EHDS Logical Information Models, published by Xt-EHR. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Xt-EHR/xt-ehr-common/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON
• TTL

Logical Model: Imaging report model

Imaging report reflects the observations and interpretations of one or more imaging studies, contains elements such as the reason why the study is requested, relevant contextual medical information, the modality used to acquire images and its settings, procedures and body localisations that were used, a description of the observations and findings, exposure information, conclusion and advice.

Usages:

• Use this Logical Model: Imaging report model

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EHDSImagingReport		0..*	EHDSDocument	Elements defined in Ancestors:header, header, presentedForm Imaging report model Instances of this logical model can be the target of a Reference
header		1..1	Base	Imaging Report header
subject		1..1	EHDSPatient	Patient/subject information
identifier		1..*	Identifier	Unique identifier of the document
authorship		1..*	Base	Report authoring details
author[x]		1..1		Author by whom the document was/were authored. Multiple authors could be provided.
authorEHDSHealthProfessional			EHDSHealthProfessional
authorEHDSOrganisation			EHDSOrganisation
authorEHDSDevice			EHDSDevice
datetime		1..1	dateTime	Date and time of authoring/issuing
lastUpdate		0..1	dateTime	Date and time of the last update to the resource (may be used for technical corrections).
status		1..1	CodeableConcept	Status of the document
statusReason[x]		0..1		Reason for the current status of the resource.
statusReasonCodeableConcept			CodeableConcept
statusReasonString			string
language		0..1	CodeableConcept	Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
documentType		1..1	CodeableConcept	Type of document (code for medical imaging report) Binding Description: (preferred): LOINC
documentTitle		1..1	string	Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024'
period		0..1	Period	Time of service that is being documented
version		0..1	string	Business version of the document.
attestation		0..*	Base	Document attestation details
attester		1..1	EHDSHealthProfessional	Attester who validated the document. Mulitple attesters could be provided.
datetime		1..1	dateTime	Date and time of the approval of the document by Attester.
legalAuthentication		0..1	Base	Document legal authentication details
legalAuthenticator		1..1	EHDSHealthProfessional	The person taking responsibility for the medical content of the document
datetime		1..1	dateTime	Date and time when the document was authorised.
eventType		0..*	CodeableConcept	Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
serviceSpecialty		0..*	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian		0..1	EHDSOrganisation	Organisation that is in charge of maintaining the document/report.
confidentiality		0..1	CodeableConcept	Level of confidentiality of the document. Implicit value is normal. Binding Description: (preferred): hl7:Confidentiality
accessionNumber		0..1	string	Accession number - an identifier, managed by the RIS at the local level, which usually uniquely identifies an imaging procedure request, and links it to imaging study(ies) and related imaging report(s). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border.
healthInsuranceAndPaymentInformation		0..*	EHDSCoverage	Health insurance and payment information
intendedRecipient[x]		0..*		Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable
intendedRecipientEHDSPatient			EHDSPatient
intendedRecipientEHDSRelatedPerson			EHDSRelatedPerson
intendedRecipientEHDSHealthProfessional			EHDSHealthProfessional
intendedRecipientEHDSOrganisation			EHDSOrganisation
intendedRecipientEHDSDevice			EHDSDevice
presentedForm		0..*	EHDSAttachment	A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
body		0..1	Base	Imaging Report structured body
orderInformation		0..*	Base	Order Information (Imaging Result Report could respond to multiple orders).
orderId		1..*	Identifier	Identifier(s) of the imaging service order.
orderDateAndTime		0..1	dateTime	Date and time of the order placement.
orderPlacer[x]		0..1		The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
orderPlacerEHDSHealthProfessional			EHDSHealthProfessional
orderPlacerEHDSOrganisation			EHDSOrganisation
orderPlacerEHDSPatient			EHDSPatient
orderReasonText		0..*	string	An explanation or justification for why this service is being requested in textual form.
orderReason[x]		0..*		An explanation or justification for why this service is being requested in coded or structured form. Binding Description: (preferred): SNOMED CT
orderReasonCodeableConcept			CodeableConcept
orderReasonEHDSCondition			EHDSCondition
orderReasonEHDSObservation			EHDSObservation
