Enterprise Imaging (Proof of Concept)
0.1.0 - proof-of-concept
Enterprise Imaging (Proof of Concept)
0.1.0 - proof-of-concept
Enterprise Imaging (Proof of Concept) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Draft as of 2026-11-01 |
JSON representation of the RadiologyReport logical model.
{
"resourceType" : "StructureDefinition",
"id" : "RadiologyReport",
"language" : "en",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition RadiologyReport</b></p><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" class=\"xhtTableBorder0\"><tr class=\"xhtRowBorder1\"><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th scope=\"col\" style=\"; width: 100px\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck1.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport\" title=\"**Proof of concept - not an authoritative source.**\n\nThe data items of a radiology report shared between RIS, PACS and reporting\nnetworks, based on the Royal College of Radiologists'\n[Radiology reporting networks: understanding the technical options](https://www.rcr.ac.uk/media/wwtp2mif/rcr-publications_radiology-reporting-networks-understanding-the-technical-options_march-2022.pdf)\n(March 2022), as mapped in an earlier NHS England draft radiology IG for the\nNational Imaging Registry. The items have **not** been checked against the RCR\ntext, and cardinalities are this guide's assumption (**To confirm**).\n\nIndicative HL7 v2 (ORU^R01), DICOM and FHIR mappings are shown on the\n**Mappings** tab, including the HL7 v2.5.1 to FHIR conversion of\n[Send Imaging Result [RAD-128]](RAD-128.html). The FHIR representation is [Radiology Diagnostic Report](StructureDefinition-RadiologyDiagnosticReport.html),\nwith the request in [Radiology Service Request](StructureDefinition-RadiologyServiceRequest.html)\nand the study in [Radiology Imaging Study](StructureDefinition-RadiologyImagingStudy.html).\">RadiologyReport</a><a name=\"RadiologyReport\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">*</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://build.fhir.org/types.html#Base\">Base</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Radiology Report<br/><span class=\"xhtPieceBold\">Instances of this type can be the target of a Reference</span></td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.reportIdentifier\" title=\"Identifier of the report in the RIS\">reportIdentifier</a><a name=\"RadiologyReport.reportIdentifier\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Report identifier</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.patient\" title=\"NHS number of the patient (NHS NUMBER)\">patient</a><a name=\"RadiologyReport.patient\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Patient</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.accessionNumber\" title=\"Identifies the imaging request in the issuing RIS; shared by the request, the DICOM study and the report (RADIOLOGICAL ACCESSION NUMBER)\">accessionNumber</a><a name=\"RadiologyReport.accessionNumber\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Accession number</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.visitNumber\" title=\"Encounter or visit the examination belongs to\">visitNumber</a><a name=\"RadiologyReport.visitNumber\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Visit number</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.examination\" title=\"Imaging procedure performed - NICIP code with SNOMED CT map (IMAGING CODE (NICIP))\">examination</a><a name=\"RadiologyReport.examination\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..