IMAGING CONNECTORS
Reports & Structured Data
6 of 8Exchange radiology and imaging reports, structured findings and quantitative results using DICOM Structured Report, HL7 and FHIR resources with complete provenance.
DICOM SRFHIR DiagnosticReportHL7 ORUStructured DataMeasurementsAI / CADProvenanceAudit
Reporting & Data Flow
1
Imaging study completed
Images stored in PACS / VNA
2
Preliminary report
Radiologist creates initial findings
3
Structured data captured
Findings, measurements and templates
4
Report finalization
Clinician signs and releases report
5
Structured report exchange
DICOM SR / FHIR / HL7 sent to Mediloop
6
Clinical delivery
Report available to clinicians and patient
Supported Report Types
| Type | Purpose |
|---|---|
| Preliminary | Early interpretation, not yet finalized |
| Final | Official signed report |
| Amended | Correction or update to an existing report |
| Addendum | Additional information after finalization |
| Comparison | Comparison with prior studies |
| Consult | Sub-specialty opinion |
| AI Draft | AI-generated draft not clinically validated |
Standards & Resources
| Standard / resource | Usage |
|---|---|
| DICOM Structured Report | Imaging measurements, annotations and structured findings |
| FHIR DiagnosticReport | Clinical report envelope and result metadata |
| FHIR Observation | Measurements and quantitative findings |
| ImagingStudy | Study reference and linkage |
| HL7 ORU | Legacy / enterprise report delivery |
| DocumentReference / Media | Attached PDF, DICOM SR and associated media |
Report Content
Procedure / exam details
Clinical history / indication
Technique / protocol
Findings — text and structured
Measurements & quantitative results
Impression / conclusions
Recommendations
Key images / cine clips
Attachments — PDF, CDA, DICOM SR
Author, contributors and sign-off
Structured Findings & Measurements
Lesions / nodules
Organ / anatomy
Size, volume, area and distance
SUV, DWI ADC and perfusion metrics
BI-RADS, LI-RADS, PI-RADS and other structured scores
Segmentation references
Anatomic locations using SNOMED CT where applicable
Units represented with UCUM and coded values with LOINC where appropriate
Provenance & Data Integrity
Statement of authorship and clinical role
Digital-signature / sign-off status when available
Source-system identification — PACS / RIS / AI tool
Creation, modification and sign timestamps
Amendment history with reasons
Complete audit trail of access and changes
Preserve original report and structured-data versions
AI & CAD Integration
AI-generated
AI results stored as separate observations or annotations
Model/version/date/parameter provenance recorded
Generated findings remain distinguishable from clinician-authored findings
Clinically validated
Clinician reviews, accepts or rejects suggestions
Accepted findings are incorporated through controlled workflow
Audit captures the transition from AI suggestion to clinical decision
Report Exchange
Push
DICOM SR via C-STORE
FHIR via REST / Bulk Data where applicable
HL7 ORU through interface engine
Webhooks / events for status changes
Pull / On Demand
QIDO-RS for report-linked study discovery
WADO-RS for SR documents
FHIR search for DiagnosticReport
DocumentReference / Media retrieval
Subscriptions & Events
| Event | Description |
|---|---|
| report.created | Preliminary or draft report created |
| report.amended | Report amended / addendum added |
| report.signed | Report signed and released |
| report.status.changed | Lifecycle state changed |
| critical.finding | Critical result / finding flagged |
| report.deleted / retracted | Report removed or retracted according to policy |
| ai.result.available | AI result associated with study |
Report Lifecycle
1
Draft
Working interpretation
2
Preliminary
Initial report available
3
Final
Signed clinical report
4
Amended / Addendum
Controlled post-final change
5
Retired
Historical / replaced state
Key Benefits
Complete clinical context with images and structured findings
Interoperable across imaging systems and care teams
Improved accuracy and decision support
Traceability, compliance and medico-legal protection
Supports AI, research and analytics
Consistent patient and clinician access to finalized reports
Common Use Cases
Radiology report delivery to EHR / HIS
Structured oncology reporting
Multi-disciplinary tumor boards
Outpatient result communication
Measurements for follow-up
Research datasets and registries
AI triage and decision-support workflows