clinicalQuestion		0..1	string	Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
supportingInformation		0..1	Base	Additional clinical information about the patient or specimen that may affect service delivery or interpretation.
observation		0..*	EHDSObservation	Clinical findings and other observations (e.g., height and weights of the patient).
condition		0..*	EHDSCondition	Conditions that may influence the service or result interpretation.
medicationAdministration		0..*	EHDSMedicationAdministration	Medication administered before ordering the service specifically for this procedure.
devices		0..*	EHDSDevice	List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
pregnancyStatus		0..1	EHDSCurrentPregnancy	Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
sexForClinicalUse		0..*	CodeableConcept	Sex parameter for clinical use - provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc. This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population. Binding Description: (preferred): HL7 sex-parameter-for-clinical-use
otherSupportingInformation		0..*	Resource	Any other type of relevant supporting information
specimen		0..*	EHDSSpecimen	Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
serviceRequest		0..*	EHDSServiceRequest	Specification of requested service(s).
exposureInformation		0..1	Base	Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
effectiveDose		0..*	Quantity	Effective dose - sum of equivalent doses to all organs, from external and/or internal exposures, each adjusted to account for the sensitivity of the organ to radiation. [mSv] Binding Description: (preferred): UCUM (for units)
equivalentDoseInformation		1..1	Base	Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
equivalentDose		1..1	Quantity	Equivalent dose is a measure of the radiation dose to tissue where an attempt has been made to allow for the different relative biological effects of different types of ionizing radiation. Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv]. Binding Description: (preferred): UCUM (for units)
tissueType		1..1	CodeableConcept	Type of the tissue for which do dosage was enumerated. Binding Description: (preferred): SNOMED CT
examinationReport		1..1	Base	Examination report content.
modality		1..*	CodeableConcept	Imaging modality (or modalities) used during imaging investigation (DICOM CID029). Binding Description: (preferred): DICOM Modality
bodyPart		0..*	EHDSBodyStructure	All body parts investigated
imagingProcedures		0..*	EHDSProcedure	Imaging procedure performed during imaging study.
medication		0..*	EHDSMedicationAdministration	Information about medication administered (contrast, sedation, stress agents), etc.
adverseReaction		0..*	EHDSAllergyIntolerance	Adverse reactions manifested during imaging investigation.
resultData		0..1	Base	Imaging report result data
resultText		1..1	string	Comments and narrative representation of the observation results and findings.
observationResults		0..*	EHDSObservation	Observation details (report could consist of multiple observations)
conclusion		1..1	Base	A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
impression		1..1	string	Narrative description of the clinical conclusion (impression).
conditionOrFinding[x]		0..*		Condition or finding from imaging investigation.
conditionOrFindingEHDSCondition			EHDSCondition
conditionOrFindingEHDSObservation			EHDSObservation
recommendation		0..1	Base	Recommendations for additional imaging tests or other actions
description		1..1	string	Narrative description of the recommended activities including additional test, medication etc.
carePlan		0..*	EHDSCarePlan	A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
comparisonStudy		0..*	EHDSImagingReport	Documentation (reference) of a prior Imaging Report to which the current images were compared.
dicomStudyMetadata		0..*	EHDSImagingStudy	Metadata of the DICOM study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.
attachments[x]		0..*		Report attachments data elements
attachmentsEHDSAttachment			EHDSAttachment
attachmentsEHDSMedia			EHDSMedia
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
EHDSImagingReport.header.language	preferred
EHDSImagingReport.header.documentType	preferred
EHDSImagingReport.header.eventType	preferred
EHDSImagingReport.header.serviceSpecialty	preferred
EHDSImagingReport.header.confidentiality	preferred
EHDSImagingReport.body.orderInformation.orderReason[x]	preferred
EHDSImagingReport.body.supportingInformation.sexForClinicalUse	preferred
EHDSImagingReport.body.exposureInformation.effectiveDose	preferred
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.equivalentDose	preferred
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.tissueType	preferred
EHDSImagingReport.body.examinationReport.modality	preferred

