HL7 Europe Imaging Study Report
0.1.0-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 0.1.0-build 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

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Requirements: Actor Definitions

The following artifacts define the types of individuals and/or systems that will interact as part of the use cases covered by this implementation guide.

Imaging Manifest Reports Provider/Creator

This actor is responsible for creating/providing the Imaging Manifest resources.

Imaging Study Report Provider/Creator

The actor responsible for creating/providing the Imaging Report resources.

Structures: Logical Models

These define data models that represent the domain covered by this implementation guide in more business-friendly terms than the underlying FHIR resources.

Address model

C.5 - EHDS refined base model for Address structure

Alert flag model

C.22 - EHDS refined base model for Alert flag

Allergy intolerance model

C.21 - EHDS refined base model for Allergy Intolerance

Appointment model

C.20 - EHDS refined base model for Appointment

Attachment model

C.7 - EHDS refined base model for This type is for containing or referencing attachments - additional data content defined in other formats. The most common use of this type is to include images or reports in some report format such as PDF. However, it can be used for any data that has a MIME type.

Attachments

D.1 - EHDS refined base model for Document attachments

Care plan model

C.19 - EHDS refined base model for Care plan

Clinical impression model

C.34 - EHDS refined base model for Clinical impression

Condition model

C.15 - EHDS refined base model for A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.

Coverage model

C.31 - EHDS refined base model for Coverage

Device model

C.12 - EHDS refined base model for Device information

Device use model

C.25 - EHDS refined base model for Device Use

Dispense decline

Explicit statement about declining the dispense request (prescription), usually recorded in order to communicate the issue back to the prescriber. Reasons for declining a dispense may vary, but typically this statement is only sent when a following action is expected on the prescriber’s side (cancelling or changing the problematic prescription or the whole treatment).

Document header model

EHDS refined base model for document header data elements, including the common header for all resources. Data relevant to document type and its content for administrative and searching purposes.

Dosaging model

Logical model for usage instructions for administring the requested product. Based on FHIR Dosage complex data type. When implemented, this model may be reduced significantly according to the specific use case.

Encounter model

C.30 - EHDS refined base model for Encounter

Endpoint model

C.33 - EHDS refined base model for Endpoint

Episode of care model

C.29 - EHDS refined base model for Episode of care

Functional status

C.25 - EHDS refined base model for Functional status

Goal model

C.XX - EHDS refined base model for Goal

Group model

C. - EHDS refined base model for Group

Health professional model

C.2 - EHDS refined base model for Health professional (HP)

Hospital Discharge Report

A - EHDS refined base model for Hospital Discharge Report

Hospital Discharge Report header model

A.1 - EHDS refined base model for Hospital Discharge Report header data elements

Human name model

C.27 - EHDS refined base model for Human name

Imaging report body model

B.1 - EHDS refined base model for Imaging report body

Imaging report header model

A.1 - EHDS refined base model for Imaging Report header data elements

Imaging report model

A - EHDS refined base model for Imaging Result Report

Imaging study model

C.32 - EHDS refined base model for Imaging study

Immunization model

C.24 - EHDS refined base model for Immunization

Inpatient encounter model

C.23 - EHDS refined base model for Inpatient encounter

Laboratory observation model

C.11 - EHDS refined base model for Observation performed by laboratory

Laboratory order

A - EHDS refined base model for Laboratory order

Laboratory order body model

B.1 - EHDS refined base model for Laboratory order body

Laboratory order header model

A.1 - EHDS refined base model for Laboratory order header data elements

Laboratory report body model

B.1 - EEHRxF refined base model for Laboratory result report body

Laboratory report header model

A.1 - EHDS refined base model for laboratory report header data elements

Laboratory report model

A - EHDS refined base model for Laboratory result report

Location model

C.17 - EHDS refined base model for Details and position information for a place where services are provided and resources and participants may be stored, found, contained, or accommodated.

Media model

C.14 - EHDS refined base model for A photo, video, or audio recording acquired or used in healthcare.

Medication administration model

C.18 - EHDS refined base model for Medication administration

Medication dispensation model

Logical model for medication dispensation (based on request or independently)

Medication dispense header

Metadata elements for a header of medication dispense or dispense decline.

