This page is part of the FHIR Implementation Guide for ABDM (v6.5.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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Resource Profile: ImagingStudy

This profile sets minimum expectations for the ImagingStudy resource to searching for and fetching the content produced in a DICOM imaging study.

Usage:

• Refer to this Resource Profile: ChargeItem, DiagnosticReportImaging, DiagnosticReportLab and Observation
• Examples for this Resource Profile: ImagingStudy/example-01

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy		0..*	ImagingStudy	A set of images produced in single study (one or more series of references images) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!SΣ	1..1	code	registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy. ele-1: All FHIR elements must have a @value or children
modality	SΣ	0..*	Coding	All series modality if actual acquisition modalities Binding: AcquisitionModality (extensible): Type of acquired data in the instance. ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Device | Group | Patient)	Who or what is the subject of the study ele-1: All FHIR elements must have a @value or children
encounter	Σ	0..1	Reference(Encounter)	Encounter with which this imaging study is associated ele-1: All FHIR elements must have a @value or children
basedOn	Σ	0..*	Reference(Appointment | AppointmentResponse | ServiceRequest | CarePlan | Task)	Request fulfilled ele-1: All FHIR elements must have a @value or children
referrer	Σ	0..1	Reference(Practitioner | PractitionerRole)	Referring physician ele-1: All FHIR elements must have a @value or children
interpreter	Σ	0..*	Reference(Practitioner | PractitionerRole)	Who interpreted images ele-1: All FHIR elements must have a @value or children
numberOfSeries	SΣ	0..1	unsignedInt	Number of Study Related Series ele-1: All FHIR elements must have a @value or children
numberOfInstances	SΣ	0..1	unsignedInt	Number of Study Related Instances ele-1: All FHIR elements must have a @value or children
procedureReference	Σ	0..1	Reference(Procedure)	The performed Procedure reference ele-1: All FHIR elements must have a @value or children
procedureCode	Σ	0..*	CodeableConcept	The performed procedure code Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type. ele-1: All FHIR elements must have a @value or children
coding	SΣ	0..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	Σ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
reasonCode	Σ	0..*	CodeableConcept	Why the study was requested Binding: ProcedureReasonCodes (example): The reason for the study. ele-1: All FHIR elements must have a @value or children
coding	SΣ	0..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	Σ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
reasonReference	Σ	0..*	Reference(Condition | Observation | Media | DocumentReference | DiagnosticReportImaging | DiagnosticReportLab)	Why was study performed ele-1: All FHIR elements must have a @value or children
series	SΣ	0..*	BackboneElement	Each study has one or more series of instances ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
uid	SΣ	1..1	id	DICOM Series Instance UID for the series ele-1: All FHIR elements must have a @value or children Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
modality	SΣ	1..1	Coding	The modality of the instances in the series Binding: AcquisitionModality (extensible): Type of acquired data in the instance. ele-1: All FHIR elements must have a @value or children
specimen	Σ	0..*	Reference(Specimen)	Specimen imaged ele-1: All FHIR elements must have a @value or children
instance	S	0..*	BackboneElement	A single SOP instance from the series ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
uid		1..1	id	DICOM SOP Instance UID ele-1: All FHIR elements must have a @value or children Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
sopClass		1..1	Coding	DICOM class type Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ImagingStudy.status	required	ImagingStudyStatus http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1 from the FHIR Standard
ImagingStudy.modality	extensible	AcquisitionModality http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html from http://tx.fhir.org/r4
ImagingStudy.procedureCode	extensible	http://www.rsna.org/RadLex_Playbook.aspx http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ImagingStudy.series.modality	extensible	AcquisitionModality http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html from http://tx.fhir.org/r4
ImagingStudy.series.instance.sopClass	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ImagingStudy	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImagingStudy	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	error	ImagingStudy	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	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImagingStudy	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from ImagingStudy

