# Composition Imaging MyHealth@EU - MyHealth@Eu Medical Imaging Report v9.1.1

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Composition Imaging MyHealth@EU**

## Resource Profile: Composition Imaging MyHealth@EU 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://fhir.ehdsi.eu/imaging/StructureDefinition/composition-img-myhealtheu | *Version*:9.1.1 | |
| * Standards status: *[Draft](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 1 | *Computable Name*:CompositionImgMyHealthEu |

 
Composition profile for imaging reports exchanged via MyHealth@EU. 

**Usages:**

* Use this Profile: [Bundle: Imaging](StructureDefinition-bundle-img-myhealtheu.md)
* Refer to this Profile: [DiagnosticReport MyHealthEu Imaging](StructureDefinition-diagnosticreport-myhealtheu-img.md)
* Examples for this Profile: [Composition/ExampleCompositionImg](Composition-ExampleCompositionImg.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/myhealth.eu.fhir.imaging|current/StructureDefinition/composition-img-myhealtheu)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-composition-img-myhealtheu.csv), [Excel](StructureDefinition-composition-img-myhealtheu.xlsx), [Schematron](StructureDefinition-composition-img-myhealtheu.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "composition-img-myhealtheu",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 1
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "draft"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile",
    "valueCanonical" : "http://hl7.eu/fhir/imaging/StructureDefinition/CompositionEuImaging"
  }],
  "url" : "http://fhir.ehdsi.eu/imaging/StructureDefinition/composition-img-myhealtheu",
  "version" : "9.1.1",
  "name" : "CompositionImgMyHealthEu",
  "title" : "Composition Imaging MyHealth@EU",
  "status" : "draft",
  "date" : "2026-05-05T14:49:52+00:00",
  "publisher" : "MyHealth@Eu",
  "contact" : [{
    "name" : "MyHealth@Eu",
    "telecom" : [{
      "system" : "url",
      "value" : "https://health.ec.europa.eu/other-pages/basic-page/myhealtheu-flyer-addressed-patients-and-health-professionals_en"
    }]
  }],
  "description" : "Composition profile for imaging reports exchanged via MyHealth@EU.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "150",
      "display" : "Europe"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "cda",
    "uri" : "http://hl7.org/v3/cda",
    "name" : "CDA (R2)"
  },
  {
    "identity" : "fhirdocumentreference",
    "uri" : "http://hl7.org/fhir/documentreference",
    "name" : "FHIR DocumentReference"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Composition",
  "baseDefinition" : "http://fhir.ehdsi.eu/core/StructureDefinition/composition-myhealtheu-core",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Composition.text.status",
      "path" : "Composition.text.status",
      "patternCode" : "generated"
    },
    {
      "id" : "Composition.text.div",
      "path" : "Composition.text.div"
    },
    {
      "id" : "Composition.extension:diagnosticReport",
      "path" : "Composition.extension",
      "sliceName" : "diagnosticReport"
    },
    {
      "id" : "Composition.extension:diagnosticReport.value[x]",
      "path" : "Composition.extension.value[x]",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.ehdsi.eu/imaging/StructureDefinition/diagnosticreport-myhealtheu-img"]
      }]
    },
    {
      "id" : "Composition.extension:basedOn",
      "path" : "Composition.extension",
      "sliceName" : "basedOn",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/event-basedOn|5.2.0"]
      }]
    },
    {
      "id" : "Composition.identifier",
      "path" : "Composition.identifier",
      "comment" : "Composition.identifier SHALL be equal to one of the DiagnosticReport.identifier, if at least one exists"
    },
    {
      "id" : "Composition.category",
      "path" : "Composition.category",
      "min" : 2
    },
    {
      "id" : "Composition.category:diagnostic-service",
      "path" : "Composition.category",
      "sliceName" : "diagnostic-service",
      "min" : 0,
      "max" : "1",
      "binding" : {
        "strength" : "required",
        "valueSet" : "http://hl7.org/fhir/ValueSet/diagnostic-service-sections"
      }
    },
    {
      "id" : "Composition.category:imaging-report",
      "path" : "Composition.category",
      "sliceName" : "imaging-report",
      "definition" : "Defines the category of the report, Diagnostic imaging report.",
      "min" : 1,
      "max" : "1",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "85430-7"
        }]
      }
    },
    {
      "id" : "Composition.category:imaging",
      "path" : "Composition.category",
      "sliceName" : "imaging",
      "definition" : "Defines the priority category of the report as defined in the API spec.",
      "min" : 1,
      "max" : "1",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs",
