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: Imaging report model

Official URL: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSImagingReport | Version: 0.1.0
Draft as of 2025-08-25 | Computable Name: EHDSImagingReport

EHDS refined base model for Medical Imaging Result Report

Usages:

- Use this Logical Model: Imaging report model

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
EHDSImagingReport |  | 0..* | EHDSDocument | Elements defined in Ancestors:header, presentedForm, header, knowledgeResources Imaging report model Instances of this logical model can be the target of a Reference
header |  | 1..1 | Base | Imaging Report header
subject |  | 1..1 | EHDSPatient | Subject
identifier |  | 1..* | Identifier | Document ID
authorship |  | 1..* | Base | Authorship
author[x] |  | 1..1 |  | Author
authorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
authorEHDSOrganisation |  |  | EHDSOrganisation |
authorEHDSDevice |  |  | EHDSDevice |
datetime |  | 1..1 | dateTime | Date and time of authoring/issuing
lastUpdate |  | 0..1 | dateTime | Date and time of the last update to the resource
status |  | 1..1 | CodeableConcept | Status of the resource
statusReason[x] |  | 0..1 |  | Reason for the current status of the resource.
statusReasonCodeableConcept |  |  | CodeableConcept |
statusReasonString |  |  | string |
language |  | 0..1 | CodeableConcept | Language Binding Description: (preferred): BCP 47
version |  | 0..1 | string | Version
documentType |  | 1..1 | CodeableConcept | Document type Binding Description: (preferred): LOINC
documentTitle |  | 1..1 | string | Document title
documentStatus |  | 1..1 | CodeableConcept | Document status Binding Description: (preferred): hl7:CompositionStatus
period |  | 0..1 | Period | Period
attestation |  | 0..* | Base | Attestation
attester |  | 1..1 | EHDSHealthProfessional | Attester
datetime |  | 1..1 | dateTime | DateTime
legalAuthentication |  | 0..1 | Base | Legal authentication
legalAuthenticator |  | 1..1 | EHDSHealthProfessional | Legal authenticator
datetime |  | 1..1 | dateTime | DateTime
eventType |  | 0..* | CodeableConcept | Event type Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
authorSpecialty |  | 0..* | CodeableConcept | Specialty Binding Description: (preferred): SNOMED CT
custodian |  | 1..1 | EHDSOrganisation | Document custodian
documentFormat |  | 0..1 | CodeableConcept | Document format Binding Description: (preferred): HL7 Document Format Codes
confidentiality |  | 0..1 | CodeableConcept | Confidentiality Binding Description: (preferred): hl7:Confidentiality
accessionNumber |  | 0..1 | string | 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.
healthInsuranceAndPaymentInformation |  | 0..* | EHDSCoverage | Health insurance and payment information
intendedRecipient[x] |  | 0..* |  | 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
intendedRecipientEHDSPatient |  |  | EHDSPatient |
intendedRecipientEHDSRelatedPerson |  |  | EHDSRelatedPerson |
intendedRecipientEHDSHealthProfessional |  |  | EHDSHealthProfessional |
intendedRecipientEHDSOrganisation |  |  | EHDSOrganisation |
intendedRecipientEHDSDevice |  |  | EHDSDevice |
presentedForm |  | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
body |  | 0..1 | Base | Imaging Report structured body
orderInformation |  | 0..* | Base | Order Information (Imaging Result Report could respond to multiple orders).
orderId |  | 1..* | Identifier | Identifier(s) of the imaging service order.
orderDateAndTime |  | 0..1 | dateTime | Date and time of the order placement.
orderPlacer[x] |  | 0..1 |  | The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
orderPlacerEHDSHealthProfessional |  |  | EHDSHealthProfessional |
orderPlacerEHDSOrganisation |  |  | EHDSOrganisation |
orderPlacerEHDSPatient |  |  | EHDSPatient |
orderReasonText |  | 0..* | string | An explanation or justification for why this service is being requested in textual form.
orderReason[x] |  | 0..* |  | An explanation or justification for why this service is being requested in coded or structured form. Binding Description: (preferred): SNOMED CT
orderReasonCodeableConcept |  |  | CodeableConcept |
orderReasonEHDSCondition |  |  | EHDSCondition |
orderReasonEHDSObservation |  |  | EHDSObservation |
clinicalQuestion |  | 0..1 | string | Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
supportingInformation |  | 0..1 | Base | Additional clinical information about the patient or specimen that may affect service delivery or interpretation.
