EHDSImagingReport
type: StructureDefinition
node role: treeRoot
id:
  v: EHDSImagingReport
text:
  status:
    v: extensions
  div: Generated Narrative: StructureDefinition EHDSImagingReport Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> EHDSImagingReport 0..* EHDSDocument Elements defined in Ancestors:header, presentedForm, header, knowledgeResources Imaging report model Instances of this logical model can be the target of a Reference #xD; header 1..1 Base Imaging Report header #xD; <a href="StructureDefinition-EHDSImagingReport-definitions.html#EHDSImagingReport.header.accessionNumber" title="Accession number - an identifier, managed by the RIS at the local level, which usually uniquely identifies an imaging procedure request, and links it to imaging study(ies) and related imaging report(s). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border.">accessionNumber 0..1 string Accession number - an identifier, managed by the RIS at the local level, which usually uniquely identifies an imaging procedure request, and links it to imaging study(ies) and related imaging report(s). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border. #xD; healthInsuranceAndPaymentInformation 0..* EHDSCoverage Health insurance and payment information #xD; 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 #xD; intendedRecipientEHDSPatient EHDSPatient #xD; intendedRecipientEHDSRelatedPerson EHDSRelatedPerson #xD; intendedRecipientEHDSHealthProfessional EHDSHealthProfessional #xD; intendedRecipientEHDSOrganisation EHDSOrganisation #xD; intendedRecipientEHDSDevice EHDSDevice #xD; knowledgeResources 0..0 #xD; body 0..1 Base Imaging Report structured body #xD; orderInformation 0..* Base Order Information (Imaging Result Report could respond to multiple orders). #xD; orderId 1..* Identi…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics
  value: code
    v: can-be-target
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics
  value: code
    v: can-be-target
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics
  value: code
    v: can-be-target
url:
  v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSImagingReport
version:
  v: 0.1.0
name:
  v: EHDSImagingReport
title:
  v: Imaging report model
status:
  v: draft
date:
  v: 2025-08-05T08:51:00+00:00
publisher:
  v: HL7 Europe
contact:
  name:
    v: Xt-EHR
  telecom:
    system:
      v: url
    value:
      v: http://Xt-EHR.eu
description:
  v: EHDS refined base model for Medical Imaging Result Report
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
    code:
      v: 150
    display:
      v: Europe
copyright:
  v: Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0).
fhir version:
  v: 5.0.0
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
  name:
    v: RIM Mapping
kind:
  v: logical
abstract:
  v: false
type:
  v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSImagingReport
base definition:
  v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDocument
  link: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDocument
derivation:
  v: specialization
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
    value: string
      v: 0.1.0
  element:
    id:
      v: EHDSImagingReport
    path:
      v: EHDSImagingReport
    short:
      v: Imaging report model
    definition:
      v: EHDS refined base model for Medical Imaging Result Report
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: Base
      min:
        v: 0
      max:
        v: *
    is modifier:
      v: false
    mapping:
      identity:
        v: rim
      map:
        v: n/a
  element:
    id:
      v: EHDSImagingReport.header
    path:
      v: EHDSImagingReport.header
    short:
      v: Imaging Report header
    definition:
      v: Common header for all patient-related data
    min:
      v: 1
    max:
      v: 1
    base:
      path:
        v: EHDSDataSet.header
      min:
        v: 1
      max:
        v: 1
    type:
      code:
        v: Base
  element:
    id:
      v: EHDSImagingReport.header.subject
    path:
      v: EHDSImagingReport.header.subject
    short:
      v: Subject
    definition:
      v: Patient/subject information
    min:
      v: 1
    max:
      v: 1
    base:
      path:
        v: EHDSDataSet.header.subject
      min:
        v: 1
      max:
        v: 1
    type:
      code:
        v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
  element:
    id:
      v: EHDSImagingReport.header.identifier
    path:
      v: EHDSImagingReport.header.identifier
    short:
      v: Document ID
    definition:
      v: Unique identifier of the document
    min:
      v: 1
    max:
      v: *
    base:
      path:
        v: EHDSDataSet.header.identifier
      min:
        v: 0
      max:
        v: *
    type:
      code:
        v: Identifier
  element:
    id:
      v: EHDSImagingReport.header.authorship
    path:
      v: EHDSImagingReport.header.authorship
    short:
      v: Authorship
    definition:
      v: Resource authoring details
    min:
      v: 1
    max:
      v: *
    base:
      path:
        v: EHDSDataSet.header.authorship
      min:
        v: 1
      max:
        v: *
    type:
      code:
        v: Base

id:
  v: EHDSImagingReport.header.authorship.author[x]
path:
  v: EHDSImagingReport.header.authorship.author[x]
short:
  v: Author
definition:
  v: Author(s) by whom the resource was/were authored. Multiple authors could be provided.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDataSet.header.authorship.author[x]
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDevice

id:
  v: EHDSImagingReport.header.authorship.datetime
path:
  v: EHDSImagingReport.header.authorship.datetime
short:
  v: Date and time of authoring/issuing
definition:
  v: Date and time of the issuing the document/resource by its author.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDataSet.header.authorship.datetime
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: dateTime

id:
  v: EHDSImagingReport.header.lastUpdate
path:
  v: EHDSImagingReport.header.lastUpdate
short:
  v: Date and time of the last update to the resource
definition:
  v: Date and time of the last update to the document/information
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDataSet.header.lastUpdate
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime

id:
  v: EHDSImagingReport.header.status
path:
  v: EHDSImagingReport.header.status
short:
  v: Status of the resource
definition:
  v: Status of the resource
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDataSet.header.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept

id:
  v: EHDSImagingReport.header.statusReason[x]
path:
  v: EHDSImagingReport.header.statusReason[x]
short:
  v: Reason for the current status of the resource.
definition:
  v: Reason for the current status of the resource.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDataSet.header.statusReason[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
type:
  code:
    v: string

id:
  v: EHDSImagingReport.header.language
path:
  v: EHDSImagingReport.header.language
short:
  v: Language
definition:
  v: Language in which the resource is written. Language is expressed by the IETF language tag.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDataSet.header.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: BCP 47

id:
  v: EHDSImagingReport.header.version
path:
  v: EHDSImagingReport.header.version
short:
  v: Version
definition:
  v: Business version of the resource.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDataSet.header.version
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string

id:
  v: EHDSImagingReport.presentedForm
path:
  v: EHDSImagingReport.presentedForm
short:
  v: A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
definition:
  v: A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDataSet.presentedForm
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment

id:
  v: EHDSImagingReport.header.documentType
path:
  v: EHDSImagingReport.header.documentType
short:
  v: Document type
definition:
  v: Identifies the type of document at hand, e.g. Discharge report.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.documentType
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: LOINC

id:
  v: EHDSImagingReport.header.documentTitle
path:
  v: EHDSImagingReport.header.documentTitle
short:
  v: Document title
definition:
  v: Document title, such as Discharge Report, Laboratory Result Report, etc.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.documentTitle
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: string

id:
  v: EHDSImagingReport.header.documentStatus
path:
  v: EHDSImagingReport.header.documentStatus
short:
  v: Document status
definition:
  v: The status of the Discharge report. E.g., preliminary, final.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.documentStatus
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: hl7:CompositionStatus

id:
  v: EHDSImagingReport.header.period
path:
  v: EHDSImagingReport.header.period
short:
  v: Period
definition:
  v: Time of service that is being documented
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period

id:
  v: EHDSImagingReport.header.attestation
path:
  v: EHDSImagingReport.header.attestation
short:
  v: Attestation
definition:
  v: Document attestation details
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDocument.header.attestation
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Base

id:
  v: EHDSImagingReport.header.attestation.attester
path:
  v: EHDSImagingReport.header.attestation.attester
short:
  v: Attester
definition:
  v: Attester who validated the document. Mulitple attesters could be provided.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.attestation.attester
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional

id:
  v: EHDSImagingReport.header.attestation.datetime
path:
  v: EHDSImagingReport.header.attestation.datetime
short:
  v: DateTime
definition:
  v: Date and time of the approval of the document by Attester.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.attestation.datetime
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: dateTime

id:
  v: EHDSImagingReport.header.legalAuthentication
path:
  v: EHDSImagingReport.header.legalAuthentication
short:
  v: Legal authentication
definition:
  v: Document legal authentication
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.legalAuthentication
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base

id:
  v: EHDSImagingReport.header.legalAuthentication.legalAuthenticator
path:
  v: EHDSImagingReport.header.legalAuthentication.legalAuthenticator
short:
  v: Legal authenticator
definition:
  v: The person taking responsibility for the medical content of the document
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.legalAuthentication.legalAuthenticator
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional

id:
  v: EHDSImagingReport.header.legalAuthentication.datetime
path:
  v: EHDSImagingReport.header.legalAuthentication.datetime
short:
  v: DateTime
definition:
  v: Date and time when the document was authorized.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.legalAuthentication.datetime
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: dateTime

id:
  v: EHDSImagingReport.header.eventType
path:
  v: EHDSImagingReport.header.eventType
short:
  v: Event type
definition:
  v: Categorization of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement betwen data sharing parties. This meta-data element serves primarily for searching and filtering purpuses.
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDocument.header.eventType
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: LOINC, SNOMED CT, dicom-cid-33-Modality

id:
  v: EHDSImagingReport.header.authorSpecialty
path:
  v: EHDSImagingReport.header.authorSpecialty
short:
  v: Specialty
definition:
  v: Additional details about where the content was created (e.g. clinical specialty)
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDocument.header.authorSpecialty
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: SNOMED CT

id:
  v: EHDSImagingReport.header.custodian
path:
  v: EHDSImagingReport.header.custodian
short:
  v: Document custodian
definition:
  v: Organisation that is in charge of maintaining the document/report.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.custodian
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation

id:
  v: EHDSImagingReport.header.documentFormat
path:
  v: EHDSImagingReport.header.documentFormat
short:
  v: Document format
definition:
  v: An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.documentFormat
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: HL7 Document Format Codes

id:
  v: EHDSImagingReport.header.confidentiality
path:
  v: EHDSImagingReport.header.confidentiality
short:
  v: Confidentiality
definition:
  v: Level of confidentiality of the document. Implicit value is normal.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.confidentiality
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: hl7:Confidentiality

id:
  v: EHDSImagingReport.knowledgeResources
path:
  v: EHDSImagingReport.knowledgeResources
short:
  v: Related documents and information sources
definition:
  v: Related documents and information sources
min:
  v: 0
max:
  v: 0
base:
  path:
    v: EHDSDocument.knowledgeResources
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Base