*</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Examination<br/></td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.diagnosticServiceSection\" title=\"For example RAD (Radiology), from HL7 v2 table 0074\">diagnosticServiceSection</a><a name=\"RadiologyReport.diagnosticServiceSection\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Diagnostic service section</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.examinationCompleted\" title=\"Date and time the radiographer completed the examination\">examinationCompleted</a><a name=\"RadiologyReport.examinationCompleted\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Examination completed</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.imagingSite\" title=\"Where the examination was performed (SITE CODE (OF IMAGING), or ODS organisation code - Open)\">imagingSite</a><a name=\"RadiologyReport.imagingSite\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Imaging site</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.operator\" title=\"Radiographer who performed the examination - professional registration number (HCPC)\">operator</a><a name=\"RadiologyReport.operator\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Operator<br/></td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.reportIssued\" title=\"Date and time the final report was issued\">reportIssued</a><a name=\"RadiologyReport.reportIssued\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Final report issued</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.primaryReporter\" title=\"Radiologist or reporting radiographer responsible for the report - professional registration number (GMC, HCPC)\">primaryReporter</a><a name=\"RadiologyReport.primaryReporter\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Primary reporter</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.secondaryReporter\" title=\"Other reporter, for example a trainee or second reader - professional registration number\">secondaryReporter</a><a name=\"RadiologyReport.secondaryReporter\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Secondary reporter<br/></td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.clinicalHistory\" title=\"Narrative clinical history from the request\">clinicalHistory</a><a name=\"RadiologyReport.clinicalHistory\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Clinical history</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.radiographerComments\" title=\"Comments recorded by the radiographer\">radiographerComments</a><a name=\"RadiologyReport.radiographerComments\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Radiographer comments</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.reportText\" title=\"The narrative report as issued\">reportText</a><a name=\"RadiologyReport.reportText\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Report text</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck00.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.conclusion\" title=\"Summary conclusion of the report. Whether the RCR data set separates it from the report text is Open\">conclusion</a><a name=\"RadiologyReport.conclusion\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Conclusion</td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics",
"valueCode" : "can-be-target"
}
],
"url" : "https://fhir.nwgenomics.nhs.uk/Imaging/StructureDefinition/RadiologyReport",
"version" : "0.1.0",
"name" : "RadiologyReport",
"title" : "Radiology Report",
"status" : "draft",
"experimental" : true,
"date" : "2026-11-01T16:44:52+00:00",
"publisher" : "NHS North West Genomics",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "https://www.nwgenomics.nhs.uk/contact-us"
}
]
}
],
