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

1:56 IDR Home

Official URL: https://profiles.ihe.net/RAD/IDR/ImplementationGuide/ihe.rad.idr Version: 0.0.1-current
Draft as of 2025-09-14 Computable Name: IHE_RAD_IDR

The Imaging Diagnostic Report Profile describes a machine-readable format for reports on diagnostic procedures of common radiology specialties using common modalities. It defines a FHIR-based encoding of the report, specifically addressing standard imaging report sections, including order, history, procedure/technique, comparison, findings/observations, impression/conclusion, recommendations, and signatures.

IMPORTANT: IDR is NOT yet recommended for production use.

Profiles released for Trial Implementation by IHE Radiology typically ARE expected to be stable enough for production use; however, this release of IDR is intended for experimental implementation and feedback.

See Significant Changes, Open and Closed Issues

Organization of This Guide

  1. Volume 1: Integration Profile
    1. Introduction
    2. Actors and Transactions
      1. Report Creator
      2. Report Repository
      3. Report Reader
      4. Report Consumer
    3. Actor Options
    4. Actor Required Groupings
    5. Overview
      1. Concepts
      2. Use Cases
        1. Use Case #1: Report Creation
        2. Use Case #2: Report Storage & Distribution
        3. Use Case #3: Report Presentation
        4. Use Case #4: Report Processing
    6. Security Considerations
    7. Cross Profile Considerations
  2. Volume 2: Transaction Detail
    1. Store Imaging Diagnostic Report [RAD-Y1]
    2. Query Imaging Diagnostic Report [RAD-Y2]
    3. Retrieve Imaging Diagnostic Report [RAD-Y3]
  3. Volume 3: Content Definitions
    1. Imaging Diagnostic Report Overview
    2. Imaging Diagnostic Report (top level resource) which references:
      1. Patient (Subject)
      2. ServiceRequest (Order)
      3. Patient History
        1. Condition
        2. Observation
        3. Procedure
        4. FamilyMemberHistory
      4. Procedure
      5. ImagingStudy
      6. Comparison
      7. Findings
      8. Impression / Conclusion
        1. Condition
        2. Observation
      9. ServiceRequest (Recommendation)
      10. Communication
  4. Volume 4: National Extensions
    1. National Extension for IHE United States - IDR
    2. National Extension for IHE Japan - IDR
    3. Regional Extension for IHE Europe - IDR
  5. Other
    1. Changes to Other IHE Specifications
    2. Download and Analysis
    3. Test Plan

See also the Table of Contents and the index of Artifacts defined as part of this implementation guide.

Conformance Expectations

IHE uses the normative words: Shall, Should, and May according to standards conventions.

Must Support

The use of mustSupport in StructureDefinition profiles is equivalent to the IHE use of R2 as defined in Appendix Z.

  • The source actor shall populate the element if the concept is supported by the actor, a value exists, and security and consent rules permit.
  • The consuming actors should handle these elements being populated or being absent/empty.

Note: mustSupport of true only has meaning on elements with minimal cardinality of zero (0) but sometimes will appear on elements with a minimal cardinality greater than zero (0) due to inheritance from a less constrained profile.