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: IDR Report Communication

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

Communication of impressions, critical results and/or actionable findings in Imaging Diagnostic Reports.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

This structure is derived from Communication

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* Communication A clinical or business level record of information being transmitted or shared
... text S 1..1 Narrative Text summary of the resource, for human interpretation
... basedOn 0..* Reference(CarePlan | CommunicationRequest | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | Task | VisionPrescription) Request fulfilled by this communication
... partOf S 1..1 Reference(IDR Imaging DiagnosticReport) Part of referenced event (e.g. Communication, Procedure)
... status 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
... medium S 0..* CodeableConcept A channel of communication
... subject S 1..1 Reference(Patient) Focus of message
... topic S 0..1 CodeableConcept Description of the purpose/content
... about S 0..* Reference(IDR Report Impression Condition | IDR Recommendation ServiceRequest) Resources that pertain to this communication
... encounter 0..1 Reference(Encounter) The Encounter during which this Communication was created
... sent S 1..1 dateTime When sent
... received S 0..1 dateTime When received
... recipient S 0..* Reference(CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Endpoint) Who the information is shared with
... sender S 0..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService | Endpoint | CareTeam) Who shares the information
... reason S 0..* CodeableReference(IDR Report Impression Condition | IDR Recommendation ServiceRequest) Indication for message

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* Communication A clinical or business level record of information being transmitted or shared
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text S 1..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... basedOn Σ 0..* Reference(CarePlan | CommunicationRequest | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | Task | VisionPrescription) Request fulfilled by this communication
... partOf SΣ 1..1 Reference(IDR Imaging DiagnosticReport) Part of referenced event (e.g. Communication, Procedure)
... status ?!Σ 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): The status of the communication.
... medium S 0..* CodeableConcept A channel of communication
Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.
... subject SΣ 1..1 Reference(Patient) Focus of message
... topic S 0..1 CodeableConcept Description of the purpose/content
Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication.
... about S 0..* Reference(IDR Report Impression Condition | IDR Recommendation ServiceRequest) Resources that pertain to this communication
... encounter Σ 0..1 Reference(Encounter) The Encounter during which this Communication was created
... sent S 1..1 dateTime When sent
... received S 0..1 dateTime When received
... recipient S 0..* Reference(CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Endpoint) Who the information is shared with
... sender S 0..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService | Endpoint | CareTeam) Who shares the information
... reason SΣ 0..* CodeableReference(IDR Report Impression Condition | IDR Recommendation ServiceRequest) Indication for message
Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Communication.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|6.0.0-ballot3
From the FHIR Standard
Communication.mediumexampleParticipationMode
http://terminology.hl7.org/ValueSet/v3-ParticipationMode
Communication.topicexampleCommunicationTopic
http://hl7.org/fhir/ValueSet/communication-topic|6.0.0-ballot3
From the FHIR Standard
Communication.reasonexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings|6.0.0-ballot3
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorCommunicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCommunicationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCommunicationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCommunicationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCommunicationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* Communication A clinical or business level record of information being transmitted or shared
... 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
... text S 1..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Unique identifier
... basedOn Σ 0..* Reference(CarePlan | CommunicationRequest | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | Task | VisionPrescription) Request fulfilled by this communication
... partOf SΣ 1..1 Reference(IDR Imaging DiagnosticReport) Part of referenced event (e.g. Communication, Procedure)
... inResponseTo 0..* Reference(Communication) Reply to
... status ?!Σ 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): The status of the communication.
... statusReason Σ 0..1 CodeableConcept Reason for current status
Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen.
... category 0..* CodeableConcept Message category
Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc.
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Codes indicating the relative importance of a communication.
... medium S 0..* CodeableConcept A channel of communication
Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.
... subject SΣ 1..1 Reference(Patient) Focus of message
... topic S 0..1 CodeableConcept Description of the purpose/content
Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication.
... about S 0..* Reference(IDR Report Impression Condition | IDR Recommendation ServiceRequest) Resources that pertain to this communication
... encounter Σ 0..1 Reference(Encounter) The Encounter during which this Communication was created
... sent S 1..1 dateTime When sent
... received S 0..1 dateTime When received
... recipient S 0..* Reference(CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Endpoint) Who the information is shared with
... sender S 0..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService | Endpoint | CareTeam) Who shares the information
... reason SΣ 0..* CodeableReference(IDR Report Impression Condition | IDR Recommendation ServiceRequest) Indication for message
Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.
... payload 0..* BackboneElement Message payload
.... 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
.... content[x] 1..1 Message part content
..... contentAttachment Attachment
..... contentReference Reference(Resource)
..... contentCodeableConcept CodeableConcept
... note 0..* Annotation Comments made about the communication

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Communication.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3
From the FHIR Standard
Communication.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|6.0.0-ballot3
From the FHIR Standard
Communication.statusReasonexampleCommunicationNotDoneReason
http://hl7.org/fhir/ValueSet/communication-not-done-reason|6.0.0-ballot3
From the FHIR Standard
Communication.categoryexampleCommunicationCategory
http://hl7.org/fhir/ValueSet/communication-category|6.0.0-ballot3
From the FHIR Standard
Communication.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|6.0.0-ballot3
From the FHIR Standard
Communication.mediumexampleParticipationMode
http://terminology.hl7.org/ValueSet/v3-ParticipationMode
Communication.topicexampleCommunicationTopic
http://hl7.org/fhir/ValueSet/communication-topic|6.0.0-ballot3
From the FHIR Standard
Communication.reasonexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings|6.0.0-ballot3
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorCommunicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCommunicationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCommunicationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCommunicationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCommunicationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())

