This page is part of the HL7 Europe Imaging Study Report (v0.1.0-ballot: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

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Resource Profile: Manifest obligations for ImImagingStudy

Manifest obligations for ImImagingStudy

Usage:

• This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
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Name	Flags	Card.	Type	Description & Constraints
ImagingStudy	C	0..*	ImImagingStudy	A set of images produced in single study (one or more series of references images) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management im-imagingstudy-01: A DICOM instance UID must start with 'urn:oid:'
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	Σ	1..*	Identifier	Identifiers for the whole study Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
identifier:studyInstanceUid	OΣ	1..1	ImStudyInstanceUidIdentifier	Identifiers for the whole study ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
status	?!OΣ	1..1	code	registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy. ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle Imaging study manifest provider
modality	OΣ	0..*	CodeableConcept	All of the distinct values for series' modalities Binding: Modality (extensible): Type of acquired data in the instance. ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
subject	OΣ	1..1	Reference(Patient (EU base) | Device)	Who or what is the subject of the study ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle Imaging study manifest provider
encounter	OΣ	0..1	Reference(Encounter)	Encounter with which this imaging study is associated ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
started	OΣ	0..1	dateTime	When the study was started ele-1: All FHIR elements must have a @value or children Example General: 2011-01-01T11:01:20+03:00 Obligations Actor SHALL:populate-if-known Imaging study manifest provider
Slices for basedOn	OΣ	0..*	Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)	Request fulfilled Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
basedOn:imorderaccession	Σ	0..1	Reference(IM Imaging Order)	Request fulfilled ele-1: All FHIR elements must have a @value or children
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
identifier	ΣC	1..1	ImAccessionNumberIdentifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
Slices for endpoint	OΣ	0..*	Reference(Endpoint)	Study access endpoint Slice: Unordered, Open by profile:$this ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
endpoint:wado	Σ	0..1	Reference(IM WADO Endpoint)	Study access endpoint ele-1: All FHIR elements must have a @value or children
endpoint:iid	Σ	0..1	Reference(IM Image Viewer Endpoint)	Study access endpoint ele-1: All FHIR elements must have a @value or children
numberOfSeries	OΣ	0..1	unsignedInt	Number of Study Related Series ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
numberOfInstances	OΣ	0..1	unsignedInt	Number of Study Related Instances ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
location	OΣ	0..1	Reference(Location)	Where ImagingStudy occurred ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
description	OΣ	0..1	string	Institution-generated description ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
series	OΣ	0..*	BackboneElement	Each study has one or more series of instances ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
uid	OΣ	1..1	id	DICOM Series Instance UID for the series ele-1: All FHIR elements must have a @value or children Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630 Obligations Actor SHALL:populate-if-known Imaging study manifest provider
number	OΣ	0..1	unsignedInt	Numeric identifier of this series ele-1: All FHIR elements must have a @value or children Example General: 3 Obligations Actor SHALL:populate-if-known Imaging study manifest provider
modality	OΣ	1..1	CodeableConcept	The modality used for this series Binding: Modality (extensible): Type of acquired data in the instance. ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
description	OΣ	0..1	string	A short human readable summary of the series ele-1: All FHIR elements must have a @value or children Example General: CT Surview 180 Obligations Actor SHALL:populate-if-known Imaging study manifest provider
numberOfInstances	OΣ	0..1	unsignedInt	Number of Series Related Instances ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
Slices for endpoint	OΣ	0..*	Reference(Endpoint)	Series access endpoint Slice: Unordered, Open by profile:$this ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
endpoint:wado	Σ	0..1	Reference(IM WADO Endpoint)	Series access endpoint ele-1: All FHIR elements must have a @value or children
endpoint:iid	Σ	0..1	Reference(IM Image Viewer Endpoint)	Series access endpoint ele-1: All FHIR elements must have a @value or children
bodySite	OΣ	0..1	CodeableReference(BodyStructure)	Body part examined Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
laterality	OΣ	0..1	CodeableConcept	Body part laterality Binding: Laterality (example): Codes describing body site laterality (left, right, etc.). ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
specimen	OΣ	0..*	Reference(Specimen)	Specimen imaged ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
started	OΣ	0..1	dateTime	When the series started ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
Slices for performer	Σ	0..*	BackboneElement	Who performed the series Slice: Unordered, Open by type:actor ele-1: All FHIR elements must have a @value or children
performer:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson | HealthcareService)	Who performed the series ele-1: All FHIR elements must have a @value or children