This structure is derived from EHDSDocument

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EHDSImagingReport		0..*	EHDSDocument	Elements defined in Ancestors:header, header, presentedForm Imaging report model Instances of this logical model can be the target of a Reference
header		1..1	Base	Imaging Report header
authorship		1..*	Base	Report authoring details
author[x]		1..1	EHDSHealthProfessional, EHDSOrganisation, EHDSDevice	Author by whom the document was/were authored. Multiple authors could be provided.
status		1..1	CodeableConcept	Status of the document
documentType		1..1	CodeableConcept	Type of document (code for medical imaging report)
accessionNumber		0..1	string	Accession number - an identifier, managed by the RIS at the local level, which usually uniquely identifies an imaging procedure request, and links it to imaging study(ies) and related imaging report(s). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border.
healthInsuranceAndPaymentInformation		0..*	EHDSCoverage	Health insurance and payment information
intendedRecipient[x]		0..*		Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable
intendedRecipientEHDSPatient			EHDSPatient
intendedRecipientEHDSRelatedPerson			EHDSRelatedPerson
intendedRecipientEHDSHealthProfessional			EHDSHealthProfessional
intendedRecipientEHDSOrganisation			EHDSOrganisation
intendedRecipientEHDSDevice			EHDSDevice
body		0..1	Base	Imaging Report structured body
orderInformation		0..*	Base	Order Information (Imaging Result Report could respond to multiple orders).
orderId		1..*	Identifier	Identifier(s) of the imaging service order.
orderDateAndTime		0..1	dateTime	Date and time of the order placement.
orderPlacer[x]		0..1		The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
orderPlacerEHDSHealthProfessional			EHDSHealthProfessional
orderPlacerEHDSOrganisation			EHDSOrganisation
orderPlacerEHDSPatient			EHDSPatient
orderReasonText		0..*	string	An explanation or justification for why this service is being requested in textual form.
orderReason[x]		0..*		An explanation or justification for why this service is being requested in coded or structured form. Binding Description: (preferred): SNOMED CT
orderReasonCodeableConcept			CodeableConcept
orderReasonEHDSCondition			EHDSCondition
orderReasonEHDSObservation			EHDSObservation
clinicalQuestion		0..1	string	Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
supportingInformation		0..1	Base	Additional clinical information about the patient or specimen that may affect service delivery or interpretation.
observation		0..*	EHDSObservation	Clinical findings and other observations (e.g., height and weights of the patient).
condition		0..*	EHDSCondition	Conditions that may influence the service or result interpretation.
medicationAdministration		0..*	EHDSMedicationAdministration	Medication administered before ordering the service specifically for this procedure.
devices		0..*	EHDSDevice	List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
pregnancyStatus		0..1	EHDSCurrentPregnancy	Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
sexForClinicalUse		0..*	CodeableConcept	Sex parameter for clinical use - provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc. This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population. Binding Description: (preferred): HL7 sex-parameter-for-clinical-use
otherSupportingInformation		0..*	Resource	Any other type of relevant supporting information
specimen		0..*	EHDSSpecimen	Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
serviceRequest		0..*	EHDSServiceRequest	Specification of requested service(s).
exposureInformation		0..1	Base	Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
effectiveDose		0..*	Quantity	Effective dose - sum of equivalent doses to all organs, from external and/or internal exposures, each adjusted to account for the sensitivity of the organ to radiation. [mSv] Binding Description: (preferred): UCUM (for units)
equivalentDoseInformation		1..1	Base	Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
equivalentDose		1..1	Quantity	Equivalent dose is a measure of the radiation dose to tissue where an attempt has been made to allow for the different relative biological effects of different types of ionizing radiation. Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv]. Binding Description: (preferred): UCUM (for units)
tissueType		1..1	CodeableConcept	Type of the tissue for which do dosage was enumerated. Binding Description: (preferred): SNOMED CT
examinationReport		1..1	Base	Examination report content.
modality		1..*	CodeableConcept	Imaging modality (or modalities) used during imaging investigation (DICOM CID029). Binding Description: (preferred): DICOM Modality
bodyPart		0..*	EHDSBodyStructure	All body parts investigated
imagingProcedures		0..*	EHDSProcedure	Imaging procedure performed during imaging study.
medication		0..*	EHDSMedicationAdministration	Information about medication administered (contrast, sedation, stress agents), etc.
adverseReaction		0..*	EHDSAllergyIntolerance	Adverse reactions manifested during imaging investigation.
resultData		0..1	Base	Imaging report result data
resultText		1..1	string	Comments and narrative representation of the observation results and findings.
observationResults		0..*	EHDSObservation	Observation details (report could consist of multiple observations)
conclusion		1..1	Base	A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
impression		1..1	string	Narrative description of the clinical conclusion (impression).
conditionOrFinding[x]		0..*		Condition or finding from imaging investigation.
conditionOrFindingEHDSCondition			EHDSCondition
conditionOrFindingEHDSObservation			EHDSObservation
recommendation		0..1	Base	Recommendations for additional imaging tests or other actions
description		1..1	string	Narrative description of the recommended activities including additional test, medication etc.
carePlan		0..*	EHDSCarePlan	A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
comparisonStudy		0..*	EHDSImagingReport	Documentation (reference) of a prior Imaging Report to which the current images were compared.
dicomStudyMetadata		0..*	EHDSImagingStudy	Metadata of the DICOM study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.
attachments[x]		0..*		Report attachments data elements
attachmentsEHDSAttachment			EHDSAttachment
attachmentsEHDSMedia			EHDSMedia
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
EHDSImagingReport.body.orderInformation.orderReason[x]	preferred
EHDSImagingReport.body.supportingInformation.sexForClinicalUse	preferred
EHDSImagingReport.body.exposureInformation.effectiveDose	preferred
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.equivalentDose	preferred
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.tissueType	preferred
EHDSImagingReport.body.examinationReport.modality	preferred

