EU 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
This example addresses representing a imaging report that has the minimal amount of the structured data.
The structure of this report is illustrated in the figure below.
This example corresponds to the Renderable format with minimal metadata data format.
The report is represented by a collection Bundle containing a DiagnosticReport and its patient context. The DiagnosticReport references the reporting Organization and the renderable report payload.
Resources used in this example:
DiagnosticReport.presentedForm.The full report Bundle resource is presented below.
{
"resourceType" : "Bundle",
"id" : "bundle-report-minimal-metadata-unstructured",
...
"type" : "collection",
"entry" : [
{
"fullUrl" : "urn:uuid:8f6d9c62-1b2a-4f3c-9d0e-7a6b5c4d3e2f",
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "DiagnosticReportMinimalMetadata",
"meta" : {
"profile" : [
🔗 "http://hl7.eu/fhir/imaging/StructureDefinition/DiagnosticReportEuImagingMinimalMetadata"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_DiagnosticReportMinimalMetadata\"> </a>\n<div>\n <table class=\"grid dict\">\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td>DiagnosticReportMinimalMetadata</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Code: </b></th>\n <td>\n\n \n <p style=\"margin-bottom: 5px;\">\n \n <span>Diagnostic imaging report - example sections and entries</span>\n \n \n <span>(</span>\n \n <span><a href=\"https://loinc.org/\">http://loinc.org</a>:</span>\n \n \n <span>85430-7</span>\n \n <span>)</span>\n \n </p>\n \n\n</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\">\n <b>\n \n Identifier:\n \n </b>\n </th>\n <td>\n <p style=\"margin-bottom: 5px;\">\n \n <span><a href=\"http://example.org/myhospital/reportidentifiers\">http://example.org/myhospital/reportidentifiers</a>: </span>\n \n \n <span>unstructured-report-001</span>\n \n </p>\n </td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>BasedOn: </b></th>\n <td>Identifier: Accession ID/ACC-123456789</td>\n </tr>\n \n\n \n <tr>\n <th scope=\"row\"><b>Status: </b></th>\n <td>final</td>\n </tr>\n \n\n \n \n \n <tr>\n <th scope=\"row\"><b>Category: </b></th>\n <td>\n \n \n\n \n <p style=\"margin-bottom: 5px;\">\n \n \n <span>(</span>\n \n <span><a href=\"http://hl7.eu/fhir/health-data-api/1.0.0-ballot/CodeSystem-eehrxf-document-priority-category-cs.html\">http://hl7.eu/fhir/health-data-api/CodeSystem/eehrxf-document-priority-category-cs</a>:</span>\n \n \n <span>Medical-Imaging</span>\n \n <span>)</span>\n \n </p>\n \n\n\n \n \n\n \n <p style=\"margin-bottom: 5px;\">\n \n \n <span>(</span>\n \n <span><a href=\"https://loinc.org/\">http://loinc.org</a>:</span>\n \n \n <span>85430-7</span>\n \n <span>)</span>\n \n </p>\n \n\n\n \n </td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Subject: </b></th>\n \n <td><a href=\"Bundle-bundle-report-minimal-metadata-unstructured.html#urn-uuid-1d3c5b7a-9e0f-4a2b-8c6d-5e4f3a2b1c0d\">Jane Doe(official) (no stated gender), DoB: 1976-04-29</a> </td>\n \n </tr>\n \n\n \n \n \n\n \n <tr>\n <th scope=\"row\"><b>Performer: </b></th>\n <td>\n \n <p><a href=\"Organization-OrganizationUnstructuredReport.html\">Rediologie Zentrum Bremen</a></p>\n \n </td>\n </tr>\n \n\n \n\n \n\n \n\n \n\n \n\n\n \n \n \n <tr>\n <th scope=\"row\"><b>Presented form: </b></th>\n <td>\n <ul>\n \n <li>application/pdf @ <a href=\"Binary/BinaryUnstructuredReport\">Binary/BinaryUnstructuredReport</a></li>\n \n </ul>\n </td>\n </tr> \n \n </table>\n</div>\n</div>"
},
"identifier" : [
{
"system" : "http://example.org/myhospital/reportidentifiers",
"value" : "unstructured-report-001"
}
],
"basedOn" : [
{
"identifier" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "ACSN"
}
]
},
"system" : "http://example.org/myhospital/accessionsystem",
"value" : "ACC-123456789"
}
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://hl7.eu/fhir/health-data-api/CodeSystem/eehrxf-document-priority-category-cs",
"code" : "Medical-Imaging"
}
]
},
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "85430-7"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "85430-7",
"display" : "Diagnostic imaging report - example sections and entries"
}
]
},
"subject" : {
"reference" : "urn:uuid:1d3c5b7a-9e0f-4a2b-8c6d-5e4f3a2b1c0d"
},
"performer" : [
{
🔗 "reference" : "Organization/OrganizationUnstructuredReport"
}
],
"imagingStudy" : [
{
"identifier" : {
"type" : {
"coding" : [
{
"system" : "http://dicom.nema.org/resources/ontology/DCM",
"code" : "110180",
"display" : "Study Instance UID"
}
]
},
"system" : "urn:dicom:uid",
"value" : "1.2.840.113619.2.55.3.604688123.783.1704067200.1"
}
}
],
"presentedForm" : [
{
"contentType" : "application/pdf",
"language" : "de",
"url" : "Binary/BinaryUnstructuredReport",
"creation" : "2024-01-01T00:00:00Z"
}
]
}
},
{
"fullUrl" : "urn:uuid:1d3c5b7a-9e0f-4a2b-8c6d-5e4f3a2b1c0d",
"resource" : {
"resourceType" : "Patient",
"id" : "PatientUnstructuredReport",
"meta" : {
"profile" : [
🔗 "http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_PatientUnstructuredReport\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient PatientUnstructuredReport</b></p><a name=\"PatientUnstructuredReport\"> </a><a name=\"hcPatientUnstructuredReport\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.eu/fhir/base/2.0.1/StructureDefinition-patient-eu-core.html\">Patient (EU core)</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Jane Doe(official) (no stated gender), DoB: 1976-04-29</p><hr/></div>"
},
"name" : [
{
"use" : "official",
"text" : "Jane Doe",
"family" : "Doe",
"given" : [
"Jane"
]
}
],
"birthDate" : "1976-04-29"
}
}
]
}