Wales FHIR Implementation Guide DEV

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

DataStandardsWalesImagingStudy (ImagingStudy)

ImagingStudy

There are no (further) constraints on this element

Element id

ImagingStudy

Short description

A set of images produced in single study (one or more series of references images)

Definition

Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.

Data type

ImagingStudy

Constraints

dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.empty()
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
contained.meta.security.empty()
dom-6: A resource should have narrative for robust management
text.`div`.exists()

Mappings

rim: Entity. Role, or Act
workflow: Event
rim: Act[classCode=COMPOSITION, moodCode=EVN]
dicom: Reference IHE radiology TF vol 2 table 4.14-1

0..1

string

There are no (further) constraints on this element

Element id

ImagingStudy.id

Short description

Logical id of this artifact

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

string

Meta

There are no (further) constraints on this element

Element id

ImagingStudy.meta

Short description

Metadata about the resource

Definition

The 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.

Data type

Meta

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

implicitRules

Σ ?!

0..1

uri

There are no (further) constraints on this element

Element id

ImagingStudy.implicitRules

Short description

A set of rules under which this content was created

Definition

A 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.

Comments

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.

Data type

uri

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

language

0..1

codeBinding

There are no (further) constraints on this element

Element id

ImagingStudy.language

Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

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).

Data type

code

Binding

A human language.

CommonLanguages (preferred)

Binding extensions

maxValueSet	AllLanguages

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

text

0..1

Narrative

There are no (further) constraints on this element

Element id

ImagingStudy.text

Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

A 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.

Comments

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.

Data type

Narrative

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: Act.text?

contained

0..*

Resource

There are no (further) constraints on this element

Element id

ImagingStudy.contained

Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

These 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.

Comments

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.

Data type

Resource

Mappings

rim: N/A

extension

0..*

Extension

There are no (further) constraints on this element

Element id

ImagingStudy.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May 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.

Comments

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.

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

modifierExtension

?! C

0..*

Extension

There are no (further) constraints on this element

Element id

ImagingStudy.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

May 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).

Requirements

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.

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

identifier

S Σ

0..*

Identifier

There are no (further) constraints on this element

Element id

ImagingStudy.identifier

Short description

Identifiers for the whole study

Alternate names

StudyInstanceUID, AccessionNumber

Definition

Identifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number.

Requirements

If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier (see DICOM PS 3.3 C.7.2.

Comments

See discussion under Imaging Study Implementation Notes for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type.

Data type

Identifier

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.identifier
w5: FiveWs.identifier
rim: .id and .inboundRelationship[typeCode=COMP].source[classCode=ACSN, moodCode=EVN].id
dicom: StudyInstanceUID (0020,000D) | Accession Number and Issuer (0080,0050)+(0080,0051) | Study ID (0020,0010)

status

Σ ?!

1..1

codeBinding

There are no (further) constraints on this element

Element id

ImagingStudy.status

Short description

registered | available | cancelled | entered-in-error | unknown

Definition

The current state of the ImagingStudy.

Comments

Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.

Data type

code

Binding

The status of the ImagingStudy.

ImagingStudyStatus (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.status
w5: FiveWs.status
v2: Varies by domain
rim: .status

modality

0..*

CodingBinding

There are no (further) constraints on this element

Element id

ImagingStudy.modality

Short description

All series modality if actual acquisition modalities

Alternate names

ModalitiesInStudy

Definition

A list of all the series.modality values that are actual acquisition modalities, i.e. those in the DICOM Context Group 29 (value set OID 1.2.840.10008.6.1.19).

Data type

Coding

Binding

Type of acquired data in the instance.

http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.class
rim: .code
dicom: (0008,0061)

subject

1..1

Reference(DataStandardsWalesPatient)

Element id

ImagingStudy.subject

Short description

Who or what is the subject of the study

Definition

The subject, typically a patient, of the imaging study.

Comments

QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group.

Data type

Reference(DataStandardsWalesPatient)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.subject
w5: FiveWs.subject[x]
rim: .participation[typeCode=SBJ].role
dicom: (0010/*)
w5: FiveWs.subject

encounter

0..1

Reference(DataStandardsWalesEncounter)

Element id

ImagingStudy.encounter

Short description

Encounter with which this imaging study is associated

Definition

The healthcare event (e.g. a patient and healthcare provider interaction) during which this ImagingStudy is made.

Comments

This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission test).

Data type

Reference(DataStandardsWalesEncounter)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.encounter
w5: FiveWs.context
rim: inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]

started

0..1

dateTime

There are no (further) constraints on this element

Element id

ImagingStudy.started

Short description

When the study was started

Alternate names

StudyDate, StudyTime

Definition

Date and time the study started.

Data type

dateTime

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

2011-01-01T11:01:20+03:00

Mappings

workflow: Event.occurrence[x]
w5: FiveWs.init
rim: .effectiveTime
dicom: (0008,0020)+(0008,0030)

basedOn

0..*

Reference(CarePlan | Appointment | AppointmentResponse | Task | DataStandardsWalesServiceRequest)

Element id

ImagingStudy.basedOn

Short description

Request fulfilled

Definition

A list of the diagnostic requests that resulted in this imaging study being performed.

Requirements

To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT).

Data type

Reference(CarePlan | Appointment | AppointmentResponse | Task | DataStandardsWalesServiceRequest)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.basedOn
w5: FiveWs.cause
rim: .outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO]
dicom: (0032,1064)

referrer

0..1

Reference(DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole)

Element id

ImagingStudy.referrer

Short description

Referring physician

Alternate names

ReferringPhysiciansName

Definition

The requesting/referring physician.

Data type

Reference(DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.cause
rim: .outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO].participation[typeCode=AUT].role
dicom: (0008,0090)+(0008,0096)

interpreter

0..*

Reference(DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole)

Element id

ImagingStudy.interpreter

Short description

Who interpreted images

Alternate names

Name of Physician(s) Reading Study

Definition

Who read the study and interpreted the images or other content.

Data type

Reference(DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.witness
rim: .participation[typeCode=PRF].role
dicom: (0008,1060)

endpoint

S Σ

0..*

Reference(DataStandardsWalesEndpoint)

Element id

ImagingStudy.endpoint

Short description

Study access endpoint

Definition

The network service providing access (e.g., query, view, or retrieval) for the study. See implementation notes for information about using DICOM endpoints. A study-level endpoint applies to each series in the study, unless overridden by a series-level endpoint with the same Endpoint.connectionType.

