Object Selection Documents can be thought of as Structured Reports without the report!

Whilst this might sound stupid, it makes sense as they are used merely as a “manifest with a purpose”, sharing most of the attributes of Structured Reports.

There are multiple names by which this object type is commonly known:

  • Key Image note (KIN)
  • Key Object note (KON)
  • KOS

They can be used for multiple purposes where it is required to “group” or “sub-smaple” Composite Instances, such as

  • Images for quality control
  • Teaching
  • Access over slow connections
  • They are also used in the IHE XDS-I profile
  • As a means of identifying images to be deleted for Image Object Change Management