observation |  | 0..* | EHDSObservation | Clinical findings and other observations (e.g., height and weights of the patient).
condition |  | 0..* | EHDSCondition | Conditions that may influence the service or result interpretation.
medicationAdministration |  | 0..* | EHDSMedicationAdministration | Medication administered before ordering the service.
devices |  | 0..* | EHDSDevice | List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
pregnancyStatus |  | 0..1 | EHDSCurrentPregnancy | Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
sexForClinicalUse |  | 0..* | CodeableConcept | 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. Binding Description: (preferred): HL7 sex-parameter-for-clinical-use
otherSupportingInformation |  | 0..* | Resource | Any other type of relevant supporting information
specimen |  | 0..* | EHDSSpecimen | Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
serviceRequest |  | 0..* | EHDSServiceRequest | Specification of requested service(s).
exposureInformation |  | 0..1 | Base | Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
effectiveDose |  | 0..* | Quantity | 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] Binding Description: (preferred): UCUM (for units)
equivalentDoseInformation |  | 1..1 | Base | Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
equivalentDose |  | 1..1 | Quantity | 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]. Binding Description: (preferred): UCUM (for units)
tissueType |  | 1..1 | CodeableConcept | Type of the tissue for which do dosage was enumerated. Binding Description: (preferred): SNOMED CT
examinationReport |  | 1..1 | Base | Examination report content.
modality |  | 1..* | CodeableConcept | Imaging modality (or modalities) used during imaging investigation (DICOM CID029). Binding Description: (preferred): DICOM Modality
bodyPart |  | 0..* | EHDSBodyStructure | All body parts investigated
imagingProcedures |  | 0..* | EHDSProcedure | Imaging procedure performed during imaging study.
medication |  | 0..* | EHDSMedicationAdministration | Information about medication administered (contrast, sedation, stress agents), etc.
adverseReaction |  | 0..* | EHDSAllergyIntolerance | Adverse reactions manifested during imaging investigation.
resultData |  | 0..1 | Base | Imaging report result data
resultText |  | 1..1 | string | Comments and narrative representation of the observation results and findings.
observationResults |  | 0..* | EHDSObservation | Observation details (report could consist of multiple observations)
conclusion |  | 1..1 | Base | A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
impression |  | 1..1 | string | Narrative description of the clinical conclusion (impression).
conditionOrFinding[x] |  | 0..* |  | Condition or finding from imaging investigation.
conditionOrFindingEHDSCondition |  |  | EHDSCondition |
conditionOrFindingEHDSObservation |  |  | EHDSObservation |
recommendation |  | 0..1 | Base | Recommendations for additional imaging tests or other actions
description |  | 1..1 | string | Narrative description of the recommended activities including additional test, medication etc.
carePlan |  | 0..* | EHDSCarePlan | A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
comparisonStudy |  | 0..* | EHDSImagingReport | Documentation (reference) of a prior Imaging Report to which the current images were compared.
dicomStudyMetadata |  | 0..* | EHDSImagingStudy | 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.
attachments[x] |  | 0..* |  | Report attachments data elements
attachmentsEHDSAttachment |  |  | EHDSAttachment |
attachmentsEHDSMedia |  |  | EHDSMedia |
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
EHDSImagingReport.header.language | preferred |
EHDSImagingReport.header.documentType | preferred |
EHDSImagingReport.header.documentStatus | preferred |
EHDSImagingReport.header.eventType | preferred |
EHDSImagingReport.header.authorSpecialty | preferred |
EHDSImagingReport.header.documentFormat | preferred |
EHDSImagingReport.header.confidentiality | preferred |
EHDSImagingReport.body.orderInformation.orderReason[x] | preferred |
EHDSImagingReport.body.orderInformation.supportingInformation.sexForClinicalUse | preferred |
EHDSImagingReport.body.exposureInformation.effectiveDose | preferred |
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.equivalentDose | preferred |
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.tissueType | preferred |
EHDSImagingReport.body.examinationReport.modality | preferred |

