Xt-EHR
0.1.0 - ci-build
Xt-EHR, published by Xt-EHR. This guide is not an authorized publication; it is the continuous build for version 0.1.0 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
Draft as of 2024-11-13 |
Definitions for the EHDSImagingReportHeader logical model.
Guidance on how to interpret the contents of this table can be found here
0. EHDSImagingReportHeader | |
Definition | A.1 - EHDS refined base model for Imaging Report header data elements |
Short | Imging Report header (model) |
Logical Model | Instances of this logical model are not marked to be the target of a Reference |
2. EHDSImagingReportHeader.subject | |
Definition | Patient/subject information |
Short | A.1.1 - Subject |
Control | 1..1 |
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient |
4. EHDSImagingReportHeader.healthInsuranceAndPaymentInformation | |
Definition | Health insurance information (Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.) |
Short | A.1.4 - Health insurance and payment information |
Control | 0..1 |
Type | Base |
6. EHDSImagingReportHeader.healthInsuranceAndPaymentInformation.healthInsuranceCode | |
Definition | Unique health insurance company identification code |
Short | A.1.4.1 - Health insurance code |
Control | 0..1 |
Type | Identifier |
8. EHDSImagingReportHeader.healthInsuranceAndPaymentInformation.healthInsuranceName | |
Definition | Full, official name of the healthcare insurance provider. |
Short | A.1.4.2 - Health insurance name |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
10. EHDSImagingReportHeader.healthInsuranceAndPaymentInformation.healthInsuranceNumber | |
Definition | Number or code under which the insured person is registered at the insurance provider. |
Short | A.1.4.3 - Health insurance number |
Control | 0..1 |
Type | Identifier |
12. EHDSImagingReportHeader.intendedRecipient | |
Definition | 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 |
Short | A.1.5 - Intended recipient |
Control | 0..* |
Type | Reference(Patient (model), Related person (model), Health professional, Organization (model), Device (model)) |
14. EHDSImagingReportHeader.authorship | |
Definition | Information about author or authors of the document |
Short | A.1.6 - Authorship |
Control | 1..* |
Type | Base |
16. EHDSImagingReportHeader.authorship.author | |
Definition | Author by whom the document was/were authored. Multiple authors could be provided. |
Short | A.1.6.1 - Author |
Control | 1..1 |
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional |
18. EHDSImagingReportHeader.authorship.datetime | |
Definition | Date and time of the last modification of the document by its Author. |
Short | A.1.6.2 - DateTime |
Control | 1..1 |
Type | dateTime |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
20. EHDSImagingReportHeader.attestation | |
Definition | Document attestation details |
Short | A.1.7 - Attestation |
Control | 0..* |
Type | Base |
22. EHDSImagingReportHeader.attestation.attester | |
Definition | Attester who validated the document. Mulitple attesters could be provided. |
Short | A.1.7.1 - Attester |
Control | 1..1 |
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional |
24. EHDSImagingReportHeader.attestation.datetime | |
Definition | Date and time of the approval of the document by Attester. |
Short | A.1.7.2 - DateTime |
Control | 1..1 |
Type | dateTime |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
26. EHDSImagingReportHeader.legalAuthentication | |
Definition | Document legal authentication |
Short | A.1.8 - Legal authentication |
Control | 0..1 |
Type | Base |
28. EHDSImagingReportHeader.legalAuthentication.legalAuthenticator | |
Definition | The person taking responsibility for the medical content of the document |
Short | A.1.8.1 - Legal authenticator |
Control | 1..1 |
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional |
30. EHDSImagingReportHeader.legalAuthentication.datetime | |
Definition | Date and time when the document was authorized. |
Short | A.1.8.2 - DateTime |
Control | 1..1 |
Type | dateTime |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
32. EHDSImagingReportHeader.documentMetadata | |
