ARCHETYPE Imaging examination result (openEHR-EHR-OBSERVATION.imaging_exam_result.v0)

Name: Imaging examination result
License: http://creativecommons.org/licenses/by-sa/4.0/

ARCHETYPE ID	openEHR-EHR-OBSERVATION.imaging_exam_result.v0
Concept	Imaging examination result
Description	Record the findings and interpretation of an imaging examination performed.
Use	Use to record the findings and interpretation of an imaging examination, including the imaging examination components (only) of a more complex procedure, including those that may have been undertaken under imaging guidance. This archetype has been designed to focus on the reporting of findings and interpretation associated with a single imaging examination (equivalent to a single DICOM study). Reference to DICOM-related attributes are included but the focus is on the representation of a clinical report from an imaging examination and not on representing DICOM-related attributes that might be expected within a radiology information system. Specific details about the DICOM series can be recorded using the CLUSTER.imaging_series nested within the 'Series details' SLOT. Detailed findings observed during an imaging examination and targeting a specified structure or region can be recorded by nesting the CLUSTER.imaging_exam and/or its family of specialised archetypes within the 'Structured imaging findings' SLOT in this archetype. It is intended that over time the specific detail in each specialisation will grow to include findings using all imaging modalities. When imaging is carried out as part of a more complex or operative procedure, use this archetype to record only the imaging examination components. In this situation, it is recommended that all related archetypes, such as procedure details or medication/contrast administration should be reported within the same template. This result will normally be reported back to the requesting clinician as one component within the context of an overall COMPOSITION-based report.
Misuse	Not to be used to record non-imaging examination findings. Not to be used to replicate the functionality of a radiology information or source system. Not to be used to record structured details about any procedure undertaken. Use the specific procedure-related archetypes, such as ACTION.procedure for this purpose. Not to be used to record structured details about medications administered during the imaging test. Use specific medication-related archetypes, such as ACTION.medication for this purpose.
Purpose	To record the findings and interpretation of an imaging examination.
References	Clinical Radiology Written Report Guidelines, Version 7.0 [Internet]. Sydney: The Royal Australian and New Zealand College of Radiologists; 2020 Nov 23 [cited 2021 Aug 04]. 10 p. Available from: https://www.ranzcr.com/college/document-library/clinical-radiology-written-report-guidelines. Digital imaging and Communications in Medicine (DICOM) [Internet]. Medical Imaging Technology Association (MITA); [cited 2022 Jan 25]. Available from: https://www.dicomstandard.org/current. HL7 FHIR Resource - DiagnosticReport v4.0.1 R4 [Internet]. Health Level Seven International; [accessed 2021 Aug 04]. Available from: https://www.hl7.org/fhir/diagnosticreport.html. HL7 FHIR Resource - ImagingStudy v4.0.1 R4 [Internet]. Health Level Seven International; [accessed 2021 Aug 04]. Available from: http://hl7.org/fhir/imagingstudy.html. Larson DB. Strategies for Implementing a Standardized Structured Radiology Reporting Program. Radiographics. 2018 Oct;38(6):1705-1716. doi: 10.1148/rg.2018180040. PMID: 30303804. Available from: https://pubs.rsna.org/doi/10.1148/rg.2018180040. RSNA.org: RadReport Template Library [Internet]. Radiological Society of North America; [cited 2021 Aug 04]. Available from: https://radreport.org/. RSNA.org: Proposed Standard Radiology Report Headings. Radiological Society of North America; 2011 Jan 12 [cited 2021 Aug 04]. Available from: http://reportingwiki.rsna.org/index.php/Proposed_Standard_Radiology_Report_Headings.