performer:performer	Σ	0..1	BackboneElement	Who performed the series ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
function	Σ	0..1	CodeableConcept	Type of performance Binding: Imaging Study Performer Type Value Set (extensible) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRF
actor	Σ	1..1	Reference(PractitionerRole (EU base))	Who performed the series ele-1: All FHIR elements must have a @value or children
performer:device	Σ	0..1	BackboneElement	Who performed the series ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
function	Σ	0..1	CodeableConcept	Type of performance Binding: Imaging Study Performer Type Value Set (extensible) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DEV
actor	Σ	1..1	Reference(Im Imaging Device)	Who performed the series ele-1: All FHIR elements must have a @value or children
performer:custodian	OΣ	0..1	BackboneElement	Who performed the series ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
function	Σ	0..1	CodeableConcept	Type of performance Binding: Imaging Study Performer Type Value Set (extensible) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CST
actor	Σ	1..1	Reference(Organization (EU base))	Who performed the series ele-1: All FHIR elements must have a @value or children
instance	O	0..*	BackboneElement	A single SOP instance from the series ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
Slices for extension				Content/Rules for all slices
extension:instance-description	O	0..1	string	Instance Description URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/instance-description ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both Obligations Actor SHALL:populate-if-known Imaging study manifest provider
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
uid	O	1..1	id	DICOM SOP Instance UID ele-1: All FHIR elements must have a @value or children Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903 Obligations Actor SHALL:populate-if-known Imaging study manifest provider
sopClass	O	1..1	Coding	DICOM class type Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance. ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
number	O	0..1	unsignedInt	The number of this instance in the series ele-1: All FHIR elements must have a @value or children Example General: 1 Obligations Actor SHALL:populate-if-known Imaging study manifest provider
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ImagingStudy.status	required	ImagingStudyStatus http://hl7.org/fhir/ValueSet/imagingstudy-status|5.0.0 from the FHIR Standard
ImagingStudy.modality	extensible	​Modality (missing link) http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html from this IG
ImagingStudy.series.modality	extensible	​Modality (missing link) http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html from this IG
ImagingStudy.series.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
ImagingStudy.series.laterality	example	​Laterality (missing link) http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_244.html from this IG
ImagingStudy.series.performer:performer.function	extensible	Pattern: PRF http://hl7.eu/fhir/imaging-r5/ValueSet/im-imaging-study-performer-type from this IG
ImagingStudy.series.performer:device.function	extensible	Pattern: DEV http://hl7.eu/fhir/imaging-r5/ValueSet/im-imaging-study-performer-type from this IG
ImagingStudy.series.performer:custodian.function	extensible	Pattern: CST http://hl7.eu/fhir/imaging-r5/ValueSet/im-imaging-study-performer-type from this IG
ImagingStudy.series.instance.sopClass	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ImagingStudy	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImagingStudy	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImagingStudy	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
im-imagingstudy-01	warning	ImagingStudy	A DICOM instance UID must start with 'urn:oid:' : identifier.where(system='urn:dicom:uid').value.startsWith('urn:oid:')

This structure is derived from ImImagingStudy

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy		0..*	ImImagingStudy	A set of images produced in single study (one or more series of references images)
Slices for identifier				Content/Rules for all slices
identifier:studyInstanceUid	O	1..1	ImStudyInstanceUidIdentifier	Identifiers for the whole study Obligations Actor SHALL:populate-if-known Imaging study manifest provider
status	O	1..1	code	registered | available | cancelled | entered-in-error | unknown Obligations Actor SHALL:handle Imaging study manifest provider
modality	O	0..*	CodeableConcept	All of the distinct values for series' modalities Obligations Actor SHALL:populate-if-known Imaging study manifest provider
subject	O	1..1	Reference(Patient (EU base) | Device)	Who or what is the subject of the study Obligations Actor SHALL:handle Imaging study manifest provider
encounter	O	0..1	Reference(Encounter)	Encounter with which this imaging study is associated Obligations Actor SHALL:populate-if-known Imaging study manifest provider
started	O	0..1	dateTime	When the study was started Obligations Actor SHALL:populate-if-known Imaging study manifest provider
basedOn	O	0..*	Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)	Request fulfilled Obligations Actor SHALL:populate-if-known Imaging study manifest provider
endpoint	O	0..*	Reference(Endpoint)	Study access endpoint Obligations Actor SHALL:populate-if-known Imaging study manifest provider
numberOfSeries	O	0..1	unsignedInt	Number of Study Related Series Obligations Actor SHALL:populate-if-known Imaging study manifest provider
numberOfInstances	O	0..1	unsignedInt	Number of Study Related Instances Obligations Actor SHALL:populate-if-known Imaging study manifest provider
location	O	0..1	Reference(Location)	Where ImagingStudy occurred Obligations Actor SHALL:populate-if-known Imaging study manifest provider
