DiagnosticReport for stress echo - XML Representation - HL7 Europe Imaging Study Report v0.1.1-build

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
: DiagnosticReport for stress echo - XML Representation

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<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="DiagnosticReportStructured"/>
  <meta>
    <profile
             value="http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImDiagnosticReport"/>
  </meta>
  <language value="en-GB"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-GB" lang="en-GB"><p class="res-header-id"><b>Generated Narrative: DiagnosticReport DiagnosticReportStructured</b></p><a name="DiagnosticReportStructured"> </a><a name="hcDiagnosticReportStructured"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: en-GB</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ImDiagnosticReport.html">DiagnosticReport: Imaging Report</a></p></div><h2><span title="Codes:{http://www.ama-assn.org/go/cpt 93351}">transthoracic echocardiogram</span> (<span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 CUS}">Cardiac Ultrasoundy</span>) </h2><table class="grid"><tr><td>Subject</td><td>3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)</td></tr><tr><td>When For</td><td>2003-06-01</td></tr><tr><td>Performer</td><td> <a href="Organization-OrganizationStructuredReport.html">Organization Ultrasound centrum</a></td></tr><tr><td>Identifier</td><td> <code>http://example.org/myhosptital/reportidentifiers</code>/dfkjewoieoijwoskdjf</td></tr></table><p><b>Report Details</b></p><table class="grid"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>When For</b></td></tr><tr><td><a href="Observation-RestWmsi01.html"><span title="Codes:{http://loinc.org #39886-7}">Views first pass+wall motion^at rest+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #18121-4}">Left ventricular basal anterior Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA9283-8}">Hypokinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-RestWmsi02.html"><span title="Codes:{http://loinc.org #39886-7}">Views first pass+wall motion^at rest+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #18122-2}">Left ventricular basal anterior septum Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-RestWmsi03.html"><span title="Codes:{http://loinc.org #39886-7}">Views first pass+wall motion^at rest+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #78192-2}">Heart ventricle Left basal inferior septum Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-RestWmsi04.html"><span title="Codes:{http://loinc.org #39886-7}">Views first pass+wall motion^at rest+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #18123-0}">Left ventricular basal inferior Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-RestWmsi05.html"><span title="Codes:{http://loinc.org #39886-7}">Views first pass+wall motion^at rest+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #78193-0}">Heart ventricle Left basal inferior lateral Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA9283-8}">Hypokinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-RestWmsi06.html"><span title="Codes:{http://loinc.org #39886-7}">Views first pass+wall motion^at rest+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #78194-8}">Heart.ventricle.left.basal anterior lateral Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-RestWmsi07.html"><span title="Codes:{http://loinc.org #39886-7}">Views first pass+wall motion^at rest+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #18129-7}">Left ventricular mid anterior Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-RestWmsi08.html"><span title="Codes:{http://loinc.org #39886-7}">Views first pass+wall motion^at rest+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #18130-5}">Left ventricular mid anterior septum Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-RestWmsi09.html"><span title="Codes:{http://loinc.org #39886-7}">Views first pass+wall motion^at rest+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #78195-5}">Heart ventricle Left mid inferior septum Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-RestWmsi10.html"><span title="Codes:{http://loinc.org #39886-7}">Views first pass+wall motion^at rest+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #18131-3}">Left ventricular mid inferior Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-RestWmsi12.html"><span title="Codes:{http://loinc.org #39886-7}">Views first pass+wall motion^at rest+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #78197-1}">Heart ventricle Left mid anterior lateral Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-RestWmsi13.html"><span title="Codes:{http://loinc.org #39886-7}">Views first pass+wall motion^at rest+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #18119-8}">Left ventricular apical anterior Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-RestWmsi14.html"><span title="Codes:{http://loinc.org #39886-7}">Views first pass+wall motion^at rest+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #18120-6}">Left ventricular apical septum Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-RestWmsi15.html"><span title="Codes:{http://loinc.org #39886-7}">Views first pass+wall motion^at rest+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #18127-1}">Left ventricular inferior apical Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-RestWmsi16.html"><span title="Codes:{http://loinc.org #39886-7}">Views first pass+wall motion^at rest+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #18128-9}">Left ventricular lateral apical Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-RestWmsi17.html"><span title="Codes:{http://loinc.org #39886-7}">Views first pass+wall motion^at rest+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #78198-9}">Heart ventricle Left apex Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-StressWmsi01.html"><span title="Codes:{http://loinc.org #39888-3}"> Views first pass+wall motion^W stress+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #18121-4}">Left ventricular basal anterior Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA9283-8}">Hypokinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-StressWmsi02.html"><span title="Codes:{http://loinc.org #39888-3}"> Views first pass+wall motion^W stress+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #18122-2}">Left ventricular basal anterior septum Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-StressWmsi03.html"><span title="Codes:{http://loinc.org #39888-3}"> Views first pass+wall motion^W stress+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #78192-2}">Heart ventricle Left basal inferior septum Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-StressWmsi04.html"><span title="Codes:{http://loinc.org #39888-3}"> Views first pass+wall motion^W stress+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #18123-0}">Left ventricular basal