          "code" : "Medical-Imaging"
        }]
      }
    },
    {
      "id" : "Composition.section",
      "path" : "Composition.section",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "code"
        }],
        "ordered" : false,
        "rules" : "open"
      },
      "min" : 4
    },
    {
      "id" : "Composition.section:imagingstudy",
      "path" : "Composition.section",
      "sliceName" : "imagingstudy",
      "short" : "Imaging Study",
      "definition" : "This section holds information related to the imaging studies covered by this report.",
      "min" : 1,
      "max" : "1"
    },
    {
      "id" : "Composition.section:imagingstudy.code",
      "path" : "Composition.section.code",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "18726-0"
        }]
      }
    },
    {
      "id" : "Composition.section:imagingstudy.entry",
      "path" : "Composition.section.entry",
      "short" : "Imaging Study Reference",
      "min" : 1,
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.ehdsi.eu/imaging/StructureDefinition/imagingStudy-img-myhealtheu"]
      }]
    },
    {
      "id" : "Composition.section:order",
      "path" : "Composition.section",
      "sliceName" : "order",
      "short" : "Order",
      "definition" : "This section holds information related to the order for the imaging study.",
      "min" : 1,
      "max" : "1"
    },
    {
      "id" : "Composition.section:order.code",
      "path" : "Composition.section.code",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "55115-0"
        }]
      }
    },
    {
      "id" : "Composition.section:order.entry",
      "path" : "Composition.section.entry",
      "short" : "Order reference",
      "definition" : "This entry holds a reference to the order for the Imaging Study and report.",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.ehdsi.eu/imaging/StructureDefinition/serviceRequest-img-myhealtheu"]
      }]
    },
    {
      "id" : "Composition.section:history",
      "path" : "Composition.section",
      "sliceName" : "history",
      "short" : "History",
      "min" : 1,
      "max" : "1"
    },
    {
      "id" : "Composition.section:history.code",
      "path" : "Composition.section.code",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "11329-0"
        }]
      }
    },
    {
      "id" : "Composition.section:history.entry",
      "path" : "Composition.section.entry",
      "max" : "0"
    },
    {
      "id" : "Composition.section:procedure",
      "path" : "Composition.section",
      "sliceName" : "procedure",
      "short" : "Procedure",
      "definition" : "This section holds information related to the (performed) procedure(s) the generated the imaging study.",
      "min" : 1,
      "max" : "1"
    },
    {
      "id" : "Composition.section:procedure.code",
      "path" : "Composition.section.code",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "55111-9"
        }]
      }
    },
    {
      "id" : "Composition.section:procedure.entry",
      "path" : "Composition.section.entry",
      "slicing" : {
        "discriminator" : [{
          "type" : "profile",
          "path" : "resolve()"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "Composition.section:procedure.entry:procedure",
      "path" : "Composition.section.entry",
      "sliceName" : "procedure",
      "short" : "The imaging Procedure(s)",
      "definition" : "A reference the the procedure(s) in which the imaging study was performed.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.ehdsi.eu/imaging/StructureDefinition/procedure-myhealtheu-img"]
      }]
    },
    {
      "id" : "Composition.section:procedure.entry:adverse-event",
      "path" : "Composition.section.entry",
      "sliceName" : "adverse-event",
      "short" : "AdverseEvent(s)",
      "definition" : "Possible AdverseEvents that occurred during the procedure.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.ehdsi.eu/imaging/StructureDefinition/adverseEvent-img-myhealtheu"]
      }]
    },
    {
      "id" : "Composition.section:comparison",
      "path" : "Composition.section",
      "sliceName" : "comparison",
      "short" : "History",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "Composition.section:comparison.code",
      "path" : "Composition.section.code",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "18834-2"
        }]
      }
    },
    {
      "id" : "Composition.section:comparison.entry",
      "path" : "Composition.section.entry",
      "slicing" : {
        "discriminator" : [{
          "type" : "profile",
          "path" : "resolve()"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "Composition.section:comparison.entry:comparedstudy",
      "path" : "Composition.section.entry",
      "sliceName" : "comparedstudy",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.ehdsi.eu/imaging/StructureDefinition/imagingStudy-img-myhealtheu",
