HL7 Europe Imaging Study Report
0.1.1-build - ci-build
150
HL7 Europe Imaging Study Report
0.1.1-build - ci-build
150
HL7 Europe Imaging Study Report, 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/ and changes regularly. See the Directory of published versions
@prefix fhir: <http://hl7.org/fhir/> . @prefix loinc: <https://loinc.org/rdf/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:Composition ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "CompositionStructured"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImComposition"^^xsd:anyURI ; fhir:link <http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImComposition> ] ) ] ; # fhir:language [ fhir:v "en-GB"] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-GB\" lang=\"en-GB\">\n<div>\n \n <h3><b>Title: </b>Transthoracic echocardiogram</h3>\n \n\n \n\n <table class=\"grid dict\">\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">CompositionStructured</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">1</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\">\n <b>\n \n Identifier:\n \n </b>\n </th>\n <td style=\"padding-left: 4px;\">\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>Status: </b></th>\n <td style=\"padding-left: 4px;\">final</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Type: </b></th>\n <td style=\"padding-left: 4px;\">\n \n\n \n <p style=\"margin-bottom: 5px;\">\n \n <span>transthoracic echocardiogram</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\n </td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Category: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n\n \n <p style=\"margin-bottom: 5px;\">\n \n <span>Cardiac Ultrasoundy</span>\n \n \n <span>(</span>\n \n <span><a href=\"http://terminology.hl7.org/5.0.0/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 </td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Subject: </b></th>\n \n <td style=\"padding-left: 4px;\"><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>Date: </b></th>\n <td style=\"padding-left: 4px;\">2025-09-05 02:22:00+0000</td>\n </tr>\n \n\n \n\n \n <tr>\n <th scope=\"row\"><b>Author: </b></th>\n <td>\n \n <p><a href=\"PractitionerRole-PractitionerRoleStructuredReportAuthor.html\">PractitionerRole Cardiology</a></p>\n \n <p><a href=\"Organization-OrganizationStructuredReport.html\">Organization Ultrasound centrum</a></p>\n \n </td>\n </tr>\n \n\n \n\n \n\n \n </table>\n\n \n \n \n <h4>Imaging Study</h4>\n \n <p><b>Code:</b>\n\n \n <p style=\"margin-bottom: 5px;\">\n \n <span>Radiology studies (set)</span>\n \n \n <span>(</span>\n \n <span><a href=\"https://loinc.org/\">http://loinc.org</a>:</span>\n \n \n <span>18726-0</span>\n \n <span>)</span>\n \n </p>\n \n\n</p>\n \n\n\n\n\n\n\n\n\n\n\n\n\n\n <p><b>References:</b></p>\n <ul>\n \n <li><a href=\"ImagingStudy-ImagingStudStructuredReport.html\">ImagingStudy: identifier = Study Instance UID: DUI#urn:oid:1.3.46.670589.58.10.10562925256214266678.11674839624289915183; status = available; modality = Ultrasound; started = 2025-04-29</a></li>\n \n </ul>\n\n\n\n \n \n <h4>Order</h4>\n \n <p><b>Code:</b>\n\n \n <p style=\"margin-bottom: 5px;\">\n \n <span>Requested imaging studies information Document</span>\n \n \n <span>(</span>\n \n <span><a href=\"https://loinc.org/\">http://loinc.org</a>:</span>\n \n \n <span>55115-0</span>\n \n <span>)</span>\n \n </p>\n \n\n</p>\n \n\n\n\n\n\n\n\n\n\n\n\n\n\n <p><b>References:</b></p>\n <ul>\n \n <li>Identifier: Accession ID/87654321</li>\n \n </ul>\n\n\n\n \n \n <h4>History</h4>\n \n <p><b>Code:</b>\n\n \n <p style=\"margin-bottom: 5px;\">\n \n <span>History general Narrative - Reported</span>\n \n \n <span>(</span>\n \n <span><a