Wales FHIR Implementation Guide

DataStandardsWales-ImagingStudy

The ImagingStudy resource provides information on a DICOM imaging study, and the series and imaging objects in that study. It also provides information on how to retrieve that information (in a native DICOM format, or in a rendered format, such as JPEG). ImagingStudy is used to make available information about all parts of a single DICOM study.

The DataStandardsWales-ImagingStudy profile is derived from the HL7 R4 ImagingStudy Standard. It defines additional rules for use within health and care organisations in Wales.

A direct link to the Data Standards Wales asset can be accessed here - Data Standards Wales Imaging Study

Formal Views of Profile Content

Snapshot View
Differential View
Hybrid View
Examples

ImagingStudy	I		ImagingStudy	There are no (further) constraints on this element Element Id ImagingStudy Short description A set of images produced in single study (one or more series of references images) Definition Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities. Data Type ImagingStudy Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4: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-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 `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim:Entity. Role, or Act workflow:Event rim:Act[classCode=COMPOSITION, moodCode=EVN] dicom:Reference IHE radiology TF vol 2 table 4.14-1
identifier	S Σ	0..*	Identifier	There are no (further) constraints on this element Element Id ImagingStudy.identifier Short description Identifiers for the whole study Alternate names StudyInstanceUID, AccessionNumber Definition Identifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number. Requirements If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier (see DICOM PS 3.3 C.7.2. Comments See discussion under Imaging Study Implementation Notes for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Event.identifier w5:FiveWs.identifier rim:.id and .inboundRelationship[typeCode=COMP].source[classCode=ACSN, moodCode=EVN].id dicom:StudyInstanceUID (0020,000D) \| Accession Number and Issuer (0080,0050)+(0080,0051) \| Study ID (0020,0010)
status	Σ ?!	1..1	codeBinding	There are no (further) constraints on this element Element Id ImagingStudy.status Short description registered \| available \| cancelled \| entered-in-error \| unknown Definition The current state of the ImagingStudy. Comments Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is. Data Type code Binding The status of the ImagingStudy. ImagingStudyStatus (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Event.status w5:FiveWs.status v2:Varies by domain rim:.status
modality	Σ	0..*	CodingBinding	There are no (further) constraints on this element Element Id ImagingStudy.modality Short description All series modality if actual acquisition modalities Alternate names ModalitiesInStudy Definition A list of all the series.modality values that are actual acquisition modalities, i.e. those in the DICOM Context Group 29 (value set OID 1.2.840.10008.6.1.19). Comments Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Data Type Coding Binding Type of acquired data in the instance. http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding w5:FiveWs.class rim:.code dicom:(0008,0061)
subject	Σ I	1..1	Reference(Data Standards Wales Patient)	Element Id ImagingStudy.subject Short description Who or what is the subject of the study Definition The subject, typically a patient, of the imaging study. Comments QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group. Data Type Reference(Data Standards Wales Patient) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.subject w5:FiveWs.subject[x] rim:.participation[typeCode=SBJ].role dicom:(0010/) w5:*FiveWs.subject
encounter	Σ I	0..1	Reference(Data Standards Wales Encounter)	Element Id ImagingStudy.encounter Short description Encounter with which this imaging study is associated Definition The healthcare event (e.g. a patient and healthcare provider interaction) during which this ImagingStudy is made. Comments This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission test). Data Type Reference(Data Standards Wales Encounter) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.encounter w5:FiveWs.context rim:inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
started	Σ	0..1	dateTime	There are no (further) constraints on this element Element Id ImagingStudy.started Short description When the study was started Alternate names StudyDate, StudyTime Definition Date and time the study started. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 2011-01-01T11:01:20+03:00 Mappings rim:n/a workflow:Event.occurrence[x] w5:FiveWs.init rim:.effectiveTime dicom:(0008,0020)+(0008,0030)
basedOn	Σ I	0..*	Reference(CarePlan \| Appointment \| AppointmentResponse \| Task \| Data Standards Wales Service Request)	Element Id ImagingStudy.basedOn Short description Request fulfilled Definition A list of the diagnostic requests that resulted in this imaging study being performed. Requirements To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT). Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(CarePlan \| Appointment \| AppointmentResponse \| Task \| Data Standards Wales Service Request) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.basedOn w5:FiveWs.cause rim:.outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO] dicom:(0032,1064)
referrer	Σ I	0..1	Reference(Data Standards Wales Practitioner \| Data Standards Wales Practitioner Role)	Element Id ImagingStudy.referrer Short description Referring physician Alternate names ReferringPhysiciansName Definition The requesting/referring physician. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Data Standards Wales Practitioner \| Data Standards Wales Practitioner Role) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.cause rim:.outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO].participation[typeCode=AUT].role dicom:(0008,0090)+(0008,0096)
interpreter	Σ I	0..*	Reference(Data Standards Wales Practitioner \| Data Standards Wales Practitioner Role)	Element Id ImagingStudy.interpreter Short description Who interpreted images Alternate names Name of Physician(s) Reading Study Definition Who read the study and interpreted the images or other content. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Data Standards Wales Practitioner \| Data Standards Wales Practitioner Role) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.witness rim:.participation[typeCode=PRF].role dicom:(0008,1060)
endpoint	S Σ I	0..*	Reference(Data Standards Wales Endpoint)	Element Id ImagingStudy.endpoint Short description Study access endpoint Definition The network service providing access (e.g., query, view, or retrieval) for the study. See implementation notes for information about using DICOM endpoints. A study-level endpoint applies to each series in the study, unless overridden by a series-level endpoint with the same Endpoint.connectionType. Requirements Access methods for viewing (e.g., IHE’s IID profile) or retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the study or the study’s series or instances. The study-level baseLocation applies to each series in the study, unless overridden in series by a series-level baseLocation of the same type. Comments Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG), formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances; or IHE Invoke Image Display (IID), which provides standard invocation of an imaging web viewer. Data Type Reference(Data Standards Wales Endpoint) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim:Not supported
numberOfSeries	Σ	0..1	unsignedInt	There are no (further) constraints on this element Element Id ImagingStudy.numberOfSeries Short description Number of Study Related Series Alternate names NumberOfStudyRelatedSeries Definition Number of Series in the Study. This value given may be larger than the number of series elements this Resource contains due to resource availability, security, or other factors. This element should be present if any series elements are present. Comments 32 bit number; for values larger than this, use decimal Data Type unsignedInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=OBSSER, moodCode=EVN].repeatNumber dicom:(0020,1206)