description	O	0..1	string	Institution-generated description Obligations Actor SHALL:populate-if-known Imaging study manifest provider
series	O	0..*	BackboneElement	Each study has one or more series of instances Obligations Actor SHALL:populate-if-known Imaging study manifest provider
uid	O	1..1	id	DICOM Series Instance UID for the series Obligations Actor SHALL:populate-if-known Imaging study manifest provider
number	O	0..1	unsignedInt	Numeric identifier of this series Obligations Actor SHALL:populate-if-known Imaging study manifest provider
modality	O	1..1	CodeableConcept	The modality used for this series Obligations Actor SHALL:populate-if-known Imaging study manifest provider
description	O	0..1	string	A short human readable summary of the series Obligations Actor SHALL:populate-if-known Imaging study manifest provider
numberOfInstances	O	0..1	unsignedInt	Number of Series Related Instances Obligations Actor SHALL:populate-if-known Imaging study manifest provider
endpoint	O	0..*	Reference(Endpoint)	Series access endpoint Obligations Actor SHALL:populate-if-known Imaging study manifest provider
bodySite	O	0..1	CodeableReference(BodyStructure)	Body part examined Obligations Actor SHALL:populate-if-known Imaging study manifest provider
laterality	O	0..1	CodeableConcept	Body part laterality Obligations Actor SHALL:populate-if-known Imaging study manifest provider
specimen	O	0..*	Reference(Specimen)	Specimen imaged Obligations Actor SHALL:populate-if-known Imaging study manifest provider
started	O	0..1	dateTime	When the series started Obligations Actor SHALL:populate-if-known Imaging study manifest provider
Slices for performer				Content/Rules for all slices
performer:custodian	O	0..1	BackboneElement	Who performed the series Obligations Actor SHALL:populate-if-known Imaging study manifest provider
instance	O	0..*	BackboneElement	A single SOP instance from the series Obligations Actor SHALL:populate-if-known Imaging study manifest provider
Slices for extension				Content/Rules for all slices
extension:instance-description	O	0..1	ImImagingStudyInstanceDescription	Instance Description Obligations Actor SHALL:populate-if-known Imaging study manifest provider
uid	O	1..1	id	DICOM SOP Instance UID Obligations Actor SHALL:populate-if-known Imaging study manifest provider
sopClass	O	1..1	Coding	DICOM class type Obligations Actor SHALL:populate-if-known Imaging study manifest provider
number	O	0..1	unsignedInt	The number of this instance in the series Obligations Actor SHALL:populate-if-known Imaging study manifest provider
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy	C	0..*	ImImagingStudy	A set of images produced in single study (one or more series of references images) im-imagingstudy-01: A DICOM instance UID must start with 'urn:oid:'
id	Σ	0..1	id	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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Identifiers for the whole study Slice: Unordered, Open by value:system
identifier:studyInstanceUid	OΣ	1..1	ImStudyInstanceUidIdentifier	Identifiers for the whole study Obligations Actor SHALL:populate-if-known Imaging study manifest provider
status	?!OΣ	1..1	code	registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy. Obligations Actor SHALL:handle Imaging study manifest provider
modality	OΣ	0..*	CodeableConcept	All of the distinct values for series' modalities Binding: Modality (extensible): Type of acquired data in the instance. Obligations Actor SHALL:populate-if-known Imaging study manifest provider
subject	OΣ	1..1	Reference(Patient (EU base) | Device)	Who or what is the subject of the study Obligations Actor SHALL:handle Imaging study manifest provider
encounter	OΣ	0..1	Reference(Encounter)	Encounter with which this imaging study is associated Obligations Actor SHALL:populate-if-known Imaging study manifest provider
started	OΣ	0..1	dateTime	When the study was started Example General: 2011-01-01T11:01:20+03:00 Obligations Actor SHALL:populate-if-known Imaging study manifest provider
Slices for basedOn	OΣ	0..*	Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)	Request fulfilled Slice: Unordered, Open by type:$this Obligations Actor SHALL:populate-if-known Imaging study manifest provider
basedOn:imorderaccession	Σ	0..1	Reference(IM Imaging Order)	Request fulfilled
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	ImAccessionNumberIdentifier	Logical reference, when literal reference is not known
display	ΣC	0..1	string	Text alternative for the resource
partOf	Σ	0..*	Reference(Procedure)	Part of referenced event
referrer	Σ	0..1	Reference(Practitioner | PractitionerRole)	Referring physician
Slices for endpoint	OΣ	0..*	Reference(Endpoint)	Study access endpoint Slice: Unordered, Open by profile:$this Obligations Actor SHALL:populate-if-known Imaging study manifest provider
endpoint:wado	Σ	0..1	Reference(IM WADO Endpoint)	Study access endpoint
endpoint:iid	Σ	0..1	Reference(IM Image Viewer Endpoint)	Study access endpoint
numberOfSeries	OΣ	0..1	unsignedInt	Number of Study Related Series Obligations Actor SHALL:populate-if-known Imaging study manifest provider
numberOfInstances	OΣ	0..1	unsignedInt	Number of Study Related Instances Obligations Actor SHALL:populate-if-known Imaging study manifest provider
procedure	Σ	0..*	CodeableReference(PlanDefinition | ActivityDefinition)	The performed procedure or code Binding: LOINC loinc-rsna-radiology-playbook (preferred): Use of RadLex is preferred
location	OΣ	0..1	Reference(Location)	Where ImagingStudy occurred Obligations Actor SHALL:populate-if-known Imaging study manifest provider
reason	Σ	0..*	CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference)	Why the study was requested / performed Binding: ProcedureReasonCodes (example): The reason for the study.
