EHDS Logical Information Models
0.1.0 - ci-build

EHDS Logical Information Models, published by Xt-EHR. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Xt-EHR/xt-ehr-common/tree/stakeholder-consultation-D7-3 and changes regularly. See the Directory of published versions

## Logical Model: EHDSImagingReport - Detailed Descriptions

Draft as of 2025-08-25

Definitions for the EHDSImagingReport logical model.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

Guidance on how to interpret the contents of this table can be foundhere

0. EHDSImagingReport
Definition | EHDS refined base model for Medical Imaging Result Report Base definition for all types defined in FHIR type system.
Short | Imaging report modelBase for all types and resources
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. EHDSImagingReport.header
Definition | Common header for all patient-related data
Short | Imaging Report header
Control | 1..1
Type | Base
4. EHDSImagingReport.header.subject
Definition | Patient/subject information
Short | Subject
Control | 1..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
6. EHDSImagingReport.header.identifier
Definition | Unique identifier of the document
Short | Document ID
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..*
Type | Identifier
8. EHDSImagingReport.header.authorship
Definition | Resource authoring details
Short | Authorship
Control | 1..*
Type | Base
10. EHDSImagingReport.header.authorship.author[x]
Definition | Author(s) by whom the resource was/were authored. Multiple authors could be provided.
Short | Author
Control | 1..1
Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDevice
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
12. EHDSImagingReport.header.authorship.datetime
Definition | Date and time of the issuing the document/resource by its author.
Short | Date and time of authoring/issuing
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
14. EHDSImagingReport.header.lastUpdate
Definition | Date and time of the last update to the document/information
Short | Date and time of the last update to the resource
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
16. EHDSImagingReport.header.status
Definition | Status of the resource
Short | Status of the resource
Control | 1..1
Type | CodeableConcept
18. EHDSImagingReport.header.statusReason[x]
Definition | Reason for the current status of the resource.
Short | Reason for the current status of the resource.
Control | 0..1
Type | Choice of: CodeableConcept, string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
20. EHDSImagingReport.header.language
Definition | Language in which the resource is written. Language is expressed by the IETF language tag.
Short | Language
Control | 0..1
Binding | BCP 47
Type | CodeableConcept
22. EHDSImagingReport.header.version
Definition | Business version of the resource.
Short | Version
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
24. EHDSImagingReport.presentedForm
Definition | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Short | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment
26. EHDSImagingReport.header.documentType
Definition | Identifies the type of document at hand, e.g. Discharge report.
Short | Document type
Control | 1..1
Binding | LOINC
Type | CodeableConcept
28. EHDSImagingReport.header.documentTitle
Definition | Document title, such as Discharge Report, Laboratory Result Report, etc.
Short | Document title
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
30. EHDSImagingReport.header.documentStatus
Definition | The status of the Discharge report. E.g., preliminary, final.
Short | Document status
Control | 1..1
Binding | hl7:CompositionStatus
Type | CodeableConcept
32. EHDSImagingReport.header.period
Definition | Time of service that is being documented
Short | Period
Control | 0..1
Type | Period
34. EHDSImagingReport.header.attestation
Definition | Document attestation details
Short | Attestation
Control | 0..*
Type | Base
36. EHDSImagingReport.header.attestation.attester
Definition | Attester who validated the document. Mulitple attesters could be provided.
Short | Attester
Control | 1..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
38. EHDSImagingReport.header.attestation.datetime
Definition | Date and time of the approval of the document by Attester.
Short | DateTime
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
40. EHDSImagingReport.header.legalAuthentication
Definition | Document legal authentication
Short | Legal authentication
Control | 0..1
Type | Base
42. EHDSImagingReport.header.legalAuthentication.legalAuthenticator
Definition | The person taking responsibility for the medical content of the document
Short | Legal authenticator
Control | 1..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
44. EHDSImagingReport.header.legalAuthentication.datetime
Definition | Date and time when the document was authorized.
Short | DateTime
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
46. EHDSImagingReport.header.eventType
Definition | Categorization of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement betwen data sharing parties. This meta-data element serves primarily for searching and filtering purpuses.
Short | Event type
Control | 0..*
Binding | LOINC, SNOMED CT, dicom-cid-33-Modality
Type | CodeableConcept
48. EHDSImagingReport.header.authorSpecialty
Definition | Additional details about where the content was created (e.g. clinical specialty)
Short | Specialty
Control | 0..*
Binding | SNOMED CT
Type | CodeableConcept
50. EHDSImagingReport.header.custodian
Definition | Organisation that is in charge of maintaining the document/report.
Short | Document custodian
Control | 1..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation
52. EHDSImagingReport.header.documentFormat
Definition | An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType.
Short | Document format
Control | 0..1
Binding | HL7 Document Format Codes
Type | CodeableConcept
54. EHDSImagingReport.header.confidentiality
Definition | Level of confidentiality of the document. Implicit value is normal.
Short | Confidentiality
Control | 0..1
Binding | hl7:Confidentiality
Type | CodeableConcept
56. EHDSImagingReport.knowledgeResources
Definition | Related documents and information sources
Short | Related documents and information sources
Control | 0..0
Type | Base
60. EHDSImagingReport.header.accessionNumber
Definition | Accession number - an identifier, managed by the RIS at the local level, which usually uniquely identifies an imaging procedure request, and links it to imaging study(ies) and related imaging report(s). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border.