numberOfInstances	Σ	0..1	unsignedInt	There are no (further) constraints on this element Element Id ImagingStudy.numberOfInstances Short description Number of Study Related Instances Alternate names NumberOfStudyRelatedInstances Definition Number of SOP Instances in Study. This value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present. Comments 32 bit number; for values larger than this, use decimal Data Type unsignedInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber dicom:(0020,1208)
procedureReference	Σ I	0..1	Reference(Procedure)	There are no (further) constraints on this element Element Id ImagingStudy.procedureReference Short description The performed Procedure reference Definition The procedure which this ImagingStudy was part of. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Procedure) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.partOf rim:.outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN] dicom:(0008,1032)
procedureCode	Σ	0..*	CodeableConceptBinding	There are no (further) constraints on this element Element Id ImagingStudy.procedureCode Short description The performed procedure code Alternate names ProcedureCodeSequence Definition The code for the performed procedure type. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding The performed procedure type. http://www.rsna.org/RadLex_Playbook.aspx (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Event.code rim:.outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN] dicom:(0008,1032)
location	Σ I	0..1	Reference(Data Standards Wales Location)	Element Id ImagingStudy.location Short description Where ImagingStudy occurred Definition The principal physical location where the ImagingStudy was performed. Requirements Ties the event to where the records are likely kept and provides context around the event occurrence (e.g. if it occurred inside or outside a dedicated healthcare setting). Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Data Standards Wales Location) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.location w5:FiveWs.where[x] v2:EVN.7 rim:.participation[typeCode=LOC].role dicom:(0008,1040) \| (0040,0243)
reasonCode	Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element Id ImagingStudy.reasonCode Short description Why the study was requested Definition Description of clinical condition indicating why the ImagingStudy was requested. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding The reason for the study. ProcedureReasonCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Event.reasonCode w5:FiveWs.why[x] rim:.reasonCode dicom:(0040,1002)
reasonReference	Σ I	0..*	Reference(Condition \| Media \| DocumentReference \| Data Standards Wales Observation \| Data Standards Wales Diagnostic Report)	Element Id ImagingStudy.reasonReference Short description Why was study performed Definition Indicates another resource whose existence justifies this Study. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Condition \| Media \| DocumentReference \| Data Standards Wales Observation \| Data Standards Wales Diagnostic Report) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.reasonReference w5:FiveWs.why[x] v2:EVN.4 or by domain rim:.outboundRelationship[typeCode=RSON].target
note	Σ	0..*	Annotation	There are no (further) constraints on this element Element Id ImagingStudy.note Short description User-defined comments Definition Per the recommended DICOM mapping, this element is derived from the Study Description attribute (0008,1030). Observations or findings about the imaging study should be recorded in another resource, e.g. Observation, and not in this element. Comments For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). Data Type Annotation Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Act workflow:Event.note rim:unknown
description	Σ	0..1	string	There are no (further) constraints on this element Element Id ImagingStudy.description Short description Institution-generated description Alternate names StudyDescription Definition The Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.text dicom:(0008,1030)
series	Σ	0..*	BackboneElement	There are no (further) constraints on this element Element Id ImagingStudy.series Short description Each study has one or more series of instances Definition Each study has one or more series of images or other content. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.outboundRelationship[typeCode=COMP].target[classCode=OBSSER, moodCode=EVN]
uid	Σ	1..1	id	There are no (further) constraints on this element Element Id ImagingStudy.series.uid Short description DICOM Series Instance UID for the series Alternate names SeriesInstanceUID Definition The DICOM Series Instance UID for the series. Requirements DICOM Series Instance UID. Comments See DICOM PS3.3 C.7.3. Data Type id Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 2.16.124.113543.6003.2588828330.45298.17418.2723805630 Mappings rim:n/a rim:.id dicom:(0020,000E)
number	Σ	0..1	unsignedInt	There are no (further) constraints on this element Element Id ImagingStudy.series.number Short description Numeric identifier of this series Alternate names SeriesNumber Definition The numeric identifier of this series in the study. Comments 32 bit number; for values larger than this, use decimal Data Type unsignedInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 3 Mappings rim:n/a rim:.inboundRelationship[type=COMP, source[classCode=COMPOSITION, moodCode=EVN]].sequenceNumber dicom:(0020,0011)
modality	Σ	1..1	CodingBinding	There are no (further) constraints on this element Element Id ImagingStudy.series.modality Short description The modality of the instances in the series Alternate names Modality Definition The modality of this series sequence. Comments Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Data Type Coding Binding Type of acquired data in the instance. http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding rim:.code dicom:(0008,0060)
description	Σ	0..1	string	There are no (further) constraints on this element Element Id ImagingStudy.series.description Short description A short human readable summary of the series Alternate names SeriesDescription Definition A description of the series. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General CT Surview 180 Mappings rim:n/a rim:.text dicom:(0008,103E)
numberOfInstances	Σ	0..1	unsignedInt	There are no (further) constraints on this element Element Id ImagingStudy.series.numberOfInstances Short description Number of Series Related Instances Alternate names NumberOfSeriesRelatedInstances Definition Number of SOP Instances in the Study. The value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present. Comments 32 bit number; for values larger than this, use decimal Data Type unsignedInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber dicom:(0020,1209)
endpoint	Σ I	0..*	Reference(Endpoint)	There are no (further) constraints on this element Element Id ImagingStudy.series.endpoint Short description Series access endpoint Definition The network service providing access (e.g., query, view, or retrieval) for this series. See implementation notes for information about using DICOM endpoints. A series-level endpoint, if present, has precedence over a study-level endpoint with the same Endpoint.connectionType. Requirements Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the series or the series’ instances. A baseLocation specified at the series level has precedence over a baseLocation of the same type specified at the study level. Comments Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG) formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; and DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances. Data Type Reference(Endpoint) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim:Not supported
bodySite	Σ	0..1	Coding	There are no (further) constraints on this element Element Id ImagingStudy.series.bodySite Short description Body part examined Alternate names BodyPartExamined Definition The anatomic structures examined. See DICOM Part 16 Annex L (http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings. The bodySite may indicate the laterality of body part imaged; if so, it shall be consistent with any content of ImagingStudy.series.laterality. Comments Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Data Type Coding Binding Codes describing anatomical locations. May include laterality. SNOMEDCTBodyStructures (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding rim:.targetSiteCode dicom:(0018,0015)