Medication prescription header model

Logical model for medication prescription header.

Medication prescription model

Logical model for medication prescription body. A prescription contains one or more prescription items.

Medicinal product model

Logical model for prescribed/dispensed medication. The model is shared by statements, requests, dispensations, and treatment lines. Each of those may have different restrictions in FHIR profile.

Observation model

C.10 - EHDS refined base model for Observation information

Organization model

C.3 - EHDS refined base model for Health provider or any other type of organization

Patient model

C.1 - EHDS refined base model for Patient/subject information

Patient summary body model

B.1 - EHDS refined base model for Patient Summary body data elements

Patient summary header model

A.1 - EHDS refined base model for Patient Summary header data elements

Patient summary model

A - EHDS refined base model for Patient Summary Report

Procedure model

C.16 - EHDS refined base model for An action that is or was performed on or for a patient

Related person model

C.13 - EHDS refined base model for Patient/subject guardian and other related person information

Report header model

EHDS refined base model for Report header data elements. Common for hospital discharge, laboratory and medical imaging reports.

Resource header model

Common header elements for all documents and their independently functioning parts, e.g FHIR resources.

Service request model

C.8 - EHDS refined base model for Specification of requested service or services

Slot model

C.XX - EHDS refined base model for Slot

Specimen model

C.9 - EHDS refined base model for Specimen information

Substance model

C.28 - EHDS refined base model for Substance

Task model

C.20 - EHDS refined base model for Task

Telecom model

C.6 - EHDS refined base model for Telecommunication contact information structure

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

AdverseEvent: Imaging Adverse Event

Adverse Event that occurred during an imaging procedure.

AllergyIntolerance: EU AllergyIntolerance

A allergyintolerance profile for the EU.

BodyStructure: EU BodyStructure

BodyStructure profile for the EU

Bundle: Imaging Report

Document Bundle for Imaging Report

Bundle: ImagingStudy Manifest

This profile represents a manifest of an imaging study. It holds the ImagingStudy resource that mirrors the information in the DICOM study allow with other resources that are required to express the information in DICOM in FHIR.

CarePlan: EU CarePlan

Care plan for the patient. Contains the narrative containing the plan including proposals, goals, and order requests for monitoring, tracking, or improving the condition of the patient. In the future it is expected that the care plan could be provided in a structured and coded format.

Composition: EU Composition

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

Composition: Imaging Report

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

Condition: EU Condition

A condition profile for the EU.

Device: Imaging Device

The device the made the image.

DiagnosticReport: Imaging Report

Diagnostic Report 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.

DocumentReference: -MHD Imaging Report

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

DocumentReference: EU DocumentReference

A DocumentReference profile for the EU.

DocumentReference: IHE-MHD Document

A placeholder for a DocumentReference profile for the IHE-MHD in R5.

DocumentReference: IHE-MHD Imaging Manifest

A DocumentReference profile for the Manifest DocumentReference used in MHD deployments.

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.

Encounter: EU Encounter

A encounter profile for the EU.

Endpoint: EU Endpoint

The FHIR endpoint resource with EU specific references.

Endpoint: IHE IID Image Viewer

This profile defines a placeholder for an Endpoint for a viewer that can be used to access the study, serie it is present on. The application is based on IHE-IID.

Endpoint: WADO-RS

This profile defines the WADO endpoint for accessing imaging study content.

ImagingSelection: DICOM SR Instance

Imaging Selection referring to a DICOM SR instance

ImagingSelection: General

Imaging Selection

ImagingSelection: Key Image

Key images represented as an ImagingSelection

ImagingStudy: General

This profile represents an imaging study instance.

Manifest Obligations for ImManifestMhdDocumentReference

Manifest Obligations for ImManifestMhdDocumentReference

Medication: EU Medication

A medication profile for the EU.

Observation: EU Observation

A observation profile for the EU.

Observation: Gestational Age

Gestational Age Observation

Observation: Imaging Finding

Finding during imaging procedure.

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

Patient: EU Animal

This profile defines how to represent an Animal as subject of care in FHIR for the purpose of this guide. This is used (among others) to identify the species when a specimen is collected from an animal.

Patient: Imaging

This profile on Patient represents the Imaging Patient.