Requirements

Access methods for viewing (e.g., IHE’s IID profile) or retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the study or the study’s series or instances. The study-level baseLocation applies to each series in the study, unless overridden in series by a series-level baseLocation of the same type.

Comments

Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG), formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances; or IHE Invoke Image Display (IID), which provides standard invocation of an imaging web viewer.

Data type

Reference(DataStandardsWalesEndpoint)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: Not supported

numberOfSeries

0..1

unsignedInt

There are no (further) constraints on this element

Element id

ImagingStudy.numberOfSeries

Short description

Number of Study Related Series

Alternate names

NumberOfStudyRelatedSeries

Definition

Number of Series in the Study. This value given may be larger than the number of series elements this Resource contains due to resource availability, security, or other factors. This element should be present if any series elements are present.

Data type

unsignedInt

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=OBSSER, moodCode=EVN].repeatNumber
dicom: (0020,1206)

numberOfInstances

0..1

unsignedInt

There are no (further) constraints on this element

Element id

ImagingStudy.numberOfInstances

Short description

Number of Study Related Instances

Alternate names

NumberOfStudyRelatedInstances

Definition

Number of SOP Instances in Study. This value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present.

Data type

unsignedInt

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber
dicom: (0020,1208)

procedureReference

0..1

Reference(UKCoreProcedure)

Element id

ImagingStudy.procedureReference

Short description

The performed Procedure reference

Definition

The procedure which this ImagingStudy was part of.

Data type

Reference(UKCoreProcedure)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.partOf
rim: .outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN]
dicom: (0008,1032)

procedureCode

0..*

CodeableConceptBinding

There are no (further) constraints on this element

Element id

ImagingStudy.procedureCode

Short description

The performed procedure code

Alternate names

ProcedureCodeSequence

Definition

The code for the performed procedure type.

Data type

CodeableConcept

Binding

The performed procedure type.

http://www.rsna.org/RadLex_Playbook.aspx (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.code
rim: .outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN]
dicom: (0008,1032)

location

0..1

Reference(DataStandardsWalesLocation)

Element id

ImagingStudy.location

Short description

Where ImagingStudy occurred

Definition

The principal physical location where the ImagingStudy was performed.

Requirements

Ties the event to where the records are likely kept and provides context around the event occurrence (e.g. if it occurred inside or outside a dedicated healthcare setting).

Data type

Reference(DataStandardsWalesLocation)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.location
w5: FiveWs.where[x]
v2: EVN.7
rim: .participation[typeCode=LOC].role
dicom: (0008,1040) | (0040,0243)

reasonCode

0..*

CodeableConcept

There are no (further) constraints on this element

Element id

ImagingStudy.reasonCode

Short description

Why the study was requested

Definition

Description of clinical condition indicating why the ImagingStudy was requested.

Data type

CodeableConcept

Binding

The reason for the study.

ProcedureReasonCodes (example)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.reasonCode
w5: FiveWs.why[x]
rim: .reasonCode
dicom: (0040,1002)

reasonReference

0..*

Reference(Media | DocumentReference | DataStandardsWalesObservation | DataStandardsWalesDiagnosticReport | UKCoreCondition)

Element id

ImagingStudy.reasonReference

Short description

Why was study performed

Definition

Indicates another resource whose existence justifies this Study.

Data type

Reference(Media | DocumentReference | DataStandardsWalesObservation | DataStandardsWalesDiagnosticReport | UKCoreCondition)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.reasonReference
w5: FiveWs.why[x]
v2: EVN.4 or by domain
rim: .outboundRelationship[typeCode=RSON].target

note

0..*

Annotation

There are no (further) constraints on this element

Element id

ImagingStudy.note

Short description

User-defined comments

Definition

Per the recommended DICOM mapping, this element is derived from the Study Description attribute (0008,1030). Observations or findings about the imaging study should be recorded in another resource, e.g. Observation, and not in this element.

Data type

Annotation

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.note
rim: unknown

description

0..1

string

There are no (further) constraints on this element

Element id

ImagingStudy.description

Short description

Institution-generated description

Alternate names

StudyDescription

Definition

The Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .text
dicom: (0008,1030)

series

0..*

BackboneElement

There are no (further) constraints on this element

Element id

ImagingStudy.series

Short description

Each study has one or more series of instances

Definition

Each study has one or more series of images or other content.

Data type

BackboneElement

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode=COMP].target[classCode=OBSSER, moodCode=EVN]

0..1

string

There are no (further) constraints on this element

Element id

ImagingStudy.series.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

ImagingStudy.series.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May 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.

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

ImagingStudy.series.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

May 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).

Requirements

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

uid

1..1

There are no (further) constraints on this element

Element id

ImagingStudy.series.uid

Short description

DICOM Series Instance UID for the series

Alternate names

SeriesInstanceUID

Definition

The DICOM Series Instance UID for the series.

Requirements

DICOM Series Instance UID.

Comments

See DICOM PS3.3 C.7.3.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

2.16.124.113543.6003.2588828330.45298.17418.2723805630

Mappings

rim: .id
dicom: (0020,000E)

number

0..1

unsignedInt

There are no (further) constraints on this element

Element id

ImagingStudy.series.number

Short description

Numeric identifier of this series

Alternate names

SeriesNumber

Definition

The numeric identifier of this series in the study.

Data type

unsignedInt

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

rim: .inboundRelationship[type=COMP, source[classCode=COMPOSITION, moodCode=EVN]].sequenceNumber
dicom: (0020,0011)

modality

1..1

CodingBinding

There are no (further) constraints on this element

Element id

ImagingStudy.series.modality

Short description

The modality of the instances in the series

Alternate names

Modality

Definition

The modality of this series sequence.

Data type

Coding

Binding

Type of acquired data in the instance.

http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .code
dicom: (0008,0060)

description

0..1

string

There are no (further) constraints on this element

Element id

ImagingStudy.series.description

Short description

A short human readable summary of the series

Alternate names

SeriesDescription

Definition

A description of the series.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

CT Surview 180

Mappings

rim: .text
dicom: (0008,103E)

numberOfInstances

0..1

unsignedInt

There are no (further) constraints on this element

Element id

ImagingStudy.series.numberOfInstances

Short description

Number of Series Related Instances

Alternate names

NumberOfSeriesRelatedInstances

Definition

Number of SOP Instances in the Study. The value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present.

Data type

unsignedInt

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber
dicom: (0020,1209)

endpoint

0..*

Reference(DataStandardsWalesEndpoint)

Element id

ImagingStudy.series.endpoint

Short description

Series access endpoint

Definition

The network service providing access (e.g., query, view, or retrieval) for this series. See implementation notes for information about using DICOM endpoints. A series-level endpoint, if present, has precedence over a study-level endpoint with the same Endpoint.connectionType.