laterality	Σ	0..1	Coding	There are no (further) constraints on this element Element Id ImagingStudy.series.laterality Short description Body part laterality Definition The laterality of the (possibly paired) anatomic structures examined. E.g., the left knee, both lungs, or unpaired abdomen. If present, shall be consistent with any laterality information indicated in ImagingStudy.series.bodySite. Comments Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Data Type Coding Binding Codes describing body site laterality (left, right, etc.). Laterality (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding rim:.targetSiteCode dicom:(0020,0060)
specimen	Σ I	0..*	Reference(Specimen)	There are no (further) constraints on this element Element Id ImagingStudy.series.specimen Short description Specimen imaged Definition The specimen imaged, e.g., for whole slide imaging of a biopsy. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Specimen) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim:Role[classCode=SPEC] dicom:(0040,0551) + (0040,0562)
started	Σ	0..1	dateTime	There are no (further) constraints on this element Element Id ImagingStudy.series.started Short description When the series started Definition The date and time the series was started. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.effectiveTime dicom:(0008,0021) + (0008,0031)
performer	Σ	0..*	BackboneElement	There are no (further) constraints on this element Element Id ImagingStudy.series.performer Short description Who performed the series Alternate names PerformingPhysicianName, OperatorName Definition Indicates who or what performed the series and how they were involved. Requirements The performer is recorded at the series level, since each series in a study may be performed by a different performer, at different times, and using different devices. A series may be performed by multiple performers. Comments If the person who performed the series is not known, their Organization may be recorded. A patient, or related person, may be the performer, e.g. for patient-captured images. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Event.performer rim:.participation[typeCode=PRF].role dicom:(0008, 1050) \| (0008, 1052) \| (0008, 1070) \| (0008, 1072)
function	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id ImagingStudy.series.performer.function Short description Type of performance Definition Distinguishes the type of involvement of the performer in the series. Requirements Allows disambiguation of the types of involvement of different performers. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding The type of involvement of the performer. ImagingStudySeriesPerformerFunction (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:.participation[typeCode=PRF].role
actor	Σ I	1..1	Reference(Practitioner \| PractitionerRole \| Organization \| CareTeam \| Patient \| Device \| RelatedPerson)	There are no (further) constraints on this element Element Id ImagingStudy.series.performer.actor Short description Who performed the series Definition Indicates who or what performed the series. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Practitioner \| PractitionerRole \| Organization \| CareTeam \| Patient \| Device \| RelatedPerson) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.actor v2:EVN.5 or by domain rim:.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
instance		0..*	BackboneElement	There are no (further) constraints on this element Element Id ImagingStudy.series.instance Short description A single SOP instance from the series Definition A single SOP instance within the series, e.g. an image, or presentation state. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.outboundRelationship[typeCode=COMP].target[classCode=DGIMG, moodCode=EVN]
uid		1..1	id	There are no (further) constraints on this element Element Id ImagingStudy.series.instance.uid Short description DICOM SOP Instance UID Alternate names SOPInstanceUID Definition The DICOM SOP Instance UID for this image or other DICOM content. Requirements DICOM SOP Instance UID. Comments See DICOM PS3.3 C.12.1. Data Type id Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 2.16.124.113543.6003.189642796.63084.16748.2599092903 Mappings rim:n/a rim:.id dicom:(0008,0018)
sopClass		1..1	CodingBinding	There are no (further) constraints on this element Element Id ImagingStudy.series.instance.sopClass Short description DICOM class type Alternate names SOPClassUID Definition DICOM instance type. Comments Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Data Type Coding Binding The sopClass for the instance. http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding rim:.inboundRelationship[typeCode=COMP]. source[classCode=OBS, moodCode=EVN, code="sop class"].value dicom:(0008,0016)
number		0..1	unsignedInt	There are no (further) constraints on this element Element Id ImagingStudy.series.instance.number Short description The number of this instance in the series Alternate names InstanceNumber Definition The number of instance in the series. Comments 32 bit number; for values larger than this, use decimal Data Type unsignedInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 1 Mappings rim:n/a rim:.inboundRelationship[typeCode=COMP, source[classCode=OBSSER, moodCode=EVN]].sequenceNumber dicom:(0020,0013)
title		0..1	string	There are no (further) constraints on this element Element Id ImagingStudy.series.instance.title Short description Description of instance Definition The description of the instance. Comments Particularly for post-acquisition analytic objects, such as SR, presentation states, value mapping, etc. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.title dicom:(0008,0008) \| (0007,0080) \| (0040,A043) + (0008,0104) \| (0042,0010)

ImagingStudy	I		ImagingStudy	There are no (further) constraints on this element Element Id ImagingStudy Short description A set of images produced in single study (one or more series of references images) Definition Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities. Data Type ImagingStudy Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4: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-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 `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim:Entity. Role, or Act workflow:Event rim:Act[classCode=COMPOSITION, moodCode=EVN] dicom:Reference IHE radiology TF vol 2 table 4.14-1
identifier	S Σ	0..*	Identifier	There are no (further) constraints on this element Element Id ImagingStudy.identifier Short description Identifiers for the whole study Alternate names StudyInstanceUID, AccessionNumber Definition Identifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number. Requirements If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier (see DICOM PS 3.3 C.7.2. Comments See discussion under Imaging Study Implementation Notes for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Event.identifier w5:FiveWs.identifier rim:.id and .inboundRelationship[typeCode=COMP].source[classCode=ACSN, moodCode=EVN].id dicom:StudyInstanceUID (0020,000D) \| Accession Number and Issuer (0080,0050)+(0080,0051) \| Study ID (0020,0010)
status	Σ ?!	1..1	codeBinding	There are no (further) constraints on this element Element Id ImagingStudy.status Short description registered \| available \| cancelled \| entered-in-error \| unknown Definition The current state of the ImagingStudy. Comments Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is. Data Type code Binding The status of the ImagingStudy. ImagingStudyStatus (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Event.status w5:FiveWs.status v2:Varies by domain rim:.status
modality	Σ	0..*	CodingBinding	There are no (further) constraints on this element Element Id ImagingStudy.modality Short description All series modality if actual acquisition modalities Alternate names ModalitiesInStudy Definition A list of all the series.modality values that are actual acquisition modalities, i.e. those in the DICOM Context Group 29 (value set OID 1.2.840.10008.6.1.19). Comments Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Data Type Coding Binding Type of acquired data in the instance. http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding w5:FiveWs.class rim:.code dicom:(0008,0061)
