HL7 Europe Imaging Report R5
1.0.0-ballot - ballot 150

This page is part of the HL7 Europe Imaging Study Report (v1.0.0-ballot: STU 1 Ballot 2) based on FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

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Official URL: http://hl7.eu/fhir/imaging-r5/ImplementationGuide/hl7.fhir.eu.imaging-r5 Version: 1.0.0-ballot
Computable Name: HL7EuImagingStudyReport

Copyright/Legal: Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0).

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Acknowledgment
The development of this Implementation Guide version has been supported by the Xt-EHR Joint Action. Xt-EHR provided expertise, alignment with European health policy priorities, and validation of specifications to enable consistency with EHDS requirements.

This ballot requests feedback from the community on the following topic FHIR-56038. Which proposes a solution to an error in this R5 version due to and inconsistency between this model and an invariant in DiagnosticReport in FHIR R5.

Scope

This implementation guide specifies imaging study report data in the European context, as defined in and refined by , as a FHIR model. It defines:

  • The structure and contents of a FHIR imaging study reports.
  • Mapping between this IG and the Xt-EHR logical models for imaging reports, as functional requirements.
  • Example implementations of the defined models for Imaging Study Reports.
  • relation of this specification with the existing ecosystem, including IHE MADO, IHE RAD, and EHDS API specifications.

The specification is to be used in a variety of deployment models, which includes the EHDS use cases: exchange data within healthcare organizations, across nations/regions and cross border information exchange. In all of these use cases it is important that it is compatible with the existing ecosystem.

Current approaches within Europe use different approaches to information exchange:

  • Document based exchange, the document is represented as a FHIR Document Bundle.
  • REST API based access to documents, a and for each document including instances of the referred resources
  • REST API based access to resources, as the previous but the (important) resources are harmonized, meaning that all documents point to the same , and other resources.

The specification is being designed in such a way that it can be used in all of these deployment scenarios.

Purpose

The goal of this Implementation Guide is to define an European standard for the Imaging Report to facilitate the harmonization among the national initiatives and prepare the ground for the European EHR eXchange Format (E-EHRxF).

The development of this implementation guide is promoted by HL7 Europe, but realized in collaboration with several other European and national organizations and projects. The aspiration of this guide is to be used as basis for European National Guides, the European EHRxF ,and - consequently - by MyHealth@EU for the EU cross-border services.

FHIR specific Dependencies

Package hl7.fhir.uv.extensions.r5#5.2.0

This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Mon, Feb 10, 2025 21:45+1100+11:00)

Package hl7.fhir.eu.extensions.r5#1.2.0

This guide lists the extensions specified for the European REALM. (built Fri, Dec 19, 2025 11:52+0100+01:00)

Package ihe.pharm.mpd#1.0.0-comment-2

ImplementationGuide for IHE Pharmacy Medication Prescription and Dispense (MPD) profile (built Tue, May 27, 2025 16:32+0200+02:00)

Package hl7.fhir.eu.base-r5#2.0.0-ballot

This guide collects base and core profiles to be used in the European context. It also includes common artifacts, such as the profiles describing the European Health Insurance Card. (built Fri, Dec 19, 2025 19:52+0100+01:00)

Package hl7.fhir.uv.extensions#5.3.0-ballot

This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Fri, Aug 1, 2025 13:17+1000+10:00)

Package hl7.fhir.eu.extensions#1.2.0

This guide lists the extensions specified for the European REALM. (built Fri, Dec 19, 2025 11:52+0100+01:00)

Package ihe.iti.mhd#5.0.0

ImplementationGuide for IHE IT Infrastructure Technical Framework Supplement Mobile access to Health Documents (MHD) (built Thu, Dec 18, 2025 09:48-0600-06:00)

Package hl7.fhir.uv.tools.r5#1.1.0

This IG defines the extensions that the tools use internally. Some of these extensions are content that are being evaluated for elevation into the main spec, and others are tooling concerns (built Tue, Mar 3, 2026 22:50+1100+11:00)

Cross Version Analysis

Global Profiles

There are no Global profiles defined

IP statements

This publication includes IP covered under the following statements.