HL7 Europe Imaging Report R5, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.1-build 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

• Content
• Detailed Descriptions
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Logical Model: Imaging report model

EHDS refined base model for Medical Imaging Result Report

Usages:

• Use this Logical Model: Imaging report model

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EHDSImagingReport		0..*	EHDSDocument	Imaging report model Elements defined in Ancestors:header, presentedForm, header, knowledgeResources Instances of this logical model can be the target of a Reference
header		1..1	Base	Imaging Report header
accessionNumber		0..1	string	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). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border.
healthInsuranceAndPaymentInformation		0..*	EHDSCoverage	Health insurance and payment information
intendedRecipient[x]		0..*		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
intendedRecipientEHDSPatient			EHDSPatient
intendedRecipientEHDSRelatedPerson			EHDSRelatedPerson
intendedRecipientEHDSHealthProfessional			EHDSHealthProfessional
intendedRecipientEHDSOrganisation			EHDSOrganisation
intendedRecipientEHDSDevice			EHDSDevice
knowledgeResources		0..0
body		0..1	Base	Imaging Report structured body
orderInformation		0..*	Base	Order Information (Imaging Result Report could respond to multiple orders).
orderId		1..*	Identifier	Identifier(s) of the imaging service order.
orderDateAndTime		0..1	dateTime	Date and time of the order placement.
orderPlacer[x]		0..1		The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
orderPlacerEHDSHealthProfessional			EHDSHealthProfessional
orderPlacerEHDSOrganisation			EHDSOrganisation
orderPlacerEHDSPatient			EHDSPatient
orderReasonText		0..*	string	An explanation or justification for why this service is being requested in textual form.
orderReason[x]		0..*		An explanation or justification for why this service is being requested in coded or structured form. Binding Description: (preferred): SNOMED CT
orderReasonCodeableConcept			CodeableConcept
orderReasonEHDSCondition			EHDSCondition
orderReasonEHDSObservation			EHDSObservation
clinicalQuestion		0..1	string	Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
supportingInformation		0..1	Base	Additional clinical information about the patient or specimen that may affect service delivery or interpretation.
observation		0..*	EHDSObservation	Clinical findings and other observations (e.g., height and weights of the patient).
condition		0..*	EHDSCondition	Conditions that may influence the service or result interpretation.
medicationAdministration		0..*	EHDSMedicationAdministration	Medication administered before ordering the service.
devices		0..*	EHDSDevice	List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
pregnancyStatus		0..1	EHDSCurrentPregnancy	Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
sexForClinicalUse		0..*	CodeableConcept	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. Binding Description: (preferred): HL7 sex-parameter-for-clinical-use
otherSupportingInformation		0..*	Resource	Any other type of relevant supporting information
specimen		0..*	EHDSSpecimen	Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
serviceRequest		0..*	EHDSServiceRequest	Specification of requested service(s).