subject	Σ I	1..1	Reference(Data Standards Wales Patient)	Element Id ImagingStudy.subject Short description Who or what is the subject of the study Definition The subject, typically a patient, of the imaging study. Comments QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group. Data Type Reference(Data Standards Wales Patient) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.subject w5:FiveWs.subject[x] rim:.participation[typeCode=SBJ].role dicom:(0010/) w5:*FiveWs.subject
encounter	Σ I	0..1	Reference(Data Standards Wales Encounter)	Element Id ImagingStudy.encounter Short description Encounter with which this imaging study is associated Definition The healthcare event (e.g. a patient and healthcare provider interaction) during which this ImagingStudy is made. Comments This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission test). Data Type Reference(Data Standards Wales Encounter) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.encounter w5:FiveWs.context rim:inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
started	Σ	0..1	dateTime	There are no (further) constraints on this element Element Id ImagingStudy.started Short description When the study was started Alternate names StudyDate, StudyTime Definition Date and time the study started. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 2011-01-01T11:01:20+03:00 Mappings rim:n/a workflow:Event.occurrence[x] w5:FiveWs.init rim:.effectiveTime dicom:(0008,0020)+(0008,0030)
basedOn	Σ I	0..*	Reference(CarePlan \| Appointment \| AppointmentResponse \| Task \| Data Standards Wales Service Request)	Element Id ImagingStudy.basedOn Short description Request fulfilled Definition A list of the diagnostic requests that resulted in this imaging study being performed. Requirements To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT). Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(CarePlan \| Appointment \| AppointmentResponse \| Task \| Data Standards Wales Service Request) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.basedOn w5:FiveWs.cause rim:.outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO] dicom:(0032,1064)
referrer	Σ I	0..1	Reference(Data Standards Wales Practitioner \| Data Standards Wales Practitioner Role)	Element Id ImagingStudy.referrer Short description Referring physician Alternate names ReferringPhysiciansName Definition The requesting/referring physician. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Data Standards Wales Practitioner \| Data Standards Wales Practitioner Role) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.cause rim:.outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO].participation[typeCode=AUT].role dicom:(0008,0090)+(0008,0096)
interpreter	Σ I	0..*	Reference(Data Standards Wales Practitioner \| Data Standards Wales Practitioner Role)	Element Id ImagingStudy.interpreter Short description Who interpreted images Alternate names Name of Physician(s) Reading Study Definition Who read the study and interpreted the images or other content. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Data Standards Wales Practitioner \| Data Standards Wales Practitioner Role) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.witness rim:.participation[typeCode=PRF].role dicom:(0008,1060)
endpoint	S Σ I	0..*	Reference(Data Standards Wales Endpoint)	Element Id ImagingStudy.endpoint Short description Study access endpoint Definition The network service providing access (e.g., query, view, or retrieval) for the study. See implementation notes for information about using DICOM endpoints. A study-level endpoint applies to each series in the study, unless overridden by a series-level endpoint with the same Endpoint.connectionType. Requirements Access methods for viewing (e.g., IHE’s IID profile) or retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the study or the study’s series or instances. The study-level baseLocation applies to each series in the study, unless overridden in series by a series-level baseLocation of the same type. Comments Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG), formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances; or IHE Invoke Image Display (IID), which provides standard invocation of an imaging web viewer. Data Type Reference(Data Standards Wales Endpoint) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim:Not supported
numberOfSeries	Σ	0..1	unsignedInt	There are no (further) constraints on this element Element Id ImagingStudy.numberOfSeries Short description Number of Study Related Series Alternate names NumberOfStudyRelatedSeries Definition Number of Series in the Study. This value given may be larger than the number of series elements this Resource contains due to resource availability, security, or other factors. This element should be present if any series elements are present. Comments 32 bit number; for values larger than this, use decimal Data Type unsignedInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=OBSSER, moodCode=EVN].repeatNumber dicom:(0020,1206)
numberOfInstances	Σ	0..1	unsignedInt	There are no (further) constraints on this element Element Id ImagingStudy.numberOfInstances Short description Number of Study Related Instances Alternate names NumberOfStudyRelatedInstances Definition Number of SOP Instances in Study. This value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present. Comments 32 bit number; for values larger than this, use decimal Data Type unsignedInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber dicom:(0020,1208)
procedureReference	Σ I	0..1	Reference(Procedure)	There are no (further) constraints on this element Element Id ImagingStudy.procedureReference Short description The performed Procedure reference Definition The procedure which this ImagingStudy was part of. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Procedure) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.partOf rim:.outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN] dicom:(0008,1032)
procedureCode	Σ	0..*	CodeableConceptBinding	There are no (further) constraints on this element Element Id ImagingStudy.procedureCode Short description The performed procedure code Alternate names ProcedureCodeSequence Definition The code for the performed procedure type. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding The performed procedure type. http://www.rsna.org/RadLex_Playbook.aspx (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Event.code rim:.outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN] dicom:(0008,1032)
location	Σ I	0..1	Reference(Data Standards Wales Location)	Element Id ImagingStudy.location Short description Where ImagingStudy occurred Definition The principal physical location where the ImagingStudy was performed. Requirements Ties the event to where the records are likely kept and provides context around the event occurrence (e.g. if it occurred inside or outside a dedicated healthcare setting). Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Data Standards Wales Location) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.location w5:FiveWs.where[x] v2:EVN.7 rim:.participation[typeCode=LOC].role dicom:(0008,1040) \| (0040,0243)
reasonCode	Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element Id ImagingStudy.reasonCode Short description Why the study was requested Definition Description of clinical condition indicating why the ImagingStudy was requested. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding The reason for the study. ProcedureReasonCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Event.reasonCode w5:FiveWs.why[x] rim:.reasonCode dicom:(0040,1002)
reasonReference	Σ I	0..*	Reference(Condition \| Media \| DocumentReference \| Data Standards Wales Observation \| Data Standards Wales Diagnostic Report)	Element Id ImagingStudy.reasonReference Short description Why was study performed Definition Indicates another resource whose existence justifies this Study. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Condition \| Media \| DocumentReference \| Data Standards Wales Observation \| Data Standards Wales Diagnostic Report) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.reasonReference w5:FiveWs.why[x] v2:EVN.4 or by domain rim:.outboundRelationship[typeCode=RSON].target