Requirements

Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the series or the series’ instances. A baseLocation specified at the series level has precedence over a baseLocation of the same type specified at the study level.

Comments

Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG) formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; and DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances.

Data type

Reference(DataStandardsWalesEndpoint)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: Not supported

bodySite

0..1

Coding

There are no (further) constraints on this element

Element id

ImagingStudy.series.bodySite

Short description

Body part examined

Alternate names

BodyPartExamined

Definition

The anatomic structures examined. See DICOM Part 16 Annex L (http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings. The bodySite may indicate the laterality of body part imaged; if so, it shall be consistent with any content of ImagingStudy.series.laterality.

Data type

Coding

Binding

Codes describing anatomical locations. May include laterality.

SNOMEDCTBodyStructures (example)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .targetSiteCode
dicom: (0018,0015)

laterality

0..1

Coding

There are no (further) constraints on this element

Element id

ImagingStudy.series.laterality

Short description

Body part laterality

Definition

The laterality of the (possibly paired) anatomic structures examined. E.g., the left knee, both lungs, or unpaired abdomen. If present, shall be consistent with any laterality information indicated in ImagingStudy.series.bodySite.

Data type

Coding

Binding

Codes describing body site laterality (left, right, etc.).

Laterality (example)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .targetSiteCode
dicom: (0020,0060)

specimen

0..*

Reference(UKCoreSpecimen)

Element id

ImagingStudy.series.specimen

Short description

Specimen imaged

Definition

The specimen imaged, e.g., for whole slide imaging of a biopsy.

Data type

Reference(UKCoreSpecimen)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: Role[classCode=SPEC]
dicom: (0040,0551) + (0040,0562)

started

0..1

dateTime

There are no (further) constraints on this element

Element id

ImagingStudy.series.started

Short description

When the series started

Definition

The date and time the series was started.

Data type

dateTime

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .effectiveTime
dicom: (0008,0021) + (0008,0031)

performer

0..*

BackboneElement

There are no (further) constraints on this element

Element id

ImagingStudy.series.performer

Short description

Who performed the series

Alternate names

PerformingPhysicianName, OperatorName

Definition

Indicates who or what performed the series and how they were involved.

Requirements

The performer is recorded at the series level, since each series in a study may be performed by a different performer, at different times, and using different devices. A series may be performed by multiple performers.

Comments

If the person who performed the series is not known, their Organization may be recorded. A patient, or related person, may be the performer, e.g. for patient-captured images.

Data type

BackboneElement

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.performer
rim: .participation[typeCode=PRF].role
dicom: (0008, 1050) | (0008, 1052) | (0008, 1070) | (0008, 1072)

0..1

string

There are no (further) constraints on this element

Element id

ImagingStudy.series.performer.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

ImagingStudy.series.performer.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

ImagingStudy.series.performer.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

function

0..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

ImagingStudy.series.performer.function

Short description

Type of performance

Definition

Distinguishes the type of involvement of the performer in the series.

Requirements

Allows disambiguation of the types of involvement of different performers.

Data type

CodeableConcept

Binding

The type of involvement of the performer.

ImagingStudySeriesPerformerFunction (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .participation[typeCode=PRF].role

actor

1..1

Element id

ImagingStudy.series.performer.actor

Short description

Who performed the series

Definition

Indicates who or what performed the series.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.actor
v2: EVN.5 or by domain
rim: .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]

instance

0..*

BackboneElement

There are no (further) constraints on this element

Element id

ImagingStudy.series.instance

Short description

A single SOP instance from the series

Definition

A single SOP instance within the series, e.g. an image, or presentation state.

Data type

BackboneElement

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode=COMP].target[classCode=DGIMG, moodCode=EVN]

0..1

string

There are no (further) constraints on this element

Element id

ImagingStudy.series.instance.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

ImagingStudy.series.instance.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

ImagingStudy.series.instance.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

uid

1..1

There are no (further) constraints on this element

Element id

ImagingStudy.series.instance.uid

Short description

DICOM SOP Instance UID

Alternate names

SOPInstanceUID

Definition

The DICOM SOP Instance UID for this image or other DICOM content.

Requirements

DICOM SOP Instance UID.

Comments

See DICOM PS3.3 C.12.1.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

2.16.124.113543.6003.189642796.63084.16748.2599092903

Mappings

rim: .id
dicom: (0008,0018)

sopClass

1..1

CodingBinding

There are no (further) constraints on this element

Element id

ImagingStudy.series.instance.sopClass

Short description

DICOM class type

Alternate names

SOPClassUID

Definition

DICOM instance type.

Data type

Coding

Binding

The sopClass for the instance.

http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .inboundRelationship[typeCode=COMP]. source[classCode=OBS, moodCode=EVN, code="sop class"].value
dicom: (0008,0016)

number

0..1

unsignedInt

There are no (further) constraints on this element

Element id

ImagingStudy.series.instance.number

Short description

The number of this instance in the series

Alternate names

InstanceNumber

Definition

The number of instance in the series.

Data type

unsignedInt

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

rim: .inboundRelationship[typeCode=COMP, source[classCode=OBSSER, moodCode=EVN]].sequenceNumber
dicom: (0020,0013)

title

0..1

string

There are no (further) constraints on this element

Element id

ImagingStudy.series.instance.title

Short description

Description of instance

Definition

The description of the instance.

Comments

Particularly for post-acquisition analytic objects, such as SR, presentation states, value mapping, etc.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .title
dicom: (0008,0008) | (0007,0080) | (0040,A043) + (0008,0104) | (0042,0010)

DataStandardsWalesImagingStudy (ImagingStudy)

ImagingStudy

There are no (further) constraints on this element

Element id

ImagingStudy

Short description

A set of images produced in single study (one or more series of references images)

Definition

Data type

ImagingStudy

Constraints

dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.empty()
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
contained.meta.security.empty()
dom-6: A resource should have narrative for robust management
text.`div`.exists()

Mappings

rim: Entity. Role, or Act
workflow: Event
rim: Act[classCode=COMPOSITION, moodCode=EVN]
dicom: Reference IHE radiology TF vol 2 table 4.14-1

0..1

string

There are no (further) constraints on this element

Element id

ImagingStudy.id

Short description

Logical id of this artifact

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

string

Meta

There are no (further) constraints on this element

Element id

ImagingStudy.meta

Short description

Metadata about the resource

Definition

The 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.

