Imaging Diagnostic Report
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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

Artifacts Summary

Contents:

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Behavior: Capability Statements

The following artifacts define the specific capabilities that different types of systems are expected to have in order to comply with this implementation guide. Systems conforming to this implementation guide are expected to declare conformance to one or more of the following capability statements.

ToDo Actor

CapabilityStatement for Client Actor
ToDo Server Actor

CapabilityStatement for Server Actor.

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

IDR Complex Values Observation: Experimental

An observation that captures a complex results, possibly with nested structure.
IDR FamilyMemberHistory

Family member medical history of patient in Imaging Diagnostic Report
IDR Imaging DiagnosticReport

IHE Imaging Diagnostic Report (IDR) Profile of DiagnosticReport
IDR Imaging Observation

Findings or impressions in imaging reports
IDR Imaging ServiceRequest

Imaging order suitable for referencing from an IDR imaging diagnostic report.
IDR ImagingSelection

ImagingSelection for key images associated with an Observation
IDR ImagingStudy

ImagingStudy(ies) being reported or referenced as priors for comparison by the imaging clinician.
IDR Multi-Component Observation: Experimental

An observation that captures a single result which consists of multiple components
IDR Patient

Patient that is the subject of an imaging diagnostic report.
IDR Patient History Condition

A past diagnosis of a patient in an imaging report.
IDR Patient History Observation

Relevant observations from referring physician, nursing notes, past care, and past diagnostics such as patholgy or lab values.
IDR Patient History Procedure

A patient history entry describing a past procedure performed on them.
IDR Recommendation ServiceRequest

Draft ServiceRequests representing Recommendations from an Imaging Report
IDR Report Communication

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

A condition appearing in the impression of an imaging report.
IDR Reported Imaging Procedure

Procedure information, such as technique, materials, and processing, for the imaging procedure being reported.
IDR Single Value And Component Observation: Experimental

An observation that captures a single value with component(s)
IDR Single Value Observation: Experimental

An observation that captures a single value
ImagingStudy Endpoint

Endpoint used for an imaging study.

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

(AddR6toR4) DiagnosticReport.communication

Communication initiated during the reporting process.
(AddR6toR4) DiagnosticReport.comparison

Relevant prior exams
(AddR6toR4) DiagnosticReport.conclusionCode as CodeableReference

Coded Conclusions about Conditions and Observations
(AddR6toR4) DiagnosticReport.recommendation

Recommendations based on findings and interpretations
IDR Actionable Condition

Actionable indication in impression.
IDR Imaging Procedure

Imaging procedure used for the imaging acquisition
IDR Impression Condition Likelihood.

likelihood of condition assertion
IDR Patient History

Patient history that are relevant for the report

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

IDR DiagnosticReport.status ValueSet

Valueset for imaging diagnostic reports
Imaging ServiceRequest intent Value Set

Codes representing the applicable intent for a ServiceRequest.
Imaging Study Endpoint ConnectionType Value Set

Codes representing the applicable endpoint connectionType to retrieve a study.
Imaging Study Endpoint PayloadType Value Set

Codes representing the applicable endpoint payloadType to retrieve a study.
Impression Condition category ValueSet

Valueset for impression as Condition.
Recommendation Imaging ServiceRequest intent Value Set

Codes representing the recommendation intent for a ServiceRequest.

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

IDR Impression category

Impression category codes for IDR

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

A DiagnosticReport: XR Chest

Two View Chest XRay Report
BodyStructure: Left Breast
Condition: Chest Pain

Chest Pain as current problem being worked up
Condition: Pulmonary Infarct

Pulmonary infarct in lower lobe of right lung
Condition: Shortness of Breath

Shortness of Breath as current problem being worked up
Condition: Suspicious Density

A suspicious soft tissue density in the left breast
ImagingStudy: IMR Comparison example

Simple IMR ImagingStudy to be used as a comparison study in DiagnosticReport
ImagingStudy: IMR example

Simple IMR ImagingStudy to be used in DiagnosticReport
ImagingStudyEndpoint: Comparison Study

Simple Imaging Study Endpoint for the comparison study
ImagingStudyEndpoint: Series

Simple Imaging Series Endpoint
ImagingStudyEndpoint: Study

Simple Imaging Study Endpoint
Organization: Imaging practice

Simple Organization to be used in DiagnosticReport
Patient: Jane Doe

Simple Patient
Practitioner: Radiologist

Simple Practitioner to be used in DiagnosticReport
Practitioner: Referring

Simple Practitioner to be used in DiagnosticReport
Procedure: XR Chest

Radiologic Examination, Chest; Two View
Procedure: XR Chest (Comparison)

Radiologic Examination, Chest; Single View; Comparison
ServiceRequest: CT Abdomen Pelvis

CT Abdomen Pelvis order
ServiceRequest: Mammography Recommendation

Mammography Recommendation
ServiceRequest: XR Chest

Single View Chest XRay order
ServiceRequest: XR Chest (Comparison)

Single View Chest XRay of a previous completed order