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: ImagingSelection for key images in an imaging diagnostic report

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

IHE IDR ImagingSelection to be used to capture key images associated with an Observation

Usage:

- This Resource Profile is not used by any profiles in this Implementation Guide

### 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 ImagingSelection

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ImagingSelection |  | 0..* | ImagingSelection | A selection of DICOM SOP instances and/or frames
status |  | 1..1 | code | available | entered-in-error | unknown Required Pattern: available
subject |  | 0..1 | Reference(Patient) | Subject of the selected instances
derivedFrom |  | 0..* | Reference(ImagingStudy) | The imaging study from which the imaging selection is derived
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ImagingSelection |  | 0..* | ImagingSelection | A selection of DICOM SOP instances and/or frames
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | available | entered-in-error | unknown Binding: ImagingSelectionStatus (required): The status of the ImagingSelection. Required Pattern: available
subject | Σ | 0..1 | Reference(Patient) | Subject of the selected instances
code | Σ | 1..1 | CodeableConcept | Imaging Selection purpose text or code Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html (example): Key Object Selection Document Title.
derivedFrom | Σ | 0..* | Reference(ImagingStudy) | The imaging study from which the imaging selection is derived
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
ImagingSelection.status | required | Pattern: available `http://hl7.org/fhir/ValueSet/imagingselection-status|5.0.0` from the FHIR Standard
ImagingSelection.code | example | http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html `http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html`

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ImagingSelection |  | 0..* | ImagingSelection | A selection of DICOM SOP instances and/or frames
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 |  | 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 | Business Identifier for Imaging Selection
status | ?!Σ | 1..1 | code | available | entered-in-error | unknown Binding: ImagingSelectionStatus (required): The status of the ImagingSelection. Required Pattern: available
subject | Σ | 0..1 | Reference(Patient) | Subject of the selected instances
issued | Σ | 0..1 | instant | Date / Time when this imaging selection was created
performer | Σ | 0..* | BackboneElement | Selector of the instances (human or machine)
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 performer Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
actor | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Device | Organization | CareTeam | Patient | RelatedPerson | HealthcareService) | Author (human or machine)
basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) | Associated request
category | Σ | 0..* | CodeableConcept | Classifies the imaging selection Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html (example): Key Object Selection Document Title.
code | Σ | 1..1 | CodeableConcept | Imaging Selection purpose text or code Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html (example): Key Object Selection Document Title.
studyUid | Σ | 0..1 | id | DICOM Study Instance UID Example General: 1.2.840.113747.20080222.12753225430534207565993148475333748793
derivedFrom | Σ | 0..* | Reference(ImagingStudy) | The imaging study from which the imaging selection is derived