Copyright	© openEHR Foundation
Authors	Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2011-02-07
Other Details Language	Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2011-02-07
OtherDetails Language Independent	{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, references=Clinical Radiology Written Report Guidelines, Version 7.0 [Internet]. Sydney: The Royal Australian and New Zealand College of Radiologists; 2020 Nov 23 [cited 2021 Aug 04]. 10 p. Available from: https://www.ranzcr.com/college/document-library/clinical-radiology-written-report-guidelines. Digital imaging and Communications in Medicine (DICOM) [Internet]. Medical Imaging Technology Association (MITA); [cited 2022 Jan 25]. Available from: https://www.dicomstandard.org/current. HL7 FHIR Resource - DiagnosticReport v4.0.1 R4 [Internet]. Health Level Seven International; [accessed 2021 Aug 04]. Available from: https://www.hl7.org/fhir/diagnosticreport.html. HL7 FHIR Resource - ImagingStudy v4.0.1 R4 [Internet]. Health Level Seven International; [accessed 2021 Aug 04]. Available from: http://hl7.org/fhir/imagingstudy.html. Larson DB. Strategies for Implementing a Standardized Structured Radiology Reporting Program. Radiographics. 2018 Oct;38(6):1705-1716. doi: 10.1148/rg.2018180040. PMID: 30303804. Available from: https://pubs.rsna.org/doi/10.1148/rg.2018180040. RSNA.org: RadReport Template Library [Internet]. Radiological Society of North America; [cited 2021 Aug 04]. Available from: https://radreport.org/. RSNA.org: Proposed Standard Radiology Report Headings. Radiological Society of North America; 2011 Jan 12 [cited 2021 Aug 04]. Available from: http://reportingwiki.rsna.org/index.php/Proposed_Standard_Radiology_Report_Headings., current_contact=Heather Leslie, , original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=440071B3D49AC846280023229CACAD93, build_uid=e764d581-0b48-4242-b1d6-9679bf976484, revision=0.0.1-alpha}
Keywords	image, radiology, modality, xray, CT, ultrasound, MRI
Lifecycle	in_development
UID	9ae33444-96c1-4f1c-8724-7a0e4366aebf
Language used	en
Citeable Identifier	1013.1.6018
Revision Number	0.0.1-alpha
All	Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Record the findings and interpretation of an imaging examination performed., archetypeConceptComment=null, otherContributors=Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor) Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor) Sharmila Biswas, Australia Eric Browne David Cartwright, Queensland Health, Australia Stephen Chu, NEHTA, Australia (Editor) Matthew Cordell, NEHTA, Australia Andre de Wolf, NeHTA, Australia David Evans, Queensland Health, Australia Peter Fedorcsak, University of Oslo, Norway (openEHR Editor) Hildegard Franke, freshEHR Clinical Informatics Ltd., United Kingdom Jacquie Garton-Smith, Royal Perth Hospital and DoHWA, Australia Grahame Grieve, Health Intersections Pty Ltd, Australia (Editor) Mary Kelaher, NEHTA, Australia Diane Kirkham, NEHTA, Australia Robert L'egan, NEHTA, Australia Liv Laugen, Oslo University Hospital, Norway, Norway (openEHR Editor) Heather Leslie, Atomica Informatics, Australia (openEHR Editor) Mike Martyn, The Hobart Anaesthetic Group, Australia Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor) Chris Mitchell, RACGP, Australia Stewart Morrison, NEHTA, Australia Michael Osborne, Mater Health Services, Australia Ning Pan, NEHTA, Australia Chris Pearce, Melbourne East GP Network, Australia Jodie Pycroft, Adelaide Northern Division of General Practice Ltd, Australia Cathy Richardson, NEHTA, Australia Stephen Royce, NEHTA, Australia Eleanor Royle, NEHTA, Australia Don Stewart, NEHTA, Australia Michael Thompson, Queensland Health, Australia Gordon Tomes, Australian Institute of Health and Welfare, Australia Richard Townley-O'Neill, NEHTA, Australia, originalLanguage=en, translators= German: Natalia Strauch, Medizinische Hochschule Hannover, Strauch.Natalia@mh-hannover.de, Application: Adl Designer Notes: Generated automatically by Adl Designer Swedish: Linda Aulin, Region Stockholm, linda.aulin@sll.se Norwegian Bokmål: Vebjørn Arntzen, Liv Laugen, Oslo University Hospital, Norway, varntzen@ous-hf.no, liv.laugen@ous-hf.no, Application: Adl Designer Notes: Generated automatically by Adl Designer , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={source=[], identities=[], contacts=[], ism_transition=[], provider=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0092], code=at0092, itemType=ELEMENT, level=2, text=Study instance identifier, description=Unique identifier for the imaging study assigned by the radiology service., comment=Equvalent to Study Instance UID (0020,000D) in DICOM., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of: Identifier Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0105], code=at0105, itemType=ELEMENT, level=2, text=Study description, description=Description about the study., comment=Equivalent to Study description (0008, 1030) in DICOM., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0104], code=at0104, itemType=ELEMENT, level=2, text=Report identifier, description=Unique identifier for the imaging report assigned by the radiology service., comment=Equivalent to DiagnosticReport.identifier in FHIR., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of: Identifier Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0099], code=at0099, itemType=ELEMENT, level=2, text=Study status, description=The current state of the imaging study., comment=Equivalent to ImagingStudy.status in FHIR., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of: Coded Text at0100::Registered [The existence of the imaging study is registered, but there is nothing yet available.] at0101::Available [At least one instance has been associated with this imaging study.] at0102::Cancelled [The imaging study is unavailable because the study was not started or not completed.] at0103::Unknown [The status is not known by the radiology source system.] Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0098], code=at0098, itemType=ELEMENT, level=2, text=Study end point, description=Location of where to query for imaging content and metadata (QIDO-RS, WADO-RS, or WADO-URI)., comment=The network service providing access (e.g., query, view, or retrieval) for the study. Equivalent to ImagingStudy.endpoint in FHIR., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of: Text URI , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0106], code=at0106, itemType=ELEMENT, level=2, text=Image details, description=Link to full details of any imaging carried out during the study., comment=Typically referencing images used the DICOM enabled modalities, but this data field provides an alternative method to access the images. Equivalent to DiagnosticReport.imagingStudy in FHIR., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_URI, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0026], code=at0026, itemType=SLOT, level=2, text=Imaging service, description=Details about the service, organisation or individual carrying out the imaging examination., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.organisation.v0 and specialisations or openEHR-EHR-CLUSTER.organisation.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0087], code=at0087, itemType=ELEMENT, level=2, text=Technique, description=Name of the technical procedure used to capture the study., comment=Coding of the 'Technique' with a terminology is pemitted. Multiple occurrences allow for identification of one or more techniques., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0049], code=at0049, itemType=ELEMENT, level=2, text=Technique description, description=Narrative description about the technical procedure used to capture the study., comment=Use this data element to provide an outline of technique, including technical limitations or deviation from the normal technical procedures. For example: '5 mm axial images from the lung bases through the pubic symphysis were acquired following the administration of intravenous and oral contrast. Coronal and Sagittal reformatted images were constructed from the source data., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0088], code=at0088, itemType=ELEMENT, level=2, text=Procedure, description=Identification of the clinical procedure or management used to capture the study., comment=In implementations, RM links can be created from this data element to relevant ACTION.medication, ACTION.procedure or similar archetypes stored within the health record that document the actual clinical procedures and related activities carried out. If the procedure needs to be recorded at study level, use the 'Procedure' data element within the CLUSTER.imaging_study_details archetype instead., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0062], code=at0062, itemType=ELEMENT, level=2, text=Procedure description, description=Narrative description about the clinical procedure or other clinical considerations used to capture the study., comment=Use this data element to describe a summary of the clinical procedure, patient positioning, interventions such as Valsalva manoeuvre, and administration of contrast agent, radiopharmaceuticals and/or treatments as part of the imaging study. For example: '80 ml of Isovue-370 was administered intravenously using a bolus-tracking technique centered on the main pulmonary artery'. It can also be used to record an overview of any issues, complications or adverse reactions encountered. , uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0041], code=at0041, itemType=SLOT, level=2, text=Structured technique/procedure, description=Additional structured details of technical and clinical aspects of capturing the image/s., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0065], code=at0065, itemType=SLOT, level=2, text=Series details, description=Details about a series included in this report., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* openEHR-EHR-CLUSTER.imaging_series.v0 and specialisations or openEHR-EHR-CLUSTER.imaging_series.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0069], code=at0069, itemType=SLOT, level=2, text=Device, description=Details about imaging device/s used to capture the study., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* openEHR-EHR-CLUSTER.device.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0093], code=at0093, itemType=CLUSTER, level=2, text=Comparison study details, description=Details about images from a prior study used for comparison to the reported study., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0093]/items[at0094], code=at0094, itemType=ELEMENT, level=3, text=Study name, description=The name of the comparison imaging examination performed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0093]/items[at0095], code=at0095, itemType=ELEMENT, level=3, text=Study identifier, description=Unique identifier for the comparison imaging study., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of: Identifier Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0093]/items[at0096], code=at0096, itemType=ELEMENT, level=3, text=Study date, description=Date and time the comparison examination started., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0093]/items[at0097], code=at0097, itemType=ELEMENT, level=3, text=Study end point, description=Location of where to query for imaging content and metadata (QIDO-RS, WADO-RS, or WADO-URI)., comment=The network service providing access (e.g., query, view, or retrieval) for the study. Equivalent to ImagingStudy.endpoint in FHIR., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:* Text URI , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0093]/items[at0067], code=at0067, itemType=SLOT, level=3, text=Comparison series details, description=Details about an imaging series being compared to the reported study., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* openEHR-EHR-CLUSTER.imaging_series.v0 and specialisations or openEHR-EHR-CLUSTER.imaging_series.