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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Logical Model: MyHealth@EU Imaging report model

MyHealthEu refined model for the imaging report

Usages:

• Use this Logical Model: MyHealth@EU 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.

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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MyHealthEuImagingReport		0..*	EHDSImagingReport	MyHealth@EU Imaging report model Elements defined in Ancestors:header, header, presentedForm, header, body, dicomStudyMetadata, attachments
header		1..1	Base	Imaging report header
subject		1..1	MyHealthEuPatient	Patient/subject information
identifier	O	1..*	Identifier	Unique identifier of the document Obligations Actor SHALL:handle Imaging Handler SHOULD:handle Imaging Handler
author[x]		1..*		The author of the report.
authorMyHealthEuHealthProfessional			MyHealthEuHealthProfessional
authorMyHealthEuOrganisation			MyHealthEuOrganisation
authorMyHealthEuDevice			MyHealthEuDevice
date	O	1..1	dateTime	Date of finalising/issuing the document Obligations Actor SHOULD:handle Imaging Handler SHOULD:handle Imaging Handler
status	O	1..1	CodeableConcept	Status of the report Obligations Actor SHALL:handle Imaging Handler SHALL:handle Imaging Handler
language	O	0..1	CodeableConcept	Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47 Obligations Actor SHALL:handle Imaging Handler
documentType	O	1..1	CodeableConcept	Type of document (e.g. 18748-4 Diagnostic imaging study) Binding Description: (preferred): LOINC Obligations Actor SHALL:handle Imaging Handler
documentTitle	O	1..1	string	Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024' Obligations Actor SHALL:handle Imaging Handler
period		0..1	Period	Time of service that is being documented
version	O	0..1	string	Business version of the document. The exact algorithm for versioning is decided by the producer/custodian Obligations Actor SHALL:handle Imaging Handler
attestation		0..*	Base	Document attestation details
attester[x]		1..1	EHDSHealthProfessional	Attester who validated the document
identifier		0..*	Identifier	An identifier of the health professional that is unique within a defined scope. Example: National health professional ID. Multiple identifiers could be provided.
name	O	0..1	EHDSHumanName	Name of the health professional that has been treating or taking responsibility for the patient. Obligations Actor SHOULD:handle Imaging Handler
address		0..*	EHDSAddress	Mailing and office or home addresses. The addresses are always sequences of address parts (e.g. street address line, country, postcode, city) even if postal address formats may vary depending on the country. An address may or may not include a specific use code; if this attribute is not present it is assumed to be the default address useful for any purpose.
telecom		0..*	EHDSTelecom	Telecommunication contact information (addresses) associated with a person, such as phone number, email, or messaging service. Multiple telecommunication addresses might be provided.
professionalRole		0..*	Base	Professional role that the health professional is practicing at a given organisation. This is a generalisation of the FHIR PractitionerRole resource, which is used to represent the role of a practitioner in a specific context, such as a specific organisation or location.
role		0..*	CodeableConcept	Health professional role. Multiple roles could be provided. Binding Description: (preferred): ISCO, SNOMED CT
organisation	O	0..1	EHDSOrganisation	The organisation where this role is available Obligations Actor SHOULD:handle Imaging Handler
specialty		0..*	CodeableConcept	The specialty of a practitioner that describes the functional role they are practicing at a given organisation Binding Description: (preferred): SNOMED CT
datetime		1..1	dateTime	Date and time of the approval of the document by Attester
legalAuthentication	O	1..*	Base	Document legal authentication details Obligations Actor SHOULD:handle Imaging Handler
legalAuthenticator[x]		1..1		The person or organisation taking responsibility for the medical content of the document (typically the person who signs it)
legalAuthenticatorMyHealthEuHealthProfessional			MyHealthEuHealthProfessional
legalAuthenticatorMyHealthEuOrganisation			MyHealthEuOrganisation
datetime		1..1	dateTime	Date and time when the document was authorised
eventType	O	0..*	CodeableConcept	Categorisation of the event covered by the document (e.g. imaging study types, body regions, modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality Obligations Actor SHALL:handle Imaging Handler SHOULD:handle Imaging Handler
serviceSpecialty		0..*	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian	O	0..1	MyHealthEuOrganisation	Organisation that is in charge of maintaining the document/report. Obligations Actor SHOULD:handle Imaging Handler
accessionNumber	O	0..*	Identifier	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). Obligations Actor SHALL:handle Imaging Handler
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
intendedRecipientMyHealthEuPatient			MyHealthEuPatient
intendedRecipientEHDSRelatedPerson			EHDSRelatedPerson
intendedRecipientMyHealthEuHealthProfessional			MyHealthEuHealthProfessional
intendedRecipientMyHealthEuOrganisation			MyHealthEuOrganisation
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]	O	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. Obligations Actor SHOULD:handle Imaging Handler
orderPlacerMyHealthEuHealthProfessional			MyHealthEuHealthProfessional
orderPlacerMyHealthEuOrganisation			MyHealthEuOrganisation
orderPlacerMyHealthEuPatient			MyHealthEuPatient
orderReason[x]	O	0..*		An explanation or justification for why this service is being requested. Binding Description: (preferred): SNOMED CT Obligations Actor SHOULD:handle Imaging Handler
orderReasonCodeableConcept			CodeableConcept
orderReasonEHDSCondition			EHDSCondition
orderReasonEHDSObservation			EHDSObservation
orderReasonString			string
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 (additional types of information may be allowed in implementations).
