StructureDefinition-UKCore-ImagingStudy

Canonical_URLStatusCurrent_VersionLast_UpdatedDescription
https://fhir.hl7.org.uk/StructureDefinition/UKCore-ImagingStudydraft1.1.02023-12-12

This profile defines the UK constraints and extensions on the International FHIR resource ImagingStudy


Profile_Purpose

This profile allows exchange of the content produced in a DICOM imaging study.

identifierΣ0..*Identifier
statusS Σ ?!1..1codeBinding
modalityS Σ0..*CodingBinding
subjectS Σ I1..1Reference(Patient | Device | Group)
encounterS Σ I0..1Reference(Encounter)
startedΣ0..1dateTime
basedOnΣ I0..*Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)
referrerΣ I0..1Reference(Practitioner | PractitionerRole)
interpreterΣ I0..*Reference(Practitioner | PractitionerRole)
endpointΣ I0..*Reference(Endpoint)
numberOfSeriesΣ0..1unsignedInt
numberOfInstancesΣ0..1unsignedInt
procedureReferenceΣ I0..1Reference(Procedure)
procedureCodeΣ0..*CodeableConceptBinding
locationΣ I0..1Reference(Location)
reasonCodeΣ0..*CodeableConcept
reasonReferenceΣ I0..*Reference(Condition | Observation | Media | DiagnosticReport | DocumentReference)
noteΣ0..*Annotation
descriptionΣ0..1string
uidΣ1..1id
numberΣ0..1unsignedInt
modalityΣ1..1CodingBinding
descriptionΣ0..1string
numberOfInstancesΣ0..1unsignedInt
endpointΣ I0..*Reference(Endpoint)
bodySiteΣ0..1Coding
lateralityΣ0..1Coding
specimenΣ I0..*Reference(Specimen)
startedΣ0..1dateTime
functionΣ0..1CodeableConceptBinding
actorΣ I1..1Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)
uid1..1id
sopClass1..1CodingBinding
number0..1unsignedInt
title0..1string

Detailed Descriptions

ImagingStudy
DefinitionRepresentation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.
Cardinality0...*
Invariants
  • dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources
    contained.contained.empty()
  • dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
  • dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
    contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
  • dom-6:A resource should have narrative for robust management
    text.`div`.exists()
  • dom-5:If a resource is contained in another resource, it SHALL NOT have a security label
    contained.meta.security.empty()
Mappings
  • rim:Entity. Role, or Act
  • workflow:Event
  • rim:Act[classCode=COMPOSITION, moodCode=EVN]
  • dicom:Reference IHE radiology TF vol 2 table 4.14-1
ImagingStudy.id
DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Cardinality0...1
TypeSystem.String
SummaryTrue
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.

ImagingStudy.meta
DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Cardinality0...1
TypeMeta
SummaryTrue
Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
  • rim:N/A
ImagingStudy.implicitRules
DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Cardinality0...1
Typeuri
ModifierTrue
SummaryTrue
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.

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
ImagingStudy.language
DefinitionThe base language in which the resource is written.
Cardinality0...1
Typecode
Binding

A human language.

CommonLanguages (preferred)
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).

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
ImagingStudy.text
DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Cardinality0...1
TypeNarrative
Aliasnarrative, html, xhtml, display
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.

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
  • rim:N/A
  • rim:Act.text?
ImagingStudy.contained
DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Cardinality0...*
TypeResource
Aliasinline resources, anonymous resources, contained resources
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.

Mappings
  • rim:Entity. Role, or Act
  • rim:N/A
ImagingStudy.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, user content
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.

SlicingUnordered, Open, by url(Value)
Invariants
  • 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
  • rim:N/A
ImagingStudy.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
Aliasextensions, user content
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

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.

SlicingUnordered, Open, by url(Value)
Invariants
  • 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
  • rim:N/A
ImagingStudy.identifier
DefinitionIdentifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number.
Cardinality0...*
TypeIdentifier
SummaryTrue
AliasStudyInstanceUID, AccessionNumber
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.