Procedure: EU Procedure

A procedure profile for the EU.

Procedure: Imaging Acquisition

This profile on Procedure represents the imaging procedure.

RelatedPerson: EU RelatedPerson

EU Related Person.

Report Obligations for ImReportIheMhdDocumentReference

Report Obligations for ImReportIheMhdDocumentReference

Report obligations for EuAllergyIntolerance

Report obligations for EuAllergyIntolerance

Report obligations for EuBodyStructure

Report obligations for EuBodyStructure

Report obligations for EuCarePlan

Report obligations for EuCarePlan

Report obligations for EuCondition

Report obligations for EuCondition

Report obligations for EuCoverage

Report obligations for EuCoverage

Report obligations for EuDevice

Report obligations for EuDevice

Report obligations for EuDocumentReference

Report obligations for EuDocumentReference

Report obligations for EuEncounter

Report obligations for EuEncounter

Report obligations for EuEpisodeOfCare

Report obligations for EuEpisodeOfCare

Report obligations for EuLocation

Report obligations for EuLocation

Report obligations for EuMedication

Report obligations for EuMedication

Report obligations for EuMedicationAdministration

Report obligations for EuMedicationAdministration

Report obligations for EuObservation

Report obligations for EuObservation

Report obligations for EuOrganization

Report obligations for EuOrganization

Report obligations for EuPatient

Report obligations for EuPatient

Report obligations for EuPatientAnimal

Report obligations for EuPatientAnimal

Report obligations for EuPractitioner

Report obligations for EuPractitioner

Report obligations for EuPractitionerRole

Report obligations for EuPractitionerRole

Report obligations for EuProcedure

Report obligations for EuProcedure

Report obligations for EuRelatedPerson

Report obligations for EuRelatedPerson

Report obligations for EuServiceRequest

Report obligations for EuServiceRequest

Report obligations for EuSpecimen

Report obligations for EuSpecimen

Report obligations for EuSubstance

Report obligations for EuSubstance

Report obligations for ImAdverseEvent

Report obligations for ImAdverseEvent

Report obligations for ImComposition

Report obligations for ImComposition

Report obligations for ImDiagnosticReport

Report obligations for ImDiagnosticReport

Report obligations for ImFinding

Report obligations for ImFinding

Report obligations for ImGestationalAgeObservation

Report obligations for ImGestationalAgeObservation

Report obligations for ImImagingStudy

Report obligations for ImImagingStudy

Report obligations for ImOrder

Report obligations for ImOrder

Report obligations for ImPatient

Report obligations for ImPatient

Report obligations for ImProcedure

Report obligations for ImProcedure

Report obligations for ImRadiationDoseObservation

Report obligations for ImRadiationDoseObservation

Report obligations for ImReport

Report obligations for ImReport

ServiceRequest: Imaging Order

This profile on ServiceRequest represents the order for the Imaging Study and report.

ServiceRequest: Recommendation

Recommendations made in the context of an Imaging Report, encodeded as a ServiceRequest

Specimen: EU Specimen

This profile defines how to represent Specimens in HL7 FHIR for the purpose of this guide.

Structures: Data Type Profiles

These define constraints on FHIR data types for systems conforming to this implementation guide.

Identifier: Accession Number

This profile on Identifier represents the Accession Number for the Imaging Order.

Identifier: IHE-MHD Entry UUID

entryUUID Identifier holding a UUID, based on IHE-MHD R4.

Identifier: SOP Instance UID

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

Identifier: Study Instance UID

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

Quantity: EU Quantity

A quantity profile for the EU.

Range: EU Range

A range profile for the EU.

Report obligations for EuAddress

Report obligations for EuAddress

Report obligations for EuAttachment

Report obligations for EuAttachment

Report obligations for EuContactPoint

Report obligations for EuContactPoint

Report obligations for EuHumanName

Report obligations for EuHumanName

Report obligations for EuQuantity

Report obligations for EuQuantity

Report obligations for EuRange

Report obligations for EuRange

Report obligations for EuSimpleQuantity

Report obligations for EuSimpleQuantity

SimpleQuantity: EU SimpleQuantity

A simple quantity profile for the EU.

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

Document DiagnosticReport Reference

This extension provides a reference to the DiagnosticReport instance that is associated with this Composition.

