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 idImagingStudy A set of images produced in single study (one or more series of references images) DefinitionRepresentation 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.
| |
id | Σ | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.id Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idImagingStudy.meta Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
|
implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idImagingStudy.implicitRules A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
|
language | 0..1 | codeBinding | There are no (further) constraints on this element Element idImagingStudy.language Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). A human language.
| |
text | 0..1 | Narrative | There are no (further) constraints on this element Element idImagingStudy.text Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
| |
contained | 0..* | Resource | There are no (further) constraints on this element Element idImagingStudy.contained Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
| |
extension | I | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
modifierExtension | ?! I | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
identifier | S Σ | 0..* | Identifier | There are no (further) constraints on this element Element idImagingStudy.identifier Identifiers for the whole study Alternate namesStudyInstanceUID, AccessionNumber DefinitionIdentifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number. 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. See discussion under Imaging Study Implementation Notes for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type.
|
status | Σ ?! | 1..1 | codeBinding | There are no (further) constraints on this element Element idImagingStudy.status registered | available | cancelled | entered-in-error | unknown DefinitionThe current state of the ImagingStudy. 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. The status of the ImagingStudy.
|
modality | Σ | 0..* | CodingBinding | There are no (further) constraints on this element Element idImagingStudy.modality All series modality if actual acquisition modalities Alternate namesModalitiesInStudy DefinitionA 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). 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. Type of acquired data in the instance.
|
subject | Σ I | 1..1 | Reference(Data Standards Wales Patient) | Element idImagingStudy.subject Who or what is the subject of the study DefinitionThe subject, typically a patient, of the imaging study. QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group. Reference(Data Standards Wales Patient) Constraints
|
encounter | Σ I | 0..1 | Reference(Data Standards Wales Encounter) | Element idImagingStudy.encounter Encounter with which this imaging study is associated DefinitionThe healthcare event (e.g. a patient and healthcare provider interaction) during which this ImagingStudy is made. 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). Reference(Data Standards Wales Encounter) Constraints
|
started | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idImagingStudy.started When the study was started Alternate namesStudyDate, StudyTime DefinitionDate and time the study started.
General 2011-01-01T11:01:20+03:00 Mappings
|
basedOn | Σ I | 0..* | Reference(CarePlan | Appointment | AppointmentResponse | Task | Data Standards Wales Service Request) | Element idImagingStudy.basedOn Request fulfilled DefinitionA list of the diagnostic requests that resulted in this imaging study being performed. To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT). 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. Reference(CarePlan | Appointment | AppointmentResponse | Task | Data Standards Wales Service Request) Constraints
|
referrer | Σ I | 0..1 | Reference(Data Standards Wales Practitioner | Data Standards Wales Practitioner Role) | Element idImagingStudy.referrer Referring physician Alternate namesReferringPhysiciansName DefinitionThe requesting/referring physician. 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. Reference(Data Standards Wales Practitioner | Data Standards Wales Practitioner Role) Constraints
|
interpreter | Σ I | 0..* | Reference(Data Standards Wales Practitioner | Data Standards Wales Practitioner Role) | Element idImagingStudy.interpreter Who interpreted images Alternate namesName of Physician(s) Reading Study DefinitionWho read the study and interpreted the images or other content. 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. Reference(Data Standards Wales Practitioner | Data Standards Wales Practitioner Role) Constraints
|
endpoint | S Σ I | 0..* | Reference(Data Standards Wales Endpoint) | Element idImagingStudy.endpoint Study access endpoint DefinitionThe 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. 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. 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. Reference(Data Standards Wales Endpoint) Constraints
|
numberOfSeries | Σ | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.numberOfSeries Number of Study Related Series Alternate namesNumberOfStudyRelatedSeries DefinitionNumber 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. 32 bit number; for values larger than this, use decimal
|
numberOfInstances | Σ | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.numberOfInstances Number of Study Related Instances Alternate namesNumberOfStudyRelatedInstances DefinitionNumber 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. 32 bit number; for values larger than this, use decimal
|
procedureReference | Σ I | 0..1 | Reference(Procedure) | There are no (further) constraints on this element Element idImagingStudy.procedureReference The performed Procedure reference DefinitionThe procedure which this ImagingStudy was part of. 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.