This structure is derived from EHDSDocument

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
EHDSImagingReport |  | 0..* | EHDSDocument | Elements defined in Ancestors:header, presentedForm, header, knowledgeResources Imaging report model Instances of this logical model can be the target of a Reference
header |  | 1..1 | Base | Imaging Report header
accessionNumber |  | 0..1 | string | 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.
healthInsuranceAndPaymentInformation |  | 0..* | EHDSCoverage | Health insurance and payment information
intendedRecipient[x] |  | 0..* |  | 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
intendedRecipientEHDSPatient |  |  | EHDSPatient |
intendedRecipientEHDSRelatedPerson |  |  | EHDSRelatedPerson |
intendedRecipientEHDSHealthProfessional |  |  | EHDSHealthProfessional |
intendedRecipientEHDSOrganisation |  |  | EHDSOrganisation |
intendedRecipientEHDSDevice |  |  | EHDSDevice |
knowledgeResources |  | 0..0 |  |
body |  | 0..1 | Base | Imaging Report structured body
orderInformation |  | 0..* | Base | Order Information (Imaging Result Report could respond to multiple orders).
orderId |  | 1..* | Identifier | Identifier(s) of the imaging service order.
orderDateAndTime |  | 0..1 | dateTime | Date and time of the order placement.
orderPlacer[x] |  | 0..1 |  | The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
orderPlacerEHDSHealthProfessional |  |  | EHDSHealthProfessional |
orderPlacerEHDSOrganisation |  |  | EHDSOrganisation |
orderPlacerEHDSPatient |  |  | EHDSPatient |
orderReasonText |  | 0..* | string | An explanation or justification for why this service is being requested in textual form.
orderReason[x] |  | 0..* |  | An explanation or justification for why this service is being requested in coded or structured form. Binding Description: (preferred): SNOMED CT
orderReasonCodeableConcept |  |  | CodeableConcept |
orderReasonEHDSCondition |  |  | EHDSCondition |
orderReasonEHDSObservation |  |  | EHDSObservation |
clinicalQuestion |  | 0..1 | string | Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
supportingInformation |  | 0..1 | Base | Additional clinical information about the patient or specimen that may affect service delivery or interpretation.
observation |  | 0..* | EHDSObservation | Clinical findings and other observations (e.g., height and weights of the patient).
condition |  | 0..* | EHDSCondition | Conditions that may influence the service or result interpretation.
medicationAdministration |  | 0..* | EHDSMedicationAdministration | Medication administered before ordering the service.
devices |  | 0..* | EHDSDevice | List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
pregnancyStatus |  | 0..1 | EHDSCurrentPregnancy | Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
sexForClinicalUse |  | 0..* | CodeableConcept | 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. Binding Description: (preferred): HL7 sex-parameter-for-clinical-use
otherSupportingInformation |  | 0..* | Resource | Any other type of relevant supporting information
specimen |  | 0..* | EHDSSpecimen | Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
serviceRequest |  | 0..* | EHDSServiceRequest | Specification of requested service(s).
exposureInformation |  | 0..1 | Base | Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
effectiveDose |  | 0..* | Quantity | 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] Binding Description: (preferred): UCUM (for units)
equivalentDoseInformation |  | 1..1 | Base | Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
equivalentDose |  | 1..1 | Quantity | 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]. Binding Description: (preferred): UCUM (for units)
tissueType |  | 1..1 | CodeableConcept | Type of the tissue for which do dosage was enumerated. Binding Description: (preferred): SNOMED CT
examinationReport |  | 1..1 | Base | Examination report content.
modality |  | 1..* | CodeableConcept | Imaging modality (or modalities) used during imaging investigation (DICOM CID029). Binding Description: (preferred): DICOM Modality
bodyPart |  | 0..* | EHDSBodyStructure | All body parts investigated
imagingProcedures |  | 0..* | EHDSProcedure | Imaging procedure performed during imaging study.
medication |  | 0..* | EHDSMedicationAdministration | Information about medication administered (contrast, sedation, stress agents), etc.
adverseReaction |  | 0..* | EHDSAllergyIntolerance | Adverse reactions manifested during imaging investigation.
resultData |  | 0..1 | Base | Imaging report result data
resultText |  | 1..1 | string | Comments and narrative representation of the observation results and findings.
observationResults |  | 0..* | EHDSObservation | Observation details (report could consist of multiple observations)
conclusion |  | 1..1 | Base | A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
impression |  | 1..1 | string | Narrative description of the clinical conclusion (impression).
conditionOrFinding[x] |  | 0..* |  | Condition or finding from imaging investigation.
conditionOrFindingEHDSCondition |  |  | EHDSCondition |
conditionOrFindingEHDSObservation |  |  | EHDSObservation |
recommendation |  | 0..1 | Base | Recommendations for additional imaging tests or other actions
description |  | 1..1 | string | Narrative description of the recommended activities including additional test, medication etc.
carePlan |  | 0..* | EHDSCarePlan | A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
comparisonStudy |  | 0..* | EHDSImagingReport | Documentation (reference) of a prior Imaging Report to which the current images were compared.
dicomStudyMetadata |  | 0..* | EHDSImagingStudy | 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.
attachments[x] |  | 0..* |  | Report attachments data elements
attachmentsEHDSAttachment |  |  | EHDSAttachment |
attachmentsEHDSMedia |  |  | EHDSMedia |
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
EHDSImagingReport.body.orderInformation.orderReason[x] | preferred |
EHDSImagingReport.body.orderInformation.supportingInformation.sexForClinicalUse | preferred |
EHDSImagingReport.body.exposureInformation.effectiveDose | preferred |
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.equivalentDose | preferred |
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.tissueType | preferred |
EHDSImagingReport.body.examinationReport.modality | preferred |