note	Σ	0..*	Annotation	There are no (further) constraints on this element Element Id ImagingStudy.note Short description User-defined comments Definition Per the recommended DICOM mapping, this element is derived from the Study Description attribute (0008,1030). Observations or findings about the imaging study should be recorded in another resource, e.g. Observation, and not in this element. Comments For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). Data Type Annotation Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Act workflow:Event.note rim:unknown
description	Σ	0..1	string	There are no (further) constraints on this element Element Id ImagingStudy.description Short description Institution-generated description Alternate names StudyDescription Definition The Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.text dicom:(0008,1030)
series	Σ	0..*	BackboneElement	There are no (further) constraints on this element Element Id ImagingStudy.series Short description Each study has one or more series of instances Definition Each study has one or more series of images or other content. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.outboundRelationship[typeCode=COMP].target[classCode=OBSSER, moodCode=EVN]
uid	Σ	1..1	id	There are no (further) constraints on this element Element Id ImagingStudy.series.uid Short description DICOM Series Instance UID for the series Alternate names SeriesInstanceUID Definition The DICOM Series Instance UID for the series. Requirements DICOM Series Instance UID. Comments See DICOM PS3.3 C.7.3. Data Type id Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 2.16.124.113543.6003.2588828330.45298.17418.2723805630 Mappings rim:n/a rim:.id dicom:(0020,000E)
number	Σ	0..1	unsignedInt	There are no (further) constraints on this element Element Id ImagingStudy.series.number Short description Numeric identifier of this series Alternate names SeriesNumber Definition The numeric identifier of this series in the study. Comments 32 bit number; for values larger than this, use decimal Data Type unsignedInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 3 Mappings rim:n/a rim:.inboundRelationship[type=COMP, source[classCode=COMPOSITION, moodCode=EVN]].sequenceNumber dicom:(0020,0011)
modality	Σ	1..1	CodingBinding	There are no (further) constraints on this element Element Id ImagingStudy.series.modality Short description The modality of the instances in the series Alternate names Modality Definition The modality of this series sequence. Comments Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Data Type Coding Binding Type of acquired data in the instance. http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding rim:.code dicom:(0008,0060)
description	Σ	0..1	string	There are no (further) constraints on this element Element Id ImagingStudy.series.description Short description A short human readable summary of the series Alternate names SeriesDescription Definition A description of the series. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General CT Surview 180 Mappings rim:n/a rim:.text dicom:(0008,103E)
numberOfInstances	Σ	0..1	unsignedInt	There are no (further) constraints on this element Element Id ImagingStudy.series.numberOfInstances Short description Number of Series Related Instances Alternate names NumberOfSeriesRelatedInstances Definition Number of SOP Instances in the Study. The value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present. Comments 32 bit number; for values larger than this, use decimal Data Type unsignedInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber dicom:(0020,1209)
endpoint	Σ I	0..*	Reference(Endpoint)	There are no (further) constraints on this element Element Id ImagingStudy.series.endpoint Short description Series access endpoint Definition The network service providing access (e.g., query, view, or retrieval) for this series. See implementation notes for information about using DICOM endpoints. A series-level endpoint, if present, has precedence over a study-level endpoint with the same Endpoint.connectionType. Requirements Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the series or the series’ instances. A baseLocation specified at the series level has precedence over a baseLocation of the same type specified at the study level. Comments Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG) formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; and DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances. Data Type Reference(Endpoint) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim:Not supported
bodySite	Σ	0..1	Coding	There are no (further) constraints on this element Element Id ImagingStudy.series.bodySite Short description Body part examined Alternate names BodyPartExamined Definition The anatomic structures examined. See DICOM Part 16 Annex L (http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings. The bodySite may indicate the laterality of body part imaged; if so, it shall be consistent with any content of ImagingStudy.series.laterality. Comments Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Data Type Coding Binding Codes describing anatomical locations. May include laterality. SNOMEDCTBodyStructures (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding rim:.targetSiteCode dicom:(0018,0015)
laterality	Σ	0..1	Coding	There are no (further) constraints on this element Element Id ImagingStudy.series.laterality Short description Body part laterality Definition The laterality of the (possibly paired) anatomic structures examined. E.g., the left knee, both lungs, or unpaired abdomen. If present, shall be consistent with any laterality information indicated in ImagingStudy.series.bodySite. Comments Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Data Type Coding Binding Codes describing body site laterality (left, right, etc.). Laterality (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding rim:.targetSiteCode dicom:(0020,0060)
specimen	Σ I	0..*	Reference(Specimen)	There are no (further) constraints on this element Element Id ImagingStudy.series.specimen Short description Specimen imaged Definition The specimen imaged, e.g., for whole slide imaging of a biopsy. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Specimen) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim:Role[classCode=SPEC] dicom:(0040,0551) + (0040,0562)
started	Σ	0..1	dateTime	There are no (further) constraints on this element Element Id ImagingStudy.series.started Short description When the series started Definition The date and time the series was started. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.effectiveTime dicom:(0008,0021) + (0008,0031)
performer	Σ	0..*	BackboneElement	There are no (further) constraints on this element Element Id ImagingStudy.series.performer Short description Who performed the series Alternate names PerformingPhysicianName, OperatorName Definition Indicates who or what performed the series and how they were involved. Requirements The performer is recorded at the series level, since each series in a study may be performed by a different performer, at different times, and using different devices. A series may be performed by multiple performers. Comments If the person who performed the series is not known, their Organization may be recorded. A patient, or related person, may be the performer, e.g. for patient-captured images. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Event.performer rim:.participation[typeCode=PRF].role dicom:(0008, 1050) \| (0008, 1052) \| (0008, 1070) \| (0008, 1072)
function	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id ImagingStudy.series.performer.function Short description Type of performance Definition Distinguishes the type of involvement of the performer in the series. Requirements Allows disambiguation of the types of involvement of different performers. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding The type of involvement of the performer. ImagingStudySeriesPerformerFunction (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:.participation[typeCode=PRF].role
