HL7 Europe Imaging Report R4, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/imaging-r4/ 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.
| ActorDefinition: Imaging Report Consumer |
The actor responsible for consuming the Imaging Report resources. |
| ActorDefinition: Imaging Report Producer |
The actor responsible for producing the Imaging Report resources. |
The following artifacts define the specific capabilities that different types of systems are expected to have in order to comply with this implementation guide. Systems conforming to this implementation guide are expected to declare conformance to one or more of the following capability statements.
| EEHRxF Imaging Report Document Access Provider CapabilityStatement |
CapabilityStatement for the EEHRxF Imaging Report Document Access Provider actor. This composite actor provides access to EEHRxF FHIR Documents by serving them to Document Consumers via query APIs. |
| EEHRxF Imaging Report Document Consumer CapabilityStatement |
CapabilityStatement for the EEHRxF Imaging Report Document Consumer actor. This composite actor consumes EEHRxF FHIR Imaging Report Documents by querying a Imaging Report Document Access Provider. |
| EEHRxF Imaging Report Resource Access Provider CapabilityStatement |
CapabilityStatement for the EEHRxF Imaging Report Resource Access Provider actor. This actor serves clinical data resources following the International Patient Access (IPA) patterns and IHE QEDm Clinical Data Source capabilities. |
| EEHRxF Imaging Report Resource Consumer CapabilityStatement |
CapabilityStatement for the EEHRxF Imaging Report Resource Consumer actor. This actor queries for clinical data resources following the International Patient Access (IPA) patterns and IHE QEDm Clinical Data Consumer capabilities. |
These are custom operations that can be supported by and/or invoked by systems conforming to this implementation guide.
| OperationDefinition: $document on DiagnosticReport |
OperationDefinition for creating a document Bundle based on a DiagnosticReport. |
These define the properties by which a RESTful server can be searched. They can also be used for sorting and including related resources.
| SearchParameterDocumentReferenceBodySite |
Searches for document references with a specific body site. |
| SearchParameterDocumentReferenceModality |
Searches for document references with a specific modality. |
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. |
| Basic-ImagingSelection: DICOM SR Instance |
Imaging Selection referring to a DICOM SR instance |
| Basic-ImagingSelection: General |
Basic resource holding cross-version extensions for Imaging Selection allowing ImagingSelection to be used in R4. |
| Bundle: Imaging Report |
Document Bundle for Imaging Report |
| Bundle: Imaging Report Minimal Metadata |
Collection Bundle with minimal metadata for imaging report exchange |
| Composition: Imaging Report |
Clinical document used to represent a Imaging Report for the scope of the HL7 Europe project. |
| Composition: Imaging Report: Obligations |
Obligations for Composition: Imaging Report |
| 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 |
| DiagnosticReport: Imaging Report Minimal Metadata |
DiagnosticReport profile for minimal metadata imaging report exchange. This profile shares all common imaging report modeling with DiagnosticReportEuImaging but does not require a matching Composition resource. |
| DiagnosticReport: Imaging Report: Obligations |
Obligations for DiagnosticReport: Imaging Report |
| 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. |
| EEHRxF MHD DocumentReference Profile for Imaging Reports |
Profile for DocumentReference resources used in the EEHRxF context, based on the IHE MHD Minimal DocumentReference profile. This profile is used for the DocumentReference resources that represent imaging reports in the EEHRxF context. It includes additional constraints and extensions specific to imaging reports, such as the type of report, the clinical specialty, the anatomical region of interest and the profile of the imaging report. |
| EuCarePlan: Obligations |
Obligations for EuCarePlan |
| ImagingStudy: General |
This profile represents an imaging study instance. |
| ImagingStudy: General: Obligations |
Obligations for ImagingStudy: General |
| Key images represented as an ImagingSelection for R4 |
Key images represented as an ImagingSelection for R4 |
| MedicationAdministration: Obligations |
Obligations for MedicationAdministration |
| Observation: Gestational Age |
Gestational Age Observation |
| Observation: Imaging Finding |
Finding during imaging procedure. |
| Observation: Imaging Finding: Obligations |
Obligations for Observation: Imaging Finding |
| 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 |
| ObservationRadiationDoseEuImaging: Obligations |
Obligations for ObservationRadiationDoseEuImaging |
| Procedure: Imaging Acquisition |
This profile on Procedure represents the imaging procedure. In this DICOM this is referred as the 'Performed Procedure Step' (PPS). This profile is used to capture metadata about the imaging procedure itself. |
| ProcedureEuImaging: Obligations |
Obligations for ProcedureEuImaging |
| ServiceRequest: Imaging Order |
This profile on ServiceRequest represents the order for the Imaging Study and report. In DICOM this is referred
to as the Requested Procedure. The |
| ServiceRequest: Imaging Order: Obligations |
Obligations for ServiceRequest: Imaging Order |
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: 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.
| Extension: Anatomical Region |
The anatomical region in an ImagingStudy instance. This is additional information next to ImagingStudy.series.bodySite. |
| Extension: Device Attester |
Attester of type Device who validated the document |
| Extension: DocumentReference content profile |
Canonical URL of the profile represented by the referenced content. |
| Extension: HL7IDR Communication |
Communications captures what communications have been made with other care providers |
| Extension: HL7IDR DiagnosticReport Comparison Study |
Studies used for comparison in part of diagnostic reporting |
| Extension: HL7IDR Imaging Procedure |
Imaging procedure used for the imaging acquisition and procedure specific information. |
| Extension: HL7IDR Impression |
Impression in the imaging report |
| Extension: HL7IDR KeyImage Finding |
KeyImage in the imaging report |
| Extension: HL7IDR Patient History |
Patient history that are relevant for the report |
| Extension: HL7IDR Recommendation |
Recommendations for any follow up actions |
| Extension: Instance Description |
A description of the instance in an ImagingStudy. |
| Extension: Number of Frames |
The number of frames in an ImagingStudy instance as required by Xt-EHR logical ImagingStudy logical model. |
| Extension: Radiation Dose |
Radiation dose information in the imaging report |
These define sets of codes used by systems conforming to this implementation guide.
| ValueSet: Anatomical Region |
A shortlist of anatomical regions that can be used for searching reports and manifests. When the MADO manifest is implemented, this ValueSet can be replaced with a reference to that ValueSet. |
| ValueSet: DiagnosticReport supportInfo codes |
Codes to be used in |
| ValueSet: Imaging Device Type |
Imaging Device Type. |
| ValueSet: Imaging Procedure Type |
This value set includes all imaging procedure types defined in SNOMED CT. The codes represent combinations of the modality to be used and the procedure to be performed. |
| ValueSet: Imaging Study Performer Type Value Set |
Imaging Study series performer type codes, it extends on the base set defined in the FHIR specification. |
| ValueSet: Radiology Report Types |
The set of radiology types as defined by LOINC. |
| ValueSet: Reasons a section in an imaging report is empty. |
Reasons a section in an imaging report is empty. |
| ValueSet: Section codes used to label annotations. |
These codes define what an annotation annotates. |
These define new code systems used by systems conforming to this implementation guide.
| ValueSet: Diagnostic Report Support Info Code System |
Code system for codes to be used in |
| ValueSet: 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.
These are resources that are used within this implementation guide that do not fit into one of the other categories.
| BinarySemistructuredReport |
| BinaryStructuredReport |
| BinaryUnstructuredReport |