|
procedureCode | Σ | 0..* | CodeableConceptBinding | There are no (further) constraints on this element Element idImagingStudy.procedureCode The performed procedure code Alternate namesProcedureCodeSequence DefinitionThe code for the performed procedure type. 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. The performed procedure type.
|
location | Σ I | 0..1 | Reference(Data Standards Wales Location) | Element idImagingStudy.location Where ImagingStudy occurred DefinitionThe principal physical location where the ImagingStudy was performed. 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). 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. Reference(Data Standards Wales Location) Constraints
|
reasonCode | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element idImagingStudy.reasonCode Why the study was requested DefinitionDescription of clinical condition indicating why the ImagingStudy was requested. 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. The reason for the study.
|
reasonReference | Σ I | 0..* | Reference(Condition | Media | DocumentReference | Data Standards Wales Observation | Data Standards Wales Diagnostic Report) | Element idImagingStudy.reasonReference Why was study performed DefinitionIndicates another resource whose existence justifies this Study. 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. Reference(Condition | Media | DocumentReference | Data Standards Wales Observation | Data Standards Wales Diagnostic Report) Constraints
|
note | Σ | 0..* | Annotation | There are no (further) constraints on this element Element idImagingStudy.note User-defined comments DefinitionPer 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. 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).
|
description | Σ | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.description Institution-generated description Alternate namesStudyDescription DefinitionThe Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed. Note that FHIR strings SHALL NOT exceed 1MB in size
|
series | Σ | 0..* | BackboneElement | There are no (further) constraints on this element Element idImagingStudy.series Each study has one or more series of instances DefinitionEach study has one or more series of images or other content.
|
id | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
| |
extension | I | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
|
uid | Σ | 1..1 | id | There are no (further) constraints on this element Element idImagingStudy.series.uid DICOM Series Instance UID for the series Alternate namesSeriesInstanceUID DefinitionThe DICOM Series Instance UID for the series. DICOM Series Instance UID. See DICOM PS3.3 C.7.3.
General 2.16.124.113543.6003.2588828330.45298.17418.2723805630 Mappings
|
number | Σ | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.series.number Numeric identifier of this series Alternate namesSeriesNumber DefinitionThe numeric identifier of this series in the study. 32 bit number; for values larger than this, use decimal
General 3 Mappings
|
modality | Σ | 1..1 | CodingBinding | There are no (further) constraints on this element Element idImagingStudy.series.modality The modality of the instances in the series Alternate namesModality DefinitionThe modality of this series sequence. 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. Type of acquired data in the instance.
|
description | Σ | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.description A short human readable summary of the series Alternate namesSeriesDescription DefinitionA description of the series. Note that FHIR strings SHALL NOT exceed 1MB in size
General CT Surview 180 Mappings
|
numberOfInstances | Σ | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.series.numberOfInstances Number of Series Related Instances Alternate namesNumberOfSeriesRelatedInstances DefinitionNumber 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. 32 bit number; for values larger than this, use decimal
|
endpoint | Σ I | 0..* | Reference(Endpoint) | There are no (further) constraints on this element Element idImagingStudy.series.endpoint Series access endpoint DefinitionThe 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. 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. 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.
|
bodySite | Σ | 0..1 | Coding | There are no (further) constraints on this element Element idImagingStudy.series.bodySite Body part examined Alternate namesBodyPartExamined DefinitionThe 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. 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. Codes describing anatomical locations. May include laterality.
