HL7 Europe Imaging Report R4
1.0.0-alpha - qa-preview 150

This page is part of the HL7 Europe Imaging Report (v1.0.0-alpha: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.0.0-ballot. For a full list of available versions, see the Directory of published versions

Example Bundle: Bundle: Imaging Report semi-structured


Document Subject

Language: en

Profile: Patient (EU core)

Frau GuteFrage Test-Schusti(official) (no stated gender), DoB: 1976-04-29



Document Content

Radiology report composition narrative. See section narratives below.

Imaging Study

ImagingStudy:identifier = Study Instance UID: DUI#urn:oid:1.2.276.2000010.784732; status = available; modality = Magnetic Resonance; started = 2025-04-29
ImagingStudy:identifier = Study Instance UID: DUI#urn:oid:1.2.276.2000010.784733; status = available; modality = Magnetic Resonance; started = 2025-04-29

Order

Nil known

History

Nil known

Procedure

Unavailable

Comparison

Unavailable

Findings

Note:Linker Fuß:
Allenfalls geringe Abflachung des Fußgewölbes und normale Dicke der Plantarfaszie. Regelrechte Artikulation im Rückfuß, Mittelfuß und Vorfußes. Im Großzehengrundgelenk deutliche Verschmälerung des Gelenkspaltes und Ausbildung von subchondralen Geröllzysten sowie deutliche postoperative Veränderungen nach Umstellungsosteotomie. Die Beuge- und Strecksehnen sind intakt.
Note:Rechter Fuß:
Analog zur Gegenseite zeigt sich eine allenfalls geringe Abflachung des Fußgewölbes und unauffällige Plantarfaszie. Normale Artikulation im Rückfuß, Mittelfußes und Vorfußes. Im Seitenvergleich rechts geringere degenerative Veränderungen des Großzehengrundgelenkes. Keine Signalauffälligkeiten an den Beuge- und Strecksehnen.

Impression

Note:Beginnende Großzehengrundgelenksarthrose, links mehr als rechts. Z.n. Umstellungsosteotomie des MFK1 links.

Recommendations

Nil Known

Additional Resources Included in Document


Entry 2 - fullUrl = urn:uuid:464458ef-b366-4125-b8f2-b2c2716d3608

Resource DiagnosticReport:

Id: DiagnosticReportSemiStructured
Code:

( http://loinc.org: 24802-1 )

Identifier:

http://example.org/myhosptital/reportidentifiers: o32u4js8492ff

BasedOn: Identifier: Accession ID/123456789
Status: final
Category:

Radiology ( http://terminology.hl7.org/CodeSystem/v2-0074: RAD )

( http://loinc.org: 85430-7 )

( http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs: Medical-Imaging )

Subject: Frau GuteFrage Test-Schusti(official) (no stated gender), DoB: 1976-04-29
Period: 2025-05-08
Performer:

Organization Radiology Zentrum Bremen

Results Interpreter:

PractitionerRole Radiologist

Conclusion:

Beginnende Großzehengrundgelenksarthrose, links mehr als rechts. Z.n. Umstellungsosteotomie des MFK1 links.

Presented form:
  • application/pdf @ urn:uuid:f7f11c74-2c5b-4d56-b00e-c66f8e56da67

Entry 3 - fullUrl = urn:uuid:907c9bcf-94b5-4243-88ba-6f85ffec4bc8

Resource Patient:

Language: en

Profile: Patient (EU core)

Frau GuteFrage Test-Schusti(official) (no stated gender), DoB: 1976-04-29



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Resource ImagingStudy:

Language: en

Profile: ImagingStudy: General

Extension: Anatomical Region: Lower extremity

identifier: Study Instance UID/urn:oid:1.2.276.2000010.784732

status: Available

modality: Magnetic Resonance

subject: Frau GuteFrage Test-Schusti(official) (no stated gender), DoB: 1976-04-29

started: 2025-04-29

basedOn: Identifier: Accession ID/123456789

series

uid: 1.2.276.2000010.784732.1

number: 1

modality: Magnetic Resonance

description: PD FatSat 3D (1.0mm) sagittal

bodySite: No display for ImagingStudy.series.bodySite (concept: Entire left foot (body structure))

laterality: Left lateral

performer

function: custodian

actor: Organization Radiology Zentrum Bremen

performer

function: location

actor: Organization Radiology Zentrum Bremen


Entry 5 - fullUrl = urn:uuid:118f57b8-a3ec-4b3e-90f7-47a7f5563218

Resource ImagingStudy:

Language: en

Profile: ImagingStudy: General

Extension: Anatomical Region: Lower extremity

identifier: Study Instance UID/urn:oid:1.2.276.2000010.784733

status: Available

modality: Magnetic Resonance

subject: Frau GuteFrage Test-Schusti(official) (no stated gender), DoB: 1976-04-29

started: 2025-04-29

basedOn: Identifier: Accession ID/123456789

series

uid: 1.2.276.2000010.784733.1

number: 1

modality: Magnetic Resonance

description: PD FatSat 3D (1.0mm) sagittal

bodySite: No display for ImagingStudy.series.bodySite (concept: Entire right foot (body structure))

laterality: Left lateral

performer

function: custodian

actor: Organization Radiology Zentrum Bremen

performer

function: location

actor: Organization Radiology Zentrum Bremen

series

uid: 1.2.276.2000010.784733.2

number: 2

modality: Magnetic Resonance

description: T1 (2.5mm) axial

bodySite: No display for ImagingStudy.series.bodySite (concept: Entire right foot (body structure))

laterality: Right lateral

performer

function: custodian

actor: Organization Radiology Zentrum Bremen

performer

function: location

actor: Organization Radiology Zentrum Bremen


Entry 6 - fullUrl = urn:uuid:cc78737c-f9a7-4253-b932-ccdb13f745cd

Resource PractitionerRole:

Language: en

Profile: PractitionerRole (EU core)

practitioner: Practitioner Dr. Lucas Gasenzer(official)

organization: Organization Radiology Zentrum Bremen

code: Radiologist


Entry 7 - fullUrl = urn:uuid:ef64fa06-f761-4097-9af1-c9f7615f95ce

Resource Practitioner:

Language: en

Profile: Practitioner (EU base)

name: Dr. Lucas Gasenzer(Official)


Entry 8 - fullUrl = urn:uuid:d6f6db53-9e8b-4b5a-9ccc-b06ad4b62d4b

Resource Organization:

Language: en

Profile: Organization (EU core)

name: Radiology Zentrum Bremen

Contacts

-TelecomAddress
*+49 421 1234567Schwachhauser Heerstraße 54 Bremen 28209 Germany (work)

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Resource Binary:

Language: en

contentType: application/pdf

data: (base64 data - 263.952 base64 chars)