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

Xt-EHR mapping

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 ImComposition.subject ; ImDiagnosticReport.subject  
EHDSImagingReport.header.identifier ImComposition.identifier ; ImDiagnosticReport.identifier  
EHDSImagingReport.header.authorship ImComposition.author  
EHDSImagingReport.header.authorship.author[x] (EHDSHealthProfessional, EHDSOrganisation, EHDSDevice) ImComposition.author[author] ; ImComposition.author[organization] ; ImDiagnosticReport.performer[organization] ; ImDiagnosticReport.resultsInterpreter[author]  
EHDSImagingReport.header.authorship.datetime ImComposition.date ; ImDiagnosticReport.issued  
EHDSImagingReport.header.lastUpdate ImComposition.date ; ImDiagnosticReport.meta meta.lastUpdated represents the time at which the instance of the resource was last modified by the server that hosts it.
EHDSImagingReport.header.status ImComposition.status ; ImDiagnosticReport.status  
EHDSImagingReport.header.statusReason[x]    
EHDSImagingReport.header.language ImComposition.language ; ImDiagnosticReport.language  
EHDSImagingReport.header.version ImComposition.version  
EHDSImagingReport.presentedForm ImDiagnosticReport.presentedForm ; ImComposition.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 ImComposition.category[imaging] ; ImDiagnosticReport.category[imaging]  
EHDSImagingReport.header.documentTitle ImComposition.title  
EHDSImagingReport.header.documentStatus ImComposition.status ; ImDiagnosticReport.status  
EHDSImagingReport.header.period ImComposition.event ; ImDiagnosticReport.effectivePeriod  
EHDSImagingReport.header.attestation ImComposition.attester[resultValidator]  
EHDSImagingReport.header.attestation.attester ImComposition.attester[resultValidator]  
EHDSImagingReport.header.attestation.datetime ImComposition.attester[resultValidator]  
EHDSImagingReport.header.legalAuthentication ImComposition.attester[legalAuthenticator]  
EHDSImagingReport.header.legalAuthentication.legalAuthenticator ImComposition.attester[legalAuthenticator]  
EHDSImagingReport.header.legalAuthentication.datetime ImComposition.attester[legalAuthenticator]  
EHDSImagingReport.header.eventType ImComposition.event[imagingstudy] ; ImProcedure.location ; ImComposition.event[procedure] ; ImImagingStudy.series ; ImImagingStudy.modality  
EHDSImagingReport.header.authorSpecialty ImComposition.author[author]  
EHDSImagingReport.header.custodian ImComposition.custodian  
EHDSImagingReport.header.documentFormat ImComposition.type Could be extended with list of approved templates as a separate category in the future.
EHDSImagingReport.header.confidentiality ImComposition.meta ; ImDiagnosticReport.meta  
EHDSImagingReport.header.accessionNumber ImOrder.identifier[accessionNumber] ; ImComposition.extension[basedOn]  
EHDSImagingReport.header.healthInsuranceAndPaymentInformation ImComposition.extension[basedOn] ; ImDiagnosticReport.basedOn ; ImOrder.insurance  
EHDSImagingReport.header.intendedRecipient[x] ImComposition.extension[informationRecipient]  
EHDSImagingReport.body   N/A
EHDSImagingReport.body.orderInformation ImComposition.section[order]  
EHDSImagingReport.body.orderInformation.orderId ImComposition.identifier ; ImComposition.section[order]  
EHDSImagingReport.body.orderInformation.orderDateAndTime ImOrder.authoredOn  
EHDSImagingReport.body.orderInformation.orderPlacer ImOrder.requester  
EHDSImagingReport.body.orderInformation.orderReasonText ImComposition.section[order] ; ImOrder.reason  
EHDSImagingReport.body.orderInformation.orderReason ImOrder.reason orderReason and clinicalQuestion map to the same element as a design choice
EHDSImagingReport.body.orderInformation.clinicalQuestion ImOrder.reason  
EHDSImagingReport.body.orderInformation.supportingInformation ImComposition.section[history] ; ImOrder.supportingInfo  
EHDSImagingReport.body.orderInformation.supportingInformation.observation ImComposition.section[history] ; ImOrder.supportingInfo  
EHDSImagingReport.body.orderInformation.supportingInformation.condition ImComposition.section[history] ; ImOrder.supportingInfo  
EHDSImagingReport.body.orderInformation.supportingInformation.medicationAdministration ImComposition.section[history] ; ImOrder.reason  
EHDSImagingReport.body.orderInformation.supportingInformation.devices ImComposition.section[history] ; ImOrder.supportingInfo Refer to device, might be replaced by a more constraint reference.
