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

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

## Logical Model: MyHealth@EU Imaging report model

Official URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/MyHealthEuImagingReport | Version: 9.1.1
Draft as of 2026-05-05 | Computable Name: MyHealthEuImagingReport

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.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

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

Other representations of profile: CSV, Excel