Interactive Multimedia Report (IMR)
1.1.0 - Trial-Implementation
Interactive Multimedia Report (IMR)
1.1.0 - Trial-Implementation
Interactive Multimedia Report (IMR), published by IHE Radiology Technical Committee. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/RAD.IMR/ and changes regularly. See the Directory of published versions
| Official URL: https://profiles.ihe.net/RAD/IMR/StructureDefinition/imr-diagnosticreport | Version: 1.1.0 | |||
| Active as of 2024-06-20 | Computable Name: IMRDiagnosticReport | |||
IHE Interactive Multimedia Report (IMR) profile on DiagnosticReport
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from DiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
  text |
S | 0..1 | Narrative | Text summary of the resource, for human interpretation |
 Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   associatedStudy |
S | 0..* | Reference(ImagingStudy | DiagnosticReport) | IMR DiagnosticReport Associated Study URL: https://profiles.ihe.net/RAD/IMR/StructureDefinition/associatedStudy |
 Slices for basedOn |
S | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:resolve() |
| basedOn:serviceRequest |
0..* | Reference(IMR ServiceRequest) | What was requested | |
 subject |
1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient | |
| issued |
1..1 | instant | DateTime that this diagnostic report is signed-off and published. | |
| Slices for performer |
1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by type:resolve() | |
| performer:organization |
1..* | Reference(Organization) | Responsible Diagnostic Service | |
| resultsInterpreter |
1..* | Reference(Practitioner | PractitionerRole) | Primary intepreter of results | |
| imagingStudy |
S | 1..* | Reference(ImagingStudy) | Study subject to this report |
 Slices for presentedForm |
SC | 1..* | Attachment | Entire report as issued Slice: Unordered, Open by pattern:contentType IMRAttachmentInvariant: Either data or url SHALL be present |
  presentedForm:All Slices |
Content/Rules for all slices | |||
 contentType |
S | 1..1 | code | Mime type of the content, with charset etc. |
| size |
S | 1..1 | unsignedInt | Number of bytes of content (if url provided) |
| hash |
S | 1..1 | base64Binary | Hash of the data (sha-1, base64ed) |
| presentedForm:html |
1..* | Attachment | Entire report as issued | |
 contentType |
0..1 | code | Mime type of the content, with charset etc. Required Pattern: text/html | |
| presentedForm:pdf |
0..* | Attachment | Entire report as issued | |
| contentType |
0..1 | code | Mime type of the content, with charset etc. Required Pattern: application/pdf | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| IMRAttachmentInvariant | error | DiagnosticReport.presentedForm | Either data or url SHALL be present : data.exists() or url.exists() |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
 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 |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| associatedStudy |
S | 0..* | Reference(ImagingStudy | DiagnosticReport) | IMR DiagnosticReport Associated Study URL: https://profiles.ihe.net/RAD/IMR/StructureDefinition/associatedStudy |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| Slices for basedOn |
S | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:resolve() |
| basedOn:serviceRequest |
0..* | Reference(IMR ServiceRequest) | What was requested | |
| status |
?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
| code |
Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. |
| subject |
Σ | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient |
| issued |
Σ | 1..1 | instant | DateTime that this diagnostic report is signed-off and published. |
| Slices for performer |
Σ | 1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by type:resolve() |
| performer:organization |
Σ | 1..* | Reference(Organization) | Responsible Diagnostic Service |
| resultsInterpreter |
Σ | 1..* | Reference(Practitioner | PractitionerRole) | Primary intepreter of results |
| imagingStudy |
S | 1..* | Reference(ImagingStudy) | Study subject to this report |
| Slices for presentedForm |
SC | 1..* | Attachment | Entire report as issued Slice: Unordered, Open by pattern:contentType IMRAttachmentInvariant: Either data or url SHALL be present |
| presentedForm:All Slices |
Content/Rules for all slices | |||
| contentType |
SΣ | 1..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png |
| size |
SΣ | 1..1 | unsignedInt | Number of bytes of content (if url provided) |
| hash |
SΣ | 1..1 | base64Binary | Hash of the data (sha-1, base64ed) |
| presentedForm:html |
1..* | Attachment | Entire report as issued | |
| contentType |
Σ | 0..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: text/html |
| presentedForm:pdf |
0..* | Attachment | Entire report as issued | |
| contentType |
Σ | 0..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1from the FHIR Standard | |
| DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/report-codesfrom the FHIR Standard | |
| DiagnosticReport.presentedForm.contentType | required | Mime Types (a valid code from urn:ietf:bcp:13)http://hl7.org/fhir/ValueSet/mimetypes|4.0.1from the FHIR Standard | |
| DiagnosticReport.presentedForm:html.contentType | required | Pattern: text/htmlhttp://hl7.org/fhir/ValueSet/mimetypes|4.0.1from the FHIR Standard | |
| DiagnosticReport.presentedForm:pdf.contentType | required | Pattern: application/pdfhttp://hl7.org/fhir/ValueSet/mimetypes|4.0.1from the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| IMRAttachmentInvariant | error | DiagnosticReport.presentedForm | Either data or url SHALL be present : data.exists() or url.exists() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||
| 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: CommonLanguages (preferred): A human language.