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.
priorMedicationAdministration		0..*	EHDSMedicationAdministration	Medication administered before ordering the service specifically for this procedure.
device		0..*	EHDSDeviceUse	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..1	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
specimen		0..*	MyHealthEuSpecimen	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	string	Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
examinationReport		1..1	Base	Examination report content.
modality	O	1..*	CodeableConcept	Imaging modality (or modalities) used during imaging investigation (DICOM CID029). Binding Description: (preferred): DICOM Modality Obligations Actor SHOULD:handle Imaging Handler
bodySite		0..*	EHDSBodyStructure	All body parts investigated
imagingProcedures		0..*	MyHealthEuProcedure	Imaging procedure performed during imaging study.
medicationAdministration		0..*	MyHealthEuMedicationAdministration	Information about medications administered (contrast, sedation, stress agents, etc) during the procedure.
adverseReaction		0..*	MyHealthEuAllergyIntolerance	Adverse reactions manifested during imaging investigation.
results[x]		0..*	MyHealthEuObservation	Imaging report result data (report could consist of multiple observations)
conclusion		0..1	Base	A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
impression	O	1..1	string	Narrative description of the clinical conclusion (impression). Obligations Actor SHOULD:handle Imaging Handler
conditionOrFinding[x]		0..*		Condition or finding from imaging investigation.
conditionOrFindingMyHealthEuCondition			MyHealthEuCondition
conditionOrFindingMyHealthEuObservation			MyHealthEuObservation
recommendation		0..1	Base	Recommendation section for additional imaging tests or other actions
description	O	1..1	string	Narrative description of the recommended activities including additional test, medication etc. Obligations Actor MAY:able-to-populate Imaging Handler
carePlan	O	0..*	EHDSCarePlan	A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan. Obligations Actor MAY:able-to-populate Imaging Handler
comparisonStudy		0..*	MyHealthEuImagingReport	Documentation (reference) of a prior Imaging Report to which the current images were compared.
dicomStudyMetadata	O	0..*	MyHealthEuImagingStudy	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. Obligations Actor SHALL:handle Imaging Handler
attachments	O	0..*	EHDSAttachment	Report attachments Obligations Actor SHOULD:handle Imaging Handler
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MyHealthEuImagingReport.​header.language	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​header.documentType	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​header.attestation.attester[x].​professionalRole.role	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​header.attestation.attester[x].​professionalRole.specialty	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​header.eventType	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​header.serviceSpecialty	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​body.orderInformation.​orderReason[x]	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​body.supportingInformation.​sexForClinicalUse	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​body.examinationReport.​modality	Base	preferred		Not State	Unknown

This structure is derived from EHDSImagingReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MyHealthEuImagingReport		0..*	EHDSImagingReport	MyHealth@EU Imaging report model Elements defined in Ancestors:header, header, presentedForm, header, body, dicomStudyMetadata, attachments
header
subject		1..1	MyHealthEuPatient	Patient/subject information
identifier	O	1..*	Identifier	Unique identifier of the document Obligations Actor SHALL:handle Imaging Handler SHOULD:handle Imaging Handler
author[x]		1..*		The author of the report.
authorMyHealthEuHealthProfessional			MyHealthEuHealthProfessional
authorMyHealthEuOrganisation			MyHealthEuOrganisation
authorMyHealthEuDevice			MyHealthEuDevice
date	O	1..1	dateTime	Date of finalising/issuing the document Obligations Actor SHOULD:handle Imaging Handler SHOULD:handle Imaging Handler
status	O	1..1	CodeableConcept	Status of the report Obligations Actor SHALL:handle Imaging Handler SHALL:handle Imaging Handler
language	O	0..1	CodeableConcept	Language in which the resource is written. Language is expressed by the IETF language tag. Obligations Actor SHALL:handle Imaging Handler
documentType	O	1..1	CodeableConcept	Type of document (e.g. 18748-4 Diagnostic imaging study) Obligations Actor SHALL:handle Imaging Handler
documentTitle	O	1..1	string	Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024' Obligations Actor SHALL:handle Imaging Handler
version	O	0..1	string	Business version of the document. The exact algorithm for versioning is decided by the producer/custodian Obligations Actor SHALL:handle Imaging Handler
attestation
attester[x]		1..1	EHDSHealthProfessional	Attester who validated the document
name	O	0..1	EHDSHumanName	Name of the health professional that has been treating or taking responsibility for the patient. Obligations Actor SHOULD:handle Imaging Handler
professionalRole
organisation	O	0..1	EHDSOrganisation	The organisation where this role is available Obligations Actor SHOULD:handle Imaging Handler
legalAuthentication	O	1..*	Base	Document legal authentication details Obligations Actor SHOULD:handle Imaging Handler
legalAuthenticator[x]		1..1		The person or organisation taking responsibility for the medical content of the document (typically the person who signs it)
legalAuthenticatorMyHealthEuHealthProfessional			MyHealthEuHealthProfessional
legalAuthenticatorMyHealthEuOrganisation			MyHealthEuOrganisation
eventType	O	0..*	CodeableConcept	Categorisation of the event covered by the document (e.g. imaging study types, body regions, modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Obligations Actor SHALL:handle Imaging Handler SHOULD:handle Imaging Handler
custodian	O	0..1	MyHealthEuOrganisation	Organisation that is in charge of maintaining the document/report. Obligations Actor SHOULD:handle Imaging Handler
accessionNumber	O	0..*	Identifier	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). Obligations Actor SHALL:handle Imaging Handler
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
intendedRecipientMyHealthEuPatient			MyHealthEuPatient
intendedRecipientEHDSRelatedPerson			EHDSRelatedPerson
intendedRecipientMyHealthEuHealthProfessional			MyHealthEuHealthProfessional
intendedRecipientMyHealthEuOrganisation			MyHealthEuOrganisation
body
orderInformation
orderPlacer[x]	O	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. Obligations Actor SHOULD:handle Imaging Handler
orderPlacerMyHealthEuHealthProfessional			MyHealthEuHealthProfessional
orderPlacerMyHealthEuOrganisation			MyHealthEuOrganisation
orderPlacerMyHealthEuPatient			MyHealthEuPatient
orderReason[x]	O	0..*	CodeableConcept, EHDSCondition, EHDSObservation, string	An explanation or justification for why this service is being requested. Obligations Actor SHOULD:handle Imaging Handler
specimen		0..*	MyHealthEuSpecimen	Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
examinationReport
modality	O	1..*	CodeableConcept	Imaging modality (or modalities) used during imaging investigation (DICOM CID029). Obligations Actor SHOULD:handle Imaging Handler
imagingProcedures		0..*	MyHealthEuProcedure	Imaging procedure performed during imaging study.