href=\"https://loinc.org/\">http://loinc.org</a>:</span>\n \n \n <span>11329-0</span>\n \n <span>)</span>\n \n </p>\n \n\n</p>\n \n\n\n\n\n\n\n\n\n\n\n\n\n\n <p><b>References:</b></p>\n <ul>\n \n <li><a href=\"Observation-WeightObservation.html\">Observation Body weigth</a></li>\n \n <li><a href=\"Observation-HeightObservation.html\">Observation Body heigth</a></li>\n \n <li><a href=\"Observation-BPObservation.html\">Observation Blood pressure panel with all children optional</a></li>\n \n <li><a href=\"Observation-HRObservation.html\">Observation Heart rate</a></li>\n \n </ul>\n\n\n\n \n \n <h4>Procedure</h4>\n \n <p><b>Code:</b>\n\n \n <p style=\"margin-bottom: 5px;\">\n \n <span>Current imaging procedure descriptions Document</span>\n \n \n <span>(</span>\n \n <span><a href=\"https://loinc.org/\">http://loinc.org</a>:</span>\n \n \n <span>55111-9</span>\n \n <span>)</span>\n \n </p>\n \n\n</p>\n \n\n\n\n\n\n\n\n\n\n\n\n <p><b>Reason for absence of content:</b></p>\n \n\n \n <p style=\"margin-bottom: 5px;\">\n \n <span>Unavailable</span>\n \n \n <span>(</span>\n \n \n <span>unavailable</span>\n \n <span>)</span>\n \n </p>\n \n\n\n\n\n\n\n\n \n \n <h4>Comparison</h4>\n \n <p><b>Code:</b>\n\n \n <p style=\"margin-bottom: 5px;\">\n \n <span>Radiology Comparison study (narrative)</span>\n \n \n <span>(</span>\n \n <span><a href=\"https://loinc.org/\">http://loinc.org</a>:</span>\n \n \n <span>18834-2</span>\n \n <span>)</span>\n \n </p>\n \n\n</p>\n \n\n\n\n\n\n\n\n\n\n\n\n <p><b>Reason for absence of content:</b></p>\n \n\n \n <p style=\"margin-bottom: 5px;\">\n \n <span>Nil Known</span>\n \n \n <span>(</span>\n \n \n <span>nilknown</span>\n \n <span>)</span>\n \n </p>\n \n\n\n\n\n\n\n\n \n \n <h4>Findings</h4>\n \n <p><b>Code:</b>\n\n \n <p style=\"margin-bottom: 5px;\">\n \n <span>Findings</span>\n \n \n <span>(</span>\n \n <span><a href=\"https://loinc.org/\">http://loinc.org</a>:</span>\n \n \n <span>59776-5</span>\n \n <span>)</span>\n \n </p>\n \n\n</p>\n \n\n\n\n\n\n\n\n\n\n \n \n \n \n\n\n\n\n\n\n <div><p><strong>Stress Findings</strong>\nNormal baseline electrocardiogram. There was a maximum 1.5mm ST segment depression. The patient exhibited a hypertensive response with stress.</p>\n</div>\n\n\n \n \n \n \n \n \n\n\n\n\n\n\n <div><p><strong>Right Ventricle</strong>\nThe right ventricle is not well visualized. There is mild right ventricular hypertrophy.</p>\n</div>\n\n\n \n \n \n \n \n \n\n\n\n\n\n\n <div><p><strong>Atria</strong>\nA patent foramen ovale is present and there is low risk for embolism. The left atrium is small.</p>\n</div>\n\n\n \n \n \n \n \n \n\n\n\n\n\n\n <div><p>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.</p>\n</div>\n\n\n \n \n \n \n \n \n\n\n\n\n\n\n <div><p><strong>Tricuspid Valve</strong>\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.</p>\n</div>\n\n\n \n \n \n \n \n \n\n\n\n\n\n\n <div><p><strong>Aortic Valve</strong>\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.</p>\n</div>\n\n\n \n \n \n \n \n \n\n\n\n\n\n\n <div><p><strong>Pulmonic Valve</strong>\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.</p>\n</div>\n\n\n \n \n \n \n \n \n\n\n\n\n\n\n <div><p><strong>Vessels</strong>\nThe aortic root is not well visualized but is probably normal size. Type B aortic dissection. The pulmonary artery is normal size.</p>\n</div>\n\n\n \n \n \n \n \n \n\n\n\n\n\n\n <div><p><strong>Pericardium</strong>\nThere is pericardial thickening and/or a small pericardial effusion. Large left pleural effusion.