{
  "resourceType": "StructureDefinition",
  "id": "imagingstudy-ca-ps",
  "url": "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/imagingstudy-ca-ps",
  "version": "2.2.0",
  "name": "ImagingStudyPSCA",
  "title": "Imaging Study (PS-CA)",
  "status": "draft",
  "experimental": false,
  "date": "2023-12-06T08:00:00+00:00",
  "description": "This profile represents the constraints applied to the ImagingStudy resource by the pan-Canadian Patient Summary project, which specifies the information on a DICOM imaging study referenced by a Radiology Result Observation.",
  "copyright": "Copyright © 2024+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy).",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "ImagingStudy",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ImagingStudy",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "ImagingStudy",
        "path": "ImagingStudy",
        "comment": "Preliminary analysis has identified that imaging study information may have limited support in current systems intending to produce a diagnostic results section in their initial patient summaries, further feedback and investigation is required with participating jurisdictions to confirm the support of any of the imaging study elements - until then, initial constraints put forth in the IPS-UV specification have been mantained."
      },
      {
        "id": "ImagingStudy.identifier",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:able-to-populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/producer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          }
        ],
        "path": "ImagingStudy.identifier",
        "mustSupport": true
      },
      {
        "id": "ImagingStudy.subject",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString": "dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.2.2.html"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/producer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:display"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          }
        ],
        "path": "ImagingStudy.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/patient-ca-ps"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "ImagingStudy.subject.reference",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/producer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:display"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          }
        ],
        "path": "ImagingStudy.subject.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "ImagingStudy.started",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString": "dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html#sect_C.7.2.1"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:able-to-populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/producer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          }
        ],
        "path": "ImagingStudy.started",
        "mustSupport": true
      },
      {
        "id": "ImagingStudy.procedureCode",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:able-to-populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/producer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          }
        ],
        "path": "ImagingStudy.procedureCode",
        "comment": "Work is underway to define the pan-Canadian terminology that will be preferred and/or socialized for this element.",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/CodeableConcept-ca-ps"
            ]
          }
        ],
        "mustSupport": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
              "valueString": "ImagingProcedureCode",
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "candidate"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips"
                },
                {
                  "url": "documentation",
                  "valueMarkdown": "LOINC radiology codes utilized in IPS. This additional binding is surfaced to socialize the value sets that are proposed for international exchange in IPS. Where multiple codings can be supplied, it is encouraged to supply the original coding alongside the pan-Canadian preferred terminology."
                }
              ]
            }
          ],
          "strength": "extensible",
          "description": "Work is underway to define the pan-Canadian terminology that will be preferred and/or socialized for this element",
          "valueSet": "http://www.rsna.org/RadLex_Playbook.aspx"
        }
      },
      {
        "id": "ImagingStudy.reasonCode",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:able-to-populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/producer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          }
        ],
        "path": "ImagingStudy.reasonCode",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/CodeableConcept-ca-ps"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "ImagingStudy.series",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:able-to-populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/producer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          }
        ],
        "path": "ImagingStudy.series",
        "mustSupport": true
      },
      {
        "id": "ImagingStudy.series.uid",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/producer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:display"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          }
        ],
        "path": "ImagingStudy.series.uid",
        "mustSupport": true
      },
      {
        "id": "ImagingStudy.series.modality",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/producer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:display"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          }
        ],
        "path": "ImagingStudy.series.modality",
        "mustSupport": true
      },
      {
        "id": "ImagingStudy.series.instance",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:able-to-populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/producer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          }
        ],
        "path": "ImagingStudy.series.instance",
        "mustSupport": true
      },
      {
        "id": "ImagingStudy.series.instance.uid",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/producer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:display"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          }
        ],
        "path": "ImagingStudy.series.instance.uid",
        "mustSupport": true
      },
      {
        "id": "ImagingStudy.series.instance.sopClass",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/producer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:display"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          }
        ],
        "path": "ImagingStudy.series.instance.sopClass",
        "mustSupport": true
      }
    ]
  }
}