medicationAdministration		0..*	MyHealthEuMedicationAdministration	Information about medications administered (contrast, sedation, stress agents, etc) during the procedure.
adverseReaction		0..*	MyHealthEuAllergyIntolerance	Adverse reactions manifested during imaging investigation.
results[x]		0..*	MyHealthEuObservation	Imaging report result data (report could consist of multiple observations)
conclusion
impression	O	1..1	string	Narrative description of the clinical conclusion (impression). Obligations Actor SHOULD:handle Imaging Handler
conditionOrFinding[x]		0..*		Condition or finding from imaging investigation.
conditionOrFindingMyHealthEuCondition			MyHealthEuCondition
conditionOrFindingMyHealthEuObservation			MyHealthEuObservation
recommendation
description	O	1..1	string	Narrative description of the recommended activities including additional test, medication etc. Obligations Actor MAY:able-to-populate Imaging Handler
carePlan	O	0..*	EHDSCarePlan	A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan. Obligations Actor MAY:able-to-populate Imaging Handler
comparisonStudy		0..*	MyHealthEuImagingReport	Documentation (reference) of a prior Imaging Report to which the current images were compared.
dicomStudyMetadata	O	0..*	MyHealthEuImagingStudy	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. Obligations Actor SHALL:handle Imaging Handler
attachments	O	0..*	EHDSAttachment	Report attachments Obligations Actor SHOULD:handle Imaging Handler
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MyHealthEuImagingReport		0..*	EHDSImagingReport	MyHealth@EU Imaging report model Elements defined in Ancestors:header, header, presentedForm, header, body, dicomStudyMetadata, attachments
header		1..1	Base	Imaging report header
subject		1..1	MyHealthEuPatient	Patient/subject information
identifier	O	1..*	Identifier	Unique identifier of the document Obligations Actor SHALL:handle Imaging Handler SHOULD:handle Imaging Handler
author[x]		1..*		The author of the report.
authorMyHealthEuHealthProfessional			MyHealthEuHealthProfessional
authorMyHealthEuOrganisation			MyHealthEuOrganisation
authorMyHealthEuDevice			MyHealthEuDevice
date	O	1..1	dateTime	Date of finalising/issuing the document Obligations Actor SHOULD:handle Imaging Handler SHOULD:handle Imaging Handler
status	O	1..1	CodeableConcept	Status of the report Obligations Actor SHALL:handle Imaging Handler SHALL:handle Imaging Handler
language	O	0..1	CodeableConcept	Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47 Obligations Actor SHALL:handle Imaging Handler
documentType	O	1..1	CodeableConcept	Type of document (e.g. 18748-4 Diagnostic imaging study) Binding Description: (preferred): LOINC Obligations Actor SHALL:handle Imaging Handler
documentTitle	O	1..1	string	Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024' Obligations Actor SHALL:handle Imaging Handler
period		0..1	Period	Time of service that is being documented
version	O	0..1	string	Business version of the document. The exact algorithm for versioning is decided by the producer/custodian Obligations Actor SHALL:handle Imaging Handler
attestation		0..*	Base	Document attestation details
attester[x]		1..1	EHDSHealthProfessional	Attester who validated the document
identifier		0..*	Identifier	An identifier of the health professional that is unique within a defined scope. Example: National health professional ID. Multiple identifiers could be provided.
name	O	0..1	EHDSHumanName	Name of the health professional that has been treating or taking responsibility for the patient. Obligations Actor SHOULD:handle Imaging Handler
address		0..*	EHDSAddress	Mailing and office or home addresses. The addresses are always sequences of address parts (e.g. street address line, country, postcode, city) even if postal address formats may vary depending on the country. An address may or may not include a specific use code; if this attribute is not present it is assumed to be the default address useful for any purpose.
telecom		0..*	EHDSTelecom	Telecommunication contact information (addresses) associated with a person, such as phone number, email, or messaging service. Multiple telecommunication addresses might be provided.
