EHDS Logical Information Models
0.4.0 - draft
EHDS Logical Information Models
0.4.0 - draft
EHDS Logical Information Models, published by Xt-EHR. This guide is not an authorized publication; it is the continuous build for version 0.4.0 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
| Official URL: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSImagingReportObligations | Version: 0.4.0 | |||
| Draft as of 2026-03-16 | Computable Name: EHDSImagingReportObligations | |||
Obligations for the logical model of imaging report.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
  EHDSImagingReport |
0..* | EHDSImagingReport | Imaging report model | |||||||
  header |
O | 1..1 | Base | Imaging report header
| ||||||
   subject |
O | 1..1 | EHDSPatient | Patient/subject information
| ||||||
| identifier |
O | 1..* | Identifier | Unique identifier of the document
| ||||||
 author[x] |
O | 1..* | The author of the report.
| |||||||
| authorEHDSHealthProfessional |
EHDSHealthProfessional | |||||||||
| authorEHDSOrganisation |
EHDSOrganisation | |||||||||
 authorEHDSDevice |
EHDSDevice | |||||||||
 date |
O | 1..1 | dateTime | Date of finalising/issuing the document
| ||||||
| status |
O | 1..1 | CodeableConcept | Status of the report
| ||||||
| language |
O | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
| ||||||
| documentType |
O | 1..1 | CodeableConcept | Type of document (e.g. 18748-4 Diagnostic imaging study) Binding Description: (preferred): LOINC
| ||||||
| documentTitle |
O | 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 |
O | 0..1 | Period | Time of service that is being documented
| ||||||
| version |
0..1 | string | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian | |||||||
| attestation |
O | 0..* | Base | Document attestation details
| ||||||
| attester[x] |
O | 1..1 | Attester who validated the document
| |||||||
| attesterEHDSHealthProfessional |
EHDSHealthProfessional | |||||||||
| attesterEHDSDevice |
EHDSDevice | |||||||||
| datetime |
O | 1..1 | dateTime | Date and time of the approval of the document by Attester
| ||||||
| legalAuthentication |
O | 0..* | Base | Document legal authentication details
| ||||||
| legalAuthenticator[x] |
O | 1..1 | The person or organisation taking responsibility for the content of the document.
| |||||||
| legalAuthenticatorEHDSHealthProfessional |
EHDSHealthProfessional | |||||||||
| legalAuthenticatorEHDSOrganisation |
EHDSOrganisation | |||||||||
| datetime |
O | 1..1 | dateTime | Date and time when the document was authorised
| ||||||
| eventType |
O | 0..* | CodeableConcept | Categorisation of the event covered by the document (e.g. imaging study types, body regions, 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 |
O | 0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
| ||||||
| custodian |
O | 0..1 | EHDSOrganisation | Organisation that is in charge of maintaining the document/report.
| ||||||
| accessionNumber |
0..* | Identifier | 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). | |||||||
 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 |
O | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
| ||||||
| body |
O | 0..1 | Base | Imaging report structured body
| ||||||
| orderInformation |
O | 0..* | Base | Order Information (Imaging Result Report could respond to multiple orders).
| ||||||
| orderId |
O | 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 | |||||||||
| orderReason[x] |
O | 0..* | An explanation or justification for why this service is being requested. Binding Description: (preferred): SNOMED CT
| |||||||
| orderReasonCodeableConcept |
CodeableConcept | |||||||||
| orderReasonEHDSCondition |
EHDSCondition | |||||||||
| orderReasonEHDSObservation |
EHDSObservation | |||||||||
| orderReasonString |
string | |||||||||
| clinicalQuestion |
O | 0..1 | string | Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
| ||||||
| supportingInformation |
O | 0..1 | Base | Additional clinical information about the patient or specimen that may affect service delivery or interpretation (additional types of information may be allowed in implementations).
| ||||||
| 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. | |||||||
| priorMedicationAdministration |
0..* | EHDSMedicationAdministration | Medication administered before ordering the service specifically for this procedure. | |||||||
| device |
0..* | EHDSDeviceUse | 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..1 | 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 | |||||||
| specimen |
O | 0..* | EHDSSpecimen | Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
| ||||||
| exposureInformation |
O | 0..1 | string | Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
| ||||||
| examinationReport |
O | 1..1 | Base | Examination report content.
| ||||||
| modality |
O | 1..* | CodeableConcept | Imaging modality (or modalities) used during imaging investigation (DICOM CID029). Binding Description: (preferred): DICOM Modality
| ||||||
| bodySite |
O | 0..* | EHDSBodyStructure | All body parts investigated
| ||||||
| imagingProcedures |
O | 0..* | EHDSProcedure | Imaging procedure performed during imaging study.