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EHDSImagingReport		0..*	EHDSDocument	Elements defined in Ancestors:header, header, presentedForm Imaging report model Instances of this logical model can be the target of a Reference
header		1..1	Base	Imaging Report header
subject		1..1	EHDSPatient	Patient/subject information
identifier		1..*	Identifier	Unique identifier of the document
authorship		1..*	Base	Report authoring details
author[x]		1..1		Author by whom the document was/were authored. Multiple authors could be provided.
authorEHDSHealthProfessional			EHDSHealthProfessional
authorEHDSOrganisation			EHDSOrganisation
authorEHDSDevice			EHDSDevice
datetime		1..1	dateTime	Date and time of authoring/issuing
lastUpdate		0..1	dateTime	Date and time of the last update to the resource (may be used for technical corrections).
status		1..1	CodeableConcept	Status of the document
statusReason[x]		0..1		Reason for the current status of the resource.
statusReasonCodeableConcept			CodeableConcept
statusReasonString			string
language		0..1	CodeableConcept	Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
documentType		1..1	CodeableConcept	Type of document (code for medical imaging report) Binding Description: (preferred): LOINC
documentTitle		1..1	string	Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024'
period		0..1	Period	Time of service that is being documented
version		0..1	string	Business version of the document.
attestation		0..*	Base	Document attestation details
attester		1..1	EHDSHealthProfessional	Attester who validated the document. Mulitple attesters could be provided.
datetime		1..1	dateTime	Date and time of the approval of the document by Attester.
legalAuthentication		0..1	Base	Document legal authentication details
legalAuthenticator		1..1	EHDSHealthProfessional	The person taking responsibility for the medical content of the document
datetime		1..1	dateTime	Date and time when the document was authorised.
eventType		0..*	CodeableConcept	Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
serviceSpecialty		0..*	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian		0..1	EHDSOrganisation	Organisation that is in charge of maintaining the document/report.
confidentiality		0..1	CodeableConcept	Level of confidentiality of the document. Implicit value is normal. Binding Description: (preferred): hl7:Confidentiality
accessionNumber		0..1	string	Accession number - an identifier, managed by the RIS at the local level, which usually uniquely identifies an imaging procedure request, and links it to imaging study(ies) and related imaging report(s). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border.
healthInsuranceAndPaymentInformation		0..*	EHDSCoverage	Health insurance and payment information
intendedRecipient[x]		0..*		Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable
intendedRecipientEHDSPatient			EHDSPatient
intendedRecipientEHDSRelatedPerson			EHDSRelatedPerson
intendedRecipientEHDSHealthProfessional			EHDSHealthProfessional
intendedRecipientEHDSOrganisation			EHDSOrganisation
intendedRecipientEHDSDevice			EHDSDevice
presentedForm		0..*	EHDSAttachment	A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
body		0..1	Base	Imaging Report structured body
orderInformation		0..*	Base	Order Information (Imaging Result Report could respond to multiple orders).
orderId		1..*	Identifier	Identifier(s) of the imaging service order.
orderDateAndTime		0..1	dateTime	Date and time of the order placement.
orderPlacer[x]		0..1		The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
orderPlacerEHDSHealthProfessional			EHDSHealthProfessional
orderPlacerEHDSOrganisation			EHDSOrganisation
orderPlacerEHDSPatient			EHDSPatient
orderReasonText		0..*	string	An explanation or justification for why this service is being requested in textual form.
orderReason[x]		0..*		An explanation or justification for why this service is being requested in coded or structured form. Binding Description: (preferred): SNOMED CT
orderReasonCodeableConcept			CodeableConcept
orderReasonEHDSCondition			EHDSCondition
orderReasonEHDSObservation			EHDSObservation
clinicalQuestion		0..1	string	Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
supportingInformation		0..1	Base	Additional clinical information about the patient or specimen that may affect service delivery or interpretation.
observation		0..*	EHDSObservation	Clinical findings and other observations (e.g., height and weights of the patient).
condition		0..*	EHDSCondition	Conditions that may influence the service or result interpretation.
medicationAdministration		0..*	EHDSMedicationAdministration	Medication administered before ordering the service specifically for this procedure.
devices		0..*	EHDSDevice	List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
pregnancyStatus		0..1	EHDSCurrentPregnancy	Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
sexForClinicalUse		0..*	CodeableConcept	Sex parameter for clinical use - provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc. This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population. Binding Description: (preferred): HL7 sex-parameter-for-clinical-use
otherSupportingInformation		0..*	Resource	Any other type of relevant supporting information
specimen		0..*	EHDSSpecimen	Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
serviceRequest		0..*	EHDSServiceRequest	Specification of requested service(s).
exposureInformation		0..1	Base	Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
effectiveDose		0..*	Quantity	Effective dose - sum of equivalent doses to all organs, from external and/or internal exposures, each adjusted to account for the sensitivity of the organ to radiation. [mSv] Binding Description: (preferred): UCUM (for units)
equivalentDoseInformation		1..1	Base	Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
equivalentDose		1..1	Quantity	Equivalent dose is a measure of the radiation dose to tissue where an attempt has been made to allow for the different relative biological effects of different types of ionizing radiation. Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv]. Binding Description: (preferred): UCUM (for units)
tissueType		1..1	CodeableConcept	Type of the tissue for which do dosage was enumerated. Binding Description: (preferred): SNOMED CT
examinationReport		1..1	Base	Examination report content.
modality		1..*	CodeableConcept	Imaging modality (or modalities) used during imaging investigation (DICOM CID029). Binding Description: (preferred): DICOM Modality
bodyPart		0..*	EHDSBodyStructure	All body parts investigated
imagingProcedures		0..*	EHDSProcedure	Imaging procedure performed during imaging study.
medication		0..*	EHDSMedicationAdministration	Information about medication administered (contrast, sedation, stress agents), etc.
adverseReaction		0..*	EHDSAllergyIntolerance	Adverse reactions manifested during imaging investigation.
resultData		0..1	Base	Imaging report result data
resultText		1..1	string	Comments and narrative representation of the observation results and findings.
observationResults		0..*	EHDSObservation	Observation details (report could consist of multiple observations)
conclusion		1..1	Base	A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
impression		1..1	string	Narrative description of the clinical conclusion (impression).
conditionOrFinding[x]		0..*		Condition or finding from imaging investigation.
conditionOrFindingEHDSCondition			EHDSCondition
conditionOrFindingEHDSObservation			EHDSObservation
recommendation		0..1	Base	Recommendations for additional imaging tests or other actions
description		1..1	string	Narrative description of the recommended activities including additional test, medication etc.
carePlan		0..*	EHDSCarePlan	A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
comparisonStudy		0..*	EHDSImagingReport	Documentation (reference) of a prior Imaging Report to which the current images were compared.
dicomStudyMetadata		0..*	EHDSImagingStudy	Metadata of the DICOM study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.
attachments[x]		0..*		Report attachments data elements
attachmentsEHDSAttachment			EHDSAttachment
attachmentsEHDSMedia			EHDSMedia
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
EHDSImagingReport.header.language	preferred
EHDSImagingReport.header.documentType	preferred
EHDSImagingReport.header.eventType	preferred
EHDSImagingReport.header.serviceSpecialty	preferred
EHDSImagingReport.header.confidentiality	preferred
EHDSImagingReport.body.orderInformation.orderReason[x]	preferred
EHDSImagingReport.body.supportingInformation.sexForClinicalUse	preferred
EHDSImagingReport.body.exposureInformation.effectiveDose	preferred
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.equivalentDose	preferred
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.tissueType	preferred
EHDSImagingReport.body.examinationReport.modality	preferred

