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

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: Example Composition for Imaging Report - JSON Representation

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{
  "resourceType" : "Composition",
  "id" : "ExampleCompositionImg",
  "meta" : {
    "profile" : [
      🔗 "http://fhir.ehdsi.eu/imaging/StructureDefinition/composition-img-myhealtheu"
    ]
  },
  "language" : "en-US",
  "text" : {
    "status" : "extensions",
    "div" : "<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\u00a0(use:\u00a0official,\u00a0))'</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>"
  },
  "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"
        }
      ]
    }
  ]
}