# Example Composition for Imaging Report - MyHealth@Eu Medical Imaging Report v9.1.1

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Example Composition for Imaging Report**

## Example Composition: Example Composition for Imaging Report

Language: en-US

Profile: [Composition Imaging MyHealth@EU](StructureDefinition-composition-img-myhealtheu.md)

**Document DiagnosticReport Reference**: [Diagnostic Report for 'CT Head' for '->John Albertus Doe Male, DoB: 1989-12-12 ( https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin#89121210976 (use: official, ))'](DiagnosticReport-ExampleDiagnosticReportImg.md)

**identifier**: `http://hospital.example.org/imaging/reports`/IMG-CT-20240616-001

**status**: Final

**type**: Diagnostic imaging study

**category**: Diagnostic imaging report - example sections and entries, Medical-Imaging

**date**: 2025-06-15 14:00:00+0000

**author**: 

* [PractitionerRole Medical Doctors](PractitionerRole-b975ec26-4ecf-4588-9fa2-afbb0d9fc530.md)
* [Device: extension = ; identifier = http://example.org/devices#MEASURE-IMG-001; status = active; manufacturer = MediTech Imaging GmbH](Device-ExampleDeviceMeasuringImg.md)

**title**: CT Head Imaging Report

### Attesters

| | | | |
| :--- | :--- | :--- | :--- |
| - | **Mode** | **Time** | **Party** |
| * | Legal | 2025-06-15 14:00:00+0000 | [PractitionerRole Medical imaging and therapeutic equipment technicians](PractitionerRole-ExampleRadiologistRoleImg.md) |

**custodian**: [Organization University Hospital Berlin](Organization-ff4d98d1-69c9-43db-896e-58d11c15662c.md)

> **event****code**: Computed Tomography**detail**: [ImagingStudy: identifier = urn:dicom:uid#DICOM Unique Id#urn:oid:1.2.840.113619.2.55.3.604688654.781.1591781992.467; status = available](ImagingStudy-ExampleImagingStudyImg.md)

> **event****code**: Venography**detail**: [Procedure CT of head](Procedure-ExampleProcedureImg.md)



## Resource Content

```json
{
  "resourceType" : "Composition",
  "id" : "ExampleCompositionImg",
  "meta" : {
    "profile" : ["http://fhir.ehdsi.eu/imaging/StructureDefinition/composition-img-myhealtheu"]
  },
  "language" : "en-US",
  "extension" : [{
    "url" : "http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference",
    "valueReference" : {
      "reference" : "DiagnosticReport/ExampleDiagnosticReportImg"
    }
  }],
  "identifier" : {
    "system" : "http://hospital.example.org/imaging/reports",
    "value" : "IMG-CT-20240616-001"
  },
  "status" : "final",
  "type" : {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "18748-4",
      "display" : "Diagnostic imaging study"
    }]
  },
  "category" : [{
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "85430-7"
    }]
  },
  {
    "coding" : [{
      "system" : "http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs",
      "code" : "Medical-Imaging"
    }]
  }],
  "subject" : {
    "reference" : "Patient/1d4bbc93-63b7-4f2b-8f0f-8380aa138f49"
  },
  "date" : "2025-06-15T14:00:00Z",
  "author" : [{
    "reference" : "PractitionerRole/b975ec26-4ecf-4588-9fa2-afbb0d9fc530"
  },
  {
    "reference" : "Device/ExampleDeviceMeasuringImg"
  }],
  "title" : "CT Head Imaging Report",
  "attester" : [{
    "mode" : "legal",
    "time" : "2025-06-15T14:00:00Z",
    "party" : {
      "reference" : "PractitionerRole/ExampleRadiologistRoleImg"
    }
  }],
  "custodian" : {
    "reference" : "Organization/ff4d98d1-69c9-43db-896e-58d11c15662c"
  },
  "event" : [{
    "code" : [{
      "coding" : [{
        "system" : "http://example.org/fhir/CodeSystem/modality",
        "code" : "CT",
        "display" : "Computed Tomography"
      }]
    }],
    "detail" : [{
      "reference" : "ImagingStudy/ExampleImagingStudyImg"
    }]
  },
  {
    "code" : [{
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "4970003",
        "display" : "Venography"
      }]
    }],
    "detail" : [{
      "reference" : "Procedure/ExampleProcedureImg"
    }]
  }],
  "section" : [{
    "title" : "Imaging Studies",
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "18726-0"
      }]
    },
    "text" : {
      "status" : "generated",
      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>CT scan of the head performed on 2025-06-14.</p></div>"
    },
    "entry" : [{
      "reference" : "ImagingStudy/ExampleImagingStudyImg"
    }]
  },
  {
    "title" : "Order",
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "55115-0"
      }]
    },
    "text" : {
      "status" : "generated",
      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>CT Head requested due to suspected intracranial pathology.</p></div>"
    },
    "entry" : [{
      "reference" : "ServiceRequest/ExampleServiceRequestImg"
    }]
  },
  {
    "title" : "History",
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "11329-0"
      }]
    },
    "text" : {
      "status" : "generated",
      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Patient presented with headache and dizziness.</p></div>"
    },
    "emptyReason" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
        "code" : "unavailable",
        "display" : "Unavailable"
      }]
    }
  },
  {
    "title" : "Procedure",
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "55111-9"
      }]
    },
    "text" : {
      "status" : "generated",
      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>CT imaging procedure performed without complications.</p></div>"
    },
    "entry" : [{
      "reference" : "Procedure/ExampleProcedureImg"
    }]
  },
  {
    "title" : "Findings",
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "59776-5"
      }]
    },
    "text" : {
      "status" : "generated",
      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>No acute findings noted in the head CT scan.</p></div>"
    },
    "entry" : [{
      "reference" : "Observation/ExampleObservationResultsImg"
    }]
  }]
}

```
