Imaging procedures


Parameter Case Report Form and Response Options

Imaging procedures of the lung Yes No Unknown
Imaging procedures of the lung

This profile of a FHIR Procedure is derived from the Procedure-profile of the Medical Informatics Initiative (MII).

Procedure.category shall be coded as 103693007 |Diagnostic procedure (procedure)|

The valueset bindings on the Procedure.code element have been constrained to feature the response options for this particular parameter of the case report form with SNOMED-CT and DICOM codes.

Procedure.bodySite provides a coding pattern to capture the body site of lung.

The reference to the DiagnosticReport containing the radiological findings can be set via Procedure.report.


Profile - Radiology Procedures

Snapshot

Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/radiology-procedures

DokumentationsdatumS I0..1Extension(dateTime)
durchfuehrungsabsichtS I0..1Extension(Coding)
identifierΣ0..*Identifier
instantiatesCanonicalΣ0..*canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)
instantiatesUriΣ0..*uri
basedOnΣ I0..*Reference(CarePlan | ServiceRequest)
partOfΣ I0..*Reference(Procedure | Observation | MedicationAdministration)
statusS Σ ?!1..1codeBinding
statusReasonΣ0..1CodeableConcept
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
SeitenlokalisationS I0..1Extension(Coding)
systemS Σ1..1uriFixed Value
versionS Σ1..1string
codeS Σ I1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
systemΣ1..1uri
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
subjectS Σ I1..1MII-Reference(Patient | Group)
encounterΣ I0..1Reference(Encounter)
performedDateTimedateTime
performedPeriodPeriod
recorderΣ I0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)
asserterΣ I0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)
functionΣ0..1CodeableConcept
actorΣ I1..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)
onBehalfOfI0..1Reference(Organization)
locationΣ I0..1Reference(Location)
reasonCodeΣ0..*CodeableConcept
reasonReferenceΣ I0..*Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)
systemΣ1..1uri
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
outcomeΣ0..1CodeableConcept
reportS I0..*Reference(Diagnostic Report Radiology)
complication0..*CodeableConcept
complicationDetailI0..*Reference(Condition)
followUp0..*CodeableConcept
noteS0..*Annotation
action0..1CodeableConceptBinding
manipulatedI1..1Reference(Device)
usedReferenceI0..*Reference(Device | Medication | Substance)
usedCode0..*CodeableConcept


ValueSets

The radiology procedures valueset is provided with SNOMED-CT and DICOM codes.


Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/radiology-procedures

ValueSet 'ImagingProcedures'

Version1.0.6
Published byBerlin Institute of Health at Charité (BIH)
StatusActive
ExperimentalFalse

Radiology procedures in the context of Covid-19

Contact Information

Website: https://www.bihealth.org/en/re...

This value set includes codes from the following code systems:

  • The following codes from system: SNOMED_CT

    CodeDisplay
    77477000Computerized axial tomography (procedure)
    168537006Plain radiography (procedure)
    16310003Diagnostic ultrasonography (procedure)


Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/radiology-procedures-dicom

ValueSet 'ImagingProceduresDICOM'

Version1.0.6
Published byBerlin Institute of Health at Charité (BIH)
StatusActive
ExperimentalFalse

Radiology procedures in the context of Covid-19 - DICOM

Contact Information

Website: https://www.bihealth.org/en/re...

This value set includes codes from the following code systems:


Examples

Chest X-ray
Example radiography procedure

{
    "resourceType": "Procedure",
    "id": "radiology-procedure-x-ray-completed",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/radiology-procedures"
        ]
    },
    "status": "completed",
    "category": {
        "coding":  [
            {
                "code": "103693007",
                "system": "http://snomed.info/sct",
                "display": "Diagnostic procedure (procedure)"
            }
        ]
    },
    "code": {
        "coding":  [
            {
                "code": "168537006",
                "system": "http://snomed.info/sct",
                "display": "Plain radiography"
            },
            {
                "code": "RG",
                "system": "http://dicom.nema.org/resources/ontology/DCM",
                "display": "Radiographic imaging"
            }
        ],
        "text": "Chest x-ray"
    },
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "performedDateTime": "2020-09-30",
    "bodySite":  [
        {
            "coding":  [
                {
                    "code": "39607008",
                    "system": "http://snomed.info/sct",
                    "display": "Lung structure (body structure)"
                }
            ]
        }
    ],
    "report":  [
        {
            "reference": "DiagnosticReport/diagnostic-report-radiology-covid-19"
        }
    ]
}


Chest CT
Example radiography procedure

{
    "resourceType": "Procedure",
    "id": "radiology-procedure-ct-completed",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/radiology-procedures"
        ]
    },
    "status": "completed",
    "category": {
        "coding":  [
            {
                "code": "103693007",
                "system": "http://snomed.info/sct",
                "display": "Diagnostic procedure (procedure)"
            }
        ]
    },
    "code": {
        "coding":  [
            {
                "code": "77477000",
                "system": "http://snomed.info/sct",
                "display": "Computerized axial tomography (procedure)"
            },
            {
                "code": "CT",
                "system": "http://dicom.nema.org/resources/ontology/DCM",
                "display": "Computed Tomography"
            }
        ],
        "text": "Computed Tomography"
    },
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "performedDateTime": "2020-09-30",
    "bodySite":  [
        {
            "coding":  [
                {
                    "code": "39607008",
                    "system": "http://snomed.info/sct",
                    "display": "Lung structure (body structure)"
                }
            ]
        }
    ],
    "report":  [
        {
            "reference": "DiagnosticReport/diagnostic-report-radiology-covid-19"
        }
    ]
}


Chest Ultrasound
Example radiography procedure

{
    "resourceType": "Procedure",
    "id": "radiology-procedure-ultrasound-completed",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/radiology-procedures"
        ]
    },
    "status": "completed",
    "category": {
        "coding":  [
            {
                "code": "103693007",
                "system": "http://snomed.info/sct",
                "display": "Diagnostic procedure (procedure)"
            }
        ]
    },
    "code": {
        "coding":  [
            {
                "code": "16310003",
                "system": "http://snomed.info/sct",
                "display": "Diagnostic ultrasonography (procedure)"
            },
            {
                "code": "US",
                "system": "http://dicom.nema.org/resources/ontology/DCM",
                "display": "Ultrasound"
            }
        ],
        "text": "Ultrasound"
    },
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "performedDateTime": "2020-09-30",
    "bodySite":  [
        {
            "coding":  [
                {
                    "code": "39607008",
                    "system": "http://snomed.info/sct",
                    "display": "Lung structure (body structure)"
                }
            ]
        }
    ],
    "report":  [
        {
            "reference": "DiagnosticReport/diagnostic-report-radiology-covid-19"
        }
    ]
}