This structure is derived from EHDSDocument

Summary

Mandatory: 0 element(10 nested mandatory elements)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EHDSImagingReport		0..*	EHDSDocument	Elements defined in Ancestors:header, header, presentedForm Imaging report model Instances of this logical model can be the target of a Reference
header		1..1	Base	Imaging Report header
subject		1..1	EHDSPatient	Patient/subject information
identifier		1..*	Identifier	Unique identifier of the document
authorship		1..*	Base	Report authoring details
author[x]		1..1		Author by whom the document was/were authored. Multiple authors could be provided.
authorEHDSHealthProfessional			EHDSHealthProfessional
authorEHDSOrganisation			EHDSOrganisation
authorEHDSDevice			EHDSDevice
datetime		1..1	dateTime	Date and time of authoring/issuing
lastUpdate		0..1	dateTime	Date and time of the last update to the resource (may be used for technical corrections).
status		1..1	CodeableConcept	Status of the document
statusReason[x]		0..1		Reason for the current status of the resource.
statusReasonCodeableConcept			CodeableConcept
statusReasonString			string
language		0..1	CodeableConcept	Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
documentType		1..1	CodeableConcept	Type of document (code for medical imaging report) Binding Description: (preferred): LOINC
documentTitle		1..1	string	Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024'
period		0..1	Period	Time of service that is being documented
version		0..1	string	Business version of the document.
attestation		0..*	Base	Document attestation details
attester		1..1	EHDSHealthProfessional	Attester who validated the document. Mulitple attesters could be provided.
datetime		1..1	dateTime	Date and time of the approval of the document by Attester.
legalAuthentication		0..1	Base	Document legal authentication details
legalAuthenticator		1..1	EHDSHealthProfessional	The person taking responsibility for the medical content of the document
datetime		1..1	dateTime	Date and time when the document was authorised.
eventType		0..*	CodeableConcept	Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
serviceSpecialty		0..*	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian		0..1	EHDSOrganisation	Organisation that is in charge of maintaining the document/report.
confidentiality		0..1	CodeableConcept	Level of confidentiality of the document. Implicit value is normal. Binding Description: (preferred): hl7:Confidentiality
accessionNumber		0..1	string	Accession number - an identifier, managed by the RIS at the local level, which usually uniquely identifies an imaging procedure request, and links it to imaging study(ies) and related imaging report(s). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border.
healthInsuranceAndPaymentInformation		0..*	EHDSCoverage	Health insurance and payment information
intendedRecipient[x]		0..*		Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable
intendedRecipientEHDSPatient			EHDSPatient
intendedRecipientEHDSRelatedPerson			EHDSRelatedPerson
intendedRecipientEHDSHealthProfessional			EHDSHealthProfessional
intendedRecipientEHDSOrganisation			EHDSOrganisation
intendedRecipientEHDSDevice			EHDSDevice
presentedForm		0..*	EHDSAttachment	A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
body		0..1	Base	Imaging Report structured body
orderInformation		0..*	Base	Order Information (Imaging Result Report could respond to multiple orders).
orderId		1..*	Identifier	Identifier(s) of the imaging service order.
orderDateAndTime		0..1	dateTime	Date and time of the order placement.
orderPlacer[x]		0..1		The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
orderPlacerEHDSHealthProfessional			EHDSHealthProfessional
orderPlacerEHDSOrganisation			EHDSOrganisation
orderPlacerEHDSPatient			EHDSPatient
orderReasonText		0..*	string	An explanation or justification for why this service is being requested in textual form.
orderReason[x]		0..*		An explanation or justification for why this service is being requested in coded or structured form. Binding Description: (preferred): SNOMED CT
orderReasonCodeableConcept			CodeableConcept
orderReasonEHDSCondition			EHDSCondition
orderReasonEHDSObservation			EHDSObservation
clinicalQuestion		0..1	string	Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
supportingInformation		0..1	Base	Additional clinical information about the patient or specimen that may affect service delivery or interpretation.
observation		0..*	EHDSObservation	Clinical findings and other observations (e.g., height and weights of the patient).
condition		0..*	EHDSCondition	Conditions that may influence the service or result interpretation.
medicationAdministration		0..*	EHDSMedicationAdministration	Medication administered before ordering the service specifically for this procedure.
devices		0..*	EHDSDevice	List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
pregnancyStatus		0..1	EHDSCurrentPregnancy	Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
sexForClinicalUse		0..*	CodeableConcept	Sex parameter for clinical use - provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc. This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population. Binding Description: (preferred): HL7 sex-parameter-for-clinical-use
otherSupportingInformation		0..*	Resource	Any other type of relevant supporting information
specimen		0..*	EHDSSpecimen	Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
serviceRequest		0..*	EHDSServiceRequest	Specification of requested service(s).
exposureInformation		0..1	Base	Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
effectiveDose		0..*	Quantity	Effective dose - sum of equivalent doses to all organs, from external and/or internal exposures, each adjusted to account for the sensitivity of the organ to radiation. [mSv] Binding Description: (preferred): UCUM (for units)
equivalentDoseInformation		1..1	Base	Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
equivalentDose		1..1	Quantity	Equivalent dose is a measure of the radiation dose to tissue where an attempt has been made to allow for the different relative biological effects of different types of ionizing radiation. Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv]. Binding Description: (preferred): UCUM (for units)
tissueType		1..1	CodeableConcept	Type of the tissue for which do dosage was enumerated. Binding Description: (preferred): SNOMED CT
examinationReport		1..1	Base	Examination report content.
modality		1..*	CodeableConcept	Imaging modality (or modalities) used during imaging investigation (DICOM CID029). Binding Description: (preferred): DICOM Modality
bodyPart		0..*	EHDSBodyStructure	All body parts investigated
imagingProcedures		0..*	EHDSProcedure	Imaging procedure performed during imaging study.
medication		0..*	EHDSMedicationAdministration	Information about medication administered (contrast, sedation, stress agents), etc.
adverseReaction		0..*	EHDSAllergyIntolerance	Adverse reactions manifested during imaging investigation.
resultData		0..1	Base	Imaging report result data
resultText		1..1	string	Comments and narrative representation of the observation results and findings.
observationResults		0..*	EHDSObservation	Observation details (report could consist of multiple observations)
conclusion		1..1	Base	A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
impression		1..1	string	Narrative description of the clinical conclusion (impression).
conditionOrFinding[x]		0..*		Condition or finding from imaging investigation.
conditionOrFindingEHDSCondition			EHDSCondition
conditionOrFindingEHDSObservation			EHDSObservation
recommendation		0..1	Base	Recommendations for additional imaging tests or other actions
description		1..1	string	Narrative description of the recommended activities including additional test, medication etc.
carePlan		0..*	EHDSCarePlan	A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
comparisonStudy		0..*	EHDSImagingReport	Documentation (reference) of a prior Imaging Report to which the current images were compared.
dicomStudyMetadata		0..*	EHDSImagingStudy	Metadata of the DICOM study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.
attachments[x]		0..*		Report attachments data elements
attachmentsEHDSAttachment			EHDSAttachment
attachmentsEHDSMedia			EHDSMedia
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
EHDSImagingReport.header.language	preferred
EHDSImagingReport.header.documentType	preferred
EHDSImagingReport.header.eventType	preferred
EHDSImagingReport.header.serviceSpecialty	preferred
EHDSImagingReport.header.confidentiality	preferred
EHDSImagingReport.body.orderInformation.orderReason[x]	preferred
EHDSImagingReport.body.supportingInformation.sexForClinicalUse	preferred
EHDSImagingReport.body.exposureInformation.effectiveDose	preferred
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.equivalentDose	preferred
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.tissueType	preferred
EHDSImagingReport.body.examinationReport.modality	preferred