|
laterality | Σ | 0..1 | Coding | There are no (further) constraints on this element Element idImagingStudy.series.laterality Body part laterality DefinitionThe 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. 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. Codes describing body site laterality (left, right, etc.).
|
specimen | Σ I | 0..* | Reference(Specimen) | There are no (further) constraints on this element Element idImagingStudy.series.specimen Specimen imaged DefinitionThe specimen imaged, e.g., for whole slide imaging of a biopsy. 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.
|
started | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idImagingStudy.series.started When the series started DefinitionThe date and time the series was started.
|
performer | Σ | 0..* | BackboneElement | There are no (further) constraints on this element Element idImagingStudy.series.performer Who performed the series Alternate namesPerformingPhysicianName, OperatorName DefinitionIndicates who or what performed the series and how they were involved. 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. 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.
|
id | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.performer.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
| |
extension | I | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.performer.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.performer.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
|
function | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idImagingStudy.series.performer.function Type of performance DefinitionDistinguishes the type of involvement of the performer in the series. Allows disambiguation of the types of involvement of different performers. 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. The type of involvement of the performer.
|
actor | Σ I | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) | There are no (further) constraints on this element Element idImagingStudy.series.performer.actor Who performed the series DefinitionIndicates who or what performed the series. 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. Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) Constraints
|
instance | 0..* | BackboneElement | There are no (further) constraints on this element Element idImagingStudy.series.instance A single SOP instance from the series DefinitionA single SOP instance within the series, e.g. an image, or presentation state.
| |
id | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.instance.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
| |
extension | I | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.instance.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.instance.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
|
uid | 1..1 | id | There are no (further) constraints on this element Element idImagingStudy.series.instance.uid DICOM SOP Instance UID Alternate namesSOPInstanceUID DefinitionThe DICOM SOP Instance UID for this image or other DICOM content. DICOM SOP Instance UID. See DICOM PS3.3 C.12.1.
General 2.16.124.113543.6003.189642796.63084.16748.2599092903 Mappings
| |
sopClass | 1..1 | CodingBinding | There are no (further) constraints on this element Element idImagingStudy.series.instance.sopClass DICOM class type Alternate namesSOPClassUID DefinitionDICOM instance type. 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. The sopClass for the instance.
| |
number | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.series.instance.number The number of this instance in the series Alternate namesInstanceNumber DefinitionThe number of instance in the series. 32 bit number; for values larger than this, use decimal
General 1 Mappings
| |
title | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.instance.title Description of instance DefinitionThe description of the instance. Particularly for post-acquisition analytic objects, such as SR, presentation states, value mapping, etc.
|
ImagingStudy | I | ImagingStudy | There are no (further) constraints on this element Element idImagingStudy A set of images produced in single study (one or more series of references images) DefinitionRepresentation 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.
| |
id | Σ | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.id Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idImagingStudy.meta Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
|
implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idImagingStudy.implicitRules A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
|
language | 0..1 | codeBinding | There are no (further) constraints on this element Element idImagingStudy.language Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). A human language.
| |
text | 0..1 | Narrative | There are no (further) constraints on this element Element idImagingStudy.text Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
| |
contained | 0..* | Resource | There are no (further) constraints on this element Element idImagingStudy.contained Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
| |
extension | I | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
modifierExtension | ?! I | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
identifier | S Σ | 0..* | Identifier | There are no (further) constraints on this element Element idImagingStudy.identifier Identifiers for the whole study Alternate namesStudyInstanceUID, AccessionNumber DefinitionIdentifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number. 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. See discussion under Imaging Study Implementation Notes for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type.
|
status | Σ ?! | 1..1 | codeBinding | There are no (further) constraints on this element Element idImagingStudy.status registered | available | cancelled | entered-in-error | unknown DefinitionThe current state of the ImagingStudy. 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. The status of the ImagingStudy.
