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Packagehl7.fhir.cr.imaging-report
Resource TypeBundle
IdBundle-bundle-imaging-report-with-dicom-example.json
FHIR VersionR5

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Source1

{
  "resourceType": "Bundle",
  "id": "bundle-imaging-report-with-dicom-example",
  "meta": {
    "profile": [
      "https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-imaging-report-bundle"
    ]
  },
  "identifier": {
    "system": "urn:oid:2.16.840.1.113883.4.6.1",
    "value": "DR-2026-BUNDLE-001"
  },
  "type": "document",
  "timestamp": "2026-01-20T10:30:00-06:00",
  "entry": [
    {
      "fullUrl": "urn:uuid:11111111-1111-1111-1111-111111111111",
      "resource": {
        "resourceType": "Composition",
        "id": "bundle-composition-imaging",
        "meta": {
          "profile": [
            "https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-composition-imaging-report"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_bundle-composition-imaging\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition bundle-composition-imaging</b></p><a name=\"bundle-composition-imaging\"> </a><a name=\"hcbundle-composition-imaging\"> </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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-cr-composition-imaging-report.html\">CR Composition - Imaging Report</a></p></div><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 72134-0}\">Informe de eventos de cáncer:{Configuración} :Punto temporal:Tipo:Documento:{Role}</span></p><p><b>date</b>: 2026-01-20 10:30:00-0600</p><p><b>author</b>: Dr. Carlos López Martínez, Radiólogo</p><p><b>title</b>: Radiografía de Tórax - Reporte Final</p></div>"
        },
        "status": "final",
        "type": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72134-0"
            }
          ]
        },
        "subject": [
          {
            "reference": "urn:uuid:33333333-3333-3333-3333-333333333333"
          }
        ],
        "date": "2026-01-20T10:30:00-06:00",
        "author": [
          {
            "display": "Dr. Carlos López Martínez, Radiólogo"
          }
        ],
        "title": "Radiografía de Tórax - Reporte Final",
        "section": [
          {
            "title": "Hallazgos Clínicos",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "72131-6"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><strong>Técnica:</strong> Radiografía de tórax posteroanterior (PA) y lateral.</p><p><strong>Hallazgos:</strong> Pulmones bien expandidos bilateralmente sin opacidades localizadas. Corazón de tamaño normal. Mediastino dentro de los límites normales. Diafragmas regulares y sin neumotórax. Hilios pulmonares normales.</p></div>"
            }
          },
          {
            "title": "Impresión",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "72132-4"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Radiografía de tórax normal. No se evidencian hallazgos patológicos agudos.</p></div>"
            }
          },
          {
            "title": "Recomendaciones",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "72133-2"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Seguimiento clínico según criterio médico. No se requieren estudios de imagen adicionales en este momento.</p></div>"
            }
          },
          {
            "title": "Findings",
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "72131-6"
                }
              ]
            },
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Observations and clinical findings from the imaging study.</p></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:77777777-7777-7777-7777-777777777777"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:22222222-2222-2222-2222-222222222222",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "bundle-diagnostic-report",
        "meta": {
          "profile": [
            "https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-diagnostic-report"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_bundle-diagnostic-report\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport bundle-diagnostic-report</b></p><a name=\"bundle-diagnostic-report\"> </a><a name=\"hcbundle-diagnostic-report\"> </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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-cr-diagnostic-report.html\">CR Diagnostic Report</a></p></div><h2><span title=\"Codes:{http://loinc.org 72134-0}\">Radiografía de Tórax</span> (<span title=\"Codes:{https://hl7.or.cr/fhir/terminology/CodeSystem/cr-diagnostic-service-sections RAD}\">RAD</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>María Rodríguez García  Female, DoB: 1975-05-15 ( urn:oid:2.16.840.1.113883.18.4#123456789)</td></tr><tr><td>When For</td><td>2026-01-20 09:15:00-0600</td></tr><tr><td>Reported</td><td>2026-01-20 10:30:00-0600</td></tr><tr><td>Performer</td><td> Clínica de Radiología San José</td></tr><tr><td>Identifier</td><td> <code>urn:oid:2.16.840.1.113883.4.6.1</code>/DR-2026-001234</td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>Note</b></td></tr><tr><td><a href=\"Bundle-bundle-imaging-report-with-dicom-example.html#urn-uuid-77777777-7777-7777-7777-777777777777\"><span title=\"Codes:{http://snomed.info/sct 19829001}\">Hallazgo radiológico de pulmones</span></a> (<span title=\"Codes:{http://snomed.info/sct 39607008}\">Lung</span>)</td><td><span title=\"Codes:{http://snomed.info/sct 17621005}\">Normal</span></td><td>Final, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</span></td><td><blockquote><div><p>Pulmones bien expandidos bilateralmente. Hilios pulmonares normales. Diafragmas regulares.</p>\n</div></blockquote></td></tr></table><div><p>Radiografía de tórax normal sin hallazgos patológicos.</p>\n</div><p><b>Coded Conclusions:</b></p><ul><li><span title=\"Codes:{http://snomed.info/sct 17621005}\">Normal</span></li></ul></div>"