EHDSImagingReport.body.orderInformation.supportingInformation.pregnancyStatus ImComposition.section[history] ; ImOrder.supportingInfo[pregnancy] Code in supporting info, could be a observation as well
EHDSImagingReport.body.orderInformation.supportingInformation.sexForClinicalUse ImComposition.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 ImComposition.section[history]  
EHDSImagingReport.body.specimen ImImagingStudy.series  
EHDSImagingReport.body.serviceRequest ImComposition.section[order]  
EHDSImagingReport.body.exposureInformation    
EHDSImagingReport.body.exposureInformation.effectiveDose ImRadiationDoseObservation.component Mapping to a defined slice is needed in the future
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation ImRadiationDoseObservation.component Mapping to a defined slice is needed in the future
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.equivalentDose ImRadiationDoseObservation.component Mapping to a defined slice is needed in the future
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.tissueType ImRadiationDoseObservation.bodySite  
EHDSImagingReport.body.examinationReport    
EHDSImagingReport.body.examinationReport.modality ImImagingStudy.series  
EHDSImagingReport.body.examinationReport.bodyPart    
EHDSImagingReport.examinationReport.bodyPart.bodyLocation ImImagingStudy.series ; EuBodyStructure.morphology ; EuBodyStructure.includedStructure.structure  
EHDSImagingReport.examinationReport.bodyPart.laterality ImImagingStudy.series ; EuBodyStructure.includedStructure.laterality  
EHDSImagingReport.body.examinationReport.imagingProcedures ImComposition.section[procedure]  
EHDSImagingReport.body.examinationReport.medication ImComposition.section[procedure] ; EuMedicationAdministration.partOf  
EHDSImagingReport.body.examinationReport.adverseReaction ImAdverseEvent.suspectEntity[procedure] ; ImAdverseEvent.contributingFactor[allergy] ; ImAdverseEvent.status ; ImAdverseEvent.code ; ImAdverseEvent.subject  
EHDSImagingReport.body.examinationReport.resultData ImComposition.section[findings]  
EHDSImagingReport.body.examinationReport.resultData.resultText ImComposition.section[findings]  
EHDSImagingReport.body.examinationReport.resultData.observationResults ImComposition.section[findings] ; ImDiagnosticReport.result  
EHDSImagingReport.body.examinationReport.conclusion ImComposition.section[impression]  
EHDSImagingReport.body.examinationReport.conclusion.impression ImDiagnosticReport.conclusion  
EHDSImagingReport.body.examinationReport.conclusion.conditionOrFinding[x] (EHDSCondition, EHDSObservation) ImComposition.section[impression] ; ImComposition.section[impression]  
EHDSImagingReport.body.recommendation ImComposition.section[recommendation]  
EHDSImagingReport.body.recommendation.description EuCarePlan.description  
EHDSImagingReport.body.recommendation.carePlan ImComposition.section[recommendation]  
EHDSImagingReport.body.comparisonStudy ImComposition.section[comparison]  
EHDSImagingReport.dicomStudyMetadata ImImagingStudyManifest.entry[imagingstudy]  
EHDSImagingReport.attachments[x] (EHDSAttachment, EHDSMedia) ImComposition.section[comparison] ; ImDiagnosticReport.media ; ImFinding.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 ImImagingStudy.subject  
EHDSImagingStudy.header.identifier ImImagingStudy.identifier[studyInstanceUid]  
EHDSImagingStudy.header.authorship ImImagingStudy.series  
EHDSImagingStudy.header.authorship.author[x] (EHDSHealthProfessional, EHDSOrganisation, EHDSDevice) ImImagingStudy.series ; ImImagingStudy.series ; ImImagingStudy.series  
EHDSImagingStudy.header.authorship.datetime ImImagingStudy.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 ImImagingStudy.meta  
EHDSImagingStudy.header.status ImImagingStudy.status  
EHDSImagingStudy.header.statusReason[x] ImImagingStudy.extension[status-reason] ; ImImagingStudy.extension[status-reason]  
EHDSImagingStudy.header.language ImImagingStudy.language  
EHDSImagingStudy.header.version ImImagingStudy.meta  
EHDSImagingStudy.presentedForm ImImagingStudy.text  
EHDSImagingStudy.modality ImImagingStudy.modality  
EHDSImagingStudy.encounter ImImagingStudy.encounter  
EHDSImagingStudy.started ImImagingStudy.started  
EHDSImagingStudy.basedOn ImImagingStudy.basedOn  
EHDSImagingStudy.numberOfSeries ImImagingStudy.numberOfSeries  
EHDSImagingStudy.numberOfInstances ImImagingStudy.numberOfInstances  
EHDSImagingStudy.description ImImagingStudy.description  
EHDSImagingStudy.studyCustodian ImImagingStudy.series  
EHDSImagingStudy.studyEndpoint ImImagingStudy.endpoint  
EHDSImagingStudy.series ImImagingStudy.series  
EHDSImagingStudy.series.seriesUid ImImagingStudy.series  
EHDSImagingStudy.series.number ImImagingStudy.series  
EHDSImagingStudy.series.acquisitionModality ImImagingStudy.series  
EHDSImagingStudy.series.description ImImagingStudy.series  
EHDSImagingStudy.series.numberOfInstances ImImagingStudy.series  
EHDSImagingStudy.series.seriesEndpoint ImImagingStudy.series  
EHDSImagingStudy.series.bodySite ImImagingStudy.series  
EHDSImagingStudy.series.specimen ImImagingStudy.series  
EHDSImagingStudy.series.started ImImagingStudy.series  
EHDSImagingStudy.series.instancesInTheSeries ImImagingStudy.series  
EHDSImagingStudy.series.instancesInTheSeries.instanceTitle ImImagingStudy.series  
EHDSImagingStudy.series.instancesInTheSeries.instanceUid ImImagingStudy.series  
EHDSImagingStudy.series.instancesInTheSeries.sopClass ImImagingStudy.series  
EHDSImagingStudy.series.instancesInTheSeries.instanceNumber ImImagingStudy.series  
EHDSImagingStudy.series.instancesInTheSeries.numberOfFrames ImImagingStudy.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