MyHealth@Eu Medical Imaging Report
0.0.1 - ci-build
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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
Contents:
This page provides a list of the FHIR artifacts defined as part of this implementation guide.
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. |
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 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 |
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 |
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. |
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. |
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 |
Instance Description |
A description of the instance in an ImagingStudy. |
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. |
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. |
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 |