professionalRole		0..*	Base	Professional role that the health professional is practicing at a given organisation. This is a generalisation of the FHIR PractitionerRole resource, which is used to represent the role of a practitioner in a specific context, such as a specific organisation or location.
role		0..*	CodeableConcept	Health professional role. Multiple roles could be provided. Binding Description: (preferred): ISCO, SNOMED CT
organisation	O	0..1	EHDSOrganisation	The organisation where this role is available Obligations Actor SHOULD:handle Imaging Handler
specialty		0..*	CodeableConcept	The specialty of a practitioner that describes the functional role they are practicing at a given organisation Binding Description: (preferred): SNOMED CT
datetime		1..1	dateTime	Date and time of the approval of the document by Attester
legalAuthentication	O	1..*	Base	Document legal authentication details Obligations Actor SHOULD:handle Imaging Handler
legalAuthenticator[x]		1..1		The person or organisation taking responsibility for the medical content of the document (typically the person who signs it)
legalAuthenticatorMyHealthEuHealthProfessional			MyHealthEuHealthProfessional
legalAuthenticatorMyHealthEuOrganisation			MyHealthEuOrganisation
datetime		1..1	dateTime	Date and time when the document was authorised
eventType	O	0..*	CodeableConcept	Categorisation of the event covered by the document (e.g. imaging study types, body regions, modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality Obligations Actor SHALL:handle Imaging Handler SHOULD:handle Imaging Handler
serviceSpecialty		0..*	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian	O	0..1	MyHealthEuOrganisation	Organisation that is in charge of maintaining the document/report. Obligations Actor SHOULD:handle Imaging Handler
accessionNumber	O	0..*	Identifier	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). Obligations Actor SHALL:handle Imaging Handler
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
intendedRecipientMyHealthEuPatient			MyHealthEuPatient
intendedRecipientEHDSRelatedPerson			EHDSRelatedPerson
intendedRecipientMyHealthEuHealthProfessional			MyHealthEuHealthProfessional
intendedRecipientMyHealthEuOrganisation			MyHealthEuOrganisation
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]	O	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. Obligations Actor SHOULD:handle Imaging Handler
orderPlacerMyHealthEuHealthProfessional			MyHealthEuHealthProfessional
orderPlacerMyHealthEuOrganisation			MyHealthEuOrganisation
orderPlacerMyHealthEuPatient			MyHealthEuPatient
orderReason[x]	O	0..*		An explanation or justification for why this service is being requested. Binding Description: (preferred): SNOMED CT Obligations Actor SHOULD:handle Imaging Handler
orderReasonCodeableConcept			CodeableConcept
orderReasonEHDSCondition			EHDSCondition
orderReasonEHDSObservation			EHDSObservation
orderReasonString			string
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 (additional types of information may be allowed in implementations).
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.
priorMedicationAdministration		0..*	EHDSMedicationAdministration	Medication administered before ordering the service specifically for this procedure.
device		0..*	EHDSDeviceUse	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..1	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
specimen		0..*	MyHealthEuSpecimen	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	string	Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
examinationReport		1..1	Base	Examination report content.
modality	O	1..*	CodeableConcept	Imaging modality (or modalities) used during imaging investigation (DICOM CID029). Binding Description: (preferred): DICOM Modality Obligations Actor SHOULD:handle Imaging Handler
bodySite		0..*	EHDSBodyStructure	All body parts investigated
imagingProcedures		0..*	MyHealthEuProcedure	Imaging procedure performed during imaging study.
medicationAdministration		0..*	MyHealthEuMedicationAdministration	Information about medications administered (contrast, sedation, stress agents, etc) during the procedure.
adverseReaction		0..*	MyHealthEuAllergyIntolerance	Adverse reactions manifested during imaging investigation.
results[x]		0..*	MyHealthEuObservation	Imaging report result data (report could consist of multiple observations)
conclusion		0..1	Base	A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
impression	O	1..1	string	Narrative description of the clinical conclusion (impression). Obligations Actor SHOULD:handle Imaging Handler
conditionOrFinding[x]		0..*		Condition or finding from imaging investigation.
conditionOrFindingMyHealthEuCondition			MyHealthEuCondition
conditionOrFindingMyHealthEuObservation			MyHealthEuObservation
recommendation		0..1	Base	Recommendation section for additional imaging tests or other actions
description	O	1..1	string	Narrative description of the recommended activities including additional test, medication etc. Obligations Actor MAY:able-to-populate Imaging Handler
carePlan	O	0..*	EHDSCarePlan	A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan. Obligations Actor MAY:able-to-populate Imaging Handler
comparisonStudy		0..*	MyHealthEuImagingReport	Documentation (reference) of a prior Imaging Report to which the current images were compared.
dicomStudyMetadata	O	0..*	MyHealthEuImagingStudy	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. Obligations Actor SHALL:handle Imaging Handler
attachments	O	0..*	EHDSAttachment	Report attachments Obligations Actor SHOULD:handle Imaging Handler
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MyHealthEuImagingReport.​header.language	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​header.documentType	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​header.attestation.attester[x].​professionalRole.role	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​header.attestation.attester[x].​professionalRole.specialty	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​header.eventType	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​header.serviceSpecialty	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​body.orderInformation.​orderReason[x]	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​body.supportingInformation.​sexForClinicalUse	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​body.examinationReport.​modality	Base	preferred		Not State	Unknown

This structure is derived from EHDSImagingReport

Summary

Mandatory: 1 element

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MyHealthEuImagingReport		0..*	EHDSImagingReport	MyHealth@EU Imaging report model Elements defined in Ancestors:header, header, presentedForm, header, body, dicomStudyMetadata, attachments
header		1..1	Base	Imaging report header
subject		1..1	MyHealthEuPatient	Patient/subject information
identifier	O	1..*	Identifier	Unique identifier of the document Obligations Actor SHALL:handle Imaging Handler SHOULD:handle Imaging Handler
author[x]		1..*		The author of the report.