"description" : "**Proof of concept - not an authoritative source.**\n\nThe data items of a radiology report shared between RIS, PACS and reporting\nnetworks, based on the Royal College of Radiologists'\n[Radiology reporting networks: understanding the technical options](https://www.rcr.ac.uk/media/wwtp2mif/rcr-publications_radiology-reporting-networks-understanding-the-technical-options_march-2022.pdf)\n(March 2022), as mapped in an earlier NHS England draft radiology IG for the\nNational Imaging Registry. The items have **not** been checked against the RCR\ntext, and cardinalities are this guide's assumption (**To confirm**).\n\nIndicative HL7 v2 (ORU^R01), DICOM and FHIR mappings are shown on the\n**Mappings** tab, including the HL7 v2.5.1 to FHIR conversion of\n[Send Imaging Result [RAD-128]](RAD-128.html). The FHIR representation is [Radiology Diagnostic Report](StructureDefinition-RadiologyDiagnosticReport.html),\nwith the request in [Radiology Service Request](StructureDefinition-RadiologyServiceRequest.html)\nand the study in [Radiology Imaging Study](StructureDefinition-RadiologyImagingStudy.html).",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "GB",
"display" : "United Kingdom of Great Britain and Northern Ireland"
}
]
}
],
"fhirVersion" : "4.0.1",
"mapping" : [
{
"identity" : "hl7v2",
"uri" : "http://hl7.org/v2",
"name" : "HL7 v2.5.1 ORU^R01 - Send Imaging Result [RAD-128] (indicative)"
},
{
"identity" : "dicom",
"uri" : "http://dicom.nema.org/medical/dicom/current/output/chtml/part03/",
"name" : "DICOM (indicative)"
},
{
"identity" : "fhir",
"uri" : "http://hl7.org/fhir",
"name" : "FHIR (this guide's profiles)"
},
{
"identity" : "rad128",
"uri" : "https://kevinmayfield.github.io/Imaging/RAD-128.html",
"name" : "Send Imaging Result [RAD-128] - HL7 v2.5.1 to FHIR (indicative)"
}
],
"kind" : "logical",
"abstract" : false,
"type" : "https://fhir.nwgenomics.nhs.uk/Imaging/StructureDefinition/RadiologyReport",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Base",
"derivation" : "specialization",
"snapshot" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString" : "4.0.1"
}
],
"element" : [
{
"id" : "RadiologyReport",
"path" : "RadiologyReport",
"short" : "Radiology Report",
"definition" : "**Proof of concept - not an authoritative source.**\n\nThe data items of a radiology report shared between RIS, PACS and reporting\nnetworks, based on the Royal College of Radiologists'\n[Radiology reporting networks: understanding the technical options](https://www.rcr.ac.uk/media/wwtp2mif/rcr-publications_radiology-reporting-networks-understanding-the-technical-options_march-2022.pdf)\n(March 2022), as mapped in an earlier NHS England draft radiology IG for the\nNational Imaging Registry. The items have **not** been checked against the RCR\ntext, and cardinalities are this guide's assumption (**To confirm**).\n\nIndicative HL7 v2 (ORU^R01), DICOM and FHIR mappings are shown on the\n**Mappings** tab, including the HL7 v2.5.1 to FHIR conversion of\n[Send Imaging Result [RAD-128]](RAD-128.html). The FHIR representation is [Radiology Diagnostic Report](StructureDefinition-RadiologyDiagnosticReport.html),\nwith the request in [Radiology Service Request](StructureDefinition-RadiologyServiceRequest.html)\nand the study in [Radiology Imaging Study](StructureDefinition-RadiologyImagingStudy.html).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Base",
"min" : 0,
"max" : "*"
},
"isModifier" : false,
"mapping" : [
{
"identity" : "rad128",
"map" : "ORU^R01^ORU_R01 to a Bundle of DiagnosticReport, Patient, DocumentReference and Binary, following the HL7 v2-to-FHIR ORU_R01 ConceptMap and the NW GMSA conventions"
}
]
},
{
"id" : "RadiologyReport.reportIdentifier",
"path" : "RadiologyReport.reportIdentifier",
"short" : "Report identifier",
"definition" : "Identifier of the report in the RIS",
"min" : 0,
"max" : "1",
"base" : {
"path" : "RadiologyReport.reportIdentifier",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBR-3 Filler Order Number"
},
{
"identity" : "fhir",
"map" : "DiagnosticReport.identifier"
},
{
"identity" : "rad128",
"map" : "OBR-3 Filler Order Number -> DiagnosticReport.identifier (ReportIdentifier)"
}
]
},
{
"id" : "RadiologyReport.patient",
"path" : "RadiologyReport.patient",
"short" : "Patient",
"definition" : "NHS number of the patient (NHS NUMBER)",
"min" : 1,
"max" : "1",
"base" : {
