HL7 Europe Imaging Study Report
0.1.0-ballot - ci-build 150

HL7 Europe Imaging Study Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/oijauregui/ehdsimaging/tree/master and changes regularly. See the Directory of published versions

ConceptMap: Map for EHDSImagingReportBody (Experimental)

Official URL: http://hl7.eu/fhir/imaging-r5/ConceptMap/EHDSImagingReportBodyMap Version: 0.1.0-ballot
Draft as of 2025-07-02 Computable Name: EHDSImagingReportBodyMap

Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License

Map for EHDSImagingReportBody

The figure below presents the XtEHR Imaging Logical Model DataSet representation and the FHIR profiles it maps to. For each FHIR profile the impacted fields are listed.

classDiagram
direction LR
class EHDSImagingReportBody {
  <<XtEHR dataset>>
  orderInformation
  orderInformation.orderId
  orderInformation.orderDateAndTime
  orderInformation.orderPlacer
  orderInformation.orderReasonText
  orderInformation.orderReason
  orderInformation.clinicalQuestion
  orderInformation.supportingInformation
  orderInformation.supportingInformation.observation
  orderInformation.supportingInformation.condition
  orderInformation.supportingInformation.medicationAdministration
  orderInformation.supportingInformation.devices
  orderInformation.supportingInformation.pregnancyStatus
  orderInformation.supportingInformation.gestationalAge
  orderInformation.supportingInformation.sexForClinicalUse
  orderInformation.supportingInformation.otherSupportingInformation
  specimen
  serviceRequest
  exposureInformation
  exposureInformation.effectiveDose
  exposureInformation.equivalentDoseInformation
  exposureInformation.equivalentDoseInformation.equivalentDose
  exposureInformation.equivalentDoseInformation.tissueType
  examinationReport
  examinationReport.modality
  examinationReport.bodyPart
  examinationReport.bodyPart.bodyLocation
  examinationReport.bodyPart.laterality
  examinationReport.imagingProcedures
  examinationReport.medication
  examinationReport.adverseReaction
  examinationReport.resultData
  examinationReport.resultData.resultText
  examinationReport.resultData.observationResults
  examinationReport.conclusion
  examinationReport.conclusion.impression
  examinationReport.conclusion.conditionOrFinding[x]
  recommendation
  recommendation.description
  recommendation.carePlan
  comparisonStudy
}
link EHDSImagingReportBody "https://build.fhir.org/ig/Xt-EHR/xt-ehr-common/StructureDefinition-EHDSImagingReportBody.html"
class ImComposition{
  <<FHIR>>
  section[order]
  identifier
  section[order].entry[order]
  section[order].extension[note]
  section[history].entry
  subject
  section[procedure].entry[procedure]
  section[findings]
  section[findings].extension[note]
  section[findings].entry[ImFinding]
  section[impression]
  section[impression].entry[ImFinding]
  section[impression].entry[impression]
  section[recommendation]
  section[recommendation].entry[careplan]
  section[comparison].entry[comparedstudy]
}

class ImOrder{
  <<FHIR>>
  authoredOn
  requester
  reason.concept.text
  reason.concept
  supportingInfo
  reason
  supportingInfo[pregnancy]
}

class ImGestationalAgeObservation{
  <<FHIR>>
  value[x]
}

class ImPatient{
  <<FHIR>>
  extension[sex-for-clinical-use]
  extension[sex-for-clinical-use].extension[value].valueCodeableConcept
  extension[sex-for-clinical-use].extension[period].valuePeriod
}

class ImImagingStudy{
  <<FHIR>>
  series.specimen
  series.modality
  series.bodySite
}

class ImRadiationDoseObservation{
  <<FHIR>>
  component.value[x]
  bodySite
}

class EuBodyStructure{
  <<FHIR>>
  morphology
  includedStructure.structure
  includedStructure.laterality
}

class EuMedicationAdministration{
  <<FHIR>>
  partOf
}

class ImAdverseEvent{
  <<FHIR>>
  suspectEntity[procedure]
  contributingFactor[allergy]
  status
  code
  subject
}