note	Σ	0..*	Annotation	User-defined comments
description	OΣ	0..1	string	Institution-generated description Obligations Actor SHALL:populate-if-known Imaging study manifest provider
series	OΣ	0..*	BackboneElement	Each study has one or more series of instances Obligations Actor SHALL:populate-if-known Imaging study manifest provider
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
uid	OΣ	1..1	id	DICOM Series Instance UID for the series Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630 Obligations Actor SHALL:populate-if-known Imaging study manifest provider
number	OΣ	0..1	unsignedInt	Numeric identifier of this series Example General: 3 Obligations Actor SHALL:populate-if-known Imaging study manifest provider
modality	OΣ	1..1	CodeableConcept	The modality used for this series Binding: Modality (extensible): Type of acquired data in the instance. Obligations Actor SHALL:populate-if-known Imaging study manifest provider
description	OΣ	0..1	string	A short human readable summary of the series Example General: CT Surview 180 Obligations Actor SHALL:populate-if-known Imaging study manifest provider
numberOfInstances	OΣ	0..1	unsignedInt	Number of Series Related Instances Obligations Actor SHALL:populate-if-known Imaging study manifest provider
Slices for endpoint	OΣ	0..*	Reference(Endpoint)	Series access endpoint Slice: Unordered, Open by profile:$this Obligations Actor SHALL:populate-if-known Imaging study manifest provider
endpoint:wado	Σ	0..1	Reference(IM WADO Endpoint)	Series access endpoint
endpoint:iid	Σ	0..1	Reference(IM Image Viewer Endpoint)	Series access endpoint
bodySite	OΣ	0..1	CodeableReference(BodyStructure)	Body part examined Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts Obligations Actor SHALL:populate-if-known Imaging study manifest provider
laterality	OΣ	0..1	CodeableConcept	Body part laterality Binding: Laterality (example): Codes describing body site laterality (left, right, etc.). Obligations Actor SHALL:populate-if-known Imaging study manifest provider
specimen	OΣ	0..*	Reference(Specimen)	Specimen imaged Obligations Actor SHALL:populate-if-known Imaging study manifest provider
started	OΣ	0..1	dateTime	When the series started Obligations Actor SHALL:populate-if-known Imaging study manifest provider
Slices for performer	Σ	0..*	BackboneElement	Who performed the series Slice: Unordered, Open by type:actor
performer: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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performance Binding: Imaging Study Performer Type Value Set (extensible)
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson | HealthcareService)	Who performed the series
performer:performer	Σ	0..1	BackboneElement	Who performed the series
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
function	Σ	0..1	CodeableConcept	Type of performance Binding: Imaging Study Performer Type Value Set (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(PractitionerRole (EU base))	Who performed the series
performer:device	Σ	0..1	BackboneElement	Who performed the series
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
function	Σ	0..1	CodeableConcept	Type of performance Binding: Imaging Study Performer Type Value Set (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DEV
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Im Imaging Device)	Who performed the series
performer:custodian	OΣ	0..1	BackboneElement	Who performed the series Obligations Actor SHALL:populate-if-known Imaging study manifest provider
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
function	Σ	0..1	CodeableConcept	Type of performance Binding: Imaging Study Performer Type Value Set (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CST
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Organization (EU base))	Who performed the series
instance	O	0..*	BackboneElement	A single SOP instance from the series Obligations Actor SHALL:populate-if-known Imaging study manifest provider
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:instance-description	O	0..1	string	Instance Description URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/instance-description Obligations Actor SHALL:populate-if-known Imaging study manifest provider
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
uid	O	1..1	id	DICOM SOP Instance UID Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903 Obligations Actor SHALL:populate-if-known Imaging study manifest provider
sopClass	O	1..1	Coding	DICOM class type Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance. Obligations Actor SHALL:populate-if-known Imaging study manifest provider
number	O	0..1	unsignedInt	The number of this instance in the series Example General: 1 Obligations Actor SHALL:populate-if-known Imaging study manifest provider
title		0..1	string	Description of instance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ImagingStudy.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
ImagingStudy.status	required	ImagingStudyStatus http://hl7.org/fhir/ValueSet/imagingstudy-status|5.0.0 from the FHIR Standard
ImagingStudy.modality	extensible	​Modality (missing link) http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html from this IG
ImagingStudy.basedOn:imorderaccession.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ImagingStudy.procedure	preferred	LOINC loinc-rsna-radiology-playbook http://loinc.org/vs/loinc-rsna-radiology-playbook
ImagingStudy.reason	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ImagingStudy.series.modality	extensible	​Modality (missing link) http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html from this IG
ImagingStudy.series.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
ImagingStudy.series.laterality	example	​Laterality (missing link) http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_244.html from this IG
ImagingStudy.series.performer.function	extensible	ImImagingStudyPerformerTypeVS http://hl7.eu/fhir/imaging-r5/ValueSet/im-imaging-study-performer-type from this IG
