HL7 Europe Imaging Study Report
0.1.1-build - ci-build 150

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

Example semi structured report

Semi-structured report

This example addresses representing a imaging report that in the report structure with a mix of structured and unstructured data.

The figure below shows the pdf of the report.

example-semi-structured-pdf.drawio.png
Figure: Radiology report with elements marked

The image shows what part of the report link to different elements in the report structure as defined in this specification. The structure of a imaging report as defined in this specification is illustrated in the figure below.

DiagnosticReportnote[finding] = "..."note[finding] = "..."conclusion = "..."Compositionsection[imagingstudy]entry: LeftKneeentry: RightKneesection[order]section[history]section[procedure]section[comparison]section[findings]note: "..."section[findings]note: "..."section[impressions]note: "..."«Binary»PDFPatientnamefamily = "Gutefrage"given[+] = Test-Schust«ImagingStudy»LeftKneeseries[+] "PD FatSat 3D (1.0mm) sagittal"series[+] "T1 (2.5mm) axial"series[+] "T2 (2.5mm) axial"series[+] "PDW FatSat (2.5mm) axial"«ImagingStudy»RightKneeseries[+] "PD FatSat 3D (1.0mm) sagittal"series[+] "T1 (2.5mm) axial"series[+] "T2 (2.5mm) axial"series[+] "PDW FatSat (2.5mm) axial"«PractitionerRole»Author«Organization»RadiologyZentrum«Practitioner»LucasGassenzercompositionextension[diagnosticreport-reference]presentedFormsubjectstudystudyresultsInterpreter[author]performer[organization]subjectseries.performersubjectseries.performersubjectauthor[author]author[organization]entry[study].entryentry[study].entryorganizationpractitioner
Figure: FHIR objects in the Semi-Structured Report

The figure shows the DiagnosticReport that is the root of the report which refers to the imaging studies (LeftKnee and RightKnee), to the patient and to the author of the report. The resource holds the textual note of the findings in notes and the impression to conclusion.

The DiagnosticReport has a link to the Composition that represents the content in a document format. It holds a section that refers to the imaging studies. The findings sections holds the finding notes and the impression section holds the conclusion.

The imaging study resources shows the different series that are included.