class EuAllergyIntolerance
class ImDiagnosticReport{
  <<FHIR>>
  result
  conclusion
}

class EuCarePlan{
  <<FHIR>>
  description
}

class ImOrder {
  <<FHIR>>
}
class EuObservation {
  <<FHIR>>
}
class EuCondition {
  <<FHIR>>
}
class EuMedicationAdministration {
  <<FHIR>>
}
class EuDevice {
  <<FHIR>>
}
class Observation-pregnancy-status-uv-ips {
  <<FHIR>>
}
class ImGestationalAgeObservation {
  <<FHIR>>
}
class ImPatient {
  <<FHIR>>
}
class EuProcedure {
  <<FHIR>>
}
class ImFinding {
  <<FHIR>>
}
class ImImpression {
  <<FHIR>>
}
class EuCarePlan {
  <<FHIR>>
}
class ImImagingStudy {
  <<FHIR>>
}
class EuPractitionerRole {
  <<FHIR>>
}
class  EuObservation {
  <<FHIR>>
}
class EuSpecimen {
  <<FHIR>>
}
class EuBodyStructure {
  <<FHIR>>
}
class ImProcedure {
  <<FHIR>>
}
class EuAllergyIntolerance {
  <<FHIR>>
}
class  ImRadiationDoseObservation {
  <<FHIR>>
}
EHDSImagingReportBody --> ImComposition
ImComposition --> ImOrder : section[order].entry[order]
ImComposition --> EuObservation : section[history].entry
ImComposition --> EuCondition : section[history].entry
ImComposition --> EuMedicationAdministration : section[history].entry
ImComposition --> EuDevice : section[history].entry
ImComposition --> Observation-pregnancy-status-uv-ips : section[history].entry
ImComposition --> ImGestationalAgeObservation : section[history].entry
ImComposition --> ImPatient : subject
ImComposition --> EuProcedure : section[procedure].entry[procedure]
ImComposition --> ImFinding : section[findings].entry[ImFinding]
ImComposition --> ImFinding : section[impression].entry[ImFinding]
ImComposition --> ImImpression : section[impression].entry[impression]
ImComposition --> EuCarePlan : section[recommendation].entry[careplan]
ImComposition --> ImImagingStudy : section[comparison].entry[comparedstudy]
EHDSImagingReportBody --> ImOrder
ImOrder --> EuPractitionerRole : requester
ImOrder --> EuCondition : supportingInfo
ImOrder -->  EuObservation : supportingInfo
ImOrder --> EuObservation : supportingInfo
ImOrder --> EuMedicationAdministration : reason
ImOrder --> EuDevice : supportingInfo
EHDSImagingReportBody --> ImGestationalAgeObservation
EHDSImagingReportBody --> ImPatient
EHDSImagingReportBody --> ImImagingStudy
ImImagingStudy --> EuSpecimen : series.specimen
ImImagingStudy --> EuBodyStructure : series.bodySite
EHDSImagingReportBody --> ImRadiationDoseObservation
EHDSImagingReportBody --> EuBodyStructure
EHDSImagingReportBody --> EuMedicationAdministration
EuMedicationAdministration --> ImProcedure : partOf
EHDSImagingReportBody --> ImAdverseEvent
ImAdverseEvent --> ImProcedure : suspectEntity[procedure]
ImAdverseEvent --> EuAllergyIntolerance : contributingFactor[allergy]
ImAdverseEvent --> ImPatient : subject
EHDSImagingReportBody --> EuAllergyIntolerance
EHDSImagingReportBody --> ImDiagnosticReport
ImDiagnosticReport --> ImFinding : result
ImDiagnosticReport -->  ImRadiationDoseObservation : result
EHDSImagingReportBody --> EuCarePlan

Mapping from Imaging report body model to (not specified)


