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

MyHealth@Eu Medical Imaging Report - Local Development build (v9.1.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Official URL: http://fhir.ehdsi.eu/imaging/ImplementationGuide/myhealth.eu.fhir.imaging Version: 9.1.1
Draft as of 2026-05-05 Computable Name: MyHealthEuImagingIg

This is just a first working copy from the existing Imaging Study Report MyHealth@EU FHIR IG, page contents and references from that guide are still present.

Disclaimer

This MyHealth@EU Medical Imaging Report HL7 FHIR Implementation Guide (IG) is a preliminary draft version. It has been developed to outline the proposed structure of the clinical document and to enable initial review and feedback from Member States.

Please note that the content is still under discussion and subject to change. All specifications and design elements presented herein are being actively reviewed within the eHealth Member States Expert Group (eHMSEG) – STF Architecture Working Group (WG).

This draft is not intended for implementation at this stage and should be used solely for the purpose of consultation and collaborative refinement.

Obligations have been added to this version of the guide only as Informative material to collect feedback about their usage.

For more details about obligations please refer to the Logical modelspage.

Scope

Specify a set of rules to be applied to HL7 FHIR specifying how a Medical Imaging Report for the European cross-borders exchange can be represented, coherently with the European eHN Guidelines (see the European eHealth - Key documents ).

This guide is derived for the HL7 Europe Imaging Diagnostic Report HL7 FHIR IG fulfilling the MyHealth@EU Functional Requirements.

MyHealth@EU

The Use Case originates from the Change Proposal produced by the X-eHealth project/MyHealth@EU New Use Case Workgroup, and the details are available in the corresponding Change Proposal: CP-eHealthDSI-074: Implement the new service Medical Imaging Report (corresponding to the Wave 9 of MyHealth@EU).

The corresponding eHN Guidelines: eHN Guidelines on Medical imaging studies and reports (release 1) are available here

Design choices

The solution adopted by this guide - and detailed in the HL7 EU Imaging Diagnostic Report Design choices page - balances the business requirement of Medical Imaging Report as legally signable document (i.e. as a HL7 FHIR document), with the expectation to get Medical Imaging Report by searching per DiagnosticReport. All this, taking into account the R5 DiagnosticReport design pattern where the DiagnosticReport - Composition relationship is directed from the DiagnosticReport to the Composition resource.

This is done by supporting both perspectives (see figure below) requiring the document bundle ( BundleImgMyHealthEu ) to always include a DiagnosticReport ( DiagnosticReportImgMyHealthEu ) and enabling the pre-adoption of the R5 rules for the inclusion of entries in the Document Bundle.

Imaging Diagnostic Report design approach

Figure 1 - Overview of the report design approach

The following diagrams provide a browsable overview of the profiles specified by this guide (not all the relationships have been reported).

The first highlights the most relevant relationships starting from the DiagnosticReport ( DiagnosticReportImgMyHealthEu ) resource (REST Perspective).

The second the profiles included in the document bundle ( BundleImgMyHealthEu ) (Document Perspective).

Figure 3 - Overview of the document structure