authorMyHealthEuHealthProfessional			MyHealthEuHealthProfessional
authorMyHealthEuOrganisation			MyHealthEuOrganisation
authorMyHealthEuDevice			MyHealthEuDevice
date	O	1..1	dateTime	Date of finalising/issuing the document Obligations Actor SHOULD:handle Imaging Handler SHOULD:handle Imaging Handler
status	O	1..1	CodeableConcept	Status of the report Obligations Actor SHALL:handle Imaging Handler SHALL:handle Imaging Handler
language	O	0..1	CodeableConcept	Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47 Obligations Actor SHALL:handle Imaging Handler
documentType	O	1..1	CodeableConcept	Type of document (e.g. 18748-4 Diagnostic imaging study) Binding Description: (preferred): LOINC Obligations Actor SHALL:handle Imaging Handler
documentTitle	O	1..1	string	Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024' Obligations Actor SHALL:handle Imaging Handler
period		0..1	Period	Time of service that is being documented
version	O	0..1	string	Business version of the document. The exact algorithm for versioning is decided by the producer/custodian Obligations Actor SHALL:handle Imaging Handler
attestation		0..*	Base	Document attestation details
attester[x]		1..1	EHDSHealthProfessional	Attester who validated the document
identifier		0..*	Identifier	An identifier of the health professional that is unique within a defined scope. Example: National health professional ID. Multiple identifiers could be provided.
name	O	0..1	EHDSHumanName	Name of the health professional that has been treating or taking responsibility for the patient. Obligations Actor SHOULD:handle Imaging Handler
address		0..*	EHDSAddress	Mailing and office or home addresses. The addresses are always sequences of address parts (e.g. street address line, country, postcode, city) even if postal address formats may vary depending on the country. An address may or may not include a specific use code; if this attribute is not present it is assumed to be the default address useful for any purpose.
telecom		0..*	EHDSTelecom	Telecommunication contact information (addresses) associated with a person, such as phone number, email, or messaging service. Multiple telecommunication addresses might be provided.
professionalRole		0..*	Base	Professional role that the health professional is practicing at a given organisation. This is a generalisation of the FHIR PractitionerRole resource, which is used to represent the role of a practitioner in a specific context, such as a specific organisation or location.
role		0..*	CodeableConcept	Health professional role. Multiple roles could be provided. Binding Description: (preferred): ISCO, SNOMED CT
organisation	O	0..1	EHDSOrganisation	The organisation where this role is available Obligations Actor SHOULD:handle Imaging Handler
specialty		0..*	CodeableConcept	The specialty of a practitioner that describes the functional role they are practicing at a given organisation Binding Description: (preferred): SNOMED CT
datetime		1..1	dateTime	Date and time of the approval of the document by Attester
legalAuthentication	O	1..*	Base	Document legal authentication details Obligations Actor SHOULD:handle Imaging Handler
legalAuthenticator[x]		1..1		The person or organisation taking responsibility for the medical content of the document (typically the person who signs it)
legalAuthenticatorMyHealthEuHealthProfessional			MyHealthEuHealthProfessional
legalAuthenticatorMyHealthEuOrganisation			MyHealthEuOrganisation
datetime		1..1	dateTime	Date and time when the document was authorised
eventType	O	0..*	CodeableConcept	Categorisation of the event covered by the document (e.g. imaging study types, body regions, modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality Obligations Actor SHALL:handle Imaging Handler SHOULD:handle Imaging Handler
serviceSpecialty		0..*	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian	O	0..1	MyHealthEuOrganisation	Organisation that is in charge of maintaining the document/report. Obligations Actor SHOULD:handle Imaging Handler
accessionNumber	O	0..*	Identifier	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). Obligations Actor SHALL:handle Imaging Handler
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
intendedRecipientMyHealthEuPatient			MyHealthEuPatient
intendedRecipientEHDSRelatedPerson			EHDSRelatedPerson
intendedRecipientMyHealthEuHealthProfessional			MyHealthEuHealthProfessional
intendedRecipientMyHealthEuOrganisation			MyHealthEuOrganisation
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]	O	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. Obligations Actor SHOULD:handle Imaging Handler
orderPlacerMyHealthEuHealthProfessional			MyHealthEuHealthProfessional
orderPlacerMyHealthEuOrganisation			MyHealthEuOrganisation
orderPlacerMyHealthEuPatient			MyHealthEuPatient
orderReason[x]	O	0..*		An explanation or justification for why this service is being requested. Binding Description: (preferred): SNOMED CT Obligations Actor SHOULD:handle Imaging Handler
orderReasonCodeableConcept			CodeableConcept
orderReasonEHDSCondition			EHDSCondition
orderReasonEHDSObservation			EHDSObservation
orderReasonString			string
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 (additional types of information may be allowed in implementations).