        },
        "extension": [
          {
            "extension": [
              {
                "url": "uid",
                "valueString": "1.2.840.113619.2.55.3.2830498741.123.1234567890.1"
              },
              {
                "url": "seriesInstanceUid",
                "valueString": "1.2.840.113619.2.55.3.2830498741.123.1234567890"
              },
              {
                "url": "studyInstanceUid",
                "valueString": "1.2.840.113619.2.55.3.2830498741.123"
              },
              {
                "url": "accessUrl",
                "valueUrl": "dicom-web://pacs.example.cr/studies/1.2.840.113619.2.55.3.2830498741.123/series/1.2.840.113619.2.55.3.2830498741.123.1234567890/instances/1.2.840.113619.2.55.3.2830498741.123.1234567890.1"
              },
              {
                "url": "modality",
                "valueCode": "CR"
              }
            ],
            "url": "https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid"
          },
          {
            "url": "https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-impression",
            "valueReference": {
              "reference": "urn:uuid:77777777-7777-7777-7777-777777777777"
            }
          }
        ],
        "identifier": [
          {
            "system": "urn:oid:2.16.840.1.113883.4.6.1",
            "value": "DR-2026-001234"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-diagnostic-service-sections",
                "code": "RAD"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72134-0"
            }
          ],
          "text": "Radiografía de Tórax"
        },
        "subject": {
          "reference": "urn:uuid:33333333-3333-3333-3333-333333333333"
        },
        "effectiveDateTime": "2026-01-20T09:15:00-06:00",
        "issued": "2026-01-20T10:30:00-06:00",
        "performer": [
          {
            "display": "Clínica de Radiología San José"
          }
        ],
        "resultsInterpreter": [
          {
            "display": "Dr. Carlos López Martínez"
          }
        ],
        "result": [
          {
            "reference": "urn:uuid:77777777-7777-7777-7777-777777777777"
          }
        ],
        "study": [
          {
            "reference": "urn:uuid:44444444-4444-4444-4444-444444444444"
          }
        ],
        "composition": {
          "reference": "urn:uuid:11111111-1111-1111-1111-111111111111"
        },
        "conclusion": "Radiografía de tórax normal sin hallazgos patológicos.",
        "conclusionCode": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "17621005"
              }
            ],
            "text": "Normal"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:33333333-3333-3333-3333-333333333333",
      "resource": {
        "resourceType": "Patient",
        "id": "bundle-patient",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_bundle-patient\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient bundle-patient</b></p><a name=\"bundle-patient\"> </a><a name=\"hcbundle-patient\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">María Rodríguez García  Female, DoB: 1975-05-15 ( urn:oid:2.16.840.1.113883.18.4#123456789)</p><hr/></div>"
        },
        "identifier": [
          {
            "system": "urn:oid:2.16.840.1.113883.18.4",
            "value": "123456789"
          }
        ],
        "name": [
          {
            "family": "Rodríguez García",
            "given": [
              "María"
            ]
          }
        ],
        "gender": "female",
        "birthDate": "1975-05-15"
      }
    },
    {
      "fullUrl": "urn:uuid:44444444-4444-4444-4444-444444444444",
      "resource": {
        "resourceType": "ImagingStudy",
        "id": "bundle-imaging-study",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ImagingStudy_bundle-imaging-study\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ImagingStudy bundle-imaging-study</b></p><a name=\"bundle-imaging-study\"> </a><a name=\"hcbundle-imaging-study\"> </a><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/7.0.1/NamingSystem-dui.html\" title=\"An OID issued under DICOM OID rules. DICOM OIDs are represented as plain OIDs, with a prefix of &quot;urn:oid:&quot;. See https://www.dicomstandard.org/\">DICOM Unique Id</a>/1.2.840.113619.2.55.3.2830498741.123</p><p><b>status</b>: Available</p><p><b>subject</b>: <a href=\"Bundle-bundle-imaging-report-with-dicom-example.html#urn-uuid-33333333-3333-3333-3333-333333333333\">María Rodríguez García  Female, DoB: 1975-05-15 ( urn:oid:2.16.840.1.113883.18.4#123456789)</a></p><p><b>started</b>: 2026-01-20 09:00:00-0600</p><p><b>numberOfSeries</b>: 1</p><p><b>numberOfInstances</b>: 2</p></div>"
        },
        "identifier": [
          {
            "system": "urn:dicom:uid",
            "value": "1.2.840.113619.2.55.3.2830498741.123"
          }
        ],
        "status": "available",
        "subject": {
          "reference": "urn:uuid:33333333-3333-3333-3333-333333333333"
        },
        "started": "2026-01-20T09:00:00-06:00",
        "numberOfSeries": 1,
        "numberOfInstances": 2
      }
    },
    {
      "fullUrl": "urn:uuid:55555555-5555-5555-5555-555555555555",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "bundle-service-request",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_bundle-service-request\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest bundle-service-request</b></p><a name=\"bundle-service-request\"> </a><a name=\"hcbundle-service-request\"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.4.6.1</code>/SR-2026-001</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><h3>Codes</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://loinc.org 71045-9}\">I feel compassion for others in the difficulties they are facing in the past 7 days [FACIT]</span></td></tr></table><p><b>subject</b>: <a href=\"Bundle-bundle-imaging-report-with-dicom-example.html#urn-uuid-33333333-3333-3333-3333-333333333333\">María Rodríguez García  Female, DoB: 1975-05-15 ( urn:oid:2.16.840.1.113883.18.4#123456789)</a></p><p><b>requester</b>: Centro de Salud Primario</p></div>"