| |||||
| text |
S | 0..1 | Narrative | Text summary of the resource, for human interpretation | ||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| associatedStudy |
S | 0..* | Reference(ImagingStudy | DiagnosticReport) | IMR DiagnosticReport Associated Study URL: https://profiles.ihe.net/RAD/IMR/StructureDefinition/associatedStudy | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Business identifier for report | ||||
| Slices for basedOn |
S | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:resolve() | ||||
| basedOn:serviceRequest |
0..* | Reference(IMR ServiceRequest) | What was requested | |||||
| status |
?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
| category |
Σ | 0..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
| code |
Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | ||||
| subject |
Σ | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
 effective[x] |
Σ | 0..1 | Clinically relevant time/time-period for report | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
Σ | 1..1 | instant | DateTime that this diagnostic report is signed-off and published. | ||||
| Slices for performer |
Σ | 1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by type:resolve() | ||||
| performer:organization |
Σ | 1..* | Reference(Organization) | Responsible Diagnostic Service | ||||
| resultsInterpreter |
Σ | 1..* | Reference(Practitioner | PractitionerRole) | Primary intepreter of results | ||||
| specimen |
0..* | Reference(Specimen) | Specimens this report is based on | |||||
| result |
0..* | Reference(Observation) | Observations | |||||
| imagingStudy |
S | 1..* | Reference(ImagingStudy) | Study subject to this report | ||||
| media |
Σ | 0..* | BackboneElement | Key images associated with this report | ||||
| 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 | ||||
| comment |
0..1 | string | Comment about the image (e.g. explanation) | |||||
| link |
Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
| conclusion |
0..1 | string | Clinical conclusion (interpretation) of test results | |||||
| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
| Slices for presentedForm |
SC | 1..* | Attachment | Entire report as issued Slice: Unordered, Open by pattern:contentType IMRAttachmentInvariant: Either data or url SHALL be present | ||||
| presentedForm:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| contentType |
SΣ | 1..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png | ||||
| language |
Σ | 0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Example General: en-AU | ||||
| data |
0..1 | base64Binary | Data inline, base64ed | |||||
| url |
Σ | 0..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png | ||||
| size |
SΣ | 1..1 | unsignedInt | Number of bytes of content (if url provided) | ||||
| hash |
SΣ | 1..1 | base64Binary | Hash of the data (sha-1, base64ed) | ||||
| title |
Σ | 0..1 | string | Label to display in place of the data Example General: Official Corporate Logo | ||||
| creation |
Σ | 0..1 | dateTime | Date attachment was first created | ||||
| presentedForm:html |
1..* | Attachment | Entire report as issued | |||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| contentType |
Σ | 0..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: text/html | ||||
| language |
Σ | 0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Example General: en-AU | ||||
| data |
0..1 | base64Binary | Data inline, base64ed | |||||
| url |
Σ | 0..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png | ||||
| size |
Σ | 0..1 | unsignedInt | Number of bytes of content (if url provided) | ||||
| hash |
Σ | 0..1 | base64Binary | Hash of the data (sha-1, base64ed) | ||||
| title |
Σ | 0..1 | string | Label to display in place of the data Example General: Official Corporate Logo | ||||
| creation |
Σ | 0..1 | dateTime | Date attachment was first created | ||||
| presentedForm:pdf |
0..* | Attachment | Entire report as issued | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| contentType |
Σ | 0..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf | ||||
| language |
Σ | 0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Example General: en-AU | ||||
| data |
0..1 | base64Binary | Data inline, base64ed | |||||
| url |
Σ | 0..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png | ||||
| size |
Σ | 0..1 | unsignedInt | Number of bytes of content (if url provided) | ||||
| hash |
Σ | 0..1 | base64Binary | Hash of the data (sha-1, base64ed) | ||||
| title |
Σ | 0..1 | string | Label to display in place of the data Example General: Official Corporate Logo | ||||
| creation |
Σ | 0..1 | dateTime | Date attachment was first created | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| DiagnosticReport.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1from the FHIR Standard | ||||
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsfrom the FHIR Standard | ||||
| DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/report-codesfrom the FHIR Standard | ||||
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard | ||||
| DiagnosticReport.presentedForm.contentType | required | Mime Types (a valid code from urn:ietf:bcp:13)http://hl7.org/fhir/ValueSet/mimetypes|4.0.1from the FHIR Standard | ||||
| DiagnosticReport.presentedForm.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| DiagnosticReport.presentedForm:html.contentType | required | Pattern: text/htmlhttp://hl7.org/fhir/ValueSet/mimetypes|4.0.1from the FHIR Standard | ||||
| DiagnosticReport.presentedForm:html.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| DiagnosticReport.presentedForm:pdf.contentType | required | Pattern: application/pdfhttp://hl7.org/fhir/ValueSet/mimetypes|4.0.1from the FHIR Standard | ||||
| DiagnosticReport.presentedForm:pdf.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| IMRAttachmentInvariant | error | DiagnosticReport.presentedForm | Either data or url SHALL be present : data.exists() or url.exists() |
This structure is derived from DiagnosticReport
Summary
Mandatory: 11 elements
Must-Support: 8 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from DiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
| text |
S | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| associatedStudy |
S | 0..* | Reference(ImagingStudy | DiagnosticReport) | IMR DiagnosticReport Associated Study URL: https://profiles.ihe.net/RAD/IMR/StructureDefinition/associatedStudy |
| Slices for basedOn |
S | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:resolve() |
| basedOn:serviceRequest |
0..* | Reference(IMR ServiceRequest) | What was requested | |
| subject |
1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient | |
| issued |
1..1 | instant | DateTime that this diagnostic report is signed-off and published. | |
| Slices for performer |
1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by type:resolve() | |
| performer:organization |
1..* | Reference(Organization) | Responsible Diagnostic Service | |
| resultsInterpreter |
1..* | Reference(Practitioner | PractitionerRole) | Primary intepreter of results | |
| imagingStudy |
S | 1..* | Reference(ImagingStudy) | Study subject to this report |
| Slices for presentedForm |
SC | 1..* | Attachment | Entire report as issued Slice: Unordered, Open by pattern:contentType IMRAttachmentInvariant: Either data or url SHALL be present |
| presentedForm:All Slices |
Content/Rules for all slices | |||
| contentType |
S | 1..1 | code | Mime type of the content, with charset etc. |
| size |
S | 1..1 | unsignedInt | Number of bytes of content (if url provided) |
| hash |
S | 1..1 | base64Binary | Hash of the data (sha-1, base64ed) |
| presentedForm:html |
1..* | Attachment | Entire report as issued | |
| contentType |
0..1 | code | Mime type of the content, with charset etc. Required Pattern: text/html | |
| presentedForm:pdf |
0..* | Attachment | Entire report as issued | |
| contentType |
0..1 | code | Mime type of the content, with charset etc. Required Pattern: application/pdf | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| IMRAttachmentInvariant | error | DiagnosticReport.presentedForm | Either data or url SHALL be present : data.exists() or url.exists() |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
| 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 |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| associatedStudy |
S | 0..* | Reference(ImagingStudy | DiagnosticReport) | IMR DiagnosticReport Associated Study URL: https://profiles.ihe.net/RAD/IMR/StructureDefinition/associatedStudy |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| Slices for basedOn |
S | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:resolve() |
| basedOn:serviceRequest |