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
EHDSImagingReport |  | 0..* | EHDSDocument | Elements defined in Ancestors:header, presentedForm, header, knowledgeResources Imaging report model Instances of this logical model can be the target of a Reference
header |  | 1..1 | Base | Imaging Report header
subject |  | 1..1 | EHDSPatient | Subject
identifier |  | 1..* | Identifier | Document ID
authorship |  | 1..* | Base | Authorship
author[x] |  | 1..1 |  | Author
authorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
authorEHDSOrganisation |  |  | EHDSOrganisation |
authorEHDSDevice |  |  | EHDSDevice |
datetime |  | 1..1 | dateTime | Date and time of authoring/issuing
lastUpdate |  | 0..1 | dateTime | Date and time of the last update to the resource
status |  | 1..1 | CodeableConcept | Status of the resource
statusReason[x] |  | 0..1 |  | Reason for the current status of the resource.
statusReasonCodeableConcept |  |  | CodeableConcept |
statusReasonString |  |  | string |
language |  | 0..1 | CodeableConcept | Language Binding Description: (preferred): BCP 47
version |  | 0..1 | string | Version
documentType |  | 1..1 | CodeableConcept | Document type Binding Description: (preferred): LOINC
documentTitle |  | 1..1 | string | Document title
documentStatus |  | 1..1 | CodeableConcept | Document status Binding Description: (preferred): hl7:CompositionStatus
period |  | 0..1 | Period | Period
attestation |  | 0..* | Base | Attestation
attester |  | 1..1 | EHDSHealthProfessional | Attester
datetime |  | 1..1 | dateTime | DateTime
legalAuthentication |  | 0..1 | Base | Legal authentication
legalAuthenticator |  | 1..1 | EHDSHealthProfessional | Legal authenticator
datetime |  | 1..1 | dateTime | DateTime
eventType |  | 0..* | CodeableConcept | Event type Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
authorSpecialty |  | 0..* | CodeableConcept | Specialty Binding Description: (preferred): SNOMED CT
custodian |  | 1..1 | EHDSOrganisation | Document custodian
documentFormat |  | 0..1 | CodeableConcept | Document format Binding Description: (preferred): HL7 Document Format Codes
confidentiality |  | 0..1 | CodeableConcept | Confidentiality Binding Description: (preferred): hl7:Confidentiality
accessionNumber |  | 0..1 | string | 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.
healthInsuranceAndPaymentInformation |  | 0..* | EHDSCoverage | Health insurance and payment information
intendedRecipient[x] |  | 0..* |  | 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
intendedRecipientEHDSPatient |  |  | EHDSPatient |
intendedRecipientEHDSRelatedPerson |  |  | EHDSRelatedPerson |
intendedRecipientEHDSHealthProfessional |  |  | EHDSHealthProfessional |
intendedRecipientEHDSOrganisation |  |  | EHDSOrganisation |
intendedRecipientEHDSDevice |  |  | EHDSDevice |
presentedForm |  | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
body |  | 0..1 | Base | Imaging Report structured body
orderInformation |  | 0..* | Base | Order Information (Imaging Result Report could respond to multiple orders).
orderId |  | 1..* | Identifier | Identifier(s) of the imaging service order.
orderDateAndTime |  | 0..1 | dateTime | Date and time of the order placement.
orderPlacer[x] |  | 0..1 |  | The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
orderPlacerEHDSHealthProfessional |  |  | EHDSHealthProfessional |
orderPlacerEHDSOrganisation |  |  | EHDSOrganisation |
orderPlacerEHDSPatient |  |  | EHDSPatient |
orderReasonText |  | 0..* | string | An explanation or justification for why this service is being requested in textual form.
orderReason[x] |  | 0..* |  | An explanation or justification for why this service is being requested in coded or structured form. Binding Description: (preferred): SNOMED CT
orderReasonCodeableConcept |  |  | CodeableConcept |
orderReasonEHDSCondition |  |  | EHDSCondition |
orderReasonEHDSObservation |  |  | EHDSObservation |
clinicalQuestion |  | 0..1 | string | Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
supportingInformation |  | 0..1 | Base | Additional clinical information about the patient or specimen that may affect service delivery or interpretation.
observation |  | 0..* | EHDSObservation | Clinical findings and other observations (e.g., height and weights of the patient).
condition |  | 0..* | EHDSCondition | Conditions that may influence the service or result interpretation.
medicationAdministration |  | 0..* | EHDSMedicationAdministration | Medication administered before ordering the service.
devices |  | 0..* | EHDSDevice | List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
pregnancyStatus |  | 0..1 | EHDSCurrentPregnancy | Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
sexForClinicalUse |  | 0..* | CodeableConcept | 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. Binding Description: (preferred): HL7 sex-parameter-for-clinical-use
otherSupportingInformation |  | 0..* | Resource | Any other type of relevant supporting information
specimen |  | 0..* | EHDSSpecimen | Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
serviceRequest |  | 0..* | EHDSServiceRequest | Specification of requested service(s).
exposureInformation |  | 0..1 | Base | Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
effectiveDose |  | 0..* | Quantity | 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] Binding Description: (preferred): UCUM (for units)
equivalentDoseInformation |  | 1..1 | Base | Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
equivalentDose |  | 1..1 | Quantity | 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]. Binding Description: (preferred): UCUM (for units)
tissueType |  | 1..1 | CodeableConcept | Type of the tissue for which do dosage was enumerated. Binding Description: (preferred): SNOMED CT
examinationReport |  | 1..1 | Base | Examination report content.
modality |  | 1..* | CodeableConcept | Imaging modality (or modalities) used during imaging investigation (DICOM CID029). Binding Description: (preferred): DICOM Modality
bodyPart |  | 0..* | EHDSBodyStructure | All body parts investigated
imagingProcedures |  | 0..* | EHDSProcedure | Imaging procedure performed during imaging study.
medication |  | 0..* | EHDSMedicationAdministration | Information about medication administered (contrast, sedation, stress agents), etc.
adverseReaction |  | 0..* | EHDSAllergyIntolerance | Adverse reactions manifested during imaging investigation.
resultData |  | 0..1 | Base | Imaging report result data
resultText |  | 1..1 | string | Comments and narrative representation of the observation results and findings.
observationResults |  | 0..* | EHDSObservation | Observation details (report could consist of multiple observations)
conclusion |  | 1..1 | Base | A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
impression |  | 1..1 | string | Narrative description of the clinical conclusion (impression).
conditionOrFinding[x] |  | 0..* |  | Condition or finding from imaging investigation.
conditionOrFindingEHDSCondition |  |  | EHDSCondition |
conditionOrFindingEHDSObservation |  |  | EHDSObservation |
recommendation |  | 0..1 | Base | Recommendations for additional imaging tests or other actions
description |  | 1..1 | string | Narrative description of the recommended activities including additional test, medication etc.
carePlan |  | 0..* | EHDSCarePlan | A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
comparisonStudy |  | 0..* | EHDSImagingReport | Documentation (reference) of a prior Imaging Report to which the current images were compared.
dicomStudyMetadata |  | 0..* | EHDSImagingStudy | 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.
attachments[x] |  | 0..* |  | Report attachments data elements
attachmentsEHDSAttachment |  |  | EHDSAttachment |
attachmentsEHDSMedia |  |  | EHDSMedia |
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
EHDSImagingReport.header.language | preferred |
EHDSImagingReport.header.documentType | preferred |
EHDSImagingReport.header.documentStatus | preferred |
EHDSImagingReport.header.eventType | preferred |
EHDSImagingReport.header.authorSpecialty | preferred |
EHDSImagingReport.header.documentFormat | preferred |
EHDSImagingReport.header.confidentiality | preferred |
EHDSImagingReport.body.orderInformation.orderReason[x] | preferred |
EHDSImagingReport.body.orderInformation.supportingInformation.sexForClinicalUse | preferred |
EHDSImagingReport.body.exposureInformation.effectiveDose | preferred |
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.equivalentDose | preferred |
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.tissueType | preferred |
EHDSImagingReport.body.examinationReport.modality | preferred |