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027], code=at0027, itemType=CLUSTER, level=2, text=Examination request details, description=Details about a single imaging examination requested., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0031], code=at0031, itemType=ELEMENT, level=3, text=Receiver order identifier, description=Unique identifier for the imaging examination order assigned by the radiology service., comment=Equivalent to the HL7 Filler Order Identifier or DICOM Accession number attribute (0008,0050)., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:* Identifier Coded Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0028], code=at0028, itemType=ELEMENT, level=3, text=Requester order identifier, description=Unique identifier for the imaging examination order assigned by the requester., comment=Equivalent to the HL7 Placer Order Identifier., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of: Identifier Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0029], code=at0029, itemType=ELEMENT, level=3, text=Examination requested name, description=Identification of imaging examination requested., comment=This can be useful in situations where the examination requested differs from the examination performed., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0030], code=at0030, itemType=SLOT, level=3, text=Requester, description=Details about the clinician or organisation requesting the imaging examination., comment=Equivalent to DICOM Referring Physician's Name (0008,0090), uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.organisation.v0 and specialisations or openEHR-EHR-CLUSTER.organisation.v1 and specialisations or openEHR-EHR-CLUSTER.person.v0 and specialisations or openEHR-EHR-CLUSTER.person.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0083], code=at0083, itemType=SLOT, level=2, text=Distribution list, description=Details of additional clinicians or organisations who require a copy of the examination result., comment=The 'Distribution list' is for information-only, and that the primary recipient of the report is the person intended to act on the information., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.organisation.v0 and specialisations or openEHR-EHR-CLUSTER.organisation.v1 and specialisations or openEHR-EHR-CLUSTER.person.v0 and specialisations or openEHR-EHR-CLUSTER.person.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0046], code=at0046, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* All not explicitly excluded archetypes, extendedValues=null]], description=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=2, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null]], details=[], context=[], target=[], capabilities=[], items=[], other_participations=[], content=[], state=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/state[at0047]/items[at0048], code=at0048, itemType=ELEMENT, level=4, text=Confounding factors, description=Narrative description of factors, not recorded elsewhere, that may influence the examination findings and/or result., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], activities=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Study name, description=The name of the imaging examination performed., comment=Coding with a terminology is strongly recommended, preferably a term specifying both modality and anatomical location, where possible. Examples of candidate terminologies are the LOINC Imaging Document Codes or RadLex Playbook. Equivalent to DiagnosticReport.code in FHIR., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0091], code=at0091, itemType=ELEMENT, level=4, text=Modality, description=The type of device, process or method that originally acquired or produced the data used to create the images in the study., comment=This data element may be redundant if the modality is clearly represented in the 'Study name'. Alternatively it may also be possible to autopopulate the 'Modality' from a coded 'Study name'. Coding of the 'Modality' with a value set is recommended. For example, the DICOM CID 29 Acquisition Modality value set. Equivalent to ImagingStudy.modality in FHIR and Modality (0008, 0060) in DICOM., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0055], code=at0055, itemType=ELEMENT, level=4, text=Target body site, description=Simple description about the body site or region targetted for imaging., comment=If the 'Target site' is specified by a code in the 'Test name', then this field may be redundant. Equivalent to ImagingStudy.series.bodySite in FHIR., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006], code=at0006, itemType=SLOT, level=4, text=Structured target body site, description=Structured detail about the anatomical site related to the entire result., comment=If the 'Target site' is specified by a code in the 'Test name', then this field may be redundant. Identification of an anatomical site related to a specific finding will be recorded within each instance of CLUSTER.imaging_finding., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.anatomical_location.