Definition | Data relevent to document type and its content for administrative and searching purposes. |
Short | A.1.9 - Document metadata |
Control | 1..1 |
Type | Base |
34. EHDSImagingReportHeader.documentMetadata.documentId | |
Definition | Unique identifier of the document |
Short | A.1.9.1 - Document ID |
Control | 1..1 |
Type | Identifier |
36. EHDSImagingReportHeader.documentMetadata.documentType | |
Definition | Identifies the type of document at hand, e.g. Hospital discharge report. |
Short | A.1.9.2 - Document type |
Control | 1..1 |
Binding | LOINC |
Type | CodeableConcept |
38. EHDSImagingReportHeader.documentMetadata.documentStatus | |
Definition | The status of the Hospital discharge report. E.g., preliminary, final. |
Short | A.1.9.3 - Document status |
Control | 1..1 |
Binding | hl7:CompositionStatus |
Type | CodeableConcept |
40. EHDSImagingReportHeader.documentMetadata.period | |
Definition | Documented period service. Typically used for searching purposes. |
Short | A.1.9.4 - Period |
Control | 0..1 |
Type | Period |
42. EHDSImagingReportHeader.documentMetadata.reportDateAndTime | |
Definition | Date and time of the report creation. |
Short | A.1.9.5 - Report date and time |
Control | 1..1 |
Type | dateTime |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
44. EHDSImagingReportHeader.documentMetadata.documentTitle | |
Definition | Document title, such as "Hospital discharge report", "Laboratory Result Report" etc.. |
Short | A.1.9.6 - Document title |
Control | 1..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
46. EHDSImagingReportHeader.documentMetadata.eventType | |
Definition | Categorization of an "event" covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of event types depends on the use case and agreement betwen data sharing parties. This meta-data element serves primarily for searching and filtering purpuses. |
Short | A.1.9.7 - Event type |
Control | 0..* |
Binding | LOINC, SNOMED CT, dicom-cid-33-Modality |
Type | CodeableConcept |
48. EHDSImagingReportHeader.documentMetadata.specialty | |
Definition | Additional details about where the content was created (e.g. clinical specialty) |
Short | A.1.9.8 - Specialty |
Control | 0..* |
Binding | SNOMED CT |
Type | CodeableConcept |
50. EHDSImagingReportHeader.documentMetadata.reportCustodian | |
Definition | Organisation that is in charge of maintaining the report [this element will include organisation ID, name, address etc., as other elements describing organisations]. |
Short | A.1.9.9 - Report custodian |
Control | 1..1 |
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganization |
52. EHDSImagingReportHeader.documentMetadata.documentFormat | |
Definition | An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType. |
Short | A.1.9.10 - Document format |
Control | 0..1 |
Binding | HL7 Document Format Codes |
Type | CodeableConcept |
54. EHDSImagingReportHeader.documentMetadata.confidentiality | |
Definition | Level of confidentiality of the document. Implicit value is normal. |
Short | A.1.9.11 - Confidentiality |
Control | 0..1 |
Binding | hl7:Confidentiality |
Type | CodeableConcept |
56. EHDSImagingReportHeader.documentMetadata.language | |
Definition | Language in which the document is written. Language is expressed by the ISO language code. |
Short | A.1.9.12 - Language |
Control | 0..1 |
Binding | ISO 639 |
Type | CodeableConcept |
58. EHDSImagingReportHeader.documentMetadata.version | |
Definition | Version of the document |
Short | A.1.9.13 - Version |
Note | This is a business version Id, not a resource version Id (see discussion) |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
60. EHDSImagingReportHeader.documentMetadata.studyInstanceUid | |
Definition | Unique global identifier(s) that identifies an imaging study upon which the imaging report is based.An identifier that links an imaging report to one or more imaging studies. This element is relevant for the interactive selection of the available studies. |
Short | A.1.9.14 - Study Instance UID |
Control | 0..* |
Binding | OID |
Type | uri |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
62. EHDSImagingReportHeader.documentMetadata.accessionNumber | |