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.
priorMedicationAdministration		0..*	EHDSMedicationAdministration	Medication administered before ordering the service specifically for this procedure.
device		0..*	EHDSDeviceUse	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..1	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
specimen		0..*	MyHealthEuSpecimen	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	string	Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
examinationReport		1..1	Base	Examination report content.
modality	O	1..*	CodeableConcept	Imaging modality (or modalities) used during imaging investigation (DICOM CID029). Binding Description: (preferred): DICOM Modality Obligations Actor SHOULD:handle Imaging Handler
bodySite		0..*	EHDSBodyStructure	All body parts investigated
imagingProcedures		0..*	MyHealthEuProcedure	Imaging procedure performed during imaging study.
medicationAdministration		0..*	MyHealthEuMedicationAdministration	Information about medications administered (contrast, sedation, stress agents, etc) during the procedure.
adverseReaction		0..*	MyHealthEuAllergyIntolerance	Adverse reactions manifested during imaging investigation.
results[x]		0..*	MyHealthEuObservation	Imaging report result data (report could consist of multiple observations)
conclusion		0..1	Base	A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
impression	O	1..1	string	Narrative description of the clinical conclusion (impression). Obligations Actor SHOULD:handle Imaging Handler
conditionOrFinding[x]		0..*		Condition or finding from imaging investigation.
conditionOrFindingMyHealthEuCondition			MyHealthEuCondition
conditionOrFindingMyHealthEuObservation			MyHealthEuObservation
recommendation		0..1	Base	Recommendation section for additional imaging tests or other actions
description	O	1..1	string	Narrative description of the recommended activities including additional test, medication etc. Obligations Actor MAY:able-to-populate Imaging Handler
carePlan	O	0..*	EHDSCarePlan	A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan. Obligations Actor MAY:able-to-populate Imaging Handler
comparisonStudy		0..*	MyHealthEuImagingReport	Documentation (reference) of a prior Imaging Report to which the current images were compared.
dicomStudyMetadata	O	0..*	MyHealthEuImagingStudy	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. Obligations Actor SHALL:handle Imaging Handler
attachments	O	0..*	EHDSAttachment	Report attachments Obligations Actor SHOULD:handle Imaging Handler
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MyHealthEuImagingReport.​header.language	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​header.documentType	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​header.attestation.attester[x].​professionalRole.role	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​header.attestation.attester[x].​professionalRole.specialty	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​header.eventType	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​header.serviceSpecialty	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​body.orderInformation.​orderReason[x]	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​body.supportingInformation.​sexForClinicalUse	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​body.examinationReport.​modality	Base	preferred		Not State	Unknown

Differential View

This structure is derived from EHDSImagingReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MyHealthEuImagingReport		0..*	EHDSImagingReport	MyHealth@EU Imaging report model Elements defined in Ancestors:header, header, presentedForm, header, body, dicomStudyMetadata, attachments
header
subject		1..1	MyHealthEuPatient	Patient/subject information
identifier	O	1..*	Identifier	Unique identifier of the document Obligations Actor SHALL:handle Imaging Handler SHOULD:handle Imaging Handler
author[x]		1..*		The author of the report.
authorMyHealthEuHealthProfessional			MyHealthEuHealthProfessional
authorMyHealthEuOrganisation			MyHealthEuOrganisation
authorMyHealthEuDevice			MyHealthEuDevice
date	O	1..1	dateTime	Date of finalising/issuing the document Obligations Actor SHOULD:handle Imaging Handler SHOULD:handle Imaging Handler
status	O	1..1	CodeableConcept	Status of the report Obligations Actor SHALL:handle Imaging Handler SHALL:handle Imaging Handler
language	O	0..1	CodeableConcept	Language in which the resource is written. Language is expressed by the IETF language tag. Obligations Actor SHALL:handle Imaging Handler
documentType	O	1..1	CodeableConcept	Type of document (e.g. 18748-4 Diagnostic imaging study) Obligations Actor SHALL:handle Imaging Handler
documentTitle	O	1..1	string	Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024' Obligations Actor SHALL:handle Imaging Handler
version	O	0..1	string	Business version of the document. The exact algorithm for versioning is decided by the producer/custodian Obligations Actor SHALL:handle Imaging Handler
attestation
attester[x]		1..1	EHDSHealthProfessional	Attester who validated the document
name	O	0..1	EHDSHumanName	Name of the health professional that has been treating or taking responsibility for the patient. Obligations Actor SHOULD:handle Imaging Handler
professionalRole
organisation	O	0..1	EHDSOrganisation	The organisation where this role is available Obligations Actor SHOULD:handle Imaging Handler
legalAuthentication	O	1..*	Base	Document legal authentication details Obligations Actor SHOULD:handle Imaging Handler
legalAuthenticator[x]		1..1		The person or organisation taking responsibility for the medical content of the document (typically the person who signs it)
legalAuthenticatorMyHealthEuHealthProfessional			MyHealthEuHealthProfessional
legalAuthenticatorMyHealthEuOrganisation			MyHealthEuOrganisation
eventType	O	0..*	CodeableConcept	Categorisation of the event covered by the document (e.g. imaging study types, body regions, modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Obligations Actor SHALL:handle Imaging Handler SHOULD:handle Imaging Handler
custodian	O	0..1	MyHealthEuOrganisation	Organisation that is in charge of maintaining the document/report. Obligations Actor SHOULD:handle Imaging Handler
accessionNumber	O	0..*	Identifier	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). Obligations Actor SHALL:handle Imaging Handler
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
intendedRecipientMyHealthEuPatient			MyHealthEuPatient
intendedRecipientEHDSRelatedPerson			EHDSRelatedPerson
intendedRecipientMyHealthEuHealthProfessional			MyHealthEuHealthProfessional
intendedRecipientMyHealthEuOrganisation			MyHealthEuOrganisation
body
orderInformation
orderPlacer[x]	O	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. Obligations Actor SHOULD:handle Imaging Handler
orderPlacerMyHealthEuHealthProfessional			MyHealthEuHealthProfessional
orderPlacerMyHealthEuOrganisation			MyHealthEuOrganisation
orderPlacerMyHealthEuPatient			MyHealthEuPatient
orderReason[x]	O	0..*	CodeableConcept, EHDSCondition, EHDSObservation, string	An explanation or justification for why this service is being requested. Obligations Actor SHOULD:handle Imaging Handler
specimen		0..*	MyHealthEuSpecimen	Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
examinationReport
modality	O	1..*	CodeableConcept	Imaging modality (or modalities) used during imaging investigation (DICOM CID029). Obligations Actor SHOULD:handle Imaging Handler
imagingProcedures		0..*	MyHealthEuProcedure	Imaging procedure performed during imaging study.