Short | Accession number - an identifier, managed by the RIS at the local level, which usually uniquely identifies an imaging procedure request, and links it to imaging study(ies) and related imaging report(s). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Requirements | eHN Guideline IMG (v1.1): A.1.8.11
62. EHDSImagingReport.header.healthInsuranceAndPaymentInformation
Definition | Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.
Short | Health insurance and payment information
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCoverage
Requirements | eHN Guideline IMG (v1.1): A.1.3
64. EHDSImagingReport.header.intendedRecipient[x]
Definition | Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable
Short | Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable
Control | 0..*
Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSRelatedPerson, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDevice
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Requirements | eHN Guideline IMG (v1.1): A.1.4
66. EHDSImagingReport.body
Definition | Imaging Report structured body
Short | Imaging Report structured body
Control | 0..1
Type | Base
68. EHDSImagingReport.body.orderInformation
Definition | Order Information (Imaging Result Report could respond to multiple orders).
Short | Order Information (Imaging Result Report could respond to multiple orders).
Control | 0..*
Type | Base
Requirements | eHN Guideline IMG (v1.1): A.2
70. EHDSImagingReport.body.orderInformation.orderId
Definition | Identifier(s) of the imaging service order.
Short | Identifier(s) of the imaging service order.
Control | 1..*
Type | Identifier
72. EHDSImagingReport.body.orderInformation.orderDateAndTime
Definition | Date and time of the order placement.
Short | Date and time of the order placement.
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
74. EHDSImagingReport.body.orderInformation.orderPlacer[x]
Definition | The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
Short | The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
Control | 0..1
Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
76. EHDSImagingReport.body.orderInformation.orderReasonText
Definition | An explanation or justification for why this service is being requested in textual form.
Short | An explanation or justification for why this service is being requested in textual form.
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
78. EHDSImagingReport.body.orderInformation.orderReason[x]
Definition | An explanation or justification for why this service is being requested in coded or structured form.
Short | An explanation or justification for why this service is being requested in coded or structured form.
Control | 0..*
Binding | SNOMED CT
Type | Choice of: CodeableConcept, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Requirements | eHN Guideline IMG (v1.1): A.3.1, A3.2
80. EHDSImagingReport.body.orderInformation.clinicalQuestion
Definition | Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
Short | Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Requirements | eHN Guideline IMG (v1.1): A.3.3
82. EHDSImagingReport.body.orderInformation.supportingInformation
Definition | This information includes diagnosis, clinical findings and other observations. This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the metal implants present in patient's body.
Short | Additional clinical information about the patient or specimen that may affect service delivery or interpretation.
Control | 0..1
Type | Base
Requirements | eHN Guideline IMG (v1.1): A3.2?
84. EHDSImagingReport.body.orderInformation.supportingInformation.observation
Definition | Clinical findings and other observations (e.g., height and weights of the patient).
Short | Clinical findings and other observations (e.g., height and weights of the patient).
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation
86. EHDSImagingReport.body.orderInformation.supportingInformation.condition
Definition | Conditions that may influence the service or result interpretation.
Short | Conditions that may influence the service or result interpretation.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition
88. EHDSImagingReport.body.orderInformation.supportingInformation.medicationAdministration
Definition | Medication administered before ordering the service.
Short | Medication administered before ordering the service.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedicationAdministration
90. EHDSImagingReport.body.orderInformation.supportingInformation.devices
Definition | List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
Short | List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDevice
92. EHDSImagingReport.body.orderInformation.supportingInformation.pregnancyStatus
Definition | Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
Short | Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
Control | 0..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCurrentPregnancy
94. EHDSImagingReport.body.orderInformation.supportingInformation.sexForClinicalUse
Definition | Sex parameter for clinical use - provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc. This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population.
Short | Sex parameter for clinical use - provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc. This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population.
Control | 0..*
Binding | HL7 sex-parameter-for-clinical-use
Type | CodeableConcept
96. EHDSImagingReport.body.orderInformation.supportingInformation.otherSupportingInformation
Definition | Any other type of relevant supporting information
Short | Any other type of relevant supporting information
Control | 0..*
Type | Resource
98. EHDSImagingReport.body.specimen
Definition | Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
Short | Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSSpecimen
Requirements | eHN Guideline IMG (v1.1): A.4
100. EHDSImagingReport.body.serviceRequest
Definition | Specification of requested service(s).
Short | Specification of requested service(s).