Data type

Meta

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

implicitRules

Σ ?!

0..1

uri

There are no (further) constraints on this element

Element id

ImagingStudy.implicitRules

Short description

A set of rules under which this content was created

Definition

Comments

Data type

uri

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

language

0..1

codeBinding

There are no (further) constraints on this element

Element id

ImagingStudy.language

Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

Data type

code

Binding

A human language.

CommonLanguages (preferred)

Binding extensions

maxValueSet	AllLanguages

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

text

0..1

Narrative

There are no (further) constraints on this element

Element id

ImagingStudy.text

Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

Comments

Data type

Narrative

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: Act.text?

contained

0..*

Resource

There are no (further) constraints on this element

Element id

ImagingStudy.contained

Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

Comments

Data type

Resource

Mappings

rim: N/A

extension

0..*

Extension

There are no (further) constraints on this element

Element id

ImagingStudy.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

modifierExtension

?! C

0..*

Extension

There are no (further) constraints on this element

Element id

ImagingStudy.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

identifier

S Σ

0..*

Identifier

There are no (further) constraints on this element

Element id

ImagingStudy.identifier

Short description

Identifiers for the whole study

Alternate names

StudyInstanceUID, AccessionNumber

Definition

Identifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number.

Requirements

If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier (see DICOM PS 3.3 C.7.2.

Comments

See discussion under Imaging Study Implementation Notes for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type.

Data type

Identifier

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.identifier
w5: FiveWs.identifier
rim: .id and .inboundRelationship[typeCode=COMP].source[classCode=ACSN, moodCode=EVN].id
dicom: StudyInstanceUID (0020,000D) | Accession Number and Issuer (0080,0050)+(0080,0051) | Study ID (0020,0010)

status

Σ ?!

1..1

codeBinding

There are no (further) constraints on this element

Element id

ImagingStudy.status

Short description

registered | available | cancelled | entered-in-error | unknown

Definition

The current state of the ImagingStudy.

Comments

Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.

Data type

code

Binding

The status of the ImagingStudy.

ImagingStudyStatus (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.status
w5: FiveWs.status
v2: Varies by domain
rim: .status

modality

0..*

CodingBinding

There are no (further) constraints on this element

Element id

ImagingStudy.modality

Short description

All series modality if actual acquisition modalities

Alternate names

ModalitiesInStudy

Definition

A list of all the series.modality values that are actual acquisition modalities, i.e. those in the DICOM Context Group 29 (value set OID 1.2.840.10008.6.1.19).

Data type

Coding

Binding

Type of acquired data in the instance.

http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.class
rim: .code
dicom: (0008,0061)

subject

1..1

Reference(DataStandardsWalesPatient)

Element id

ImagingStudy.subject

Short description

Who or what is the subject of the study

Definition

The subject, typically a patient, of the imaging study.

Comments

QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group.

Data type

Reference(DataStandardsWalesPatient)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.subject
w5: FiveWs.subject[x]
rim: .participation[typeCode=SBJ].role
dicom: (0010/*)
w5: FiveWs.subject

encounter

0..1

Reference(DataStandardsWalesEncounter)

Element id

ImagingStudy.encounter

Short description

Encounter with which this imaging study is associated

Definition

The healthcare event (e.g. a patient and healthcare provider interaction) during which this ImagingStudy is made.

Comments

Data type

Reference(DataStandardsWalesEncounter)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.encounter
w5: FiveWs.context
rim: inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]

started

0..1

dateTime

There are no (further) constraints on this element

Element id

ImagingStudy.started

Short description

When the study was started

Alternate names

StudyDate, StudyTime

Definition

Date and time the study started.

Data type

dateTime

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

2011-01-01T11:01:20+03:00

Mappings

workflow: Event.occurrence[x]
w5: FiveWs.init
rim: .effectiveTime
dicom: (0008,0020)+(0008,0030)

basedOn

0..*

Reference(CarePlan | Appointment | AppointmentResponse | Task | DataStandardsWalesServiceRequest)

Element id

ImagingStudy.basedOn

Short description

Request fulfilled

Definition

A list of the diagnostic requests that resulted in this imaging study being performed.

Requirements

To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT).

Data type

Reference(CarePlan | Appointment | AppointmentResponse | Task | DataStandardsWalesServiceRequest)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.basedOn
w5: FiveWs.cause
rim: .outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO]
dicom: (0032,1064)

referrer

0..1

Reference(DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole)

Element id

ImagingStudy.referrer

Short description

Referring physician

Alternate names

ReferringPhysiciansName

Definition

The requesting/referring physician.

Data type

Reference(DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.cause
rim: .outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO].participation[typeCode=AUT].role
dicom: (0008,0090)+(0008,0096)

interpreter

0..*

Reference(DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole)

Element id

ImagingStudy.interpreter

Short description

Who interpreted images

Alternate names

Name of Physician(s) Reading Study

Definition

Who read the study and interpreted the images or other content.

Data type

Reference(DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.witness
rim: .participation[typeCode=PRF].role
dicom: (0008,1060)

endpoint

S Σ

0..*

Reference(DataStandardsWalesEndpoint)

Element id

ImagingStudy.endpoint

Short description

Study access endpoint

Definition

Requirements

Comments

Data type

Reference(DataStandardsWalesEndpoint)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: Not supported

numberOfSeries

0..1

unsignedInt

There are no (further) constraints on this element

Element id

ImagingStudy.numberOfSeries

Short description

Number of Study Related Series

Alternate names

NumberOfStudyRelatedSeries

Definition

Data type

unsignedInt

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=OBSSER, moodCode=EVN].repeatNumber
dicom: (0020,1206)

numberOfInstances

0..1

unsignedInt

There are no (further) constraints on this element

Element id

ImagingStudy.numberOfInstances

Short description

Number of Study Related Instances

Alternate names

NumberOfStudyRelatedInstances

Definition

Data type

unsignedInt

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber
dicom: (0020,1208)

procedureReference

0..1

Reference(UKCoreProcedure)

Element id

ImagingStudy.procedureReference

Short description

The performed Procedure reference

Definition

The procedure which this ImagingStudy was part of.

Data type

Reference(UKCoreProcedure)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.partOf
rim: .outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN]
dicom: (0008,1032)

procedureCode

0..*

CodeableConceptBinding

There are no (further) constraints on this element

Element id

ImagingStudy.procedureCode

Short description

The performed procedure code

Alternate names

ProcedureCodeSequence

Definition

The code for the performed procedure type.

Data type

CodeableConcept

Binding

The performed procedure type.

http://www.rsna.org/RadLex_Playbook.aspx (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.code
rim: .outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN]
dicom: (0008,1032)

location

0..1

Reference(DataStandardsWalesLocation)

Element id

ImagingStudy.location

Short description

Where ImagingStudy occurred

Definition

The principal physical location where the ImagingStudy was performed.

Requirements

Ties the event to where the records are likely kept and provides context around the event occurrence (e.g. if it occurred inside or outside a dedicated healthcare setting).

Data type

Reference(DataStandardsWalesLocation)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.location
w5: FiveWs.where[x]
v2: EVN.7
rim: .participation[typeCode=LOC].role
dicom: (0008,1040) | (0040,0243)

reasonCode

0..*

CodeableConcept

There are no (further) constraints on this element

Element id

ImagingStudy.reasonCode

Short description

Why the study was requested

Definition

Description of clinical condition indicating why the ImagingStudy was requested.

Data type

CodeableConcept

Binding

The reason for the study.

ProcedureReasonCodes (example)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.reasonCode
w5: FiveWs.why[x]
rim: .reasonCode
dicom: (0040,1002)

reasonReference

0..*

Reference(Media | DocumentReference | DataStandardsWalesObservation | DataStandardsWalesDiagnosticReport | UKCoreCondition)

Element id

ImagingStudy.reasonReference

Short description

Why was study performed

Definition

Indicates another resource whose existence justifies this Study.

Data type

Reference(Media | DocumentReference | DataStandardsWalesObservation | DataStandardsWalesDiagnosticReport | UKCoreCondition)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.reasonReference
w5: FiveWs.why[x]
v2: EVN.4 or by domain
rim: .outboundRelationship[typeCode=RSON].target

note

0..*

Annotation

There are no (further) constraints on this element

Element id

ImagingStudy.note

Short description

User-defined comments

Definition

Data type

Annotation

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.note
rim: unknown

description

0..1

string

There are no (further) constraints on this element

Element id

ImagingStudy.description

Short description

Institution-generated description

Alternate names

StudyDescription

Definition

The Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .text
dicom: (0008,1030)

series

0..*

BackboneElement

There are no (further) constraints on this element

Element id

ImagingStudy.series

Short description

Each study has one or more series of instances

Definition

Each study has one or more series of images or other content.

Data type

BackboneElement

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode=COMP].target[classCode=OBSSER, moodCode=EVN]

0..1

string

There are no (further) constraints on this element

Element id

ImagingStudy.series.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

ImagingStudy.series.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

ImagingStudy.series.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

uid

1..1

There are no (further) constraints on this element

Element id

ImagingStudy.series.uid

Short description

DICOM Series Instance UID for the series

Alternate names

SeriesInstanceUID

Definition

The DICOM Series Instance UID for the series.

Requirements

DICOM Series Instance UID.

Comments

See DICOM PS3.3 C.7.3.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

2.16.124.113543.6003.2588828330.45298.17418.2723805630

Mappings

rim: .id
dicom: (0020,000E)

number

0..1

unsignedInt

There are no (further) constraints on this element

Element id

ImagingStudy.series.number

Short description

Numeric identifier of this series

Alternate names

SeriesNumber

Definition

The numeric identifier of this series in the study.

Data type

unsignedInt

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

rim: .inboundRelationship[type=COMP, source[classCode=COMPOSITION, moodCode=EVN]].sequenceNumber
dicom: (0020,0011)

modality

1..1

CodingBinding

There are no (further) constraints on this element

Element id

ImagingStudy.series.modality

Short description

The modality of the instances in the series

Alternate names

Modality

Definition

The modality of this series sequence.

Data type

Coding

Binding

Type of acquired data in the instance.

http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .code
dicom: (0008,0060)

description

0..1

string

There are no (further) constraints on this element

Element id

ImagingStudy.series.description

Short description

A short human readable summary of the series

Alternate names

SeriesDescription

Definition

A description of the series.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

CT Surview 180

Mappings

rim: .text
dicom: (0008,103E)

numberOfInstances

0..1

unsignedInt

There are no (further) constraints on this element

Element id

ImagingStudy.series.numberOfInstances

Short description

Number of Series Related Instances

Alternate names

NumberOfSeriesRelatedInstances

Definition

Data type

unsignedInt

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber
dicom: (0020,1209)

endpoint

0..*

Reference(DataStandardsWalesEndpoint)

Element id

ImagingStudy.series.endpoint

Short description

Series access endpoint

Definition

Requirements

Comments

Data type

Reference(DataStandardsWalesEndpoint)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: Not supported

bodySite

0..1

Coding

There are no (further) constraints on this element

Element id

ImagingStudy.series.bodySite

Short description

Body part examined

Alternate names

BodyPartExamined

Definition

Data type

Coding

Binding

Codes describing anatomical locations. May include laterality.

SNOMEDCTBodyStructures (example)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .targetSiteCode
dicom: (0018,0015)

laterality

0..1

Coding

There are no (further) constraints on this element

Element id

ImagingStudy.series.laterality

Short description

Body part laterality

Definition

Data type

Coding

Binding

Codes describing body site laterality (left, right, etc.).

Laterality (example)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .targetSiteCode
dicom: (0020,0060)

specimen

0..*

Reference(UKCoreSpecimen)

Element id

ImagingStudy.series.specimen

Short description

Specimen imaged

Definition

The specimen imaged, e.g., for whole slide imaging of a biopsy.

Data type

Reference(UKCoreSpecimen)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: Role[classCode=SPEC]
dicom: (0040,0551) + (0040,0562)

started

0..1

dateTime

There are no (further) constraints on this element

Element id

ImagingStudy.series.started

Short description

When the series started

Definition

The date and time the series was started.

Data type

dateTime

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .effectiveTime
dicom: (0008,0021) + (0008,0031)

performer

0..*

BackboneElement

There are no (further) constraints on this element

Element id

ImagingStudy.series.performer

Short description

Who performed the series

Alternate names

PerformingPhysicianName, OperatorName

Definition

Indicates who or what performed the series and how they were involved.

Requirements

Comments

If the person who performed the series is not known, their Organization may be recorded. A patient, or related person, may be the performer, e.g. for patient-captured images.

Data type

BackboneElement

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.performer
rim: .participation[typeCode=PRF].role
dicom: (0008, 1050) | (0008, 1052) | (0008, 1070) | (0008, 1072)

0..1

string

There are no (further) constraints on this element

Element id

ImagingStudy.series.performer.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

ImagingStudy.series.performer.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

ImagingStudy.series.performer.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

function

0..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

ImagingStudy.series.performer.function

Short description

Type of performance

Definition

Distinguishes the type of involvement of the performer in the series.

