<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ImagingStudy-ca-core" />
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2" />
  </extension>
  <url value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/ImagingStudy-ca-core" />
  <version value="1.1.0" />
  <name value="ImagingStudyCACore" />
  <title value="ImagingStudy (CA-Core)" />
  <status value="active" />
  <experimental value="false" />
  <date value="2025-03-25" />
  <publisher value="Canada Health Infoway" />
  <contact>
    <name value="National Standards Release Centre" />
    <telecom>
      <system value="url" />
      <value value="http://www.infoway-inforoute.ca" />
    </telecom>
    <telecom>
      <system value="email" />
      <value value="standards@infoway-inforoute.ca" />
    </telecom>
  </contact>
  <description value="This profile applies constraints to the ImagingStudy resource for CA Core to support the effective structured sharing of diagnostic imaging studies." />
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166" />
      <code value="CA" />
    </coding>
  </jurisdiction>
  <copyright value="Copyright © 2025+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy)." />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="ImagingStudy" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/ImagingStudy" />
  <derivation value="constraint" />
  <differential>
    <element id="ImagingStudy.identifier">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:populate-if-known" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
        </extension>
      </extension>
      <path value="ImagingStudy.identifier" />
      <mustSupport value="true" />
    </element>
    <element id="ImagingStudy.subject">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint">
        <valueString value="dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.2.2.html" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:populate-if-known" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
        </extension>
      </extension>
      <path value="ImagingStudy.subject" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/patient-ca-core" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="ImagingStudy.subject.reference">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:populate-if-known" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
        </extension>
      </extension>
      <path value="ImagingStudy.subject.reference" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="ImagingStudy.started">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint">
        <valueString value="dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html#sect_C.7.2.1" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:populate-if-known" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
        </extension>
      </extension>
      <path value="ImagingStudy.started" />
      <mustSupport value="true" />
    </element>
    <element id="ImagingStudy.procedureCode">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:populate-if-known" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
        </extension>
      </extension>
      <path value="ImagingStudy.procedureCode" />
      <mustSupport value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ImagingProcedureCode" />
        </extension>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
          <extension url="purpose">
            <valueCode value="candidate" />
          </extension>
          <extension url="valueSet">
            <valueCanonical value="http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips" />
          </extension>
          <extension url="documentation">
            <valueMarkdown value="International Patient Summary (IPS) Radiology Result Codes" />
          </extension>
        </extension>
        <strength value="extensible" />
        <description value="The performed procedure type." />
        <valueSet value="http://www.rsna.org/RadLex_Playbook.aspx" />
      </binding>
    </element>
    <element id="ImagingStudy.series">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:populate-if-known" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
        </extension>
      </extension>
      <path value="ImagingStudy.series" />
      <mustSupport value="true" />
    </element>
    <element id="ImagingStudy.series.uid">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:populate-if-known" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
        </extension>
      </extension>
      <path value="ImagingStudy.series.uid" />
      <mustSupport value="true" />
    </element>
    <element id="ImagingStudy.series.instance">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:populate-if-known" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
        </extension>
      </extension>
      <path value="ImagingStudy.series.instance" />
      <mustSupport value="true" />
    </element>
    <element id="ImagingStudy.series.instance.sopClass">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:populate-if-known" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="actor">
          <valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
        </extension>
      </extension>
      <path value="ImagingStudy.series.instance.sopClass" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <valueSet value="http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1" />
      </binding>
    </element>
  </differential>
</StructureDefinition>