|
modality | Σ | 0..* | CodingBinding | There are no (further) constraints on this element Element idImagingStudy.modality All series modality if actual acquisition modalities Alternate namesModalitiesInStudy DefinitionA 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). 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. Type of acquired data in the instance.
|
subject | Σ I | 1..1 | Reference(Data Standards Wales Patient) | Element idImagingStudy.subject Who or what is the subject of the study DefinitionThe subject, typically a patient, of the imaging study. QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group. Reference(Data Standards Wales Patient) Constraints
|
encounter | Σ I | 0..1 | Reference(Data Standards Wales Encounter) | Element idImagingStudy.encounter Encounter with which this imaging study is associated DefinitionThe healthcare event (e.g. a patient and healthcare provider interaction) during which this ImagingStudy is made. 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). Reference(Data Standards Wales Encounter) Constraints
|
started | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idImagingStudy.started When the study was started Alternate namesStudyDate, StudyTime DefinitionDate and time the study started.
General 2011-01-01T11:01:20+03:00 Mappings
|
basedOn | Σ I | 0..* | Reference(CarePlan | Appointment | AppointmentResponse | Task | Data Standards Wales Service Request) | Element idImagingStudy.basedOn Request fulfilled DefinitionA list of the diagnostic requests that resulted in this imaging study being performed. To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT). 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. Reference(CarePlan | Appointment | AppointmentResponse | Task | Data Standards Wales Service Request) Constraints
|
referrer | Σ I | 0..1 | Reference(Data Standards Wales Practitioner | Data Standards Wales Practitioner Role) | Element idImagingStudy.referrer Referring physician Alternate namesReferringPhysiciansName DefinitionThe requesting/referring physician. 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. Reference(Data Standards Wales Practitioner | Data Standards Wales Practitioner Role) Constraints
|
interpreter | Σ I | 0..* | Reference(Data Standards Wales Practitioner | Data Standards Wales Practitioner Role) | Element idImagingStudy.interpreter Who interpreted images Alternate namesName of Physician(s) Reading Study DefinitionWho read the study and interpreted the images or other content. 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. Reference(Data Standards Wales Practitioner | Data Standards Wales Practitioner Role) Constraints
|
endpoint | S Σ I | 0..* | Reference(Data Standards Wales Endpoint) | Element idImagingStudy.endpoint Study access endpoint DefinitionThe 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. 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. 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. Reference(Data Standards Wales Endpoint) Constraints
|
numberOfSeries | Σ | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.numberOfSeries Number of Study Related Series Alternate namesNumberOfStudyRelatedSeries DefinitionNumber 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. 32 bit number; for values larger than this, use decimal
|
numberOfInstances | Σ | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.numberOfInstances Number of Study Related Instances Alternate namesNumberOfStudyRelatedInstances DefinitionNumber 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. 32 bit number; for values larger than this, use decimal
|
procedureReference | Σ I | 0..1 | Reference(Procedure) | There are no (further) constraints on this element Element idImagingStudy.procedureReference The performed Procedure reference DefinitionThe procedure which this ImagingStudy was part of. 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.
|
procedureCode | Σ | 0..* | CodeableConceptBinding | There are no (further) constraints on this element Element idImagingStudy.procedureCode The performed procedure code Alternate namesProcedureCodeSequence DefinitionThe code for the performed procedure type. 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. The performed procedure type.
|
location | Σ I | 0..1 | Reference(Data Standards Wales Location) | Element idImagingStudy.location Where ImagingStudy occurred DefinitionThe principal physical location where the ImagingStudy was performed. 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). 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. Reference(Data Standards Wales Location) Constraints
|
reasonCode | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element idImagingStudy.reasonCode Why the study was requested DefinitionDescription of clinical condition indicating why the ImagingStudy was requested. 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. The reason for the study.