This structure is derived from EHDSDocument

Summary

Mandatory: 0 element(10 nested mandatory elements)
Prohibited: 1 element

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
EHDSImagingReport |  | 0..* | EHDSDocument | Elements defined in Ancestors:header, presentedForm, header, knowledgeResources Imaging report model Instances of this logical model can be the target of a Reference
header |  | 1..1 | Base | Imaging Report header
subject |  | 1..1 | EHDSPatient | Subject
identifier |  | 1..* | Identifier | Document ID
authorship |  | 1..* | Base | Authorship
author[x] |  | 1..1 |  | Author
authorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
authorEHDSOrganisation |  |  | EHDSOrganisation |
authorEHDSDevice |  |  | EHDSDevice |
datetime |  | 1..1 | dateTime | Date and time of authoring/issuing
lastUpdate |  | 0..1 | dateTime | Date and time of the last update to the resource
status |  | 1..1 | CodeableConcept | Status of the resource
statusReason[x] |  | 0..1 |  | Reason for the current status of the resource.
statusReasonCodeableConcept |  |  | CodeableConcept |
statusReasonString |  |  | string |
language |  | 0..1 | CodeableConcept | Language Binding Description: (preferred): BCP 47
version |  | 0..1 | string | Version
documentType |  | 1..1 | CodeableConcept | Document type Binding Description: (preferred): LOINC
documentTitle |  | 1..1 | string | Document title
documentStatus |  | 1..1 | CodeableConcept | Document status Binding Description: (preferred): hl7:CompositionStatus
period |  | 0..1 | Period | Period
attestation |  | 0..* | Base | Attestation
attester |  | 1..1 | EHDSHealthProfessional | Attester
datetime |  | 1..1 | dateTime | DateTime
legalAuthentication |  | 0..1 | Base | Legal authentication
legalAuthenticator |  | 1..1 | EHDSHealthProfessional | Legal authenticator
datetime |  | 1..1 | dateTime | DateTime
eventType |  | 0..* | CodeableConcept | Event type Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
authorSpecialty |  | 0..* | CodeableConcept | Specialty Binding Description: (preferred): SNOMED CT
custodian |  | 1..1 | EHDSOrganisation | Document custodian
documentFormat |  | 0..1 | CodeableConcept | Document format Binding Description: (preferred): HL7 Document Format Codes
confidentiality |  | 0..1 | CodeableConcept | Confidentiality Binding Description: (preferred): hl7:Confidentiality
accessionNumber |  | 0..1 | string | 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.
healthInsuranceAndPaymentInformation |  | 0..* | EHDSCoverage | Health insurance and payment information
intendedRecipient[x] |  | 0..* |  | 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
intendedRecipientEHDSPatient |  |  | EHDSPatient |
intendedRecipientEHDSRelatedPerson |  |  | EHDSRelatedPerson |
intendedRecipientEHDSHealthProfessional |  |  | EHDSHealthProfessional |
intendedRecipientEHDSOrganisation |  |  | EHDSOrganisation |
intendedRecipientEHDSDevice |  |  | EHDSDevice |
presentedForm |  | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
body |  | 0..1 | Base | Imaging Report structured body
orderInformation |  | 0..* | Base | Order Information (Imaging Result Report could respond to multiple orders).
orderId |  | 1..* | Identifier | Identifier(s) of the imaging service order.
orderDateAndTime |  | 0..1 | dateTime | Date and time of the order placement.
orderPlacer[x] |  | 0..1 |  | The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
orderPlacerEHDSHealthProfessional |  |  | EHDSHealthProfessional |
orderPlacerEHDSOrganisation |  |  | EHDSOrganisation |
orderPlacerEHDSPatient |  |  | EHDSPatient |
orderReasonText |  | 0..* | string | An explanation or justification for why this service is being requested in textual form.
orderReason[x] |  | 0..* |  | An explanation or justification for why this service is being requested in coded or structured form. Binding Description: (preferred): SNOMED CT
orderReasonCodeableConcept |  |  | CodeableConcept |
orderReasonEHDSCondition |  |  | EHDSCondition |
orderReasonEHDSObservation |  |  | EHDSObservation |
clinicalQuestion |  | 0..1 | string | Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
supportingInformation |  | 0..1 | Base | Additional clinical information about the patient or specimen that may affect service delivery or interpretation.
observation |  | 0..* | EHDSObservation | Clinical findings and other observations (e.g., height and weights of the patient).
condition |  | 0..* | EHDSCondition | Conditions that may influence the service or result interpretation.
medicationAdministration |  | 0..* | EHDSMedicationAdministration | Medication administered before ordering the service.
devices |  | 0..* | EHDSDevice | List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
pregnancyStatus |  | 0..1 | EHDSCurrentPregnancy | Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
sexForClinicalUse |  | 0..* | CodeableConcept | 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. Binding Description: (preferred): HL7 sex-parameter-for-clinical-use
otherSupportingInformation |  | 0..* | Resource | Any other type of relevant supporting information
specimen |  | 0..* | EHDSSpecimen | Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
serviceRequest |  | 0..* | EHDSServiceRequest | Specification of requested service(s).
exposureInformation |  | 0..1 | Base | Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
effectiveDose |  | 0..* | Quantity | 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] Binding Description: (preferred): UCUM (for units)
equivalentDoseInformation |  | 1..1 | Base | Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
equivalentDose |  | 1..1 | Quantity | 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]. Binding Description: (preferred): UCUM (for units)
tissueType |  | 1..1 | CodeableConcept | Type of the tissue for which do dosage was enumerated. Binding Description: (preferred): SNOMED CT
examinationReport |  | 1..1 | Base | Examination report content.
modality |  | 1..* | CodeableConcept | Imaging modality (or modalities) used during imaging investigation (DICOM CID029). Binding Description: (preferred): DICOM Modality
bodyPart |  | 0..* | EHDSBodyStructure | All body parts investigated
imagingProcedures |  | 0..* | EHDSProcedure | Imaging procedure performed during imaging study.
medication |  | 0..* | EHDSMedicationAdministration | Information about medication administered (contrast, sedation, stress agents), etc.
adverseReaction |  | 0..* | EHDSAllergyIntolerance | Adverse reactions manifested during imaging investigation.
resultData |  | 0..1 | Base | Imaging report result data
resultText |  | 1..1 | string | Comments and narrative representation of the observation results and findings.
observationResults |  | 0..* | EHDSObservation | Observation details (report could consist of multiple observations)
conclusion |  | 1..1 | Base | A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
impression |  | 1..1 | string | Narrative description of the clinical conclusion (impression).
conditionOrFinding[x] |  | 0..* |  | Condition or finding from imaging investigation.
conditionOrFindingEHDSCondition |  |  | EHDSCondition |
conditionOrFindingEHDSObservation |  |  | EHDSObservation |
recommendation |  | 0..1 | Base | Recommendations for additional imaging tests or other actions
description |  | 1..1 | string | Narrative description of the recommended activities including additional test, medication etc.
carePlan |  | 0..* | EHDSCarePlan | A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
comparisonStudy |  | 0..* | EHDSImagingReport | Documentation (reference) of a prior Imaging Report to which the current images were compared.
dicomStudyMetadata |  | 0..* | EHDSImagingStudy | 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.
attachments[x] |  | 0..* |  | Report attachments data elements
attachmentsEHDSAttachment |  |  | EHDSAttachment |
attachmentsEHDSMedia |  |  | EHDSMedia |
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
EHDSImagingReport.header.language | preferred |
EHDSImagingReport.header.documentType | preferred |
EHDSImagingReport.header.documentStatus | preferred |
EHDSImagingReport.header.eventType | preferred |
EHDSImagingReport.header.authorSpecialty | preferred |
EHDSImagingReport.header.documentFormat | preferred |
EHDSImagingReport.header.confidentiality | preferred |
EHDSImagingReport.body.orderInformation.orderReason[x] | preferred |
EHDSImagingReport.body.orderInformation.supportingInformation.sexForClinicalUse | preferred |
EHDSImagingReport.body.exposureInformation.effectiveDose | preferred |
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.equivalentDose | preferred |
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.tissueType | preferred |
EHDSImagingReport.body.examinationReport.modality | preferred |

