Enterprise Imaging (Proof of Concept)
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: Composition - CT thorax, abdomen and pelvis report

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{
  "resourceType" : "Composition",
  "id" : "RadiologyCompositionExample",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.eu/fhir/imaging/StructureDefinition/CompositionEuImaging"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Composition RadiologyCompositionExample</b></p><a name=\"RadiologyCompositionExample\"> </a><a name=\"hcRadiologyCompositionExample\"> </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=\"http://hl7.eu/fhir/imaging/1.0.0-ballot/StructureDefinition-CompositionEuImaging.html\">Composition: Imaging Report</a></p></div><p><b>Document DiagnosticReport Reference</b>: <a href=\"DiagnosticReport-RadiologyDiagnosticReportExample.html\">Diagnostic Report for 'CT Thorax abdomen pelvis with contrast' for '-&gt;Sansa MANCHESTER  Female, DoB: 1972-09-21 ( R0A4990415)'</a></p><p><b>identifier</b>: Filler Identifier/RPT-26-0005678</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/health-data-api/CodeSystem/eehrxf-document-priority-category-cs Medical-Imaging}\">medical imaging studies and related imaging reports</span></p><p><b>date</b>: 2026-10-29 09:45:00+0000</p><p><b>author</b>: </p><ul><li><a href=\"Practitioner-PractitionerRadiologist.html\">Robin EXAMPLE (https://fhir.hl7.org.uk/Id/gmc-number#GMC Number#C1234567)</a></li><li><a href=\"Organization-OrganizationMFT.html\">Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)</a></li></ul><p><b>title</b>: CT thorax, abdomen and pelvis with contrast</p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference",
      "valueReference" : {
        🔗 "reference" : "DiagnosticReport/RadiologyDiagnosticReportExample"
      }
    }
  ],
  "identifier" : {
    "type" : {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
          "code" : "FILL"
        }
      ]
    },
    "system" : "http://example.org/R0A/report-identifier",
    "value" : "RPT-26-0005678",
    "assigner" : {
      "identifier" : {
        "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
        "value" : "R0A"
      }
    }
  },
  "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/health-data-api/CodeSystem/eehrxf-document-priority-category-cs",
          "code" : "Medical-Imaging"
        }
      ]
    }
  ],
  "subject" : {
    🔗 "reference" : "Patient/PatientManchester"
  },
  "date" : "2026-10-29T09:45:00Z",
  "author" : [
    {
      🔗 "reference" : "Practitioner/PractitionerRadiologist"
    },
    {
      🔗 "reference" : "Organization/OrganizationMFT"
    }
  ],
  "title" : "CT thorax, abdomen and pelvis with contrast",
  "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\">CT thorax, abdomen and pelvis with contrast, 28 October 2026, 1 series, 412 instances.</div>"
      },
      "entry" : [
        {
          🔗 "reference" : "ImagingStudy/RadiologyImagingStudyExample"
        }
      ]
    },
    {
      "title" : "Order",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "55115-0"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">CT thorax, abdomen and pelvis with contrast. Accession number RAD26110001.</div>"
      },
      "entry" : [
        {
          🔗 "reference" : "ServiceRequest/RadiologyServiceRequestExample"
        }
      ]
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/note",
          "valueAnnotation" : {
            "text" : "Staging of suspected colorectal cancer."
          }
        }
      ],
      "title" : "History",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "11329-0"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Staging of suspected colorectal cancer.</div>"
      }
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/note",
          "valueAnnotation" : {
            "text" : "Portal venous phase CT of the thorax, abdomen and pelvis following intravenous contrast."
          }
        }
      ],
      "title" : "Procedure",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "55111-9"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Portal venous phase CT of the thorax, abdomen and pelvis following intravenous contrast.</div>"
      }
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/note",
          "valueAnnotation" : {
            "text" : "Example findings for a proof-of-concept report. Not a real patient or a real report."
          }
        }
      ],
      "title" : "Findings",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "59776-5"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Example findings for a proof-of-concept report. Not a real patient or a real report.</div>"
      }
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/note",
          "valueAnnotation" : {
            "text" : "Example conclusion for a proof-of-concept report."
          }
        }
      ],
      "title" : "Impression",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "19005-8"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Example conclusion for a proof-of-concept report.</div>"
      }
    }
  ]
}