|
reasonReference | Σ I | 0..* | Reference(Condition | Media | DocumentReference | Data Standards Wales Observation | Data Standards Wales Diagnostic Report) | Element idImagingStudy.reasonReference Why was study performed DefinitionIndicates another resource whose existence justifies this Study. 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. Reference(Condition | Media | DocumentReference | Data Standards Wales Observation | Data Standards Wales Diagnostic Report) Constraints
|
note | Σ | 0..* | Annotation | There are no (further) constraints on this element Element idImagingStudy.note User-defined comments DefinitionPer 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. 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).
|
description | Σ | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.description Institution-generated description Alternate namesStudyDescription DefinitionThe Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed. Note that FHIR strings SHALL NOT exceed 1MB in size
|
series | Σ | 0..* | BackboneElement | There are no (further) constraints on this element Element idImagingStudy.series Each study has one or more series of instances DefinitionEach study has one or more series of images or other content.
|
id | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
| |
extension | I | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
|
uid | Σ | 1..1 | id | There are no (further) constraints on this element Element idImagingStudy.series.uid DICOM Series Instance UID for the series Alternate namesSeriesInstanceUID DefinitionThe DICOM Series Instance UID for the series. DICOM Series Instance UID. See DICOM PS3.3 C.7.3.
General 2.16.124.113543.6003.2588828330.45298.17418.2723805630 Mappings
|
number | Σ | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.series.number Numeric identifier of this series Alternate namesSeriesNumber DefinitionThe numeric identifier of this series in the study. 32 bit number; for values larger than this, use decimal
General 3 Mappings
|
modality | Σ | 1..1 | CodingBinding | There are no (further) constraints on this element Element idImagingStudy.series.modality The modality of the instances in the series Alternate namesModality DefinitionThe modality of this series sequence. 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. Type of acquired data in the instance.
|
description | Σ | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.description A short human readable summary of the series Alternate namesSeriesDescription DefinitionA description of the series. Note that FHIR strings SHALL NOT exceed 1MB in size
General CT Surview 180 Mappings
|
numberOfInstances | Σ | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.series.numberOfInstances Number of Series Related Instances Alternate namesNumberOfSeriesRelatedInstances DefinitionNumber 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. 32 bit number; for values larger than this, use decimal
|
endpoint | Σ I | 0..* | Reference(Endpoint) | There are no (further) constraints on this element Element idImagingStudy.series.endpoint Series access endpoint DefinitionThe 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. 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. 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.
|
bodySite | Σ | 0..1 | Coding | There are no (further) constraints on this element Element idImagingStudy.series.bodySite Body part examined Alternate namesBodyPartExamined DefinitionThe 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. 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. Codes describing anatomical locations. May include laterality.
|
laterality | Σ | 0..1 | Coding | There are no (further) constraints on this element Element idImagingStudy.series.laterality Body part laterality DefinitionThe 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. 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. Codes describing body site laterality (left, right, etc.).
|
specimen | Σ I | 0..* | Reference(Specimen) | There are no (further) constraints on this element Element idImagingStudy.series.specimen Specimen imaged DefinitionThe specimen imaged, e.g., for whole slide imaging of a biopsy. 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.
|
started | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idImagingStudy.series.started When the series started DefinitionThe date and time the series was started.
|
performer | Σ | 0..* | BackboneElement | There are no (further) constraints on this element Element idImagingStudy.series.performer Who performed the series Alternate namesPerformingPhysicianName, OperatorName DefinitionIndicates who or what performed the series and how they were involved. 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. 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.
|
id | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.performer.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
| |
extension | I | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.performer.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.performer.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
|
function | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idImagingStudy.series.performer.function Type of performance DefinitionDistinguishes the type of involvement of the performer in the series. Allows disambiguation of the types of involvement of different performers. 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. The type of involvement of the performer.
|
actor | Σ I | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) | There are no (further) constraints on this element Element idImagingStudy.series.performer.actor Who performed the series DefinitionIndicates who or what performed the series. 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. Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) Constraints
|
instance | 0..* | BackboneElement | There are no (further) constraints on this element Element idImagingStudy.series.instance A single SOP instance from the series DefinitionA single SOP instance within the series, e.g. an image, or presentation state.
| |
id | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.instance.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
| |
extension | I | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.instance.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.instance.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
|
uid | 1..1 | id | There are no (further) constraints on this element Element idImagingStudy.series.instance.uid DICOM SOP Instance UID Alternate namesSOPInstanceUID DefinitionThe DICOM SOP Instance UID for this image or other DICOM content. DICOM SOP Instance UID. See DICOM PS3.3 C.12.1.