        },
        "identifier": [
          {
            "system": "urn:oid:2.16.840.1.113883.4.6.1",
            "value": "SR-2026-001"
          }
        ],
        "status": "completed",
        "intent": "order",
        "code": {
          "concept": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "71045-9"
              }
            ]
          }
        },
        "subject": {
          "reference": "urn:uuid:33333333-3333-3333-3333-333333333333"
        },
        "requester": {
          "display": "Centro de Salud Primario"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:66666666-6666-6666-6666-666666666666",
      "resource": {
        "resourceType": "Procedure",
        "id": "bundle-procedure",
        "meta": {
          "profile": [
            "https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-procedure-imaging-acquisition"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_bundle-procedure\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure bundle-procedure</b></p><a name=\"bundle-procedure\"> </a><a name=\"hcbundle-procedure\"> </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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-cr-procedure-imaging-acquisition.html\">CR Procedure - Imaging Acquisition</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.4.6.1</code>/PROC-2026-001</p><p><b>basedOn</b>: <a href=\"Bundle-bundle-imaging-report-with-dicom-example.html#urn-uuid-55555555-5555-5555-5555-555555555555\">ServiceRequest I feel compassion for others in the difficulties they are facing in the past 7 days [FACIT]</a></p><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 363679005}\">Imaging (procedure)</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 71045-9}\">I feel compassion for others in the difficulties they are facing in the past 7 days [FACIT]</span></p><p><b>subject</b>: <a href=\"Bundle-bundle-imaging-report-with-dicom-example.html#urn-uuid-33333333-3333-3333-3333-333333333333\">María Rodríguez García  Female, DoB: 1975-05-15 ( urn:oid:2.16.840.1.113883.18.4#123456789)</a></p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td>Técnico en Radiología - Clínica San José</td></tr></table><p><b>report</b>: <a href=\"Bundle-bundle-imaging-report-with-dicom-example.html#urn-uuid-22222222-2222-2222-2222-222222222222\">Diagnostic Report for 'Informe de eventos de cáncer:{Configuración} :Punto temporal:Tipo:Documento:{Role}' for '-&gt;María Rodríguez García  Female, DoB: 1975-05-15 ( urn:oid:2.16.840.1.113883.18.4#123456789)'</a></p></div>"
        },
        "identifier": [
          {
            "system": "urn:oid:2.16.840.1.113883.4.6.1",
            "value": "PROC-2026-001"
          }
        ],
        "basedOn": [
          {
            "reference": "urn:uuid:55555555-5555-5555-5555-555555555555"
          }
        ],
        "status": "completed",
        "category": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "363679005"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "71045-9"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:33333333-3333-3333-3333-333333333333"
        },
        "performer": [
          {
            "actor": {
              "display": "Técnico en Radiología - Clínica San José"
            }
          }
        ],
        "report": [
          {
            "reference": "urn:uuid:22222222-2222-2222-2222-222222222222"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:77777777-7777-7777-7777-777777777777",
      "resource": {
        "resourceType": "Observation",
        "id": "bundle-observation",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_bundle-observation\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation bundle-observation</b></p><a name=\"bundle-observation\"> </a><a name=\"hcbundle-observation\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 19829001}\">Hallazgo radiológico de pulmones</span></p><p><b>subject</b>: <a href=\"Bundle-bundle-imaging-report-with-dicom-example.html#urn-uuid-33333333-3333-3333-3333-333333333333\">María Rodríguez García  Female, DoB: 1975-05-15 ( urn:oid:2.16.840.1.113883.18.4#123456789)</a></p><p><b>effective</b>: 2026-01-20 09:15:00-0600</p><p><b>performer</b>: Dr. Carlos López Martínez</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 17621005}\">Normal</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</span></p><p><b>note</b>: </p><blockquote><div><p>Pulmones bien expandidos bilateralmente. Hilios pulmonares normales. Diafragmas regulares.</p>\n</div></blockquote><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 39607008}\">Lung</span></p></div>"
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "19829001"
            }
          ],
          "text": "Hallazgo radiológico de pulmones"
        },
        "subject": {
          "reference": "urn:uuid:33333333-3333-3333-3333-333333333333"
        },
        "effectiveDateTime": "2026-01-20T09:15:00-06:00",
        "performer": [
          {
            "display": "Dr. Carlos López Martínez"
          }
        ],
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "17621005"
            }
          ],
          "text": "Normal"
        },
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "N"
              }
            ]
          }
        ],
        "note": [
          {
            "text": "Pulmones bien expandidos bilateralmente. Hilios pulmonares normales. Diafragmas regulares."
          }
        ],
        "bodySite": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "39607008"
            }
          ]
        }
      }
    }
  ]
}