MyHealth@Eu Medical Imaging Report
0.0.1 - ci-build 150

MyHealth@Eu Medical Imaging Report - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Artifacts Summary

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

Medical Imaging Report Entry Profiles

HL7 FHIR Entry profiles for the MyHealth@EU Medical Imaging Reports

Bundle: Imaging

This profile defines how to use a Bundle to represent an Imaging Study Report in HL7 FHIR for the purpose of this guide.

Composition: Imaging

This profile defines how to constrain the Clinical document profile (Composition) to represent a Imaging Diagnostic Report for the purpose of this guide.

MyHealth@EU Requirements Catalogue

Logical models representing the data sets specified in the MyHealth@EU Requirements Catalogue

A - Medical Imaging Report (eHN)

Medical Imaging Report

A.1 - Medical Imaging Report header data element

Medical Imaging Report - Header data element

A.1.1 - Identification and A.1.2 - related contact information of the Patient/subject (eHN)

Medical Imaging Report - Subject data element

A.2 - Order Information (eHN)

Medical Imaging Report - Order Information

A.3 - Order Reason (eHN)

Medical Imaging Report - Order Reason

A.4 - Specimen information (eHN)

Medical Imaging Report - Specimen information

A.5 - Examination Report (eHN)

Medical Imaging Report - Examination Report

A.6 - Key images associated with this report (eHN)

Medical Imaging Report - Key images associated with this report

A.7 - Comparison study (eHN)

Medical Imaging Report - Comparison study

A.8 - Presented Form (eHN)

Medical Imaging Report - Presented Form

Actors and Obligations (Informative)

Actors and Obligations used to describe the Imaging Diagnostic Report functional requirements for the specified data elements. Informative for this version of the guide.

Actor Imaging Handler

Imaging Handler: a generic system dealing with Medical Imaging Reports

Master Value Catalogue

Value Sets belonging the MyHealth@EU Master Value Catalogue (MVC)

eHDSI Absent Or Unknown Problem

The Value set is used to encode absent or unknown problems.

eHDSI Active Ingredient

The Value Set is used as a mandatory code for the Active Ingredient of medications in the Medications Summary as well as the prescription Sections. Also used to code allergy agents in the Allergies and Other Adverse Reactions Section of the patient Summary.

eHDSI Allergen No Drug

The value set is used to code the patient's kind of adverse reactions against substance, food or drugs

eHDSI Animal Species

The Value Set is used to code the animal species of specimen subject (animal of the patient)

eHDSI Blood Group

The Value Set is used to code the value of patient's blood group + Rh

eHDSI Blood Group for laboratory result value

The Value Set is used to encode the value of a patient's laboratory blood group result

eHDSI Body Site

The Value Set is used for the details about the anatomical location of a specimen in the Laboratory Result Report or the target body location of a procedure in the Patient Summary.

eHDSI Body Site Laterality

This Value Set is used for the body structure site laterality qualifier. It indicates the body site laterality from which a laboratory specimen is collected.

eHDSI Body Structure Location Qualifier

This Value Set is used for the body structure location qualifier. Concepts modifying the anatomic location.

eHDSI Clinical Specialty

The Value Set is used for coding clinical specialties of the clinician or provider who interacted with, treated, or provided a service to/for the patient.

eHDSI Condition Stage

The Value Set is used for coding stage such as Stage 3 or Early Onset. The determination of the stage is disease-specific, such as cancer, retinopathy of prematurity, kidney diseases, Alzheimer's, or Parkinson disease.

eHDSI Condition Stage Type

The Value Set is used for coding the kind of staging, such as pathological or clinical staging.

eHDSI Country

The Value Set is used to identify the nationality of all persons and organizations.