Group 1 Mapping from Imaging report body model to Imaging Composition

Source Concept DetailsRelationshipTarget Concept DetailsComment
Codes from https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSImagingReportBodyCodes from http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImComposition
orderInformationis related tosection[order]B.1.1 - Order information
orderInformation.orderIdis related toidentifierB.1.1.1 - Order Id
is related tosection[order].entry[order]B.1.1.1 - Order Id
orderInformation.orderReasonTextis related tosection[order].extension[note]B.1.1.4 - Order reason text
orderInformation.supportingInformationis narrower thansection[history].entryB.1.1.7 - Supporting informationelements from patient history relevant for the report.
orderInformation.supportingInformation.observationis related tosection[history].entryB.1.1.7.1 - Observation
orderInformation.supportingInformation.conditionis related tosection[history].entryB.1.1.7.2 - Condition
orderInformation.supportingInformation.medicationAdministrationis related tosection[history].entryB.1.1.7.3 - Medication Administration
orderInformation.supportingInformation.devicesis related tosection[history].entryB.1.1.7.4 - Devices
orderInformation.supportingInformation.pregnancyStatusis related tosection[history].entryB.1.1.7.5 - Pregnancy status
orderInformation.supportingInformation.gestationalAgeis related tosection[history].entryB.1.1.7.6 - Gestational age
orderInformation.supportingInformation.sexForClinicalUseis related tosubjectB.1.1.7.7 - Sex for clinical use
orderInformation.supportingInformation.otherSupportingInformationis related tosection[history].entryB.1.1.7.8 - Other supporting information
serviceRequestis related tosection[order].entry[order]B.1.3 - Service request
examinationReport.imagingProceduresis related tosection[procedure].entry[procedure]B.1.5.3 - Imaging procedures
examinationReport.medicationis related tosection[procedure].entry[procedure]B.1.5.4 - Medication
examinationReport.resultDatais related tosection[findings]B.1.5.6 - Result data
examinationReport.resultData.resultTextis related tosection[findings].extension[note]B.1.5.6.1 - Result text
examinationReport.resultData.observationResultsis related tosection[findings].entry[ImFinding]B.1.5.6.2 - Observation results
examinationReport.conclusionis related tosection[impression]B.1.5.7 - Conclusion
examinationReport.conclusion.conditionOrFinding[x]is related tosection[impression].entry[ImFinding]B.1.5.7.2 - Condition or finding
is related tosection[impression].entry[impression]B.1.5.7.2 - Condition or finding
recommendationis related tosection[recommendation]B.1.6 - Recommendation
recommendation.carePlanis related tosection[recommendation].entry[careplan]B.1.6.2 - Care plan
comparisonStudyis related tosection[comparison].entry[comparedstudy]B.1.7 - Comparison Study

Group 2 Mapping from Imaging report body model to IM Imaging Order

Source CodeRelationshipTarget CodeComment
orderInformation.orderDateAndTimeis related toauthoredOn (B.1.1.2 - Order date and time)
orderInformation.orderPlaceris related torequester (B.1.1.3 - Order placer)
orderInformation.orderReasonTextis related toreason.concept.text (B.1.1.4 - Order reason text)
orderInformation.orderReasonis related toreason.concept (B.1.1.5 - Order reason)
orderInformation.clinicalQuestionis related toreason.concept (B.1.1.6 - Clinical question)
orderInformation.supportingInformationis related tosupportingInfo (B.1.1.7 - Supporting information)Point to observations and conditions
orderInformation.supportingInformation.observationis related tosupportingInfo (B.1.1.7.1 - Observation)Refer to observations
orderInformation.supportingInformation.conditionis related tosupportingInfo (B.1.1.7.2 - Condition)Refer to conditions
orderInformation.supportingInformation.medicationAdministrationis related toreason (B.1.1.7.3 - Medication Administration)
orderInformation.supportingInformation.devicesis related tosupportingInfo (B.1.1.7.4 - Devices)Refer to device, might be replaced by a more constraint reference.
orderInformation.supportingInformation.pregnancyStatusis related tosupportingInfo[pregnancy] (B.1.1.7.5 - Pregnancy status)Code in supporting info, could be a observation as well
serviceRequest(not mapped)

Group 3 Mapping from Imaging report body model to Gestational Age Observation

Source CodeRelationshipTarget Code
orderInformation.supportingInformation.gestationalAgeis related tovalue[x] (B.1.1.7.6 - Gestational age)