0..* | Reference(IMR ServiceRequest) | What was requested | |
| status |
?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
| code |
Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. |
| subject |
Σ | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient |
| issued |
Σ | 1..1 | instant | DateTime that this diagnostic report is signed-off and published. |
| Slices for performer |
Σ | 1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by type:resolve() |
| performer:organization |
Σ | 1..* | Reference(Organization) | Responsible Diagnostic Service |
| resultsInterpreter |
Σ | 1..* | Reference(Practitioner | PractitionerRole) | Primary intepreter of results |
| imagingStudy |
S | 1..* | Reference(ImagingStudy) | Study subject to this report |
| Slices for presentedForm |
SC | 1..* | Attachment | Entire report as issued Slice: Unordered, Open by pattern:contentType IMRAttachmentInvariant: Either data or url SHALL be present |
| presentedForm:All Slices |
Content/Rules for all slices | |||
| contentType |
SΣ | 1..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png |
| size |
SΣ | 1..1 | unsignedInt | Number of bytes of content (if url provided) |
| hash |
SΣ | 1..1 | base64Binary | Hash of the data (sha-1, base64ed) |
| presentedForm:html |
1..* | Attachment | Entire report as issued | |
| contentType |
Σ | 0..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: text/html |
| presentedForm:pdf |
0..* | Attachment | Entire report as issued | |
| contentType |
Σ | 0..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1from the FHIR Standard | |
| DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/report-codesfrom the FHIR Standard | |
| DiagnosticReport.presentedForm.contentType | required | Mime Types (a valid code from urn:ietf:bcp:13)http://hl7.org/fhir/ValueSet/mimetypes|4.0.1from the FHIR Standard | |
| DiagnosticReport.presentedForm:html.contentType | required | Pattern: text/htmlhttp://hl7.org/fhir/ValueSet/mimetypes|4.0.1from the FHIR Standard | |
| DiagnosticReport.presentedForm:pdf.contentType | required | Pattern: application/pdfhttp://hl7.org/fhir/ValueSet/mimetypes|4.0.1from the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| IMRAttachmentInvariant | error | DiagnosticReport.presentedForm | Either data or url SHALL be present : data.exists() or url.exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||
| 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: CommonLanguages (preferred): A human language.
| |||||
| text |
S | 0..1 | Narrative | Text summary of the resource, for human interpretation | ||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| associatedStudy |
S | 0..* | Reference(ImagingStudy | DiagnosticReport) | IMR DiagnosticReport Associated Study URL: https://profiles.ihe.net/RAD/IMR/StructureDefinition/associatedStudy | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Business identifier for report | ||||
| Slices for basedOn |
S | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:resolve() | ||||
| basedOn:serviceRequest |
0..* | Reference(IMR ServiceRequest) | What was requested | |||||
| status |
?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
| category |
Σ | 0..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
| code |
Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | ||||
| subject |
Σ | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
| effective[x] |
Σ | 0..1 | Clinically relevant time/time-period for report | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
Σ | 1..1 | instant | DateTime that this diagnostic report is signed-off and published. | ||||
| Slices for performer |
Σ | 1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by type:resolve() | ||||
| performer:organization |
Σ | 1..* | Reference(Organization) | Responsible Diagnostic Service | ||||
| resultsInterpreter |
Σ | 1..* | Reference(Practitioner | PractitionerRole) | Primary intepreter of results | ||||
| specimen |
0..* | Reference(Specimen) | Specimens this report is based on | |||||
| result |
0..* | Reference(Observation) | Observations | |||||
| imagingStudy |
S | 1..* | Reference(ImagingStudy) | Study subject to this report | ||||
| media |
Σ | 0..* | BackboneElement | Key images associated with this report | ||||
| 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 | ||||
| comment |
0..1 | string | Comment about the image (e.g. explanation) | |||||