eHDSI Dose Form

The Value Set describes the form of the medication item

eHDSI Exceptional Value

The Value Set is used to code exceptional values for the required binding in FHIR IGs

eHDSI Healthcare Professional Role

This Value Set is used to define Healthcare Professional Role

eHDSI Illness and Disorder

The complete content of ICD-10, excluding Chapter XX. Value Set is limited for the ci-build purpose only

eHDSI Imaging Code

This Value Set is used for the standard imaging codes

eHDSI Imaging Diagnostic Report Types

eHDSI Imaging Diagnostic Report Types

eHDSI Imaging Finding

The Value Set is used for coding coded imaging results

eHDSI Imaging Observation Method

The Value Set is used for coding imaging observation method to obtain the result

eHDSI Imaging Procedure

The Value Set is used to encode the imaging procedures

eHDSI Laboratory Codes

This Value Set is used for the standard laboratory codes

eHDSI Laboratory Specimen Type

This Value Set is used for the kind of material that forms the specimen

eHDSI Laboratory Study Types

eHDSI Laboratory Study Types. Notes: Note 1: 26436-6 (Laboratory studies) enables issuing a report putting together observations from multiple specialties (disciplines) in the same text block, allowing delivery of a global interpretation comment at the end of the text block that will be rendered at the end of the report. Note 2: Mycology and parasitology, as well as bacteriology, are part of the 18725-2 (Microbiology studies (set)) studies. Note 3: Virology MAY be included in 18725-2 (MICROBIOLOGY STUDIES) or 18727-8 (SEROLOGY STUDIES) or split between both study types, depending upon the Content Creator Actor’s choice.

eHDSI Laboratory Technique

This Value Set is used to encode laboratory technique for the result measurement

eHDSI Language

The Value Set is used to identify the language the document will be written with.

eHDSI Media Type

Media type codes for image, video or audio

eHDSI Medical Device

eHDSI Medical Device

eHDSI Medical Imaging Report Type

This Value Set is used for the standard imaging codes

eHDSI Microorganism

eHDSI Morphologic Abnormality

eHDSI Modality

The Value Set is used for identifing the type of diagnostic equipment, or function or technique of that equipment, that originally acquired, through interaction with a patient or specimen.

eHDSI Morphologic Abnormality

The Value Set is used to code the morphological abnormalities of the anatomical location where the material is taken.

eHDSI Observation category

This Value Set is used for the Laboratory Observation Results Category code

eHDSI Oncology Disease

The Value Set is used for coding the site (topography) and the histology (morphology) of neoplasms

eHDSI Performer Function

Laboratory Performer Function

eHDSI Presence Absence

The Value Set is used to describe presence and absence findings (qualifier values) of the Laboratory Test Results

eHDSI Quantity Unit

The Value Set is used to describe the discrete countible entity in which a pharmaceutical product or manufactured item is presented.

eHDSI Rare Disease

The Value Set is used to describe the problems and medication reasons. Value Set is limited for the ci-build purpose only

eHDSI Reaction Allergy

Value Set is used to encode clinical manifestation of the allergic reaction. Value Set is limited for the ci-build purpose only

eHDSI Reference Range Applies To

This value set defines a set of codes that can be used to indicate the particular target population the reference range applies to

eHDSI Reference Range Meaning

This value set defines a set of codes for a reference range qualifier

eHDSI Route of Administration

The Value Set is used for coding routes and methods of medication administration

eHDSI Substance

The Value Set is used for coding substances.

eHDSI Technical Modality

The Value Set is used for identifing the type of equipment, or function or technique of that equipment, that created the data used to create an instance, other than by means of acquisition through interaction with a patient or specimen.

eHDSI Unit

eHDSI Unit

Structures: Resource Profiles

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

Adverse Event: Imaging

Adverse Event that occurred during an imaging procedure.

Body structure: Imaging

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

Coverage: Imaging

This profile defines how to represent Health insurance and payment information in HL7 FHIR for the purpose of this guide.

Device: measuring

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

DiagnosticReport: Imaging

This profile defines how to constrain the DiagnosticReport resource to represent a Imaging Diagnostic Report for the purpose of this guide.

EU Endpoint

FHIR Endpoint resource with EU-specific references (Image Viewer, WADO, Manifest)

IM Image Viewer Endpoint

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

Imaging Key Image Document Reference

A document containing key images for a patient. It can refer to a DICOM or non-DICOM image. When referring to a DICOM image, the DocumentReference.content.attachment.url should be a WADO-URI. When referring to a non-DICOM image, the DocumentReference.content.attachment.url should be a direct URL to the image.

When the resource represents a DICOM instance it SHALL contain a the SOP Instance UID in the identifier element. When the resource represents a DICOM series it SHALL contain the Series Instance UID in the identifier element.