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSServiceRequest
102. EHDSImagingReport.body.exposureInformation
Definition | Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
Short | Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
Control | 0..1
Type | Base
Requirements | eHN Guideline IMG (v1.1): B.1.4.4, Article 2 Imaging report definition
104. EHDSImagingReport.body.exposureInformation.effectiveDose
Definition | Effective dose - sum of equivalent doses to all organs, from external and/or internal exposures, each adjusted to account for the sensitivity of the organ to radiation. [mSv]
Short | Effective dose - sum of equivalent doses to all organs, from external and/or internal exposures, each adjusted to account for the sensitivity of the organ to radiation. [mSv]
Control | 0..*
Binding | UCUM (for units)
Type | Quantity
106. EHDSImagingReport.body.exposureInformation.equivalentDoseInformation
Definition | Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
Short | Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
Control | 1..1
Type | Base
108. EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.equivalentDose
Definition | Equivalent dose is a measure of the radiation dose to tissue where an attempt has been made to allow for the different relative biological effects of different types of ionizing radiation. Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
Short | Equivalent dose is a measure of the radiation dose to tissue where an attempt has been made to allow for the different relative biological effects of different types of ionizing radiation. Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
Control | 1..1
Binding | UCUM (for units)
Type | Quantity
110. EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.tissueType
Definition | Type of the tissue for which do dosage was enumerated.
Short | Type of the tissue for which do dosage was enumerated.
Control | 1..1
Binding | SNOMED CT
Type | CodeableConcept
112. EHDSImagingReport.body.examinationReport
Definition | Examination report content.
Short | Examination report content.
Control | 1..1
Type | Base
Requirements | eHN Guideline IMG (v1.1): A.5
114. EHDSImagingReport.body.examinationReport.modality
Definition | Imaging modality (or modalities) used during imaging investigation (DICOM CID029).
Short | Imaging modality (or modalities) used during imaging investigation (DICOM CID029).
Control | 1..*
Binding | DICOM Modality
Type | CodeableConcept
Requirements | eHN Guideline IMG (v1.1): A.5.1.1
116. EHDSImagingReport.body.examinationReport.bodyPart
Definition | All body parts investigated
Short | All body parts investigated
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSBodyStructure
Requirements | eHN Guideline IMG (v1.1): A.5.1.6
118. EHDSImagingReport.body.examinationReport.imagingProcedures
Definition | Imaging procedure performed during imaging study.
Short | Imaging procedure performed during imaging study.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSProcedure
Requirements | eHN Guideline IMG (v1.1): A.5.1.2-A.5.1.9
120. EHDSImagingReport.body.examinationReport.medication
Definition | Information about medication administered (contrast, sedation, stress agents), etc.
Short | Information about medication administered (contrast, sedation, stress agents), etc.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedicationAdministration
Requirements | eHN Guideline IMG (v1.1): A.5.2
122. EHDSImagingReport.body.examinationReport.adverseReaction
Definition | Adverse reactions manifested during imaging investigation.
Short | Adverse reactions manifested during imaging investigation.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAllergyIntolerance
Requirements | eHN Guideline IMG (v1.1): A.5.3
124. EHDSImagingReport.body.examinationReport.resultData
Definition | Imaging report result data
Short | Imaging report result data
Control | 0..1
Type | Base
Requirements | eHN Guideline IMG (v1.1): A.5.4
126. EHDSImagingReport.body.examinationReport.resultData.resultText
Definition | Comments and narrative representation of the observation results and findings.
Short | Comments and narrative representation of the observation results and findings.
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
128. EHDSImagingReport.body.examinationReport.resultData.observationResults
Definition | Observation details (report could consist of multiple observations)
Short | Observation details (report could consist of multiple observations)
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation
Requirements | eHN Guideline IMG (v1.1): A.5.4.1, A.5.4.3
130. EHDSImagingReport.body.examinationReport.conclusion
Definition | A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
Short | A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
Control | 1..1
Type | Base
Requirements | eHN Guideline IMG (v1.1): A.5.5
132. EHDSImagingReport.body.examinationReport.conclusion.impression
Definition | Narrative description of the clinical conclusion (impression).
Short | Narrative description of the clinical conclusion (impression).
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Requirements | eHN Guideline IMG (v1.1): A.5.5.1
134. EHDSImagingReport.body.examinationReport.conclusion.conditionOrFinding[x]
Definition | Condition or finding from imaging investigation.
Short | Condition or finding from imaging investigation.
Control | 0..*
Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Requirements | eHN Guideline IMG (v1.1): A.5.5.2
136. EHDSImagingReport.body.recommendation
Definition | Recommendations for additional imaging tests or other actions
Short | Recommendations for additional imaging tests or other actions
Control | 0..1
Type | Base
Requirements | eHN Guideline IMG (v1.1): A.5.6
138. EHDSImagingReport.body.recommendation.description
Definition | Narrative description of the recommended activities including additional test, medication etc.
Short | Narrative description of the recommended activities including additional test, medication etc.
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Requirements | eHN Guideline IMG (v1.1): A.5.6.1
140. EHDSImagingReport.body.recommendation.carePlan
Definition | A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
Short | A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCarePlan
Requirements | eHN Guideline IMG (v1.1): A.5.6.2
142. EHDSImagingReport.body.comparisonStudy
Definition | Documentation (reference) of a prior Imaging Report to which the current images were compared.
Short | Documentation (reference) of a prior Imaging Report to which the current images were compared.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSImagingReport
Requirements | eHN Guideline IMG (v1.1): A.7
144. EHDSImagingReport.dicomStudyMetadata
Definition | Metadata of the DICOM study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.