id:
  v: EHDSImagingReport.knowledgeResources.externalReference
path:
  v: EHDSImagingReport.knowledgeResources.externalReference
short:
  v: ...
definition:
  v: ...
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDocument.knowledgeResources.externalReference
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: RelatedArtifact

id:
  v: EHDSImagingReport.knowledgeResources.relatedTo
path:
  v: EHDSImagingReport.knowledgeResources.relatedTo
short:
  v: ...
definition:
  v: ...
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDocument.knowledgeResources.relatedTo
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference

id:
  v: EHDSImagingReport.header.accessionNumber
path:
  v: EHDSImagingReport.header.accessionNumber
short:
  v: Accession number - an identifier, managed by the RIS at the local level, which usually uniquely identifies an imaging procedure request, and links it to imaging study(ies) and related imaging report(s). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border.
definition:
  v: Accession number - an identifier, managed by the RIS at the local level, which usually uniquely identifies an imaging procedure request, and links it to imaging study(ies) and related imaging report(s). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border.
requirements:
  v: eHN Guideline IMG (v1.1): A.1.8.11
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSImagingReport.header.accessionNumber
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string

id:
  v: EHDSImagingReport.header.healthInsuranceAndPaymentInformation
path:
  v: EHDSImagingReport.header.healthInsuranceAndPaymentInformation
short:
  v: Health insurance and payment information
definition:
  v: Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.
requirements:
  v: eHN Guideline IMG (v1.1): A.1.3
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSImagingReport.header.healthInsuranceAndPaymentInformation
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCoverage

id:
  v: EHDSImagingReport.header.intendedRecipient[x]
path:
  v: EHDSImagingReport.header.intendedRecipient[x]
short:
  v: 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
definition:
  v: 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
requirements:
  v: eHN Guideline IMG (v1.1): A.1.4
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSImagingReport.header.intendedRecipient[x]
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSRelatedPerson
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDevice

id:
  v: EHDSImagingReport.body
path:
  v: EHDSImagingReport.body
short:
  v: Imaging Report structured body
definition:
  v: Imaging Report structured body
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSImagingReport.body
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base

id:
  v: EHDSImagingReport.body.orderInformation
path:
  v: EHDSImagingReport.body.orderInformation
short:
  v: Order Information (Imaging Result Report could respond to multiple orders).
definition:
  v: Order Information (Imaging Result Report could respond to multiple orders).
requirements:
  v: eHN Guideline IMG (v1.1): A.2
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSImagingReport.body.orderInformation
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Base

id:
  v: EHDSImagingReport.body.orderInformation.orderId
path:
  v: EHDSImagingReport.body.orderInformation.orderId
short:
  v: Identifier(s) of the imaging service order.
definition:
  v: Identifier(s) of the imaging service order.
min:
  v: 1
max:
  v: *
base:
  path:
    v: EHDSImagingReport.body.orderInformation.orderId
  min:
    v: 1
  max:
    v: *
type:
  code:
    v: Identifier

id:
  v: EHDSImagingReport.body.orderInformation.orderDateAndTime
path:
  v: EHDSImagingReport.body.orderInformation.orderDateAndTime
short:
  v: Date and time of the order placement.
definition:
  v: Date and time of the order placement.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSImagingReport.body.orderInformation.orderDateAndTime
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime

id:
  v: EHDSImagingReport.body.orderInformation.orderPlacer[x]
path:
  v: EHDSImagingReport.body.orderInformation.orderPlacer[x]
short:
  v: The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
definition:
  v: The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSImagingReport.body.orderInformation.orderPlacer[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient

id:
  v: EHDSImagingReport.body.orderInformation.orderReasonText
path:
  v: EHDSImagingReport.body.orderInformation.orderReasonText
short:
  v: An explanation or justification for why this service is being requested in textual form.
definition:
  v: An explanation or justification for why this service is being requested in textual form.
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSImagingReport.body.orderInformation.orderReasonText
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: string

id:
  v: EHDSImagingReport.body.orderInformation.orderReason[x]
path:
  v: EHDSImagingReport.body.orderInformation.orderReason[x]
short:
  v: An explanation or justification for why this service is being requested in coded or structured form.
definition:
  v: An explanation or justification for why this service is being requested in coded or structured form.
requirements:
  v: eHN Guideline IMG (v1.1): A.3.1, A3.2
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSImagingReport.body.orderInformation.orderReason[x]
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation
binding:
  strength:
    v: preferred
  description:
    v: SNOMED CT

id:
  v: EHDSImagingReport.body.orderInformation.clinicalQuestion
path:
  v: EHDSImagingReport.body.orderInformation.clinicalQuestion
short:
  v: Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
definition:
  v: Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
requirements:
  v: eHN Guideline IMG (v1.1): A.3.3
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSImagingReport.body.orderInformation.clinicalQuestion
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string

id:
  v: EHDSImagingReport.body.orderInformation.supportingInformation
path:
  v: EHDSImagingReport.body.orderInformation.supportingInformation
short:
  v: Additional clinical information about the patient or specimen that may affect service delivery or interpretation.
definition:
  v: This information includes diagnosis, clinical findings and other observations. This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the metal implants present in patient's body.
requirements:
  v: eHN Guideline IMG (v1.1): A3.2?
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSImagingReport.body.orderInformation.supportingInformation
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base

id:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.observation
path:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.observation
short:
  v: Clinical findings and other observations (e.g., height and weights of the patient).
definition:
  v: Clinical findings and other observations (e.g., height and weights of the patient).
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSImagingReport.body.orderInformation.supportingInformation.observation
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation

id:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.condition
path:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.condition
short:
  v: Conditions that may influence the service or result interpretation.
definition:
  v: Conditions that may influence the service or result interpretation.
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSImagingReport.body.orderInformation.supportingInformation.condition
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition

id:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.medicationAdministration
path:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.medicationAdministration
short:
  v: Medication administered before ordering the service.
definition:
  v: Medication administered before ordering the service.
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSImagingReport.body.orderInformation.supportingInformation.medicationAdministration
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedicationAdministration

id:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.devices
path:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.devices
short:
  v: List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
definition:
  v: List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSImagingReport.body.orderInformation.supportingInformation.devices
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDevice

id:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.pregnancyStatus
path:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.pregnancyStatus
short:
  v: Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
definition:
  v: Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSImagingReport.body.orderInformation.supportingInformation.pregnancyStatus
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCurrentPregnancy

id:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.sexForClinicalUse
path:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.sexForClinicalUse
short:
  v: 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.
definition:
  v: 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.
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSImagingReport.body.orderInformation.supportingInformation.sexForClinicalUse
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: HL7 sex-parameter-for-clinical-use

id:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.otherSupportingInformation
path:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.otherSupportingInformation
short:
  v: Any other type of relevant supporting information
definition:
  v: Any other type of relevant supporting information
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSImagingReport.body.orderInformation.supportingInformation.otherSupportingInformation
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource

id:
  v: EHDSImagingReport.body.specimen
path:
  v: EHDSImagingReport.body.specimen
short:
  v: Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
definition:
  v: Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
requirements:
  v: eHN Guideline IMG (v1.1): A.4
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSImagingReport.body.specimen
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSSpecimen

id:
  v: EHDSImagingReport.body.serviceRequest
path:
  v: EHDSImagingReport.body.serviceRequest
short:
  v: Specification of requested service(s).
definition:
  v: Specification of requested service(s).
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSImagingReport.body.serviceRequest
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSServiceRequest

id:
  v: EHDSImagingReport.body.exposureInformation
path:
  v: EHDSImagingReport.body.exposureInformation
short:
  v: Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
definition:
  v: Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
requirements:
  v: eHN Guideline IMG (v1.1): B.1.4.4, Article 2 Imaging report definition
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSImagingReport.body.exposureInformation
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base

id:
  v: EHDSImagingReport.body.exposureInformation.effectiveDose
path:
  v: EHDSImagingReport.body.exposureInformation.effectiveDose
short:
  v: Effective dose - sum of equivalent doses to all organs, from external and/or internal exposures, each adjusted to account for the sensitivity of the organ to radiation. [mSv]
definition:
  v: Effective dose - sum of equivalent doses to all organs, from external and/or internal exposures, each adjusted to account for the sensitivity of the organ to radiation. [mSv]
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSImagingReport.body.exposureInformation.effectiveDose
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Quantity
binding:
  strength:
    v: preferred
  description:
    v: UCUM (for units)

id:
  v: EHDSImagingReport.body.exposureInformation.equivalentDoseInformation
path:
  v: EHDSImagingReport.body.exposureInformation.equivalentDoseInformation
short:
  v: Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
definition:
  v: Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSImagingReport.body.exposureInformation.equivalentDoseInformation
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Base

id:
  v: EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.equivalentDose
path:
  v: EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.equivalentDose
short:
  v: Equivalent dose is a measure of the radiation dose to tissue where an attempt has been made to allow for the different relative biological effects of different types of ionizing radiation. Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
definition:
  v: Equivalent dose is a measure of the radiation dose to tissue where an attempt has been made to allow for the different relative biological effects of different types of ionizing radiation. Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.equivalentDose
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Quantity
binding:
  strength:
    v: preferred
  description:
    v: UCUM (for units)

id:
  v: EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.tissueType
path:
  v: EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.tissueType
short:
  v: Type of the tissue for which do dosage was enumerated.
definition:
  v: Type of the tissue for which do dosage was enumerated.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.tissueType
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: SNOMED CT

id:
  v: EHDSImagingReport.body.examinationReport
path:
  v: EHDSImagingReport.body.examinationReport
short:
  v: Examination report content.
definition:
  v: Examination report content.
requirements:
  v: eHN Guideline IMG (v1.1): A.5
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSImagingReport.body.examinationReport
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Base

id:
  v: EHDSImagingReport.body.examinationReport.modality
path:
  v: EHDSImagingReport.body.examinationReport.modality
short:
  v: Imaging modality (or modalities) used during imaging investigation (DICOM CID029).
definition:
  v: Imaging modality (or modalities) used during imaging investigation (DICOM CID029).
requirements:
  v: eHN Guideline IMG (v1.1): A.5.1.1
min:
  v: 1
max:
  v: *
base:
  path:
    v: EHDSImagingReport.body.examinationReport.modality
  min:
    v: 1
  max:
    v: *
type:
  code:
    v: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: DICOM Modality

id:
  v: EHDSImagingReport.body.examinationReport.bodyPart
path:
  v: EHDSImagingReport.body.examinationReport.bodyPart
short:
  v: All body parts investigated
definition:
  v: All body parts investigated
requirements:
  v: eHN Guideline IMG (v1.1): A.5.1.6
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSImagingReport.body.examinationReport.bodyPart
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSBodyStructure

id:
  v: EHDSImagingReport.body.examinationReport.imagingProcedures
path:
  v: EHDSImagingReport.body.examinationReport.imagingProcedures
short:
  v: Imaging procedure performed during imaging study.
definition:
  v: Imaging procedure performed during imaging study.
requirements:
  v: eHN Guideline IMG (v1.1): A.5.1.2-A.5.1.9
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSImagingReport.body.examinationReport.imagingProcedures
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSProcedure

id:
  v: EHDSImagingReport.body.examinationReport.medication
path:
  v: EHDSImagingReport.body.examinationReport.medication
short:
  v: Information about medication administered (contrast, sedation, stress agents), etc.
definition:
  v: Information about medication administered (contrast, sedation, stress agents), etc.
requirements:
  v: eHN Guideline IMG (v1.1): A.5.2
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSImagingReport.body.examinationReport.medication
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedicationAdministration

id:
  v: EHDSImagingReport.body.examinationReport.adverseReaction
path:
  v: EHDSImagingReport.body.examinationReport.adverseReaction
short:
  v: Adverse reactions manifested during imaging investigation.
definition:
  v: Adverse reactions manifested during imaging investigation.
requirements:
  v: eHN Guideline IMG (v1.1): A.5.3
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSImagingReport.body.examinationReport.adverseReaction
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAllergyIntolerance

id:
  v: EHDSImagingReport.body.examinationReport.resultData
path:
  v: EHDSImagingReport.body.examinationReport.resultData
short:
  v: Imaging report result data
definition:
  v: Imaging report result data
requirements:
  v: eHN Guideline IMG (v1.1): A.5.4
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSImagingReport.body.examinationReport.resultData
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base

id:
  v: EHDSImagingReport.body.examinationReport.resultData.resultText
path:
  v: EHDSImagingReport.body.examinationReport.resultData.resultText
short:
  v: Comments and narrative representation of the observation results and findings.
definition:
  v: Comments and narrative representation of the observation results and findings.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSImagingReport.body.examinationReport.resultData.resultText
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: string

id:
  v: EHDSImagingReport.body.examinationReport.resultData.observationResults
path:
  v: EHDSImagingReport.body.examinationReport.resultData.observationResults
short:
  v: Observation details (report could consist of multiple observations)
definition:
  v: Observation details (report could consist of multiple observations)
requirements:
  v: eHN Guideline IMG (v1.1): A.5.4.1, A.5.4.3
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSImagingReport.body.examinationReport.resultData.observationResults
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation

id:
  v: EHDSImagingReport.body.examinationReport.conclusion
path:
  v: EHDSImagingReport.body.examinationReport.conclusion
short:
  v: A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
definition:
  v: A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
requirements:
  v: eHN Guideline IMG (v1.1): A.5.5
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSImagingReport.body.examinationReport.conclusion
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Base

id:
  v: EHDSImagingReport.body.examinationReport.conclusion.impression
path:
  v: EHDSImagingReport.body.examinationReport.conclusion.impression
short:
  v: Narrative description of the clinical conclusion (impression).
definition:
  v: Narrative description of the clinical conclusion (impression).
requirements:
  v: eHN Guideline IMG (v1.1): A.5.5.1
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSImagingReport.body.examinationReport.conclusion.impression
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: string

id:
  v: EHDSImagingReport.body.examinationReport.conclusion.conditionOrFinding[x]
path:
  v: EHDSImagingReport.body.examinationReport.conclusion.conditionOrFinding[x]
short:
  v: Condition or finding from imaging investigation.
definition:
  v: Condition or finding from imaging investigation.
requirements:
  v: eHN Guideline IMG (v1.1): A.5.5.2
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSImagingReport.body.examinationReport.conclusion.conditionOrFinding[x]
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation

id:
  v: EHDSImagingReport.body.recommendation
path:
  v: EHDSImagingReport.body.recommendation
short:
  v: Recommendations for additional imaging tests or other actions
definition:
  v: Recommendations for additional imaging tests or other actions
requirements:
  v: eHN Guideline IMG (v1.1): A.5.6
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSImagingReport.body.recommendation
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base

id:
  v: EHDSImagingReport.body.recommendation.description
path:
  v: EHDSImagingReport.body.recommendation.description
short:
  v: Narrative description of the recommended activities including additional test, medication etc.
definition:
  v: Narrative description of the recommended activities including additional test, medication etc.
requirements:
  v: eHN Guideline IMG (v1.1): A.5.6.1
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSImagingReport.body.recommendation.description
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: string

id:
  v: EHDSImagingReport.body.recommendation.carePlan
path:
  v: EHDSImagingReport.body.recommendation.carePlan
short:
  v: A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
definition:
  v: A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
requirements:
  v: eHN Guideline IMG (v1.1): A.5.6.2
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSImagingReport.body.recommendation.carePlan
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCarePlan

id:
  v: EHDSImagingReport.body.comparisonStudy
path:
  v: EHDSImagingReport.body.comparisonStudy
short:
  v: Documentation (reference) of a prior Imaging Report to which the current images were compared.
definition:
  v: Documentation (reference) of a prior Imaging Report to which the current images were compared.
requirements:
  v: eHN Guideline IMG (v1.1): A.7
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSImagingReport.body.comparisonStudy
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSImagingReport

id:
  v: EHDSImagingReport.dicomStudyMetadata
path:
  v: EHDSImagingReport.dicomStudyMetadata
short:
  v: 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.
definition:
  v: 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.
requirements:
  v: eHN Guideline IMG (v1.1): A.6
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSImagingReport.dicomStudyMetadata
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSImagingStudy

id:
  v: EHDSImagingReport.attachments[x]
path:
  v: EHDSImagingReport.attachments[x]
short:
  v: Report attachments data elements
definition:
  v: Report attachments data elements
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSImagingReport.attachments[x]
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedia

element:
  id:
    v: EHDSImagingReport
  path:
    v: EHDSImagingReport
  short:
    v: Imaging report model
  definition:
    v: EHDS refined base model for Medical Imaging Result Report
element:
  id:
    v: EHDSImagingReport.header
  path:
    v: EHDSImagingReport.header
  short:
    v: Imaging Report header
element:
  id:
    v: EHDSImagingReport.header.accessionNumber
  path:
    v: EHDSImagingReport.header.accessionNumber
  short:
    v: Accession number - an identifier, managed by the RIS at the local level, which usually uniquely identifies an imaging procedure request, and links it to imaging study(ies) and related imaging report(s). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border.
  definition:
    v: Accession number - an identifier, managed by the RIS at the local level, which usually uniquely identifies an imaging procedure request, and links it to imaging study(ies) and related imaging report(s). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border.
  requirements:
    v: eHN Guideline IMG (v1.1): A.1.8.11
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: string
element:
  id:
    v: EHDSImagingReport.header.healthInsuranceAndPaymentInformation
  path:
    v: EHDSImagingReport.header.healthInsuranceAndPaymentInformation
  short:
    v: Health insurance and payment information
  definition:
    v: Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.
  requirements:
    v: eHN Guideline IMG (v1.1): A.1.3
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCoverage
element:
  id:
    v: EHDSImagingReport.header.intendedRecipient[x]
  path:
    v: EHDSImagingReport.header.intendedRecipient[x]
  short:
    v: 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
  definition:
    v: 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
  requirements:
    v: eHN Guideline IMG (v1.1): A.1.4
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
  type:
    code:
      v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSRelatedPerson
  type:
    code:
      v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
  type:
    code:
      v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation
  type:
    code:
      v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDevice
element:
  id:
    v: EHDSImagingReport.knowledgeResources
  path:
    v: EHDSImagingReport.knowledgeResources
  max:
    v: 0
element:
  id:
    v: EHDSImagingReport.body
  path:
    v: EHDSImagingReport.body
  short:
    v: Imaging Report structured body
  definition:
    v: Imaging Report structured body
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: Base
element:
  id:
    v: EHDSImagingReport.body.orderInformation
  path:
    v: EHDSImagingReport.body.orderInformation
  short:
    v: Order Information (Imaging Result Report could respond to multiple orders).
  definition:
    v: Order Information (Imaging Result Report could respond to multiple orders).
  requirements:
    v: eHN Guideline IMG (v1.1): A.2
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: Base
element:
  id:
    v: EHDSImagingReport.body.orderInformation.orderId
  path:
    v: EHDSImagingReport.body.orderInformation.orderId
  short:
    v: Identifier(s) of the imaging service order.
  definition:
    v: Identifier(s) of the imaging service order.
  min:
    v: 1
  max:
    v: *
  type:
    code:
      v: Identifier
element:
  id:
    v: EHDSImagingReport.body.orderInformation.orderDateAndTime
  path:
    v: EHDSImagingReport.body.orderInformation.orderDateAndTime
  short:
    v: Date and time of the order placement.
  definition:
    v: Date and time of the order placement.
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: dateTime
element:
  id:
    v: EHDSImagingReport.body.orderInformation.orderPlacer[x]
  path:
    v: EHDSImagingReport.body.orderInformation.orderPlacer[x]
  short:
    v: The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
  definition:
    v: The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
  type:
    code:
      v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation
  type:
    code:
      v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
element:
  id:
    v: EHDSImagingReport.body.orderInformation.orderReasonText
  path:
    v: EHDSImagingReport.body.orderInformation.orderReasonText
  short:
    v: An explanation or justification for why this service is being requested in textual form.
  definition:
    v: An explanation or justification for why this service is being requested in textual form.
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: string
element:
  id:
    v: EHDSImagingReport.body.orderInformation.orderReason[x]
  path:
    v: EHDSImagingReport.body.orderInformation.orderReason[x]
  short:
    v: An explanation or justification for why this service is being requested in coded or structured form.
  definition:
    v: An explanation or justification for why this service is being requested in coded or structured form.