Requirements

Allows disambiguation of the types of involvement of different performers.

Data type

CodeableConcept

Binding

The type of involvement of the performer.

ImagingStudySeriesPerformerFunction (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .participation[typeCode=PRF].role

actor

1..1

Element id

ImagingStudy.series.performer.actor

Short description

Who performed the series

Definition

Indicates who or what performed the series.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.actor
v2: EVN.5 or by domain
rim: .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]

instance

0..*

BackboneElement

There are no (further) constraints on this element

Element id

ImagingStudy.series.instance

Short description

A single SOP instance from the series

Definition

A single SOP instance within the series, e.g. an image, or presentation state.

Data type

BackboneElement

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode=COMP].target[classCode=DGIMG, moodCode=EVN]

0..1

string

There are no (further) constraints on this element

Element id

ImagingStudy.series.instance.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

ImagingStudy.series.instance.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

ImagingStudy.series.instance.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

uid

1..1

There are no (further) constraints on this element

Element id

ImagingStudy.series.instance.uid

Short description

DICOM SOP Instance UID

Alternate names

SOPInstanceUID

Definition

The DICOM SOP Instance UID for this image or other DICOM content.

Requirements

DICOM SOP Instance UID.

Comments

See DICOM PS3.3 C.12.1.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

2.16.124.113543.6003.189642796.63084.16748.2599092903

Mappings

rim: .id
dicom: (0008,0018)

sopClass

1..1

CodingBinding

There are no (further) constraints on this element

Element id

ImagingStudy.series.instance.sopClass

Short description

DICOM class type

Alternate names

SOPClassUID

Definition

DICOM instance type.

Data type

Coding

Binding

The sopClass for the instance.

http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .inboundRelationship[typeCode=COMP]. source[classCode=OBS, moodCode=EVN, code="sop class"].value
dicom: (0008,0016)

number

0..1

unsignedInt

There are no (further) constraints on this element

Element id

ImagingStudy.series.instance.number

Short description

The number of this instance in the series

Alternate names

InstanceNumber

Definition

The number of instance in the series.

Data type

unsignedInt

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

rim: .inboundRelationship[typeCode=COMP, source[classCode=OBSSER, moodCode=EVN]].sequenceNumber
dicom: (0020,0013)

title

0..1

string

There are no (further) constraints on this element

Element id

ImagingStudy.series.instance.title

Short description

Description of instance

Definition

The description of the instance.

Comments

Particularly for post-acquisition analytic objects, such as SR, presentation states, value mapping, etc.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .title
dicom: (0008,0008) | (0007,0080) | (0040,A043) + (0008,0104) | (0042,0010)

DataStandardsWalesImagingStudy (ImagingStudy)

ImagingStudy

There are no (further) constraints on this element

Element id

ImagingStudy

Short description

A set of images produced in single study (one or more series of references images)

Definition

Data type

ImagingStudy

Constraints

dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.empty()
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
contained.meta.security.empty()
dom-6: A resource should have narrative for robust management
text.`div`.exists()

Mappings

rim: Entity. Role, or Act
workflow: Event
rim: Act[classCode=COMPOSITION, moodCode=EVN]
dicom: Reference IHE radiology TF vol 2 table 4.14-1

0..1

string

There are no (further) constraints on this element

Element id

ImagingStudy.id

Short description

Logical id of this artifact

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

string

Meta

There are no (further) constraints on this element

Element id

ImagingStudy.meta

Short description

Metadata about the resource

Definition

The 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.

Data type

Meta

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

implicitRules

Σ ?!

0..1

uri

There are no (further) constraints on this element

Element id

ImagingStudy.implicitRules

Short description

A set of rules under which this content was created

Definition

Comments

Data type

uri

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

language

0..1

codeBinding

There are no (further) constraints on this element

Element id

ImagingStudy.language

Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

Data type

code

Binding

A human language.

CommonLanguages (preferred)

Binding extensions

maxValueSet	AllLanguages

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

text

0..1

Narrative

There are no (further) constraints on this element

Element id

ImagingStudy.text

Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

Comments

Data type

Narrative

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: Act.text?

contained

0..*

Resource

There are no (further) constraints on this element

Element id

ImagingStudy.contained

Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

Comments

Data type

Resource

Mappings

rim: N/A

extension

0..*

Extension

There are no (further) constraints on this element

Element id

ImagingStudy.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

modifierExtension

?! C

0..*

Extension

There are no (further) constraints on this element

Element id

ImagingStudy.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

identifier

S Σ

0..*

Identifier

There are no (further) constraints on this element

Element id

ImagingStudy.identifier

Short description

Identifiers for the whole study

Alternate names

StudyInstanceUID, AccessionNumber

Definition

Identifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number.

Requirements

If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier (see DICOM PS 3.3 C.7.2.

Comments

See discussion under Imaging Study Implementation Notes for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type.

Data type

Identifier

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.identifier
w5: FiveWs.identifier
rim: .id and .inboundRelationship[typeCode=COMP].source[classCode=ACSN, moodCode=EVN].id
dicom: StudyInstanceUID (0020,000D) | Accession Number and Issuer (0080,0050)+(0080,0051) | Study ID (0020,0010)

status

Σ ?!

1..1

codeBinding

There are no (further) constraints on this element

Element id

ImagingStudy.status

Short description

registered | available | cancelled | entered-in-error | unknown

Definition

The current state of the ImagingStudy.

Comments

Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.

Data type

code

Binding

The status of the ImagingStudy.

ImagingStudyStatus (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.status
w5: FiveWs.status
v2: Varies by domain
rim: .status

modality

0..*

CodingBinding

There are no (further) constraints on this element

Element id

ImagingStudy.modality

Short description

All series modality if actual acquisition modalities

Alternate names

ModalitiesInStudy

Definition

A list of all the series.modality values that are actual acquisition modalities, i.e. those in the DICOM Context Group 29 (value set OID 1.2.840.10008.6.1.19).

Data type

Coding

Binding

Type of acquired data in the instance.

http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.class
rim: .code
dicom: (0008,0061)

subject

1..1

Reference(DataStandardsWalesPatient)

Element id

ImagingStudy.subject

Short description

Who or what is the subject of the study

Definition

The subject, typically a patient, of the imaging study.

Comments

QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group.

