674839624289915183; status = available; modality = Ultrasound; started = 2025-04-29</a></li>\n                  \n                </ul>\n              </td>\n          </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Composition: </b></th>\n              <td>\n              <a href=\"Composition-CompositionStructured.html\">Transthoracic echocardiogram</a>\n            </td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Results interpreter: </b></th>\n              <td>\n                <ul>\n                  \n                  <li><a href=\"Observation-NarrativeFindingsAll.html\">Observation Radiology Study observation (narrative)</a></li>\n                  \n                  <li><a href=\"Observation-RestWmsi01.html\">Observation NM Heart First pass and Wall motion at rest and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-RestWmsi02.html\">Observation NM Heart First pass and Wall motion at rest and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-RestWmsi03.html\">Observation NM Heart First pass and Wall motion at rest and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-RestWmsi04.html\">Observation NM Heart First pass and Wall motion at rest and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-RestWmsi05.html\">Observation NM Heart First pass and Wall motion at rest and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-RestWmsi06.html\">Observation NM Heart First pass and Wall motion at rest and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-RestWmsi07.html\">Observation NM Heart First pass and Wall motion at rest and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-RestWmsi08.html\">Observation NM Heart First pass and Wall motion at rest and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-RestWmsi09.html\">Observation NM Heart First pass and Wall motion at rest and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-RestWmsi10.html\">Observation NM Heart First pass and Wall motion at rest and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-RestWmsi12.html\">Observation NM Heart First pass and Wall motion at rest and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-RestWmsi13.html\">Observation NM Heart First pass and Wall motion at rest and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-RestWmsi14.html\">Observation NM Heart First pass and Wall motion at rest and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-RestWmsi15.html\">Observation NM Heart First pass and Wall motion at rest and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-RestWmsi16.html\">Observation NM Heart First pass and Wall motion at rest and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-RestWmsi17.html\">Observation NM Heart First pass and Wall motion at rest and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-StressWmsi01.html\">Observation NM Heart First pass and Wall motion W stress and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-StressWmsi02.html\">Observation NM Heart First pass and Wall motion W stress and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-StressWmsi03.html\">Observation NM Heart First pass and Wall motion W stress and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-StressWmsi04.html\">Observation NM Heart First pass and Wall motion W stress and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-StressWmsi05.html\">Observation NM Heart First pass and Wall motion W stress and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-StressWmsi06.html\">Observation NM Heart First pass and Wall motion W stress and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-StressWmsi07.html\">Observation NM Heart First pass and Wall motion W stress and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-StressWmsi08.html\">Observation NM Heart First pass and Wall motion W stress and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-StressWmsi09.html\">Observation NM Heart First pass and Wall motion W stress and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-StressWmsi10.html\">Observation NM Heart First pass and Wall motion W stress and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-StressWmsi12.html\">Observation NM Heart First pass and Wall motion W stress and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-StressWmsi13.html\">Observation NM Heart First pass and Wall motion W stress and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-StressWmsi14.html\">Observation NM Heart First pass and Wall motion W stress and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-StressWmsi15.html\">Observation NM Heart First pass and Wall motion W stress and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-StressWmsi16.html\">Observation NM Heart First pass and Wall motion W stress and W radionuclide IV</a></li>\n                  \n                  <li><a href=\"Observation-StressWmsi17.html\">Observation NM Heart First pass and Wall motion W stress and W radionuclide IV</a></li>\n                  \n                </ul>\n            </td>\n        </tr>   \n        \n\n        \n\n\n        \n          <tr>\n              <th scope=\"row\"><b>Conclusion: </b></th>\n              <td>\n                  <div><p>This was a normal stress echocardiogram.\nNothing wrong with this patient\nSee you next year.</p>\n</div>\n              </td>\n          </tr>   \n        \n        \n        \n          <tr>\n              <th scope=\"row\"><b>Presented form: </b></th>\n              <td>\n                <ul>\n                  \n                  <li>application/pdf @ <a href=\"Binary/BinaryStructuredReport\">Binary/BinaryStructuredReport</a></li>\n                  \n                </ul>\n              </td>\n          </tr>        \n        \n  </table>\n</div>\n</div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.eu/fhir/imaging-r5/StructureDefinition/AnatomicalRegionExtension",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "67734004"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory",
      "valueReference" : {
        🔗 "reference" : "Observation/WeightObservation"
      }
    },
    {
      "url" : "http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory",
      "valueReference" : {
        🔗 "reference" : "Observation/HeightObservation"
      }
    },
    {
      "url" : "http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory",
      "valueReference" : {
        🔗 "reference" : "Observation/BPObservation"
      }
    },
    {
      "url" : "http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory",
      "valueReference" : {
        🔗 "reference" : "Observation/HRObservation"
      }
    },
    {
      "url" : "http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRRecommendation",
      "valueReference" : {
        🔗 "reference" : "ServiceRequest/ComeBackNextYearServiceRequest"
      }
    }
  ],
  "identifier" : [
    {
      "system" : "http://example.org/myhosptital/reportidentifiers",
      "value" : "dfkjewoieoijwoskdjf"
    }
  ],
  "basedOn" : [
    {
      "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"
      }
    }
  ],
  "status" : "final",
  "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"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://www.ama-assn.org/go/cpt",
        "code" : "93351",
        "display" : "STRESS TTE COMPLETE"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/PatientStructuredReport"
  },
  "effectiveDateTime" : "2003-06-01",
  "performer" : [
    {
      🔗 "reference" : "Organization/OrganizationStructuredReport"
    }
  ],
  "resultsInterpreter" : [
    {
      🔗 "reference" : "PractitionerRole/PractitionerRoleStructuredReportAuthor"
    }
  ],
  "result" : [
    {
      🔗 "reference" : "Observation/NarrativeFindingsAll"
    },
    {
      🔗 "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"
    }
  ],
  "study" : [
    {
      🔗 "reference" : "ImagingStudy/ImagingStudyStructuredReport"
    }
  ],
  "composition" : {
    🔗 "reference" : "Composition/CompositionStructured"
  },
  "conclusion" : "This was a normal stress echocardiogram.\nNothing wrong with this patient\nSee you next year.",
  "presentedForm" : [
    {
      "contentType" : "application/pdf",
      "language" : "de-DE",
      "url" : "Binary/BinaryStructuredReport",
      "pages" : 3
    }
  ]
}