HL7 Europe Imaging Study Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.0-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/bvdh/bvdh-hl7eu-imaging/ and changes regularly. See the Directory of published versions
Contents:
This page provides a list of the FHIR artifacts defined as part of this implementation guide.
The following artifacts define the types of individuals and/or systems that will interact as part of the use cases covered by this implementation guide.
Imaging Study Report Creator |
The actor responsible for creating the Imaging Report resources. Typically this role is combined with the ImReportProvider. |
Imaging Study Report Provider |
The actor responsible for providing the Imaging Report resources. |
These are custom operations that can be supported by and/or invoked by systems conforming to this implementation guide.
OperationDefinition: create a FHIR report from a DiagnosticReport |
This operation generates a FHIR report from an DiagnosticReport resource that points to a Composition resource. Its behavior is identical to the Composition/$document operation but adds the DiagnosticReport and its referenced resources to the Bundle. |
These define data models that represent the domain covered by this implementation guide in more business-friendly terms than the underlying FHIR resources.
Address model |
EHDS refined base model for Address structure |
Advance directive model |
Healthcare directives concerning life or after life wishes of the patient |
Alert model |
Alert flag |
Allergy intolerance model |
EHDS refined base model for allergy/intolerance |
Appointment model |
EHDS refined base model for Appointment. This is a simplified model with minimal information - it is not intended to cover the full functionality of booking systems. |
Attachment model |
EHDS refined base model for This type is for containing or referencing attachments - additional data content defined in other formats. The most common use of this type is to include images or reports in some report format such as PDF. However, it can be used for any data that has a MIME type. |
Body structure model |
EHDS refined base model for Body structure |
Care plan model |
EHDS simplified model for care plan. The model includes very minimal information and is not designed to cover the full functionality of care plans. |
Condition model |
EHDS refined base model for a clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern. |
Coverage model |
EHDS refined base model for Coverage |
Current pregnancy status model |
Current pregnancy status |
DataSet model |
Common elements (including header) for all documents and their independently functioning parts, e.g FHIR resources. |
Device model |
EHDS refined base model for Device information |
Device use model |
EHDS refined base model for device use information |
Discharge Report model |
EHDS refined base model for Discharge Report |
Document model |
EHDS refined base model for common document data elements, including the common header. Data relevant to document type and its content for administrative and searching purposes. |
Dosage model |
EHDS refined base model for Dosage |
Dosaging model |
Logical model for usage instructions for administring the requested product. Based on FHIR Dosage complex data type. When implemented, this model may be reduced significantly according to the specific use case. |
Encounter model |
EHDS refined base model for Encounter |
Endpoint model |
EHDS refined base model for Endpoint |
Episode of care model |
EHDS refined base model for Episode of care |
Family member history model |
EHDS refined base model for family member history |
Functional status |
EHDS refined base model for Functional status |
Health professional model |
EHDS refined base model for Health professional (HP) |
Human name model |
EHDS refined base model for Human name |
Imaging report model |
EHDS refined base model for Medical Imaging Result Report |
Imaging study model |
EHDS refined base model for Imaging study |
Immunisation model |
EHDS refined base model for Immunisation |
Infectious contact model |
EHDS refined base model for an infectious contact |
Laboratory observation model |
EHDS refined base model for Observation performed by laboratory |
Laboratory order |
A - EHDS refined base model for Laboratory order |
Laboratory order body model |
B.1 - EHDS refined base model for Laboratory order body |
Laboratory order header model |
A.1 - EHDS refined base model for Laboratory order header data elements |
Laboratory report body model |
B.1 - EEHRxF refined base model for Laboratory result report body |
Laboratory report header model |
A.1 - EHDS refined base model for laboratory report header data elements |
Laboratory report model |
EHDS refined base model for Laboratory result report |
Location model |
EHDS refined base model for Details and position information for a place where services are provided and resources and participants may be stored, found, contained, or accommodated. |
