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
{
"resourceType" : "DiagnosticReport",
"id" : "DiagnosticReportSemiStructured",
"meta" : {
"profile" : [
🔗 "http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImDiagnosticReport"
]
},
"language" : "de-DE",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"de-DE\" lang=\"de-DE\">\n<div>\n <table class=\"grid dict\">\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td>DiagnosticReportSemiStructured</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>MR Knee</span>\n \n \n <span>(</span>\n \n <span><a href=\"https://loinc.org/\">http://loinc.org</a>:</span>\n \n \n <span>24802-1</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>o32u4js8492ff</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/123456789</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>Radiology</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>RAD</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-PatientSemiStructuredReport.html\">Frau GuteFrage Test-Schusti(official) (no stated gender), DoB: 1976-04-29</a> </td>\n \n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Period: </b></th>\n <td>2025-05-08</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-OrganizationSemiStructuredReport.html\">Organization Radiology Zentrum Bremen</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-PractitionerRoleSemiStructuredReportAuthor.html\">PractitionerRole Radiologist</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-ImagingStudySemiStructuredReport1.html\">ImagingStudy: identifier = Study Instance UID: DUI#urn:oid:1.2.276.2000010.784732; status = available; modality = Magnetic Resonance; started = 2025-04-29</a></li>\n \n <li><a href=\"ImagingStudy-ImagingStudySemiStructuredReport2.html\">ImagingStudy: identifier = Study Instance UID: DUI#urn:oid:1.2.276.2000010.784733; status = available; modality = Magnetic Resonance; 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-CompositionSemiStructured.html\">Radiology Report for the left/right foot study</a>\n </td>\n </tr>\n \n\n \n\n \n \n <tr>\n <th scope=\"row\"><b>Note: </b></th>\n <td>\n \n\n\n\n\n \n \n \n\n \n <p style=\"margin-bottom: 5px;\">\n \n <span>Procedure findings Narrative</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\n \n \n\n\n\n <div><p>Linker Fuß:\nAllenfalls geringe Abflachung des Fußgewölbes und normale Dicke der Plantarfaszie. Regelrechte\nArtikulation im Rückfuß, Mittelfuß und Vorfußes. Im Großzehengrundgelenk deutliche Verschmälerung des\nGelenkspaltes und Ausbildung von subchondralen Geröllzysten sowie deutliche postoperative\nVeränderungen nach Umstellungsosteotomie. Die Beuge- und Strecksehnen sind intakt.</p>\n</div>\n\n\n </td>\n </tr> \n \n <tr>\n <th scope=\"row\"><b>Note: </b></th>\n <td>\n \n\n\n\n\n \n \n \n\n \n <p style=\"margin-bottom: 5px;\">\n \n <span>Procedure findings Narrative</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\n \n \n\n\n\n <div><p>Rechter Fuß:\nAnalog zur Gegenseite zeigt sich eine allenfalls geringe Abflachung des Fußgewölbes und unauffällige\nPlantarfaszie. Normale Artikulation im Rückfuß, Mittelfußes und Vorfußes. Im Seitenvergleich rechts\ngeringere degenerative Veränderungen des Großzehengrundgelenkes. Keine Signalauffälligkeiten an den\nBeuge- und Strecksehnen.</p>\n</div>\n\n\n </td>\n </tr> \n \n \n\n\n \n <tr>\n <th scope=\"row\"><b>Conclusion: </b></th>\n <td>\n <div><p>Beginnende Großzehengrundgelenksarthrose, links mehr als rechts. Z.n. Umstellungsosteotomie des MFK1 links.</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 @ ./Binary/semi-structured-pdf</li>\n \n </ul>\n </td>\n </tr> \n \n </table>\n</div>\n</div>"
},
"identifier" : [
{
"system" : "http://example.org/myhosptital/reportidentifiers",
"value" : "o32u4js8492ff"
}
],
"basedOn" : [
{
"type" : "ServiceRequest",
"identifier" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "ACSN"
}
]
},
"system" : "http://example.org/myhosptital/accessionsystem",
"value" : "123456789"
}
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
"code" : "RAD",
"display" : "Radiology"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "24802-1",
"display" : "MR Knee"
}
]
},
"subject" : {
🔗 "reference" : "Patient/PatientSemiStructuredReport"
},
"effectiveDateTime" : "2025-05-08",
"performer" : [
{
🔗 "reference" : "Organization/OrganizationSemiStructuredReport"
}
],
"resultsInterpreter" : [
{
🔗 "reference" : "PractitionerRole/PractitionerRoleSemiStructuredReportAuthor"
}
],
"note" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/annotationType",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "59776-5",
"display" : "Procedure findings Narrative"
}
]
}
}
],
"text" : "Linker Fuß:\n Allenfalls geringe Abflachung des Fußgewölbes und normale Dicke der Plantarfaszie. Regelrechte\n Artikulation im Rückfuß, Mittelfuß und Vorfußes. Im Großzehengrundgelenk deutliche Verschmälerung des\n Gelenkspaltes und Ausbildung von subchondralen Geröllzysten sowie deutliche postoperative\n Veränderungen nach Umstellungsosteotomie. Die Beuge- und Strecksehnen sind intakt."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/annotationType",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "59776-5",
"display" : "Procedure findings Narrative"
}
]
}
}
],
"text" : "Rechter Fuß:\n Analog zur Gegenseite zeigt sich eine allenfalls geringe Abflachung des Fußgewölbes und unauffällige\n Plantarfaszie. Normale Artikulation im Rückfuß, Mittelfußes und Vorfußes. Im Seitenvergleich rechts\n geringere degenerative Veränderungen des Großzehengrundgelenkes. Keine Signalauffälligkeiten an den\n Beuge- und Strecksehnen."
}
],
"study" : [
{
🔗 "reference" : "ImagingStudy/ImagingStudySemiStructuredReport1"
},
{
🔗 "reference" : "ImagingStudy/ImagingStudySemiStructuredReport2"
}
],
"composition" : {
🔗 "reference" : "Composition/CompositionSemiStructured"
},
"conclusion" : "Beginnende Großzehengrundgelenksarthrose, links mehr als rechts. Z.n. Umstellungsosteotomie des MFK1 links.",
"presentedForm" : [
{
"contentType" : "application/pdf",
"language" : "de-DE",
"url" : "./Binary/semi-structured-pdf",
"pages" : 1
}
]
}