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0070], code=at0070, itemType=ELEMENT, level=4, text=Study date, description=Date and time the examination started., comment=Equivalent to ImagingStudy.started in FHIR. Also equivalent to Acquisition date (0008,0022) and Acquisition Time (0008,0032) in DICOM., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0072], code=at0072, itemType=ELEMENT, level=4, text=Overall result status, description=The status of the imaging examination result as a whole., comment=Equivalent to DiagnosticReport.status in FHIR. The values have been aligned with the FHIR Diagnostic report status, with the exception of 'Entered in error' which is relevant only to a messaging-oriented paradigm. Other local codes/terms can be used via the Text 'choice'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of: Coded Text at0073::Registered [The existence of the study is registered, but no result is yet available.] at0074::Partial [This is a partial (e.g. initial, interim or preliminary) result but data may be incomplete or unverified.] at0075::Preliminary [Verified early results are available, but not all results are final. This is a sub-category of 'Partial'.] at0076::Final [The result is complete and verified by an authorised person.] at0077::Amended [Subsequent to being final, the result has been modified.] at0078::Corrected [Subsequent to being final, the result has been modified to correct an error. This is a sub-category of 'Amended'.] at0079::Appended [Subsequent to being final, the result has been modified by adding new content. The existing content is unchanged. This is a sub-category of 'Amended'.] at0080::Cancelled [The result is unavailable because the test was not started or not completed (also sometimes called 'aborted').] at0090::Unknown [The status of the result is not known.] Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0071], code=at0071, itemType=ELEMENT, level=4, text=Status timestamp, description=The date and/or time that ‘Overall result status’ was assigned., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0061], code=at0061, itemType=ELEMENT, level=4, text=Clinical query, description=Narrative description about the reason the examination was originally requested. Also known as 'Clinical question'., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0014], code=at0014, itemType=ELEMENT, level=4, text=Clinical summary, description=Narrative description of relevant clinical history that provides context for the examination and interpretation of results., comment=This may include a link to the clinical information provided in the original examination request or elsewhere in the health record., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0008], code=at0008, itemType=ELEMENT, level=4, text=Imaging findings, description=Narrative description of the clinical findings., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0044], code=at0044, itemType=SLOT, level=4, text=Structured imaging findings, description=Structured details about the imaging examination findings targeting specific structure or region., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* openEHR-EHR-CLUSTER.imaging_exam.v0 and specialisations or openEHR-EHR-CLUSTER.imaging_finding.v0 and specialisations or openEHR-EHR-CLUSTER.imaging_finding.v1 and specialisations or openEHR-EHR-CLUSTER.imaging_exam.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0056], code=at0056, itemType=ELEMENT, level=4, text=Comparison findings, description=Narrative description about the comparison of this examination with previous similar studies., comment=Also use this data element to indicate if no comparison images and/or reports are available., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0063], code=at0063, itemType=ELEMENT, level=4, text=Imaging quality, description=Assessment about the quality of the examination., comment=Coding of the imaging quality with a value set is recommended. For example: 'excellent, good, fair, poor, and non-diagnostic'; or 'adequate, suboptimal and inadequate'. , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0057], code=at0057, itemType=ELEMENT, level=4, text=Imaging quality description, description=Narrative description about the quality of the examination., comment=For example: the nature of any limitations and their impact on interpretation; recommendation that the examination should be repeated; or whether an alternative method of assessment might be more appropriate., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0021], code=at0021, itemType=ELEMENT, level=4, text=Overall impression, description=Narrative concise, clinically relevant interpretation of all imaging findings, and include a comparison with previous studies where appropriate., comment=Also referred to as 'Opinion' or 'Conclusion'. Equivalent to DiagnosticReport.conclusion in FHIR., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0058], code=at0058, itemType=ELEMENT, level=4, text=Imaging differential diagnosis, description=Single word, phrase or brief description representing a possible condition or diagnosis., comment=This data element has multiple occurrences to allow for more than one differential diagnoses. Coding with a terminology is preferred, where possible. This data element should be regarded as mutually exclusive to 'Imaging diagnosis' - only one of 'Differential diagnoses' OR 'Imaging diagnosis' should be present in each Imaging examination result., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0020], code=at0020, itemType=ELEMENT, level=4, text=Imaging diagnosis, description=Single word, phrase or brief description representing the likely condition or diagnosis., comment=This data element has multiple occurrences to allow for more than one diagnoses. Coding with a terminology is preferred, where possible. This data element should be regarded as mutually exclusive to 'Differential diagnoses' - only one of 'Differential diagnoses' OR 'Imaging diagnosis' should be present in the each Imaging examination result. Equivalent to DiagnosticReport.conclusionCode in FHIR., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0059], code=at0059, itemType=ELEMENT, level=4, text=Recommendation, description=Suggestion for further imaging, investigations and/or referral, and associated rationale., comment=This data element has 0..