Short | Metadata of the DICOM study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSImagingStudy
Requirements | eHN Guideline IMG (v1.1): A.6
146. EHDSImagingReport.attachments[x]
Definition | Report attachments data elements
Short | Report attachments data elements
Control | 0..*
Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedia
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]

Guidance on how to interpret the contents of this table can be foundhere

0. EHDSImagingReport
Definition | EHDS refined base model for Medical Imaging Result Report
Short | Imaging report model
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. EHDSImagingReport.header
Short | Imaging Report header
4. EHDSImagingReport.header.accessionNumber
Definition | Accession number - an identifier, managed by the RIS at the local level, which usually uniquely identifies an imaging procedure request, and links it to imaging study(ies) and related imaging report(s). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border.
Short | Accession number - an identifier, managed by the RIS at the local level, which usually uniquely identifies an imaging procedure request, and links it to imaging study(ies) and related imaging report(s). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Requirements | eHN Guideline IMG (v1.1): A.1.8.11
6. EHDSImagingReport.header.healthInsuranceAndPaymentInformation
Definition | Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.
Short | Health insurance and payment information
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCoverage
Requirements | eHN Guideline IMG (v1.1): A.1.3
8. EHDSImagingReport.header.intendedRecipient[x]
Definition | Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable
Short | Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable
Control | 0..*
Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSRelatedPerson, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDevice
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Requirements | eHN Guideline IMG (v1.1): A.1.4
10. EHDSImagingReport.knowledgeResources
Control | 0..0
12. EHDSImagingReport.body
Definition | Imaging Report structured body
Short | Imaging Report structured body
Control | 0..1
Type | Base
14. EHDSImagingReport.body.orderInformation
Definition | Order Information (Imaging Result Report could respond to multiple orders).
Short | Order Information (Imaging Result Report could respond to multiple orders).
Control | 0..*
Type | Base
Requirements | eHN Guideline IMG (v1.1): A.2
16. EHDSImagingReport.body.orderInformation.orderId
Definition | Identifier(s) of the imaging service order.
Short | Identifier(s) of the imaging service order.
Control | 1..*
Type | Identifier
18. EHDSImagingReport.body.orderInformation.orderDateAndTime
Definition | Date and time of the order placement.
Short | Date and time of the order placement.
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
20. EHDSImagingReport.body.orderInformation.orderPlacer[x]
Definition | The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
Short | The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
Control | 0..1
Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
22. EHDSImagingReport.body.orderInformation.orderReasonText
Definition | An explanation or justification for why this service is being requested in textual form.
Short | An explanation or justification for why this service is being requested in textual form.
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
24. EHDSImagingReport.body.orderInformation.orderReason[x]
Definition | An explanation or justification for why this service is being requested in coded or structured form.
Short | An explanation or justification for why this service is being requested in coded or structured form.
Control | 0..*
Binding | SNOMED CT
Type | Choice of: CodeableConcept, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Requirements | eHN Guideline IMG (v1.1): A.3.1, A3.2
26. EHDSImagingReport.body.orderInformation.clinicalQuestion
Definition | Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
Short | Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Requirements | eHN Guideline IMG (v1.1): A.3.3
28. EHDSImagingReport.body.orderInformation.supportingInformation
Definition | This information includes diagnosis, clinical findings and other observations. This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the metal implants present in patient's body.
Short | Additional clinical information about the patient or specimen that may affect service delivery or interpretation.
Control | 0..1
Type | Base
Requirements | eHN Guideline IMG (v1.1): A3.2?
30. EHDSImagingReport.body.orderInformation.supportingInformation.observation
Definition | Clinical findings and other observations (e.g., height and weights of the patient).
Short | Clinical findings and other observations (e.g., height and weights of the patient).
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation
32. EHDSImagingReport.body.orderInformation.supportingInformation.condition
Definition | Conditions that may influence the service or result interpretation.
Short | Conditions that may influence the service or result interpretation.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition
34. EHDSImagingReport.body.orderInformation.supportingInformation.medicationAdministration
Definition | Medication administered before ordering the service.
Short | Medication administered before ordering the service.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedicationAdministration
36. EHDSImagingReport.body.orderInformation.supportingInformation.devices
Definition | List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
Short | List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDevice
38. EHDSImagingReport.body.orderInformation.supportingInformation.pregnancyStatus
Definition | Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
Short | Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
Control | 0..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCurrentPregnancy
40. EHDSImagingReport.body.orderInformation.supportingInformation.sexForClinicalUse
Definition | Sex parameter for clinical use - provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc. This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population.
Short | Sex parameter for clinical use - provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc. This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population.
Control | 0..*
Binding | HL7 sex-parameter-for-clinical-use
Type | CodeableConcept
42. EHDSImagingReport.body.orderInformation.supportingInformation.otherSupportingInformation
Definition | Any other type of relevant supporting information
Short | Any other type of relevant supporting information
Control | 0..*
Type | Resource
44. EHDSImagingReport.body.specimen
Definition | Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
Short | Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSSpecimen
Requirements | eHN Guideline IMG (v1.1): A.4
46. EHDSImagingReport.body.serviceRequest
Definition | Specification of requested service(s).
Short | Specification of requested service(s).