</p>\n</div>\n\n\n \n \n \n\n\n\n\n\n <p><b>References:</b></p>\n <ul>\n \n <li><a href=\"Observation-RestWmsi01.html\">Observation Views first pass+wall motion^at rest+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-RestWmsi02.html\">Observation Views first pass+wall motion^at rest+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-RestWmsi03.html\">Observation Views first pass+wall motion^at rest+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-RestWmsi04.html\">Observation Views first pass+wall motion^at rest+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-RestWmsi05.html\">Observation Views first pass+wall motion^at rest+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-RestWmsi06.html\">Observation Views first pass+wall motion^at rest+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-RestWmsi07.html\">Observation Views first pass+wall motion^at rest+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-RestWmsi08.html\">Observation Views first pass+wall motion^at rest+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-RestWmsi09.html\">Observation Views first pass+wall motion^at rest+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-RestWmsi10.html\">Observation Views first pass+wall motion^at rest+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-RestWmsi12.html\">Observation Views first pass+wall motion^at rest+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-RestWmsi13.html\">Observation Views first pass+wall motion^at rest+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-RestWmsi14.html\">Observation Views first pass+wall motion^at rest+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-RestWmsi15.html\">Observation Views first pass+wall motion^at rest+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-RestWmsi16.html\">Observation Views first pass+wall motion^at rest+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-RestWmsi17.html\">Observation Views first pass+wall motion^at rest+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-StressWmsi01.html\">Observation Views first pass+wall motion^W stress+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-StressWmsi02.html\">Observation Views first pass+wall motion^W stress+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-StressWmsi03.html\">Observation Views first pass+wall motion^W stress+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-StressWmsi04.html\">Observation Views first pass+wall motion^W stress+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-StressWmsi05.html\">Observation Views first pass+wall motion^W stress+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-StressWmsi06.html\">Observation Views first pass+wall motion^W stress+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-StressWmsi07.html\">Observation Views first pass+wall motion^W stress+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-StressWmsi08.html\">Observation Views first pass+wall motion^W stress+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-StressWmsi09.html\">Observation Views first pass+wall motion^W stress+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-StressWmsi10.html\">Observation Views first pass+wall motion^W stress+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-StressWmsi12.html\">Observation Views first pass+wall motion^W stress+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-StressWmsi13.html\">Observation Views first pass+wall motion^W stress+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-StressWmsi14.html\">Observation Views first pass+wall motion^W stress+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-StressWmsi15.html\">Observation Views first pass+wall motion^W stress+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-StressWmsi16.html\">Observation Views first pass+wall motion^W stress+W radionuclide IV</a></li>\n \n <li><a href=\"Observation-StressWmsi17.html\">Observation