| link |
Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
| conclusion |
0..1 | string | Clinical conclusion (interpretation) of test results | |||||
| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
| Slices for presentedForm |
SC | 1..* | Attachment | Entire report as issued Slice: Unordered, Open by pattern:contentType IMRAttachmentInvariant: Either data or url SHALL be present | ||||
| presentedForm:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| contentType |
SΣ | 1..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png | ||||
| language |
Σ | 0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Example General: en-AU | ||||
| data |
0..1 | base64Binary | Data inline, base64ed | |||||
| url |
Σ | 0..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png | ||||
| size |
SΣ | 1..1 | unsignedInt | Number of bytes of content (if url provided) | ||||
| hash |
SΣ | 1..1 | base64Binary | Hash of the data (sha-1, base64ed) | ||||
| title |
Σ | 0..1 | string | Label to display in place of the data Example General: Official Corporate Logo | ||||
| creation |
Σ | 0..1 | dateTime | Date attachment was first created | ||||
| presentedForm:html |
1..* | Attachment | Entire report as issued | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| contentType |
Σ | 0..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: text/html | ||||
| language |
Σ | 0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Example General: en-AU | ||||
| data |
0..1 | base64Binary | Data inline, base64ed | |||||
| url |
Σ | 0..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png | ||||
| size |
Σ | 0..1 | unsignedInt | Number of bytes of content (if url provided) | ||||
| hash |
Σ | 0..1 | base64Binary | Hash of the data (sha-1, base64ed) | ||||
| title |
Σ | 0..1 | string | Label to display in place of the data Example General: Official Corporate Logo | ||||
| creation |
Σ | 0..1 | dateTime | Date attachment was first created | ||||
| presentedForm:pdf |
0..* | Attachment | Entire report as issued | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| contentType |
Σ | 0..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf | ||||
| language |
Σ | 0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Example General: en-AU | ||||
| data |
0..1 | base64Binary | Data inline, base64ed | |||||
| url |
Σ | 0..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png | ||||
| size |
Σ | 0..1 | unsignedInt | Number of bytes of content (if url provided) | ||||
| hash |
Σ | 0..1 | base64Binary | Hash of the data (sha-1, base64ed) | ||||
| title |
Σ | 0..1 | string | Label to display in place of the data Example General: Official Corporate Logo | ||||
| creation |
Σ | 0..1 | dateTime | Date attachment was first created | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| DiagnosticReport.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1from the FHIR Standard | ||||
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsfrom the FHIR Standard | ||||
| DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/report-codesfrom the FHIR Standard | ||||
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard | ||||
| DiagnosticReport.presentedForm.contentType | required | Mime Types (a valid code from urn:ietf:bcp:13)http://hl7.org/fhir/ValueSet/mimetypes|4.0.1from the FHIR Standard | ||||
| DiagnosticReport.presentedForm.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| DiagnosticReport.presentedForm:html.contentType | required | Pattern: text/htmlhttp://hl7.org/fhir/ValueSet/mimetypes|4.0.1from the FHIR Standard | ||||
| DiagnosticReport.presentedForm:html.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| DiagnosticReport.presentedForm:pdf.contentType | required | Pattern: application/pdfhttp://hl7.org/fhir/ValueSet/mimetypes|4.0.1from the FHIR Standard | ||||
| DiagnosticReport.presentedForm:pdf.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| IMRAttachmentInvariant | error | DiagnosticReport.presentedForm | Either data or url SHALL be present : data.exists() or url.exists() |
This structure is derived from DiagnosticReport
Summary
Mandatory: 11 elements
Must-Support: 8 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2021+ IHE Radiology Technical Committee. Package ihe.rad.imr#1.1.0 based on FHIR 4.0.1. Generated 2024-06-20
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