| ||||||
| medicationAdministration |
O | 0..* | EHDSMedicationAdministration | Information about medications administered (contrast, sedation, stress agents, etc) during the procedure.
| ||||||
| adverseReaction |
O | 0..* | EHDSAllergyIntolerance | Adverse reactions manifested during imaging investigation.
| ||||||
| results[x] |
O | 0..* | Imaging report result data (report could consist of multiple observations)
| |||||||
| resultsEHDSObservation |
EHDSObservation | |||||||||
| resultsString |
string | |||||||||
| conclusion |
O | 0..1 | Base | A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
| ||||||
| impression |
O | 1..1 | string | Narrative description of the clinical conclusion (impression).
| ||||||
| conditionOrFinding[x] |
O | 0..* | Condition or finding from imaging investigation.
| |||||||
| conditionOrFindingEHDSCondition |
EHDSCondition | |||||||||
| conditionOrFindingEHDSObservation |
EHDSObservation | |||||||||
| recommendation |
O | 0..1 | Base | Recommendation section for additional imaging tests or other actions
| ||||||
| description |
O | 1..1 | string | Narrative description of the recommended activities including additional test, medication etc.
| ||||||
| carePlan |
O | 0..* | EHDSCarePlan | A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
| ||||||
| comparisonStudy |
O | 0..* | EHDSImagingReport | Documentation (reference) of a prior Imaging Report to which the current images were compared.
| ||||||
| dicomStudyMetadata |
O | 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 |
O | 0..* | EHDSAttachment | Report attachments
| ||||||
| Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| EHDSImagingReport.header.language | Base | preferred | Not State | Unknown | |
| EHDSImagingReport.header.documentType | Base | preferred | Not State | Unknown | |
| EHDSImagingReport.header.eventType | Base | preferred | Not State | Unknown | |
| EHDSImagingReport.header.serviceSpecialty | Base | preferred | Not State | Unknown | |
| EHDSImagingReport.body.orderInformation.orderReason[x] | Base | preferred | Not State | Unknown | |
| EHDSImagingReport.body.supportingInformation.sexForClinicalUse | Base | preferred | Not State | Unknown | |
| EHDSImagingReport.body.examinationReport.modality | Base | preferred | Not State | Unknown |
This structure is derived from EHDSImagingReport
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| EHDSImagingReport |
0..* | EHDSImagingReport | Imaging report model | |||||||
| header |
O | 1..1 | Base | Imaging report header
| ||||||
| subject |
O | 1..1 | EHDSPatient | Patient/subject information
| ||||||
| identifier |
O | 1..* | Identifier | Unique identifier of the document
| ||||||
| author[x] |
O | 1..* | EHDSHealthProfessional, EHDSOrganisation, EHDSDevice | The author of the report.
| ||||||
| date |
O | 1..1 | dateTime | Date of finalising/issuing the document
| ||||||
| status |
O | 1..1 | CodeableConcept | Status of the report
| ||||||
| language |
O | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag.
| ||||||
| documentType |
O | 1..1 | CodeableConcept | Type of document (e.g. 18748-4 Diagnostic imaging study)
| ||||||
| documentTitle |
O | 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 |
O | 0..1 | Period | Time of service that is being documented
| ||||||
| attestation |
O | 0..* | Base | Document attestation details
| ||||||
| attester[x] |
O | 1..1 | EHDSHealthProfessional, EHDSDevice | Attester who validated the document
| ||||||
| datetime |
O | 1..1 | dateTime | Date and time of the approval of the document by Attester
| ||||||
| legalAuthentication |
O | 0..* | Base | Document legal authentication details
| ||||||
| legalAuthenticator[x] |
O | 1..1 | EHDSHealthProfessional, EHDSOrganisation | The person or organisation taking responsibility for the content of the document.
| ||||||
| datetime |
O | 1..1 | dateTime | Date and time when the document was authorised
| ||||||
| eventType |
O | 0..* | CodeableConcept | Categorisation of the event covered by the document (e.g. imaging study types, body regions, 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.
| ||||||
| serviceSpecialty |
O | 0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty)
| ||||||
| custodian |
O | 0..1 | EHDSOrganisation | Organisation that is in charge of maintaining the document/report.
| ||||||
| accessionNumber |
O |
| ||||||||
| intendedRecipient[x] |
O |
| ||||||||
| presentedForm |
O | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
| ||||||
| body |
O | 0..1 | Base | Imaging report structured body
| ||||||
| orderInformation |
O | 0..* | Base | Order Information (Imaging Result Report could respond to multiple orders).