medicationAdministration		0..*	MyHealthEuMedicationAdministration	Information about medications administered (contrast, sedation, stress agents, etc) during the procedure.
adverseReaction		0..*	MyHealthEuAllergyIntolerance	Adverse reactions manifested during imaging investigation.
results[x]		0..*	MyHealthEuObservation	Imaging report result data (report could consist of multiple observations)
conclusion
impression	O	1..1	string	Narrative description of the clinical conclusion (impression). Obligations Actor SHOULD:handle Imaging Handler
conditionOrFinding[x]		0..*		Condition or finding from imaging investigation.
conditionOrFindingMyHealthEuCondition			MyHealthEuCondition
conditionOrFindingMyHealthEuObservation			MyHealthEuObservation
recommendation
description	O	1..1	string	Narrative description of the recommended activities including additional test, medication etc. Obligations Actor MAY:able-to-populate Imaging Handler
carePlan	O	0..*	EHDSCarePlan	A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan. Obligations Actor MAY:able-to-populate Imaging Handler
comparisonStudy		0..*	MyHealthEuImagingReport	Documentation (reference) of a prior Imaging Report to which the current images were compared.
dicomStudyMetadata	O	0..*	MyHealthEuImagingStudy	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. Obligations Actor SHALL:handle Imaging Handler
attachments	O	0..*	EHDSAttachment	Report attachments Obligations Actor SHOULD:handle Imaging Handler
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MyHealthEuImagingReport		0..*	EHDSImagingReport	MyHealth@EU Imaging report model Elements defined in Ancestors:header, header, presentedForm, header, body, dicomStudyMetadata, attachments
header		1..1	Base	Imaging report header
subject		1..1	MyHealthEuPatient	Patient/subject information
identifier	O	1..*	Identifier	Unique identifier of the document Obligations Actor SHALL:handle Imaging Handler SHOULD:handle Imaging Handler
author[x]		1..*		The author of the report.
authorMyHealthEuHealthProfessional			MyHealthEuHealthProfessional
authorMyHealthEuOrganisation			MyHealthEuOrganisation
authorMyHealthEuDevice			MyHealthEuDevice
date	O	1..1	dateTime	Date of finalising/issuing the document Obligations Actor SHOULD:handle Imaging Handler SHOULD:handle Imaging Handler
status	O	1..1	CodeableConcept	Status of the report Obligations Actor SHALL:handle Imaging Handler SHALL:handle Imaging Handler
language	O	0..1	CodeableConcept	Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47 Obligations Actor SHALL:handle Imaging Handler
documentType	O	1..1	CodeableConcept	Type of document (e.g. 18748-4 Diagnostic imaging study) Binding Description: (preferred): LOINC Obligations Actor SHALL:handle Imaging Handler
documentTitle	O	1..1	string	Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024' Obligations Actor SHALL:handle Imaging Handler
period		0..1	Period	Time of service that is being documented
version	O	0..1	string	Business version of the document. The exact algorithm for versioning is decided by the producer/custodian Obligations Actor SHALL:handle Imaging Handler
attestation		0..*	Base	Document attestation details
attester[x]		1..1	EHDSHealthProfessional	Attester who validated the document
identifier		0..*	Identifier	An identifier of the health professional that is unique within a defined scope. Example: National health professional ID. Multiple identifiers could be provided.
name	O	0..1	EHDSHumanName	Name of the health professional that has been treating or taking responsibility for the patient. Obligations Actor SHOULD:handle Imaging Handler
address		0..*	EHDSAddress	Mailing and office or home addresses. The addresses are always sequences of address parts (e.g. street address line, country, postcode, city) even if postal address formats may vary depending on the country. An address may or may not include a specific use code; if this attribute is not present it is assumed to be the default address useful for any purpose.
telecom		0..*	EHDSTelecom	Telecommunication contact information (addresses) associated with a person, such as phone number, email, or messaging service. Multiple telecommunication addresses might be provided.
professionalRole		0..*	Base	Professional role that the health professional is practicing at a given organisation. This is a generalisation of the FHIR PractitionerRole resource, which is used to represent the role of a practitioner in a specific context, such as a specific organisation or location.