actor	Σ I	1..1	Reference(Practitioner \| PractitionerRole \| Organization \| CareTeam \| Patient \| Device \| RelatedPerson)	There are no (further) constraints on this element Element Id ImagingStudy.series.performer.actor Short description Who performed the series Definition Indicates who or what performed the series. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Practitioner \| PractitionerRole \| Organization \| CareTeam \| Patient \| Device \| RelatedPerson) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.actor v2:EVN.5 or by domain rim:.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
instance		0..*	BackboneElement	There are no (further) constraints on this element Element Id ImagingStudy.series.instance Short description A single SOP instance from the series Definition A single SOP instance within the series, e.g. an image, or presentation state. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.outboundRelationship[typeCode=COMP].target[classCode=DGIMG, moodCode=EVN]
uid		1..1	id	There are no (further) constraints on this element Element Id ImagingStudy.series.instance.uid Short description DICOM SOP Instance UID Alternate names SOPInstanceUID Definition The DICOM SOP Instance UID for this image or other DICOM content. Requirements DICOM SOP Instance UID. Comments See DICOM PS3.3 C.12.1. Data Type id Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 2.16.124.113543.6003.189642796.63084.16748.2599092903 Mappings rim:n/a rim:.id dicom:(0008,0018)
sopClass		1..1	CodingBinding	There are no (further) constraints on this element Element Id ImagingStudy.series.instance.sopClass Short description DICOM class type Alternate names SOPClassUID Definition DICOM instance type. Comments Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Data Type Coding Binding The sopClass for the instance. http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding rim:.inboundRelationship[typeCode=COMP]. source[classCode=OBS, moodCode=EVN, code="sop class"].value dicom:(0008,0016)
number		0..1	unsignedInt	There are no (further) constraints on this element Element Id ImagingStudy.series.instance.number Short description The number of this instance in the series Alternate names InstanceNumber Definition The number of instance in the series. Comments 32 bit number; for values larger than this, use decimal Data Type unsignedInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 1 Mappings rim:n/a rim:.inboundRelationship[typeCode=COMP, source[classCode=OBSSER, moodCode=EVN]].sequenceNumber dicom:(0020,0013)
title		0..1	string	There are no (further) constraints on this element Element Id ImagingStudy.series.instance.title Short description Description of instance Definition The description of the instance. Comments Particularly for post-acquisition analytic objects, such as SR, presentation states, value mapping, etc. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.title dicom:(0008,0008) \| (0007,0080) \| (0040,A043) + (0008,0104) \| (0042,0010)

ImagingStudy	I		ImagingStudy	There are no (further) constraints on this element Element Id ImagingStudy Short description A set of images produced in single study (one or more series of references images) Definition Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities. Data Type ImagingStudy Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4: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-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 `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim:Entity. Role, or Act workflow:Event rim:Act[classCode=COMPOSITION, moodCode=EVN] dicom:Reference IHE radiology TF vol 2 table 4.14-1
identifier	S Σ	0..*	Identifier	There are no (further) constraints on this element Element Id ImagingStudy.identifier Short description Identifiers for the whole study Alternate names StudyInstanceUID, AccessionNumber Definition Identifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number. Requirements If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier (see DICOM PS 3.3 C.7.2. Comments See discussion under Imaging Study Implementation Notes for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Event.identifier w5:FiveWs.identifier rim:.id and .inboundRelationship[typeCode=COMP].source[classCode=ACSN, moodCode=EVN].id dicom:StudyInstanceUID (0020,000D) \| Accession Number and Issuer (0080,0050)+(0080,0051) \| Study ID (0020,0010)
status	Σ ?!	1..1	codeBinding	There are no (further) constraints on this element Element Id ImagingStudy.status Short description registered \| available \| cancelled \| entered-in-error \| unknown Definition The current state of the ImagingStudy. Comments Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is. Data Type code Binding The status of the ImagingStudy. ImagingStudyStatus (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Event.status w5:FiveWs.status v2:Varies by domain rim:.status
modality	Σ	0..*	CodingBinding	There are no (further) constraints on this element Element Id ImagingStudy.modality Short description All series modality if actual acquisition modalities Alternate names ModalitiesInStudy Definition A list of all the series.modality values that are actual acquisition modalities, i.e. those in the DICOM Context Group 29 (value set OID 1.2.840.10008.6.1.19). Comments Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Data Type Coding Binding Type of acquired data in the instance. http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding w5:FiveWs.class rim:.code dicom:(0008,0061)
subject	Σ I	1..1	Reference(Data Standards Wales Patient)	Element Id ImagingStudy.subject Short description Who or what is the subject of the study Definition The subject, typically a patient, of the imaging study. Comments QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group. Data Type Reference(Data Standards Wales Patient) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.subject w5:FiveWs.subject[x] rim:.participation[typeCode=SBJ].role dicom:(0010/) w5:*FiveWs.subject
encounter	Σ I	0..1	Reference(Data Standards Wales Encounter)	Element Id ImagingStudy.encounter Short description Encounter with which this imaging study is associated Definition The healthcare event (e.g. a patient and healthcare provider interaction) during which this ImagingStudy is made. Comments This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission test). Data Type Reference(Data Standards Wales Encounter) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.encounter w5:FiveWs.context rim:inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
started	Σ	0..1	dateTime	There are no (further) constraints on this element Element Id ImagingStudy.started Short description When the study was started Alternate names StudyDate, StudyTime Definition Date and time the study started. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 2011-01-01T11:01:20+03:00 Mappings rim:n/a workflow:Event.occurrence[x] w5:FiveWs.init rim:.effectiveTime dicom:(0008,0020)+(0008,0030)
basedOn	Σ I	0..*	Reference(CarePlan \| Appointment \| AppointmentResponse \| Task \| Data Standards Wales Service Request)	Element Id ImagingStudy.basedOn Short description Request fulfilled Definition A list of the diagnostic requests that resulted in this imaging study being performed. Requirements To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT). Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(CarePlan \| Appointment \| AppointmentResponse \| Task \| Data Standards Wales Service Request) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.basedOn w5:FiveWs.cause rim:.outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO] dicom:(0032,1064)
referrer	Σ I	0..1	Reference(Data Standards Wales Practitioner \| Data Standards Wales Practitioner Role)	Element Id ImagingStudy.referrer Short description Referring physician Alternate names ReferringPhysiciansName Definition The requesting/referring physician. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Data Standards Wales Practitioner \| Data Standards Wales Practitioner Role) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.cause rim:.outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO].participation[typeCode=AUT].role dicom:(0008,0090)+(0008,0096)
