Existing Wording: "In the context of FHIR we are currently utilizing the FHIR DiagnosticReport anchor resource as since it provides a resource definition that can be referenced in a broad variety of other clinical communications as the reason for other treatment and diagnostic choices. This resource does not however provide the structural capabilities to aggregate together collections of observation, conditions and recommendations into the sections and subsections that are currently expected in a breast radiology report. For this ballot we have chosen to use the Composition resource which was designed for this purpose. Since DiagnosticReport did not inherently provide a method to reference Composition in this way, we were left with the somewhat awkward option of constraining out the Result attribute and then adding back in a nearly identical attribute ResultComposition which allows for referencing Composition."

Proposed Wording: Logical model / structure

Next to these terminological questions, we are missing the link between the radiology report, and the Imaging Study. How do the actual imaging objects (defined in FHIR) relate to the given profiles, would this be given through the DiagnosticReport.media link? This relation, to other related FHIR resources, would give the current proposal more embedding in the larger schema. This also brings me back to the previous comment, how specific is this proposal to breast cancer, and would it be better to repurpose it for oncology radiology reporting?

Comment:

See our comments (Breast Radiology Reporting Ballot2.doc

Summary:

No link to imaging study