| ||||||
| orderId |
O | 1..* | Identifier | Identifier(s) of the imaging service order.
| ||||||
| orderReason[x] |
O | 0..* | CodeableConcept, EHDSCondition, EHDSObservation, string | An explanation or justification for why this service is being requested.
| ||||||
| clinicalQuestion |
O | 0..1 | string | Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
| ||||||
| supportingInformation |
O | 0..1 | Base | Additional clinical information about the patient or specimen that may affect service delivery or interpretation (additional types of information may be allowed in implementations).
| ||||||
| specimen |
O | 0..* | EHDSSpecimen | Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
| ||||||
| exposureInformation |
O | 0..1 | string | Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
| ||||||
| examinationReport |
O | 1..1 | Base | Examination report content.
| ||||||
| modality |
O | 1..* | CodeableConcept | Imaging modality (or modalities) used during imaging investigation (DICOM CID029).
| ||||||
| bodySite |
O | 0..* | EHDSBodyStructure | All body parts investigated
| ||||||
| imagingProcedures |
O | 0..* | EHDSProcedure | Imaging procedure performed during imaging study.
| ||||||
| medicationAdministration |
O | 0..* | EHDSMedicationAdministration | Information about medications administered (contrast, sedation, stress agents, etc) during the procedure.
| ||||||
| adverseReaction |
O | 0..* | EHDSAllergyIntolerance | Adverse reactions manifested during imaging investigation.
| ||||||
| results[x] |
O | 0..* | EHDSObservation, string | Imaging report result data (report could consist of multiple observations)
| ||||||
| conclusion |
O | 0..1 | Base | A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
| ||||||
| impression |
O | 1..1 | string | Narrative description of the clinical conclusion (impression).
| ||||||
| conditionOrFinding[x] |
O | 0..* | EHDSCondition, EHDSObservation | Condition or finding from imaging investigation.
| ||||||
| recommendation |
O | 0..1 | Base | Recommendation section for additional imaging tests or other actions
| ||||||
| description |
O | 1..1 | string | Narrative description of the recommended activities including additional test, medication etc.
| ||||||
| carePlan |
O | 0..* | EHDSCarePlan | A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
| ||||||
| comparisonStudy |
O | 0..* | EHDSImagingReport | Documentation (reference) of a prior Imaging Report to which the current images were compared.
| ||||||
| dicomStudyMetadata |
O | 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 |
O | 0..* | EHDSAttachment | Report attachments
| ||||||
| Documentation for this format | ||||||||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| EHDSImagingReport |
0..* | EHDSImagingReport | Imaging report model | |||||||
| header |
O | 1..1 | Base | Imaging report header
| ||||||
| subject |
O | 1..1 | EHDSPatient | Patient/subject information
| ||||||
| identifier |
O | 1..* | Identifier | Unique identifier of the document
| ||||||
| author[x] |
O | 1..* | The author of the report.
| |||||||
| authorEHDSHealthProfessional |
EHDSHealthProfessional | |||||||||
| authorEHDSOrganisation |
EHDSOrganisation | |||||||||
| authorEHDSDevice |
EHDSDevice | |||||||||
| date |
O | 1..1 | dateTime | Date of finalising/issuing the document
| ||||||
| status |
O | 1..1 | CodeableConcept | Status of the report
| ||||||
| language |
O | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
| ||||||
| documentType |
O | 1..1 | CodeableConcept | Type of document (e.g. 18748-4 Diagnostic imaging study) Binding Description: (preferred): LOINC
| ||||||
| documentTitle |
O | 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 |
O | 0..1 | Period | Time of service that is being documented
| ||||||
| version |
0..1 | string | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian | |||||||
| attestation |
O | 0..* | Base | Document attestation details
| ||||||
| attester[x] |
O | 1..1 | Attester who validated the document
| |||||||
| attesterEHDSHealthProfessional |
EHDSHealthProfessional | |||||||||
| attesterEHDSDevice |
EHDSDevice | |||||||||
| datetime |
O | 1..1 | dateTime | Date and time of the approval of the document by Attester
| ||||||
| legalAuthentication |
O | 0..* | Base | Document legal authentication details
| ||||||
| legalAuthenticator[x] |
O | 1..1 | The person or organisation taking responsibility for the content of the document.
| |||||||
| legalAuthenticatorEHDSHealthProfessional |
EHDSHealthProfessional | |||||||||
| legalAuthenticatorEHDSOrganisation |
EHDSOrganisation | |||||||||
| datetime |
O | 1..1 | dateTime | Date and time when the document was authorised
| ||||||
| eventType |
O | 0..* | CodeableConcept | Categorisation of the event covered by the document (e.g. imaging study types, body regions, 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 |
O | 0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
| ||||||
| custodian |
O | 0..1 | EHDSOrganisation | Organisation that is in charge of maintaining the document/report.
| ||||||
| accessionNumber |
0..* | Identifier | 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). | |||||||
| 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 |
O | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
| ||||||
| body |
O | 0..1 | Base | Imaging report structured body
| ||||||
| orderInformation |
O | 0..* | Base | Order Information (Imaging Result Report could respond to multiple orders).
| ||||||
| orderId |
O | 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 | |||||||||
| orderReason[x] |
O | 0..* | An explanation or justification for why this service is being requested. Binding Description: (preferred): SNOMED CT
| |||||||
| orderReasonCodeableConcept |
CodeableConcept | |||||||||
| orderReasonEHDSCondition |
EHDSCondition | |||||||||
| orderReasonEHDSObservation |
EHDSObservation | |||||||||
| orderReasonString |
string | |||||||||
| clinicalQuestion |
O | 0..1 | string | Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
| ||||||
| supportingInformation |
O | 0..1 | Base | Additional clinical information about the patient or specimen that may affect service delivery or interpretation (additional types of information may be allowed in implementations).
| ||||||
| 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. | |||||||
| priorMedicationAdministration |
0..* | EHDSMedicationAdministration | Medication administered before ordering the service specifically for this procedure. | |||||||
| device |
0..* | EHDSDeviceUse | 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..1 | 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 | |||||||
| specimen |
O | 0..* | EHDSSpecimen | Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
| ||||||
| exposureInformation |
O | 0..1 | string | Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
| ||||||
| examinationReport |
O | 1..1 | Base | Examination report content.
| ||||||
| modality |
O | 1..* | CodeableConcept | Imaging modality (or modalities) used during imaging investigation (DICOM CID029). Binding Description: (preferred): DICOM Modality
| ||||||
| bodySite |
O | 0..* | EHDSBodyStructure | All body parts investigated
| ||||||
| imagingProcedures |
O | 0..* | EHDSProcedure | Imaging procedure performed during imaging study.
| ||||||
| medicationAdministration |
O | 0..* | EHDSMedicationAdministration | Information about medications administered (contrast, sedation, stress agents, etc) during the procedure.
| ||||||
| adverseReaction |
O | 0..* | EHDSAllergyIntolerance | Adverse reactions manifested during imaging investigation.
| ||||||
| results[x] |
O | 0..* | Imaging report result data (report could consist of multiple observations)
| |||||||
| resultsEHDSObservation |
EHDSObservation | |||||||||
| resultsString |
string | |||||||||
| conclusion |
O | 0..1 | Base | A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
| ||||||
| impression |
O | 1..1 | string | Narrative description of the clinical conclusion (impression).
| ||||||
| conditionOrFinding[x] |
O | 0..* | Condition or finding from imaging investigation.
| |||||||
| conditionOrFindingEHDSCondition |
EHDSCondition | |||||||||
| conditionOrFindingEHDSObservation |
EHDSObservation | |||||||||
| recommendation |
O | 0..1 | Base | Recommendation section for additional imaging tests or other actions
| ||||||
| description |
O | 1..1 | string | Narrative description of the recommended activities including additional test, medication etc.
| ||||||
| carePlan |
O | 0..* | EHDSCarePlan | A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
| ||||||
| comparisonStudy |
O | 0..* | EHDSImagingReport | Documentation (reference) of a prior Imaging Report to which the current images were compared.
| ||||||
| dicomStudyMetadata |
O | 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 |
O | 0..* | EHDSAttachment | Report attachments
| ||||||
| Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| EHDSImagingReport.header.language | Base | preferred | Not State | Unknown | |
| EHDSImagingReport.header.documentType | Base | preferred | Not State | Unknown | |
| EHDSImagingReport.header.eventType | Base | preferred | Not State | Unknown | |
| EHDSImagingReport.header.serviceSpecialty | Base | preferred | Not State | Unknown | |
| EHDSImagingReport.body.orderInformation.orderReason[x] | Base | preferred | Not State | Unknown | |
| EHDSImagingReport.body.supportingInformation.sexForClinicalUse | Base | preferred | Not State | Unknown | |
| EHDSImagingReport.body.examinationReport.modality | Base | preferred | Not State | Unknown |
This structure is derived from EHDSImagingReport
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| EHDSImagingReport |
0..* | EHDSImagingReport | Imaging report model | |||||||
| header |
O | 1..1 | Base | Imaging report header
| ||||||
| subject |
O | 1..1 | EHDSPatient | Patient/subject information
| ||||||
| identifier |
O | 1..* | Identifier | Unique identifier of the document
| ||||||
| author[x] |
O | 1..* | The author of the report.
| |||||||
| authorEHDSHealthProfessional |
EHDSHealthProfessional | |||||||||
| authorEHDSOrganisation |
EHDSOrganisation | |||||||||
| authorEHDSDevice |
EHDSDevice | |||||||||
| date |
O | 1..1 | dateTime | Date of finalising/issuing the document
| ||||||
| status |
O | 1..1 | CodeableConcept | Status of the report
| ||||||
| language |
O | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
| ||||||
| documentType |
O | 1..1 | CodeableConcept | Type of document (e.g. 18748-4 Diagnostic imaging study) Binding Description: (preferred): LOINC
| ||||||
| documentTitle |
O | 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 |
O | 0..1 | Period | Time of service that is being documented
| ||||||
| version |
0..1 | string | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian | |||||||
| attestation |
O | 0..* | Base | Document attestation details
| ||||||
| attester[x] |
O | 1..1 | Attester who validated the document
| |||||||
| attesterEHDSHealthProfessional |
EHDSHealthProfessional | |||||||||
| attesterEHDSDevice |
EHDSDevice | |||||||||
| datetime |
O | 1..1 | dateTime | Date and time of the approval of the document by Attester
| ||||||
| legalAuthentication |
O | 0..* | Base | Document legal authentication details
| ||||||
| legalAuthenticator[x] |
O | 1..1 | The person or organisation taking responsibility for the content of the document.
| |||||||
| legalAuthenticatorEHDSHealthProfessional |
EHDSHealthProfessional | |||||||||
| legalAuthenticatorEHDSOrganisation |
EHDSOrganisation | |||||||||
| datetime |
O | 1..1 | dateTime | Date and time when the document was authorised
| ||||||
| eventType |
O | 0..* | CodeableConcept | Categorisation of the event covered by the document (e.g. imaging study types, body regions, 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 |
O | 0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
| ||||||
| custodian |
O | 0..1 | EHDSOrganisation | Organisation that is in charge of maintaining the document/report.
| ||||||
| accessionNumber |
0..* | Identifier | 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). | |||||||
| 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 |
O | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
| ||||||
| body |
O | 0..1 | Base | Imaging report structured body
| ||||||
| orderInformation |
O | 0..* | Base | Order Information (Imaging Result Report could respond to multiple orders).
| ||||||
| orderId |
O | 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 | |||||||||
| orderReason[x] |
O | 0..* | An explanation or justification for why this service is being requested. Binding Description: (preferred): SNOMED CT
| |||||||
| orderReasonCodeableConcept |
CodeableConcept | |||||||||
| orderReasonEHDSCondition |
EHDSCondition | |||||||||
| orderReasonEHDSObservation |
EHDSObservation | |||||||||
| orderReasonString |
string | |||||||||
| clinicalQuestion |
O | 0..1 | string | Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
| ||||||
| supportingInformation |
O | 0..1 | Base | Additional clinical information about the patient or specimen that may affect service delivery or interpretation (additional types of information may be allowed in implementations).
| ||||||
| 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. | |||||||
| priorMedicationAdministration |
0..* | EHDSMedicationAdministration | Medication administered before ordering the service specifically for this procedure. | |||||||
| device |
0..* | EHDSDeviceUse | 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..1 | 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 | |||||||
| specimen |
O | 0..* | EHDSSpecimen | Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
| ||||||
| exposureInformation |
O | 0..1 | string | Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
| ||||||
| examinationReport |
O | 1..1 | Base | Examination report content.
| ||||||
| modality |
O | 1..* | CodeableConcept | Imaging modality (or modalities) used during imaging investigation (DICOM CID029). Binding Description: (preferred): DICOM Modality
| ||||||
| bodySite |
O | 0..* | EHDSBodyStructure | All body parts investigated
| ||||||
| imagingProcedures |
O | 0..* | EHDSProcedure | Imaging procedure performed during imaging study.
| ||||||
| medicationAdministration |
O | 0..* | EHDSMedicationAdministration | Information about medications administered (contrast, sedation, stress agents, etc) during the procedure.
| ||||||
| adverseReaction |
O | 0..* | EHDSAllergyIntolerance | Adverse reactions manifested during imaging investigation.
| ||||||
| results[x] |
O | 0..* | Imaging report result data (report could consist of multiple observations)
| |||||||
| resultsEHDSObservation |
EHDSObservation | |||||||||
| resultsString |
string | |||||||||
| conclusion |
O | 0..1 | Base | A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
| ||||||
| impression |
O | 1..1 | string | Narrative description of the clinical conclusion (impression).
| ||||||
| conditionOrFinding[x] |
O | 0..* | Condition or finding from imaging investigation.
| |||||||
| conditionOrFindingEHDSCondition |
EHDSCondition | |||||||||
| conditionOrFindingEHDSObservation |
EHDSObservation | |||||||||
| recommendation |
O | 0..1 | Base | Recommendation section for additional imaging tests or other actions
| ||||||
| description |
O | 1..1 | string | Narrative description of the recommended activities including additional test, medication etc.
| ||||||
| carePlan |
O | 0..* | EHDSCarePlan | A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
| ||||||
| comparisonStudy |
O | 0..* | EHDSImagingReport | Documentation (reference) of a prior Imaging Report to which the current images were compared.
| ||||||
| dicomStudyMetadata |
O | 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 |
O | 0..* | EHDSAttachment | Report attachments
| ||||||
| Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| EHDSImagingReport.header.language | Base | preferred | Not State | Unknown | |
| EHDSImagingReport.header.documentType | Base | preferred | Not State | Unknown | |
| EHDSImagingReport.header.eventType | Base | preferred | Not State | Unknown | |
| EHDSImagingReport.header.serviceSpecialty | Base | preferred | Not State | Unknown | |
| EHDSImagingReport.body.orderInformation.orderReason[x] | Base | preferred | Not State | Unknown | |
| EHDSImagingReport.body.supportingInformation.sexForClinicalUse | Base | preferred | Not State | Unknown | |
| EHDSImagingReport.body.examinationReport.modality | Base | preferred | Not State | Unknown |
Differential View
This structure is derived from EHDSImagingReport
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| EHDSImagingReport |
0..* | EHDSImagingReport | Imaging report model | |||||||
| header |
O | 1..1 | Base | Imaging report header
| ||||||
| subject |
O | 1..1 | EHDSPatient | Patient/subject information
| ||||||
| identifier |
O | 1..* | Identifier | Unique identifier of the document
| ||||||
| author[x] |
O | 1..* | EHDSHealthProfessional, EHDSOrganisation, EHDSDevice | The author of the report.
| ||||||
| date |
O | 1..1 | dateTime | Date of finalising/issuing the document
| ||||||
| status |
O | 1..1 | CodeableConcept | Status of the report
| ||||||
| language |
O | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag.
| ||||||
| documentType |
O | 1..1 | CodeableConcept | Type of document (e.g. 18748-4 Diagnostic imaging study)
| ||||||
| documentTitle |
O | 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 |
O | 0..1 | Period | Time of service that is being documented
| ||||||
| attestation |
O | 0..* | Base | Document attestation details
| ||||||
| attester[x] |
O | 1..1 | EHDSHealthProfessional, EHDSDevice | Attester who validated the document
| ||||||
| datetime |
O | 1..1 | dateTime | Date and time of the approval of the document by Attester
| ||||||
| legalAuthentication |
O | 0..* | Base | Document legal authentication details
| ||||||
| legalAuthenticator[x] |
O | 1..1 | EHDSHealthProfessional, EHDSOrganisation | The person or organisation taking responsibility for the content of the document.
| ||||||
| datetime |
O | 1..1 | dateTime | Date and time when the document was authorised
| ||||||
| eventType |
O | 0..* | CodeableConcept | Categorisation of the event covered by the document (e.g. imaging study types, body regions, 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.
| ||||||
| serviceSpecialty |
O | 0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty)
| ||||||
| custodian |
O | 0..1 | EHDSOrganisation | Organisation that is in charge of maintaining the document/report.
| ||||||
| accessionNumber |
O |
| ||||||||
| intendedRecipient[x] |
O |
| ||||||||
| presentedForm |
O | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
| ||||||
| body |
O | 0..1 | Base | Imaging report structured body
| ||||||
| orderInformation |
O | 0..* | Base | Order Information (Imaging Result Report could respond to multiple orders).
| ||||||
| orderId |
O | 1..* | Identifier | Identifier(s) of the imaging service order.
| ||||||
| orderReason[x] |
O | 0..* | CodeableConcept, EHDSCondition, EHDSObservation, string | An explanation or justification for why this service is being requested.
| ||||||
| clinicalQuestion |
O | 0..1 | string | Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
| ||||||
| supportingInformation |
O | 0..1 | Base | Additional clinical information about the patient or specimen that may affect service delivery or interpretation (additional types of information may be allowed in implementations).
| ||||||
| specimen |
O | 0..* | EHDSSpecimen | Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
| ||||||
| exposureInformation |
O | 0..1 | string | Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
| ||||||
| examinationReport |
O | 1..1 | Base | Examination report content.
| ||||||
| modality |
O | 1..* | CodeableConcept | Imaging modality (or modalities) used during imaging investigation (DICOM CID029).
| ||||||
| bodySite |
O | 0..* | EHDSBodyStructure | All body parts investigated
| ||||||
| imagingProcedures |
O | 0..* | EHDSProcedure | Imaging procedure performed during imaging study.
| ||||||
| medicationAdministration |
O | 0..* | EHDSMedicationAdministration | Information about medications administered (contrast, sedation, stress agents, etc) during the procedure.
| ||||||
| adverseReaction |
O | 0..* | EHDSAllergyIntolerance | Adverse reactions manifested during imaging investigation.
| ||||||
| results[x] |
O | 0..* | EHDSObservation, string | Imaging report result data (report could consist of multiple observations)
| ||||||
| conclusion |
O | 0..1 | Base | A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
| ||||||
| impression |
O | 1..1 | string | Narrative description of the clinical conclusion (impression).
| ||||||
| conditionOrFinding[x] |
O | 0..* | EHDSCondition, EHDSObservation | Condition or finding from imaging investigation.
| ||||||
| recommendation |
O | 0..1 | Base | Recommendation section for additional imaging tests or other actions
| ||||||
| description |
O | 1..1 | string | Narrative description of the recommended activities including additional test, medication etc.
| ||||||
| carePlan |
O | 0..* | EHDSCarePlan | A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
| ||||||
| comparisonStudy |
O | 0..* | EHDSImagingReport | Documentation (reference) of a prior Imaging Report to which the current images were compared.
| ||||||
| dicomStudyMetadata |
O | 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 |
O | 0..* | EHDSAttachment | Report attachments
| ||||||
| Documentation for this format | ||||||||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| EHDSImagingReport |
0..* | EHDSImagingReport | Imaging report model | |||||||
| header |
O | 1..1 | Base | Imaging report header
| ||||||
| subject |
O | 1..1 | EHDSPatient | Patient/subject information
| ||||||
| identifier |
O | 1..* | Identifier | Unique identifier of the document
| ||||||
| author[x] |
O | 1..* | The author of the report.
| |||||||
| authorEHDSHealthProfessional |
EHDSHealthProfessional | |||||||||
| authorEHDSOrganisation |
EHDSOrganisation | |||||||||
| authorEHDSDevice |
EHDSDevice | |||||||||
| date |
O | 1..1 | dateTime | Date of finalising/issuing the document
| ||||||
| status |
O | 1..1 | CodeableConcept | Status of the report
| ||||||
| language |
O | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
| ||||||
| documentType |
O | 1..1 | CodeableConcept | Type of document (e.g. 18748-4 Diagnostic imaging study) Binding Description: (preferred): LOINC
| ||||||
| documentTitle |
O | 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 |
O | 0..1 | Period | Time of service that is being documented
| ||||||
| version |
0..1 | string | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian | |||||||
| attestation |
O | 0..* | Base | Document attestation details
| ||||||
| attester[x] |
O | 1..1 | Attester who validated the document
| |||||||
| attesterEHDSHealthProfessional |
EHDSHealthProfessional | |||||||||
| attesterEHDSDevice |
EHDSDevice | |||||||||
| datetime |
O | 1..1 | dateTime | Date and time of the approval of the document by Attester
| ||||||
| legalAuthentication |
O | 0..* | Base | Document legal authentication details
| ||||||
| legalAuthenticator[x] |
O | 1..1 | The person or organisation taking responsibility for the content of the document.
| |||||||
| legalAuthenticatorEHDSHealthProfessional |
EHDSHealthProfessional | |||||||||
| legalAuthenticatorEHDSOrganisation |
EHDSOrganisation | |||||||||
| datetime |
O | 1..1 | dateTime | Date and time when the document was authorised
| ||||||
| eventType |
O | 0..* | CodeableConcept | Categorisation of the event covered by the document (e.g. imaging study types, body regions, 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 |
O | 0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
| ||||||
| custodian |
O | 0..1 | EHDSOrganisation | Organisation that is in charge of maintaining the document/report.
| ||||||
| accessionNumber |
0..* | Identifier | 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). | |||||||
| 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 |
O | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
| ||||||
| body |
O | 0..1 | Base | Imaging report structured body
| ||||||
| orderInformation |
O | 0..* | Base | Order Information (Imaging Result Report could respond to multiple orders).
| ||||||
| orderId |
O | 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 | |||||||||
| orderReason[x] |
O | 0..* | An explanation or justification for why this service is being requested. Binding Description: (preferred): SNOMED CT
| |||||||
| orderReasonCodeableConcept |
CodeableConcept | |||||||||
| orderReasonEHDSCondition |
EHDSCondition | |||||||||
| orderReasonEHDSObservation |
EHDSObservation | |||||||||
| orderReasonString |
string | |||||||||
| clinicalQuestion |
O | 0..1 | string | Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
| ||||||
| supportingInformation |
O | 0..1 | Base | Additional clinical information about the patient or specimen that may affect service delivery or interpretation (additional types of information may be allowed in implementations).
| ||||||
| 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. | |||||||
| priorMedicationAdministration |
0..* | EHDSMedicationAdministration | Medication administered before ordering the service specifically for this procedure. | |||||||
| device |
0..* | EHDSDeviceUse | 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..1 | 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 | |||||||
| specimen |
O | 0..* | EHDSSpecimen | Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
| ||||||
| exposureInformation |
O | 0..1 | string | Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
| ||||||
| examinationReport |
O | 1..1 | Base | Examination report content.
| ||||||
| modality |
O | 1..* | CodeableConcept | Imaging modality (or modalities) used during imaging investigation (DICOM CID029). Binding Description: (preferred): DICOM Modality
| ||||||
| bodySite |
O | 0..* | EHDSBodyStructure | All body parts investigated
| ||||||
| imagingProcedures |
O | 0..* | EHDSProcedure | Imaging procedure performed during imaging study.
| ||||||
| medicationAdministration |
O | 0..* | EHDSMedicationAdministration | Information about medications administered (contrast, sedation, stress agents, etc) during the procedure.
| ||||||
| adverseReaction |
O | 0..* | EHDSAllergyIntolerance | Adverse reactions manifested during imaging investigation.
| ||||||
| results[x] |
O | 0..* | Imaging report result data (report could consist of multiple observations)
| |||||||
| resultsEHDSObservation |
EHDSObservation | |||||||||
| resultsString |
string | |||||||||
| conclusion |
O | 0..1 | Base | A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
| ||||||
| impression |
O | 1..1 | string | Narrative description of the clinical conclusion (impression).
| ||||||
| conditionOrFinding[x] |
O | 0..* | Condition or finding from imaging investigation.
| |||||||
| conditionOrFindingEHDSCondition |
EHDSCondition | |||||||||
| conditionOrFindingEHDSObservation |
EHDSObservation | |||||||||
| recommendation |
O | 0..1 | Base | Recommendation section for additional imaging tests or other actions
| ||||||
| description |
O | 1..1 | string | Narrative description of the recommended activities including additional test, medication etc.
| ||||||
| carePlan |
O | 0..* | EHDSCarePlan | A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
| ||||||
| comparisonStudy |
O | 0..* | EHDSImagingReport | Documentation (reference) of a prior Imaging Report to which the current images were compared.
| ||||||
| dicomStudyMetadata |
O | 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 |
O | 0..* | EHDSAttachment | Report attachments
| ||||||
| Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| EHDSImagingReport.header.language | Base | preferred | Not State | Unknown | |
| EHDSImagingReport.header.documentType | Base | preferred | Not State | Unknown | |
| EHDSImagingReport.header.eventType | Base | preferred | Not State | Unknown | |
| EHDSImagingReport.header.serviceSpecialty | Base | preferred | Not State | Unknown | |
| EHDSImagingReport.body.orderInformation.orderReason[x] | Base | preferred | Not State | Unknown | |
| EHDSImagingReport.body.supportingInformation.sexForClinicalUse | Base | preferred | Not State | Unknown | |
| EHDSImagingReport.body.examinationReport.modality | Base | preferred | Not State | Unknown |
This structure is derived from EHDSImagingReport
IG © 2022+ Xt-EHR. Package xtehr.eu.ehds.models#0.4.0 based on FHIR 5.0.0. Generated 2026-03-16
Links:
Table of Contents |
QA Report
The Xt-EHR action is co-funded by the European Union, EU4Health Program 2021-2027, under Grant Agreement Nr.º 101128085.