General 2.16.124.113543.6003.189642796.63084.16748.2599092903 Mappings
| |
sopClass | 1..1 | CodingBinding | There are no (further) constraints on this element Element idImagingStudy.series.instance.sopClass DICOM class type Alternate namesSOPClassUID DefinitionDICOM instance type. 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. The sopClass for the instance.
| |
number | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.series.instance.number The number of this instance in the series Alternate namesInstanceNumber DefinitionThe number of instance in the series. 32 bit number; for values larger than this, use decimal
General 1 Mappings
| |
title | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.instance.title Description of instance DefinitionThe description of the instance. Particularly for post-acquisition analytic objects, such as SR, presentation states, value mapping, etc.
|
ImagingStudy | I | ImagingStudy | There are no (further) constraints on this element Element idImagingStudy A set of images produced in single study (one or more series of references images) DefinitionRepresentation 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.
| |
id | Σ | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.id Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idImagingStudy.meta Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
|
implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idImagingStudy.implicitRules A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
|
language | 0..1 | codeBinding | There are no (further) constraints on this element Element idImagingStudy.language Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). A human language.
| |
text | 0..1 | Narrative | There are no (further) constraints on this element Element idImagingStudy.text Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
| |
contained | 0..* | Resource | There are no (further) constraints on this element Element idImagingStudy.contained Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
| |
extension | I | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
modifierExtension | ?! I | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
identifier | S Σ | 0..* | Identifier | There are no (further) constraints on this element Element idImagingStudy.identifier Identifiers for the whole study Alternate namesStudyInstanceUID, AccessionNumber DefinitionIdentifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number. 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. See discussion under Imaging Study Implementation Notes for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type.
|
status | Σ ?! | 1..1 | codeBinding | There are no (further) constraints on this element Element idImagingStudy.status registered | available | cancelled | entered-in-error | unknown DefinitionThe current state of the ImagingStudy. 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. The status of the ImagingStudy.
|
modality | Σ | 0..* | CodingBinding | There are no (further) constraints on this element Element idImagingStudy.modality All series modality if actual acquisition modalities Alternate namesModalitiesInStudy DefinitionA 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). 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. Type of acquired data in the instance.
|
subject | Σ I | 1..1 | Reference(Data Standards Wales Patient) | Element idImagingStudy.subject Who or what is the subject of the study DefinitionThe subject, typically a patient, of the imaging study. QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group. Reference(Data Standards Wales Patient) Constraints
|
encounter | Σ I | 0..1 | Reference(Data Standards Wales Encounter) | Element idImagingStudy.encounter Encounter with which this imaging study is associated DefinitionThe healthcare event (e.g. a patient and healthcare provider interaction) during which this ImagingStudy is made. 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). Reference(Data Standards Wales Encounter) Constraints
|
started | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idImagingStudy.started When the study was started Alternate namesStudyDate, StudyTime DefinitionDate and time the study started.
General 2011-01-01T11:01:20+03:00 Mappings
|
basedOn | Σ I | 0..* | Reference(CarePlan | Appointment | AppointmentResponse | Task | Data Standards Wales Service Request) | Element idImagingStudy.basedOn Request fulfilled DefinitionA list of the diagnostic requests that resulted in this imaging study being performed. To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT). 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. Reference(CarePlan | Appointment | AppointmentResponse | Task | Data Standards Wales Service Request) Constraints
|
referrer | Σ I | 0..1 | Reference(Data Standards Wales Practitioner | Data Standards Wales Practitioner Role) | Element idImagingStudy.referrer Referring physician Alternate namesReferringPhysiciansName DefinitionThe requesting/referring physician. 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. Reference(Data Standards Wales Practitioner | Data Standards Wales Practitioner Role) Constraints
|
interpreter | Σ I | 0..* | Reference(Data Standards Wales Practitioner | Data Standards Wales Practitioner Role) | Element idImagingStudy.interpreter Who interpreted images Alternate namesName of Physician(s) Reading Study DefinitionWho read the study and interpreted the images or other content. 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. Reference(Data Standards Wales Practitioner | Data Standards Wales Practitioner Role) Constraints
|
endpoint | S Σ I | 0..* | Reference(Data Standards Wales Endpoint) | Element idImagingStudy.endpoint Study access endpoint DefinitionThe 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. 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. 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. Reference(Data Standards Wales Endpoint) Constraints
|
numberOfSeries | Σ | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.numberOfSeries Number of Study Related Series Alternate namesNumberOfStudyRelatedSeries DefinitionNumber 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. 32 bit number; for values larger than this, use decimal
|
numberOfInstances | Σ | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.numberOfInstances Number of Study Related Instances Alternate namesNumberOfStudyRelatedInstances DefinitionNumber 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. 32 bit number; for values larger than this, use decimal
|
procedureReference | Σ I | 0..1 | Reference(Procedure) | There are no (further) constraints on this element Element idImagingStudy.procedureReference The performed Procedure reference DefinitionThe procedure which this ImagingStudy was part of. 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.
|
procedureCode | Σ | 0..* | CodeableConceptBinding | There are no (further) constraints on this element Element idImagingStudy.procedureCode The performed procedure code Alternate namesProcedureCodeSequence DefinitionThe code for the performed procedure type. 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. The performed procedure type.
|
location | Σ I | 0..1 | Reference(Data Standards Wales Location) | Element idImagingStudy.location Where ImagingStudy occurred DefinitionThe principal physical location where the ImagingStudy was performed. 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). 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. Reference(Data Standards Wales Location) Constraints
|
reasonCode | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element idImagingStudy.reasonCode Why the study was requested DefinitionDescription of clinical condition indicating why the ImagingStudy was requested. 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. The reason for the study.
|
reasonReference | Σ I | 0..* | Reference(Condition | Media | DocumentReference | Data Standards Wales Observation | Data Standards Wales Diagnostic Report) | Element idImagingStudy.reasonReference Why was study performed DefinitionIndicates another resource whose existence justifies this Study. 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. Reference(Condition | Media | DocumentReference | Data Standards Wales Observation | Data Standards Wales Diagnostic Report) Constraints
|
note | Σ | 0..* | Annotation | There are no (further) constraints on this element Element idImagingStudy.note User-defined comments DefinitionPer 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. 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).
|
description | Σ | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.description Institution-generated description Alternate namesStudyDescription DefinitionThe Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed. Note that FHIR strings SHALL NOT exceed 1MB in size
|
series | Σ | 0..* | BackboneElement | There are no (further) constraints on this element Element idImagingStudy.series Each study has one or more series of instances DefinitionEach study has one or more series of images or other content.
|
id | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
| |
extension | I | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
|
uid | Σ | 1..1 | id | There are no (further) constraints on this element Element idImagingStudy.series.uid DICOM Series Instance UID for the series Alternate namesSeriesInstanceUID DefinitionThe DICOM Series Instance UID for the series. DICOM Series Instance UID. See DICOM PS3.3 C.7.3.