Instance Description

A description of the instance in an ImagingStudy.

Media.view extension

This cross version extension includes the FHIR R4 version of the Media.view field which has at this point in time (April 18, 2025), not yet been included in the extension pack.

Periods of Life Extension

Allows to indicate a time period in a person's life as a reference to a coded value for that life period.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

DiagnosticReport supportInfo codes

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

Dose Length Units

Units for Dose Length.

Effective Dose Units

Units for Effective Dose.

Gray Square Units

Units for Gray Square.

HL7 EU Imaging Manifest Types

HL7 EU Imaging Manifest Types used in Compositions and DiagnosticReports.

HL7 EU Imaging Report Types

HL7 EU Imaging Report Types used in Compositions and DiagnosticReports.

Imaging Device Type

Imaging Device Type.

Imaging Procedure Type

This value set includes all imaging procedure types.

Imaging Study Performer Type Value Set

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

Media View types - placeholder for cross-version extension

Codes defined in SNOMED CT that can be used to record Media Recording views.

Periods of Life

A value set of periods of life extension (SNOMED tree).

Reasons a section in an imaging report is empty.

Reasons a section in an imaging report is empty.

Recommendation Imaging ServiceRequest intent Value Set

Codes representing the recommendation intent for a ServiceRequest.

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

CodeSystem for terminology used in Endpoint resources in the EU Imaging IG.

This code system defines various codes used to define ValueSets for Endpoints within the HL7-EU imaging IG.

Diagnostic Report Support Info Code System

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

HL7 EU Document Types

Document types (templates) as defined by HL7 EU. It identifies the type and template of the document.

Missing DICOM Terminology

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

Terminology: Concept Maps

These define transformations to convert between codes by systems conforming with this implementation guide.

Map for EHDSAddress

Map for EHDSAddress

Map for EHDSAllergyIntolerance

Map for EHDSAllergyIntolerance

Map for EHDSAttachment

Map for EHDSAttachment

Map for EHDSCarePlan

Map for EHDSCarePlan

Map for EHDSCondition

Map for EHDSCondition

Map for EHDSCoverage

Map for EHDSCoverage

Map for EHDSDevice

Map for EHDSDevice

Map for EHDSEncounter

Map for EHDSEncounter

Map for EHDSEndpoint

Map for EHDSEndpoint

Map for EHDSEpisodeOfCare

Map for EHDSEpisodeOfCare

Map for EHDSHealthProfessional

Map for EHDSHealthProfessional

Map for EHDSHumanName

Map for EHDSHumanName

Map for EHDSImagingReport

Map for EHDSImagingReport

Map for EHDSImagingReportBody

Map for EHDSImagingReportBody

Map for EHDSImagingReportHeader

Map for EHDSImagingReportHeader

Map for EHDSImagingStudy

Map for EHDSImagingStudy

Map for EHDSLocation

Map for EHDSLocation

Map for EHDSMedia

Map for EHDSMedia

Map for EHDSMedication

Map for EHDSMedication

Map for EHDSMedicationAdministration

Map for EHDSMedicationAdministration

Map for EHDSObservation

Map for EHDSObservation

Map for EHDSOrganization

Map for EHDSOrganization

Map for EHDSPatient

Map for EHDSPatient

Map for EHDSProcedure

Map for EHDSProcedure

Map for EHDSRelatedPerson

Map for EHDSRelatedPerson

Map for EHDSServiceRequest

Map for EHDSServiceRequest

Map for EHDSSpecimen

Map for EHDSSpecimen

Map for EHDSSubstance

Map for EHDSSubstance

Map for EHDSTelecom

Map for EHDSTelecom

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

Example ImagingStudy Manifest

Example ImagingStudy Manifest

Example MHD Knee Mri Transaction Bundle

Example MHD Knee Mri Transaction Bundle

G1Author
G1AuthorOrganization
G1AuthorRole
G1DiagnosticReport
G1ImImagingStudy1

ImagingStudy for the left foot

G1ImImagingStudy2

ImagingStudy for the right foot

G1Patient
MHD DocumentReference for knee MRI Imaging Report example
Radiology Report for the left/right foot study

DiagnosticReport for the left/right foot study