* occurrences to allow for more than one recommendation. Formal orders for additional imaging examination, investigation should be recorded using an INSTRUCTION archetype, such as INSTRUCTION.service_request., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0045], code=at0045, itemType=SLOT, level=4, text=Report representation, description=Digital representation of the examination result., comment=Multiple formats are allowed but they should represent equivalent clinical content. For example a pdf version of the report. Equivalent to DiagnosticReport.presentedForm in FHIR., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.media_file.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0023], code=at0023, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the examination not captured in other fields., comment=For example: a note that the film was given to the patient. Equivalent to DiagnosticReport.note in FHIR., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], relationships=[], credentials=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0025], code=at0025, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0.., subCardinalityText=Minimum of 0 items (Cardinality: 0.., unordered), dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], state=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/state[at0047], code=at0047, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0.., subCardinalityText=Minimum of 0 items (Cardinality: 0.., unordered), dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=1.., subCardinalityText= (Cardinality: 1.., unordered), dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0092], code=at0092, itemType=ELEMENT, level=2, text=Study instance identifier, description=Unique identifier for the imaging study assigned by the radiology service., comment=Equvalent to Study Instance UID (0020,000D) in DICOM., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:* Identifier Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0105], code=at0105, itemType=ELEMENT, level=2, text=Study description, description=Description about the study., comment=Equivalent to Study description (0008, 1030) in DICOM., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0104], code=at0104, itemType=ELEMENT, level=2, text=Report identifier, description=Unique identifier for the imaging report assigned by the radiology service., comment=Equivalent to DiagnosticReport.identifier in FHIR., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of: Identifier Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0099], code=at0099, itemType=ELEMENT, level=2, text=Study status, description=The current state of the imaging study., comment=Equivalent to ImagingStudy.status in FHIR., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of: Coded Text at0100::Registered [The existence of the imaging study is registered, but there is nothing yet available.] at0101::Available [At least one instance has been associated with this imaging study.] at0102::Cancelled [The imaging study is unavailable because the study was not started or not completed.] at0103::Unknown [The status is not known by the radiology source system.] Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0098], code=at0098, itemType=ELEMENT, level=2, text=Study end point, description=Location of where to query for imaging content and metadata (QIDO-RS, WADO-RS, or WADO-URI)., comment=The network service providing access (e.g., query, view, or retrieval) for the study. Equivalent to ImagingStudy.endpoint in FHIR., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of: Text URI , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0106], code=at0106, itemType=ELEMENT, level=2, text=Image details, description=Link to full details of any imaging carried out during the study., comment=Typically referencing images used the DICOM enabled modalities, but this data field provides an alternative method to access the images. Equivalent to DiagnosticReport.imagingStudy in FHIR., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_URI, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0026], code=at0026, itemType=SLOT, level=2, text=Imaging service, description=Details about the service, organisation or individual carrying out the imaging examination., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.organisation.v0 and specialisations or openEHR-EHR-CLUSTER.organisation.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0087], code=at0087, itemType=ELEMENT, level=2, text=Technique, description=Name of the technical procedure used to capture the study., comment=Coding of the 'Technique' with a terminology is pemitted. Multiple occurrences allow for identification of one or more techniques., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0049], code=at0049, itemType=ELEMENT, level=2, text=Technique description, description=Narrative description about the technical procedure used to capture the study., comment=Use this data element to provide an outline of technique, including technical limitations or deviation from the normal technical procedures. For example: '5 mm axial images from the lung bases through the pubic symphysis were acquired following the administration of intravenous and oral contrast. Coronal and Sagittal reformatted images were constructed from the source data., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0088], code=at0088, itemType=ELEMENT, level=2, text=Procedure, description=Identification of the clinical procedure or management used to capture the study., comment=In implementations, RM links can be created from this data element to relevant ACTION.medication, ACTION.procedure or similar archetypes stored within the health record that document the actual clinical procedures and related activities carried out. If the procedure needs to be recorded at study level, use the 'Procedure' data element within the CLUSTER.imaging_study_details archetype