Imaging Procedure

This profile on Procedure represents the imaging procedure.

Medical Imaging Report Imaging Study

This profile represents an imaging study instance.

MyHealth@EU Imaging WADO Endpoint

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

Observation Results: IDR

This profile constrains the Observation resource to represent results produced by laboratory tests or panels/studies for the purpose of this guide. This observation may represent the result of a simple laboratory test such as hematocrit or it may group the set of results produced by a multi-test study or panel such as a complete blood count, a dynamic function test, a urine specimen study. In the latter case, the observation carries the overall conclusion of the study and or a global interpretation by the producer of the study, in the comment element; and references the atomic results of the study as "has-member" child observations.

Organization: Imaging

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

Patient: Imaging Study Report

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

Practitioner: Imaging

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

PractitionerRole: Imaging

This profile defines how to represent Practitioners (with their roles) in HL7 FHIR for the purpose of this guide.

ServiceRequest: Imaging

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

Structures: Data Type Profiles

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

Imaging Accession Number Identifier

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

Imaging SOP Class UID Identifier

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

Study Instance UID Identifier

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

Structures: Extension Definitions

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

Document DiagnosticReport Reference

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

DocumentReference BodySite

Indicates the body site or anatomical region related to the document (e.g., left knee, thorax, etc.). This extension is temporarily specified for the DocumentReference resource, pending the adoption of the R5 bodySite CodeableConcept element.

Instance Description

A description of the instance in an ImagingStudy.

Terminology: Value Sets

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

Allowed Imaging MIME Types

Supported MIME types for WADO-RS access

Imaging Procedure Type

This value set includes all imaging procedure types.

Reasons a section in an imaging report is empty.

Reasons a section in an imaging report is empty.

eHDSI Agent or Allergen With Exceptions

The Value Set is used for coding s specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity. It is defined as the union of: (a) eHDSIAllergenNoDrug (b) eHDSISubstance (c) eHDSIActiveIngredient (d) eHDSIAbsentOrUnknownAllergy (e) eHDSIExceptionalValue

eHDSI Allergy Reaction With Exceptions

The Value Set is used for coding clinical manifestation of the allergic reaction. It is defined as the union of: (a) eHDSIIllnessandDisorder (b) eHDSIReactionAllergy (c) eHDSIExceptionalValue

eHDSI Anatomical Region

The Value Set is used for coding high-level anatomical regions (body parts, organs or systems).

eHDSI Animal Species with exceptions

The Value Set is used to code the animal species of specimen subject (animal of the patient). It also includes exceptional values.

eHDSI Body Site with exceptions

The Value Set is used for the details about the anatomical location of a specimen in the Laboratory Result Report or the target body location of a procedure in the Patient Summary. It includes also exceptional values.

eHDSI Body Structure Location Qualifier with exceptions

This Value Set is used for the body structure location qualifier. Concepts modifying the anatomic location. It also includes exceptional values.

eHDSI Condition Finding with exceptional values

The Value Set is used to code clinical condition findings relevant for the medical imaging interpretation. It is defined as the union of: (a) EHDSIIllnessesAndDisorder (b) EHDSIRareDisease (c) EHDSIOncologyDisease (d) EHDSIAbsentOrUnknownProblem (e) EHDSIImagingFinding (f) EHDSIExceptionalValue

eHDSI Imaging Observation Method With Exceptions

The Value Set is used for coding imaging observation method to obtain the result. It also includes exceptional values.

eHDSI Laboratory Codes with exceptions

This Value Set is used for the standard laboratory codes. It also includes exceptional values.

eHDSI Laboratory Specimen Type with exceptions

This Value Set is used for the kind of material that forms the specimen. It also includes exceptional values

eHDSI Laboratory Study Types with exceptions

eHDSI Laboratory Study Types. Notes: Note 1: 26436-6 (Laboratory studies) enables issuing a report putting together observations from multiple specialties (disciplines) in the same text block, allowing delivery of a global interpretation comment at the end of the text block that will be rendered at the end of the report. Note 2: Mycology and parasitology, as well as bacteriology, are part of the 18725-2 (Microbiology studies (set)) studies. Note 3: Virology MAY be included in 18725-2 (MICROBIOLOGY STUDIES) or 18727-8 (SEROLOGY STUDIES) or split between both study types, depending upon the Content Creator Actor’s choice. It includes also exceptional values.

