FHIR IG analytics

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Narrative

Note: links and images are rebased to the (stated) source

Source1

{
  "resourceType": "Composition",
  "id": "breast-adp-process-composition-example",
  "meta": {
    "profile": [
      "http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImComposition"
    ]
  },
  "language": "en",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.eu/fhir/imaging-r5/StructureDefinition/im-composition-diagnosticReportReference",
      "valueReference": {
        "reference": "DiagnosticReport/breast-diagnostic-report"
      }
    }
  ],
  "identifier": [
    {
      "system": "http://example.org/documents",
      "value": "BREAST-ADP-2026-0001"
    }
  ],
  "status": "final",
  "type": {
    "coding": [
      {
        "system": "http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes",
        "code": "imaging-report-v0-0-1",
        "display": "Imaging Report V0.0.1"
      }
    ]
  },
  "category": [
    {
      "coding": [
        {
          "system": "http://loinc.org",
          "code": "18748-4",
          "display": "Diagnostic imaging study"
        }
      ]
    }
  ],
  "subject": [
    {
      "reference": "Patient/example-patient"
    }
  ],
  "date": "2026-01-10T10:00:00+02:00",
  "author": [
    {
      "reference": "PractitionerRole/example-practitioner-role"
    }
  ],
  "title": "Breast Cancer Prevention Program – Diagnostic Process Summary",
  "custodian": {
    "reference": "Organization/example-organization"
  },
  "event": [
    {
      "detail": [
        {
          "concept": {
            "coding": [
              {
                "system": "http://dicom.nema.org/resources/ontology/DCM",
                "code": "MG",
                "display": "Mammography"
              }
            ]
          }
        }
      ]
    },
    {
      "detail": [
        {
          "concept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "71651007",
                "display": "Mammography (procedure)"
              }
            ]
          }
        }
      ]
    }
  ],
  "section": [
    {
      "title": "Imaging Study",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "18726-0"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Screening mammography performed.</div>"
      },
      "entry": [
        {
          "reference": "ImagingStudy/breast-imagingstudy-example"
        }
      ]
    },
    {
      "title": "Order",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "55115-0",
            "display": "Requested imaging studies information Document"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Screening mammography ordered.</div>"
      },
      "entry": [
        {
          "reference": "ServiceRequest/breast-screening-request"
        }
      ]
    },
    {
      "title": "History",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "11329-0",
            "display": "History general Narrative - Reported"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Asymptomatic screening participant.</div>"
      }
    },
    {
      "title": "Procedure",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "55111-9",
            "display": "Current imaging procedure descriptions Document"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Bilateral digital mammography performed.</div>"
      },
      "entry": [
        {
          "reference": "Procedure/breast-imaging-procedure-example"
        }
      ]
    },
    {
      "title": "Comparison",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "18834-2",
            "display": "Radiology Comparison study (narrative)"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Compared with prior mammogram from 2024.</div>"
      },
      "entry": [
        {
          "reference": "ImagingStudy/breast-imagingstudy-previos-example"
        }
      ]
    },
    {
      "title": "Findings",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "59776-5",
            "display": "Findings"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Suspicious lesion in left breast.</div>"
      },
      "entry": [
        {
          "reference": "Observation/breast-scar-example"
        },
        {
          "reference": "Observation/breast-skin-formation-example"
        }
      ]
    },
    {
      "title": "Impression",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "19005-8",
            "display": "Radiology Imaging study [Impression] (narrative)"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">BI-RADS 4: Suspicious abnormality.</div>"
      },
      "entry": [
        {
          "reference": "Observation/example-birads-cat4"
        }
      ]
    },
    {
      "title": "Recommendation",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "18783-1",
            "display": "Radiology Study recommendation (narrative)"
          }
        ]
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Core needle biopsy recommended.</div>"
      },
      "entry": [
        {
          "reference": "CarePlan/breast-followup-careplan-example"
        }
      ]
    }
  ]
}