ImagingStudy.series.performer:performer.function	extensible	Pattern: PRF http://hl7.eu/fhir/imaging-r5/ValueSet/im-imaging-study-performer-type from this IG
ImagingStudy.series.performer:device.function	extensible	Pattern: DEV http://hl7.eu/fhir/imaging-r5/ValueSet/im-imaging-study-performer-type from this IG
ImagingStudy.series.performer:custodian.function	extensible	Pattern: CST http://hl7.eu/fhir/imaging-r5/ValueSet/im-imaging-study-performer-type from this IG
ImagingStudy.series.instance.sopClass	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ImagingStudy	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImagingStudy	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImagingStudy	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
im-imagingstudy-01	warning	ImagingStudy	A DICOM instance UID must start with 'urn:oid:' : identifier.where(system='urn:dicom:uid').value.startsWith('urn:oid:')

This structure is derived from ImImagingStudy

Summary

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy	C	0..*	ImImagingStudy	A set of images produced in single study (one or more series of references images) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management im-imagingstudy-01: A DICOM instance UID must start with 'urn:oid:'
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	Σ	1..*	Identifier	Identifiers for the whole study Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
identifier:studyInstanceUid	OΣ	1..1	ImStudyInstanceUidIdentifier	Identifiers for the whole study ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
status	?!OΣ	1..1	code	registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy. ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle Imaging study manifest provider
modality	OΣ	0..*	CodeableConcept	All of the distinct values for series' modalities Binding: Modality (extensible): Type of acquired data in the instance. ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
subject	OΣ	1..1	Reference(Patient (EU base) | Device)	Who or what is the subject of the study ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle Imaging study manifest provider
encounter	OΣ	0..1	Reference(Encounter)	Encounter with which this imaging study is associated ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
started	OΣ	0..1	dateTime	When the study was started ele-1: All FHIR elements must have a @value or children Example General: 2011-01-01T11:01:20+03:00 Obligations Actor SHALL:populate-if-known Imaging study manifest provider
Slices for basedOn	OΣ	0..*	Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)	Request fulfilled Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
basedOn:imorderaccession	Σ	0..1	Reference(IM Imaging Order)	Request fulfilled ele-1: All FHIR elements must have a @value or children
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
identifier	ΣC	1..1	ImAccessionNumberIdentifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
Slices for endpoint	OΣ	0..*	Reference(Endpoint)	Study access endpoint Slice: Unordered, Open by profile:$this ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
endpoint:wado	Σ	0..1	Reference(IM WADO Endpoint)	Study access endpoint ele-1: All FHIR elements must have a @value or children
endpoint:iid	Σ	0..1	Reference(IM Image Viewer Endpoint)	Study access endpoint ele-1: All FHIR elements must have a @value or children
numberOfSeries	OΣ	0..1	unsignedInt	Number of Study Related Series ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
numberOfInstances	OΣ	0..1	unsignedInt	Number of Study Related Instances ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
location	OΣ	0..1	Reference(Location)	Where ImagingStudy occurred ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
description	OΣ	0..1	string	Institution-generated description ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
series	OΣ	0..*	BackboneElement	Each study has one or more series of instances ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
uid	OΣ	1..1	id	DICOM Series Instance UID for the series ele-1: All FHIR elements must have a @value or children Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630 Obligations Actor SHALL:populate-if-known Imaging study manifest provider
number	OΣ	0..1	unsignedInt	Numeric identifier of this series ele-1: All FHIR elements must have a @value or children Example General: 3 Obligations Actor SHALL:populate-if-known Imaging study manifest provider
modality	OΣ	1..1	CodeableConcept	The modality used for this series Binding: Modality (extensible): Type of acquired data in the instance. ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
description	OΣ	0..1	string	A short human readable summary of the series ele-1: All FHIR elements must have a @value or children Example General: CT Surview 180 Obligations Actor SHALL:populate-if-known Imaging study manifest provider
numberOfInstances	OΣ	0..1	unsignedInt	Number of Series Related Instances ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
Slices for endpoint	OΣ	0..*	Reference(Endpoint)	Series access endpoint Slice: Unordered, Open by profile:$this ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
endpoint:wado	Σ	0..1	Reference(IM WADO Endpoint)	Series access endpoint ele-1: All FHIR elements must have a @value or children
endpoint:iid	Σ	0..1	Reference(IM Image Viewer Endpoint)	Series access endpoint ele-1: All FHIR elements must have a @value or children
bodySite	OΣ	0..1	CodeableReference(BodyStructure)	Body part examined Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
laterality	OΣ	0..1	CodeableConcept	Body part laterality Binding: Laterality (example): Codes describing body site laterality (left, right, etc.). ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
specimen	OΣ	0..*	Reference(Specimen)	Specimen imaged ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
started	OΣ	0..1	dateTime	When the series started ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