Definition | This is 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. |
Short | A.1.9.15 - Accession number |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Guidance on how to interpret the contents of this table can be found here
0. EHDSImagingReportHeader | |
Definition | A.1 - EHDS refined base model for Imaging Report header data elements Base definition for all types defined in FHIR type system. |
Short | Imging Report header (model)Base for all types and resources |
Control | 0..* |
Is Modifier | false |
Logical Model | Instances of this logical model are not marked to be the target of a Reference |
2. EHDSImagingReportHeader.subject | |
Definition | Patient/subject information |
Short | A.1.1 - Subject |
Control | 1..1 |
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient |
4. EHDSImagingReportHeader.healthInsuranceAndPaymentInformation | |
Definition | Health insurance information (Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.) |
Short | A.1.4 - Health insurance and payment information |
Control | 0..1 |
Type | Base |
6. EHDSImagingReportHeader.healthInsuranceAndPaymentInformation.healthInsuranceCode | |
Definition | Unique health insurance company identification code |
Short | A.1.4.1 - Health insurance code |
Control | 0..1 |
Type | Identifier |
8. EHDSImagingReportHeader.healthInsuranceAndPaymentInformation.healthInsuranceName | |
Definition | Full, official name of the healthcare insurance provider. |
Short | A.1.4.2 - Health insurance name |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
10. EHDSImagingReportHeader.healthInsuranceAndPaymentInformation.healthInsuranceNumber | |
Definition | Number or code under which the insured person is registered at the insurance provider. |
Short | A.1.4.3 - Health insurance number |
Control | 0..1 |
Type | Identifier |
12. EHDSImagingReportHeader.intendedRecipient | |
Definition | 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 |
Short | A.1.5 - Intended recipient |
Control | 0..* |
Type | Reference(Patient (model), Related person (model), Health professional, Organization (model), Device (model)) |
14. EHDSImagingReportHeader.authorship | |
Definition | Information about author or authors of the document |
Short | A.1.6 - Authorship |
Control | 1..* |
Type | Base |
16. EHDSImagingReportHeader.authorship.author | |
Definition | Author by whom the document was/were authored. Multiple authors could be provided. |
Short | A.1.6.1 - Author |
Control | 1..1 |
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional |
18. EHDSImagingReportHeader.authorship.datetime | |
Definition | Date and time of the last modification of the document by its Author. |
Short | A.1.6.2 - DateTime |
Control | 1..1 |
Type | dateTime |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
20. EHDSImagingReportHeader.attestation | |
Definition | Document attestation details |
Short | A.1.7 - Attestation |
Control | 0..* |
Type | Base |
22. EHDSImagingReportHeader.attestation.attester | |
Definition | Attester who validated the document. Mulitple attesters could be provided. |
Short | A.1.7.1 - Attester |
Control | 1..1 |
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional |
24. EHDSImagingReportHeader.attestation.datetime | |
Definition | Date and time of the approval of the document by Attester. |
Short | A.1.7.2 - DateTime |
Control | 1..1 |
Type | dateTime |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
26. EHDSImagingReportHeader.legalAuthentication | |
Definition | Document legal authentication |
Short | A.1.8 - Legal authentication |
Control | 0..1 |
Type | Base |
28. EHDSImagingReportHeader.legalAuthentication.legalAuthenticator | |
Definition | The person taking responsibility for the medical content of the document |
Short | A.1.8.1 - Legal authenticator |
Control | 1..1 |
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional |
30. EHDSImagingReportHeader.legalAuthentication.datetime | |
Definition | Date and time when the document was authorized. |
Short | A.1.8.2 - DateTime |
Control | 1..1 |
Type | dateTime |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
32. EHDSImagingReportHeader.documentMetadata | |
Definition | Data relevent to document type and its content for administrative and searching purposes. |