"path" : "RadiologyReport.patient",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PID-3 Patient Identifier List"
},
{
"identity" : "dicom",
"map" : "(0010,0020) Patient ID"
},
{
"identity" : "fhir",
"map" : "DiagnosticReport.subject"
},
{
"identity" : "rad128",
"map" : "PID-3 -> Patient.identifier:nhsNumber / MedicalRecordNumber; DiagnosticReport.subject"
}
]
},
{
"id" : "RadiologyReport.accessionNumber",
"path" : "RadiologyReport.accessionNumber",
"short" : "Accession number",
"definition" : "Identifies the imaging request in the issuing RIS; shared by the request, the DICOM study and the report (RADIOLOGICAL ACCESSION NUMBER)",
"min" : 1,
"max" : "1",
"base" : {
"path" : "RadiologyReport.accessionNumber",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "ORC-3 / OBR-3 Filler Order Number"
},
{
"identity" : "dicom",
"map" : "(0008,0050) Accession Number, (0008,0051) Issuer of Accession Number Sequence"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.identifier:accessionNumber, DiagnosticReport.basedOn.identifier, ImagingStudy.basedOn.identifier"
},
{
"identity" : "rad128",
"map" : "ORC-3 / OBR-3 Filler Order Number -> DiagnosticReport.basedOn.identifier (RadiologicalAccessionNumber). Field carrying the accession number in RAD-128 is To confirm"
}
]
},
{
"id" : "RadiologyReport.visitNumber",
"path" : "RadiologyReport.visitNumber",
"short" : "Visit number",
"definition" : "Encounter or visit the examination belongs to",
"min" : 0,
"max" : "1",
"base" : {
"path" : "RadiologyReport.visitNumber",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PV1-19 Visit Number"
},
{
"identity" : "fhir",
"map" : "DiagnosticReport.encounter"
},
{
"identity" : "rad128",
"map" : "PV1-19 -> Encounter.identifier (VisitNumber); DiagnosticReport.encounter"
}
]
},
{
"id" : "RadiologyReport.examination",
"path" : "RadiologyReport.examination",
"short" : "Examination",
"definition" : "Imaging procedure performed - NICIP code with SNOMED CT map (IMAGING CODE (NICIP))",
"min" : 1,
"max" : "*",
"base" : {
"path" : "RadiologyReport.examination",
"min" : 1,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBR-4 Universal Service Identifier"
},
{
"identity" : "dicom",
"map" : "(0008,1032) Procedure Code Sequence"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.code, ImagingStudy.procedureCode, Procedure.code (DiagnosticReport.extension:procedure)"
},
{
"identity" : "rad128",
"map" : "OBR-4 (NICIP) -> DiagnosticReport.code.coding:nicip"
}
]
},
{
"id" : "RadiologyReport.diagnosticServiceSection",
"path" : "RadiologyReport.diagnosticServiceSection",
"short" : "Diagnostic service section",
"definition" : "For example RAD (Radiology), from HL7 v2 table 0074",
"min" : 0,
"max" : "1",
"base" : {
"path" : "RadiologyReport.diagnosticServiceSection",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBR-24 Diagnostic Serv Sect ID"
},
{
"identity" : "fhir",
"map" : "DiagnosticReport.category:diagnostic-service"
},
{
"identity" : "rad128",
"map" : "OBR-24 -> DiagnosticReport.category"
}
]
},
{
"id" : "RadiologyReport.examinationCompleted",
"path" : "RadiologyReport.examinationCompleted",
"short" : "Examination completed",
"definition" : "Date and time the radiographer completed the examination",
"min" : 0,
"max" : "1",
"base" : {
"path" : "RadiologyReport.examinationCompleted",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBR-7 Observation Date/Time, OBR-8 Observation End Date/Time"
},
{
"identity" : "fhir",
"map" : "DiagnosticReport.effective[x]"
},
{
"identity" : "rad128",
"map" : "OBR-7 / OBR-8 -> DiagnosticReport.effectiveDateTime / effectivePeriod"
}
]
},
{
"id" : "RadiologyReport.imagingSite",
"path" : "RadiologyReport.imagingSite",
"short" : "Imaging site",
"definition" : "Where the examination was performed (SITE CODE (OF IMAGING), or ODS organisation code - Open)",
"min" : 0,
"max" : "1",
"base" : {
"path" : "RadiologyReport.imagingSite",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PV1-3 Assigned Patient Location (facility)"
