Imaging Diagnostic Report
0.0.1-current - ci-build International flag

Imaging Diagnostic Report, published by IHE Radiology Technical Committee. This guide is not an authorized publication; it is the continuous build for version 0.0.1-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/RAD.IDR/ and changes regularly. See the Directory of published versions

Resource Profile: Signature

Official URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idr-signature-provenance Version: 0.0.1-current
Draft as of 2024-06-25 Computable Name: IDRSignatureProvenance

Signature for Imaging Diagnostic Reports.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Provenance

NameFlagsCard.TypeDescription & Constraintsdoco
.. Provenance 0..* Provenance Who, What, When for a set of resources
... text S 0..1 Narrative Text summary of the resource, for human interpretation
... signature S 1..1 Signature Signature on target
.... type S 1..1 Coding Indication of the reason the entity signed the object(s)
Required Pattern: At least the following
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://uri.etsi.org/01903/v1.2.2
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ProofOfapproval
.... who 0..1 Reference(Practitioner | PractitionerRole) Who signed
.... onBehalfOf 0..1 Reference(Practitioner | PractitionerRole) The party represented

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Provenance 0..* Provenance Who, What, When for a set of resources
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text S 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... target Σ 1..* Reference(Resource) Target Reference(s) (usually version specific)
... agent ΣC 1..* BackboneElement Actor involved
prov-1: Who and onBehalfOf cannot be the same
prov-2: If who is a PractitionerRole, onBehalfOf can't reference the same Practitioner
prov-3: If who is an organization, onBehalfOf can't be a PractitionerRole within that organization
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... who ΣC 1..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) The agent that participated in the event
.... onBehalfOf C 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient) The agent that delegated
... signature S 1..1 Signature Signature on target
.... type SΣ 1..1 Coding Indication of the reason the entity signed the object(s)
Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.



Required Pattern: At least the following
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://uri.etsi.org/01903/v1.2.2
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ProofOfapproval
.... who Σ 0..1 Reference(Practitioner | PractitionerRole) Who signed
.... onBehalfOf Σ 0..1 Reference(Practitioner | PractitionerRole) The party represented

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Provenance.signature.typepreferredPattern: ProofOfapproval
http://hl7.org/fhir/ValueSet/signature-type
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Provenance 0..* Provenance Who, What, When for a set of resources
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language

Additional BindingsPurpose
CommonLanguages Starter Set
... text S 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... target Σ 1..* Reference(Resource) Target Reference(s) (usually version specific)
... occurred[x] 0..1 When the activity occurred
.... occurredPeriod Period
.... occurredDateTime dateTime
... recorded Σ 0..1 instant When the activity was recorded / updated
... policy 0..* uri Policy or plan the activity was defined by
... location 0..1 Reference(Location) Where the activity occurred, if relevant
... authorization 0..* CodeableReference() Authorization (purposeOfUse) related to the event
Binding: PurposeOfUse (example): The authorized purposeOfUse for the activity.


... activity 0..1 CodeableConcept Activity that occurred
Binding: ProvenanceActivityType (example): The activity that took place.

... basedOn 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | Task) Workflow authorization within which this event occurred
... patient 0..1 Reference(Patient) The patient is the subject of the data created/updated (.target) by the activity
... encounter 0..1 Reference(Encounter) Encounter within which this event occurred or which the event is tightly associated
... agent ΣC 1..* BackboneElement Actor involved
prov-1: Who and onBehalfOf cannot be the same
prov-2: If who is a PractitionerRole, onBehalfOf can't reference the same Practitioner
prov-3: If who is an organization, onBehalfOf can't be a PractitionerRole within that organization
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 0..1 CodeableConcept How the agent participated
Binding: ParticipationRoleType (example): The type of participation that a provenance agent played with respect to the activity.

.... role 0..* CodeableConcept What the agents role was
Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.


.... who ΣC 1..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) The agent that participated in the event
.... onBehalfOf C 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient) The agent that delegated
... entity Σ 0..* BackboneElement An entity used in this activity
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... role Σ 1..1 code revision | quotation | source | instantiates | removal
Binding: ProvenanceEntityRole (required): How an entity was used in an activity.

.... what Σ 1..1 Reference(Resource) Identity of entity
.... agent 0..* See agent (Provenance) Entity is attributed to this agent
... signature S 1..1 Signature Signature on target
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... type SΣ 1..1 Coding Indication of the reason the entity signed the object(s)
Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.



Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://uri.etsi.org/01903/v1.2.2
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ProofOfapproval
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... when Σ 0..1 instant When the signature was created
.... who Σ 0..1 Reference(Practitioner | PractitionerRole) Who signed
.... onBehalfOf Σ 0..1 Reference(Practitioner | PractitionerRole) The party represented
.... targetFormat 0..1 code The technical format of the signed resources
Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

.... sigFormat 0..1 code The technical format of the signature
Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

.... data 0..1 base64Binary The actual signature content (XML DigSig. JWS, picture, etc.)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Provenance.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
Provenance.authorizationexamplePurposeOfUse
http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Provenance.activityexampleProvenanceActivityType
http://hl7.org/fhir/ValueSet/provenance-activity-type
from the FHIR Standard
Provenance.agent.typeexampleParticipationRoleType
http://hl7.org/fhir/ValueSet/participation-role-type
from the FHIR Standard
Provenance.agent.roleexampleSecurityRoleType
http://hl7.org/fhir/ValueSet/security-role-type
from the FHIR Standard
Provenance.entity.rolerequiredProvenanceEntityRole
http://hl7.org/fhir/ValueSet/provenance-entity-role|5.0.0
from the FHIR Standard
Provenance.signature.typepreferredPattern: ProofOfapproval
http://hl7.org/fhir/ValueSet/signature-type
from the FHIR Standard
Provenance.signature.targetFormatrequiredMimeTypes (a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|5.0.0
from the FHIR Standard
Provenance.signature.sigFormatrequiredMimeTypes (a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|5.0.0
from the FHIR Standard

This structure is derived from Provenance

Summary

Mandatory: 2 elements
Must-Support: 3 elements

Differential View

This structure is derived from Provenance

NameFlagsCard.TypeDescription & Constraintsdoco
.. Provenance 0..* Provenance Who, What, When for a set of resources
... text S 0..1 Narrative Text summary of the resource, for human interpretation
... signature S 1..1 Signature Signature on target
.... type S 1..1 Coding Indication of the reason the entity signed the object(s)
Required Pattern: At least the following
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://uri.etsi.org/01903/v1.2.2
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ProofOfapproval
.... who 0..1 Reference(Practitioner | PractitionerRole) Who signed
.... onBehalfOf 0..1 Reference(Practitioner | PractitionerRole) The party represented

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Provenance 0..* Provenance Who, What, When for a set of resources
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text S 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... target Σ 1..* Reference(Resource) Target Reference(s) (usually version specific)
... agent ΣC 1..* BackboneElement Actor involved
prov-1: Who and onBehalfOf cannot be the same
prov-2: If who is a PractitionerRole, onBehalfOf can't reference the same Practitioner
prov-3: If who is an organization, onBehalfOf can't be a PractitionerRole within that organization
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... who ΣC 1..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) The agent that participated in the event
.... onBehalfOf C 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient) The agent that delegated
... signature S 1..1 Signature Signature on target
.... type SΣ 1..1 Coding Indication of the reason the entity signed the object(s)
Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.