Data type

Reference(DataStandardsWalesPatient)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.subject
w5: FiveWs.subject[x]
rim: .participation[typeCode=SBJ].role
dicom: (0010/*)
w5: FiveWs.subject

encounter

0..1

Reference(DataStandardsWalesEncounter)

Element id

ImagingStudy.encounter

Short description

Encounter with which this imaging study is associated

Definition

The healthcare event (e.g. a patient and healthcare provider interaction) during which this ImagingStudy is made.

Comments

Data type

Reference(DataStandardsWalesEncounter)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.encounter
w5: FiveWs.context
rim: inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]

started

0..1

dateTime

There are no (further) constraints on this element

Element id

ImagingStudy.started

Short description

When the study was started

Alternate names

StudyDate, StudyTime

Definition

Date and time the study started.

Data type

dateTime

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

2011-01-01T11:01:20+03:00

Mappings

workflow: Event.occurrence[x]
w5: FiveWs.init
rim: .effectiveTime
dicom: (0008,0020)+(0008,0030)

basedOn

0..*

Reference(CarePlan | Appointment | AppointmentResponse | Task | DataStandardsWalesServiceRequest)

Element id

ImagingStudy.basedOn

Short description

Request fulfilled

Definition

A list of the diagnostic requests that resulted in this imaging study being performed.

Requirements

To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT).

Data type

Reference(CarePlan | Appointment | AppointmentResponse | Task | DataStandardsWalesServiceRequest)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.basedOn
w5: FiveWs.cause
rim: .outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO]
dicom: (0032,1064)

referrer

0..1

Reference(DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole)

Element id

ImagingStudy.referrer

Short description

Referring physician

Alternate names

ReferringPhysiciansName

Definition

The requesting/referring physician.

Data type

Reference(DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.cause
rim: .outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO].participation[typeCode=AUT].role
dicom: (0008,0090)+(0008,0096)

interpreter

0..*

Reference(DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole)

Element id

ImagingStudy.interpreter

Short description

Who interpreted images

Alternate names

Name of Physician(s) Reading Study

Definition

Who read the study and interpreted the images or other content.

Data type

Reference(DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.witness
rim: .participation[typeCode=PRF].role
dicom: (0008,1060)

endpoint

S Σ

0..*

Reference(DataStandardsWalesEndpoint)

Element id

ImagingStudy.endpoint

Short description

Study access endpoint

Definition

Requirements

Comments

Data type

Reference(DataStandardsWalesEndpoint)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: Not supported

numberOfSeries

0..1

unsignedInt

There are no (further) constraints on this element

Element id

ImagingStudy.numberOfSeries

Short description

Number of Study Related Series

Alternate names

NumberOfStudyRelatedSeries

Definition

Data type

unsignedInt

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=OBSSER, moodCode=EVN].repeatNumber
dicom: (0020,1206)

numberOfInstances

0..1

unsignedInt

There are no (further) constraints on this element

Element id

ImagingStudy.numberOfInstances

Short description

Number of Study Related Instances

Alternate names

NumberOfStudyRelatedInstances

Definition

Data type

unsignedInt

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber
dicom: (0020,1208)

procedureReference

0..1

Reference(UKCoreProcedure)

Element id

ImagingStudy.procedureReference

Short description

The performed Procedure reference

Definition

The procedure which this ImagingStudy was part of.

Data type

Reference(UKCoreProcedure)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.partOf
rim: .outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN]
dicom: (0008,1032)

procedureCode

0..*

CodeableConceptBinding

There are no (further) constraints on this element

Element id

ImagingStudy.procedureCode

Short description

The performed procedure code

Alternate names

ProcedureCodeSequence

Definition

The code for the performed procedure type.

Data type

CodeableConcept

Binding

The performed procedure type.

http://www.rsna.org/RadLex_Playbook.aspx (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.code
rim: .outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN]
dicom: (0008,1032)

location

0..1

Reference(DataStandardsWalesLocation)

Element id

ImagingStudy.location

Short description

Where ImagingStudy occurred

Definition

The principal physical location where the ImagingStudy was performed.

Requirements

Ties the event to where the records are likely kept and provides context around the event occurrence (e.g. if it occurred inside or outside a dedicated healthcare setting).

Data type

Reference(DataStandardsWalesLocation)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.location
w5: FiveWs.where[x]
v2: EVN.7
rim: .participation[typeCode=LOC].role
dicom: (0008,1040) | (0040,0243)

reasonCode

0..*

CodeableConcept

There are no (further) constraints on this element

Element id

ImagingStudy.reasonCode

Short description

Why the study was requested

Definition

Description of clinical condition indicating why the ImagingStudy was requested.

Data type

CodeableConcept

Binding

The reason for the study.

ProcedureReasonCodes (example)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.reasonCode
w5: FiveWs.why[x]
rim: .reasonCode
dicom: (0040,1002)

reasonReference

0..*

Reference(Media | DocumentReference | DataStandardsWalesObservation | DataStandardsWalesDiagnosticReport | UKCoreCondition)

Element id

ImagingStudy.reasonReference

Short description

Why was study performed

Definition

Indicates another resource whose existence justifies this Study.

Data type

Reference(Media | DocumentReference | DataStandardsWalesObservation | DataStandardsWalesDiagnosticReport | UKCoreCondition)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.reasonReference
w5: FiveWs.why[x]
v2: EVN.4 or by domain
rim: .outboundRelationship[typeCode=RSON].target

note

0..*

Annotation

There are no (further) constraints on this element

Element id

ImagingStudy.note

Short description

User-defined comments

Definition

Data type

Annotation

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.note
rim: unknown

description

0..1

string

There are no (further) constraints on this element

Element id

ImagingStudy.description

Short description

Institution-generated description

Alternate names

StudyDescription

Definition

The Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .text
dicom: (0008,1030)

series

0..*

BackboneElement

There are no (further) constraints on this element

Element id

ImagingStudy.series

Short description

Each study has one or more series of instances

Definition

Each study has one or more series of images or other content.

Data type

BackboneElement

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode=COMP].target[classCode=OBSSER, moodCode=EVN]

0..1

string

There are no (further) constraints on this element

Element id

ImagingStudy.series.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

ImagingStudy.series.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

ImagingStudy.series.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

uid

1..1

There are no (further) constraints on this element

Element id

ImagingStudy.series.uid

Short description

DICOM Series Instance UID for the series

Alternate names

SeriesInstanceUID

Definition

The DICOM Series Instance UID for the series.

Requirements

DICOM Series Instance UID.