},
{
"identity" : "dicom",
"map" : "(0008,0082) Institution Code Sequence"
},
{
"identity" : "fhir",
"map" : "DiagnosticReport.performer:organization"
},
{
"identity" : "rad128",
"map" : "PV1-3 (facility) -> DiagnosticReport.performer (Organization)"
}
]
},
{
"id" : "RadiologyReport.operator",
"path" : "RadiologyReport.operator",
"short" : "Operator",
"definition" : "Radiographer who performed the examination - professional registration number (HCPC)",
"min" : 0,
"max" : "*",
"base" : {
"path" : "RadiologyReport.operator",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBR-34 Technician"
},
{
"identity" : "dicom",
"map" : "(0008,1070) Operators' Name, (0008,1072) Operator Identification Sequence"
},
{
"identity" : "fhir",
"map" : "ImagingStudy.series.performer:performer"
},
{
"identity" : "rad128",
"map" : "OBR-34 -> not carried on DiagnosticReport; ImagingStudy.series.performer"
}
]
},
{
"id" : "RadiologyReport.reportIssued",
"path" : "RadiologyReport.reportIssued",
"short" : "Final report issued",
"definition" : "Date and time the final report was issued",
"min" : 0,
"max" : "1",
"base" : {
"path" : "RadiologyReport.reportIssued",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBR-22 Results Rpt/Status Chng - Date/Time"
},
{
"identity" : "fhir",
"map" : "DiagnosticReport.issued"
},
{
"identity" : "rad128",
"map" : "OBR-22 -> DiagnosticReport.issued"
}
]
},
{
"id" : "RadiologyReport.primaryReporter",
"path" : "RadiologyReport.primaryReporter",
"short" : "Primary reporter",
"definition" : "Radiologist or reporting radiographer responsible for the report - professional registration number (GMC, HCPC)",
"min" : 0,
"max" : "1",
"base" : {
"path" : "RadiologyReport.primaryReporter",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBR-32 Principal Result Interpreter"
},
{
"identity" : "dicom",
"map" : "(0008,1060) Name of Physician(s) Reading Study, (0008,1062) Physician(s) Reading Study Identification Sequence"
},
{
"identity" : "fhir",
"map" : "DiagnosticReport.resultsInterpreter"
},
{
"identity" : "rad128",
"map" : "OBR-32 -> DiagnosticReport.resultsInterpreter (Practitioner / PractitionerRole)"
}
]
},
{
"id" : "RadiologyReport.secondaryReporter",
"path" : "RadiologyReport.secondaryReporter",
"short" : "Secondary reporter",
"definition" : "Other reporter, for example a trainee or second reader - professional registration number",
"min" : 0,
"max" : "*",
"base" : {
"path" : "RadiologyReport.secondaryReporter",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBR-33 Assistant Result Interpreter"
},
{
"identity" : "dicom",
"map" : "(0008,1062) Physician(s) Reading Study Identification Sequence"
},
{
"identity" : "fhir",
"map" : "DiagnosticReport.resultsInterpreter"
},
{
"identity" : "rad128",
"map" : "OBR-33 -> DiagnosticReport.resultsInterpreter"
}
]
},
{
"id" : "RadiologyReport.clinicalHistory",
"path" : "RadiologyReport.clinicalHistory",
"short" : "Clinical history",
"definition" : "Narrative clinical history from the request",
"min" : 0,
"max" : "1",
"base" : {
"path" : "RadiologyReport.clinicalHistory",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBX-5"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.reasonCode / supportingInfo; DiagnosticReport.extension:patientHistory (references to the relevant resources)"
},
{
"identity" : "rad128",
"map" : "OBX-5 (clinical history OBX) -> ServiceRequest.reasonCode / supportingInfo"
}
]
},
{
"id" : "RadiologyReport.radiographerComments",
"path" : "RadiologyReport.radiographerComments",
"short" : "Radiographer comments",
"definition" : "Comments recorded by the radiographer",
"min" : 0,
"max" : "1",
"base" : {
"path" : "RadiologyReport.radiographerComments",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "NTE-3"
},
{
"identity" : "fhir",
"map" : "DiagnosticReport.extension:note"
},
{
"identity" : "rad128",
"map" : "NTE-3 -> DiagnosticReport.extension:note"
