The Content Items from each associated KO object will be included in the SR in a separate CONTAINER with Concept Name (121180, DCM, "Key Images"). The text item "Key Object Description" and all image reference items shall be copied from the KO Content Tree to the corresponding SR container. See Figure X.2-2.

The KO and SR IMAGE Content Item format allows the encoding of an icon (image thumbnail) with the image reference, as well as a reference to a GSPS instance controlling image presentation. Whether or not to include icons or GSPS references is an implementation decision of the softcopy review station that creates the KO; the IMAGE Content Item as a whole may be simply copied by the report management system from the KO to the Basic Text SR instance.

The intended process is that all KOs "For Report Attachment" are to be automatically included in the draft report. Therefore, the correction and signature function of the report management system should allow the physician to delete image references that were included, perhaps unintentionally, by the automatic process.