interpreter	Σ I	0..*	Reference(Data Standards Wales Practitioner \| Data Standards Wales Practitioner Role)	Element Id ImagingStudy.interpreter Short description Who interpreted images Alternate names Name of Physician(s) Reading Study Definition Who read the study and interpreted the images or other content. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Data Standards Wales Practitioner \| Data Standards Wales Practitioner Role) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.witness rim:.participation[typeCode=PRF].role dicom:(0008,1060)
endpoint	S Σ I	0..*	Reference(Data Standards Wales Endpoint)	Element Id ImagingStudy.endpoint Short description Study access endpoint Definition The network service providing access (e.g., query, view, or retrieval) for the study. See implementation notes for information about using DICOM endpoints. A study-level endpoint applies to each series in the study, unless overridden by a series-level endpoint with the same Endpoint.connectionType. Requirements Access methods for viewing (e.g., IHE’s IID profile) or retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the study or the study’s series or instances. The study-level baseLocation applies to each series in the study, unless overridden in series by a series-level baseLocation of the same type. Comments Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG), formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances; or IHE Invoke Image Display (IID), which provides standard invocation of an imaging web viewer. Data Type Reference(Data Standards Wales Endpoint) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim:Not supported
numberOfSeries	Σ	0..1	unsignedInt	There are no (further) constraints on this element Element Id ImagingStudy.numberOfSeries Short description Number of Study Related Series Alternate names NumberOfStudyRelatedSeries Definition Number of Series in the Study. This value given may be larger than the number of series elements this Resource contains due to resource availability, security, or other factors. This element should be present if any series elements are present. Comments 32 bit number; for values larger than this, use decimal Data Type unsignedInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=OBSSER, moodCode=EVN].repeatNumber dicom:(0020,1206)
numberOfInstances	Σ	0..1	unsignedInt	There are no (further) constraints on this element Element Id ImagingStudy.numberOfInstances Short description Number of Study Related Instances Alternate names NumberOfStudyRelatedInstances Definition Number of SOP Instances in Study. This value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present. Comments 32 bit number; for values larger than this, use decimal Data Type unsignedInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber dicom:(0020,1208)
procedureReference	Σ I	0..1	Reference(Procedure)	There are no (further) constraints on this element Element Id ImagingStudy.procedureReference Short description The performed Procedure reference Definition The procedure which this ImagingStudy was part of. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Procedure) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.partOf rim:.outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN] dicom:(0008,1032)
procedureCode	Σ	0..*	CodeableConceptBinding	There are no (further) constraints on this element Element Id ImagingStudy.procedureCode Short description The performed procedure code Alternate names ProcedureCodeSequence Definition The code for the performed procedure type. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding The performed procedure type. http://www.rsna.org/RadLex_Playbook.aspx (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Event.code rim:.outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN] dicom:(0008,1032)
location	Σ I	0..1	Reference(Data Standards Wales Location)	Element Id ImagingStudy.location Short description Where ImagingStudy occurred Definition The principal physical location where the ImagingStudy was performed. Requirements Ties the event to where the records are likely kept and provides context around the event occurrence (e.g. if it occurred inside or outside a dedicated healthcare setting). Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Data Standards Wales Location) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.location w5:FiveWs.where[x] v2:EVN.7 rim:.participation[typeCode=LOC].role dicom:(0008,1040) \| (0040,0243)
reasonCode	Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element Id ImagingStudy.reasonCode Short description Why the study was requested Definition Description of clinical condition indicating why the ImagingStudy was requested. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding The reason for the study. ProcedureReasonCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Event.reasonCode w5:FiveWs.why[x] rim:.reasonCode dicom:(0040,1002)
reasonReference	Σ I	0..*	Reference(Condition \| Media \| DocumentReference \| Data Standards Wales Observation \| Data Standards Wales Diagnostic Report)	Element Id ImagingStudy.reasonReference Short description Why was study performed Definition Indicates another resource whose existence justifies this Study. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Condition \| Media \| DocumentReference \| Data Standards Wales Observation \| Data Standards Wales Diagnostic Report) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.reasonReference w5:FiveWs.why[x] v2:EVN.4 or by domain rim:.outboundRelationship[typeCode=RSON].target
note	Σ	0..*	Annotation	There are no (further) constraints on this element Element Id ImagingStudy.note Short description User-defined comments Definition Per the recommended DICOM mapping, this element is derived from the Study Description attribute (0008,1030). Observations or findings about the imaging study should be recorded in another resource, e.g. Observation, and not in this element. Comments For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). Data Type Annotation Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Act workflow:Event.note rim:unknown
description	Σ	0..1	string	There are no (further) constraints on this element Element Id ImagingStudy.description Short description Institution-generated description Alternate names StudyDescription Definition The Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.text dicom:(0008,1030)
series	Σ	0..*	BackboneElement	There are no (further) constraints on this element Element Id ImagingStudy.series Short description Each study has one or more series of instances Definition Each study has one or more series of images or other content. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.outboundRelationship[typeCode=COMP].target[classCode=OBSSER, moodCode=EVN]
uid	Σ	1..1	id	There are no (further) constraints on this element Element Id ImagingStudy.series.uid Short description DICOM Series Instance UID for the series Alternate names SeriesInstanceUID Definition The DICOM Series Instance UID for the series. Requirements DICOM Series Instance UID. Comments See DICOM PS3.3 C.7.3. Data Type id Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 2.16.124.113543.6003.2588828330.45298.17418.2723805630 Mappings rim:n/a rim:.id dicom:(0020,000E)
number	Σ	0..1	unsignedInt	There are no (further) constraints on this element Element Id ImagingStudy.series.number Short description Numeric identifier of this series Alternate names SeriesNumber Definition The numeric identifier of this series in the study. Comments 32 bit number; for values larger than this, use decimal Data Type unsignedInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 3 Mappings rim:n/a rim:.inboundRelationship[type=COMP, source[classCode=COMPOSITION, moodCode=EVN]].sequenceNumber dicom:(0020,0011)
modality	Σ	1..1	CodingBinding	There are no (further) constraints on this element Element Id ImagingStudy.series.modality Short description The modality of the instances in the series Alternate names Modality Definition The modality of this series sequence. Comments Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Data Type Coding Binding Type of acquired data in the instance. http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding rim:.code dicom:(0008,0060)
