Imaging Diagnostic Report
0.0.1-current - ci-build

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: Comaprison studies

Official URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idr-comparison-study | Version: 0.0.1-current
Draft as of 2024-06-25 | Computable Name: IDRComparisonStudy

This serves as a library of studies that imaging clinician took into considerations.

Usage:

- Refer to this Resource Profile: IDR DiagnosticReport Comparison Study

### Formal Views of Profile Content

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

- Differential Table
- Key Elements Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from ImagingStudy

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ImagingStudy |  | 0..* | ImagingStudy | A set of images produced in single study (one or more series of references images)
text | S | 0..1 | Narrative | Text summary of the resource, for human interpretation
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ImagingStudy |  | 0..* | ImagingStudy | A set of images produced in single study (one or more series of references images)
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
status | ?!Σ | 1..1 | code | registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
subject | Σ | 1..1 | Reference(Patient | Device | Group) | Who or what is the subject of the study
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
ImagingStudy.status | required | ImagingStudyStatus `http://hl7.org/fhir/ValueSet/imagingstudy-status|5.0.0` from the FHIR Standard

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ImagingStudy |  | 0..* | ImagingStudy | A set of images produced in single study (one or more series of references images)
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 Bindings | Purpose
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
identifier | Σ | 0..* | Identifier | Identifiers for the whole study
status | ?!Σ | 1..1 | code | registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
modality | Σ | 0..* | CodeableConcept | All of the distinct values for series' modalities Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html (extensible): Type of acquired data in the instance.
subject | Σ | 1..1 | Reference(Patient | Device | Group) | Who or what is the subject of the study
encounter | Σ | 0..1 | Reference(Encounter) | Encounter with which this imaging study is associated
started | Σ | 0..1 | dateTime | When the study was started Example General: 2011-01-01T11:01:20+03:00
basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) | Request fulfilled
partOf | Σ | 0..* | Reference(Procedure) | Part of referenced event
referrer | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | Referring physician
endpoint | Σ | 0..* | Reference(Endpoint) | Study access endpoint
numberOfSeries | Σ | 0..1 | unsignedInt | Number of Study Related Series
numberOfInstances | Σ | 0..1 | unsignedInt | Number of Study Related Instances
procedure | Σ | 0..* | CodeableReference(PlanDefinition | ActivityDefinition) | The performed procedure or code Binding: LOINC loinc-rsna-radiology-playbook (preferred): Use of RadLex is preferred
location | Σ | 0..1 | Reference(Location) | Where ImagingStudy occurred
reason | Σ | 0..* | CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference) | Why the study was requested / performed Binding: ProcedureReasonCodes (example): The reason for the study.
note | Σ | 0..* | Annotation | User-defined comments
description | Σ | 0..1 | string | Institution-generated description
series | Σ | 0..* | BackboneElement | Each study has one or more series of instances
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
uid | Σ | 1..1 | id | DICOM Series Instance UID for the series Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
number | Σ | 0..1 | unsignedInt | Numeric identifier of this series Example General: 3
modality | Σ | 1..1 | CodeableConcept | The modality used for this series Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html (extensible): Type of acquired data in the instance.
description | Σ | 0..1 | string | A short human readable summary of the series Example General: CT Surview 180
numberOfInstances | Σ | 0..1 | unsignedInt | Number of Series Related Instances
endpoint | Σ | 0..* | Reference(Endpoint) | Series access endpoint
bodySite | Σ | 0..1 | CodeableReference(BodyStructure) | Body part examined Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
laterality | Σ | 0..1 | CodeableConcept | Body part laterality Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_244.html (example): Codes describing body site laterality (left, right, etc.).
specimen | Σ | 0..* | Reference(Specimen) | Specimen imaged
started | Σ | 0..1 | dateTime | When the series started
performer | Σ | 0..* | BackboneElement | Who performed the series
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
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson | HealthcareService) | Who performed the series
instance |  | 0..* | BackboneElement | A single SOP instance from the series
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
uid |  | 1..1 | id | DICOM SOP Instance UID Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
sopClass |  | 1..1 | Coding | DICOM class type Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance.
number |  | 0..1 | unsignedInt | The number of this instance in the series Example General: 1
title |  | 0..1 | string | Description of instance
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
ImagingStudy.language | required | AllLanguages `http://hl7.org/fhir/ValueSet/all-languages|5.0.0` from the FHIR Standard
ImagingStudy.status | required | ImagingStudyStatus `http://hl7.org/fhir/ValueSet/imagingstudy-status|5.0.0` from the FHIR Standard
ImagingStudy.modality | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html `http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html`
ImagingStudy.procedure | preferred | LOINC loinc-rsna-radiology-playbook `http://loinc.org/vs/loinc-rsna-radiology-playbook`
ImagingStudy.reason | example | ProcedureReasonCodes `http://hl7.org/fhir/ValueSet/procedure-reason` from the FHIR Standard
ImagingStudy.series.modality | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html `http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html`
ImagingStudy.series.bodySite | example | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` from the FHIR Standard
ImagingStudy.series.laterality | example | http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_244.html `http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_244.html`
ImagingStudy.series.performer.function | extensible | ImagingStudySeriesPerformerFunction `http://hl7.org/fhir/ValueSet/series-performer-function` from the FHIR Standard
ImagingStudy.series.instance.sopClass | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 `http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1`