}
]
},
{
"id" : "RadiologyReport.reportText",
"path" : "RadiologyReport.reportText",
"short" : "Report text",
"definition" : "The narrative report as issued",
"min" : 1,
"max" : "1",
"base" : {
"path" : "RadiologyReport.reportText",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBX-5 (value type TX; or ED - PDF Option)"
},
{
"identity" : "dicom",
"map" : "DICOM Structured Report"
},
{
"identity" : "fhir",
"map" : "DiagnosticReport.presentedForm; Composition (DiagnosticReport.extension:composition)"
},
{
"identity" : "rad128",
"map" : "OBX-5 type TX -> DiagnosticReport.presentedForm (text/plain) or Composition; type ED (PDF Option) -> Binary.data, DocumentReference.content.attachment.url -> Binary, DiagnosticReport.presentedForm.url -> Binary (no Attachment.data)"
}
]
},
{
"id" : "RadiologyReport.conclusion",
"path" : "RadiologyReport.conclusion",
"short" : "Conclusion",
"definition" : "Summary conclusion of the report. Whether the RCR data set separates it from the report text is Open",
"min" : 0,
"max" : "1",
"base" : {
"path" : "RadiologyReport.conclusion",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "fhir",
"map" : "DiagnosticReport.conclusion (coded impressions: DiagnosticReport.extension:impression)"
},
{
"identity" : "rad128",
"map" : "OBX-5 (impression OBX, if sent separately - Open) -> DiagnosticReport.conclusion"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "RadiologyReport",
"path" : "RadiologyReport",
"short" : "Radiology Report",
"definition" : "**Proof of concept - not an authoritative source.**\n\nThe data items of a radiology report shared between RIS, PACS and reporting\nnetworks, based on the Royal College of Radiologists'\n[Radiology reporting networks: understanding the technical options](https://www.rcr.ac.uk/media/wwtp2mif/rcr-publications_radiology-reporting-networks-understanding-the-technical-options_march-2022.pdf)\n(March 2022), as mapped in an earlier NHS England draft radiology IG for the\nNational Imaging Registry. The items have **not** been checked against the RCR\ntext, and cardinalities are this guide's assumption (**To confirm**).\n\nIndicative HL7 v2 (ORU^R01), DICOM and FHIR mappings are shown on the\n**Mappings** tab, including the HL7 v2.5.1 to FHIR conversion of\n[Send Imaging Result [RAD-128]](RAD-128.html). The FHIR representation is [Radiology Diagnostic Report](StructureDefinition-RadiologyDiagnosticReport.html),\nwith the request in [Radiology Service Request](StructureDefinition-RadiologyServiceRequest.html)\nand the study in [Radiology Imaging Study](StructureDefinition-RadiologyImagingStudy.html).",
"mapping" : [
{
"identity" : "rad128",
"map" : "ORU^R01^ORU_R01 to a Bundle of DiagnosticReport, Patient, DocumentReference and Binary, following the HL7 v2-to-FHIR ORU_R01 ConceptMap and the NW GMSA conventions"
}
]
},
{
"id" : "RadiologyReport.reportIdentifier",
"path" : "RadiologyReport.reportIdentifier",
"short" : "Report identifier",
"definition" : "Identifier of the report in the RIS",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBR-3 Filler Order Number"
},
{
"identity" : "fhir",
"map" : "DiagnosticReport.identifier"
},
{
"identity" : "rad128",
"map" : "OBR-3 Filler Order Number -> DiagnosticReport.identifier (ReportIdentifier)"
}
]
},
{
"id" : "RadiologyReport.patient",
"path" : "RadiologyReport.patient",
"short" : "Patient",
"definition" : "NHS number of the patient (NHS NUMBER)",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PID-3 Patient Identifier List"
},
{
"identity" : "dicom",
"map" : "(0010,0020) Patient ID"
},
{
"identity" : "fhir",
"map" : "DiagnosticReport.subject"
},
{
"identity" : "rad128",
"map" : "PID-3 -> Patient.identifier:nhsNumber / MedicalRecordNumber; DiagnosticReport.subject"
}
]
},
{
"id" : "RadiologyReport.accessionNumber",
"path" : "RadiologyReport.accessionNumber",
"short" : "Accession number",
