This page is part of the HL7 Europe Imaging Study Report (v0.1.0-snapshot1: QA Preview) based on FHIR (HL7® FHIR® Standard) v5.0.0. This version is a pre-release. The current official version is 0.1.0-ballot. For a full list of available versions, 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" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"de-DE\" lang=\"de-DE\"><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport DiagnosticReportSemiStructured</b></p><a name=\"DiagnosticReportSemiStructured\"> </a><a name=\"hcDiagnosticReportSemiStructured\"> </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: de-DE</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ImDiagnosticReport.html\">DiagnosticReport: Imaging Report</a></p></div><h2><span title=\"Codes:{http://loinc.org 24802-1}\">MR Knee</span> (<span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 RAD}\">Radiology</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Frau GuteFrage Test-Schusti(official) (no stated gender), DoB: 1976-04-29</td></tr><tr><td>When For</td><td>2025-05-08</td></tr><tr><td>Performer</td><td> <a href=\"Organization-OrganizationSemiStructuredReport.html\">Organization Radiology Zentrum Bremen</a></td></tr><tr><td>Identifier</td><td> <code>http://example.org/myhosptital/reportidentifiers</code>/o32u4js8492ff</td></tr></table><p><b>Report Details</b></p><div><p>Beginnende Großzehengrundgelenksarthrose, links mehr als rechts. Z.n. Umstellungsosteotomie des MFK1 links.</p>\n</div></div>"
},
"identifier" : [
{
"system" : "http://example.org/myhosptital/reportidentifiers",
"value" : "o32u4js8492ff"
}
],
"basedOn" : [
{
"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
}
]
}