Differential View

This structure is derived from Communication

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* Communication A clinical or business level record of information being transmitted or shared
... text S 1..1 Narrative Text summary of the resource, for human interpretation
... basedOn 0..* Reference(CarePlan | CommunicationRequest | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | Task | VisionPrescription) Request fulfilled by this communication
... partOf S 1..1 Reference(IDR Imaging DiagnosticReport) Part of referenced event (e.g. Communication, Procedure)
... status 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
... medium S 0..* CodeableConcept A channel of communication
... subject S 1..1 Reference(Patient) Focus of message
... topic S 0..1 CodeableConcept Description of the purpose/content
... about S 0..* Reference(IDR Report Impression Condition | IDR Recommendation ServiceRequest) Resources that pertain to this communication
... encounter 0..1 Reference(Encounter) The Encounter during which this Communication was created
... sent S 1..1 dateTime When sent
... received S 0..1 dateTime When received
... recipient S 0..* Reference(CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Endpoint) Who the information is shared with
... sender S 0..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService | Endpoint | CareTeam) Who shares the information
... reason S 0..* CodeableReference(IDR Report Impression Condition | IDR Recommendation ServiceRequest) Indication for message

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* Communication A clinical or business level record of information being transmitted or shared
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text S 1..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... basedOn Σ 0..* Reference(CarePlan | CommunicationRequest | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | Task | VisionPrescription) Request fulfilled by this communication
... partOf SΣ 1..1 Reference(IDR Imaging DiagnosticReport) Part of referenced event (e.g. Communication, Procedure)
... status ?!Σ 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): The status of the communication.
... medium S 0..* CodeableConcept A channel of communication
Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.
... subject SΣ 1..1 Reference(Patient) Focus of message
... topic S 0..1 CodeableConcept Description of the purpose/content
Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication.
... about S 0..* Reference(IDR Report Impression Condition | IDR Recommendation ServiceRequest) Resources that pertain to this communication
... encounter Σ 0..1 Reference(Encounter) The Encounter during which this Communication was created
... sent S 1..1 dateTime When sent
... received S 0..1 dateTime When received
... recipient S 0..* Reference(CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Endpoint) Who the information is shared with
... sender S 0..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService | Endpoint | CareTeam) Who shares the information
... reason SΣ 0..* CodeableReference(IDR Report Impression Condition | IDR Recommendation ServiceRequest) Indication for message
Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Communication.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|6.0.0-ballot3
From the FHIR Standard
Communication.mediumexampleParticipationMode
http://terminology.hl7.org/ValueSet/v3-ParticipationMode
Communication.topicexampleCommunicationTopic
http://hl7.org/fhir/ValueSet/communication-topic|6.0.0-ballot3
From the FHIR Standard
Communication.reasonexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings|6.0.0-ballot3
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorCommunicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCommunicationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCommunicationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCommunicationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCommunicationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* Communication A clinical or business level record of information being transmitted or shared
... 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
... text S 1..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Unique identifier
... basedOn Σ 0..* Reference(CarePlan | CommunicationRequest | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | Task | VisionPrescription) Request fulfilled by this communication
... partOf SΣ 1..1 Reference(IDR Imaging DiagnosticReport) Part of referenced event (e.g. Communication, Procedure)
... inResponseTo 0..* Reference(Communication) Reply to
... status ?!Σ 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): The status of the communication.
... statusReason Σ 0..1 CodeableConcept Reason for current status
Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen.
... category 0..* CodeableConcept Message category
Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc.
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Codes indicating the relative importance of a communication.
... medium S 0..* CodeableConcept A channel of communication
Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.
... subject SΣ 1..1 Reference(Patient) Focus of message
... topic S 0..1 CodeableConcept Description of the purpose/content
Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication.
... about S 0..* Reference(IDR Report Impression Condition | IDR Recommendation ServiceRequest) Resources that pertain to this communication
... encounter Σ 0..1 Reference(Encounter) The Encounter during which this Communication was created
... sent S 1..1 dateTime When sent
... received S 0..1 dateTime When received
... recipient S 0..* Reference(CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Endpoint) Who the information is shared with
... sender S 0..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService | Endpoint | CareTeam) Who shares the information
... reason SΣ 0..* CodeableReference(IDR Report Impression Condition | IDR Recommendation ServiceRequest) Indication for message
Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.
... payload 0..* BackboneElement Message payload
.... 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
.... content[x] 1..1 Message part content
..... contentAttachment Attachment
..... contentReference Reference(Resource)
..... contentCodeableConcept CodeableConcept
... note 0..* Annotation Comments made about the communication

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Communication.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3
From the FHIR Standard
Communication.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|6.0.0-ballot3
From the FHIR Standard
Communication.statusReasonexampleCommunicationNotDoneReason
http://hl7.org/fhir/ValueSet/communication-not-done-reason|6.0.0-ballot3
From the FHIR Standard
Communication.categoryexampleCommunicationCategory
http://hl7.org/fhir/ValueSet/communication-category|6.0.0-ballot3
From the FHIR Standard
Communication.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|6.0.0-ballot3
From the FHIR Standard
Communication.mediumexampleParticipationMode
http://terminology.hl7.org/ValueSet/v3-ParticipationMode
Communication.topicexampleCommunicationTopic
http://hl7.org/fhir/ValueSet/communication-topic|6.0.0-ballot3
From the FHIR Standard
Communication.reasonexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings|6.0.0-ballot3
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorCommunicationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCommunicationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCommunicationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCommunicationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCommunicationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())

 

Other representations of profile: CSV, Excel, Schematron