Short | A.1.9 - Document metadata |
Control | 1..1 |
Type | Base |
34. EHDSImagingReportHeader.documentMetadata.documentId | |
Definition | Unique identifier of the document |
Short | A.1.9.1 - Document ID |
Control | 1..1 |
Type | Identifier |
36. EHDSImagingReportHeader.documentMetadata.documentType | |
Definition | Identifies the type of document at hand, e.g. Hospital discharge report. |
Short | A.1.9.2 - Document type |
Control | 1..1 |
Binding | LOINC |
Type | CodeableConcept |
38. EHDSImagingReportHeader.documentMetadata.documentStatus | |
Definition | The status of the Hospital discharge report. E.g., preliminary, final. |
Short | A.1.9.3 - Document status |
Control | 1..1 |
Binding | hl7:CompositionStatus |
Type | CodeableConcept |
40. EHDSImagingReportHeader.documentMetadata.period | |
Definition | Documented period service. Typically used for searching purposes. |
Short | A.1.9.4 - Period |
Control | 0..1 |
Type | Period |
42. EHDSImagingReportHeader.documentMetadata.reportDateAndTime | |
Definition | Date and time of the report creation. |
Short | A.1.9.5 - Report date and time |
Control | 1..1 |
Type | dateTime |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
44. EHDSImagingReportHeader.documentMetadata.documentTitle | |
Definition | Document title, such as "Hospital discharge report", "Laboratory Result Report" etc.. |
Short | A.1.9.6 - Document title |
Control | 1..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
46. EHDSImagingReportHeader.documentMetadata.eventType | |
Definition | Categorization of an "event" covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of event types depends on the use case and agreement betwen data sharing parties. This meta-data element serves primarily for searching and filtering purpuses. |
Short | A.1.9.7 - Event type |
Control | 0..* |
Binding | LOINC, SNOMED CT, dicom-cid-33-Modality |
Type | CodeableConcept |
48. EHDSImagingReportHeader.documentMetadata.specialty | |
Definition | Additional details about where the content was created (e.g. clinical specialty) |
Short | A.1.9.8 - Specialty |
Control | 0..* |
Binding | SNOMED CT |
Type | CodeableConcept |
50. EHDSImagingReportHeader.documentMetadata.reportCustodian | |
Definition | Organisation that is in charge of maintaining the report [this element will include organisation ID, name, address etc., as other elements describing organisations]. |
Short | A.1.9.9 - Report custodian |
Control | 1..1 |
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganization |
52. EHDSImagingReportHeader.documentMetadata.documentFormat | |
Definition | An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType. |
Short | A.1.9.10 - Document format |
Control | 0..1 |
Binding | HL7 Document Format Codes |
Type | CodeableConcept |
54. EHDSImagingReportHeader.documentMetadata.confidentiality | |
Definition | Level of confidentiality of the document. Implicit value is normal. |
Short | A.1.9.11 - Confidentiality |
Control | 0..1 |
Binding | hl7:Confidentiality |
Type | CodeableConcept |
56. EHDSImagingReportHeader.documentMetadata.language | |
Definition | Language in which the document is written. Language is expressed by the ISO language code. |
Short | A.1.9.12 - Language |
Control | 0..1 |
Binding | ISO 639 |
Type | CodeableConcept |
58. EHDSImagingReportHeader.documentMetadata.version | |
Definition | Version of the document |
Short | A.1.9.13 - Version |
Note | This is a business version Id, not a resource version Id (see discussion) |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
60. EHDSImagingReportHeader.documentMetadata.studyInstanceUid | |
Definition | Unique global identifier(s) that identifies an imaging study upon which the imaging report is based.An identifier that links an imaging report to one or more imaging studies. This element is relevant for the interactive selection of the available studies. |
Short | A.1.9.14 - Study Instance UID |
Control | 0..* |
Binding | OID |
Type | uri |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
62. EHDSImagingReportHeader.documentMetadata.accessionNumber | |
Definition | This is 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. |
