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

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

EHDS refined base model for Address structure

Healthcare directives concerning life or after life wishes of the patient

Alert flag

EHDS refined base model for allergy/intolerance

EHDS refined base model for Appointment. This is a simplified model with minimal information - it is not intended to cover the full functionality of booking systems.

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.

EHDS refined base model for Body structure

EHDS simplified model for care plan. The model includes very minimal information and is not designed to cover the full functionality of care plans.

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.

EHDS refined base model for Coverage

Current pregnancy status

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

EHDS refined base model for Device information

EHDS refined base model for device use information

EHDS refined base model for Discharge Report

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

EHDS refined base model for Dosage

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.

EHDS refined base model for Encounter

EHDS refined base model for Endpoint

EHDS refined base model for Episode of care

EHDS refined base model for family member history

EHDS refined base model for Functional status

EHDS refined base model for Health professional (HP)

EHDS refined base model for Human name

EHDS refined base model for Medical Imaging Result Report

EHDS refined base model for Imaging study

EHDS refined base model for Immunisation

EHDS refined base model for an infectious contact

EHDS refined base model for Observation performed by laboratory

A - EHDS refined base model for Laboratory order

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

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

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

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

EHDS refined base model for Laboratory result report

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.

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

EHDS refined base model for a single medication administration

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).

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

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. Model is suitable for generic/virtual medications as well as branded/real products.

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

Statement about a single medication as part of a medication summary.

EHDS refined base model for Observation information

EHDS refined base model for Health provider or any other type of organisation

EHDS refined base model for Patient:Animal

EHDS refined base model for patient (subject of care) information

EHDS refined base model for Patient Summary

Pregnancy history for one pregnancy

EHDS refined base model for an action that is or was performed on or for a patient

EHDS refined base model for Patient/subject guardian and other related person information

EHDS refined base model for Specification of requested service or services

EHDS model for social history observations

EHDS refined base model for A sample to be used for Analysis

EHDS refined base model for Substance

Statement about using a substance (such as tobacco, alcohol, drugs, etc).

EHDS refined base model for Telecommunication contact information structure

Relevant information about the patient's recent travel history, for one visit

Adverse Event that occurred during an imaging procedure.

A allergyintolerance profile for the EU.

BodyStructure profile for the EU

Document Bundle for Imaging Report

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.

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.

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

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

A condition profile for the EU.

The device the made the image.

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.

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

A DocumentReference profile for the EU.

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

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.

A placeholder for a DocumentReference profile to be used in a future FHIR R5 IHE-MHD environment.

A encounter profile for the EU.

The FHIR endpoint resource with EU specific references.

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.

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

Report obligations for EuAllergyIntolerance

Report obligations for EuBodyStructure

Report obligations for EuCarePlan

Report obligations for EuCondition

Report obligations for EuCoverage

Report obligations for EuDevice

Report obligations for EuDocumentReference

Report obligations for EuEncounter

Report obligations for EuMedicationAdministration

Report obligations for EuObservation

Report obligations for EuOrganization

Report obligations for EuPatient

Report obligations for EuPractitioner

Report obligations for EuPractitionerRole

Report obligations for EuProcedure

Report obligations for EuServiceRequest

Report obligations for ImAdverseEvent

Report obligations for ImComposition

Report obligations for ImDiagnosticReport

Report obligations for ImFinding

Report obligations for ImImagingStudy

Report obligations for ImOrder

Report obligations for ImProcedure

Report obligations for ImRadiationDoseObservation

Imaging Selection referring to a DICOM SR instance

Imaging Selection

Key images represented as an ImagingSelection

This profile represents an imaging study instance.

Manifest Obligations for ImManifestMhdDocumentReference

A medication profile for the EU.

A observation profile for the EU.

Gestational Age Observation

Finding during imaging procedure.

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

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.

A procedure profile for the EU.

This profile on Procedure represents the imaging procedure.

EU Related Person.

Report Obligations for ImReportIheMhdDocumentReference

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

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

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

Report obligations for EuAddress

Report obligations for EuAttachment

Report obligations for EuHumanName

Report obligations for EuQuantity

Report obligations for EuSimpleQuantity

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

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

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

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

A quantity profile for the EU.

A range profile for the EU.

A simple quantity profile for the EU.

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

A description of the instance in an ImagingStudy.

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.

The number of frames in an ImagingStudy instance as required by Xt-EHR logical ImagingStudy logical model.

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

This extension is used to identify a Health Professional who may be specifically related to the problem, as a preferred contact.

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

Units for Dose Length.

Units for Effective Dose.

Units for Gray Square.

HL7 EU Imaging Manifest Types used in Compositions and DiagnosticReports.

HL7 EU Imaging Report Types used in Compositions and DiagnosticReports.

Imaging Device Type.

This value set includes all imaging procedure types.

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

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

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

Reasons a section in an imaging report is empty.

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

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

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

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

Example ImagingStudy Manifest

Example MHD Knee Mri Transaction Bundle

ImagingStudy for the left foot

ImagingStudy for the right foot

DiagnosticReport for the left/right foot study