exposureInformation		0..1	Base	Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
effectiveDose		0..*	Quantity	Effective dose - sum of equivalent doses to all organs, from external and/or internal exposures, each adjusted to account for the sensitivity of the organ to radiation. [mSv] Binding Description: (preferred): UCUM (for units)
equivalentDoseInformation		1..1	Base	Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
equivalentDose		1..1	Quantity	Equivalent dose is a measure of the radiation dose to tissue where an attempt has been made to allow for the different relative biological effects of different types of ionizing radiation. Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv]. Binding Description: (preferred): UCUM (for units)
tissueType		1..1	CodeableConcept	Type of the tissue for which do dosage was enumerated. Binding Description: (preferred): SNOMED CT
examinationReport		1..1	Base	Examination report content.
modality		1..*	CodeableConcept	Imaging modality (or modalities) used during imaging investigation (DICOM CID029). Binding Description: (preferred): DICOM Modality
bodyPart		0..*	EHDSBodyStructure	All body parts investigated
imagingProcedures		0..*	EHDSProcedure	Imaging procedure performed during imaging study.
medication		0..*	EHDSMedicationAdministration	Information about medication administered (contrast, sedation, stress agents), etc.
adverseReaction		0..*	EHDSAllergyIntolerance	Adverse reactions manifested during imaging investigation.
resultData		0..1	Base	Imaging report result data
resultText		1..1	string	Comments and narrative representation of the observation results and findings.
observationResults		0..*	EHDSObservation	Observation details (report could consist of multiple observations)
conclusion		1..1	Base	A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
impression		1..1	string	Narrative description of the clinical conclusion (impression).
conditionOrFinding[x]		0..*		Condition or finding from imaging investigation.
conditionOrFindingEHDSCondition			EHDSCondition
conditionOrFindingEHDSObservation			EHDSObservation
recommendation		0..1	Base	Recommendations for additional imaging tests or other actions
description		1..1	string	Narrative description of the recommended activities including additional test, medication etc.
carePlan		0..*	EHDSCarePlan	A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
comparisonStudy		0..*	EHDSImagingReport	Documentation (reference) of a prior Imaging Report to which the current images were compared.
dicomStudyMetadata		0..*	EHDSImagingStudy	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.
attachments[x]		0..*		Report attachments data elements
attachmentsEHDSAttachment			EHDSAttachment
attachmentsEHDSMedia			EHDSMedia
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
EHDSImagingReport.body.​orderInformation.orderReason[x]	Base	preferred		Not Stated	Unknown
EHDSImagingReport.body.​orderInformation.supportingInformation.​sexForClinicalUse	Base	preferred		Not Stated	Unknown
EHDSImagingReport.body.​exposureInformation.​effectiveDose	Base	preferred		Not Stated	Unknown
EHDSImagingReport.body.​exposureInformation.​equivalentDoseInformation.​equivalentDose	Base	preferred		Not Stated	Unknown
EHDSImagingReport.body.​exposureInformation.​equivalentDoseInformation.​tissueType	Base	preferred		Not Stated	Unknown
EHDSImagingReport.body.​examinationReport.modality	Base	preferred		Not Stated	Unknown