Differential View

This structure is derived from EHDSDocument

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
EHDSImagingReport |  | 0..* | EHDSDocument | Elements defined in Ancestors:header, presentedForm, header, knowledgeResources Imaging report model Instances of this logical model can be the target of a Reference
header |  | 1..1 | Base | Imaging Report header
accessionNumber |  | 0..1 | string | 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.
healthInsuranceAndPaymentInformation |  | 0..* | EHDSCoverage | Health insurance and payment information
intendedRecipient[x] |  | 0..* |  | 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
intendedRecipientEHDSPatient |  |  | EHDSPatient |
intendedRecipientEHDSRelatedPerson |  |  | EHDSRelatedPerson |
intendedRecipientEHDSHealthProfessional |  |  | EHDSHealthProfessional |
intendedRecipientEHDSOrganisation |  |  | EHDSOrganisation |
intendedRecipientEHDSDevice |  |  | EHDSDevice |
knowledgeResources |  | 0..0 |  |
body |  | 0..1 | Base | Imaging Report structured body
orderInformation |  | 0..* | Base | Order Information (Imaging Result Report could respond to multiple orders).
orderId |  | 1..* | Identifier | Identifier(s) of the imaging service order.
orderDateAndTime |  | 0..1 | dateTime | Date and time of the order placement.
orderPlacer[x] |  | 0..1 |  | The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
orderPlacerEHDSHealthProfessional |  |  | EHDSHealthProfessional |
orderPlacerEHDSOrganisation |  |  | EHDSOrganisation |
orderPlacerEHDSPatient |  |  | EHDSPatient |
orderReasonText |  | 0..* | string | An explanation or justification for why this service is being requested in textual form.
orderReason[x] |  | 0..* |  | An explanation or justification for why this service is being requested in coded or structured form. Binding Description: (preferred): SNOMED CT
orderReasonCodeableConcept |  |  | CodeableConcept |
orderReasonEHDSCondition |  |  | EHDSCondition |
orderReasonEHDSObservation |  |  | EHDSObservation |
clinicalQuestion |  | 0..1 | string | Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
supportingInformation |  | 0..1 | Base | Additional clinical information about the patient or specimen that may affect service delivery or interpretation.
observation |  | 0..* | EHDSObservation | Clinical findings and other observations (e.g., height and weights of the patient).
condition |  | 0..* | EHDSCondition | Conditions that may influence the service or result interpretation.
medicationAdministration |  | 0..* | EHDSMedicationAdministration | Medication administered before ordering the service.
devices |  | 0..* | EHDSDevice | List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
pregnancyStatus |  | 0..1 | EHDSCurrentPregnancy | Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
sexForClinicalUse |  | 0..* | CodeableConcept | 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. Binding Description: (preferred): HL7 sex-parameter-for-clinical-use
otherSupportingInformation |  | 0..* | Resource | Any other type of relevant supporting information
specimen |  | 0..* | EHDSSpecimen | Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
serviceRequest |  | 0..* | EHDSServiceRequest | Specification of requested service(s).
exposureInformation |  | 0..1 | Base | Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
effectiveDose |  | 0..* | Quantity | 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] Binding Description: (preferred): UCUM (for units)
equivalentDoseInformation |  | 1..1 | Base | Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
equivalentDose |  | 1..1 | Quantity | 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]. Binding Description: (preferred): UCUM (for units)
tissueType |  | 1..1 | CodeableConcept | Type of the tissue for which do dosage was enumerated. Binding Description: (preferred): SNOMED CT
examinationReport |  | 1..1 | Base | Examination report content.
modality |  | 1..* | CodeableConcept | Imaging modality (or modalities) used during imaging investigation (DICOM CID029). Binding Description: (preferred): DICOM Modality
bodyPart |  | 0..* | EHDSBodyStructure | All body parts investigated
imagingProcedures |  | 0..* | EHDSProcedure | Imaging procedure performed during imaging study.
medication |  | 0..* | EHDSMedicationAdministration | Information about medication administered (contrast, sedation, stress agents), etc.
adverseReaction |  | 0..* | EHDSAllergyIntolerance | Adverse reactions manifested during imaging investigation.
resultData |  | 0..1 | Base | Imaging report result data
resultText |  | 1..1 | string | Comments and narrative representation of the observation results and findings.
observationResults |  | 0..* | EHDSObservation | Observation details (report could consist of multiple observations)
conclusion |  | 1..1 | Base | A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
impression |  | 1..1 | string | Narrative description of the clinical conclusion (impression).
conditionOrFinding[x] |  | 0..* |  | Condition or finding from imaging investigation.