Media model |
EHDS refined base model for A photo, video, or audio recording acquired or used in healthcare. |
Medication administration model |
EHDS refined base model for a single medication administration |
Medication dispense decline model |
Explicit statement about declining the dispense request (prescription), usually recorded in order to communicate the issue back to the prescriber. Reasons for declining a dispense may vary, but typically this statement is only sent when a following action is expected on the prescriber’s side (cancelling or changing the problematic prescription or the whole treatment). |
Medication dispense model |
Logical model for medication dispensation (based on request or independently) |
Medication model |
Logical model for prescribed/dispensed medication. The model is shared by statements, requests, dispensations, and treatment lines. Each of those may have different restrictions in FHIR profile. Model is suitable for generic/virtual medications as well as branded/real products. |
Medication prescription model |
Logical model for medication prescription. A prescription contains one or more prescription items. |
Medication statement model |
Statement about a single medication as part of a medication summary. |
Observation model |
EHDS refined base model for Observation information |
Organisation model |
EHDS refined base model for Health provider or any other type of organisation |
Patient Animal model |
EHDS refined base model for Patient:Animal |
Patient model |
EHDS refined base model for patient (subject of care) information |
Patient summary model |
EHDS refined base model for Patient Summary |
Pregnancy history model |
Pregnancy history for one pregnancy |
Procedure model |
EHDS refined base model for an action that is or was performed on or for a patient |
Related person model |
EHDS refined base model for Patient/subject guardian and other related person information |
Service request model |
EHDS refined base model for Specification of requested service or services |
Social history model |
EHDS model for social history observations |
Specimen model |
EHDS refined base model for A sample to be used for Analysis |
Substance model |
EHDS refined base model for Substance |
Substance use model |
Statement about using a substance (such as tobacco, alcohol, drugs, etc). |
Telecom model |
EHDS refined base model for Telecommunication contact information structure |
Travel history model |
Relevant information about the patient's recent travel history, for one visit |
These define constraints on FHIR resources for systems conforming to this implementation guide.
AdverseEvent: Imaging Adverse Event |
Adverse Event that occurred during an imaging procedure. |
Bundle: Imaging Report |
Document Bundle for Imaging Report |
Composition: Imaging Report |
Clinical document used to represent a Imaging Study Report for the scope of the HL7 Europe project. |
Device: Imaging Device |
The device the made the image. |
DiagnosticReport: Imaging Report |
DiagnosticReport profile for Imaging Reports. This document represents the report of an imaging study. It is the anchor resource that refers to all structured data as well as the |
DocumentReference: -MHD Imaging Report |
A DocumentReference profile for the Report DocumentReference used in MHD deployments. |
DocumentReference: Key Image |
A document containing key images for a patient. It can refer to a DICOM or non-DICOM image. When referring to a DICOM image, the DocumentReference.content.attachment.url should be a WADO-URI. When referring to a non-DICOM image, the DocumentReference.content.attachment.url should be a direct URL to the image. When the resource represents a DICOM instance it SHALL contain a the SOP Instance UID in the identifier element. When the resource represents a DICOM series it SHALL contain the Series Instance UID in the identifier element. |
ImagingSelection: DICOM SR Instance |
Imaging Selection referring to a DICOM SR instance |
ImagingSelection: General |
Imaging Selection |
ImagingSelection: Key Image |
Key images represented as an ImagingSelection |
ImagingStudy: General |
This profile represents an imaging study instance. |
Observation: Gestational Age |
Gestational Age Observation |
Observation: Imaging Finding |
Finding during imaging procedure. |
Observation: Radiation Dose |
A record for the radiation dose the subject has been exposed to during an imaging procedure. E.g. based on information from https://dicom.nema.org/medical/dicom/current/output/html/part16.html and https://build.fhir.org/ig/HL7/fhir-radiation-dose-summary-ig/index.html |
Procedure: Imaging Acquisition |
This profile on Procedure represents the imaging procedure. |
ServiceRequest: Imaging Order |
This profile on ServiceRequest represents the order for the Imaging Study and report. |
These define constraints on FHIR data types for systems conforming to this implementation guide.
Identifier: Accession Number |
This profile on Identifier represents the Accession Number for the Imaging Order. Within a Hospital Information System environment, accession numbers will usually uniquely identify a manifest or report but are not required to always map 1:1 with a report or manifest due to certain imaging workflows. The imaging report may not be uniquely identified by accession number in an overread scenario (two radiologists reading a single imaging study). The manifest may not be uniquely identified by accession number in the case that the RIS imaging request (accession number assigner) requires two imaging modalities to perform the exam, and thus produces two image manifests. In order to ensure uniqueness across Hospital Information Systems, accession numbers are required to have a system value that identifies the namespace for the issuing authority (ensuring their global uniqueness). |
Identifier: IHE-MHD Entry UUID |
entryUUID Identifier holding a UUID, based on IHE-MHD R4. |
Identifier: SOP Instance UID |
This profile on Identifier represents the SOP Instance UID (0008,0018) for the Imaging Order. |
Identifier: Study Instance UID |
This profile on Identifier represents the Study Instance UID (0020,000D) for the Imaging Order. |
These define constraints on FHIR data types for systems conforming to this implementation guide.
Document DiagnosticReport Reference |
This extension provides a reference to the DiagnosticReport instance that is associated with this Composition. |
HL7IDR Communication |
Communications captures what communications have been made with other care providers |
HL7IDR DiagnosticReport Comparison Study |
Studies used for comparison in part of diagnostic reporting |
HL7IDR Imaging Procedure |
Imaging procedure used for the imaging acquisition |
HL7IDR Impression |
Impression in the imaging report |
HL7IDR Patient History |
Patient history that are relevant for the report |
HL7IDR Recommendation |
Recommendations for any follow up actions |
Instance Description |
A description of the instance in an ImagingStudy. |
Number of Frames |
The number of frames in an ImagingStudy instance as required by Xt-EHR logical ImagingStudy logical model. |
These define sets of codes used by systems conforming to this implementation guide.
DiagnosticReport supportInfo codes |
Codes to be used in |
Dose Length Units |
Units for Dose Length. |
Effective Dose Units |
Units for Effective Dose. |
Gray Square Units |
Units for Gray Square. |
Imaging Device Type |
Imaging Device Type. |
Imaging Procedure Type |
This value set includes all imaging procedure types. |
Imaging Study Performer Type Value Set |
Imaging Study series performer type codes, it extends on the base set defined in the FHIR specification. |
Radiology Report Types |
The set of radiology types as defined by LOINC. |
Reasons a section in an imaging report is empty. |
Reasons a section in an imaging report is empty. |
Section codes used to label annotations. |
These codes define what an annotation annotates. |
XDS Class Codes |
A list of XDS class codes that can be used for filtering manifests (zie XDS_classCode_MetaData_Coding_System). Note: a IHE needs to make a formal FHIR CodeSystem for this. |
These define new code systems used by systems conforming to this implementation guide.
Diagnostic Report Support Info Code System |
Code system for codes to be used in |
Missing DICOM Terminology |
Code system for codes that are defined in DICOM but for which no matching code system is available in FHIR. |
These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.
Composition for the left/right foot study |
Example of a ImComposition showing the report for the left/right foot study |
DiagnosticReport for the left/right foot study |
Example of a ImDiagnosticReport showing the report for the left/right foot study |
Example Imaging Report |
Example of an Imaging Report Bundle for a knee MRI report. |
Imaging Report DocumentReference |
MHD DocumentReference for the knee MRI Imaging Report example. |
ImagingStudy for the left/right foot |
Example ImagingStudy showing an MRI for the left foot |
MHD Knee Mri Transaction Bundle Example |
Transaction Bundle illustrating the upload of a knee MRI Imaging Report DocumentReference with embedded PDF report. |