role		0..*	CodeableConcept	Health professional role. Multiple roles could be provided. Binding Description: (preferred): ISCO, SNOMED CT
organisation	O	0..1	EHDSOrganisation	The organisation where this role is available Obligations Actor SHOULD:handle Imaging Handler
specialty		0..*	CodeableConcept	The specialty of a practitioner that describes the functional role they are practicing at a given organisation Binding Description: (preferred): SNOMED CT
datetime		1..1	dateTime	Date and time of the approval of the document by Attester
legalAuthentication	O	1..*	Base	Document legal authentication details Obligations Actor SHOULD:handle Imaging Handler
legalAuthenticator[x]		1..1		The person or organisation taking responsibility for the medical content of the document (typically the person who signs it)
legalAuthenticatorMyHealthEuHealthProfessional			MyHealthEuHealthProfessional
legalAuthenticatorMyHealthEuOrganisation			MyHealthEuOrganisation
datetime		1..1	dateTime	Date and time when the document was authorised
eventType	O	0..*	CodeableConcept	Categorisation of the event covered by the document (e.g. imaging study types, body regions, modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality Obligations Actor SHALL:handle Imaging Handler SHOULD:handle Imaging Handler
serviceSpecialty		0..*	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian	O	0..1	MyHealthEuOrganisation	Organisation that is in charge of maintaining the document/report. Obligations Actor SHOULD:handle Imaging Handler
accessionNumber	O	0..*	Identifier	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). Obligations Actor SHALL:handle Imaging Handler
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
intendedRecipientMyHealthEuPatient			MyHealthEuPatient
intendedRecipientEHDSRelatedPerson			EHDSRelatedPerson
intendedRecipientMyHealthEuHealthProfessional			MyHealthEuHealthProfessional
intendedRecipientMyHealthEuOrganisation			MyHealthEuOrganisation
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]	O	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. Obligations Actor SHOULD:handle Imaging Handler
orderPlacerMyHealthEuHealthProfessional			MyHealthEuHealthProfessional
orderPlacerMyHealthEuOrganisation			MyHealthEuOrganisation
orderPlacerMyHealthEuPatient			MyHealthEuPatient
orderReason[x]	O	0..*		An explanation or justification for why this service is being requested. Binding Description: (preferred): SNOMED CT Obligations Actor SHOULD:handle Imaging Handler
orderReasonCodeableConcept			CodeableConcept
orderReasonEHDSCondition			EHDSCondition
orderReasonEHDSObservation			EHDSObservation
orderReasonString			string
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 (additional types of information may be allowed in implementations).
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.
priorMedicationAdministration		0..*	EHDSMedicationAdministration	Medication administered before ordering the service specifically for this procedure.
device		0..*	EHDSDeviceUse	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..1	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
specimen		0..*	MyHealthEuSpecimen	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	string	Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
examinationReport		1..1	Base	Examination report content.
modality	O	1..*	CodeableConcept	Imaging modality (or modalities) used during imaging investigation (DICOM CID029). Binding Description: (preferred): DICOM Modality Obligations Actor SHOULD:handle Imaging Handler
bodySite		0..*	EHDSBodyStructure	All body parts investigated
imagingProcedures		0..*	MyHealthEuProcedure	Imaging procedure performed during imaging study.
medicationAdministration		0..*	MyHealthEuMedicationAdministration	Information about medications administered (contrast, sedation, stress agents, etc) during the procedure.
adverseReaction		0..*	MyHealthEuAllergyIntolerance	Adverse reactions manifested during imaging investigation.
results[x]		0..*	MyHealthEuObservation	Imaging report result data (report could consist of multiple observations)
conclusion		0..1	Base	A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
impression	O	1..1	string	Narrative description of the clinical conclusion (impression). Obligations Actor SHOULD:handle Imaging Handler
conditionOrFinding[x]		0..*		Condition or finding from imaging investigation.
conditionOrFindingMyHealthEuCondition			MyHealthEuCondition
conditionOrFindingMyHealthEuObservation			MyHealthEuObservation
recommendation		0..1	Base	Recommendation section for additional imaging tests or other actions
description	O	1..1	string	Narrative description of the recommended activities including additional test, medication etc. Obligations Actor MAY:able-to-populate Imaging Handler
carePlan	O	0..*	EHDSCarePlan	A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan. Obligations Actor MAY:able-to-populate Imaging Handler
comparisonStudy		0..*	MyHealthEuImagingReport	Documentation (reference) of a prior Imaging Report to which the current images were compared.
dicomStudyMetadata	O	0..*	MyHealthEuImagingStudy	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. Obligations Actor SHALL:handle Imaging Handler
attachments	O	0..*	EHDSAttachment	Report attachments Obligations Actor SHOULD:handle Imaging Handler
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MyHealthEuImagingReport.​header.language	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​header.documentType	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​header.attestation.attester[x].​professionalRole.role	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​header.attestation.attester[x].​professionalRole.specialty	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​header.eventType	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​header.serviceSpecialty	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​body.orderInformation.​orderReason[x]	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​body.supportingInformation.​sexForClinicalUse	Base	preferred		Not State	Unknown
MyHealthEuImagingReport.​body.examinationReport.​modality	Base	preferred		Not State	Unknown

This structure is derived from EHDSImagingReport

Summary

Mandatory: 1 element