"definition" : "Identifies the imaging request in the issuing RIS; shared by the request, the DICOM study and the report (RADIOLOGICAL ACCESSION NUMBER)",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "ORC-3 / OBR-3 Filler Order Number"
},
{
"identity" : "dicom",
"map" : "(0008,0050) Accession Number, (0008,0051) Issuer of Accession Number Sequence"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.identifier:accessionNumber, DiagnosticReport.basedOn.identifier, ImagingStudy.basedOn.identifier"
},
{
"identity" : "rad128",
"map" : "ORC-3 / OBR-3 Filler Order Number -> DiagnosticReport.basedOn.identifier (RadiologicalAccessionNumber). Field carrying the accession number in RAD-128 is To confirm"
}
]
},
{
"id" : "RadiologyReport.visitNumber",
"path" : "RadiologyReport.visitNumber",
"short" : "Visit number",
"definition" : "Encounter or visit the examination belongs to",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PV1-19 Visit Number"
},
{
"identity" : "fhir",
"map" : "DiagnosticReport.encounter"
},
{
"identity" : "rad128",
"map" : "PV1-19 -> Encounter.identifier (VisitNumber); DiagnosticReport.encounter"
}
]
},
{
"id" : "RadiologyReport.examination",
"path" : "RadiologyReport.examination",
"short" : "Examination",
"definition" : "Imaging procedure performed - NICIP code with SNOMED CT map (IMAGING CODE (NICIP))",
"min" : 1,
"max" : "*",
"type" : [
{
"code" : "CodeableConcept"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBR-4 Universal Service Identifier"
},
{
"identity" : "dicom",
"map" : "(0008,1032) Procedure Code Sequence"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.code, ImagingStudy.procedureCode, Procedure.code (DiagnosticReport.extension:procedure)"
},
{
"identity" : "rad128",
"map" : "OBR-4 (NICIP) -> DiagnosticReport.code.coding:nicip"
}
]
},
{
"id" : "RadiologyReport.diagnosticServiceSection",
"path" : "RadiologyReport.diagnosticServiceSection",
"short" : "Diagnostic service section",
"definition" : "For example RAD (Radiology), from HL7 v2 table 0074",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBR-24 Diagnostic Serv Sect ID"
},
{
"identity" : "fhir",
"map" : "DiagnosticReport.category:diagnostic-service"
},
{
"identity" : "rad128",
"map" : "OBR-24 -> DiagnosticReport.category"
}
]
},
{
"id" : "RadiologyReport.examinationCompleted",
"path" : "RadiologyReport.examinationCompleted",
"short" : "Examination completed",
"definition" : "Date and time the radiographer completed the examination",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "dateTime"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBR-7 Observation Date/Time, OBR-8 Observation End Date/Time"
},
{
"identity" : "fhir",
"map" : "DiagnosticReport.effective[x]"
},
{
"identity" : "rad128",
"map" : "OBR-7 / OBR-8 -> DiagnosticReport.effectiveDateTime / effectivePeriod"
}
]
},
{
"id" : "RadiologyReport.imagingSite",
"path" : "RadiologyReport.imagingSite",
"short" : "Imaging site",
"definition" : "Where the examination was performed (SITE CODE (OF IMAGING), or ODS organisation code - Open)",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "PV1-3 Assigned Patient Location (facility)"
},
{
"identity" : "dicom",
"map" : "(0008,0082) Institution Code Sequence"
},
{
"identity" : "fhir",
"map" : "DiagnosticReport.performer:organization"
},
{
"identity" : "rad128",
"map" : "PV1-3 (facility) -> DiagnosticReport.performer (Organization)"
}
]
},
{
"id" : "RadiologyReport.operator",
"path" : "RadiologyReport.operator",
"short" : "Operator",
"definition" : "Radiographer who performed the examination - professional registration number (HCPC)",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBR-34 Technician"
},
{
"identity" : "dicom",
"map" : "(0008,1070) Operators' Name, (0008,1072) Operator Identification Sequence"
},
{
"identity" : "fhir",
"map" : "ImagingStudy.series.performer:performer"
},
{
"identity" : "rad128",
"map" : "OBR-34 -> not carried on DiagnosticReport; ImagingStudy.series.performer"
}
]
},
{
"id" : "RadiologyReport.reportIssued",
"path" : "RadiologyReport.reportIssued",
"short" : "Final report issued",
"definition" : "Date and time the final report was issued",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "dateTime"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBR-22 Results Rpt/Status Chng - Date/Time"
},
{
"identity" : "fhir",
"map" : "DiagnosticReport.issued"
},
{
"identity" : "rad128",
"map" : "OBR-22 -> DiagnosticReport.issued"
}
]
},
{
"id" : "RadiologyReport.primaryReporter",
"path" : "RadiologyReport.primaryReporter",
"short" : "Primary reporter",
"definition" : "Radiologist or reporting radiographer responsible for the report - professional registration number (GMC, HCPC)",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBR-32 Principal Result Interpreter"
},
{
"identity" : "dicom",
"map" : "(0008,1060) Name of Physician(s) Reading Study, (0008,1062) Physician(s) Reading Study Identification Sequence"
},
{
"identity" : "fhir",
"map" : "DiagnosticReport.resultsInterpreter"
},
{
"identity" : "rad128",
"map" : "OBR-32 -> DiagnosticReport.resultsInterpreter (Practitioner / PractitionerRole)"
}
]
},
{
"id" : "RadiologyReport.secondaryReporter",
"path" : "RadiologyReport.secondaryReporter",
"short" : "Secondary reporter",
"definition" : "Other reporter, for example a trainee or second reader - professional registration number",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBR-33 Assistant Result Interpreter"
},
{
"identity" : "dicom",
"map" : "(0008,1062) Physician(s) Reading Study Identification Sequence"
},
{
"identity" : "fhir",
"map" : "DiagnosticReport.resultsInterpreter"
},
{
"identity" : "rad128",
"map" : "OBR-33 -> DiagnosticReport.resultsInterpreter"
}
]
},
{
"id" : "RadiologyReport.clinicalHistory",
"path" : "RadiologyReport.clinicalHistory",
"short" : "Clinical history",
"definition" : "Narrative clinical history from the request",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBX-5"
},
{
"identity" : "fhir",
"map" : "ServiceRequest.reasonCode / supportingInfo; DiagnosticReport.extension:patientHistory (references to the relevant resources)"
},
{
"identity" : "rad128",
"map" : "OBX-5 (clinical history OBX) -> ServiceRequest.reasonCode / supportingInfo"
}
]
},
{
"id" : "RadiologyReport.radiographerComments",
"path" : "RadiologyReport.radiographerComments",
"short" : "Radiographer comments",
"definition" : "Comments recorded by the radiographer",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "NTE-3"
},
{
"identity" : "fhir",
"map" : "DiagnosticReport.extension:note"
},
{
"identity" : "rad128",
"map" : "NTE-3 -> DiagnosticReport.extension:note"
}
]
},
{
"id" : "RadiologyReport.reportText",
"path" : "RadiologyReport.reportText",
"short" : "Report text",
"definition" : "The narrative report as issued",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "hl7v2",
"map" : "OBX-5 (value type TX; or ED - PDF Option)"
},
{
"identity" : "dicom",
"map" : "DICOM Structured Report"
},
{
"identity" : "fhir",
"map" : "DiagnosticReport.presentedForm; Composition (DiagnosticReport.extension:composition)"
},
{
"identity" : "rad128",
"map" : "OBX-5 type TX -> DiagnosticReport.presentedForm (text/plain) or Composition; type ED (PDF Option) -> Binary.data, DocumentReference.content.attachment.url -> Binary, DiagnosticReport.presentedForm.url -> Binary (no Attachment.data)"
}
]
},
{
"id" : "RadiologyReport.conclusion",
"path" : "RadiologyReport.conclusion",
"short" : "Conclusion",
"definition" : "Summary conclusion of the report. Whether the RCR data set separates it from the report text is Open",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "fhir",
"map" : "DiagnosticReport.conclusion (coded impressions: DiagnosticReport.extension:impression)"
},
{
"identity" : "rad128",
"map" : "OBX-5 (impression OBX, if sent separately - Open) -> DiagnosticReport.conclusion"
}
]
}
]
}
}