General 2.16.124.113543.6003.2588828330.45298.17418.2723805630 Mappings
|
number | Σ | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.series.number Numeric identifier of this series Alternate namesSeriesNumber DefinitionThe numeric identifier of this series in the study. 32 bit number; for values larger than this, use decimal
General 3 Mappings
|
modality | Σ | 1..1 | CodingBinding | There are no (further) constraints on this element Element idImagingStudy.series.modality The modality of the instances in the series Alternate namesModality DefinitionThe modality of this series sequence. 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. Type of acquired data in the instance.
|
description | Σ | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.description A short human readable summary of the series Alternate namesSeriesDescription DefinitionA description of the series. Note that FHIR strings SHALL NOT exceed 1MB in size
General CT Surview 180 Mappings
|
numberOfInstances | Σ | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.series.numberOfInstances Number of Series Related Instances Alternate namesNumberOfSeriesRelatedInstances DefinitionNumber 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. 32 bit number; for values larger than this, use decimal
|
endpoint | Σ I | 0..* | Reference(Endpoint) | There are no (further) constraints on this element Element idImagingStudy.series.endpoint Series access endpoint DefinitionThe 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. 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. 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.
|
bodySite | Σ | 0..1 | Coding | There are no (further) constraints on this element Element idImagingStudy.series.bodySite Body part examined Alternate namesBodyPartExamined DefinitionThe 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. 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. Codes describing anatomical locations. May include laterality.
|
laterality | Σ | 0..1 | Coding | There are no (further) constraints on this element Element idImagingStudy.series.laterality Body part laterality DefinitionThe 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. 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. Codes describing body site laterality (left, right, etc.).
|
specimen | Σ I | 0..* | Reference(Specimen) | There are no (further) constraints on this element Element idImagingStudy.series.specimen Specimen imaged DefinitionThe specimen imaged, e.g., for whole slide imaging of a biopsy. 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.
|
started | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idImagingStudy.series.started When the series started DefinitionThe date and time the series was started.
|
performer | Σ | 0..* | BackboneElement | There are no (further) constraints on this element Element idImagingStudy.series.performer Who performed the series Alternate namesPerformingPhysicianName, OperatorName DefinitionIndicates who or what performed the series and how they were involved. 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. 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.
|
id | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.performer.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
| |
extension | I | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.performer.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.performer.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
|
function | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idImagingStudy.series.performer.function Type of performance DefinitionDistinguishes the type of involvement of the performer in the series. Allows disambiguation of the types of involvement of different performers. 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. The type of involvement of the performer.
|
actor | Σ I | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) | There are no (further) constraints on this element Element idImagingStudy.series.performer.actor Who performed the series DefinitionIndicates who or what performed the series. 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. Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) Constraints
|
instance | 0..* | BackboneElement | There are no (further) constraints on this element Element idImagingStudy.series.instance A single SOP instance from the series DefinitionA single SOP instance within the series, e.g. an image, or presentation state.
| |
id | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.instance.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
| |
extension | I | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.instance.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
|
modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.instance.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
|
uid | 1..1 | id | There are no (further) constraints on this element Element idImagingStudy.series.instance.uid DICOM SOP Instance UID Alternate namesSOPInstanceUID DefinitionThe DICOM SOP Instance UID for this image or other DICOM content. DICOM SOP Instance UID. See DICOM PS3.3 C.12.1.
General 2.16.124.113543.6003.189642796.63084.16748.2599092903 Mappings
| |
sopClass | 1..1 | CodingBinding | There are no (further) constraints on this element Element idImagingStudy.series.instance.sopClass DICOM class type Alternate namesSOPClassUID DefinitionDICOM instance type. 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. The sopClass for the instance.
| |
number | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.series.instance.number The number of this instance in the series Alternate namesInstanceNumber DefinitionThe number of instance in the series. 32 bit number; for values larger than this, use decimal
General 1 Mappings
| |
title | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.instance.title Description of instance DefinitionThe description of the instance. Particularly for post-acquisition analytic objects, such as SR, presentation states, value mapping, etc.
|