Interactive Multimedia Report (IMR)
1.0.0 - Trial-Implementation International flag

This page is part of the IHE Interactive Multimedia Report (IMR) (v1.0.0: Trial Implementation) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

1:52. IMR Home

Official URL: Version: 1.0.0
Active as of 2022-07-25 Computable Name: IHE_RAD_IMR

The Interactive Multimedia Report (IMR) Profile specifies how a diagnostic report with interactive multimedia content can be reliably encoded, communicated and presented.

IMPORTANT: IMR is NOT yet recommended for production use.

Profiles released for Trial Implementation by IHE Radiology typically ARE expected to be stable enough for production use, however this release of IMR is intended for experimental implementation and feedback.

IMR uses the FHIR ImagingSelection resource which is at maturity level 1. Maturity 1 resources are likely to be updated in the future with backward incompatible changes.

IMR uses the FHIR DiagnosticReport resource to model specialty agnostic imaging reports with interactive multimedia content. Further modeling may expose issues which also result in backward incompatible changes.

Experimental implementation feedback may also result in other backward incompatible changes to the profile.

Open and Closed Issues

Organization of This Guide

This guide is organized into five main sections:

  1. Volume 1: Integration Profile
    1. Introduction
    2. Actors and Transactions
    3. Actor Options
    4. Actor Required Groupings
    5. Overview
    6. Security Considerations
    7. Cross Profile Considerations
  2. Volume 2: Transaction Detail
    1. Store Multimedia Report [RAD-141]
    2. Display Multimedia Report [RAD-142]
    3. Find Multimedia Report [RAD-143]
    4. Retrieve Rendered Multimedia Report [RAD-144]
  3. Volume 3: Metadata
    1. N/A for IMR
  4. Volume 4: National Extensions
    1. N/A for IMR
  5. Appendix
    1. Test Plan

Click on any of the links above, navigate the contents using the table of contents, or if you are looking for a specific artifact, check out the Artifacts Summary.

You can also download:

The source code for this Implementation Guide can be found on