HL7 Europe Imaging Report R5
1.0.0-ballot - qa-preview 150

HL7 Europe Imaging Report R5, 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-r5/ and changes regularly. See the Directory of published versions

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Official URL: http://hl7.eu/fhir/imaging-r5/ImplementationGuide/hl7.fhir.eu.imaging-r5 Version: 1.0.0-ballot
Computable Name: HL7EuImagingStudyReport

Copyright/Legal: Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0).

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Acknowledgment
The development of this Implementation Guide version has been supported by the Xt-EHR Joint Action. Xt-EHR provided expertise, alignment with European health policy priorities, and validation of specifications to enable consistency with EHDS requirements.

This is the 1.0.0-ballot version of the specification to be used by WP 7.2 of Xt-EHR for public consultation.

The content of this implementation guide is discussed HL7 EU calls (HL7-eu imaging on Confluence).

This IG is available in FHIR version 4.0.1 and 5.0.0, and built from a single source repository on GitHub (https://github.com/hl7-eu/imaging)

This ballot requests feedback from the community on the following topic FHIR-56038. Which proposes a solution to an error in this R5 version due to and inconsistency between this model and an invariant in DiagnosticReport in FHIR R5.

Scope

This implementation guide specifies imaging study report data in the European context, as defined in and refined by , as a FHIR model. It defines:

  • The structure and contents of a FHIR imaging study reports.
  • Mapping between this IG and the Xt-EHR logical models for imaging reports, as functional requirements.
  • Example implementations of the defined models for Imaging Study Reports.
  • relation of this specification with the existing ecosystem, including IHE MADO, IHE RAD, and EHDS API specifications.

The specification is to be used in a variety of deployment models, which includes the EHDS use cases: exchange data within healthcare organizations, across nations/regions and cross border information exchange. In all of these use cases it is important that it is compatible with the existing ecosystem.

Current approaches within Europe use different approaches to information exchange:

  • Document based exchange, the document is represented as a FHIR Document Bundle.
  • REST API based access to documents, a and for each document including instances of the referred resources
  • REST API based access to resources, as the previous but the (important) resources are harmonized, meaning that all documents point to the same , and other resources.

The specification is being designed in such a way that it can be used in all of these deployment scenarios.

Purpose

The goal of this Implementation Guide is to define an European standard for the Imaging Report to facilitate the harmonization among the national initiatives and prepare the ground for the European EHR eXchange Format (E-EHRxF).

The development of this implementation guide is promoted by HL7 Europe, but realized in collaboration with several other European and national organizations and projects. The aspiration of this guide is to be used as basis for European National Guides, the European EHRxF ,and - consequently - by MyHealth@EU for the EU cross-border services.

FHIR specific Dependencies

IGPackageFHIR
.. HL7 Europe Imaging Report R5hl7.fhir.eu.imaging-r5#1.0.0-ballotR5
... EU Health Data APIhl7.fhir.eu.eu-health-data-api#currentR4
.... HL7 Terminology (THO)hl7.terminology.r4#7.0.1R4
..... FHIR Extensions Packhl7.fhir.uv.extensions.r4#5.2.0R4
.... HL7 Europe Base and Core FHIR IGhl7.fhir.eu.base#currentR4
..... HL7 Terminology (THO)hl7.terminology.r4#7.1.0R4
..... FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5hl7.fhir.uv.xver-r5.r4#0.0.1-snapshot-2R4
...... HL7 Terminology (THO)hl7.terminology.r4#6.5.0R4
..... HL7 Europe Extensionshl7.fhir.eu.extensions.r4#1.2.0R4
..... Medication Prescription and Dispense (MPD)ihe.pharm.mpd.r4#1.0.0-comment-2R4
...... HL7 Terminology (THO)hl7.terminology.r4#6.3.0R4
.... HL7 Europe Laboratory Reporthl7.fhir.eu.laboratory#currentR4
..... International Patient Summary Implementation Guidehl7.fhir.uv.ips#1.1.0R4
...... HL7 Terminology (THO)hl7.terminology.r4#5.0.0R4
...... fhir.dicomfhir.dicom#2022.4.20221006R4
..... HL7 Europe Extensionshl7.fhir.eu.extensions#currentR5
...... HL7 Terminology (THO)hl7.terminology.r5#7.0.1R5
... HL7 Europe Base and Core FHIR IGhl7.fhir.eu.base-r5#0.1.0R5
.... HL7 Terminology (THO)hl7.terminology.r5#6.5.0R5
.... HL7 Europe Extensionshl7.fhir.eu.extensions.r5#0.1.1R5
... FHIR Extensions Packhl7.fhir.uv.extensions#5.3.0-ballotR5
... HL7 Terminology (THO)hl7.terminology.r5#6.3.0R5
... Mobile access to Health Documents (MHD)ihe.iti.mhd#5.0.0R5
... fhir.dicomfhir.dicom#2025.3.20250714R4
... FHIR Tooling Extensions IGhl7.fhir.uv.tools.r5#0.9.0R5

Package hl7.fhir.uv.extensions.r4#5.2.0

This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Mon, Feb 10, 2025 21:45+1100+11:00)

Package hl7.fhir.uv.xver-r5.r4#0.0.1-snapshot-2

The cross-version extensions available in FHIR R4 from FHIR R5 (built Sat, Sep 13, 2025 16:55-0400-04:00)

Package hl7.fhir.eu.extensions.r4#1.2.0

This guide lists the extensions specified for the European REALM. (built Fri, Dec 19, 2025 11:52+0100+01:00)

Package ihe.pharm.mpd.r4#1.0.0-comment-2

ImplementationGuide for IHE Pharmacy Medication Prescription and Dispense (MPD) profile (built Tue, May 27, 2025 16:32+0200+02:00)

Package hl7.fhir.eu.base#current

This guide collects base and core profiles to be used in the European context. It also includes common artifacts, such as the profiles describing the European Health Insurance Card. (built Wed, Mar 11, 2026 11:22+0000+00:00)

Package hl7.fhir.uv.ips#1.1.0

International Patient Summary (IPS) FHIR Implementation Guide (built Tue, Nov 22, 2022 03:24+0000+00:00)

Package hl7.fhir.eu.extensions#current

This guide lists the extensions specified for the European REALM. (built Tue, Mar 3, 2026 08:56+0000+00:00)

Package hl7.fhir.eu.laboratory#current

This guide describes how the Laboratory Report can be represented in the European REALM. (built Mon, Feb 23, 2026 14:45+0000+00:00)

Package hl7.fhir.eu.eu-health-data-api#current

This Implementation Guide defines FHIR-based APIs for accessing and exchanging health data in the European Health Data Space (EHDS). It composes existing IHE and HL7 specifications — MHD for document exchange, SMART Backend Services for authorization, PDQm for patient matching, and IPA for resource access — into a unified conformance target for EHR systems across Europe. (built Wed, Mar 4, 2026 14:46+0000+00:00)

Package hl7.fhir.eu.extensions.r5#0.1.1

This guide lists the extensions specified for the European REALM. (built Sun, Oct 26, 2025 20:13+0100+01:00)

Package hl7.fhir.eu.base-r5#0.1.0

This guide collects base and core profiles to be used in the European context. It also includes common artifacts, such as the profiles describing the European Health Insurance Card. (built Sun, Oct 26, 2025 22:29+0100+01:00)

Package hl7.fhir.uv.extensions#5.3.0-ballot

This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Fri, Aug 1, 2025 13:17+1000+10:00)

Package hl7.fhir.eu.extensions#1.2.0

This guide lists the extensions specified for the European REALM. (built Fri, Dec 19, 2025 11:52+0100+01:00)

Package ihe.iti.mhd#5.0.0

ImplementationGuide for IHE IT Infrastructure Technical Framework Supplement Mobile access to Health Documents (MHD) (built Thu, Dec 18, 2025 09:48-0600-06:00)

Package hl7.fhir.uv.tools.r5#0.9.0

This IG defines the extensions that the tools use internally. Some of these extensions are content that are being evaluated for elevation into the main spec, and others are tooling concerns (built Tue, Dec 16, 2025 23:18+1100+11:00)

Cross Version Analysis

Global Profiles

There are no Global profiles defined

IP statements

This publication includes IP covered under the following statements.