Slices for performer	Σ	0..*	BackboneElement	Who performed the series Slice: Unordered, Open by type:actor ele-1: All FHIR elements must have a @value or children
performer:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson | HealthcareService)	Who performed the series ele-1: All FHIR elements must have a @value or children
performer:performer	Σ	0..1	BackboneElement	Who performed the series ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
function	Σ	0..1	CodeableConcept	Type of performance Binding: Imaging Study Performer Type Value Set (extensible) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRF
actor	Σ	1..1	Reference(PractitionerRole (EU base))	Who performed the series ele-1: All FHIR elements must have a @value or children
performer:device	Σ	0..1	BackboneElement	Who performed the series ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
function	Σ	0..1	CodeableConcept	Type of performance Binding: Imaging Study Performer Type Value Set (extensible) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DEV
actor	Σ	1..1	Reference(Im Imaging Device)	Who performed the series ele-1: All FHIR elements must have a @value or children
performer:custodian	OΣ	0..1	BackboneElement	Who performed the series ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
function	Σ	0..1	CodeableConcept	Type of performance Binding: Imaging Study Performer Type Value Set (extensible) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CST
actor	Σ	1..1	Reference(Organization (EU base))	Who performed the series ele-1: All FHIR elements must have a @value or children
instance	O	0..*	BackboneElement	A single SOP instance from the series ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
Slices for extension				Content/Rules for all slices
extension:instance-description	O	0..1	string	Instance Description URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/instance-description ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both Obligations Actor SHALL:populate-if-known Imaging study manifest provider
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
uid	O	1..1	id	DICOM SOP Instance UID ele-1: All FHIR elements must have a @value or children Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903 Obligations Actor SHALL:populate-if-known Imaging study manifest provider
sopClass	O	1..1	Coding	DICOM class type Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance. ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study manifest provider
number	O	0..1	unsignedInt	The number of this instance in the series ele-1: All FHIR elements must have a @value or children Example General: 1 Obligations Actor SHALL:populate-if-known Imaging study manifest provider
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ImagingStudy.status	required	ImagingStudyStatus http://hl7.org/fhir/ValueSet/imagingstudy-status|5.0.0 from the FHIR Standard
ImagingStudy.modality	extensible	​Modality (missing link) http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html from this IG
ImagingStudy.series.modality	extensible	​Modality (missing link) http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html from this IG
ImagingStudy.series.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
ImagingStudy.series.laterality	example	​Laterality (missing link) http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_244.html from this IG
ImagingStudy.series.performer:performer.function	extensible	Pattern: PRF http://hl7.eu/fhir/imaging-r5/ValueSet/im-imaging-study-performer-type from this IG
ImagingStudy.series.performer:device.function	extensible	Pattern: DEV http://hl7.eu/fhir/imaging-r5/ValueSet/im-imaging-study-performer-type from this IG
ImagingStudy.series.performer:custodian.function	extensible	Pattern: CST http://hl7.eu/fhir/imaging-r5/ValueSet/im-imaging-study-performer-type from this IG
ImagingStudy.series.instance.sopClass	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ImagingStudy	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImagingStudy	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImagingStudy	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
im-imagingstudy-01	warning	ImagingStudy	A DICOM instance UID must start with 'urn:oid:' : identifier.where(system='urn:dicom:uid').value.startsWith('urn:oid:')

Differential View

This structure is derived from ImImagingStudy

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy		0..*	ImImagingStudy	A set of images produced in single study (one or more series of references images)
Slices for identifier				Content/Rules for all slices
identifier:studyInstanceUid	O	1..1	ImStudyInstanceUidIdentifier	Identifiers for the whole study Obligations Actor SHALL:populate-if-known Imaging study manifest provider
status	O	1..1	code	registered | available | cancelled | entered-in-error | unknown Obligations Actor SHALL:handle Imaging study manifest provider
modality	O	0..*	CodeableConcept	All of the distinct values for series' modalities Obligations Actor SHALL:populate-if-known Imaging study manifest provider
subject	O	1..1	Reference(Patient (EU base) | Device)	Who or what is the subject of the study Obligations Actor SHALL:handle Imaging study manifest provider
encounter	O	0..1	Reference(Encounter)	Encounter with which this imaging study is associated Obligations Actor SHALL:populate-if-known Imaging study manifest provider
started	O	0..1	dateTime	When the study was started Obligations Actor SHALL:populate-if-known Imaging study manifest provider
basedOn	O	0..*	Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)	Request fulfilled Obligations Actor SHALL:populate-if-known Imaging study manifest provider
endpoint	O	0..*	Reference(Endpoint)	Study access endpoint Obligations Actor SHALL:populate-if-known Imaging study manifest provider
numberOfSeries	O	0..1	unsignedInt	Number of Study Related Series Obligations Actor SHALL:populate-if-known Imaging study manifest provider