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
  • v2:CX / EI (occasionally, more often EI maps to a resource id or a URL)
  • rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
  • servd:Identifier
  • workflow:Event.identifier
  • w5:FiveWs.identifier
  • rim:.id and .inboundRelationship[typeCode=COMP].source[classCode=ACSN, moodCode=EVN].id
  • dicom:StudyInstanceUID (0020,000D) | Accession Number and Issuer (0080,0050)+(0080,0051) | Study ID (0020,0010)
ImagingStudy.status
DefinitionThe current state of the ImagingStudy.
Cardinality1...1
Typecode
Binding

The status of the ImagingStudy.

ImagingStudyStatus (required)
Must SupportTrue
ModifierTrue
SummaryTrue
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.

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
  • workflow:Event.status
  • w5:FiveWs.status
  • v2:Varies by domain
  • rim:.status
ImagingStudy.modality
DefinitionA list of all the series.modality values that are actual acquisition modalities, i.e. those in the DICOM Context Group 29 (value set OID 1.2.840.10008.6.1.19).
Cardinality0...*
TypeCoding
Binding

Type of acquired data in the instance.

http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible)
Must SupportTrue
SummaryTrue
AliasModalitiesInStudy
Comments

Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
  • v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
  • rim:CV
  • orim:fhir:Coding rdfs:subClassOf dt:CDCoding
  • w5:FiveWs.class
  • rim:.code
  • dicom:(0008,0061)
ImagingStudy.subject
DefinitionThe subject, typically a patient, of the imaging study.
Cardinality1...1
TypeReference(Patient | Device | Group)
Must SupportTrue
SummaryTrue
Comments

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

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1:SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim:n/a
  • rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • workflow:Event.subject
  • w5:FiveWs.subject[x]
  • rim:.participation[typeCode=SBJ].role
  • dicom:(0010/*)
  • w5:FiveWs.subject
ImagingStudy.encounter
DefinitionThe healthcare event (e.g. a patient and healthcare provider interaction) during which this ImagingStudy is made.
Cardinality0...1
TypeReference(Encounter)
Must SupportTrue
SummaryTrue
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).

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1:SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim:n/a
  • rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • workflow:Event.encounter
  • w5:FiveWs.context
  • rim:inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
ImagingStudy.started
DefinitionDate and time the study started.
Cardinality0...1
TypedateTime
SummaryTrue
AliasStudyDate, StudyTime
Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General

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


Mappings
  • rim:n/a
  • workflow:Event.occurrence[x]
  • w5:FiveWs.init
  • rim:.effectiveTime
  • dicom:(0008,0020)+(0008,0030)
ImagingStudy.basedOn
DefinitionA list of the diagnostic requests that resulted in this imaging study being performed.
Cardinality0...*
TypeReference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)
SummaryTrue
Requirements

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

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1:SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim:n/a
  • rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • workflow:Event.basedOn
  • w5:FiveWs.cause
  • rim:.outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO]
  • dicom:(0032,1064)
ImagingStudy.referrer
DefinitionThe requesting/referring physician.
Cardinality0...1
TypeReference(Practitioner | PractitionerRole)
SummaryTrue
AliasReferringPhysiciansName
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1:SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim:n/a
  • rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • w5:FiveWs.cause
  • rim:.outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO].participation[typeCode=AUT].role
  • dicom:(0008,0090)+(0008,0096)
ImagingStudy.interpreter
DefinitionWho read the study and interpreted the images or other content.
Cardinality0...*
TypeReference(Practitioner | PractitionerRole)
SummaryTrue
AliasName of Physician(s) Reading Study
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1:SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim:n/a
  • rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • w5:FiveWs.witness
  • rim:.participation[typeCode=PRF].role
  • dicom:(0008,1060)
ImagingStudy.endpoint
DefinitionThe network service providing access (e.g., query, view, or retrieval) for the study. See implementation notes for information about using DICOM endpoints. A study-level endpoint applies to each series in the study, unless overridden by a series-level endpoint with the same Endpoint.connectionType.
Cardinality0...*
TypeReference(Endpoint)
SummaryTrue
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.

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1:SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim:n/a
  • rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • rim:Not supported
ImagingStudy.numberOfSeries
DefinitionNumber of Series in the Study. This value given may be larger than the number of series elements this Resource contains due to resource availability, security, or other factors. This element should be present if any series elements are present.
Cardinality0...1
TypeunsignedInt
SummaryTrue
AliasNumberOfStudyRelatedSeries
Comments

32 bit number; for values larger than this, use decimal

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
  • rim:.outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=OBSSER, moodCode=EVN].repeatNumber
  • dicom:(0020,1206)
ImagingStudy.numberOfInstances
DefinitionNumber of SOP Instances in Study. This value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present.
Cardinality0...1
TypeunsignedInt
SummaryTrue
AliasNumberOfStudyRelatedInstances
Comments

32 bit number; for values larger than this, use decimal

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
  • rim:.outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber
  • dicom:(0020,1208)
ImagingStudy.procedureReference
DefinitionThe procedure which this ImagingStudy was part of.
Cardinality0...1
TypeReference(Procedure)
SummaryTrue
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1:SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim:n/a
  • rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • workflow:Event.partOf
  • rim:.outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN]
  • dicom:(0008,1032)
ImagingStudy.procedureCode
DefinitionThe code for the performed procedure type.
Cardinality0...*
TypeCodeableConcept
Binding

The performed procedure type.

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

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
  • v2:CE/CNE/CWE
  • rim:CD
  • orim:fhir:CodeableConcept rdfs:subClassOf dt:CD
  • workflow:Event.code
  • rim:.outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN]
  • dicom:(0008,1032)
ImagingStudy.location
DefinitionThe principal physical location where the ImagingStudy was performed.
Cardinality0...1
TypeReference(Location)
SummaryTrue
Requirements

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

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1:SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim:n/a
  • rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • workflow:Event.location
  • w5:FiveWs.where[x]
  • v2:EVN.7
  • rim:.participation[typeCode=LOC].role
  • dicom:(0008,1040) | (0040,0243)
ImagingStudy.reasonCode
DefinitionDescription of clinical condition indicating why the ImagingStudy was requested.
Cardinality0...*
TypeCodeableConcept
Binding

The reason for the study.

ProcedureReasonCodes (example)
SummaryTrue
Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
  • v2:CE/CNE/CWE
  • rim:CD
  • orim:fhir:CodeableConcept rdfs:subClassOf dt:CD
  • workflow:Event.reasonCode
  • w5:FiveWs.why[x]
  • rim:.reasonCode
  • dicom:(0040,1002)
ImagingStudy.reasonReference
DefinitionIndicates another resource whose existence justifies this Study.
Cardinality0...*
TypeReference(Condition | Observation | Media | DiagnosticReport | DocumentReference)
SummaryTrue
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1:SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim:n/a
  • rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • workflow:Event.reasonReference
  • w5:FiveWs.why[x]
  • v2:EVN.4 or by domain
  • rim:.outboundRelationship[typeCode=RSON].target
ImagingStudy.note
DefinitionPer the recommended DICOM mapping, this element is derived from the Study Description attribute (0008,1030). Observations or findings about the imaging study should be recorded in another resource, e.g. Observation, and not in this element.
Cardinality0...*
TypeAnnotation
SummaryTrue
Comments

For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
  • v2:N/A
  • rim:Act
  • workflow:Event.note
  • rim:unknown
ImagingStudy.description
DefinitionThe Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed.
Cardinality0...1
Typestring
SummaryTrue
AliasStudyDescription
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
  • rim:.text
  • dicom:(0008,1030)
ImagingStudy.series
DefinitionEach study has one or more series of images or other content.
Cardinality0...*
TypeBackboneElement
Must SupportTrue
SummaryTrue
Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
  • rim:.outboundRelationship[typeCode=COMP].target[classCode=OBSSER, moodCode=EVN]
ImagingStudy.series.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
TypeSystem.String
Mappings
  • rim:n/a
ImagingStudy.series.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, user content
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.

SlicingUnordered, Open, by url(Value)
Invariants
  • 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
  • rim:N/A
ImagingStudy.series.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, user content, modifiers
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

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.

Invariants
  • 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
  • rim:N/A
ImagingStudy.series.uid
DefinitionThe DICOM Series Instance UID for the series.
Cardinality1...1
Typeid
SummaryTrue
AliasSeriesInstanceUID
Requirements

DICOM Series Instance UID.