endpoint | Σ | 0..* | Reference(Endpoint) | The network service providing retrieval for the images referenced in the imaging selection
seriesUid | Σ | 0..1 | id | DICOM Series Instance UID Example General: 1.2.840.113747.20080222.12753225430534207565993148475333748793.1
seriesNumber | Σ | 0..1 | unsignedInt | DICOM Series Number
frameOfReferenceUid | Σ | 0..1 | id | The Frame of Reference UID for the selected images Example General: 1.2.840.113747.20080222.12753225430534207565993148475333748793.2
bodySite | Σ | 0..1 | CodeableReference(BodyStructure) | Body part examined Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
focus | Σ | 0..* | Reference(ImagingSelection) | Related resource that is the focus for the imaging selection
instance | Σ | 0..* | BackboneElement | The selected 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 SOP Instance UID Example General: 1.2.840.113747.20080222.12753225430534207568475333748793.1.1
number | Σ | 0..1 | unsignedInt | DICOM Instance Number
sopClass |  | 0..1 | Coding | DICOM SOP Class UID Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): DICOM SOP Classes. Example General: 1.2.840.10008.5.1.4.1.1.2
subset |  | 0..* | string | The selected subset of the SOP Instance Example General: 6
imageRegion2D |  | 0..* | BackboneElement | A specific 2D region in a DICOM image / frame
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
regionType |  | 1..1 | code | point | polyline | interpolated | circle | ellipse Binding: ImagingSelection2DGraphicType (required): The type of image region.
coordinate |  | 1..* | decimal | Specifies the coordinates that define the image region This repeating element order: The values are an ordered set of (x, y) coordinates.
imageRegion3D |  | 0..* | BackboneElement | A specific 3D region in a DICOM frame of reference
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
regionType |  | 1..1 | code | point | multipoint | polyline | polygon | ellipse | ellipsoid Binding: ImagingSelection3DGraphicType (required): The type of image region.
coordinate |  | 1..* | decimal | Specifies the coordinates that define the image region This repeating element order: The values are an ordered set of (x, y, z) coordinates.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
ImagingSelection.language | required | AllLanguages `http://hl7.org/fhir/ValueSet/all-languages|5.0.0` from the FHIR Standard
ImagingSelection.status | required | Pattern: available `http://hl7.org/fhir/ValueSet/imagingselection-status|5.0.0` from the FHIR Standard
ImagingSelection.performer.function | extensible | ImagingStudySeriesPerformerFunction `http://hl7.org/fhir/ValueSet/series-performer-function` from the FHIR Standard
ImagingSelection.category | example | http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html `http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html`
ImagingSelection.code | example | http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html `http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html`
ImagingSelection.bodySite | example | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` from the FHIR Standard
ImagingSelection.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`
ImagingSelection.instance.imageRegion2D.regionType | required | ImagingSelection2DGraphicType `http://hl7.org/fhir/ValueSet/imagingselection-2dgraphictype|5.0.0` from the FHIR Standard
ImagingSelection.instance.imageRegion3D.regionType | required | ImagingSelection3DGraphicType `http://hl7.org/fhir/ValueSet/imagingselection-3dgraphictype|5.0.0` from the FHIR Standard

This structure is derived from ImagingSelection

Summary

Differential View

This structure is derived from ImagingSelection

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ImagingSelection |  | 0..* | ImagingSelection | A selection of DICOM SOP instances and/or frames
status |  | 1..1 | code | available | entered-in-error | unknown Required Pattern: available
subject |  | 0..1 | Reference(Patient) | Subject of the selected instances
derivedFrom |  | 0..* | Reference(ImagingStudy) | The imaging study from which the imaging selection is derived
Documentation for this format

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ImagingSelection |  | 0..* | ImagingSelection | A selection of DICOM SOP instances and/or frames
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | available | entered-in-error | unknown Binding: ImagingSelectionStatus (required): The status of the ImagingSelection. Required Pattern: available
subject | Σ | 0..1 | Reference(Patient) | Subject of the selected instances
code | Σ | 1..1 | CodeableConcept | Imaging Selection purpose text or code Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html (example): Key Object Selection Document Title.
derivedFrom | Σ | 0..* | Reference(ImagingStudy) | The imaging study from which the imaging selection is derived
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
ImagingSelection.status | required | Pattern: available `http://hl7.org/fhir/ValueSet/imagingselection-status|5.0.0` from the FHIR Standard
ImagingSelection.code | example | http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html `http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ImagingSelection |  | 0..* | ImagingSelection | A selection of DICOM SOP instances and/or frames
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 |  | 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 | Business Identifier for Imaging Selection
status | ?!Σ | 1..1 | code | available | entered-in-error | unknown Binding: ImagingSelectionStatus (required): The status of the ImagingSelection. Required Pattern: available
subject | Σ | 0..1 | Reference(Patient) | Subject of the selected instances
issued | Σ | 0..1 | instant | Date / Time when this imaging selection was created
performer | Σ | 0..* | BackboneElement | Selector of the instances (human or machine)
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 performer Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
actor | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Device | Organization | CareTeam | Patient | RelatedPerson | HealthcareService) | Author (human or machine)
basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) | Associated request
category | Σ | 0..* | CodeableConcept | Classifies the imaging selection Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html (example): Key Object Selection Document Title.
code | Σ | 1..1 | CodeableConcept | Imaging Selection purpose text or code Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html (example): Key Object Selection Document Title.
studyUid | Σ | 0..1 | id | DICOM Study Instance UID Example General: 1.2.840.113747.20080222.12753225430534207565993148475333748793
derivedFrom | Σ | 0..* | Reference(ImagingStudy) | The imaging study from which the imaging selection is derived
endpoint | Σ | 0..* | Reference(Endpoint) | The network service providing retrieval for the images referenced in the imaging selection
seriesUid | Σ | 0..1 | id | DICOM Series Instance UID Example General: 1.2.840.113747.20080222.12753225430534207565993148475333748793.1
seriesNumber | Σ | 0..1 | unsignedInt | DICOM Series Number
frameOfReferenceUid | Σ | 0..1 | id | The Frame of Reference UID for the selected images Example General: 1.2.840.113747.20080222.12753225430534207565993148475333748793.2
bodySite | Σ | 0..1 | CodeableReference(BodyStructure) | Body part examined Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
focus | Σ | 0..* | Reference(ImagingSelection) | Related resource that is the focus for the imaging selection
instance | Σ | 0..* | BackboneElement | The selected 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 SOP Instance UID Example General: 1.2.840.113747.20080222.12753225430534207568475333748793.1.1
number | Σ | 0..1 | unsignedInt | DICOM Instance Number
sopClass |  | 0..1 | Coding | DICOM SOP Class UID Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): DICOM SOP Classes. Example General: 1.2.840.10008.5.1.4.1.1.2
subset |  | 0..* | string | The selected subset of the SOP Instance Example General: 6
imageRegion2D |  | 0..* | BackboneElement | A specific 2D region in a DICOM image / frame
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
regionType |  | 1..1 | code | point | polyline | interpolated | circle | ellipse Binding: ImagingSelection2DGraphicType (required): The type of image region.
coordinate |  | 1..* | decimal | Specifies the coordinates that define the image region This repeating element order: The values are an ordered set of (x, y) coordinates.
imageRegion3D |  | 0..* | BackboneElement | A specific 3D region in a DICOM frame of reference
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
regionType |  | 1..1 | code | point | multipoint | polyline | polygon | ellipse | ellipsoid Binding: ImagingSelection3DGraphicType (required): The type of image region.
coordinate |  | 1..* | decimal | Specifies the coordinates that define the image region This repeating element order: The values are an ordered set of (x, y, z) coordinates.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
ImagingSelection.language | required | AllLanguages `http://hl7.org/fhir/ValueSet/all-languages|5.0.0` from the FHIR Standard
ImagingSelection.status | required | Pattern: available `http://hl7.org/fhir/ValueSet/imagingselection-status|5.0.0` from the FHIR Standard
ImagingSelection.performer.function | extensible | ImagingStudySeriesPerformerFunction `http://hl7.org/fhir/ValueSet/series-performer-function` from the FHIR Standard
ImagingSelection.category | example | http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html `http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html`
ImagingSelection.code | example | http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html `http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html`
ImagingSelection.bodySite | example | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` from the FHIR Standard
ImagingSelection.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`
ImagingSelection.instance.imageRegion2D.regionType | required | ImagingSelection2DGraphicType `http://hl7.org/fhir/ValueSet/imagingselection-2dgraphictype|5.0.0` from the FHIR Standard
ImagingSelection.instance.imageRegion3D.regionType | required | ImagingSelection3DGraphicType `http://hl7.org/fhir/ValueSet/imagingselection-3dgraphictype|5.0.0` from the FHIR Standard

This structure is derived from ImagingSelection

Summary

Other representations of profile: CSV, Excel, Schematron