Group 4 Mapping from Imaging report body model to IM Imaging Patient

Source Concept DetailsRelationshipTarget Concept Details
Codes from https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSImagingReportBodyCodes from http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImPatient
orderInformation.supportingInformation.sexForClinicalUseis related toextension[sex-for-clinical-use]B.1.1.7.7 - Sex for clinical use
is related toextension[sex-for-clinical-use].extension[value].valueCodeableConceptB.1.1.7.7 - Sex for clinical use
is related toextension[sex-for-clinical-use].extension[period].valuePeriodB.1.1.7.7 - Sex for clinical use

Group 5 Mapping from Imaging report body model to IM Imaging Study

Source CodeRelationshipTarget Code
specimenis related toseries.specimen (B.1.2 - Specimen)
examinationReport.modalityis related toseries.modality (B.1.5.1 - Modality)
examinationReport.bodyPart.bodyLocationis related toseries.bodySite (B.1.5.2.1 - Body location)
examinationReport.bodyPart.lateralityis related toseries.bodySite (B.1.5.2.2 - Laterality)

Group 6 Mapping from Imaging report body model to Radiation Dose Observation

Source CodeRelationshipTarget CodeComment
exposureInformation(not mapped)
exposureInformation.effectiveDoseis related tocomponent.value[x] (B.1.4.1 - Effective dose)choose one of the slices
exposureInformation.equivalentDoseInformationis related tocomponent.value[x] (B.1.4.2 - Equivalent dose information)choose one of the slices
exposureInformation.equivalentDoseInformation.equivalentDoseis related tocomponent.value[x] (B.1.4.2.1 - Equivalent dose)choose one of the slices
exposureInformation.equivalentDoseInformation.tissueTypeis related tobodySite (B.1.4.2.2 - Tissue type)

Group 7 Mapping from Imaging report body model to EU BodyStructure

Source Concept DetailsRelationshipTarget Concept Details
Codes from https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSImagingReportBodyCodes from http://hl7.eu/fhir/imaging-r5/StructureDefinition/BodyStructureEu
examinationReport.bodyPart.bodyLocationis related tomorphologyB.1.5.2.1 - Body location
is related toincludedStructure.structureB.1.5.2.1 - Body location
examinationReport.bodyPart.lateralityis related toincludedStructure.lateralityB.1.5.2.2 - Laterality

Group 8 Mapping from Imaging report body model to MedicationAdministration

Source CodeRelationshipTarget Code
examinationReport.medicationis related topartOf (B.1.5.4 - Medication)

Group 9 Mapping from Imaging report body model to Imaging Adverse Event

Source Concept DetailsRelationshipTarget Concept Details
Codes from https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSImagingReportBodyCodes from http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImAdverseEvent
examinationReport.adverseReactionis related tosuspectEntity[procedure]B.1.5.5 - Adverse reaction
is related tocontributingFactor[allergy]B.1.5.5 - Adverse reaction
is related tostatusB.1.5.5 - Adverse reaction
is related tocodeB.1.5.5 - Adverse reaction
is related tosubjectB.1.5.5 - Adverse reaction

Group 10 Mapping from Imaging report body model to EU AllergyIntolerance

Source CodeRelationshipTarget Code
examinationReport.adverseReaction(not mapped)

Group 11 Mapping from Imaging report body model to Imaging Diagnostic Report

Source CodeRelationshipTarget Code
examinationReport.resultData.observationResultsis related toresult (B.1.5.6.2 - Observation results)
examinationReport.conclusion.impressionis related toconclusion (B.1.5.7.1 - Impression)

Group 12 Mapping from Imaging report body model to EU CarePlan

Source CodeRelationshipTarget Code
recommendation.descriptionis related todescription (B.1.6.1 - Description)

Group 13 Mapping from Imaging report body model to unspecified code system

Source CodeRelationshipTarget Code
examinationReport ((B.1.5 - Examination Report))(not mapped)
examinationReport.bodyPart ((B.1.5.2 - Body part))(not mapped)