Short | A.1.9.15 - Accession number |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Guidance on how to interpret the contents of this table can be found here
0. EHDSImagingReportHeader | |
Definition | A.1 - EHDS refined base model for Imaging Report header data elements |
Short | Imging Report header (model) |
Control | 0..* |
Is Modifier | false |
Logical Model | Instances of this logical model are not marked to be the target of a Reference |
2. EHDSImagingReportHeader.subject | |
Definition | Patient/subject information |
Short | A.1.1 - Subject |
Control | 1..1 |
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient |
4. EHDSImagingReportHeader.healthInsuranceAndPaymentInformation | |
Definition | Health insurance information (Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.) |
Short | A.1.4 - Health insurance and payment information |
Control | 0..1 |
Type | Base |
6. EHDSImagingReportHeader.healthInsuranceAndPaymentInformation.healthInsuranceCode | |
Definition | Unique health insurance company identification code |
Short | A.1.4.1 - Health insurance code |
Control | 0..1 |
Type | Identifier |
8. EHDSImagingReportHeader.healthInsuranceAndPaymentInformation.healthInsuranceName | |
Definition | Full, official name of the healthcare insurance provider. |
Short | A.1.4.2 - Health insurance name |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
10. EHDSImagingReportHeader.healthInsuranceAndPaymentInformation.healthInsuranceNumber | |
Definition | Number or code under which the insured person is registered at the insurance provider. |
Short | A.1.4.3 - Health insurance number |
Control | 0..1 |
Type | Identifier |
12. EHDSImagingReportHeader.intendedRecipient | |
Definition | 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 |
Short | A.1.5 - Intended recipient |
Control | 0..* |
Type | Reference(Patient (model), Related person (model), Health professional, Organization (model), Device (model)) |
14. EHDSImagingReportHeader.authorship | |
Definition | Information about author or authors of the document |
Short | A.1.6 - Authorship |
Control | 1..* |
Type | Base |
16. EHDSImagingReportHeader.authorship.author | |
Definition | Author by whom the document was/were authored. Multiple authors could be provided. |
Short | A.1.6.1 - Author |
Control | 1..1 |
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional |
18. EHDSImagingReportHeader.authorship.datetime | |
Definition | Date and time of the last modification of the document by its Author. |
Short | A.1.6.2 - DateTime |
Control | 1..1 |
Type | dateTime |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
20. EHDSImagingReportHeader.attestation | |
Definition | Document attestation details |
Short | A.1.7 - Attestation |
Control | 0..* |
Type | Base |
22. EHDSImagingReportHeader.attestation.attester | |
Definition | Attester who validated the document. Mulitple attesters could be provided. |
Short | A.1.7.1 - Attester |
Control | 1..1 |
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional |
24. EHDSImagingReportHeader.attestation.datetime | |
Definition | Date and time of the approval of the document by Attester. |
Short | A.1.7.2 - DateTime |
Control | 1..1 |
Type | dateTime |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
26. EHDSImagingReportHeader.legalAuthentication | |
Definition | Document legal authentication |
Short | A.1.8 - Legal authentication |
Control | 0..1 |
Type | Base |
28. EHDSImagingReportHeader.legalAuthentication.legalAuthenticator | |
Definition | The person taking responsibility for the medical content of the document |
Short | A.1.8.1 - Legal authenticator |
Control | 1..1 |
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional |
30. EHDSImagingReportHeader.legalAuthentication.datetime | |
Definition | Date and time when the document was authorized. |
Short | A.1.8.2 - DateTime |
Control | 1..1 |
Type | dateTime |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
32. EHDSImagingReportHeader.documentMetadata | |
Definition | Data relevent to document type and its content for administrative and searching purposes. |
Short | A.1.9 - Document metadata |
Control | 1..1 |
Type | Base |
