Imaging - IHE Radiology (RAD) - Local Development build (v0.0.1-current) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions ( src
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This is an optional step. The Document Consumer
may choose to retrieve the Imaging Report
. At present this is a Royal College of Radiologists HL7 ORU
converted to a FHIR DiagnosticReport profile as Imaging Report
, this also contains mappings between HL7 ORU and FHIR DiagnosticReport.
This is an optional step. The Document Consumer
may choose to retrieve the Imaging Study. At present this is a DICOM KOS
which contains DICOM modalities to used for retrieval of the Image Instances.
IHE XCA implements an Aggregator
pattern. Each Responding Gateway
is asked to same query that the Document Registry
originally received, in our example this is HL7 FHIR RESTful query (this is also IHE MHD - Find Document References ITI-67
) and this has been converted to IHE XML as an AdHocQueryRequest
. Document Entry
is a FHIR DocumentReference profile based on the NHS Data Dictionary definitions contained in IHE Europe - Metadata for exchange medical documents and images
, this also contains mappings between IHE XDS Document Entry and IHE MHD/HL7 FHIR DocumentReference.
IHE XCA implements an Aggregator
pattern. Each Responding Gateway
is asked to same query that the Document Registry
originally received, in our example this is HL7 FHIR RESTful query (this is also IHE MHD - Find Document References ITI-67
) and this has been converted to IHE XML as an AdHocQueryRequest
. Document Entry
is a FHIR DocumentReference profile based on the NHS Data Dictionary definitions contained in IHE Europe - Metadata for exchange medical documents and images
, this also contains mappings between IHE XDS Document Entry and IHE MHD/HL7 FHIR DocumentReference.
This is an optional step. The Document Consumer
may choose to retrieve the Imaging Study. At present this is a DICOM KOS
which contains DICOM modalities to used for retrieval of the Image Instances. Other options include using FHIR ImagingStudy which is a FHIR version of the DICOM KOS.
This provides conversion between the different data models used in each context
. This may include filtering events, code conversions - concept mapping, data model mapping, removing elements from the model, etc.
This is a FHIR Transaction
version of NRL FHIR API - Create document pointers with a specific id
. It has been designed with ITI-65 minimal metadata compatability in mind, but does not containing a List/SubmissionSet, a document (Binary) and neither an embedded document in the DocumentReference.
Note: links to HL7 FHIR Practitioner has removed several IHE XDS Document Entry fields, and just retained identifier and name. It is expected these values would be available via the NHS England Healthcare Worker API which may conform to IHE Mobile Care Services Discovery (mCSD)
interface contracts.
Document Entry Category and Type (Extract)Both IHE and HL7 FHIR allow multiple category and class codesThese codes are used by users for searching for a documents.The use of type appears to be like a nameDocumentCategory734163000Care planSwitzerland Document Type (Care Plan only)737427001Clinical Management Plan773130005Nursing Care Plan736055001Rehabilitation care plan419891008Record artifactThis may be useful as a sub-category to aid searchingNRL Document Type (Care Plan only)736253002Mental health crisis plan887701000000100Emergency health care plan861421000000109End of life care coordination summary736373009End of life care plan1382601000000107ReSPECT (Recommended Summary Plan for
Emergency Care and Treatment) form325691000000100Contingency plan735324008Treatment escalation plan736366004Advance care planScotland/PRSB Document Type (Care Plan only)823581000000101Multidisciplinary Care Plan736372004Discharge Care Plan736373009End of Life Care Plan962891000000106Individualised Treatment Guideline1382601000000107ReSPECT (Recommended Summary Plan for
Emergency Care and Treatment) form734163000Care plan«value»UKCore Document TypeUKCore DocumentTypeRefset 999001111000000105parent-child
NHS England National Interim Clinical Imaging Procedure code set
which mentions a ConceptMap
to SNOMED CT (according Data Dictionary for Care (DD4C) NICIP, and the SNOMED refset are all referring to the same procedures)
Note: performer and resultsIntepreter links to HL7 FHIR Practitioner has removed several HL7 v2 fields, and just retained identifier and name. It is expected these values would be available via the NHS England Healthcare Worker API which may conform to IHE Mobile Care Services Discovery (mCSD)
interface contracts.
Note: Developer Tip. Most of the interactions and payloads can be viewed/inspected by going to Medical Connections - DICOM WebViewer
using a browsers development tools.
NHS England National Interim Clinical Imaging Procedure code set
which mentions a ConceptMap
to SNOMED CT (according Data Dictionary for Care (DD4C) NICIP, and the SNOMED refset are all referring to the same procedures)
IHE IDR is draft and leaning towards the same use case as EU Laboratory Report.
NHS England North West Genomics DiagnosticReport
has been influenced by Royal College of Radiologists existing HL7 guidance and so may be more suitable.
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