Differential View

This structure is derived from EHDSDocument

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EHDSImagingReport		0..*	EHDSDocument	Elements defined in Ancestors:header, header, presentedForm Imaging report model Instances of this logical model can be the target of a Reference
header		1..1	Base	Imaging Report header
authorship		1..*	Base	Report authoring details
author[x]		1..1	EHDSHealthProfessional, EHDSOrganisation, EHDSDevice	Author by whom the document was/were authored. Multiple authors could be provided.
status		1..1	CodeableConcept	Status of the document
documentType		1..1	CodeableConcept	Type of document (code for medical imaging report)
accessionNumber		0..1	string	Accession number - an identifier, managed by the RIS at the local level, which usually uniquely identifies an imaging procedure request, and links it to imaging study(ies) and related imaging report(s). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border.
healthInsuranceAndPaymentInformation		0..*	EHDSCoverage	Health insurance and payment information
intendedRecipient[x]		0..*		Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable
intendedRecipientEHDSPatient			EHDSPatient
intendedRecipientEHDSRelatedPerson			EHDSRelatedPerson
intendedRecipientEHDSHealthProfessional			EHDSHealthProfessional
intendedRecipientEHDSOrganisation			EHDSOrganisation
intendedRecipientEHDSDevice			EHDSDevice
body		0..1	Base	Imaging Report structured body
orderInformation		0..*	Base	Order Information (Imaging Result Report could respond to multiple orders).
orderId		1..*	Identifier	Identifier(s) of the imaging service order.
orderDateAndTime		0..1	dateTime	Date and time of the order placement.
orderPlacer[x]		0..1		The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
orderPlacerEHDSHealthProfessional			EHDSHealthProfessional
orderPlacerEHDSOrganisation			EHDSOrganisation
orderPlacerEHDSPatient			EHDSPatient
orderReasonText		0..*	string	An explanation or justification for why this service is being requested in textual form.
orderReason[x]		0..*		An explanation or justification for why this service is being requested in coded or structured form. Binding Description: (preferred): SNOMED CT
orderReasonCodeableConcept			CodeableConcept
orderReasonEHDSCondition			EHDSCondition
orderReasonEHDSObservation			EHDSObservation
clinicalQuestion		0..1	string	Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
supportingInformation		0..1	Base	Additional clinical information about the patient or specimen that may affect service delivery or interpretation.
observation		0..*	EHDSObservation	Clinical findings and other observations (e.g., height and weights of the patient).
condition		0..*	EHDSCondition	Conditions that may influence the service or result interpretation.
medicationAdministration		0..*	EHDSMedicationAdministration	Medication administered before ordering the service specifically for this procedure.
devices		0..*	EHDSDevice	List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
pregnancyStatus		0..1	EHDSCurrentPregnancy	Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
sexForClinicalUse		0..*	CodeableConcept	Sex parameter for clinical use - provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc. This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population. Binding Description: (preferred): HL7 sex-parameter-for-clinical-use
otherSupportingInformation		0..*	Resource	Any other type of relevant supporting information
specimen		0..*	EHDSSpecimen	Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
serviceRequest		0..*	EHDSServiceRequest	Specification of requested service(s).
exposureInformation		0..1	Base	Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
effectiveDose		0..*	Quantity	Effective dose - sum of equivalent doses to all organs, from external and/or internal exposures, each adjusted to account for the sensitivity of the organ to radiation. [mSv] Binding Description: (preferred): UCUM (for units)
equivalentDoseInformation		1..1	Base	Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
equivalentDose		1..1	Quantity	Equivalent dose is a measure of the radiation dose to tissue where an attempt has been made to allow for the different relative biological effects of different types of ionizing radiation. Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv]. Binding Description: (preferred): UCUM (for units)
tissueType		1..1	CodeableConcept	Type of the tissue for which do dosage was enumerated. Binding Description: (preferred): SNOMED CT
examinationReport		1..1	Base	Examination report content.
modality		1..*	CodeableConcept	Imaging modality (or modalities) used during imaging investigation (DICOM CID029). Binding Description: (preferred): DICOM Modality
bodyPart		0..*	EHDSBodyStructure	All body parts investigated
imagingProcedures		0..*	EHDSProcedure	Imaging procedure performed during imaging study.
medication		0..*	EHDSMedicationAdministration	Information about medication administered (contrast, sedation, stress agents), etc.
adverseReaction		0..*	EHDSAllergyIntolerance	Adverse reactions manifested during imaging investigation.
resultData		0..1	Base	Imaging report result data
resultText		1..1	string	Comments and narrative representation of the observation results and findings.
observationResults		0..*	EHDSObservation	Observation details (report could consist of multiple observations)
conclusion		1..1	Base	A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
impression		1..1	string	Narrative description of the clinical conclusion (impression).
conditionOrFinding[x]		0..*		Condition or finding from imaging investigation.
conditionOrFindingEHDSCondition			EHDSCondition
conditionOrFindingEHDSObservation			EHDSObservation
recommendation		0..1	Base	Recommendations for additional imaging tests or other actions
description		1..1	string	Narrative description of the recommended activities including additional test, medication etc.
carePlan		0..*	EHDSCarePlan	A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
comparisonStudy		0..*	EHDSImagingReport	Documentation (reference) of a prior Imaging Report to which the current images were compared.
dicomStudyMetadata		0..*	EHDSImagingStudy	Metadata of the DICOM study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.
attachments[x]		0..*		Report attachments data elements
attachmentsEHDSAttachment			EHDSAttachment
attachmentsEHDSMedia			EHDSMedia
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
EHDSImagingReport.body.orderInformation.orderReason[x]	preferred
EHDSImagingReport.body.supportingInformation.sexForClinicalUse	preferred
EHDSImagingReport.body.exposureInformation.effectiveDose	preferred
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.equivalentDose	preferred
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.tissueType	preferred
EHDSImagingReport.body.examinationReport.modality	preferred

