Generated Narrative: MessageDefinition imaging-result

url: MessageDefinition Imaging Result (R01)

version: 0.1.0

name: ImagingResult

title: Imaging Result (R01)

status: Draft

experimental: true

date: 2026-11-01

publisher: NHS North West Genomics

contact: https://www.nwgenomics.nhs.uk/contact-us

description:

FHIR Message equivalent of the IHE RAD Results Distribution HL7 v2.5.1 ORU^R01^ORU_R01 message, sent by the Report Creator / Report Manager (RIS reporting) to the Report Consumer (EPR) for Send Imaging Result [RAD-128].

The ORC / OBR become the Radiology Diagnostic Report - see the Radiology Report logical model mappings. A report PDF in an OBX of type ED (PDF Option) becomes a DocumentReference and a Binary, carried in the message; the DiagnosticReport points to the Binary through presentedForm.url (NW GMSA convention).

The HL7 v2 acknowledgement ACK^R01 is a FHIR response message (MessageHeader.response).

jurisdiction: United Kingdom of Great Britain and Northern Ireland

event: event: R01 (ORU/ACK - Unsolicited transmission of an observation message)

category: Consequence

Focus

-CodeProfileMinMax
*DiagnosticReportRadiology Diagnostic Report11

responseRequired: Always

 <status value="draft"/> <experimental value="true"/> <date value="2026-11-01"/> <publisher value="NHS North West Genomics"/> <contact> <telecom> <system value="url"/> <value value="https://www.nwgenomics.nhs.uk/contact-us"/> </telecom> </contact> <description value="FHIR Message equivalent of the IHE RAD Results Distribution HL7 v2.5.1 `ORU^R01^ORU_R01` message, sent by the Report Creator / Report Manager (RIS reporting) to the Report Consumer (EPR) for [Send Imaging Result [RAD-128]](RAD-128.html). The ORC / OBR become the [Radiology Diagnostic Report](StructureDefinition-RadiologyDiagnosticReport.html) - see the [Radiology Report](StructureDefinition-RadiologyReport.html) logical model mappings. A report PDF in an OBX of type `ED` (PDF Option) becomes a [DocumentReference](StructureDefinition-DocumentReference.html) and a [Binary](StructureDefinition-Binary.html), carried in the message; the DiagnosticReport points to the Binary through `presentedForm.url` (NW GMSA convention). The HL7 v2 acknowledgement `ACK^R01` is a FHIR response message (`MessageHeader.response`)."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="GB"/> <display value="United Kingdom of Great Britain and Northern Ireland"/> </coding> </jurisdiction> <eventCoding> <system value="http://terminology.hl7.org/CodeSystem/v2-0003"/> <code value="R01"/> <display value="ORU/ACK - Unsolicited transmission of an observation message"/> </eventCoding> <category value="consequence"/> <focus> <code value="DiagnosticReport"/> <profile value="https://fhir.nwgenomics.nhs.uk/Imaging/StructureDefinition/RadiologyDiagnosticReport"/> <min value="1"/> <max value="1"/> </focus> <responseRequired value="always"/> </MessageDefinition>