Enterprise Imaging (Proof of Concept)
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: Message Definition - Imaging Result (R01)

Draft as of 2026-11-01

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<MessageDefinition xmlns="http://hl7.org/fhir">
  <id value="imaging-result"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MessageDefinition imaging-result</b></p><a name="imaging-result"> </a><a name="hcimaging-result"> </a><p><b>url</b>: <a href="MessageDefinition-imaging-result.html">MessageDefinition Imaging Result (R01)</a></p><p><b>version</b>: 0.1.0</p><p><b>name</b>: ImagingResult</p><p><b>title</b>: Imaging Result (R01)</p><p><b>status</b>: Draft</p><p><b>experimental</b>: true</p><p><b>date</b>: 2026-11-01</p><p><b>publisher</b>: NHS North West Genomics</p><p><b>contact</b>: <a href="https://www.nwgenomics.nhs.uk/contact-us">https://www.nwgenomics.nhs.uk/contact-us</a></p><p><b>description</b>: </p><div><p>FHIR Message equivalent of the IHE RAD Results Distribution HL7 v2.5.1
<code>ORU^R01^ORU_R01</code> message, sent by the Report Creator / Report Manager (RIS reporting)
to the Report Consumer (EPR) for <a href="RAD-128.html">Send Imaging Result [RAD-128]</a>.</p>
<p>The ORC / OBR become the
<a href="StructureDefinition-RadiologyDiagnosticReport.html">Radiology Diagnostic Report</a> - see
the <a href="StructureDefinition-RadiologyReport.html">Radiology Report</a> logical model mappings.
A report PDF in an OBX of type <code>ED</code> (PDF Option) becomes a
<a href="StructureDefinition-DocumentReference.html">DocumentReference</a> and a
<a href="StructureDefinition-Binary.html">Binary</a>, carried in the message; the DiagnosticReport
points to the Binary through <code>presentedForm.url</code> (NW GMSA convention).</p>
<p>The HL7 v2 acknowledgement <code>ACK^R01</code> is a FHIR response message
(<code>MessageHeader.response</code>).</p>
</div><p><b>jurisdiction</b>: <span title="Codes:{urn:iso:std:iso:3166 GB}">United Kingdom of Great Britain and Northern Ireland</span></p><p><b>event</b>: <a href="http://terminology.hl7.org/7.5.0/CodeSystem-v2-0003.html#v2-0003-R01">event: R01</a> (ORU/ACK - Unsolicited transmission of an observation message)</p><p><b>category</b>: Consequence</p><h3>Focus</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Profile</b></td><td><b>Min</b></td><td><b>Max</b></td></tr><tr><td style="display: none">*</td><td>DiagnosticReport</td><td><a href="StructureDefinition-RadiologyDiagnosticReport.html">Radiology Diagnostic Report</a></td><td>1</td><td>1</td></tr></table><p><b>responseRequired</b>: Always</p></div>
  </text>
  <url
       value="https://fhir.nwgenomics.nhs.uk/Imaging/MessageDefinition/imaging-result"/>
  <version value="0.1.0"/>
  <name value="ImagingResult"/>
  <title value="Imaging Result (R01)"/>
  <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>