IHE Radiology Interactive Multimedia Report (IMR) - Rendered Report Reader

IHE Radiology Interactive Multimedia Report (IMR) - Report Creator

IHE Radiology Interactive Multimedia Report (IMR) - Report Reader

IHE Radiology Interactive Multimedia Report (IMR) - Report Repository

This SearchParameter enables finding DiagnosticReports by ImagingStudy.

Experimental profile on Observation for Imaging

IHE Interactive Multimedia Report (IMR) profile on DiagnosticReport

A profile on the Find Multimedia Report Response message

IHE Interactive Multimedia Report (IMR) profile on ImagingStudy

IHE Interactive Multimedia Report (IMR) profile on ServiceRequest

An IMR ServiceRequest captures the service request (a.k.a. order) for an imaging procedure. An IMR ServiceRequest is usually created before an imaging study is acquired (e.g. in radiology) while some other departments (e.g. cardiology) may not create an order at all.

IHE Interactive Multimedia Report (IMR) profile on Bundle

A profile on the Bundle transaction-response for [RAD-141] Store Multimedia Report Response.

• shall be a transaction response
• shall have at least 1 entry for each entry in the request, in the same order as received in the request
  • entry response location must be indicated

IHE Radiology profile on Endpoint for Study

Associated studies used in part of diagnostic reporting

Codes representing the applicable intent for an imaging ServiceRequest.

Codes representing the applicable endpoint connectionType to retrieve a study.

Codes representing the applicable endpoint payloadType to retrieve a study.

This example uses IMR DiagnosticReport to capture the same real world radiology diagnostic report, with the addition of using the experimental IMR Observation to capture findings and impressions.

Experimental example of encoding an impression as text

Experimental example of encoding an impression as text

Experimental example of encoding an impression as text

Experimental example of encoding an impression as text

Experimental example of encoding an impression as text

Experimental example of encoding a complex clinical findings that include multiple components

Example of an IMR Find Multimedia Report Bundle Search Set

This example uses IMR DiagnosticReport to capture the following real world radiology diagnostic report.

— SAMPLE REPORT —

Patient Name: John Smith

MRN: 1234567

Accession Number: 12345

Study Date: December 31, 2020

Study Type: CT CHEST W/O CONTRAST

FULL REPORT

EXAMINATION: CT CHEST W/O CONTRAST

INDICATION: History: 24M with stent placement in the left main bronchus presents with right sided chest pain since 9am

TECHNIQUE: Volumetric, multidetector CT of the chest was performed without intravenous or oral contrast administration. Images are presented for display in the axial plane at 5 mm and 1.25 mm collimation. A series of multiplanar reformation images are also submitted for review.

DLP: 373 mGy-cm.

COMPARISON: CT of the chest dated January 1, 2020.

FINDINGS:

The imaged portion of a thyroid gland is unremarkable. Prominent or mildly enlarged mediastinal and bilateral hilar lymph nodes measure up to 1.2 x 0.8 cm in the right paratracheal station (2:12) , 2.3 x 1.4 cm in the subcarinal station (2:18), and 1.4 x 0.9 cm in the right hilar stations (2:16). No significant axillary lymphadenopathy is detected. The esophagus is unremarkable. The thoracic aorta is normal in caliber with a typical 3 vessel takeoff from the arch. The pulmonary arterial trunk is normal in caliber. The heart is normal in size without pericardial effusion.

There is focal narrowing of the proximal portion of the bronchial stent in the left mainstem bronchus (601b:56), which is nearly collapsed and appears new from the prior chest radiograph. Trace fluid or debris is seen in the distal lumen of the stent (4:71). A tracheostomy tube is unchanged in position without evidence of complications. There is circumferential thickening of the tracheal and bronchial walls, which is unchanged, in keeping with the patient’s known diagnosis of polychondritis. The remainder of the tracheobronchial tree is patent to the subsegmental levels. The airways are normal in caliber.

Within the pulmonary parenchyma, there is diffuse peribronchovascular nodular and ground-glass opacities becoming confluent in the right middle (601:52) and left upper (601:65) and lower lobes (601:72) consistent with multifocal pneumonia. There is a small left and trace right pleural effusion. No pneumothorax is present. There are no suspicious masses or pleural abnormalities.

The patient is status post median sternotomy with intact sternal wires. No blastic or lytic lesion suspicious for malignancy is present.

Although this study is not tailored for the evaluation of subdiaphragmatic contents, the imaged upper abdomen demonstrates diffuse hypoattenuation of the liver consistent with hepatic steatosis.

IMPRESSION:

1. Multifocal pneumonia involving the right middle, left upper and left lower lobes with small left and trace right pleural effusions.

2. Central medianstinal lymphadenopathy is likely reactive.

3. Focal stenosis of the proximal portion of the left main stem bronchial stent, which appears new from the prior chest radiograph. There is trace fluid or debris within the distal lumen of the stent.

4. Unchanged circumferential thickening of the tracheal and bronchial walls, in keeping with the patient’s known diagnosis of polychondritis.

5. Hepatic steatosis.

Simple IMR ImagingStudy to be used in DiagnosticReport

Simple IMR ImagingStudy to be used as a comparison study in DiagnosticReport

Simple IMR ServiceRequest example with a condition

Simple Imagin Study Endpoint

Simple Imaging Series Endpoint

Simple Imaging Study Endpoint fpr the comparison study

Simple Organization to be used in DiagnosticReport

Simple Patient used in IMR example

Simple Practitioner to be used in DiagnosticReport

Sample Store Multimedia Report Bundle Response in IMR

Sample Store Multimedia Report Bundle used to store an IMR