v: eHN Guideline IMG (v1.1): A.3.1, A3.2

v: 0

v: *

code:
  v: CodeableConcept

strength:
  v: preferred
description:
  v: SNOMED CT

id:
  v: EHDSImagingReport.body.orderInformation.clinicalQuestion
path:
  v: EHDSImagingReport.body.orderInformation.clinicalQuestion
short:
  v: Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
definition:
  v: Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
requirements:
  v: eHN Guideline IMG (v1.1): A.3.3
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string

id:
  v: EHDSImagingReport.body.orderInformation.supportingInformation
path:
  v: EHDSImagingReport.body.orderInformation.supportingInformation
short:
  v: Additional clinical information about the patient or specimen that may affect service delivery or interpretation.
definition:
  v: This information includes diagnosis, clinical findings and other observations. This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the metal implants present in patient's body.
requirements:
  v: eHN Guideline IMG (v1.1): A3.2?
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base

id:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.observation
path:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.observation
short:
  v: Clinical findings and other observations (e.g., height and weights of the patient).
definition:
  v: Clinical findings and other observations (e.g., height and weights of the patient).
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation

id:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.condition
path:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.condition
short:
  v: Conditions that may influence the service or result interpretation.
definition:
  v: Conditions that may influence the service or result interpretation.
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition

id:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.medicationAdministration
path:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.medicationAdministration
short:
  v: Medication administered before ordering the service.
definition:
  v: Medication administered before ordering the service.
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedicationAdministration

id:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.devices
path:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.devices
short:
  v: List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
definition:
  v: List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDevice

id:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.pregnancyStatus
path:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.pregnancyStatus
short:
  v: Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
definition:
  v: Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
min:
  v: 0
max:
  v: 1
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCurrentPregnancy

id:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.sexForClinicalUse
path:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.sexForClinicalUse
short:
  v: 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.
definition:
  v: 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.
min:
  v: 0
max:
  v: *
type:
  code:
    v: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: HL7 sex-parameter-for-clinical-use

id:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.otherSupportingInformation
path:
  v: EHDSImagingReport.body.orderInformation.supportingInformation.otherSupportingInformation
short:
  v: Any other type of relevant supporting information
definition:
  v: Any other type of relevant supporting information
min:
  v: 0
max:
  v: *
type:
  code:
    v: Resource

id:
  v: EHDSImagingReport.body.specimen
path:
  v: EHDSImagingReport.body.specimen
short:
  v: Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
definition:
  v: Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
requirements:
  v: eHN Guideline IMG (v1.1): A.4
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSSpecimen

id:
  v: EHDSImagingReport.body.serviceRequest
path:
  v: EHDSImagingReport.body.serviceRequest
short:
  v: Specification of requested service(s).
definition:
  v: Specification of requested service(s).
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSServiceRequest

id:
  v: EHDSImagingReport.body.exposureInformation
path:
  v: EHDSImagingReport.body.exposureInformation
short:
  v: Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
definition:
  v: Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
requirements:
  v: eHN Guideline IMG (v1.1): B.1.4.4, Article 2 Imaging report definition
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base

id:
  v: EHDSImagingReport.body.exposureInformation.effectiveDose
path:
  v: EHDSImagingReport.body.exposureInformation.effectiveDose
short:
  v: Effective dose - sum of equivalent doses to all organs, from external and/or internal exposures, each adjusted to account for the sensitivity of the organ to radiation. [mSv]
definition:
  v: Effective dose - sum of equivalent doses to all organs, from external and/or internal exposures, each adjusted to account for the sensitivity of the organ to radiation. [mSv]
min:
  v: 0
max:
  v: *
type:
  code:
    v: Quantity
binding:
  strength:
    v: preferred
  description:
    v: UCUM (for units)

id:
  v: EHDSImagingReport.body.exposureInformation.equivalentDoseInformation
path:
  v: EHDSImagingReport.body.exposureInformation.equivalentDoseInformation
short:
  v: Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
definition:
  v: Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
min:
  v: 1
max:
  v: 1
type:
  code:
    v: Base

id:
  v: EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.equivalentDose
path:
  v: EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.equivalentDose
short:
  v: Equivalent dose is a measure of the radiation dose to tissue where an attempt has been made to allow for the different relative biological effects of different types of ionizing radiation. Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
definition:
  v: Equivalent dose is a measure of the radiation dose to tissue where an attempt has been made to allow for the different relative biological effects of different types of ionizing radiation. Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
min:
  v: 1
max:
  v: 1
type:
  code:
    v: Quantity
binding:
  strength:
    v: preferred
  description:
    v: UCUM (for units)

id:
  v: EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.tissueType
path:
  v: EHDSImagingReport.body.exposureInformation.equivalentDoseInformation.tissueType
short:
  v: Type of the tissue for which do dosage was enumerated.
definition:
  v: Type of the tissue for which do dosage was enumerated.
min:
  v: 1
max:
  v: 1
type:
  code:
    v: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: SNOMED CT

id:
  v: EHDSImagingReport.body.examinationReport
path:
  v: EHDSImagingReport.body.examinationReport
short:
  v: Examination report content.
definition:
  v: Examination report content.
requirements:
  v: eHN Guideline IMG (v1.1): A.5
min:
  v: 1
max:
  v: 1
type:
  code:
    v: Base

id:
  v: EHDSImagingReport.body.examinationReport.modality
path:
  v: EHDSImagingReport.body.examinationReport.modality
short:
  v: Imaging modality (or modalities) used during imaging investigation (DICOM CID029).
definition:
  v: Imaging modality (or modalities) used during imaging investigation (DICOM CID029).
requirements:
  v: eHN Guideline IMG (v1.1): A.5.1.1
min:
  v: 1
max:
  v: *
type:
  code:
    v: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: DICOM Modality

id:
  v: EHDSImagingReport.body.examinationReport.bodyPart
path:
  v: EHDSImagingReport.body.examinationReport.bodyPart
short:
  v: All body parts investigated
definition:
  v: All body parts investigated
requirements:
  v: eHN Guideline IMG (v1.1): A.5.1.6
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSBodyStructure

id:
  v: EHDSImagingReport.body.examinationReport.imagingProcedures
path:
  v: EHDSImagingReport.body.examinationReport.imagingProcedures
short:
  v: Imaging procedure performed during imaging study.
definition:
  v: Imaging procedure performed during imaging study.
requirements:
  v: eHN Guideline IMG (v1.1): A.5.1.2-A.5.1.9
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSProcedure

id:
  v: EHDSImagingReport.body.examinationReport.medication
path:
  v: EHDSImagingReport.body.examinationReport.medication
short:
  v: Information about medication administered (contrast, sedation, stress agents), etc.
definition:
  v: Information about medication administered (contrast, sedation, stress agents), etc.
requirements:
  v: eHN Guideline IMG (v1.1): A.5.2
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedicationAdministration

id:
  v: EHDSImagingReport.body.examinationReport.adverseReaction
path:
  v: EHDSImagingReport.body.examinationReport.adverseReaction
short:
  v: Adverse reactions manifested during imaging investigation.
definition:
  v: Adverse reactions manifested during imaging investigation.
requirements:
  v: eHN Guideline IMG (v1.1): A.5.3
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAllergyIntolerance

id:
  v: EHDSImagingReport.body.examinationReport.resultData
path:
  v: EHDSImagingReport.body.examinationReport.resultData
short:
  v: Imaging report result data
definition:
  v: Imaging report result data
requirements:
  v: eHN Guideline IMG (v1.1): A.5.4
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base

id:
  v: EHDSImagingReport.body.examinationReport.resultData.resultText
path:
  v: EHDSImagingReport.body.examinationReport.resultData.resultText
short:
  v: Comments and narrative representation of the observation results and findings.
definition:
  v: Comments and narrative representation of the observation results and findings.
min:
  v: 1
max:
  v: 1
type:
  code:
    v: string

id:
  v: EHDSImagingReport.body.examinationReport.resultData.observationResults
path:
  v: EHDSImagingReport.body.examinationReport.resultData.observationResults
short:
  v: Observation details (report could consist of multiple observations)
definition:
  v: Observation details (report could consist of multiple observations)
requirements:
  v: eHN Guideline IMG (v1.1): A.5.4.1, A.5.4.3
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation

id:
  v: EHDSImagingReport.body.examinationReport.conclusion
path:
  v: EHDSImagingReport.body.examinationReport.conclusion
short:
  v: A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
definition:
  v: A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
requirements:
  v: eHN Guideline IMG (v1.1): A.5.5
min:
  v: 1
max:
  v: 1
type:
  code:
    v: Base

id:
  v: EHDSImagingReport.body.examinationReport.conclusion.impression
path:
  v: EHDSImagingReport.body.examinationReport.conclusion.impression
short:
  v: Narrative description of the clinical conclusion (impression).
definition:
  v: Narrative description of the clinical conclusion (impression).
requirements:
  v: eHN Guideline IMG (v1.1): A.5.5.1
min:
  v: 1
max:
  v: 1
type:
  code:
    v: string

id:
  v: EHDSImagingReport.body.examinationReport.conclusion.conditionOrFinding[x]
path:
  v: EHDSImagingReport.body.examinationReport.conclusion.conditionOrFinding[x]
short:
  v: Condition or finding from imaging investigation.
definition:
  v: Condition or finding from imaging investigation.
requirements:
  v: eHN Guideline IMG (v1.1): A.5.5.2
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation

id:
  v: EHDSImagingReport.body.recommendation
path:
  v: EHDSImagingReport.body.recommendation
short:
  v: Recommendations for additional imaging tests or other actions
definition:
  v: Recommendations for additional imaging tests or other actions
requirements:
  v: eHN Guideline IMG (v1.1): A.5.6
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base

id:
  v: EHDSImagingReport.body.recommendation.description
path:
  v: EHDSImagingReport.body.recommendation.description
short:
  v: Narrative description of the recommended activities including additional test, medication etc.
definition:
  v: Narrative description of the recommended activities including additional test, medication etc.
requirements:
  v: eHN Guideline IMG (v1.1): A.5.6.1
min:
  v: 1
max:
  v: 1
type:
  code:
    v: string

id:
  v: EHDSImagingReport.body.recommendation.carePlan
path:
  v: EHDSImagingReport.body.recommendation.carePlan
short:
  v: A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
definition:
  v: A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
requirements:
  v: eHN Guideline IMG (v1.1): A.5.6.2
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCarePlan

id:
  v: EHDSImagingReport.body.comparisonStudy
path:
  v: EHDSImagingReport.body.comparisonStudy
short:
  v: Documentation (reference) of a prior Imaging Report to which the current images were compared.
definition:
  v: Documentation (reference) of a prior Imaging Report to which the current images were compared.
requirements:
  v: eHN Guideline IMG (v1.1): A.7
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSImagingReport

id:
  v: EHDSImagingReport.dicomStudyMetadata
path:
  v: EHDSImagingReport.dicomStudyMetadata
short:
  v: 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.
definition:
  v: 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.
requirements:
  v: eHN Guideline IMG (v1.1): A.6
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSImagingStudy

id:
  v: EHDSImagingReport.attachments[x]
path:
  v: EHDSImagingReport.attachments[x]
short:
  v: Report attachments data elements
definition:
  v: Report attachments data elements
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedia