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: Communications for Imaging Diagnostic Reports

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

Communications for Imaging Diagnostic Reports.

Usage:

- Refer to this Resource Profile: IDR Communication

### 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 Communication

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Communication |  | 0..* | Communication | A clinical or business level record of information being transmitted or shared
text | S | 0..1 | Narrative | Text summary of the resource, for human interpretation
partOf | S | 1..1 | Reference(Imaging Diagnostic Report) | Part of referenced event (e.g. Communication, Procedure)
medium | S | 0..* | CodeableConcept | A channel of communication
subject | S | 1..1 | Reference(IDR Patient) | Focus of message
topic | S | 0..1 | CodeableConcept | Description of the purpose/content
about | S | 0..* | Reference(Impression as Condition | Recommendation) | Resources that pertain to this communication
sent | S | 1..1 | dateTime | When sent
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(Impression as Condition | Recommendation) | Indication for message
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
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 | 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
partOf | S Σ | 1..1 | Reference(Imaging Diagnostic Report) | 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 | S Σ | 1..1 | Reference(IDR 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(Impression as Condition | Recommendation) | Resources that pertain to this communication
sent | S | 1..1 | dateTime | When sent
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 Σ | 0..* | CodeableReference(Impression as Condition | Recommendation) | Indication for message Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Communication.status | required | EventStatus `http://hl7.org/fhir/ValueSet/event-status|5.0.0` from the FHIR Standard
Communication.medium | example | ParticipationMode `http://terminology.hl7.org/ValueSet/v3-ParticipationMode`
Communication.topic | example | CommunicationTopic `http://hl7.org/fhir/ValueSet/communication-topic` from the FHIR Standard
Communication.reason | example | SNOMEDCTClinicalFindings `http://hl7.org/fhir/ValueSet/clinical-findings` from the FHIR Standard

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
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 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 | Unique identifier
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(Resource) | Request fulfilled by this communication
partOf | S Σ | 1..1 | Reference(Imaging Diagnostic Report) | 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 | S Σ | 1..1 | Reference(IDR 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(Impression as Condition | Recommendation) | 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 |  | 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 Σ | 0..* | CodeableReference(Impression as Condition | Recommendation) | 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
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Communication.language | required | AllLanguages `http://hl7.org/fhir/ValueSet/all-languages|5.0.0` from the FHIR Standard
Communication.status | required | EventStatus `http://hl7.org/fhir/ValueSet/event-status|5.0.0` from the FHIR Standard
Communication.statusReason | example | CommunicationNotDoneReason `http://hl7.org/fhir/ValueSet/communication-not-done-reason` from the FHIR Standard
Communication.category | example | CommunicationCategory `http://hl7.org/fhir/ValueSet/communication-category` from the FHIR Standard
Communication.priority | required | RequestPriority `http://hl7.org/fhir/ValueSet/request-priority|5.0.0` from the FHIR Standard
Communication.medium | example | ParticipationMode `http://terminology.hl7.org/ValueSet/v3-ParticipationMode`
Communication.topic | example | CommunicationTopic `http://hl7.org/fhir/ValueSet/communication-topic` from the FHIR Standard
Communication.reason | example | SNOMEDCTClinicalFindings `http://hl7.org/fhir/ValueSet/clinical-findings` from the FHIR Standard

This structure is derived from Communication

Summary

Mandatory: 3 elements
Must-Support: 10 elements

Structures

This structure refers to these other structures:

- Imaging Diagnostic Report (https://profiles.ihe.net/RAD/IDR/StructureDefinition/imaging-diagnosticreport)
- IDR Patient (https://profiles.ihe.net/RAD/IDR/StructureDefinition/idr-patient)
- Impression as Condition (https://profiles.ihe.net/RAD/IDR/StructureDefinition/idr-impression-condition)
- Recommendation (https://profiles.ihe.net/RAD/IDR/StructureDefinition/idr-recommendation-service-request)

Differential View

This structure is derived from Communication

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Communication |  | 0..* | Communication | A clinical or business level record of information being transmitted or shared
text | S | 0..1 | Narrative | Text summary of the resource, for human interpretation
partOf | S | 1..1 | Reference(Imaging Diagnostic Report) | Part of referenced event (e.g. Communication, Procedure)
medium | S | 0..* | CodeableConcept | A channel of communication
subject | S | 1..1 | Reference(IDR Patient) | Focus of message
topic | S | 0..1 | CodeableConcept | Description of the purpose/content
about | S | 0..* | Reference(Impression as Condition | Recommendation) | Resources that pertain to this communication
sent | S | 1..1 | dateTime | When sent
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(Impression as Condition | Recommendation) | Indication for message
Documentation for this format

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
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 | 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
partOf | S Σ | 1..1 | Reference(Imaging Diagnostic Report) | 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 | S Σ | 1..1 | Reference(IDR 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(Impression as Condition | Recommendation) | Resources that pertain to this communication
sent | S | 1..1 | dateTime | When sent
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 Σ | 0..* | CodeableReference(Impression as Condition | Recommendation) | Indication for message Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Communication.status | required | EventStatus `http://hl7.org/fhir/ValueSet/event-status|5.0.0` from the FHIR Standard
Communication.medium | example | ParticipationMode `http://terminology.hl7.org/ValueSet/v3-ParticipationMode`
Communication.topic | example | CommunicationTopic `http://hl7.org/fhir/ValueSet/communication-topic` from the FHIR Standard
Communication.reason | example | SNOMEDCTClinicalFindings `http://hl7.org/fhir/ValueSet/clinical-findings` from the FHIR Standard

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
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 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 | Unique identifier
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(Resource) | Request fulfilled by this communication
partOf | S Σ | 1..1 | Reference(Imaging Diagnostic Report) | 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 | S Σ | 1..1 | Reference(IDR 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(Impression as Condition | Recommendation) | 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 |  | 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 Σ | 0..* | CodeableReference(Impression as Condition | Recommendation) | 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
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Communication.language | required | AllLanguages `http://hl7.org/fhir/ValueSet/all-languages|5.0.0` from the FHIR Standard
Communication.status | required | EventStatus `http://hl7.org/fhir/ValueSet/event-status|5.0.0` from the FHIR Standard
Communication.statusReason | example | CommunicationNotDoneReason `http://hl7.org/fhir/ValueSet/communication-not-done-reason` from the FHIR Standard
Communication.category | example | CommunicationCategory `http://hl7.org/fhir/ValueSet/communication-category` from the FHIR Standard
Communication.priority | required | RequestPriority `http://hl7.org/fhir/ValueSet/request-priority|5.0.0` from the FHIR Standard
Communication.medium | example | ParticipationMode `http://terminology.hl7.org/ValueSet/v3-ParticipationMode`
Communication.topic | example | CommunicationTopic `http://hl7.org/fhir/ValueSet/communication-topic` from the FHIR Standard
Communication.reason | example | SNOMEDCTClinicalFindings `http://hl7.org/fhir/ValueSet/clinical-findings` from the FHIR Standard

This structure is derived from Communication

Summary

Mandatory: 3 elements
Must-Support: 10 elements

Structures

This structure refers to these other structures:

- Imaging Diagnostic Report (https://profiles.ihe.net/RAD/IDR/StructureDefinition/imaging-diagnosticreport)
- IDR Patient (https://profiles.ihe.net/RAD/IDR/StructureDefinition/idr-patient)
- Impression as Condition (https://profiles.ihe.net/RAD/IDR/StructureDefinition/idr-impression-condition)
- Recommendation (https://profiles.ihe.net/RAD/IDR/StructureDefinition/idr-recommendation-service-request)

Other representations of profile: CSV, Excel, Schematron