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EHDSImagingReport		0..*	EHDSDocument	Imaging report model Elements defined in Ancestors:header, presentedForm, header, knowledgeResources Instances of this logical model can be the target of a Reference
header		1..1	Base	Imaging Report header
subject		1..1	EHDSPatient	Subject
identifier		1..*	Identifier	Document ID
authorship		1..*	Base	Authorship
author[x]		1..1		Author
authorEHDSHealthProfessional			EHDSHealthProfessional
authorEHDSOrganisation			EHDSOrganisation
authorEHDSDevice			EHDSDevice
datetime		1..1	dateTime	Date and time of authoring/issuing
lastUpdate		0..1	dateTime	Date and time of the last update to the resource
status		1..1	CodeableConcept	Status of the resource
statusReason[x]		0..1		Reason for the current status of the resource.
statusReasonCodeableConcept			CodeableConcept
statusReasonString			string
language		0..1	CodeableConcept	Language Binding Description: (preferred): BCP 47
version		0..1	string	Version
documentType		1..1	CodeableConcept	Document type Binding Description: (preferred): LOINC
documentTitle		1..1	string	Document title
documentStatus		1..1	CodeableConcept	Document status Binding Description: (preferred): hl7:CompositionStatus
period		0..1	Period	Period
attestation		0..*	Base	Attestation
attester		1..1	EHDSHealthProfessional	Attester
datetime		1..1	dateTime	DateTime
legalAuthentication		0..1	Base	Legal authentication
legalAuthenticator		1..1	EHDSHealthProfessional	Legal authenticator
datetime		1..1	dateTime	DateTime
eventType		0..*	CodeableConcept	Event type Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
authorSpecialty		0..*	CodeableConcept	Specialty Binding Description: (preferred): SNOMED CT
custodian		1..1	EHDSOrganisation	Document custodian
documentFormat		0..1	CodeableConcept	Document format Binding Description: (preferred): HL7 Document Format Codes
confidentiality		0..1	CodeableConcept	Confidentiality Binding Description: (preferred): hl7:Confidentiality
accessionNumber		0..1	string	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). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border.
healthInsuranceAndPaymentInformation		0..*	EHDSCoverage	Health insurance and payment information
intendedRecipient[x]		0..*		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
intendedRecipientEHDSPatient			EHDSPatient
intendedRecipientEHDSRelatedPerson			EHDSRelatedPerson
intendedRecipientEHDSHealthProfessional			EHDSHealthProfessional
intendedRecipientEHDSOrganisation			EHDSOrganisation
intendedRecipientEHDSDevice			EHDSDevice
presentedForm		0..*	EHDSAttachment	A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
body		0..1	Base	Imaging Report structured body
orderInformation		0..*	Base	Order Information (Imaging Result Report could respond to multiple orders).
orderId		1..*	Identifier	Identifier(s) of the imaging service order.
orderDateAndTime		0..1	dateTime	Date and time of the order placement.
orderPlacer[x]		0..1		The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
orderPlacerEHDSHealthProfessional			EHDSHealthProfessional
orderPlacerEHDSOrganisation			EHDSOrganisation
orderPlacerEHDSPatient			EHDSPatient
orderReasonText		0..*	string	An explanation or justification for why this service is being requested in textual form.
orderReason[x]		0..*		An explanation or justification for why this service is being requested in coded or structured form. Binding Description: (preferred): SNOMED CT
orderReasonCodeableConcept			CodeableConcept
orderReasonEHDSCondition			EHDSCondition
orderReasonEHDSObservation			EHDSObservation
clinicalQuestion		0..1	string	Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
supportingInformation		0..1	Base	Additional clinical information about the patient or specimen that may affect service delivery or interpretation.
observation		0..*	EHDSObservation	Clinical findings and other observations (e.g., height and weights of the patient).
condition		0..*	EHDSCondition	Conditions that may influence the service or result interpretation.
medicationAdministration		0..*	EHDSMedicationAdministration	Medication administered before ordering the service.
devices		0..*	EHDSDevice	List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
pregnancyStatus		0..1	EHDSCurrentPregnancy	Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
sexForClinicalUse		0..*	CodeableConcept	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. Binding Description: (preferred): HL7 sex-parameter-for-clinical-use
otherSupportingInformation		0..*	Resource	Any other type of relevant supporting information
specimen		0..*	EHDSSpecimen	Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
serviceRequest		0..*	EHDSServiceRequest	Specification of requested service(s).
exposureInformation		0..1	Base	Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
effectiveDose		0..*	Quantity	Effective dose - sum of equivalent doses to all organs, from external and/or internal exposures, each adjusted to account for the sensitivity of the organ to radiation. [mSv] Binding Description: (preferred): UCUM (for units)
equivalentDoseInformation		1..1	Base	Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
equivalentDose		1..1	Quantity	Equivalent dose is a measure of the radiation dose to tissue where an attempt has been made to allow for the different relative biological effects of different types of ionizing radiation. Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv]. Binding Description: (preferred): UCUM (for units)
tissueType		1..1	CodeableConcept	Type of the tissue for which do dosage was enumerated. Binding Description: (preferred): SNOMED CT
examinationReport		1..1	Base	Examination report content.
modality		1..*	CodeableConcept	Imaging modality (or modalities) used during imaging investigation (DICOM CID029). Binding Description: (preferred): DICOM Modality
bodyPart		0..*	EHDSBodyStructure	All body parts investigated
imagingProcedures		0..*	EHDSProcedure	Imaging procedure performed during imaging study.
medication		0..*	EHDSMedicationAdministration	Information about medication administered (contrast, sedation, stress agents), etc.
adverseReaction		0..*	EHDSAllergyIntolerance	Adverse reactions manifested during imaging investigation.
resultData		0..1	Base	Imaging report result data
resultText		1..1	string	Comments and narrative representation of the observation results and findings.
observationResults		0..*	EHDSObservation	Observation details (report could consist of multiple observations)
conclusion		1..1	Base	A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
impression		1..1	string	Narrative description of the clinical conclusion (impression).
conditionOrFinding[x]		0..*		Condition or finding from imaging investigation.
conditionOrFindingEHDSCondition			EHDSCondition
conditionOrFindingEHDSObservation			EHDSObservation
recommendation		0..1	Base	Recommendations for additional imaging tests or other actions
description		1..1	string	Narrative description of the recommended activities including additional test, medication etc.
carePlan		0..*	EHDSCarePlan	A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
comparisonStudy		0..*	EHDSImagingReport	Documentation (reference) of a prior Imaging Report to which the current images were compared.
dicomStudyMetadata		0..*	EHDSImagingStudy	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.
attachments[x]		0..*		Report attachments data elements
attachmentsEHDSAttachment			EHDSAttachment
attachmentsEHDSMedia			EHDSMedia
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
EHDSImagingReport.header.​language	Base	preferred		Not Stated	Unknown
EHDSImagingReport.header.​documentType	Base	preferred		Not Stated	Unknown
EHDSImagingReport.header.​documentStatus	Base	preferred		Not Stated	Unknown
EHDSImagingReport.header.​eventType	Base	preferred		Not Stated	Unknown
EHDSImagingReport.header.​authorSpecialty	Base	preferred		Not Stated	Unknown
EHDSImagingReport.header.​documentFormat	Base	preferred		Not Stated	Unknown
EHDSImagingReport.header.​confidentiality	Base	preferred		Not Stated	Unknown
EHDSImagingReport.body.​orderInformation.orderReason[x]	Base	preferred		Not Stated	Unknown
EHDSImagingReport.body.​orderInformation.supportingInformation.​sexForClinicalUse	Base	preferred		Not Stated	Unknown
EHDSImagingReport.body.​exposureInformation.​effectiveDose	Base	preferred		Not Stated	Unknown
EHDSImagingReport.body.​exposureInformation.​equivalentDoseInformation.​equivalentDose	Base	preferred		Not Stated	Unknown
EHDSImagingReport.body.​exposureInformation.​equivalentDoseInformation.​tissueType	Base	preferred		Not Stated	Unknown
EHDSImagingReport.body.​examinationReport.modality	Base	preferred		Not Stated	Unknown

Summary

Mandatory: 0 element(10 nested mandatory elements)
Prohibited: 1 element

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EHDSImagingReport		0..*	EHDSDocument	Imaging report model Elements defined in Ancestors:header, presentedForm, header, knowledgeResources Instances of this logical model can be the target of a Reference
header		1..1	Base	Imaging Report header
accessionNumber		0..1	string	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). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border.
healthInsuranceAndPaymentInformation		0..*	EHDSCoverage	Health insurance and payment information
intendedRecipient[x]		0..*		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
intendedRecipientEHDSPatient			EHDSPatient
intendedRecipientEHDSRelatedPerson			EHDSRelatedPerson
intendedRecipientEHDSHealthProfessional			EHDSHealthProfessional
intendedRecipientEHDSOrganisation			EHDSOrganisation
intendedRecipientEHDSDevice			EHDSDevice
knowledgeResources		0..0
body		0..1	Base	Imaging Report structured body
orderInformation		0..*	Base	Order Information (Imaging Result Report could respond to multiple orders).
orderId		1..*	Identifier	Identifier(s) of the imaging service order.
orderDateAndTime		0..1	dateTime	Date and time of the order placement.
orderPlacer[x]		0..1		The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
orderPlacerEHDSHealthProfessional			EHDSHealthProfessional
orderPlacerEHDSOrganisation			EHDSOrganisation
orderPlacerEHDSPatient			EHDSPatient
orderReasonText		0..*	string	An explanation or justification for why this service is being requested in textual form.
orderReason[x]		0..*		An explanation or justification for why this service is being requested in coded or structured form. Binding Description: (preferred): SNOMED CT
orderReasonCodeableConcept			CodeableConcept
orderReasonEHDSCondition			EHDSCondition
orderReasonEHDSObservation			EHDSObservation
clinicalQuestion		0..1	string	Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
supportingInformation		0..1	Base	Additional clinical information about the patient or specimen that may affect service delivery or interpretation.
observation		0..*	EHDSObservation	Clinical findings and other observations (e.g., height and weights of the patient).
condition		0..*	EHDSCondition	Conditions that may influence the service or result interpretation.
medicationAdministration		0..*	EHDSMedicationAdministration	Medication administered before ordering the service.
devices		0..*	EHDSDevice	List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
pregnancyStatus		0..1	EHDSCurrentPregnancy	Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
sexForClinicalUse		0..*	CodeableConcept	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. Binding Description: (preferred): HL7 sex-parameter-for-clinical-use
otherSupportingInformation		0..*	Resource	Any other type of relevant supporting information
specimen		0..*	EHDSSpecimen	Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
serviceRequest		0..*	EHDSServiceRequest	Specification of requested service(s).
exposureInformation		0..1	Base	Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
effectiveDose		0..*	Quantity	Effective dose - sum of equivalent doses to all organs, from external and/or internal exposures, each adjusted to account for the sensitivity of the organ to radiation. [mSv] Binding Description: (preferred): UCUM (for units)
equivalentDoseInformation		1..1	Base	Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
equivalentDose		1..1	Quantity	Equivalent dose is a measure of the radiation dose to tissue where an attempt has been made to allow for the different relative biological effects of different types of ionizing radiation. Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv]. Binding Description: (preferred): UCUM (for units)
tissueType		1..1	CodeableConcept	Type of the tissue for which do dosage was enumerated. Binding Description: (preferred): SNOMED CT
examinationReport		1..1	Base	Examination report content.
modality		1..*	CodeableConcept	Imaging modality (or modalities) used during imaging investigation (DICOM CID029). Binding Description: (preferred): DICOM Modality
bodyPart		0..*	EHDSBodyStructure	All body parts investigated
imagingProcedures		0..*	EHDSProcedure	Imaging procedure performed during imaging study.
medication		0..*	EHDSMedicationAdministration	Information about medication administered (contrast, sedation, stress agents), etc.
adverseReaction		0..*	EHDSAllergyIntolerance	Adverse reactions manifested during imaging investigation.
resultData		0..1	Base	Imaging report result data
resultText		1..1	string	Comments and narrative representation of the observation results and findings.
observationResults		0..*	EHDSObservation	Observation details (report could consist of multiple observations)
conclusion		1..1	Base	A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
impression		1..1	string	Narrative description of the clinical conclusion (impression).
conditionOrFinding[x]		0..*		Condition or finding from imaging investigation.
conditionOrFindingEHDSCondition			EHDSCondition
conditionOrFindingEHDSObservation			EHDSObservation
recommendation		0..1	Base	Recommendations for additional imaging tests or other actions
description		1..1	string	Narrative description of the recommended activities including additional test, medication etc.
carePlan		0..*	EHDSCarePlan	A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
comparisonStudy		0..*	EHDSImagingReport	Documentation (reference) of a prior Imaging Report to which the current images were compared.
dicomStudyMetadata		0..*	EHDSImagingStudy	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.
attachments[x]		0..*		Report attachments data elements
attachmentsEHDSAttachment			EHDSAttachment
attachmentsEHDSMedia			EHDSMedia
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
EHDSImagingReport.body.​orderInformation.orderReason[x]	Base	preferred		Not Stated	Unknown
EHDSImagingReport.body.​orderInformation.supportingInformation.​sexForClinicalUse	Base	preferred		Not Stated	Unknown
EHDSImagingReport.body.​exposureInformation.​effectiveDose	Base	preferred		Not Stated	Unknown
EHDSImagingReport.body.​exposureInformation.​equivalentDoseInformation.​equivalentDose	Base	preferred		Not Stated	Unknown
EHDSImagingReport.body.​exposureInformation.​equivalentDoseInformation.​tissueType	Base	preferred		Not Stated	Unknown
EHDSImagingReport.body.​examinationReport.modality	Base	preferred		Not Stated	Unknown

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EHDSImagingReport		0..*	EHDSDocument	Imaging report model Elements defined in Ancestors:header, presentedForm, header, knowledgeResources Instances of this logical model can be the target of a Reference
header		1..1	Base	Imaging Report header
subject		1..1	EHDSPatient	Subject
identifier		1..*	Identifier	Document ID
authorship		1..*	Base	Authorship
author[x]		1..1		Author
authorEHDSHealthProfessional			EHDSHealthProfessional
authorEHDSOrganisation			EHDSOrganisation
authorEHDSDevice			EHDSDevice
datetime		1..1	dateTime	Date and time of authoring/issuing
lastUpdate		0..1	dateTime	Date and time of the last update to the resource
status		1..1	CodeableConcept	Status of the resource
statusReason[x]		0..1		Reason for the current status of the resource.
statusReasonCodeableConcept			CodeableConcept
statusReasonString			string
language		0..1	CodeableConcept	Language Binding Description: (preferred): BCP 47
version		0..1	string	Version
documentType		1..1	CodeableConcept	Document type Binding Description: (preferred): LOINC
documentTitle		1..1	string	Document title
documentStatus		1..1	CodeableConcept	Document status Binding Description: (preferred): hl7:CompositionStatus
period		0..1	Period	Period
attestation		0..*	Base	Attestation
attester		1..1	EHDSHealthProfessional	Attester
datetime		1..1	dateTime	DateTime
legalAuthentication		0..1	Base	Legal authentication
legalAuthenticator		1..1	EHDSHealthProfessional	Legal authenticator
datetime		1..1	dateTime	DateTime
eventType		0..*	CodeableConcept	Event type Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
authorSpecialty		0..*	CodeableConcept	Specialty Binding Description: (preferred): SNOMED CT
custodian		1..1	EHDSOrganisation	Document custodian
documentFormat		0..1	CodeableConcept	Document format Binding Description: (preferred): HL7 Document Format Codes
confidentiality		0..1	CodeableConcept	Confidentiality Binding Description: (preferred): hl7:Confidentiality
accessionNumber		0..1	string	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). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border.
healthInsuranceAndPaymentInformation		0..*	EHDSCoverage	Health insurance and payment information
intendedRecipient[x]		0..*		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
intendedRecipientEHDSPatient			EHDSPatient
intendedRecipientEHDSRelatedPerson			EHDSRelatedPerson
intendedRecipientEHDSHealthProfessional			EHDSHealthProfessional
intendedRecipientEHDSOrganisation			EHDSOrganisation
intendedRecipientEHDSDevice			EHDSDevice
presentedForm		0..*	EHDSAttachment	A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
body		0..1	Base	Imaging Report structured body
orderInformation		0..*	Base	Order Information (Imaging Result Report could respond to multiple orders).
orderId		1..*	Identifier	Identifier(s) of the imaging service order.
orderDateAndTime		0..1	dateTime	Date and time of the order placement.
orderPlacer[x]		0..1		The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
orderPlacerEHDSHealthProfessional			EHDSHealthProfessional
orderPlacerEHDSOrganisation			EHDSOrganisation
orderPlacerEHDSPatient			EHDSPatient
orderReasonText		0..*	string	An explanation or justification for why this service is being requested in textual form.
orderReason[x]		0..*		An explanation or justification for why this service is being requested in coded or structured form. Binding Description: (preferred): SNOMED CT
orderReasonCodeableConcept			CodeableConcept
orderReasonEHDSCondition			EHDSCondition
orderReasonEHDSObservation			EHDSObservation
clinicalQuestion		0..1	string	Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
supportingInformation		0..1	Base	Additional clinical information about the patient or specimen that may affect service delivery or interpretation.
observation		0..*	EHDSObservation	Clinical findings and other observations (e.g., height and weights of the patient).
condition		0..*	EHDSCondition	Conditions that may influence the service or result interpretation.
medicationAdministration		0..*	EHDSMedicationAdministration	Medication administered before ordering the service.
devices		0..*	EHDSDevice	List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
pregnancyStatus		0..1	EHDSCurrentPregnancy	Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
sexForClinicalUse		0..*	CodeableConcept	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. Binding Description: (preferred): HL7 sex-parameter-for-clinical-use
otherSupportingInformation		0..*	Resource	Any other type of relevant supporting information
specimen		0..*	EHDSSpecimen	Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
serviceRequest		0..*	EHDSServiceRequest	Specification of requested service(s).
exposureInformation		0..1	Base	Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
effectiveDose		0..*	Quantity	Effective dose - sum of equivalent doses to all organs, from external and/or internal exposures, each adjusted to account for the sensitivity of the organ to radiation. [mSv] Binding Description: (preferred): UCUM (for units)
equivalentDoseInformation		1..1	Base	Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
equivalentDose		1..1	Quantity	Equivalent dose is a measure of the radiation dose to tissue where an attempt has been made to allow for the different relative biological effects of different types of ionizing radiation. Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv]. Binding Description: (preferred): UCUM (for units)
tissueType		1..1	CodeableConcept	Type of the tissue for which do dosage was enumerated. Binding Description: (preferred): SNOMED CT
examinationReport		1..1	Base	Examination report content.
modality		1..*	CodeableConcept	Imaging modality (or modalities) used during imaging investigation (DICOM CID029). Binding Description: (preferred): DICOM Modality
bodyPart		0..*	EHDSBodyStructure	All body parts investigated
imagingProcedures		0..*	EHDSProcedure	Imaging procedure performed during imaging study.
medication		0..*	EHDSMedicationAdministration	Information about medication administered (contrast, sedation, stress agents), etc.
adverseReaction		0..*	EHDSAllergyIntolerance	Adverse reactions manifested during imaging investigation.
resultData		0..1	Base	Imaging report result data
resultText		1..1	string	Comments and narrative representation of the observation results and findings.
observationResults		0..*	EHDSObservation	Observation details (report could consist of multiple observations)
conclusion		1..1	Base	A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
impression		1..1	string	Narrative description of the clinical conclusion (impression).
conditionOrFinding[x]		0..*		Condition or finding from imaging investigation.
conditionOrFindingEHDSCondition			EHDSCondition
conditionOrFindingEHDSObservation			EHDSObservation
recommendation		0..1	Base	Recommendations for additional imaging tests or other actions
description		1..1	string	Narrative description of the recommended activities including additional test, medication etc.
carePlan		0..*	EHDSCarePlan	A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
comparisonStudy		0..*	EHDSImagingReport	Documentation (reference) of a prior Imaging Report to which the current images were compared.
dicomStudyMetadata		0..*	EHDSImagingStudy	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.
attachments[x]		0..*		Report attachments data elements
attachmentsEHDSAttachment			EHDSAttachment
attachmentsEHDSMedia			EHDSMedia
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
EHDSImagingReport.header.​language	Base	preferred		Not Stated	Unknown
EHDSImagingReport.header.​documentType	Base	preferred		Not Stated	Unknown
EHDSImagingReport.header.​documentStatus	Base	preferred		Not Stated	Unknown
EHDSImagingReport.header.​eventType	Base	preferred		Not Stated	Unknown
EHDSImagingReport.header.​authorSpecialty	Base	preferred		Not Stated	Unknown
EHDSImagingReport.header.​documentFormat	Base	preferred		Not Stated	Unknown
EHDSImagingReport.header.​confidentiality	Base	preferred		Not Stated	Unknown
EHDSImagingReport.body.​orderInformation.orderReason[x]	Base	preferred		Not Stated	Unknown
EHDSImagingReport.body.​orderInformation.supportingInformation.​sexForClinicalUse	Base	preferred		Not Stated	Unknown
EHDSImagingReport.body.​exposureInformation.​effectiveDose	Base	preferred		Not Stated	Unknown
EHDSImagingReport.body.​exposureInformation.​equivalentDoseInformation.​equivalentDose	Base	preferred		Not Stated	Unknown
EHDSImagingReport.body.​exposureInformation.​equivalentDoseInformation.​tissueType	Base	preferred		Not Stated	Unknown
EHDSImagingReport.body.​examinationReport.modality	Base	preferred		Not Stated	Unknown

Summary

Mandatory: 0 element(10 nested mandatory elements)
Prohibited: 1 element

Other representations of profile: CSV, Excel