conditionOrFindingEHDSCondition |  |  | EHDSCondition |
conditionOrFindingEHDSObservation |  |  | EHDSObservation |
recommendation |  | 0..1 | Base | Recommendations for additional imaging tests or other actions
description |  | 1..1 | string | Narrative description of the recommended activities including additional test, medication etc.
carePlan |  | 0..* | EHDSCarePlan | A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
comparisonStudy |  | 0..* | EHDSImagingReport | Documentation (reference) of a prior Imaging Report to which the current images were compared.
dicomStudyMetadata |  | 0..* | EHDSImagingStudy | 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.
attachments[x] |  | 0..* |  | Report attachments data elements
attachmentsEHDSAttachment |  |  | EHDSAttachment |
attachmentsEHDSMedia |  |  | EHDSMedia |
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
EHDSImagingReport.body.orderInformation.orderReason[x] | preferred |
EHDSImagingReport.body.orderInformation.supportingInformation.sexForClinicalUse | preferred |
EHDSImagingReport.body.exposureInformation.effectiveDose | preferred |
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.equivalentDose | preferred |
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.tissueType | preferred |
EHDSImagingReport.body.examinationReport.modality | preferred |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
EHDSImagingReport |  | 0..* | EHDSDocument | Elements defined in Ancestors:header, presentedForm, header, knowledgeResources Imaging report model Instances of this logical model can be the target of a Reference
header |  | 1..1 | Base | Imaging Report header
subject |  | 1..1 | EHDSPatient | Subject
identifier |  | 1..* | Identifier | Document ID
authorship |  | 1..* | Base | Authorship
author[x] |  | 1..1 |  | Author
authorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
authorEHDSOrganisation |  |  | EHDSOrganisation |
authorEHDSDevice |  |  | EHDSDevice |
datetime |  | 1..1 | dateTime | Date and time of authoring/issuing
lastUpdate |  | 0..1 | dateTime | Date and time of the last update to the resource
status |  | 1..1 | CodeableConcept | Status of the resource
statusReason[x] |  | 0..1 |  | Reason for the current status of the resource.
statusReasonCodeableConcept |  |  | CodeableConcept |
statusReasonString |  |  | string |
language |  | 0..1 | CodeableConcept | Language Binding Description: (preferred): BCP 47
version |  | 0..1 | string | Version
documentType |  | 1..1 | CodeableConcept | Document type Binding Description: (preferred): LOINC
documentTitle |  | 1..1 | string | Document title
documentStatus |  | 1..1 | CodeableConcept | Document status Binding Description: (preferred): hl7:CompositionStatus
period |  | 0..1 | Period | Period
attestation |  | 0..* | Base | Attestation
attester |  | 1..1 | EHDSHealthProfessional | Attester
datetime |  | 1..1 | dateTime | DateTime
legalAuthentication |  | 0..1 | Base | Legal authentication
legalAuthenticator |  | 1..1 | EHDSHealthProfessional | Legal authenticator
datetime |  | 1..1 | dateTime | DateTime
eventType |  | 0..* | CodeableConcept | Event type Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
authorSpecialty |  | 0..* | CodeableConcept | Specialty Binding Description: (preferred): SNOMED CT
custodian |  | 1..1 | EHDSOrganisation | Document custodian
documentFormat |  | 0..1 | CodeableConcept | Document format Binding Description: (preferred): HL7 Document Format Codes
confidentiality |  | 0..1 | CodeableConcept | Confidentiality Binding Description: (preferred): hl7:Confidentiality
accessionNumber |  | 0..1 | string | 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.
healthInsuranceAndPaymentInformation |  | 0..* | EHDSCoverage | Health insurance and payment information
intendedRecipient[x] |  | 0..* |  | 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
intendedRecipientEHDSPatient |  |  | EHDSPatient |
intendedRecipientEHDSRelatedPerson |  |  | EHDSRelatedPerson |
intendedRecipientEHDSHealthProfessional |  |  | EHDSHealthProfessional |
intendedRecipientEHDSOrganisation |  |  | EHDSOrganisation |
intendedRecipientEHDSDevice |  |  | EHDSDevice |
presentedForm |  | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
body |  | 0..1 | Base | Imaging Report structured body
orderInformation |  | 0..* | Base | Order Information (Imaging Result Report could respond to multiple orders).
orderId |  | 1..* | Identifier | Identifier(s) of the imaging service order.
orderDateAndTime |  | 0..1 | dateTime | Date and time of the order placement.
orderPlacer[x] |  | 0..1 |  | The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
orderPlacerEHDSHealthProfessional |  |  | EHDSHealthProfessional |
orderPlacerEHDSOrganisation |  |  | EHDSOrganisation |
orderPlacerEHDSPatient |  |  | EHDSPatient |
orderReasonText |  | 0..* | string | An explanation or justification for why this service is being requested in textual form.
orderReason[x] |  | 0..* |  | An explanation or justification for why this service is being requested in coded or structured form. Binding Description: (preferred): SNOMED CT