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EHDSImagingReport		0..*	EHDSDocument	Elements defined in Ancestors:header, header, presentedForm Imaging report model Instances of this logical model can be the target of a Reference
header		1..1	Base	Imaging Report header
subject		1..1	EHDSPatient	Patient/subject information
identifier		1..*	Identifier	Unique identifier of the document
authorship		1..*	Base	Report authoring details
author[x]		1..1		Author by whom the document was/were authored. Multiple authors could be provided.
authorEHDSHealthProfessional			EHDSHealthProfessional
authorEHDSOrganisation			EHDSOrganisation
authorEHDSDevice			EHDSDevice
datetime		1..1	dateTime	Date and time of authoring/issuing
lastUpdate		0..1	dateTime	Date and time of the last update to the resource (may be used for technical corrections).
status		1..1	CodeableConcept	Status of the document
statusReason[x]		0..1		Reason for the current status of the resource.
statusReasonCodeableConcept			CodeableConcept
statusReasonString			string
language		0..1	CodeableConcept	Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
documentType		1..1	CodeableConcept	Type of document (code for medical imaging report) Binding Description: (preferred): LOINC
documentTitle		1..1	string	Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024'
period		0..1	Period	Time of service that is being documented
version		0..1	string	Business version of the document.
attestation		0..*	Base	Document attestation details
attester		1..1	EHDSHealthProfessional	Attester who validated the document. Mulitple attesters could be provided.
datetime		1..1	dateTime	Date and time of the approval of the document by Attester.
legalAuthentication		0..1	Base	Document legal authentication details
legalAuthenticator		1..1	EHDSHealthProfessional	The person taking responsibility for the medical content of the document
datetime		1..1	dateTime	Date and time when the document was authorised.
eventType		0..*	CodeableConcept	Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
serviceSpecialty		0..*	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian		0..1	EHDSOrganisation	Organisation that is in charge of maintaining the document/report.
confidentiality		0..1	CodeableConcept	Level of confidentiality of the document. Implicit value is normal. Binding Description: (preferred): hl7:Confidentiality
accessionNumber		0..1	string	Accession number - an identifier, managed by the RIS at the local level, which usually uniquely identifies an imaging procedure request, and links it to imaging study(ies) and related imaging report(s). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border.
healthInsuranceAndPaymentInformation		0..*	EHDSCoverage	Health insurance and payment information
intendedRecipient[x]		0..*		Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable
intendedRecipientEHDSPatient			EHDSPatient
intendedRecipientEHDSRelatedPerson			EHDSRelatedPerson
intendedRecipientEHDSHealthProfessional			EHDSHealthProfessional
intendedRecipientEHDSOrganisation			EHDSOrganisation
intendedRecipientEHDSDevice			EHDSDevice
presentedForm		0..*	EHDSAttachment	A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
body		0..1	Base	Imaging Report structured body
orderInformation		0..*	Base	Order Information (Imaging Result Report could respond to multiple orders).
orderId		1..*	Identifier	Identifier(s) of the imaging service order.
orderDateAndTime		0..1	dateTime	Date and time of the order placement.
orderPlacer[x]		0..1		The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
orderPlacerEHDSHealthProfessional			EHDSHealthProfessional
orderPlacerEHDSOrganisation			EHDSOrganisation
orderPlacerEHDSPatient			EHDSPatient
orderReasonText		0..*	string	An explanation or justification for why this service is being requested in textual form.
orderReason[x]		0..*		An explanation or justification for why this service is being requested in coded or structured form. Binding Description: (preferred): SNOMED CT
orderReasonCodeableConcept			CodeableConcept
orderReasonEHDSCondition			EHDSCondition
orderReasonEHDSObservation			EHDSObservation
clinicalQuestion		0..1	string	Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
supportingInformation		0..1	Base	Additional clinical information about the patient or specimen that may affect service delivery or interpretation.
observation		0..*	EHDSObservation	Clinical findings and other observations (e.g., height and weights of the patient).
condition		0..*	EHDSCondition	Conditions that may influence the service or result interpretation.