Comments

See DICOM PS3.3 C.7.3.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

2.16.124.113543.6003.2588828330.45298.17418.2723805630

Mappings

rim: .id
dicom: (0020,000E)

number

0..1

unsignedInt

There are no (further) constraints on this element

Element id

ImagingStudy.series.number

Short description

Numeric identifier of this series

Alternate names

SeriesNumber

Definition

The numeric identifier of this series in the study.

Data type

unsignedInt

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

rim: .inboundRelationship[type=COMP, source[classCode=COMPOSITION, moodCode=EVN]].sequenceNumber
dicom: (0020,0011)

modality

1..1

CodingBinding

There are no (further) constraints on this element

Element id

ImagingStudy.series.modality

Short description

The modality of the instances in the series

Alternate names

Modality

Definition

The modality of this series sequence.

Data type

Coding

Binding

Type of acquired data in the instance.

http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .code
dicom: (0008,0060)

description

0..1

string

There are no (further) constraints on this element

Element id

ImagingStudy.series.description

Short description

A short human readable summary of the series

Alternate names

SeriesDescription

Definition

A description of the series.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

CT Surview 180

Mappings

rim: .text
dicom: (0008,103E)

numberOfInstances

0..1

unsignedInt

There are no (further) constraints on this element

Element id

ImagingStudy.series.numberOfInstances

Short description

Number of Series Related Instances

Alternate names

NumberOfSeriesRelatedInstances

Definition

Data type

unsignedInt

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber
dicom: (0020,1209)

endpoint

0..*

Reference(DataStandardsWalesEndpoint)

Element id

ImagingStudy.series.endpoint

Short description

Series access endpoint

Definition

Requirements

Comments

Data type

Reference(DataStandardsWalesEndpoint)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: Not supported

bodySite

0..1

Coding

There are no (further) constraints on this element

Element id

ImagingStudy.series.bodySite

Short description

Body part examined

Alternate names

BodyPartExamined

Definition

Data type

Coding

Binding

Codes describing anatomical locations. May include laterality.

SNOMEDCTBodyStructures (example)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .targetSiteCode
dicom: (0018,0015)

laterality

0..1

Coding

There are no (further) constraints on this element

Element id

ImagingStudy.series.laterality

Short description

Body part laterality

Definition

Data type

Coding

Binding

Codes describing body site laterality (left, right, etc.).

Laterality (example)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .targetSiteCode
dicom: (0020,0060)

specimen

0..*

Reference(UKCoreSpecimen)

Element id

ImagingStudy.series.specimen

Short description

Specimen imaged

Definition

The specimen imaged, e.g., for whole slide imaging of a biopsy.

Data type

Reference(UKCoreSpecimen)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: Role[classCode=SPEC]
dicom: (0040,0551) + (0040,0562)

started

0..1

dateTime

There are no (further) constraints on this element

Element id

ImagingStudy.series.started

Short description

When the series started

Definition

The date and time the series was started.

Data type

dateTime

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .effectiveTime
dicom: (0008,0021) + (0008,0031)

performer

0..*

BackboneElement

There are no (further) constraints on this element

Element id

ImagingStudy.series.performer

Short description

Who performed the series

Alternate names

PerformingPhysicianName, OperatorName

Definition

Indicates who or what performed the series and how they were involved.

Requirements

Comments

If the person who performed the series is not known, their Organization may be recorded. A patient, or related person, may be the performer, e.g. for patient-captured images.

Data type

BackboneElement

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.performer
rim: .participation[typeCode=PRF].role
dicom: (0008, 1050) | (0008, 1052) | (0008, 1070) | (0008, 1072)

0..1

string

There are no (further) constraints on this element

Element id

ImagingStudy.series.performer.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

ImagingStudy.series.performer.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

ImagingStudy.series.performer.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

function

0..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

ImagingStudy.series.performer.function

Short description

Type of performance

Definition

Distinguishes the type of involvement of the performer in the series.

Requirements

Allows disambiguation of the types of involvement of different performers.

Data type

CodeableConcept

Binding

The type of involvement of the performer.

ImagingStudySeriesPerformerFunction (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .participation[typeCode=PRF].role

actor

1..1

Element id

ImagingStudy.series.performer.actor

Short description

Who performed the series

Definition

Indicates who or what performed the series.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.actor
v2: EVN.5 or by domain
rim: .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]

instance

0..*

BackboneElement

There are no (further) constraints on this element

Element id

ImagingStudy.series.instance

Short description

A single SOP instance from the series

Definition

A single SOP instance within the series, e.g. an image, or presentation state.

Data type

BackboneElement

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode=COMP].target[classCode=DGIMG, moodCode=EVN]

0..1

string

There are no (further) constraints on this element

Element id

ImagingStudy.series.instance.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

ImagingStudy.series.instance.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

ImagingStudy.series.instance.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

uid

1..1

There are no (further) constraints on this element

Element id

ImagingStudy.series.instance.uid

Short description

DICOM SOP Instance UID

Alternate names

SOPInstanceUID

Definition

The DICOM SOP Instance UID for this image or other DICOM content.

Requirements

DICOM SOP Instance UID.

Comments

See DICOM PS3.3 C.12.1.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

2.16.124.113543.6003.189642796.63084.16748.2599092903

Mappings

rim: .id
dicom: (0008,0018)

sopClass

1..1

CodingBinding

There are no (further) constraints on this element

Element id

ImagingStudy.series.instance.sopClass

Short description

DICOM class type

Alternate names

SOPClassUID

Definition

DICOM instance type.

Data type

Coding

Binding

The sopClass for the instance.

http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .inboundRelationship[typeCode=COMP]. source[classCode=OBS, moodCode=EVN, code="sop class"].value
dicom: (0008,0016)

number

0..1

unsignedInt

There are no (further) constraints on this element

Element id

ImagingStudy.series.instance.number

Short description

The number of this instance in the series

Alternate names

InstanceNumber

Definition

The number of instance in the series.

Data type

unsignedInt

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

rim: .inboundRelationship[typeCode=COMP, source[classCode=OBSSER, moodCode=EVN]].sequenceNumber
dicom: (0020,0013)

title

0..1

string

There are no (further) constraints on this element

Element id

ImagingStudy.series.instance.title

Short description

Description of instance

Definition

The description of the instance.

Comments

Particularly for post-acquisition analytic objects, such as SR, presentation states, value mapping, etc.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .title
dicom: (0008,0008) | (0007,0080) | (0040,A043) + (0008,0104) | (0042,0010)

Example ImagingStudy - CT Abdomen