Required Pattern: At least the following
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://uri.etsi.org/01903/v1.2.2
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ProofOfapproval
.... who Σ 0..1 Reference(Practitioner | PractitionerRole) Who signed
.... onBehalfOf Σ 0..1 Reference(Practitioner | PractitionerRole) The party represented

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Provenance.signature.typepreferredPattern: ProofOfapproval
http://hl7.org/fhir/ValueSet/signature-type
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Provenance 0..* Provenance Who, What, When for a set of resources
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language

Additional BindingsPurpose
CommonLanguages Starter Set
... text S 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... target Σ 1..* Reference(Resource) Target Reference(s) (usually version specific)
... occurred[x] 0..1 When the activity occurred
.... occurredPeriod Period
.... occurredDateTime dateTime
... recorded Σ 0..1 instant When the activity was recorded / updated
... policy 0..* uri Policy or plan the activity was defined by
... location 0..1 Reference(Location) Where the activity occurred, if relevant
... authorization 0..* CodeableReference() Authorization (purposeOfUse) related to the event
Binding: PurposeOfUse (example): The authorized purposeOfUse for the activity.


... activity 0..1 CodeableConcept Activity that occurred
Binding: ProvenanceActivityType (example): The activity that took place.

... basedOn 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | Task) Workflow authorization within which this event occurred
... patient 0..1 Reference(Patient) The patient is the subject of the data created/updated (.target) by the activity
... encounter 0..1 Reference(Encounter) Encounter within which this event occurred or which the event is tightly associated
... agent ΣC 1..* BackboneElement Actor involved
prov-1: Who and onBehalfOf cannot be the same
prov-2: If who is a PractitionerRole, onBehalfOf can't reference the same Practitioner
prov-3: If who is an organization, onBehalfOf can't be a PractitionerRole within that organization
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 0..1 CodeableConcept How the agent participated
Binding: ParticipationRoleType (example): The type of participation that a provenance agent played with respect to the activity.

.... role 0..* CodeableConcept What the agents role was
Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.


.... who ΣC 1..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) The agent that participated in the event
.... onBehalfOf C 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient) The agent that delegated
... entity Σ 0..* BackboneElement An entity used in this activity
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... role Σ 1..1 code revision | quotation | source | instantiates | removal
Binding: ProvenanceEntityRole (required): How an entity was used in an activity.

.... what Σ 1..1 Reference(Resource) Identity of entity
.... agent 0..* See agent (Provenance) Entity is attributed to this agent
... signature S 1..1 Signature Signature on target
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... type SΣ 1..1 Coding Indication of the reason the entity signed the object(s)
Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.



Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://uri.etsi.org/01903/v1.2.2
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ProofOfapproval
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... when Σ 0..1 instant When the signature was created
.... who Σ 0..1 Reference(Practitioner | PractitionerRole) Who signed
.... onBehalfOf Σ 0..1 Reference(Practitioner | PractitionerRole) The party represented
.... targetFormat 0..1 code The technical format of the signed resources
Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

.... sigFormat 0..1 code The technical format of the signature
Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

.... data 0..1 base64Binary The actual signature content (XML DigSig. JWS, picture, etc.)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Provenance.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
Provenance.authorizationexamplePurposeOfUse
http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Provenance.activityexampleProvenanceActivityType
http://hl7.org/fhir/ValueSet/provenance-activity-type
from the FHIR Standard
Provenance.agent.typeexampleParticipationRoleType
http://hl7.org/fhir/ValueSet/participation-role-type
from the FHIR Standard
Provenance.agent.roleexampleSecurityRoleType
http://hl7.org/fhir/ValueSet/security-role-type
from the FHIR Standard
Provenance.entity.rolerequiredProvenanceEntityRole
http://hl7.org/fhir/ValueSet/provenance-entity-role|5.0.0
from the FHIR Standard
Provenance.signature.typepreferredPattern: ProofOfapproval
http://hl7.org/fhir/ValueSet/signature-type
from the FHIR Standard
Provenance.signature.targetFormatrequiredMimeTypes (a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|5.0.0
from the FHIR Standard
Provenance.signature.sigFormatrequiredMimeTypes (a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|5.0.0
from the FHIR Standard

This structure is derived from Provenance

Summary

Mandatory: 2 elements
Must-Support: 3 elements

 

Other representations of profile: CSV, Excel, Schematron