medicationAdministration		0..*	EHDSMedicationAdministration	Medication administered before ordering the service specifically for this procedure.
devices		0..*	EHDSDevice	List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
pregnancyStatus		0..1	EHDSCurrentPregnancy	Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
sexForClinicalUse		0..*	CodeableConcept	Sex parameter for clinical use - provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc. This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population. Binding Description: (preferred): HL7 sex-parameter-for-clinical-use
otherSupportingInformation		0..*	Resource	Any other type of relevant supporting information
specimen		0..*	EHDSSpecimen	Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
serviceRequest		0..*	EHDSServiceRequest	Specification of requested service(s).
exposureInformation		0..1	Base	Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
effectiveDose		0..*	Quantity	Effective dose - sum of equivalent doses to all organs, from external and/or internal exposures, each adjusted to account for the sensitivity of the organ to radiation. [mSv] Binding Description: (preferred): UCUM (for units)
equivalentDoseInformation		1..1	Base	Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
equivalentDose		1..1	Quantity	Equivalent dose is a measure of the radiation dose to tissue where an attempt has been made to allow for the different relative biological effects of different types of ionizing radiation. Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv]. Binding Description: (preferred): UCUM (for units)
tissueType		1..1	CodeableConcept	Type of the tissue for which do dosage was enumerated. Binding Description: (preferred): SNOMED CT
examinationReport		1..1	Base	Examination report content.
modality		1..*	CodeableConcept	Imaging modality (or modalities) used during imaging investigation (DICOM CID029). Binding Description: (preferred): DICOM Modality
bodyPart		0..*	EHDSBodyStructure	All body parts investigated
imagingProcedures		0..*	EHDSProcedure	Imaging procedure performed during imaging study.
medication		0..*	EHDSMedicationAdministration	Information about medication administered (contrast, sedation, stress agents), etc.
adverseReaction		0..*	EHDSAllergyIntolerance	Adverse reactions manifested during imaging investigation.
resultData		0..1	Base	Imaging report result data
resultText		1..1	string	Comments and narrative representation of the observation results and findings.
observationResults		0..*	EHDSObservation	Observation details (report could consist of multiple observations)
conclusion		1..1	Base	A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
impression		1..1	string	Narrative description of the clinical conclusion (impression).
conditionOrFinding[x]		0..*		Condition or finding from imaging investigation.
conditionOrFindingEHDSCondition			EHDSCondition
conditionOrFindingEHDSObservation			EHDSObservation
recommendation		0..1	Base	Recommendations for additional imaging tests or other actions
description		1..1	string	Narrative description of the recommended activities including additional test, medication etc.
carePlan		0..*	EHDSCarePlan	A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
comparisonStudy		0..*	EHDSImagingReport	Documentation (reference) of a prior Imaging Report to which the current images were compared.
dicomStudyMetadata		0..*	EHDSImagingStudy	Metadata of the DICOM study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.
attachments[x]		0..*		Report attachments data elements
attachmentsEHDSAttachment			EHDSAttachment
attachmentsEHDSMedia			EHDSMedia
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
EHDSImagingReport.header.language	preferred
EHDSImagingReport.header.documentType	preferred
EHDSImagingReport.header.eventType	preferred
EHDSImagingReport.header.serviceSpecialty	preferred
EHDSImagingReport.header.confidentiality	preferred
EHDSImagingReport.body.orderInformation.orderReason[x]	preferred
EHDSImagingReport.body.supportingInformation.sexForClinicalUse	preferred
EHDSImagingReport.body.exposureInformation.effectiveDose	preferred
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.equivalentDose	preferred
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.tissueType	preferred
EHDSImagingReport.body.examinationReport.modality	preferred

This structure is derived from EHDSDocument

Summary

Mandatory: 0 element(10 nested mandatory elements)

Other representations of profile: CSV, Excel