        "http://hl7.org/fhir/StructureDefinition/Basic"]
      }]
    },
    {
      "id" : "Composition.section:findings",
      "path" : "Composition.section",
      "sliceName" : "findings",
      "short" : "Findings",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "Composition.section:findings.code",
      "path" : "Composition.section.code",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "59776-5"
        }]
      }
    },
    {
      "id" : "Composition.section:findings.entry",
      "path" : "Composition.section.entry",
      "slicing" : {
        "discriminator" : [{
          "type" : "profile",
          "path" : "resolve()"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "Composition.section:findings.entry:finding",
      "path" : "Composition.section.entry",
      "sliceName" : "finding",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.ehdsi.eu/imaging/StructureDefinition/observationResults-img-myhealtheu"]
      }]
    },
    {
      "id" : "Composition.section:findings.entry:keyimage",
      "path" : "Composition.section.entry",
      "sliceName" : "keyimage",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.ehdsi.eu/imaging/StructureDefinition/keyImageDocumentReference-img-myhealtheu",
        "http://hl7.org/fhir/StructureDefinition/Basic"]
      }]
    },
    {
      "id" : "Composition.section:findings.entry:image",
      "path" : "Composition.section.entry",
      "sliceName" : "image",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference",
        "http://hl7.org/fhir/StructureDefinition/Media"]
      }]
    },
    {
      "id" : "Composition.section:impression",
      "path" : "Composition.section",
      "sliceName" : "impression",
      "short" : "Impressions",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "Composition.section:impression.code",
      "path" : "Composition.section.code",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "19005-8"
        }]
      }
    },
    {
      "id" : "Composition.section:impression.entry",
      "path" : "Composition.section.entry",
      "slicing" : {
        "discriminator" : [{
          "type" : "profile",
          "path" : "resolve()"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "Composition.section:impression.entry:finding",
      "path" : "Composition.section.entry",
      "sliceName" : "finding",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.ehdsi.eu/imaging/StructureDefinition/observationResults-img-myhealtheu"]
      }]
    },
    {
      "id" : "Composition.section:impression.entry:impression",
      "path" : "Composition.section.entry",
      "sliceName" : "impression",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.ehdsi.eu/core/StructureDefinition/condition-myhealtheu-core"]
      }]
    },
    {
      "id" : "Composition.section:impression.entry:keyimage",
      "path" : "Composition.section.entry",
      "sliceName" : "keyimage",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.ehdsi.eu/imaging/StructureDefinition/keyImageDocumentReference-img-myhealtheu",
        "http://hl7.org/fhir/StructureDefinition/Basic"]
      }]
    },
    {
      "id" : "Composition.section:recommendation",
      "path" : "Composition.section",
      "sliceName" : "recommendation",
      "short" : "Recommendations",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "Composition.section:recommendation.code",
      "path" : "Composition.section.code",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "18783-1"
        }]
      }
    },
    {
      "id" : "Composition.section:recommendation.entry",
      "path" : "Composition.section.entry",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan",
        "http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
      }]
    },
    {
      "id" : "Composition.section:communication",
      "path" : "Composition.section",
      "sliceName" : "communication",
      "short" : "Communications",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "Composition.section:communication.code",
      "path" : "Composition.section.code",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "73568-8"
        }]
      }
    },
    {
      "id" : "Composition.section:communication.entry",
      "path" : "Composition.section.entry",
      "max" : "0"
    },
    {
      "id" : "Composition.section:report",
      "path" : "Composition.section",
      "sliceName" : "report",
      "short" : "Report - all content in one section",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "Composition.section:report.code",
      "path" : "Composition.section.code",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "LP173421-1"
        }]
      }
    },
    {
      "id" : "Composition.section:report.entry",
      "path" : "Composition.section.entry",
      "max" : "0"
    }]
  }
}

```