Comments

See DICOM PS3.3 C.7.3.

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

2.16.124.113543.6003.2588828330.45298.17418.2723805630


Mappings
  • rim:n/a
  • rim:.id
  • dicom:(0020,000E)
ImagingStudy.series.number
DefinitionThe numeric identifier of this series in the study.
Cardinality0...1
TypeunsignedInt
SummaryTrue
AliasSeriesNumber
Comments

32 bit number; for values larger than this, use decimal

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

3


Mappings
  • rim:n/a
  • rim:.inboundRelationship[type=COMP, source[classCode=COMPOSITION, moodCode=EVN]].sequenceNumber
  • dicom:(0020,0011)
ImagingStudy.series.modality
DefinitionThe modality of this series sequence.
Cardinality1...1
TypeCoding
Binding

Type of acquired data in the instance.

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

Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
  • v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
  • rim:CV
  • orim:fhir:Coding rdfs:subClassOf dt:CDCoding
  • rim:.code
  • dicom:(0008,0060)
ImagingStudy.series.description
DefinitionA description of the series.
Cardinality0...1
Typestring
SummaryTrue
AliasSeriesDescription
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

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

CT Surview 180


Mappings
  • rim:n/a
  • rim:.text
  • dicom:(0008,103E)
ImagingStudy.series.numberOfInstances
DefinitionNumber of SOP Instances in the Study. The value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present.
Cardinality0...1
TypeunsignedInt
SummaryTrue
AliasNumberOfSeriesRelatedInstances
Comments

32 bit number; for values larger than this, use decimal

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
  • rim:.outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber
  • dicom:(0020,1209)
ImagingStudy.series.endpoint
DefinitionThe network service providing access (e.g., query, view, or retrieval) for this series. See implementation notes for information about using DICOM endpoints. A series-level endpoint, if present, has precedence over a study-level endpoint with the same Endpoint.connectionType.
Cardinality0...*
TypeReference(Endpoint)
SummaryTrue
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.

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1:SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim:n/a
  • rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • rim:Not supported
ImagingStudy.series.bodySite
DefinitionThe anatomic structures examined. See DICOM Part 16 Annex L (http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings. The bodySite may indicate the laterality of body part imaged; if so, it shall be consistent with any content of ImagingStudy.series.laterality.
Cardinality0...1
TypeCoding
Binding

Codes describing anatomical locations. May include laterality.

SNOMEDCTBodyStructures (example)
SummaryTrue
AliasBodyPartExamined
Comments

Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
  • v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
  • rim:CV
  • orim:fhir:Coding rdfs:subClassOf dt:CDCoding
  • rim:.targetSiteCode
  • dicom:(0018,0015)
ImagingStudy.series.laterality
DefinitionThe laterality of the (possibly paired) anatomic structures examined. E.g., the left knee, both lungs, or unpaired abdomen. If present, shall be consistent with any laterality information indicated in ImagingStudy.series.bodySite.
Cardinality0...1
TypeCoding
Binding

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

Laterality (example)
SummaryTrue
Comments

Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
  • v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
  • rim:CV
  • orim:fhir:Coding rdfs:subClassOf dt:CDCoding
  • rim:.targetSiteCode
  • dicom:(0020,0060)
ImagingStudy.series.specimen
DefinitionThe specimen imaged, e.g., for whole slide imaging of a biopsy.
Cardinality0...*
TypeReference(Specimen)
SummaryTrue
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1:SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim:n/a
  • rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • rim:Role[classCode=SPEC]
  • dicom:(0040,0551) + (0040,0562)
ImagingStudy.series.started
DefinitionThe date and time the series was started.
Cardinality0...1
TypedateTime
SummaryTrue
Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
  • rim:.effectiveTime
  • dicom:(0008,0021) + (0008,0031)
ImagingStudy.series.performer
DefinitionIndicates who or what performed the series and how they were involved.
Cardinality0...*
TypeBackboneElement
SummaryTrue
AliasPerformingPhysicianName, OperatorName
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.

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
  • workflow:Event.performer
  • rim:.participation[typeCode=PRF].role
  • dicom:(0008, 1050) | (0008, 1052) | (0008, 1070) | (0008, 1072)
ImagingStudy.series.performer.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
TypeSystem.String
Mappings
  • rim:n/a
ImagingStudy.series.performer.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, user content
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.

SlicingUnordered, Open, by url(Value)
Invariants
  • 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
  • rim:N/A
ImagingStudy.series.performer.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, user content, modifiers
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

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.

Invariants
  • 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
  • rim:N/A
ImagingStudy.series.performer.function
DefinitionDistinguishes the type of involvement of the performer in the series.
Cardinality0...1
TypeCodeableConcept
Binding

The type of involvement of the performer.

ImagingStudySeriesPerformerFunction (extensible)
SummaryTrue
Requirements

Allows disambiguation of the types of involvement of different performers.

Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
  • v2:CE/CNE/CWE
  • rim:CD
  • orim:fhir:CodeableConcept rdfs:subClassOf dt:CD
  • rim:.participation[typeCode=PRF].role
ImagingStudy.series.performer.actor
DefinitionIndicates who or what performed the series.
Cardinality1...1
TypeReference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)
SummaryTrue
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1:SHALL have a contained resource if a local reference is provided
    reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
Mappings
  • rim:n/a
  • rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • w5:FiveWs.actor
  • v2:EVN.5 or by domain
  • rim:.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
ImagingStudy.series.instance
DefinitionA single SOP instance within the series, e.g. an image, or presentation state.
Cardinality0...*
TypeBackboneElement
Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
  • rim:.outboundRelationship[typeCode=COMP].target[classCode=DGIMG, moodCode=EVN]
ImagingStudy.series.instance.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
TypeSystem.String
Mappings
  • rim:n/a
ImagingStudy.series.instance.extension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality0...*
TypeExtension
Aliasextensions, user content
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.

SlicingUnordered, Open, by url(Value)
Invariants
  • 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
  • rim:N/A
ImagingStudy.series.instance.modifierExtension
DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, user content, modifiers
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

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.

Invariants
  • 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
  • rim:N/A
ImagingStudy.series.instance.uid
DefinitionThe DICOM SOP Instance UID for this image or other DICOM content.
Cardinality1...1
Typeid
AliasSOPInstanceUID
Requirements

DICOM SOP Instance UID.

Comments

See DICOM PS3.3 C.12.1.

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

2.16.124.113543.6003.189642796.63084.16748.2599092903


Mappings
  • rim:n/a
  • rim:.id
  • dicom:(0008,0018)
ImagingStudy.series.instance.sopClass
DefinitionDICOM instance type.
Cardinality1...1
TypeCoding
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)
AliasSOPClassUID
Comments

Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
  • v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
  • rim:CV
  • orim:fhir:Coding rdfs:subClassOf dt:CDCoding
  • rim:.inboundRelationship[typeCode=COMP]. source[classCode=OBS, moodCode=EVN, code="sop class"].value
  • dicom:(0008,0016)
ImagingStudy.series.instance.number
DefinitionThe number of instance in the series.
Cardinality0...1
TypeunsignedInt
AliasInstanceNumber
Comments

32 bit number; for values larger than this, use decimal

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

1


Mappings
  • rim:n/a
  • rim:.inboundRelationship[typeCode=COMP, source[classCode=OBSSER, moodCode=EVN]].sequenceNumber
  • dicom:(0020,0013)
ImagingStudy.series.instance.title
DefinitionThe description of the instance.
Cardinality0...1
Typestring
Comments

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

Invariants
  • ele-1:All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim:n/a
  • rim:.title
  • dicom:(0008,0008) | (0007,0080) | (0040,A043) + (0008,0104) | (0042,0010)

Table View

ImagingStudy..
ImagingStudy.status..
ImagingStudy.modality..
ImagingStudy.subject..
ImagingStudy.encounter..
ImagingStudy.series..


XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="UKCore-ImagingStudy" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-ImagingStudy" />
    <version value="1.1.0" />
    <name value="UKCoreImagingStudy" />
    <title value="UK Core Imaging Study" />
    <status value="draft" />
    <date value="2023-12-12" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="ukcore@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <description value="This profile defines the UK constraints and extensions on the International FHIR resource [ImagingStudy](https://hl7.org/fhir/R4/ImagingStudy.html)" />
    <purpose value="This profile allows exchange of the content produced in a DICOM imaging study." />
    <copyright value="Copyright &amp;#169; 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the &amp;quot;License&amp;quot;); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an &amp;quot;AS IS&amp;quot; BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7&amp;#174; FHIR&amp;#174; standard Copyright &amp;#169; 2011+ HL7 The HL7&amp;#174; FHIR&amp;#174; standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html." />
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="ImagingStudy" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/ImagingStudy" />
    <derivation value="constraint" />
    <differential>
        <element id="ImagingStudy.status">
            <path value="ImagingStudy.status" />
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.modality">
            <path value="ImagingStudy.modality" />
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.subject">
            <path value="ImagingStudy.subject" />
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.encounter">
            <path value="ImagingStudy.encounter" />
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.series">
            <path value="ImagingStudy.series" />
            <mustSupport value="true" />
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "UKCore-ImagingStudy",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/UKCore-ImagingStudy",
    "version": "1.1.0",
    "name": "UKCoreImagingStudy",
    "title": "UK Core Imaging Study",
    "status": "draft",
    "date": "2023-12-12",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "ukcore@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        }
    ],
    "description": "This profile defines the UK constraints and extensions on the International FHIR resource [ImagingStudy](https://hl7.org/fhir/R4/ImagingStudy.html)",
    "purpose": "This profile allows exchange of the content produced in a DICOM imaging study.",
    "copyright": "Copyright &#169; 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the &quot;License&quot;); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an &quot;AS IS&quot; BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7&#174; FHIR&#174; standard Copyright &#169; 2011+ HL7 The HL7&#174; FHIR&#174; standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html.",
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "ImagingStudy",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ImagingStudy",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "ImagingStudy.status",
                "path": "ImagingStudy.status",
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.modality",
                "path": "ImagingStudy.modality",
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.subject",
                "path": "ImagingStudy.subject",
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.encounter",
                "path": "ImagingStudy.encounter",
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.series",
                "path": "ImagingStudy.series",
                "mustSupport": true
            }
        ]
    }
}

Usage

This Profile has the following derived profiles:


This Profile is referenced in the following Extensions:


This Profile is referenced in the following Profiles:

Feedback

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Report issue for UKCore-ImagingStudy

Examples

CT Chest Scan - An example to illustrate sharing CT scan imagery.
Example UKCore-ImagingStudy-CTChestScan

Example Usage Scenarios

The following are example usage scenarios for the UK Core Imaging Study profile:

  • Query and share DICOM images

Profile Specific Implementation Guidance:

Minimum Viable Content

A minimum viable content that all provider and consumer systems SHALL support are the following elements.

Element Reason
ImagingStudy.status The current state of the ImagingStudy.
ImagingStudy.modality All series modality if actual acquisition modalities.
ImagingStudy.subject Who or what is the subject of the study.
ImagingStudy.encounter The encounter with which this imaging study is associated
ImagingStudy.series Each study has one or more series of images or other content.

subject

Where possible, it is expected that the resource being referenced SHOULD conform to one of the following UK Core profiles:


encounter

Where possible, it is expected that the resource being referenced SHOULD conform to Profile UKCore-Encounter.


basedOn

Where possible, it is expected that the resource being referenced SHOULD conform to one of the following UK Core profiles:


referrer

Where possible, it is expected that the resource being referenced SHOULD conform to one of the following UK Core profiles:


interpreter

Where possible, it is expected that the resource being referenced SHOULD conform to one of the following UK Core profiles:


procedureReference

Where possible, it is expected that the resource being referenced SHOULD conform to Profile UKCore-Procedure.


location

Where possible, it is expected that the resource being referenced SHOULD conform to Profile UKCore-Location.


reasonReference

Where possible, it is expected that the resource being referenced SHOULD conform to one of the following UK Core profiles:


note

The resource being referenced by ImagingStudy.note.authorReference SHALL conform to one of the following:


series

ImagingStudy.series.specimen

Where possible, it is expected that the resource being referenced SHOULD conform to Profile UKCore-Specimen.

ImagingStudy.series.performer.actor

The resource being referenced by ImagingStudy.note.authorReference SHALL conform to one of the following: