# Imaging report model - EHDS Logical Information Models v0.4.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Imaging report model**

## Logical Model: Imaging report model 

| | |
| :--- | :--- |
| *Official URL*:http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSImagingReport | *Version*:0.4.0 |
| Draft as of 2026-03-03 | *Computable Name*:EHDSImagingReport |

 
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](StructureDefinition-EHDSImagingReport.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/xtehr.eu.ehds.models|current/StructureDefinition/EHDSImagingReport)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-EHDSImagingReport.csv), [Excel](StructureDefinition-EHDSImagingReport.xlsx) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "EHDSImagingReport",
  "url" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSImagingReport",
  "version" : "0.4.0",
  "name" : "EHDSImagingReport",
  "title" : "Imaging report model",
  "status" : "draft",
  "date" : "2026-03-03T22:34:02+00:00",
  "publisher" : "Xt-EHR",
  "contact" : [{
    "name" : "Xt-EHR",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.xt-ehr.eu/"
    }]
  }],
  "description" : "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.",
  "fhirVersion" : "5.0.0",
  "mapping" : [{
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  }],
  "kind" : "logical",
  "abstract" : false,
  "type" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSImagingReport",
  "baseDefinition" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDocument",
  "derivation" : "specialization",
  "differential" : {
    "element" : [{
      "id" : "EHDSImagingReport",
      "path" : "EHDSImagingReport",
      "short" : "Imaging report model",
      "definition" : "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."
    },
    {
      "id" : "EHDSImagingReport.header",
      "path" : "EHDSImagingReport.header",
      "short" : "Imaging report header"
    },
    {
      "id" : "EHDSImagingReport.header.author[x]",
      "path" : "EHDSImagingReport.header.author[x]",
      "short" : "The author of the report.",
      "definition" : "The author of the report."
    },
    {
      "id" : "EHDSImagingReport.header.status",
      "path" : "EHDSImagingReport.header.status",
      "short" : "Status of the report",
      "definition" : "Status of the report"
    },
    {
      "id" : "EHDSImagingReport.header.documentType",
      "path" : "EHDSImagingReport.header.documentType",
      "short" : "Type of document (e.g. 18748-4 Diagnostic imaging study)",
      "definition" : "Type of document (e.g. 18748-4 Diagnostic imaging study)"
    },
    {
      "id" : "EHDSImagingReport.header.eventType",
      "path" : "EHDSImagingReport.header.eventType",
      "short" : "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.",
      "definition" : "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."
    },
    {
      "id" : "EHDSImagingReport.header.accessionNumber",
      "path" : "EHDSImagingReport.header.accessionNumber",
      "short" : "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).",
      "definition" : "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).",
      "requirements" : "eHN Guideline IMG (v1.1): A.1.8.11",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }]
    },
    {
      "id" : "EHDSImagingReport.header.intendedRecipient[x]",
      "path" : "EHDSImagingReport.header.intendedRecipient[x]",
      "short" : "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",
      "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",
      "requirements" : "eHN Guideline IMG (v1.1): A.1.4",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient"
      },
      {
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSRelatedPerson"
      },
      {
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional"
      },
      {
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation"
      },
      {
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice"
      }]
    },
    {
      "id" : "EHDSImagingReport.body",
      "path" : "EHDSImagingReport.body",
      "short" : "Imaging report structured body",
      "definition" : "Imaging report structured body",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Base"
      }]
    },
    {
      "id" : "EHDSImagingReport.body.orderInformation",
      "path" : "EHDSImagingReport.body.orderInformation",
      "short" : "Order Information (Imaging Result Report could respond to multiple orders).",
      "definition" : "Order Information (Imaging Result Report could respond to multiple orders).",
      "requirements" : "eHN Guideline IMG (v1.1): A.2",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Base"
      }]
    },
    {
      "id" : "EHDSImagingReport.body.orderInformation.orderId",
      "path" : "EHDSImagingReport.body.orderInformation.orderId",
      "short" : "Identifier(s) of the imaging service order.",
      "definition" : "Identifier(s) of the imaging service order.",
      "min" : 1,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }]
    },
    {
      "id" : "EHDSImagingReport.body.orderInformation.orderDateAndTime",
      "path" : "EHDSImagingReport.body.orderInformation.orderDateAndTime",
      "short" : "Date and time of the order placement.",
      "definition" : "Date and time of the order placement.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      }]
    },
    {
      "id" : "EHDSImagingReport.body.orderInformation.orderPlacer[x]",
      "path" : "EHDSImagingReport.body.orderInformation.orderPlacer[x]",
      "short" : "The person/organisation \"authorised\" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.",
      "definition" : "The person/organisation \"authorised\" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional"
      },
      {
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation"
      },
      {
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient"
      }]
    },
    {
      "id" : "EHDSImagingReport.body.orderInformation.orderReason[x]",
      "path" : "EHDSImagingReport.body.orderInformation.orderReason[x]",
      "short" : "An explanation or justification for why this service is being requested.",
      "definition" : "An explanation or justification for why this service is being requested.",
      "requirements" : "eHN Guideline IMG (v1.1): A.3.1, A3.2",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      },
      {
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition"
      },
      {
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation"
      },
      {
        "code" : "string"
      }],
      "binding" : {
        "strength" : "preferred",
        "description" : "SNOMED CT"
      }
    },
    {
      "id" : "EHDSImagingReport.body.orderInformation.clinicalQuestion",
      "path" : "EHDSImagingReport.body.orderInformation.clinicalQuestion",
      "short" : "Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.",
      "definition" : "Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.",
      "requirements" : "eHN Guideline IMG (v1.1): A.3.3",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "EHDSImagingReport.body.supportingInformation",
      "path" : "EHDSImagingReport.body.supportingInformation",
      "short" : "Additional clinical information about the patient or specimen that may affect service delivery or interpretation (additional types of information may be allowed in implementations).",
      "definition" : "This information includes diagnosis, clinical findings and other observations. This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the metal implants present in patient's body.",
      "requirements" : "eHN Guideline IMG (v1.1): A3.2?",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Base"
      }]
    },
    {
      "id" : "EHDSImagingReport.body.supportingInformation.observation",
      "path" : "EHDSImagingReport.body.supportingInformation.observation",
      "short" : "Clinical findings and other observations (e.g., height and weights of the patient).",
      "definition" : "Clinical findings and other observations (e.g., height and weights of the patient).",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation"
      }]
    },
    {
      "id" : "EHDSImagingReport.body.supportingInformation.condition",
      "path" : "EHDSImagingReport.body.supportingInformation.condition",
      "short" : "Conditions that may influence the service or result interpretation.",
      "definition" : "Conditions that may influence the service or result interpretation.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition"
      }]
    },
    {
      "id" : "EHDSImagingReport.body.supportingInformation.priorMedicationAdministration",
      "path" : "EHDSImagingReport.body.supportingInformation.priorMedicationAdministration",
      "short" : "Medication administered before ordering the service specifically for this procedure.",
      "definition" : "Medication administered before ordering the service specifically for this procedure.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationAdministration"
      }]
    },
    {
      "id" : "EHDSImagingReport.body.supportingInformation.device",
      "path" : "EHDSImagingReport.body.supportingInformation.device",
      "short" : "List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).",
      "definition" : "List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDeviceUse"
      }]
    },
    {
      "id" : "EHDSImagingReport.body.supportingInformation.pregnancyStatus",
      "path" : "EHDSImagingReport.body.supportingInformation.pregnancyStatus",
      "short" : "Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).",
      "definition" : "Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCurrentPregnancy"
      }]
    },
    {
      "id" : "EHDSImagingReport.body.supportingInformation.sexForClinicalUse",
      "path" : "EHDSImagingReport.body.supportingInformation.sexForClinicalUse",
      "short" : "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.",
      "definition" : "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.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "strength" : "preferred",
        "description" : "HL7 sex-parameter-for-clinical-use"
      }
    },
    {
      "id" : "EHDSImagingReport.body.specimen",
      "path" : "EHDSImagingReport.body.specimen",
      "short" : "Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.",
      "definition" : "Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.",
      "requirements" : "eHN Guideline IMG (v1.1): A.4",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSSpecimen"
      }]
    },
    {
      "id" : "EHDSImagingReport.body.exposureInformation",
      "path" : "EHDSImagingReport.body.exposureInformation",
      "short" : "Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.",
      "definition" : "Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.",
      "requirements" : "eHN Guideline IMG (v1.1): B.1.4.4, Article 2 Imaging report definition",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "EHDSImagingReport.body.examinationReport",
      "path" : "EHDSImagingReport.body.examinationReport",
      "short" : "Examination report content.",
      "definition" : "Examination report content.",
      "requirements" : "eHN Guideline IMG (v1.1): A.5",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Base"
      }]
    },
    {
      "id" : "EHDSImagingReport.body.examinationReport.modality",
      "path" : "EHDSImagingReport.body.examinationReport.modality",
      "short" : "Imaging modality (or modalities) used during imaging investigation (DICOM CID029).",
      "definition" : "Imaging modality (or modalities) used during imaging investigation (DICOM CID029).",
      "requirements" : "eHN Guideline IMG (v1.1): A.5.1.1",
      "min" : 1,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "strength" : "preferred",
        "description" : "DICOM Modality"
      }
    },
    {
      "id" : "EHDSImagingReport.body.examinationReport.bodySite",
      "path" : "EHDSImagingReport.body.examinationReport.bodySite",
      "short" : "All body parts investigated",
      "definition" : "All body parts investigated",
      "requirements" : "eHN Guideline IMG (v1.1): A.5.1.6",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSBodyStructure"
      }]
    },
    {
      "id" : "EHDSImagingReport.body.examinationReport.imagingProcedures",
      "path" : "EHDSImagingReport.body.examinationReport.imagingProcedures",
      "short" : "Imaging procedure performed during imaging study.",
      "definition" : "Imaging procedure performed during imaging study.",
      "requirements" : "eHN Guideline IMG (v1.1): A.5.1.2-A.5.1.9",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSProcedure"
      }]
    },
    {
      "id" : "EHDSImagingReport.body.examinationReport.medicationAdministration",
      "path" : "EHDSImagingReport.body.examinationReport.medicationAdministration",
      "short" : "Information about medications administered (contrast, sedation, stress agents, etc) during the procedure.",
      "definition" : "Information about medications administered (contrast, sedation, stress agents, etc) during the procedure.",
      "requirements" : "eHN Guideline IMG (v1.1): A.5.2",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationAdministration"
      }]
    },
    {
      "id" : "EHDSImagingReport.body.examinationReport.adverseReaction",
      "path" : "EHDSImagingReport.body.examinationReport.adverseReaction",
      "short" : "Adverse reactions manifested during imaging investigation.",
      "definition" : "Adverse reactions manifested during imaging investigation.",
      "requirements" : "eHN Guideline IMG (v1.1): A.5.3",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAllergyIntolerance"
      }]
    },
    {
      "id" : "EHDSImagingReport.body.examinationReport.results[x]",
      "path" : "EHDSImagingReport.body.examinationReport.results[x]",
      "short" : "Imaging report result data (report could consist of multiple observations)",
      "definition" : "Imaging report result data (report could consist of multiple observations)",
      "requirements" : "eHN Guideline IMG (v1.1): A.5.4, A.5.4.1, A.5.4.3",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation"
      },
      {
        "code" : "string"
      }]
    },
    {
      "id" : "EHDSImagingReport.body.examinationReport.conclusion",
      "path" : "EHDSImagingReport.body.examinationReport.conclusion",
      "short" : "A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.",
      "definition" : "A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.",
      "requirements" : "eHN Guideline IMG (v1.1): A.5.5",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Base"
      }]
    },
    {
      "id" : "EHDSImagingReport.body.examinationReport.conclusion.impression",
      "path" : "EHDSImagingReport.body.examinationReport.conclusion.impression",
      "short" : "Narrative description of the clinical conclusion (impression).",
      "definition" : "Narrative description of the clinical conclusion (impression).",
      "requirements" : "eHN Guideline IMG (v1.1): A.5.5.1",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "EHDSImagingReport.body.examinationReport.conclusion.conditionOrFinding[x]",
      "path" : "EHDSImagingReport.body.examinationReport.conclusion.conditionOrFinding[x]",
      "short" : "Condition or finding from imaging investigation.",
      "definition" : "Condition or finding from imaging investigation.",
      "requirements" : "eHN Guideline IMG (v1.1): A.5.5.2",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition"
      },
      {
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation"
      }]
    },
    {
      "id" : "EHDSImagingReport.body.recommendation",
      "path" : "EHDSImagingReport.body.recommendation",
      "short" : "Recommendation section for additional imaging tests or other actions",
      "definition" : "Recommendation section for additional imaging tests or other actions",
      "requirements" : "eHN Guideline IMG (v1.1): A.5.6",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Base"
      }]
    },
    {
      "id" : "EHDSImagingReport.body.recommendation.description",
      "path" : "EHDSImagingReport.body.recommendation.description",
      "short" : "Narrative description of the recommended activities including additional test, medication etc.",
      "definition" : "Narrative description of the recommended activities including additional test, medication etc.",
      "requirements" : "eHN Guideline IMG (v1.1): A.5.6.1",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "EHDSImagingReport.body.recommendation.carePlan",
      "path" : "EHDSImagingReport.body.recommendation.carePlan",
      "short" : "A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.",
      "definition" : "A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.",
      "requirements" : "eHN Guideline IMG (v1.1): A.5.6.2",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCarePlan"
      }]
    },
    {
      "id" : "EHDSImagingReport.body.comparisonStudy",
      "path" : "EHDSImagingReport.body.comparisonStudy",
      "short" : "Documentation (reference) of a prior Imaging Report to which the current images were compared.",
      "definition" : "Documentation (reference) of a prior Imaging Report to which the current images were compared.",
      "requirements" : "eHN Guideline IMG (v1.1): A.7",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSImagingReport"
      }]
    },
    {
      "id" : "EHDSImagingReport.dicomStudyMetadata",
      "path" : "EHDSImagingReport.dicomStudyMetadata",
      "short" : "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.",
      "definition" : "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.",
      "requirements" : "eHN Guideline IMG (v1.1): A.6",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSImagingStudy"
      }]
    },
    {
      "id" : "EHDSImagingReport.attachments",
      "path" : "EHDSImagingReport.attachments",
      "short" : "Report attachments",
      "definition" : "Report attachments",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment"
      }]
    }]
  }
}

```
