Bundle: Imaging Report

Document Bundle for Imaging Report

Composition: Imaging Report

Clinical document used to represent a Imaging Report for the scope of the HL7 Europe project.

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 Composition resource that contains the narrative text of the report.
The structure of the modelled has been aligned with the DiagnosticResource as defined by IHE-RAD-HL7IDR. As this specification has not been published yet, the relevant extensions have been included in this specification.

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.

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).

AdverseEvent: Imaging Adverse Event

Adverse Event that occurred during an imaging procedure.

Device: Imaging Device

The device the made the image.

ImagingSelection: General

Imaging Selection

ImagingSelection: Key Image

Key images represented as an ImagingSelection

ImagingStudy: General

This profile represents an imaging study instance.

Observation: Imaging Finding

Finding during imaging procedure.

Observation: Gestational Age

Gestational Age Observation

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.

Identifier: SOP Instance UID

This profile on Identifier represents the SOP Instance UID (0008,0018) for the Imaging Order.

ImagingSelection: DICOM SR Instance

Imaging Selection referring to a DICOM SR instance

Identifier: Study Instance UID

This profile on Identifier represents the Study Instance UID (0020,000D) for the Imaging Order.

DocumentReference: Unstructured Imaging Report

A DocumentReference profile for the Report DocumentReference used in MHD deployments for unstructured reports.

Diagnostic Report Support Info Code System

Code system for codes to be used in DiagnosticReport.supportInfo for imaging reports.

Missing DICOM Terminology

Code system for codes that are defined in DICOM but for which no matching code system is available in FHIR.

ValueSet: Imaging Device Type

Imaging Device Type.

DiagnosticReport supportInfo codes

Codes to be used in DiagnosticReport.supportInfo for imaging reports.

ValueSet: Dose Length Units

Units for Dose Length.

ValueSet: Effective Dose Units

Units for Effective Dose.

ValueSet: Gray Square Units

Units for Gray Square.

Section codes used to label annotations.

These codes define what an annotation annotates.

Radiology Report Types

The set of radiology types as defined by LOINC.

Imaging Study Performer Type Value Set

Imaging Study series performer type codes, it extends on the base set defined in the FHIR specification.

Imaging Procedure Type

This value set includes all imaging procedure types.

Reasons a section in an imaging report is empty.

Reasons a section in an imaging report is empty.

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.