numberOfInstances	O	0..1	unsignedInt	Number of Study Related Instances Obligations Actor SHALL:populate-if-known Imaging study manifest provider
location	O	0..1	Reference(Location)	Where ImagingStudy occurred Obligations Actor SHALL:populate-if-known Imaging study manifest provider
description	O	0..1	string	Institution-generated description Obligations Actor SHALL:populate-if-known Imaging study manifest provider
series	O	0..*	BackboneElement	Each study has one or more series of instances Obligations Actor SHALL:populate-if-known Imaging study manifest provider
uid	O	1..1	id	DICOM Series Instance UID for the series Obligations Actor SHALL:populate-if-known Imaging study manifest provider
number	O	0..1	unsignedInt	Numeric identifier of this series Obligations Actor SHALL:populate-if-known Imaging study manifest provider
modality	O	1..1	CodeableConcept	The modality used for this series Obligations Actor SHALL:populate-if-known Imaging study manifest provider
description	O	0..1	string	A short human readable summary of the series Obligations Actor SHALL:populate-if-known Imaging study manifest provider
numberOfInstances	O	0..1	unsignedInt	Number of Series Related Instances Obligations Actor SHALL:populate-if-known Imaging study manifest provider
endpoint	O	0..*	Reference(Endpoint)	Series access endpoint Obligations Actor SHALL:populate-if-known Imaging study manifest provider
bodySite	O	0..1	CodeableReference(BodyStructure)	Body part examined Obligations Actor SHALL:populate-if-known Imaging study manifest provider
laterality	O	0..1	CodeableConcept	Body part laterality Obligations Actor SHALL:populate-if-known Imaging study manifest provider
specimen	O	0..*	Reference(Specimen)	Specimen imaged Obligations Actor SHALL:populate-if-known Imaging study manifest provider
started	O	0..1	dateTime	When the series started Obligations Actor SHALL:populate-if-known Imaging study manifest provider
Slices for performer				Content/Rules for all slices
performer:custodian	O	0..1	BackboneElement	Who performed the series Obligations Actor SHALL:populate-if-known Imaging study manifest provider
instance	O	0..*	BackboneElement	A single SOP instance from the series Obligations Actor SHALL:populate-if-known Imaging study manifest provider
Slices for extension				Content/Rules for all slices
extension:instance-description	O	0..1	ImImagingStudyInstanceDescription	Instance Description Obligations Actor SHALL:populate-if-known Imaging study manifest provider
uid	O	1..1	id	DICOM SOP Instance UID Obligations Actor SHALL:populate-if-known Imaging study manifest provider
sopClass	O	1..1	Coding	DICOM class type Obligations Actor SHALL:populate-if-known Imaging study manifest provider
number	O	0..1	unsignedInt	The number of this instance in the series Obligations Actor SHALL:populate-if-known Imaging study manifest provider
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy	C	0..*	ImImagingStudy	A set of images produced in single study (one or more series of references images) im-imagingstudy-01: A DICOM instance UID must start with 'urn:oid:'
id	Σ	0..1	id	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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Identifiers for the whole study Slice: Unordered, Open by value:system
identifier:studyInstanceUid	OΣ	1..1	ImStudyInstanceUidIdentifier	Identifiers for the whole study Obligations Actor SHALL:populate-if-known Imaging study manifest provider
status	?!OΣ	1..1	code	registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy. Obligations Actor SHALL:handle Imaging study manifest provider
modality	OΣ	0..*	CodeableConcept	All of the distinct values for series' modalities Binding: Modality (extensible): Type of acquired data in the instance. Obligations Actor SHALL:populate-if-known Imaging study manifest provider
subject	OΣ	1..1	Reference(Patient (EU base) | Device)	Who or what is the subject of the study Obligations Actor SHALL:handle Imaging study manifest provider
encounter	OΣ	0..1	Reference(Encounter)	Encounter with which this imaging study is associated Obligations Actor SHALL:populate-if-known Imaging study manifest provider
started	OΣ	0..1	dateTime	When the study was started Example General: 2011-01-01T11:01:20+03:00 Obligations Actor SHALL:populate-if-known Imaging study manifest provider
Slices for basedOn	OΣ	0..*	Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)	Request fulfilled Slice: Unordered, Open by type:$this Obligations Actor SHALL:populate-if-known Imaging study manifest provider
basedOn:imorderaccession	Σ	0..1	Reference(IM Imaging Order)	Request fulfilled
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	ImAccessionNumberIdentifier	Logical reference, when literal reference is not known
display	ΣC	0..1	string	Text alternative for the resource
partOf	Σ	0..*	Reference(Procedure)	Part of referenced event
referrer	Σ	0..1	Reference(Practitioner | PractitionerRole)	Referring physician
Slices for endpoint	OΣ	0..*	Reference(Endpoint)	Study access endpoint Slice: Unordered, Open by profile:$this Obligations Actor SHALL:populate-if-known Imaging study manifest provider
endpoint:wado	Σ	0..1	Reference(IM WADO Endpoint)	Study access endpoint
endpoint:iid	Σ	0..1	Reference(IM Image Viewer Endpoint)	Study access endpoint
numberOfSeries	OΣ	0..1	unsignedInt	Number of Study Related Series Obligations Actor SHALL:populate-if-known Imaging study manifest provider
numberOfInstances	OΣ	0..1	unsignedInt	Number of Study Related Instances Obligations Actor SHALL:populate-if-known Imaging study manifest provider
procedure	Σ	0..*	CodeableReference(PlanDefinition | ActivityDefinition)	The performed procedure or code Binding: LOINC loinc-rsna-radiology-playbook (preferred): Use of RadLex is preferred
location	OΣ	0..1	Reference(Location)	Where ImagingStudy occurred Obligations Actor SHALL:populate-if-known Imaging study manifest provider
reason	Σ	0..*	CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference)	Why the study was requested / performed Binding: ProcedureReasonCodes (example): The reason for the study.