description	Σ	0..1	string	There are no (further) constraints on this element Element Id ImagingStudy.series.description Short description A short human readable summary of the series Alternate names SeriesDescription Definition A description of the series. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General CT Surview 180 Mappings rim:n/a rim:.text dicom:(0008,103E)
numberOfInstances	Σ	0..1	unsignedInt	There are no (further) constraints on this element Element Id ImagingStudy.series.numberOfInstances Short description Number of Series Related Instances Alternate names NumberOfSeriesRelatedInstances Definition Number of SOP Instances in the Study. The value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present. Comments 32 bit number; for values larger than this, use decimal Data Type unsignedInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber dicom:(0020,1209)
endpoint	Σ I	0..*	Reference(Endpoint)	There are no (further) constraints on this element Element Id ImagingStudy.series.endpoint Short description Series access endpoint Definition The network service providing access (e.g., query, view, or retrieval) for this series. See implementation notes for information about using DICOM endpoints. A series-level endpoint, if present, has precedence over a study-level endpoint with the same Endpoint.connectionType. Requirements Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the series or the series’ instances. A baseLocation specified at the series level has precedence over a baseLocation of the same type specified at the study level. Comments Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG) formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; and DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances. Data Type Reference(Endpoint) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim:Not supported
bodySite	Σ	0..1	Coding	There are no (further) constraints on this element Element Id ImagingStudy.series.bodySite Short description Body part examined Alternate names BodyPartExamined Definition The anatomic structures examined. See DICOM Part 16 Annex L (http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings. The bodySite may indicate the laterality of body part imaged; if so, it shall be consistent with any content of ImagingStudy.series.laterality. Comments Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Data Type Coding Binding Codes describing anatomical locations. May include laterality. SNOMEDCTBodyStructures (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding rim:.targetSiteCode dicom:(0018,0015)
laterality	Σ	0..1	Coding	There are no (further) constraints on this element Element Id ImagingStudy.series.laterality Short description Body part laterality Definition The laterality of the (possibly paired) anatomic structures examined. E.g., the left knee, both lungs, or unpaired abdomen. If present, shall be consistent with any laterality information indicated in ImagingStudy.series.bodySite. Comments Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Data Type Coding Binding Codes describing body site laterality (left, right, etc.). Laterality (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding rim:.targetSiteCode dicom:(0020,0060)
specimen	Σ I	0..*	Reference(Specimen)	There are no (further) constraints on this element Element Id ImagingStudy.series.specimen Short description Specimen imaged Definition The specimen imaged, e.g., for whole slide imaging of a biopsy. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Specimen) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim:Role[classCode=SPEC] dicom:(0040,0551) + (0040,0562)
started	Σ	0..1	dateTime	There are no (further) constraints on this element Element Id ImagingStudy.series.started Short description When the series started Definition The date and time the series was started. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.effectiveTime dicom:(0008,0021) + (0008,0031)
performer	Σ	0..*	BackboneElement	There are no (further) constraints on this element Element Id ImagingStudy.series.performer Short description Who performed the series Alternate names PerformingPhysicianName, OperatorName Definition Indicates who or what performed the series and how they were involved. Requirements The performer is recorded at the series level, since each series in a study may be performed by a different performer, at different times, and using different devices. A series may be performed by multiple performers. Comments If the person who performed the series is not known, their Organization may be recorded. A patient, or related person, may be the performer, e.g. for patient-captured images. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Event.performer rim:.participation[typeCode=PRF].role dicom:(0008, 1050) \| (0008, 1052) \| (0008, 1070) \| (0008, 1072)
function	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id ImagingStudy.series.performer.function Short description Type of performance Definition Distinguishes the type of involvement of the performer in the series. Requirements Allows disambiguation of the types of involvement of different performers. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding The type of involvement of the performer. ImagingStudySeriesPerformerFunction (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:.participation[typeCode=PRF].role
actor	Σ I	1..1	Reference(Practitioner \| PractitionerRole \| Organization \| CareTeam \| Patient \| Device \| RelatedPerson)	There are no (further) constraints on this element Element Id ImagingStudy.series.performer.actor Short description Who performed the series Definition Indicates who or what performed the series. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Practitioner \| PractitionerRole \| Organization \| CareTeam \| Patient \| Device \| RelatedPerson) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.actor v2:EVN.5 or by domain rim:.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
instance		0..*	BackboneElement	There are no (further) constraints on this element Element Id ImagingStudy.series.instance Short description A single SOP instance from the series Definition A single SOP instance within the series, e.g. an image, or presentation state. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.outboundRelationship[typeCode=COMP].target[classCode=DGIMG, moodCode=EVN]
uid		1..1	id	There are no (further) constraints on this element Element Id ImagingStudy.series.instance.uid Short description DICOM SOP Instance UID Alternate names SOPInstanceUID Definition The DICOM SOP Instance UID for this image or other DICOM content. Requirements DICOM SOP Instance UID. Comments See DICOM PS3.3 C.12.1. Data Type id Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 2.16.124.113543.6003.189642796.63084.16748.2599092903 Mappings rim:n/a rim:.id dicom:(0008,0018)
sopClass		1..1	CodingBinding	There are no (further) constraints on this element Element Id ImagingStudy.series.instance.sopClass Short description DICOM class type Alternate names SOPClassUID Definition DICOM instance type. Comments Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Data Type Coding Binding The sopClass for the instance. http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding rim:.inboundRelationship[typeCode=COMP]. source[classCode=OBS, moodCode=EVN, code="sop class"].value dicom:(0008,0016)
number		0..1	unsignedInt	There are no (further) constraints on this element Element Id ImagingStudy.series.instance.number Short description The number of this instance in the series Alternate names InstanceNumber Definition The number of instance in the series. Comments 32 bit number; for values larger than this, use decimal Data Type unsignedInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 1 Mappings rim:n/a rim:.inboundRelationship[typeCode=COMP, source[classCode=OBSSER, moodCode=EVN]].sequenceNumber dicom:(0020,0013)
title		0..1	string	There are no (further) constraints on this element Element Id ImagingStudy.series.instance.title Short description Description of instance Definition The description of the instance. Comments Particularly for post-acquisition analytic objects, such as SR, presentation states, value mapping, etc. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.title dicom:(0008,0008) \| (0007,0080) \| (0040,A043) + (0008,0104) \| (0042,0010)

Example ImagingStudy - CT Abdomen