MyHealth@Eu Medical Imaging Report
9.1.1 - ci-build 150

MyHealth@Eu Medical Imaging Report - Local Development build (v9.1.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Example Composition for Imaging Report - XML Representation

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<Composition xmlns="http://hl7.org/fhir">
  <id value="ExampleCompositionImg"/>
  <meta>
    <profile
             value="http://fhir.ehdsi.eu/imaging/StructureDefinition/composition-img-myhealtheu"/>
  </meta>
  <language value="en-US"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-US" lang="en-US"><p class="res-header-id"><b>Generated Narrative: Composition ExampleCompositionImg</b></p><a name="ExampleCompositionImg"> </a><a name="hcExampleCompositionImg"> </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-US</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-composition-img-myhealtheu.html">Composition Imaging MyHealth@EU</a></p></div><p><b>Document DiagnosticReport Reference</b>: <a href="DiagnosticReport-ExampleDiagnosticReportImg.html">Diagnostic Report for 'CT Head' for '-&gt;John Albertus Doe  Male, DoB: 1989-12-12 ( https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin#89121210976 (use: official, ))'</a></p><p><b>identifier</b>: <code>http://hospital.example.org/imaging/reports</code>/IMG-CT-20240616-001</p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 18748-4}">Diagnostic imaging study</span></p><p><b>category</b>: <span title="Codes:{http://loinc.org 85430-7}">Diagnostic imaging report - example sections and entries</span>, <span title="Codes:{http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs Medical-Imaging}">Medical-Imaging</span></p><p><b>date</b>: 2025-06-15 14:00:00+0000</p><p><b>author</b>: </p><ul><li><a href="PractitionerRole-b975ec26-4ecf-4588-9fa2-afbb0d9fc530.html">PractitionerRole Medical Doctors</a></li><li><a href="Device-ExampleDeviceMeasuringImg.html">Device: extension = ; identifier = http://example.org/devices#MEASURE-IMG-001; status = active; manufacturer = MediTech Imaging GmbH</a></li></ul><p><b>title</b>: CT Head Imaging Report</p><h3>Attesters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td style="display: none">*</td><td>Legal</td><td>2025-06-15 14:00:00+0000</td><td><a href="PractitionerRole-ExampleRadiologistRoleImg.html">PractitionerRole Medical imaging and therapeutic equipment technicians</a></td></tr></table><p><b>custodian</b>: <a href="Organization-ff4d98d1-69c9-43db-896e-58d11c15662c.html">Organization University Hospital Berlin</a></p><blockquote><p><b>event</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/CodeSystem/modality CT}">Computed Tomography</span></p><p><b>detail</b>: <a href="ImagingStudy-ExampleImagingStudyImg.html">ImagingStudy: identifier = urn:dicom:uid#DICOM Unique Id#urn:oid:1.2.840.113619.2.55.3.604688654.781.1591781992.467; status = available</a></p></blockquote><blockquote><p><b>event</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 4970003}">Venography</span></p><p><b>detail</b>: <a href="Procedure-ExampleProcedureImg.html">Procedure CT of head</a></p></blockquote></div>
  </text>
  <extension
             url="http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference">
    <valueReference>🔗 
      <reference value="DiagnosticReport/ExampleDiagnosticReportImg"/>
    </valueReference>
  </extension>
  <identifier>
    <system value="http://hospital.example.org/imaging/reports"/>
    <value value="IMG-CT-20240616-001"/>
  </identifier>
  <status value="final"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="18748-4"/>
      <display value="Diagnostic imaging study"/>
    </coding>
  </type>
  <category>
    <coding>
      <system value="http://loinc.org"/>
      <code value="85430-7"/>
    </coding>
  </category>
  <category>
    <coding>
      <system
              value="http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs"/>
      <code value="Medical-Imaging"/>
    </coding>
  </category>
  <subject>🔗 
    <reference value="Patient/1d4bbc93-63b7-4f2b-8f0f-8380aa138f49"/>
  </subject>
  <date value="2025-06-15T14:00:00Z"/>
  <author>🔗 
    <reference value="PractitionerRole/b975ec26-4ecf-4588-9fa2-afbb0d9fc530"/>
  </author>
  <author>🔗 
    <reference value="Device/ExampleDeviceMeasuringImg"/>
  </author>
  <title value="CT Head Imaging Report"/>
  <attester>
    <mode value="legal"/>
    <time value="2025-06-15T14:00:00Z"/>
    <party>🔗 
      <reference value="PractitionerRole/ExampleRadiologistRoleImg"/>
    </party>
  </attester>
  <custodian>🔗 
    <reference value="Organization/ff4d98d1-69c9-43db-896e-58d11c15662c"/>
  </custodian>
  <event>
    <code>
      <coding>
        <system value="http://example.org/fhir/CodeSystem/modality"/>
        <code value="CT"/>
        <display value="Computed Tomography"/>
      </coding>
    </code>
    <detail>🔗 
      <reference value="ImagingStudy/ExampleImagingStudyImg"/>
    </detail>
  </event>
  <event>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="4970003"/>
        <display value="Venography"/>
      </coding>
    </code>
    <detail>🔗 
      <reference value="Procedure/ExampleProcedureImg"/>
    </detail>
  </event>
  <section>
    <title value="Imaging Studies"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="18726-0"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>CT scan of the head performed on 2025-06-14.</p></div>
    </text>
    <entry>🔗 
      <reference value="ImagingStudy/ExampleImagingStudyImg"/>
    </entry>
  </section>
  <section>
    <title value="Order"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="55115-0"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>CT Head requested due to suspected intracranial pathology.</p></div>
    </text>
    <entry>🔗 
      <reference value="ServiceRequest/ExampleServiceRequestImg"/>
    </entry>
  </section>
  <section>
    <title value="History"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="11329-0"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>Patient presented with headache and dizziness.</p></div>
    </text>
    <emptyReason>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
        <code value="unavailable"/>
        <display value="Unavailable"/>
      </coding>
    </emptyReason>
  </section>
  <section>
    <title value="Procedure"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="55111-9"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>CT imaging procedure performed without complications.</p></div>
    </text>
    <entry>🔗 
      <reference value="Procedure/ExampleProcedureImg"/>
    </entry>
  </section>
  <section>
    <title value="Findings"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="59776-5"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>No acute findings noted in the head CT scan.</p></div>
    </text>
    <entry>🔗 
      <reference value="Observation/ExampleObservationResultsImg"/>
    </entry>
  </section>
</Composition>