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FHIR resources

ResourceUse
PatientThe patient
ConditionDiagnoses. The first one sets the index date.
DocumentReference, DiagnosticReportReports, including radiology reports
ImagingStudyA study and its series. status shows PACS availability.
ServiceRequestThe scheduled exam (trigger), from HL7
ListPatients on an MDT list (trigger)
CoverageThe patient’s insurer
ExplanationOfBenefitExams from the insurer statement (optional source)
Organization, EndpointOther hospitals and their FHIR address
ResourceID or tagContent
Compositionsummary-<trigger_id>Case summary. Written only on change. _history keeps every version.
Tasktag prior-requestRequest for a missing prior. basedOn the trigger, focus the prior ImagingStudy.
CommunicationThe e-mail of an approved request
TaskINS-<trigger_id>Insurer statement query. Generated, not sent.
Basictag llm-cacheCached AI verdicts with extension llm-trace
Basictag llm-overrideRe-judge results. The newest one is active.
Basicreview-*Collector decisions
OrganizationEPACS-<AE title>Facility contact from the ePACS directory

Demo data that KomPACS adds carries the tag simulated.

  • status preliminary, type LOINC 60591-5 (patient summary).
  • author Device/pacs-comparator. attester the Collector, after the first approved request.
  • event.detail the trigger ServiceRequest.
  • Sections: diagnoses, relevant priors, missing items (Task), duplicate alert. Each has a Czech narrative.
statusMeaning
availableImages in PACS
registeredStudy known, no images in PACS
unknownNo PACS record

A request gets channel fhir if the recipient Organization has an active Endpoint with connectionType hl7-fhir-rest. Else email if an e-mail exists. Else phone.