instead., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0062], code=at0062, itemType=ELEMENT, level=2, text=Procedure description, description=Narrative description about the clinical procedure or other clinical considerations used to capture the study., comment=Use this data element to describe a summary of the clinical procedure, patient positioning, interventions such as Valsalva manoeuvre, and administration of contrast agent, radiopharmaceuticals and/or treatments as part of the imaging study. For example: '80 ml of Isovue-370 was administered intravenously using a bolus-tracking technique centered on the main pulmonary artery'. It can also be used to record an overview of any issues, complications or adverse reactions encountered. , uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0041], code=at0041, itemType=SLOT, level=2, text=Structured technique/procedure, description=Additional structured details of technical and clinical aspects of capturing the image/s., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0065], code=at0065, itemType=SLOT, level=2, text=Series details, description=Details about a series included in this report., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* openEHR-EHR-CLUSTER.imaging_series.v0 and specialisations or openEHR-EHR-CLUSTER.imaging_series.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0069], code=at0069, itemType=SLOT, level=2, text=Device, description=Details about imaging device/s used to capture the study., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* openEHR-EHR-CLUSTER.device.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0093], code=at0093, itemType=CLUSTER, level=2, text=Comparison study details, description=Details about images from a prior study used for comparison to the reported study., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0093]/items[at0094], code=at0094, itemType=ELEMENT, level=3, text=Study name, description=The name of the comparison imaging examination performed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0093]/items[at0095], code=at0095, itemType=ELEMENT, level=3, text=Study identifier, description=Unique identifier for the comparison imaging study., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of: Identifier Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0093]/items[at0096], code=at0096, itemType=ELEMENT, level=3, text=Study date, description=Date and time the comparison examination started., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0093]/items[at0097], code=at0097, itemType=ELEMENT, level=3, text=Study end point, description=Location of where to query for imaging content and metadata (QIDO-RS, WADO-RS, or WADO-URI)., comment=The network service providing access (e.g., query, view, or retrieval) for the study. Equivalent to ImagingStudy.endpoint in FHIR., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:* Text URI , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0093]/items[at0067], code=at0067, itemType=SLOT, level=3, text=Comparison series details, description=Details about an imaging series being compared to the reported study., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* openEHR-EHR-CLUSTER.imaging_series.v0 and specialisations or openEHR-EHR-CLUSTER.imaging_series.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027], code=at0027, itemType=CLUSTER, level=2, text=Examination request details, description=Details about a single imaging examination requested., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0031], code=at0031, itemType=ELEMENT, level=3, text=Receiver order identifier, description=Unique identifier for the imaging examination order assigned by the radiology service., comment=Equivalent to the HL7 Filler Order Identifier or DICOM Accession number attribute (0008,0050)., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:* Identifier Coded Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0028], code=at0028, itemType=ELEMENT, level=3, text=Requester order identifier, description=Unique identifier for the imaging examination order assigned by the requester., comment=Equivalent to the HL7 Placer Order Identifier., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of: Identifier Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0029], code=at0029, itemType=ELEMENT, level=3, text=Examination requested name, description=Identification of imaging examination requested., comment=This can be useful in situations where the examination requested differs from the examination performed., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0027]/items[at0030], code=at0030, itemType=SLOT, level=3, text=Requester, description=Details about the clinician or organisation requesting the imaging examination., comment=Equivalent to DICOM Referring Physician's Name (0008,0090), uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.organisation.v0 and specialisations or openEHR-EHR-CLUSTER.organisation.v1 and specialisations or openEHR-EHR-CLUSTER.person.v0 and specialisations or openEHR-EHR-CLUSTER.person.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0083], code=at0083, itemType=SLOT, level=2, text=Distribution list, description=Details of additional clinicians or organisations who require a copy of the examination result., comment=The 'Distribution list' is for information-only, and that the primary recipient of the report is the person intended to act on the information., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: openEHR-EHR-CLUSTER.organisation.v0 and specialisations or openEHR-EHR-CLUSTER.organisation.v1 and specialisations or openEHR-EHR-CLUSTER.person.v0 and specialisations or openEHR-EHR-CLUSTER.person.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0025]/items[at0046], code=at0046, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* All not explicitly excluded archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]