Interactive Multimedia Report (IMR)
1.0.0 - Trial-Implementation
Interactive Multimedia Report (IMR)
1.0.0 - Trial-Implementation
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 
| Official URL: https://profiles.ihe.net/RAD/IMR/StructureDefinition/imr-diagnosticreport | Version: 1.0.0 | |||
| Active as of 2022-07-25 | 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
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:
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 | SI | 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: applicatoin/pdf | |
| Documentation for this format | ||||
| 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 | string | 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 | SI | 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: applicatoin/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 | ||||||||
| 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 | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| associatedStudy | 0..* | Reference(ImagingStudy | DiagnosticReport) | IMR DiagnosticReport Associated Study URL: https://profiles.ihe.net/RAD/IMR/StructureDefinition/associatedStudy | |
| basedOn | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:resolve() | |
| imagingStudy | 1..* | Reference(ImagingStudy) | Study subject to this report | |
| presentedForm | I | 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 | Σ | 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. |
| size | Σ | 1..1 | unsignedInt | Number of bytes of content (if url provided) |
| hash | Σ | 1..1 | base64Binary | Hash of the data (sha-1, base64ed) |
| Documentation for this format | ||||
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 | SI | 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: applicatoin/pdf | |
| Documentation for this format | ||||
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 | string | 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 | SI | 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: applicatoin/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 | ||||||||
Other representations of profile: CSV, Excel, Schematron
| Path | Conformance | ValueSet / Code |
| DiagnosticReport.language | preferred | CommonLanguages Max Binding: AllLanguages |
| DiagnosticReport.status | required | DiagnosticReportStatus |
| DiagnosticReport.category | example | DiagnosticServiceSectionCodes |
| DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes |
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindings |
| DiagnosticReport.presentedForm.contentType | required | Mime Types |
| DiagnosticReport.presentedForm.language | preferred | CommonLanguages Max Binding: AllLanguages |
| DiagnosticReport.presentedForm:html.contentType | required | Pattern: text/html |
| DiagnosticReport.presentedForm:html.language | preferred | CommonLanguages Max Binding: AllLanguages |
| DiagnosticReport.presentedForm:pdf.contentType | required | Pattern: applicatoin/pdf |
| DiagnosticReport.presentedForm:pdf.language | preferred | CommonLanguages Max Binding: AllLanguages |
| Id | Grade | Path | Details | Requirements |
| IMRAttachmentInvariant | error | DiagnosticReport.presentedForm | Either data or url SHALL be present : data.exists() or url.exists() |
IG © 2021+ IHE Radiology Technical Committee. Package ihe.rad.imr#1.0.0 based on FHIR 4.0.1. Generated 2022-07-25
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