eHDSI Laboratory Technique with exceptions

This Value Set is used to encode laboratory technique for the result measurement. It also includes exceptional values.

eHDSI Medical Device with exceptions

eHDSI Medical Device. The Value Set contains exceptional values.

eHDSI Morphologic Abnormality with exceptions

The Value Set is used to code the morphological abnormalities of the anatomical location where the material is taken. It also includes exceptional values.

eHDSI Observation Interpretation

This Value Set is used for a rough qualitative interpretation of the Laboratory Observation Results

eHDSI Observation Interpretation with exceptions

This Value Set is used for a rough qualitative interpretation of the Laboratory Observation Results. It also includes exceptional values.

eHDSI Order Reason with exceptional values

The Value Set is used to code clinical conditions relevant for the laboratory results interpretation. It is defined as the union of: (a) EHDSIIllnessandDisorder (b) EHDSIRareDisease (c) EHDSIReactionAllergy (d) EHDSIExceptionalValue

eHDSI Reference Range Applies To with exceptions

This value set defines a set of codes that can be used to indicate the particular target population the reference range applies to. It also includes exceptional values.

eHDSI Reference Range Meaning with exceptions

This value set defines a set of codes for a reference range qualifier. It also includes exceptional values.

eHDSI Results Coded Value Imaging with exceptions

The Value Set is used to code the value of imaging observation result. It is defined as the union of: (a) eHDSIImagingFinding (b) eHDSIPresenceAbsence (c) eHDSIExceptionalValue

eHDSI Results Coded Value Laboratory with exceptions

The Value Set is used to code the value of laboratory observation result. It is defined as the union of: (a) eHDSIBloodGroup (b) eHDSIPresenceAbsence (c) eHDSIMicroorganism (d) eHDSIExceptionalValue

eHDSI Substance with exceptions

The Value Set is used for coding substances. It also includes exceptional values.

Terminology: Code Systems

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

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

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

Missing DICOM Terminology

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

Example: Example Instances

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

Appendectomy Example

An example Procedure resource representing an appendectomy.

Beneficiary Patient

Patient receiving the benefits.

Custodian Practitioner
Custodian Role

Example of a practitioner role acting as a custodian within an imaging context.

Example Body Structure for Imaging

Example of a body structure for imaging use in MyHealth@EU, including morphology, location, and laterality.

Example Composition for Imaging Report

A sample imaging report composition conforming to CompositionImgMyHealthEu.

Example Coverage: Imaging

An example of health insurance coverage used for imaging services in the MyHealth@EU context.

Example Imaging Diagnostic Report

A sample diagnostic imaging report for cross-border use, conforming to the MyHealth@EU guide.

Example Imaging ServiceRequest

A sample ServiceRequest for an imaging study conforming to the MyHealth@EU Imaging profile.

Example Imaging Study

Example of an imaging study conforming to the MyHealth@EU Imaging profile.

Example Measuring Device

An example of a measuring device used for imaging purposes, conforming to the MyHealth@EU device profile.

Example Observation Result for Imaging Diagnostic Report

This is an example observation result conforming to the ObservationResultsImgMyHealthEu profile.

Headache Condition Example

An example of a headache condition, used as the reason for the imaging ServiceRequest.

IID Viewer Endpoint

An endpoint pointing to an interactive DICOM viewer for the study

Imaging Service Contract

Contract between payor and provider for imaging services.

Organization

HL7 FHIR Organization example for MyHealth@EU Imaging.

Patient

HL7 FHIR Patient example for MyHealth@EU Medical Imaging Report

Payor Organization

Organization responsible for the payment.

Policy Holder Organization

Organization acting as the policy holder.

Practitioner

HL7 FHIR Practitioner example for MyHealth@EU Imaging.

PractitionerRole

HL7 FHIR PractionerRole example for MyHealth@EU Imaging.

Radiologist Practitioner
Radiologist Role

Example of a radiologist role conforming to PractitionerRoleImgMyHealthEu.

Subscriber Patient

Patient who holds the insurance.

WADO-RS DICOM Endpoint

An active endpoint that supports WADO-RS image retrieval