Views first pass+wall motion^W stress+W radionuclide IV</a></li>\n \n <li><a href=\"DocumentReference-StructuredKeyImageStress.html\">DocumentReference: status = current</a></li>\n \n <li><a href=\"DocumentReference-StructuredKeyImageRest.html\">DocumentReference: status = current</a></li>\n \n </ul>\n\n\n\n \n \n <h4>Impression</h4>\n \n <p><b>Code:</b>\n\n \n <p style=\"margin-bottom: 5px;\">\n \n <span>Radiology Imaging study [Impression] (narrative)</span>\n \n \n <span>(</span>\n \n <span><a href=\"https://loinc.org/\">http://loinc.org</a>:</span>\n \n \n <span>19005-8</span>\n \n <span>)</span>\n \n </p>\n \n\n</p>\n \n\n\n\n\n\n\n\n\n\n \n \n \n \n\n\n\n\n\n\n <div><p>This was a normal stress echocardiogram.\nNothing wrong with this patient\nSee you next year.</p>\n</div>\n\n\n \n \n \n\n\n\n\n\n\n\n \n \n <h4>Recommendations</h4>\n \n <p><b>Code:</b>\n\n \n <p style=\"margin-bottom: 5px;\">\n \n <span>Radiology Study recommendation (narrative)</span>\n \n \n <span>(</span>\n \n <span><a href=\"https://loinc.org/\">http://loinc.org</a>:</span>\n \n \n <span>18783-1</span>\n \n <span>)</span>\n \n </p>\n \n\n</p>\n \n\n\n\n\n\n\n\n\n\n\n\n\n\n <p><b>References:</b></p>\n <ul>\n \n <li><a href=\"ServiceRequest-ComeBackNextYearServiceRequest.html\">ServiceRequest 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</a></li>\n \n </ul>\n\n\n\n \n \n</div>\n</div>"^^rdf:XMLLiteral ] ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/event-basedOn"^^xsd:anyURI ] ; fhir:value [ a fhir:Reference ; fhir:type [ fhir:v "ServiceRequest"^^xsd:anyURI ] ; fhir:identifier [ fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ; fhir:code [ fhir:v "ACSN" ] ] ) ] ; fhir:system [ fhir:v "http://example.org/myhosptital/accessionsystem"^^xsd:anyURI ] ; fhir:value [ fhir:v "87654321" ] ] ] ] [ fhir:url [ fhir:v "http://hl7.eu/fhir/imaging-r5/StructureDefinition/im-composition-diagnosticReportReference"^^xsd:anyURI ] ; fhir:value [ a fhir:Reference ; fhir:reference [ fhir:v "DiagnosticReport/DiagnosticReportStructured" ] ] ] ) ; # fhir:identifier ( [ fhir:system [ fhir:v "http://example.org/myhosptital/reportidentifiers"^^xsd:anyURI ] ; fhir:value [ fhir:v "dfkjewoieoijwoskdjf" ] ] ) ; # fhir:version [ fhir:v "1"] ; # fhir:status [ fhir:v "final"] ; # fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://www.ama-assn.org/go/cpt"^^xsd:anyURI ] ; fhir:code [ fhir:v "93351" ] ; fhir:display [ fhir:v "transthoracic echocardiogram" ] ] ) ] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0074"^^xsd:anyURI ] ; fhir:code [ fhir:v "CUS" ] ; fhir:display [ fhir:v "Cardiac Ultrasoundy" ] ] ) ] ) ; # fhir:subject ( [ fhir:reference [ fhir:v "Patient/PatientStructuredReport" ] ] ) ; # fhir:date [ fhir:v "2025-09-05T02:22:00.000Z"^^xsd:dateTime] ; # fhir:author ( [ fhir:reference [ fhir:v "PractitionerRole/PractitionerRoleStructuredReportAuthor" ] ] [ fhir:reference [ fhir:v "Organization/OrganizationStructuredReport" ] ] ) ; # fhir:title [ fhir:v "Transthoracic echocardiogram"] ; # fhir:section ( [ fhir:title [ fhir:v "Imaging Study" ] ; fhir:code [ ( fhir:coding [ a loinc:18726-0 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "18726-0" ] ; fhir:display [ fhir:v "Radiology studies (set)" ] ] ) ] ; ( fhir:entry [ fhir:reference [ fhir:v "ImagingStudy/ImagingStudStructuredReport" ] ] ) ] [ fhir:title [ fhir:v "Order" ] ; fhir:code [ ( fhir:coding [ a loinc:55115-0 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "55115-0" ] ; fhir:display [ fhir:v "Requested imaging studies information Document" ] ] ) ] ; ( fhir:entry [ fhir:type [ fhir:v "ServiceRequest"^^xsd:anyURI ] ; fhir:identifier [ fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ; fhir:code [ fhir:v "ACSN" ] ] ) ] ; fhir:system [ fhir:v "http://example.org/myhosptital/accessionsystem"^^xsd:anyURI ] ; fhir:value [ fhir:v "87654321" ] ] ] ) ] [ fhir:title [ fhir:v "History" ] ; fhir:code [ ( fhir:coding [ a loinc:11329-0 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "11329-0" ] ; fhir:display [ fhir:v "History general Narrative - Reported" ] ] ) ] ; ( fhir:entry [ fhir:reference [ fhir:v "Observation/WeightObservation" ] ] [ fhir:reference [ fhir:v "Observation/HeightObservation" ] ] [ fhir:reference [ fhir:v "Observation/BPObservation" ] ] [ fhir:reference [ fhir:v "Observation/HRObservation" ] ] ) ] [ fhir:title [ fhir:v "Procedure" ] ; fhir:code [ ( fhir:coding [ a loinc:55111-9 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "55111-9" ] ; fhir:display [ fhir:v "Current imaging procedure descriptions Document" ] ] ) ] ; fhir:emptyReason [ ( fhir:coding [ fhir:code [ fhir:v "unavailable" ] ; fhir:display [ fhir:v "Unavailable" ] ] ) ] ] [ fhir:title [ fhir:v "Comparison" ] ; fhir:code [ ( fhir:coding [ a loinc:18834-2 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "18834-2" ] ; fhir:display [ fhir:v "Radiology Comparison study (narrative)" ] ] ) ] ; fhir:emptyReason [ ( fhir:coding [ fhir:code [ fhir:v "nilknown" ] ; fhir:display [ fhir:v "Nil Known" ] ] ) ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/note"^^xsd:anyURI ] ; fhir:value [ a fhir:Annotation ; fhir:text [ fhir:v "**Stress Findings**\nNormal baseline electrocardiogram. There was a maximum 1.5mm ST segment depression. The patient exhibited a hypertensive response with stress." ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/note"^^xsd:anyURI ] ; fhir:value [ a fhir:Annotation ; fhir:text [ fhir:v "**Right Ventricle**\nThe right ventricle is not well visualized. There is mild right ventricular hypertrophy." ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/note"^^xsd:anyURI ] ; fhir:value [ a fhir:Annotation ; fhir:text [ fhir:v "**Atria**\nA patent foramen ovale is present and there is low risk for embolism. The left atrium is small." ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/note"^^xsd:anyURI ] ; fhir:value [ a fhir:Annotation ; fhir:text [ fhir:v "Mitral Valve\nThe mitral valve leaflets appear normal. There is no evidence of stenosis, fluttering, or prolapse. Mitral valve prolapse cannot be excluded. No significant mitral valve stenosis. The mitral regurgitant jet is posteriorly directed, which is consistent with anterior leaflet pathology. There is a porcine mitral valve." ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/note"^^xsd:anyURI ] ; fhir:value [ a fhir:Annotation ; fhir:text [ fhir:v "**Tricuspid Valve**\nThe tricuspid valve leaflets are thickened and/or calcified, but open well. There is a ruptured tricuspid valve chordae with a flail free wall leaflet. No significant tricuspid stenosis. There is mild to moderate tricuspid regurgitation. The prosthetic tricuspid valve is not well visualized." ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/note"^^xsd:anyURI ] ; fhir:value [ a fhir:Annotation ; fhir:text [ fhir:v "**Aortic Valve**\nThe aortic valve is trileaflet. The aortic valve is normal in structure and function. Cannot exclude aortic valvular vegetation. Hemodynamically significant valvular aortic stenosis cannot be excluded. No aortic regurgitation is present. The prosthetic aortic valve is not well visualized." ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/note"^^xsd:anyURI ] ; fhir:value [ a fhir:Annotation ; fhir:text [ fhir:v "**Pulmonic Valve**\nThe pulmonic valve is normal in structure and function. A pulmonic valvular vegetation cannot be excluded. Infundibular pulmonic stenosis is noted. There is no pulmonic valvular regurgitation. The prosthetic pulmonic valve is well‐seated." ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/note"^^xsd:anyURI ] ; fhir:value [ a fhir:Annotation ; fhir:text [ fhir:v "**Vessels**\nThe aortic root is not well visualized but is probably normal size. Type B aortic dissection. The pulmonary artery is normal size." ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/note"^^xsd:anyURI ] ; fhir:value [ a fhir:Annotation ; fhir:text [ fhir:v "**Pericardium**\nThere is pericardial thickening and/or a small pericardial effusion. Large left pleural effusion." ] ] ] ) ; fhir:title [ fhir:v "Findings" ] ; fhir:code [ ( fhir:coding [ a loinc:59776-5 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "59776-5" ] ; fhir:display [ fhir:v "Findings" ] ] ) ] ; ( fhir:entry [ fhir:reference [ fhir:v "Observation/RestWmsi01" ] ] [ fhir:reference [ fhir:v "Observation/RestWmsi02" ] ] [ fhir:reference [ fhir:v "Observation/RestWmsi03" ] ] [ fhir:reference [ fhir:v "Observation/RestWmsi04" ] ] [ fhir:reference [ fhir:v "Observation/RestWmsi05" ] ] [ fhir:reference [ fhir:v "Observation/RestWmsi06" ] ] [ fhir:reference [ fhir:v "Observation/RestWmsi07" ] ] [ fhir:reference [ fhir:v "Observation/RestWmsi08" ] ] [ fhir:reference [ fhir:v "Observation/RestWmsi09" ] ] [ fhir:reference [ fhir:v "Observation/RestWmsi10" ] ] [ fhir:reference [ fhir:v "Observation/RestWmsi12" ] ] [ fhir:reference [ fhir:v "Observation/RestWmsi13" ] ] [ fhir:reference [ fhir:v "Observation/RestWmsi14" ] ] [ fhir:reference [ fhir:v "Observation/RestWmsi15" ] ] [ fhir:reference [ fhir:v "Observation/RestWmsi16" ] ] [ fhir:reference [ fhir:v "Observation/RestWmsi17" ] ] [ fhir:reference [ fhir:v "Observation/StressWmsi01" ] ] [ fhir:reference [ fhir:v "Observation/StressWmsi02" ] ] [ fhir:reference [ fhir:v "Observation/StressWmsi03" ] ] [ fhir:reference [ fhir:v "Observation/StressWmsi04" ] ] [ fhir:reference [ fhir:v "Observation/StressWmsi05" ] ] [ fhir:reference [ fhir:v "Observation/StressWmsi06" ] ] [ fhir:reference [ fhir:v "Observation/StressWmsi07" ] ] [ fhir:reference [ fhir:v "Observation/StressWmsi08" ] ] [ fhir:reference [ fhir:v "Observation/StressWmsi09" ] ] [ fhir:reference [ fhir:v "Observation/StressWmsi10" ] ] [ fhir:reference [ fhir:v "Observation/StressWmsi12" ] ] [ fhir:reference [ fhir:v "Observation/StressWmsi13" ] ] [ fhir:reference [ fhir:v "Observation/StressWmsi14" ] ] [ fhir:reference [ fhir:v "Observation/StressWmsi15" ] ] [ fhir:reference [ fhir:v "Observation/StressWmsi16" ] ] [ fhir:reference [ fhir:v "Observation/StressWmsi17" ] ] [ fhir:reference [ fhir:v "DocumentReference/StructuredKeyImageStress" ] ] [ fhir:reference [ fhir:v "DocumentReference/StructuredKeyImageRest" ] ] ) ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/note"^^xsd:anyURI ] ; fhir:value [ a fhir:Annotation ; fhir:text [ fhir:v "This was a normal stress echocardiogram.\nNothing wrong with this patient\nSee you next year." ] ] ] ) ; fhir:title [ fhir:v "Impression" ] ; fhir:code [ ( fhir:coding [ a loinc:19005-8 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "19005-8" ] ; fhir:display [ fhir:v "Radiology Imaging study [Impression] (narrative)" ] ] ) ] ] [ fhir:title [ fhir:v "Recommendations" ] ; fhir:code [ ( fhir:coding [ a loinc:18783-1 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "18783-1" ] ; fhir:display [ fhir:v "Radiology Study recommendation (narrative)" ] ] ) ] ; ( fhir:entry [ fhir:reference [ fhir:v "ServiceRequest/ComeBackNextYearServiceRequest" ] ] ) ] ) . #
IG © 2025+ HL7 Europe. Package hl7.fhir.eu.imaging-r5#0.1.1-build based on FHIR 5.0.0. Generated 2025-09-30