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSServiceRequest
48. EHDSImagingReport.body.exposureInformation
Definition | Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
Short | Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
Control | 0..1
Type | Base
Requirements | eHN Guideline IMG (v1.1): B.1.4.4, Article 2 Imaging report definition
50. EHDSImagingReport.body.exposureInformation.effectiveDose
Definition | Effective dose - sum of equivalent doses to all organs, from external and/or internal exposures, each adjusted to account for the sensitivity of the organ to radiation. [mSv]
Short | Effective dose - sum of equivalent doses to all organs, from external and/or internal exposures, each adjusted to account for the sensitivity of the organ to radiation. [mSv]
Control | 0..*
Binding | UCUM (for units)
Type | Quantity
52. EHDSImagingReport.body.exposureInformation.equivalentDoseInformation
Definition | Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
Short | Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
Control | 1..1
Type | Base
54. EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.equivalentDose
Definition | Equivalent dose is a measure of the radiation dose to tissue where an attempt has been made to allow for the different relative biological effects of different types of ionizing radiation. Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
Short | Equivalent dose is a measure of the radiation dose to tissue where an attempt has been made to allow for the different relative biological effects of different types of ionizing radiation. Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
Control | 1..1
Binding | UCUM (for units)
Type | Quantity
56. EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.tissueType
Definition | Type of the tissue for which do dosage was enumerated.
Short | Type of the tissue for which do dosage was enumerated.
Control | 1..1
Binding | SNOMED CT
Type | CodeableConcept
58. EHDSImagingReport.body.examinationReport
Definition | Examination report content.
Short | Examination report content.
Control | 1..1
Type | Base
Requirements | eHN Guideline IMG (v1.1): A.5
60. EHDSImagingReport.body.examinationReport.modality
Definition | Imaging modality (or modalities) used during imaging investigation (DICOM CID029).
Short | Imaging modality (or modalities) used during imaging investigation (DICOM CID029).
Control | 1..*
Binding | DICOM Modality
Type | CodeableConcept
Requirements | eHN Guideline IMG (v1.1): A.5.1.1
62. EHDSImagingReport.body.examinationReport.bodyPart
Definition | All body parts investigated
Short | All body parts investigated
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSBodyStructure
Requirements | eHN Guideline IMG (v1.1): A.5.1.6
64. EHDSImagingReport.body.examinationReport.imagingProcedures
Definition | Imaging procedure performed during imaging study.
Short | Imaging procedure performed during imaging study.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSProcedure
Requirements | eHN Guideline IMG (v1.1): A.5.1.2-A.5.1.9
66. EHDSImagingReport.body.examinationReport.medication
Definition | Information about medication administered (contrast, sedation, stress agents), etc.
Short | Information about medication administered (contrast, sedation, stress agents), etc.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedicationAdministration
Requirements | eHN Guideline IMG (v1.1): A.5.2
68. EHDSImagingReport.body.examinationReport.adverseReaction
Definition | Adverse reactions manifested during imaging investigation.
Short | Adverse reactions manifested during imaging investigation.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAllergyIntolerance
Requirements | eHN Guideline IMG (v1.1): A.5.3
70. EHDSImagingReport.body.examinationReport.resultData
Definition | Imaging report result data
Short | Imaging report result data
Control | 0..1
Type | Base
Requirements | eHN Guideline IMG (v1.1): A.5.4
72. EHDSImagingReport.body.examinationReport.resultData.resultText
Definition | Comments and narrative representation of the observation results and findings.
Short | Comments and narrative representation of the observation results and findings.
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
74. EHDSImagingReport.body.examinationReport.resultData.observationResults
Definition | Observation details (report could consist of multiple observations)
Short | Observation details (report could consist of multiple observations)
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation
Requirements | eHN Guideline IMG (v1.1): A.5.4.1, A.5.4.3
76. EHDSImagingReport.body.examinationReport.conclusion
Definition | A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
Short | A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
Control | 1..1
Type | Base
Requirements | eHN Guideline IMG (v1.1): A.5.5
78. EHDSImagingReport.body.examinationReport.conclusion.impression
Definition | Narrative description of the clinical conclusion (impression).
Short | Narrative description of the clinical conclusion (impression).
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Requirements | eHN Guideline IMG (v1.1): A.5.5.1
80. EHDSImagingReport.body.examinationReport.conclusion.conditionOrFinding[x]
Definition | Condition or finding from imaging investigation.
Short | Condition or finding from imaging investigation.
Control | 0..*
Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Requirements | eHN Guideline IMG (v1.1): A.5.5.2
82. EHDSImagingReport.body.recommendation
Definition | Recommendations for additional imaging tests or other actions
Short | Recommendations for additional imaging tests or other actions
Control | 0..1
Type | Base
Requirements | eHN Guideline IMG (v1.1): A.5.6
84. EHDSImagingReport.body.recommendation.description
Definition | Narrative description of the recommended activities including additional test, medication etc.
Short | Narrative description of the recommended activities including additional test, medication etc.
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Requirements | eHN Guideline IMG (v1.1): A.5.6.1
86. EHDSImagingReport.body.recommendation.carePlan
Definition | A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
Short | A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCarePlan
Requirements | eHN Guideline IMG (v1.1): A.5.6.2
88. EHDSImagingReport.body.comparisonStudy
Definition | Documentation (reference) of a prior Imaging Report to which the current images were compared.