orderReasonCodeableConcept |  |  | CodeableConcept |
orderReasonEHDSCondition |  |  | EHDSCondition |
orderReasonEHDSObservation |  |  | EHDSObservation |
clinicalQuestion |  | 0..1 | string | Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
supportingInformation |  | 0..1 | Base | Additional clinical information about the patient or specimen that may affect service delivery or interpretation.
observation |  | 0..* | EHDSObservation | Clinical findings and other observations (e.g., height and weights of the patient).
condition |  | 0..* | EHDSCondition | Conditions that may influence the service or result interpretation.
medicationAdministration |  | 0..* | EHDSMedicationAdministration | Medication administered before ordering the service.
devices |  | 0..* | EHDSDevice | List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
pregnancyStatus |  | 0..1 | EHDSCurrentPregnancy | Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
sexForClinicalUse |  | 0..* | CodeableConcept | 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. Binding Description: (preferred): HL7 sex-parameter-for-clinical-use
otherSupportingInformation |  | 0..* | Resource | Any other type of relevant supporting information
specimen |  | 0..* | EHDSSpecimen | Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
serviceRequest |  | 0..* | EHDSServiceRequest | Specification of requested service(s).
exposureInformation |  | 0..1 | Base | Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
effectiveDose |  | 0..* | Quantity | 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] Binding Description: (preferred): UCUM (for units)
equivalentDoseInformation |  | 1..1 | Base | Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
equivalentDose |  | 1..1 | Quantity | 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]. Binding Description: (preferred): UCUM (for units)
tissueType |  | 1..1 | CodeableConcept | Type of the tissue for which do dosage was enumerated. Binding Description: (preferred): SNOMED CT
examinationReport |  | 1..1 | Base | Examination report content.
modality |  | 1..* | CodeableConcept | Imaging modality (or modalities) used during imaging investigation (DICOM CID029). Binding Description: (preferred): DICOM Modality
bodyPart |  | 0..* | EHDSBodyStructure | All body parts investigated
imagingProcedures |  | 0..* | EHDSProcedure | Imaging procedure performed during imaging study.
medication |  | 0..* | EHDSMedicationAdministration | Information about medication administered (contrast, sedation, stress agents), etc.
adverseReaction |  | 0..* | EHDSAllergyIntolerance | Adverse reactions manifested during imaging investigation.
resultData |  | 0..1 | Base | Imaging report result data
resultText |  | 1..1 | string | Comments and narrative representation of the observation results and findings.
observationResults |  | 0..* | EHDSObservation | Observation details (report could consist of multiple observations)
conclusion |  | 1..1 | Base | A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
impression |  | 1..1 | string | Narrative description of the clinical conclusion (impression).
conditionOrFinding[x] |  | 0..* |  | Condition or finding from imaging investigation.
conditionOrFindingEHDSCondition |  |  | EHDSCondition |
conditionOrFindingEHDSObservation |  |  | EHDSObservation |
recommendation |  | 0..1 | Base | Recommendations for additional imaging tests or other actions
description |  | 1..1 | string | Narrative description of the recommended activities including additional test, medication etc.
carePlan |  | 0..* | EHDSCarePlan | A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
comparisonStudy |  | 0..* | EHDSImagingReport | Documentation (reference) of a prior Imaging Report to which the current images were compared.
dicomStudyMetadata |  | 0..* | EHDSImagingStudy | 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.
attachments[x] |  | 0..* |  | Report attachments data elements
attachmentsEHDSAttachment |  |  | EHDSAttachment |
attachmentsEHDSMedia |  |  | EHDSMedia |
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
EHDSImagingReport.header.language | preferred |
EHDSImagingReport.header.documentType | preferred |
EHDSImagingReport.header.documentStatus | preferred |
EHDSImagingReport.header.eventType | preferred |
EHDSImagingReport.header.authorSpecialty | preferred |
EHDSImagingReport.header.documentFormat | preferred |
EHDSImagingReport.header.confidentiality | preferred |
EHDSImagingReport.body.orderInformation.orderReason[x] | preferred |
EHDSImagingReport.body.orderInformation.supportingInformation.sexForClinicalUse | preferred |
EHDSImagingReport.body.exposureInformation.effectiveDose | preferred |
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.equivalentDose | preferred |
EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.tissueType | preferred |
EHDSImagingReport.body.examinationReport.modality | preferred |

This structure is derived from EHDSDocument

Summary

Mandatory: 0 element(10 nested mandatory elements)
Prohibited: 1 element

Other representations of profile: CSV, Excel