inferior Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-StressWmsi05.html"><span title="Codes:{http://loinc.org #39888-3}"> Views first pass+wall motion^W stress+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #78193-0}">Heart ventricle Left basal inferior lateral Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA9282-0}">Mildly hypokinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-StressWmsi06.html"><span title="Codes:{http://loinc.org #39888-3}"> Views first pass+wall motion^W stress+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #78194-8}">Heart.ventricle.left.basal anterior lateral Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-StressWmsi07.html"><span title="Codes:{http://loinc.org #39888-3}"> Views first pass+wall motion^W stress+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #18129-7}">Left ventricular mid anterior Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-StressWmsi08.html"><span title="Codes:{http://loinc.org #39888-3}"> Views first pass+wall motion^W stress+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #18130-5}">Left ventricular mid anterior septum Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-StressWmsi09.html"><span title="Codes:{http://loinc.org #39888-3}"> Views first pass+wall motion^W stress+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #78195-5}">Heart ventricle Left mid inferior septum Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-StressWmsi10.html"><span title="Codes:{http://loinc.org #39888-3}"> Views first pass+wall motion^W stress+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #18131-3}">Left ventricular mid inferior Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-StressWmsi12.html"><span title="Codes:{http://loinc.org #39888-3}"> Views first pass+wall motion^W stress+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #78197-1}">Heart ventricle Left mid anterior lateral Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-StressWmsi13.html"><span title="Codes:{http://loinc.org #39888-3}"> Views first pass+wall motion^W stress+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #18119-8}">Left ventricular apical anterior Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-StressWmsi14.html"><span title="Codes:{http://loinc.org #39888-3}"> Views first pass+wall motion^W stress+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #18120-6}">Left ventricular apical septum Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-StressWmsi15.html"><span title="Codes:{http://loinc.org #39888-3}"> Views first pass+wall motion^W stress+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #18127-1}">Left ventricular inferior apical Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-StressWmsi16.html"><span title="Codes:{http://loinc.org #39888-3}"> Views first pass+wall motion^W stress+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #18128-9}">Left ventricular lateral apical Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr><tr><td><a href="Observation-StressWmsi17.html"><span title="Codes:{http://loinc.org #39888-3}"> Views first pass+wall motion^W stress+W radionuclide IV</span></a> (<span title="Codes:{http://loinc.org #78198-9}">Heart ventricle Left apex Segmental wall motion by US</span>)</td><td><span title="Codes:{http://loinc.org LA24346-1}">Normal or hyperkinetic</span></td><td>Final</td><td>2023-06-01</td></tr></table><div><p>This was a normal stress echocardiogram.
Nothing wrong with this patient
See you next year.</p>
</div></div>
  </text>
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             url="http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory">
    <valueReference>🔗 
      <reference value="Observation/WeightObservation"/>
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          value="**Stress Findings**
Normal baseline electrocardiogram. There was a maximum 1.5mm ST segment depression. The patient exhibited a hypertensive response with stress."/>
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          value="**Right Ventricle**
The right ventricle is not well visualized. There is mild right ventricular hypertrophy."/>
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          value="**Atria**
A patent foramen ovale is present and there is low risk for embolism. The left atrium is small."/>
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          value="Mitral Valve
The 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."/>
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          value="**Tricuspid Valve**
The 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."/>
  </note>
  <note>
    <extension url="http://hl7.org/fhir/StructureDefinition/annotationType">
      <valueCodeableConcept>
        <coding>
          <system value="http://loinc.org"/>
          <code value="59776-5"/>
          <display value="Procedure findings Narrative"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <text
          value="**Aortic Valve**
The 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."/>
  </note>
  <note>
    <extension url="http://hl7.org/fhir/StructureDefinition/annotationType">
      <valueCodeableConcept>
        <coding>
          <system value="http://loinc.org"/>
          <code value="59776-5"/>
          <display value="Procedure findings Narrative"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <text
          value="**Pulmonic Valve**
The 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."/>
  </note>
  <note>
    <extension url="http://hl7.org/fhir/StructureDefinition/annotationType">
      <valueCodeableConcept>
        <coding>
          <system value="http://loinc.org"/>
          <code value="59776-5"/>
          <display value="Procedure findings Narrative"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <text
          value="**Vessels**
The aortic root is not well visualized but is probably normal size. Type B aortic dissection. The pulmonary artery is normal size."/>
  </note>
  <note>
    <extension url="http://hl7.org/fhir/StructureDefinition/annotationType">
      <valueCodeableConcept>
        <coding>
          <system value="http://loinc.org"/>
          <code value="59776-5"/>
          <display value="Procedure findings Narrative"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <text
          value="**Pericardium**
There is pericardial thickening and/or a small pericardial effusion. Large left pleural effusion."/>
  </note>
  <study>🔗 
    <reference value="ImagingStudy/ImagingStudStructuredReport"/>
  </study>
  <composition>🔗 
    <reference value="Composition/CompositionStructured"/>
  </composition>
  <conclusion
              value="This was a normal stress echocardiogram.
Nothing wrong with this patient
See you next year."/>
  <presentedForm>
    <contentType value="application/pdf"/>
    <language value="de-DE"/>
    <url value="./Binary/structured-pdf"/>
    <pages value="1"/>
  </presentedForm>
</DiagnosticReport>