34. EHDSImagingReportHeader.documentMetadata.documentId | |
Definition | Unique identifier of the document |
Short | A.1.9.1 - Document ID |
Control | 1..1 |
Type | Identifier |
36. EHDSImagingReportHeader.documentMetadata.documentType | |
Definition | Identifies the type of document at hand, e.g. Hospital discharge report. |
Short | A.1.9.2 - Document type |
Control | 1..1 |
Binding | LOINC |
Type | CodeableConcept |
38. EHDSImagingReportHeader.documentMetadata.documentStatus | |
Definition | The status of the Hospital discharge report. E.g., preliminary, final. |
Short | A.1.9.3 - Document status |
Control | 1..1 |
Binding | hl7:CompositionStatus |
Type | CodeableConcept |
40. EHDSImagingReportHeader.documentMetadata.period | |
Definition | Documented period service. Typically used for searching purposes. |
Short | A.1.9.4 - Period |
Control | 0..1 |
Type | Period |
42. EHDSImagingReportHeader.documentMetadata.reportDateAndTime | |
Definition | Date and time of the report creation. |
Short | A.1.9.5 - Report date and time |
Control | 1..1 |
Type | dateTime |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
44. EHDSImagingReportHeader.documentMetadata.documentTitle | |
Definition | Document title, such as "Hospital discharge report", "Laboratory Result Report" etc.. |
Short | A.1.9.6 - Document title |
Control | 1..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
46. EHDSImagingReportHeader.documentMetadata.eventType | |
Definition | Categorization of an "event" covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of event types depends on the use case and agreement betwen data sharing parties. This meta-data element serves primarily for searching and filtering purpuses. |
Short | A.1.9.7 - Event type |
Control | 0..* |
Binding | LOINC, SNOMED CT, dicom-cid-33-Modality |
Type | CodeableConcept |
48. EHDSImagingReportHeader.documentMetadata.specialty | |
Definition | Additional details about where the content was created (e.g. clinical specialty) |
Short | A.1.9.8 - Specialty |
Control | 0..* |
Binding | SNOMED CT |
Type | CodeableConcept |
50. EHDSImagingReportHeader.documentMetadata.reportCustodian | |
Definition | Organisation that is in charge of maintaining the report [this element will include organisation ID, name, address etc., as other elements describing organisations]. |
Short | A.1.9.9 - Report custodian |
Control | 1..1 |
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganization |
52. EHDSImagingReportHeader.documentMetadata.documentFormat | |
Definition | An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType. |
Short | A.1.9.10 - Document format |
Control | 0..1 |
Binding | HL7 Document Format Codes |
Type | CodeableConcept |
54. EHDSImagingReportHeader.documentMetadata.confidentiality | |
Definition | Level of confidentiality of the document. Implicit value is normal. |
Short | A.1.9.11 - Confidentiality |
Control | 0..1 |
Binding | hl7:Confidentiality |
Type | CodeableConcept |
56. EHDSImagingReportHeader.documentMetadata.language | |
Definition | Language in which the document is written. Language is expressed by the ISO language code. |
Short | A.1.9.12 - Language |
Control | 0..1 |
Binding | ISO 639 |
Type | CodeableConcept |
58. EHDSImagingReportHeader.documentMetadata.version | |
Definition | Version of the document |
Short | A.1.9.13 - Version |
Note | This is a business version Id, not a resource version Id (see discussion) |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
60. EHDSImagingReportHeader.documentMetadata.studyInstanceUid | |
Definition | Unique global identifier(s) that identifies an imaging study upon which the imaging report is based.An identifier that links an imaging report to one or more imaging studies. This element is relevant for the interactive selection of the available studies. |
Short | A.1.9.14 - Study Instance UID |
Control | 0..* |
Binding | OID |
Type | uri |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
62. EHDSImagingReportHeader.documentMetadata.accessionNumber | |
Definition | This is 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. |
Short | A.1.9.15 - Accession number |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |