HL7 Europe Imaging Study Report
0.1.0-ballot - 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 0.1.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/oijauregui/ehdsimaging/ and changes regularly. See the Directory of published versions

Mapping to XtEHR Logical Model

The following tables describe the way the Xt-EHR logical model has been mapped onto the FHIR profiles defined in this specification.

Core models of the Imaging Report IG

EHDSImagingReport

The following table shows the mapping from EHDSImagingReport logical model elements to FHIR profiles.

Element Target FHIR resource.element Comments
EHDSImagingReport.header   N/A
EHDSImagingReport.header.subject CompositionEuImaging.subject ; DiagnosticReportEuImaging.subject  
EHDSImagingReport.header.identifier CompositionEuImaging.identifier ; DiagnosticReportEuImaging.identifier  
EHDSImagingReport.header.authorship CompositionEuImaging.author  
​EHDSImagingReport.header.authorship.author[x] (EHDSHealthProfessional, EHDSOrganisation, EHDSDevice) CompositionEuImaging.author[author] ; CompositionEuImaging.author[organization] ; DiagnosticReportEuImaging.performer[organization] ; DiagnosticReportEuImaging.resultsInterpreter[author]  
EHDSImagingReport.header.authorship.datetime CompositionEuImaging.date ; DiagnosticReportEuImaging.issued  
EHDSImagingReport.header.lastUpdate CompositionEuImaging.date ; DiagnosticReportEuImaging.meta.lastUpdated meta.lastUpdated represents the time at which the instance of the resource was last modified by the server that hosts it.
EHDSImagingReport.header.status CompositionEuImaging.status ; DiagnosticReportEuImaging.status  
EHDSImagingReport.header.statusReason[x]    
EHDSImagingReport.header.language CompositionEuImaging.language ; DiagnosticReportEuImaging.language  
EHDSImagingReport.header.version CompositionEuImaging.version  
EHDSImagingReport.presentedForm DiagnosticReportEuImaging.presentedForm ; CompositionEuImaging.text For all the resources that don't have a .presentedForm element, the .text is the default element to map this requirement.
EHDSImagingReport.header.documentType CompositionEuImaging.category[imaging] ; DiagnosticReportEuImaging.category[imaging]  
EHDSImagingReport.header.documentTitle CompositionEuImaging.title  
EHDSImagingReport.header.documentStatus CompositionEuImaging.status ; DiagnosticReportEuImaging.status  
EHDSImagingReport.header.period CompositionEuImaging.event.period ; DiagnosticReportEuImaging.effectivePeriod  
EHDSImagingReport.header.attestation CompositionEuImaging.attester[resultValidator]  
EHDSImagingReport.header.attestation.attester CompositionEuImaging.attester[resultValidator].party  
EHDSImagingReport.header.attestation.datetime CompositionEuImaging.attester[resultValidator].time  
EHDSImagingReport.header.legalAuthentication CompositionEuImaging.attester[legalAuthenticator]  
EHDSImagingReport.header.legalAuthentication.legalAuthenticator CompositionEuImaging.attester[legalAuthenticator].party  
EHDSImagingReport.header.legalAuthentication.datetime CompositionEuImaging.attester[legalAuthenticator].time  
EHDSImagingReport.header.eventType CompositionEuImaging.event[imagingstudy] ; ProcedureEuImaging.location ; CompositionEuImaging.event[procedure] ; ImagingStudyEuImaging.series ; ImagingStudyEuImaging.modality  
EHDSImagingReport.header.authorSpecialty CompositionEuImaging.author[author]  
​EHDSImagingReport.header.custodian CompositionEuImaging.custodian  
EHDSImagingReport.header.documentFormat CompositionEuImaging.type Could be extended with list of approved templates as a separate category in the future.
EHDSImagingReport.header.confidentiality CompositionEuImaging.meta.security ; DiagnosticReportEuImaging.meta.security  
EHDSImagingReport.header.accessionNumber ServiceRequestOrderEuImaging.identifier[accessionNumber] ; CompositionEuImaging.extension[basedOn]  
EHDSImagingReport.header.healthInsuranceAndPaymentInformation CompositionEuImaging.extension[basedOn] ; DiagnosticReportEuImaging.basedOn ; ServiceRequestOrderEuImaging.insurance  
EHDSImagingReport.header.intendedRecipient[x] CompositionEuImaging.extension[informationRecipient]  
EHDSImagingReport.body   N/A
EHDSImagingReport.body.orderInformation CompositionEuImaging.section[order]  
EHDSImagingReport.body.orderInformation.orderId CompositionEuImaging.identifier ; CompositionEuImaging.section[order].entry[order]  
EHDSImagingReport.body.orderInformation.orderDateAndTime ServiceRequestOrderEuImaging.authoredOn  
EHDSImagingReport.body.orderInformation.orderPlacer ServiceRequestOrderEuImaging.requester  
EHDSImagingReport.body.orderInformation.orderReasonText CompositionEuImaging.section[order].extension[note] ; ServiceRequestOrderEuImaging.reason.concept.text  
EHDSImagingReport.body.orderInformation.orderReason ServiceRequestOrderEuImaging.reason.concept orderReason and clinicalQuestion map to the same element as a design choice
EHDSImagingReport.body.orderInformation.clinicalQuestion ServiceRequestOrderEuImaging.reason.concept  
EHDSImagingReport.body.orderInformation.supportingInformation CompositionEuImaging.section[history].entry ; ServiceRequestOrderEuImaging.supportingInfo  
EHDSImagingReport.body.orderInformation.supportingInformation.observation CompositionEuImaging.section[history].entry ; ServiceRequestOrderEuImaging.supportingInfo  
EHDSImagingReport.body.orderInformation.supportingInformation.condition CompositionEuImaging.section[history].entry ; ServiceRequestOrderEuImaging.supportingInfo  
EHDSImagingReport.body.orderInformation.supportingInformation.medicationAdministration CompositionEuImaging.section[history].entry ; ServiceRequestOrderEuImaging.reason  
EHDSImagingReport.body.orderInformation.supportingInformation.devices CompositionEuImaging.section[history].entry ; ServiceRequestOrderEuImaging.supportingInfo Refer to device, might be replaced by a more constraint reference.
​EHDSImagingReport.body.orderInformation.supportingInformation.pregnancyStatus CompositionEuImaging.section[history].entry ; ServiceRequestOrderEuImaging.supportingInfo[pregnancy] Code in supporting info, could be a observation as well
EHDSImagingReport.body.orderInformation.supportingInformation.sexForClinicalUse CompositionEuImaging.subject ; EuPatient.extension[sex-for-clinical-use] ; EuPatient.extension[sex-for-clinical-use].extension[value].valueCodeableConcept ; EuPatient.extension[sex-for-clinical-use].extension[period].valuePeriod  
EHDSImagingReport.body.orderInformation.supportingInformation.otherSupportingInformation CompositionEuImaging.section[history].entry  
EHDSImagingReport.body.specimen ImagingStudyEuImaging.series  
EHDSImagingReport.body.serviceRequest CompositionEuImaging.section[order].entry[order]  
EHDSImagingReport.body.exposureInformation    
EHDSImagingReport.body.exposureInformation.effectiveDose ObservationRadiationDoseEuImaging.component.value[x] Mapping to a defined slice is needed in the future
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation ObservationRadiationDoseEuImaging.component.value[x] Mapping to a defined slice is needed in the future
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.equivalentDose ObservationRadiationDoseEuImaging.component.value[x] Mapping to a defined slice is needed in the future
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.tissueType ObservationRadiationDoseEuImaging.bodySite  
EHDSImagingReport.body.examinationReport    
EHDSImagingReport.body.examinationReport.modality ImagingStudyEuImaging.series  
​EHDSImagingReport.body.examinationReport.bodyPart    
EHDSImagingReport.examinationReport.bodyPart.bodyLocation ImagingStudyEuImaging.series ; EuBodyStructure.morphology ; EuBodyStructure.includedStructure.structure  
EHDSImagingReport.examinationReport.bodyPart.laterality ImagingStudyEuImaging.series ; EuBodyStructure.includedStructure.laterality  
EHDSImagingReport.body.examinationReport.imagingProcedures CompositionEuImaging.section[procedure].entry[procedure]  
EHDSImagingReport.body.examinationReport.medication CompositionEuImaging.section[procedure].entry[procedure] ; EuMedicationAdministration.partOf  
EHDSImagingReport.body.examinationReport.adverseReaction AdverseEventEuImaging.suspectEntity[procedure] ; AdverseEventEuImaging.contributingFactor[allergy] ; AdverseEventEuImaging.status ; AdverseEventEuImaging.code ; AdverseEventEuImaging.subject  
EHDSImagingReport.body.examinationReport.resultData CompositionEuImaging.section[findings]  
EHDSImagingReport.body.examinationReport.resultData.resultText CompositionEuImaging.section[findings].extension[note]  
EHDSImagingReport.body.examinationReport.resultData.observationResults CompositionEuImaging.section[findings].entry[ObservationFindingEuImaging] ; DiagnosticReportEuImaging.result  
EHDSImagingReport.body.examinationReport.conclusion CompositionEuImaging.section[impression]  
EHDSImagingReport.body.examinationReport.conclusion.impression DiagnosticReportEuImaging.conclusion  
EHDSImagingReport.body.examinationReport.conclusion.conditionOrFinding[x] (EHDSCondition, EHDSObservation) CompositionEuImaging.section[impression].entry[ObservationFindingEuImaging] ; CompositionEuImaging.section[impression].entry[impression]  
EHDSImagingReport.body.recommendation CompositionEuImaging.section[recommendation]  
EHDSImagingReport.body.recommendation.description EuCarePlan.description  
EHDSImagingReport.body.recommendation.carePlan CompositionEuImaging.section[recommendation].entry[suggestion]  
EHDSImagingReport.body.comparisonStudy CompositionEuImaging.section[comparison].entry[comparedstudy]  
EHDSImagingReport.dicomStudyMetadata ​ImagingStudyEuImagingManifest.entry[imagingstudy]  
EHDSImagingReport.attachments[x] (EHDSAttachment, EHDSMedia) CompositionEuImaging.section[comparison].entry[comparedstudy] ; DiagnosticReportEuImaging.media ; ObservationFindingEuImaging.derivedFrom  

EHDSImagingStudy

The following table shows the mapping from EHDSImagingStudy logical model elements to FHIR profiles.

Element Target FHIR resource.element Comments
EHDSImagingStudy.header   N/A
EHDSImagingStudy.header.subject ImagingStudyEuImaging.subject  
EHDSImagingStudy.header.identifier ImagingStudyEuImaging.identifier[studyInstanceUid]  
EHDSImagingStudy.header.authorship ImagingStudyEuImaging.series  
​EHDSImagingStudy.header.authorship.author[x] (EHDSHealthProfessional, EHDSOrganisation, EHDSDevice) ImagingStudyEuImaging.series ; ImagingStudyEuImaging.series ; ImagingStudyEuImaging.series  
EHDSImagingStudy.header.authorship.datetime ImagingStudyEuImaging.started No core element to map the issuing of the Study. An extension might be needed to be defined as part of the Imaging-manifest IG
EHDSImagingStudy.header.lastUpdate ImagingStudyEuImaging.meta  
EHDSImagingStudy.header.status ImagingStudyEuImaging.status  
EHDSImagingStudy.header.statusReason[x] ImagingStudyEuImaging.extension[status-reason] ; ImagingStudyEuImaging.extension[status-reason]  
EHDSImagingStudy.header.language ImagingStudyEuImaging.language  
EHDSImagingStudy.header.version ImagingStudyEuImaging.meta  
EHDSImagingStudy.presentedForm ImagingStudyEuImaging.text  
EHDSImagingStudy.modality ImagingStudyEuImaging.modality  
EHDSImagingStudy.encounter ImagingStudyEuImaging.encounter  
EHDSImagingStudy.started ImagingStudyEuImaging.started  
EHDSImagingStudy.basedOn ImagingStudyEuImaging.basedOn  
EHDSImagingStudy.numberOfSeries ImagingStudyEuImaging.numberOfSeries  
EHDSImagingStudy.numberOfInstances ImagingStudyEuImaging.numberOfInstances  
EHDSImagingStudy.description ImagingStudyEuImaging.description  
​EHDSImagingStudy.studyCustodian ImagingStudyEuImaging.series  
EHDSImagingStudy.studyEndpoint ImagingStudyEuImaging.endpoint  
EHDSImagingStudy.series ImagingStudyEuImaging.series  
EHDSImagingStudy.series.seriesUid ImagingStudyEuImaging.series  
EHDSImagingStudy.series.number ImagingStudyEuImaging.series  
EHDSImagingStudy.series.acquisitionModality ImagingStudyEuImaging.series  
EHDSImagingStudy.series.description ImagingStudyEuImaging.series  
EHDSImagingStudy.series.numberOfInstances ImagingStudyEuImaging.series  
EHDSImagingStudy.series.seriesEndpoint ImagingStudyEuImaging.series  
​EHDSImagingStudy.series.bodySite ImagingStudyEuImaging.series  
EHDSImagingStudy.series.specimen ImagingStudyEuImaging.series  
EHDSImagingStudy.series.started ImagingStudyEuImaging.series  
EHDSImagingStudy.series.instancesInTheSeries ImagingStudyEuImaging.series  
EHDSImagingStudy.series.instancesInTheSeries.instanceTitle ImagingStudyEuImaging.series  
EHDSImagingStudy.series.instancesInTheSeries.instanceUid ImagingStudyEuImaging.series  
EHDSImagingStudy.series.instancesInTheSeries.sopClass ImagingStudyEuImaging.series  
EHDSImagingStudy.series.instancesInTheSeries.instanceNumber ImagingStudyEuImaging.series  
EHDSImagingStudy.series.instancesInTheSeries.numberOfFrames ImagingStudyEuImaging.series  

Other logical models that are used by this IG

The following logical models describe data that is used in the context of this IG, but the mapping will be defined by another higher level IG, because they are common to many domains:

  • EHDSAddress, EHDSAllergyIntolerance, EHDSAttachment, EHDSCarePlan, EHDSCondition, EHDSCoverage, EHDSDevice, EHDSEncounter, EHDSHealthProfessional, EHDSHumanName, EHDSMedia, EHDSMedicationAdministration, EHDSObservation, EHDSOrganisation, EHDSPatient, EHDSProcedure, EHDSServiceRequest

Models not included in this IG

The following logical models describe data that is not used in the context of this Imaging Report IG:

  • EHDSAdvanceDirective, EHDSAlert, EHDSAppointment, EHDSBodyStructure, EHDSCurrentPregnancy, EHDSDataSet, EHDSDeviceUse, EHDSDischargeReport, EHDSDispenseDecline, EHDSDocument, EHDSDosage, EHDSDosaging, EHDSEndpoint, EHDSEpisodeOfCare, EHDSFamilyMemberHistory, EHDSFunctionalStatus, EHDSImmunisation, EHDSInfectiousContact, EHDSLaboratoryObservation, EHDSLaboratoryOrder, EHDSLaboratoryOrderBody, EHDSLaboratoryOrderHeader, EHDSLaboratoryReport, EHDSLaboratoryReportBody, EHDSLaboratoryReportHeader, EHDSLocation, EHDSMedication, EHDSMedicationDispense, EHDSMedicationPrescription, EHDSMedicationStatement, EHDSPatientAnimal, EHDSPatientSummary, EHDSPregnancyHistory, EHDSRelatedPerson, EHDSSocialHistory, EHDSSpecimen, EHDSSubstance, EHDSSubstanceUse, EHDSTelecom, EHDSTravelHistory