Short | Documentation (reference) of a prior Imaging Report to which the current images were compared.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSImagingReport
Requirements | eHN Guideline IMG (v1.1): A.7
90. EHDSImagingReport.dicomStudyMetadata
Definition | Metadata of the DICOM study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.
Short | Metadata of the DICOM study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSImagingStudy
Requirements | eHN Guideline IMG (v1.1): A.6
92. EHDSImagingReport.attachments[x]
Definition | Report attachments data elements
Short | Report attachments data elements
Control | 0..*
Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedia
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]

Guidance on how to interpret the contents of this table can be foundhere

0. EHDSImagingReport
Definition | EHDS refined base model for Medical Imaging Result Report
Short | Imaging report model
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. EHDSImagingReport.header
Definition | Common header for all patient-related data
Short | Imaging Report header
Control | 1..1
Type | Base
4. EHDSImagingReport.header.subject
Definition | Patient/subject information
Short | Subject
Control | 1..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
6. EHDSImagingReport.header.identifier
Definition | Unique identifier of the document
Short | Document ID
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..*
Type | Identifier
8. EHDSImagingReport.header.authorship
Definition | Resource authoring details
Short | Authorship
Control | 1..*
Type | Base
10. EHDSImagingReport.header.authorship.author[x]
Definition | Author(s) by whom the resource was/were authored. Multiple authors could be provided.
Short | Author
Control | 1..1
Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDevice
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
12. EHDSImagingReport.header.authorship.datetime
Definition | Date and time of the issuing the document/resource by its author.
Short | Date and time of authoring/issuing
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
14. EHDSImagingReport.header.lastUpdate
Definition | Date and time of the last update to the document/information
Short | Date and time of the last update to the resource
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
16. EHDSImagingReport.header.status
Definition | Status of the resource
Short | Status of the resource
Control | 1..1
Type | CodeableConcept
18. EHDSImagingReport.header.statusReason[x]
Definition | Reason for the current status of the resource.
Short | Reason for the current status of the resource.
Control | 0..1
Type | Choice of: CodeableConcept, string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
20. EHDSImagingReport.header.language
Definition | Language in which the resource is written. Language is expressed by the IETF language tag.
Short | Language
Control | 0..1
Binding | BCP 47
Type | CodeableConcept
22. EHDSImagingReport.header.version
Definition | Business version of the resource.
Short | Version
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
24. EHDSImagingReport.presentedForm
Definition | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Short | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment
26. EHDSImagingReport.header.documentType
Definition | Identifies the type of document at hand, e.g. Discharge report.
Short | Document type
Control | 1..1
Binding | LOINC
Type | CodeableConcept
28. EHDSImagingReport.header.documentTitle
Definition | Document title, such as Discharge Report, Laboratory Result Report, etc.
Short | Document title
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
30. EHDSImagingReport.header.documentStatus
Definition | The status of the Discharge report. E.g., preliminary, final.
Short | Document status
Control | 1..1
Binding | hl7:CompositionStatus
Type | CodeableConcept
32. EHDSImagingReport.header.period
Definition | Time of service that is being documented
Short | Period
Control | 0..1
Type | Period
34. EHDSImagingReport.header.attestation
Definition | Document attestation details
Short | Attestation
Control | 0..*
Type | Base
36. EHDSImagingReport.header.attestation.attester
Definition | Attester who validated the document. Mulitple attesters could be provided.
Short | Attester
Control | 1..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
38. EHDSImagingReport.header.attestation.datetime
Definition | Date and time of the approval of the document by Attester.
Short | DateTime
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
40. EHDSImagingReport.header.legalAuthentication
Definition | Document legal authentication
Short | Legal authentication
Control | 0..1
Type | Base
42. EHDSImagingReport.header.legalAuthentication.legalAuthenticator
Definition | The person taking responsibility for the medical content of the document
Short | Legal authenticator
Control | 1..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
44. EHDSImagingReport.header.legalAuthentication.datetime
Definition | Date and time when the document was authorized.
Short | DateTime
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
46. EHDSImagingReport.header.eventType
Definition | Categorization of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement betwen data sharing parties. This meta-data element serves primarily for searching and filtering purpuses.
Short | Event type
Control | 0..*
Binding | LOINC, SNOMED CT, dicom-cid-33-Modality
Type | CodeableConcept
48. EHDSImagingReport.header.authorSpecialty
Definition | Additional details about where the content was created (e.g. clinical specialty)
Short | Specialty
Control | 0..*
Binding | SNOMED CT
Type | CodeableConcept
50. EHDSImagingReport.header.custodian
Definition | Organisation that is in charge of maintaining the document/report.
Short | Document custodian
Control | 1..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation
52. EHDSImagingReport.header.documentFormat
Definition | An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType.
Short | Document format
Control | 0..1
Binding | HL7 Document Format Codes
Type | CodeableConcept
54. EHDSImagingReport.header.confidentiality
Definition | Level of confidentiality of the document. Implicit value is normal.
Short | Confidentiality
Control | 0..1
Binding | hl7:Confidentiality
Type | CodeableConcept
56. EHDSImagingReport.knowledgeResources
Definition | Related documents and information sources
Short | Related documents and information sources
Control | 0..0
Type | Base
60. EHDSImagingReport.header.accessionNumber
Definition | Accession number - an identifier, managed by the RIS at the local level, which usually uniquely identifies an imaging procedure request, and links it to imaging study(ies) and related imaging report(s). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border.
Short | Accession number - an identifier, managed by the RIS at the local level, which usually uniquely identifies an imaging procedure request, and links it to imaging study(ies) and related imaging report(s). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Requirements | eHN Guideline IMG (v1.1): A.1.8.11
62. EHDSImagingReport.header.healthInsuranceAndPaymentInformation
Definition | Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.
Short | Health insurance and payment information
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCoverage
Requirements | eHN Guideline IMG (v1.1): A.1.3
64. EHDSImagingReport.header.intendedRecipient[x]
Definition | Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable
Short | Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable
Control | 0..*
Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSRelatedPerson, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDevice
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Requirements | eHN Guideline IMG (v1.1): A.1.4
66. EHDSImagingReport.body
Definition | Imaging Report structured body
Short | Imaging Report structured body
Control | 0..1
Type | Base
68. EHDSImagingReport.body.orderInformation
Definition | Order Information (Imaging Result Report could respond to multiple orders).
Short | Order Information (Imaging Result Report could respond to multiple orders).
Control | 0..*
Type | Base
Requirements | eHN Guideline IMG (v1.1): A.2
70. EHDSImagingReport.body.orderInformation.orderId
Definition | Identifier(s) of the imaging service order.
Short | Identifier(s) of the imaging service order.
Control | 1..*
Type | Identifier
72. EHDSImagingReport.body.orderInformation.orderDateAndTime
Definition | Date and time of the order placement.
Short | Date and time of the order placement.
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
74. EHDSImagingReport.body.orderInformation.orderPlacer[x]
Definition | The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
Short | The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
Control | 0..1
Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
76. EHDSImagingReport.body.orderInformation.orderReasonText
Definition | An explanation or justification for why this service is being requested in textual form.
Short | An explanation or justification for why this service is being requested in textual form.
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
78. EHDSImagingReport.body.orderInformation.orderReason[x]
Definition | An explanation or justification for why this service is being requested in coded or structured form.
Short | An explanation or justification for why this service is being requested in coded or structured form.
Control | 0..*
Binding | SNOMED CT
Type | Choice of: CodeableConcept, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Requirements | eHN Guideline IMG (v1.1): A.3.1, A3.2
80. EHDSImagingReport.body.orderInformation.clinicalQuestion
Definition | Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
Short | Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Requirements | eHN Guideline IMG (v1.1): A.3.3
82. EHDSImagingReport.body.orderInformation.supportingInformation
Definition | This information includes diagnosis, clinical findings and other observations. This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the metal implants present in patient's body.
Short | Additional clinical information about the patient or specimen that may affect service delivery or interpretation.
Control | 0..1
Type | Base
Requirements | eHN Guideline IMG (v1.1): A3.2?
84. EHDSImagingReport.body.orderInformation.supportingInformation.observation
Definition | Clinical findings and other observations (e.g., height and weights of the patient).
Short | Clinical findings and other observations (e.g., height and weights of the patient).
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation
86. EHDSImagingReport.body.orderInformation.supportingInformation.condition
Definition | Conditions that may influence the service or result interpretation.
Short | Conditions that may influence the service or result interpretation.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition
88. EHDSImagingReport.body.orderInformation.supportingInformation.medicationAdministration
Definition | Medication administered before ordering the service.
Short | Medication administered before ordering the service.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedicationAdministration
90. EHDSImagingReport.body.orderInformation.supportingInformation.devices
Definition | List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
Short | List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDevice
92. EHDSImagingReport.body.orderInformation.supportingInformation.pregnancyStatus
Definition | Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
Short | Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
Control | 0..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCurrentPregnancy
94. EHDSImagingReport.body.orderInformation.supportingInformation.sexForClinicalUse
Definition | Sex parameter for clinical use - provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc. This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population.
Short | Sex parameter for clinical use - provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc. This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population.
Control | 0..*
Binding | HL7 sex-parameter-for-clinical-use
Type | CodeableConcept
96. EHDSImagingReport.body.orderInformation.supportingInformation.otherSupportingInformation
Definition | Any other type of relevant supporting information
Short | Any other type of relevant supporting information
Control | 0..*
Type | Resource
98. EHDSImagingReport.body.specimen
Definition | Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
Short | Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSSpecimen
Requirements | eHN Guideline IMG (v1.1): A.4
100. EHDSImagingReport.body.serviceRequest
Definition | Specification of requested service(s).
Short | Specification of requested service(s).
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSServiceRequest
102. EHDSImagingReport.body.exposureInformation
Definition | Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
Short | Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
Control | 0..1
Type | Base
Requirements | eHN Guideline IMG (v1.1): B.1.4.4, Article 2 Imaging report definition
104. EHDSImagingReport.body.exposureInformation.effectiveDose
Definition | Effective dose - sum of equivalent doses to all organs, from external and/or internal exposures, each adjusted to account for the sensitivity of the organ to radiation. [mSv]
Short | Effective dose - sum of equivalent doses to all organs, from external and/or internal exposures, each adjusted to account for the sensitivity of the organ to radiation. [mSv]
Control | 0..*
Binding | UCUM (for units)
Type | Quantity
106. EHDSImagingReport.body.exposureInformation.equivalentDoseInformation
Definition | Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
Short | Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
Control | 1..1
Type | Base
108. EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.equivalentDose
Definition | Equivalent dose is a measure of the radiation dose to tissue where an attempt has been made to allow for the different relative biological effects of different types of ionizing radiation. Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
Short | Equivalent dose is a measure of the radiation dose to tissue where an attempt has been made to allow for the different relative biological effects of different types of ionizing radiation. Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
Control | 1..1
Binding | UCUM (for units)
Type | Quantity
110. EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.tissueType
Definition | Type of the tissue for which do dosage was enumerated.
Short | Type of the tissue for which do dosage was enumerated.
Control | 1..1
Binding | SNOMED CT
Type | CodeableConcept
112. EHDSImagingReport.body.examinationReport
Definition | Examination report content.
Short | Examination report content.
Control | 1..1
Type | Base
Requirements | eHN Guideline IMG (v1.1): A.5
114. EHDSImagingReport.body.examinationReport.modality
Definition | Imaging modality (or modalities) used during imaging investigation (DICOM CID029).
Short | Imaging modality (or modalities) used during imaging investigation (DICOM CID029).
Control | 1..*
Binding | DICOM Modality
Type | CodeableConcept
Requirements | eHN Guideline IMG (v1.1): A.5.1.1
116. EHDSImagingReport.body.examinationReport.bodyPart
Definition | All body parts investigated
Short | All body parts investigated
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSBodyStructure
Requirements | eHN Guideline IMG (v1.1): A.5.1.6
118. EHDSImagingReport.body.examinationReport.imagingProcedures
Definition | Imaging procedure performed during imaging study.
Short | Imaging procedure performed during imaging study.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSProcedure
Requirements | eHN Guideline IMG (v1.1): A.5.1.2-A.5.1.9
120. EHDSImagingReport.body.examinationReport.medication
Definition | Information about medication administered (contrast, sedation, stress agents), etc.
Short | Information about medication administered (contrast, sedation, stress agents), etc.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedicationAdministration
Requirements | eHN Guideline IMG (v1.1): A.5.2
122. EHDSImagingReport.body.examinationReport.adverseReaction
Definition | Adverse reactions manifested during imaging investigation.
Short | Adverse reactions manifested during imaging investigation.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAllergyIntolerance
Requirements | eHN Guideline IMG (v1.1): A.5.3
124. EHDSImagingReport.body.examinationReport.resultData
Definition | Imaging report result data
Short | Imaging report result data
Control | 0..1
Type | Base
Requirements | eHN Guideline IMG (v1.1): A.5.4
126. EHDSImagingReport.body.examinationReport.resultData.resultText
Definition | Comments and narrative representation of the observation results and findings.
Short | Comments and narrative representation of the observation results and findings.
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
128. EHDSImagingReport.body.examinationReport.resultData.observationResults
Definition | Observation details (report could consist of multiple observations)
Short | Observation details (report could consist of multiple observations)
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation
Requirements | eHN Guideline IMG (v1.1): A.5.4.1, A.5.4.3
130. EHDSImagingReport.body.examinationReport.conclusion
Definition | A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
Short | A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
Control | 1..1
Type | Base
Requirements | eHN Guideline IMG (v1.1): A.5.5
132. EHDSImagingReport.body.examinationReport.conclusion.impression
Definition | Narrative description of the clinical conclusion (impression).
Short | Narrative description of the clinical conclusion (impression).
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Requirements | eHN Guideline IMG (v1.1): A.5.5.1
134. EHDSImagingReport.body.examinationReport.conclusion.conditionOrFinding[x]
Definition | Condition or finding from imaging investigation.
Short | Condition or finding from imaging investigation.
Control | 0..*
Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Requirements | eHN Guideline IMG (v1.1): A.5.5.2
136. EHDSImagingReport.body.recommendation
Definition | Recommendations for additional imaging tests or other actions
Short | Recommendations for additional imaging tests or other actions
Control | 0..1
Type | Base
Requirements | eHN Guideline IMG (v1.1): A.5.6
138. EHDSImagingReport.body.recommendation.description
Definition | Narrative description of the recommended activities including additional test, medication etc.
Short | Narrative description of the recommended activities including additional test, medication etc.
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Requirements | eHN Guideline IMG (v1.1): A.5.6.1
140. EHDSImagingReport.body.recommendation.carePlan
Definition | A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
Short | A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCarePlan
Requirements | eHN Guideline IMG (v1.1): A.5.6.2
142. EHDSImagingReport.body.comparisonStudy
Definition | Documentation (reference) of a prior Imaging Report to which the current images were compared.
Short | Documentation (reference) of a prior Imaging Report to which the current images were compared.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSImagingReport
Requirements | eHN Guideline IMG (v1.1): A.7
144. EHDSImagingReport.dicomStudyMetadata
Definition | Metadata of the DICOM study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.
Short | Metadata of the DICOM study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSImagingStudy
Requirements | eHN Guideline IMG (v1.1): A.6
146. EHDSImagingReport.attachments[x]
Definition | Report attachments data elements
Short | Report attachments data elements
Control | 0..*
Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedia
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]