This structure is derived from ImagingStudy

Summary

Must-Support: 1 element

Differential View

This structure is derived from ImagingStudy

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ImagingStudy |  | 0..* | ImagingStudy | A set of images produced in single study (one or more series of references images)
text | S | 0..1 | Narrative | Text summary of the resource, for human interpretation
Documentation for this format

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ImagingStudy |  | 0..* | ImagingStudy | A set of images produced in single study (one or more series of references images)
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
status | ?!Σ | 1..1 | code | registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
subject | Σ | 1..1 | Reference(Patient | Device | Group) | Who or what is the subject of the study
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
ImagingStudy.status | required | ImagingStudyStatus `http://hl7.org/fhir/ValueSet/imagingstudy-status|5.0.0` from the FHIR Standard

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ImagingStudy |  | 0..* | ImagingStudy | A set of images produced in single study (one or more series of references images)
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 Bindings | Purpose
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
identifier | Σ | 0..* | Identifier | Identifiers for the whole study
status | ?!Σ | 1..1 | code | registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
modality | Σ | 0..* | CodeableConcept | All of the distinct values for series' modalities Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html (extensible): Type of acquired data in the instance.
subject | Σ | 1..1 | Reference(Patient | Device | Group) | Who or what is the subject of the study
encounter | Σ | 0..1 | Reference(Encounter) | Encounter with which this imaging study is associated
started | Σ | 0..1 | dateTime | When the study was started Example General: 2011-01-01T11:01:20+03:00
basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) | Request fulfilled
partOf | Σ | 0..* | Reference(Procedure) | Part of referenced event
referrer | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | Referring physician
endpoint | Σ | 0..* | Reference(Endpoint) | Study access endpoint
numberOfSeries | Σ | 0..1 | unsignedInt | Number of Study Related Series
numberOfInstances | Σ | 0..1 | unsignedInt | Number of Study Related Instances
procedure | Σ | 0..* | CodeableReference(PlanDefinition | ActivityDefinition) | The performed procedure or code Binding: LOINC loinc-rsna-radiology-playbook (preferred): Use of RadLex is preferred
location | Σ | 0..1 | Reference(Location) | Where ImagingStudy occurred
reason | Σ | 0..* | CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference) | Why the study was requested / performed Binding: ProcedureReasonCodes (example): The reason for the study.
note | Σ | 0..* | Annotation | User-defined comments
description | Σ | 0..1 | string | Institution-generated description
series | Σ | 0..* | BackboneElement | Each study has one or more series of instances
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
uid | Σ | 1..1 | id | DICOM Series Instance UID for the series Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
number | Σ | 0..1 | unsignedInt | Numeric identifier of this series Example General: 3
modality | Σ | 1..1 | CodeableConcept | The modality used for this series Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html (extensible): Type of acquired data in the instance.
description | Σ | 0..1 | string | A short human readable summary of the series Example General: CT Surview 180
numberOfInstances | Σ | 0..1 | unsignedInt | Number of Series Related Instances
endpoint | Σ | 0..* | Reference(Endpoint) | Series access endpoint
bodySite | Σ | 0..1 | CodeableReference(BodyStructure) | Body part examined Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
laterality | Σ | 0..1 | CodeableConcept | Body part laterality Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_244.html (example): Codes describing body site laterality (left, right, etc.).
specimen | Σ | 0..* | Reference(Specimen) | Specimen imaged
started | Σ | 0..1 | dateTime | When the series started
performer | Σ | 0..* | BackboneElement | Who performed the series
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
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson | HealthcareService) | Who performed the series
instance |  | 0..* | BackboneElement | A single SOP instance from the series
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
uid |  | 1..1 | id | DICOM SOP Instance UID Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
sopClass |  | 1..1 | Coding | DICOM class type Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance.
number |  | 0..1 | unsignedInt | The number of this instance in the series Example General: 1
title |  | 0..1 | string | Description of instance
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
ImagingStudy.language | required | AllLanguages `http://hl7.org/fhir/ValueSet/all-languages|5.0.0` from the FHIR Standard
ImagingStudy.status | required | ImagingStudyStatus `http://hl7.org/fhir/ValueSet/imagingstudy-status|5.0.0` from the FHIR Standard
ImagingStudy.modality | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html `http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html`
ImagingStudy.procedure | preferred | LOINC loinc-rsna-radiology-playbook `http://loinc.org/vs/loinc-rsna-radiology-playbook`
ImagingStudy.reason | example | ProcedureReasonCodes `http://hl7.org/fhir/ValueSet/procedure-reason` from the FHIR Standard
ImagingStudy.series.modality | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html `http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html`
ImagingStudy.series.bodySite | example | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` from the FHIR Standard
ImagingStudy.series.laterality | example | http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_244.html `http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_244.html`
ImagingStudy.series.performer.function | extensible | ImagingStudySeriesPerformerFunction `http://hl7.org/fhir/ValueSet/series-performer-function` from the FHIR Standard
ImagingStudy.series.instance.sopClass | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 `http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1`

This structure is derived from ImagingStudy

Summary

Must-Support: 1 element

Other representations of profile: CSV, Excel, Schematron