note	Σ	0..*	Annotation	User-defined comments
description	OΣ	0..1	string	Institution-generated description Obligations Actor SHALL:populate-if-known Imaging study manifest provider
series	OΣ	0..*	BackboneElement	Each study has one or more series of instances Obligations Actor SHALL:populate-if-known Imaging study manifest provider
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
uid	OΣ	1..1	id	DICOM Series Instance UID for the series Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630 Obligations Actor SHALL:populate-if-known Imaging study manifest provider
number	OΣ	0..1	unsignedInt	Numeric identifier of this series Example General: 3 Obligations Actor SHALL:populate-if-known Imaging study manifest provider
modality	OΣ	1..1	CodeableConcept	The modality used for this series Binding: Modality (extensible): Type of acquired data in the instance. Obligations Actor SHALL:populate-if-known Imaging study manifest provider
description	OΣ	0..1	string	A short human readable summary of the series Example General: CT Surview 180 Obligations Actor SHALL:populate-if-known Imaging study manifest provider
numberOfInstances	OΣ	0..1	unsignedInt	Number of Series Related Instances Obligations Actor SHALL:populate-if-known Imaging study manifest provider
Slices for endpoint	OΣ	0..*	Reference(Endpoint)	Series access endpoint Slice: Unordered, Open by profile:$this Obligations Actor SHALL:populate-if-known Imaging study manifest provider
endpoint:wado	Σ	0..1	Reference(IM WADO Endpoint)	Series access endpoint
endpoint:iid	Σ	0..1	Reference(IM Image Viewer Endpoint)	Series access endpoint
bodySite	OΣ	0..1	CodeableReference(BodyStructure)	Body part examined Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts Obligations Actor SHALL:populate-if-known Imaging study manifest provider
laterality	OΣ	0..1	CodeableConcept	Body part laterality Binding: Laterality (example): Codes describing body site laterality (left, right, etc.). Obligations Actor SHALL:populate-if-known Imaging study manifest provider
specimen	OΣ	0..*	Reference(Specimen)	Specimen imaged Obligations Actor SHALL:populate-if-known Imaging study manifest provider
started	OΣ	0..1	dateTime	When the series started Obligations Actor SHALL:populate-if-known Imaging study manifest provider
Slices for performer	Σ	0..*	BackboneElement	Who performed the series Slice: Unordered, Open by type:actor
performer: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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performance Binding: Imaging Study Performer Type Value Set (extensible)
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson | HealthcareService)	Who performed the series
performer:performer	Σ	0..1	BackboneElement	Who performed the series
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
function	Σ	0..1	CodeableConcept	Type of performance Binding: Imaging Study Performer Type Value Set (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(PractitionerRole (EU base))	Who performed the series
performer:device	Σ	0..1	BackboneElement	Who performed the series
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
function	Σ	0..1	CodeableConcept	Type of performance Binding: Imaging Study Performer Type Value Set (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DEV
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Im Imaging Device)	Who performed the series
performer:custodian	OΣ	0..1	BackboneElement	Who performed the series Obligations Actor SHALL:populate-if-known Imaging study manifest provider
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
function	Σ	0..1	CodeableConcept	Type of performance Binding: Imaging Study Performer Type Value Set (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CST
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Organization (EU base))	Who performed the series
instance	O	0..*	BackboneElement	A single SOP instance from the series Obligations Actor SHALL:populate-if-known Imaging study manifest provider
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:instance-description	O	0..1	string	Instance Description URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/instance-description Obligations Actor SHALL:populate-if-known Imaging study manifest provider
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
uid	O	1..1	id	DICOM SOP Instance UID Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903 Obligations Actor SHALL:populate-if-known Imaging study manifest provider
sopClass	O	1..1	Coding	DICOM class type Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance. Obligations Actor SHALL:populate-if-known Imaging study manifest provider
number	O	0..1	unsignedInt	The number of this instance in the series Example General: 1 Obligations Actor SHALL:populate-if-known Imaging study manifest provider
title		0..1	string	Description of instance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ImagingStudy.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
ImagingStudy.status	required	ImagingStudyStatus http://hl7.org/fhir/ValueSet/imagingstudy-status|5.0.0 from the FHIR Standard
ImagingStudy.modality	extensible	​Modality (missing link) http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html from this IG
ImagingStudy.basedOn:imorderaccession.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ImagingStudy.procedure	preferred	LOINC loinc-rsna-radiology-playbook http://loinc.org/vs/loinc-rsna-radiology-playbook
ImagingStudy.reason	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ImagingStudy.series.modality	extensible	​Modality (missing link) http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html from this IG
ImagingStudy.series.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
ImagingStudy.series.laterality	example	​Laterality (missing link) http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_244.html from this IG
ImagingStudy.series.performer.function	extensible	ImImagingStudyPerformerTypeVS http://hl7.eu/fhir/imaging-r5/ValueSet/im-imaging-study-performer-type from this IG
ImagingStudy.series.performer:performer.function	extensible	Pattern: PRF http://hl7.eu/fhir/imaging-r5/ValueSet/im-imaging-study-performer-type from this IG
ImagingStudy.series.performer:device.function	extensible	Pattern: DEV http://hl7.eu/fhir/imaging-r5/ValueSet/im-imaging-study-performer-type from this IG
ImagingStudy.series.performer:custodian.function	extensible	Pattern: CST http://hl7.eu/fhir/imaging-r5/ValueSet/im-imaging-study-performer-type from this IG
ImagingStudy.series.instance.sopClass	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ImagingStudy	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImagingStudy	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImagingStudy	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
im-imagingstudy-01	warning	ImagingStudy	A DICOM instance UID must start with 'urn:oid:' : identifier.where(system='urn:dicom:uid').value.startsWith('urn:oid:')

This structure is derived from ImImagingStudy

Summary