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy			ImagingStudy
status	S	1..1	code	registered | available | cancelled | entered-in-error | unknown
modality	S	0..*	Coding	All series modality if actual acquisition modalities
subject	S	1..1	Reference(Device | Group | Patient)	Who or what is the subject of the study
encounter		0..1	Reference(Encounter)	Encounter with which this imaging study is associated
basedOn		0..*	Reference(Appointment | AppointmentResponse | ServiceRequest | CarePlan | Task)	Request fulfilled
referrer		0..1	Reference(Practitioner | PractitionerRole)	Referring physician
interpreter		0..*	Reference(Practitioner | PractitionerRole)	Who interpreted images
numberOfSeries	S	0..1	unsignedInt	Number of Study Related Series
numberOfInstances	S	0..1	unsignedInt	Number of Study Related Instances
procedureReference		0..1	Reference(Procedure)	The performed Procedure reference
procedureCode
coding	S	0..*	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
text	S	0..1	string	Plain text representation of the concept
reasonCode
coding	S	0..*	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
text	S	0..1	string	Plain text representation of the concept
reasonReference		0..*	Reference(Condition | Observation | Media | DocumentReference | DiagnosticReportImaging | DiagnosticReportLab)	Why was study performed
series	S	0..*	BackboneElement	Each study has one or more series of instances
uid	S	1..1	id	DICOM Series Instance UID for the series
modality	S	1..1	Coding	The modality of the instances in the series
specimen		0..*	Reference(Specimen)	Specimen imaged
performer
actor		1..1	Reference(CareTeam | Device | RelatedPerson | Practitioner | PractitionerRole | Organization | Patient)	Who performed the series
instance	S	0..*	BackboneElement	A single SOP instance from the series
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy		0..*	ImagingStudy	A set of images produced in single study (one or more series of references images)
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifiers for the whole study
status	?!SΣ	1..1	code	registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
modality	SΣ	0..*	Coding	All series modality if actual acquisition modalities Binding: AcquisitionModality (extensible): Type of acquired data in the instance.
subject	SΣ	1..1	Reference(Device | Group | Patient)	Who or what is the subject of the study
encounter	Σ	0..1	Reference(Encounter)	Encounter with which this imaging study is associated
started	Σ	0..1	dateTime	When the study was started Example General: 2011-01-01T11:01:20+03:00
basedOn	Σ	0..*	Reference(Appointment | AppointmentResponse | ServiceRequest | CarePlan | Task)	Request fulfilled
referrer	Σ	0..1	Reference(Practitioner | PractitionerRole)	Referring physician
interpreter	Σ	0..*	Reference(Practitioner | PractitionerRole)	Who interpreted images
endpoint	Σ	0..*	Reference(Endpoint)	Study access endpoint
numberOfSeries	SΣ	0..1	unsignedInt	Number of Study Related Series
numberOfInstances	SΣ	0..1	unsignedInt	Number of Study Related Instances
procedureReference	Σ	0..1	Reference(Procedure)	The performed Procedure reference
procedureCode	Σ	0..*	CodeableConcept	The performed procedure code Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
location	Σ	0..1	Reference(Location)	Where ImagingStudy occurred
reasonCode	Σ	0..*	CodeableConcept	Why the study was requested Binding: ProcedureReasonCodes (example): The reason for the study.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
reasonReference	Σ	0..*	Reference(Condition | Observation | Media | DocumentReference | DiagnosticReportImaging | DiagnosticReportLab)	Why was study performed
note	Σ	0..*	Annotation	User-defined comments
description	Σ	0..1	string	Institution-generated description
series	SΣ	0..*	BackboneElement	Each study has one or more series of instances
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
uid	SΣ	1..1	id	DICOM Series Instance UID for the series Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
number	Σ	0..1	unsignedInt	Numeric identifier of this series Example General: 3
modality	SΣ	1..1	Coding	The modality of the instances in the series Binding: AcquisitionModality (extensible): Type of acquired data in the instance.
description	Σ	0..1	string	A short human readable summary of the series Example General: CT Surview 180
numberOfInstances	Σ	0..1	unsignedInt	Number of Series Related Instances
endpoint	Σ	0..*	Reference(Endpoint)	Series access endpoint
bodySite	Σ	0..1	Coding	Body part examined Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
laterality	Σ	0..1	Coding	Body part laterality Binding: Laterality (example): Codes describing body site laterality (left, right, etc.).
specimen	Σ	0..*	Reference(Specimen)	Specimen imaged
started	Σ	0..1	dateTime	When the series started
performer	Σ	0..*	BackboneElement	Who performed the series
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performance Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
actor	Σ	1..1	Reference(CareTeam | Device | RelatedPerson | Practitioner | PractitionerRole | Organization | Patient)	Who performed the series
instance	S	0..*	BackboneElement	A single SOP instance from the series
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
uid		1..1	id	DICOM SOP Instance UID Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
sopClass		1..1	Coding	DICOM class type Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance.
number		0..1	unsignedInt	The number of this instance in the series Example General: 1
title		0..1	string	Description of instance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ImagingStudy.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ImagingStudy.status	required	ImagingStudyStatus http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1 from the FHIR Standard
ImagingStudy.modality	extensible	AcquisitionModality http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html from http://tx.fhir.org/r4
ImagingStudy.procedureCode	extensible	http://www.rsna.org/RadLex_Playbook.aspx http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ImagingStudy.series.modality	extensible	AcquisitionModality http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html from http://tx.fhir.org/r4
ImagingStudy.series.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
ImagingStudy.series.laterality	example	Laterality http://hl7.org/fhir/ValueSet/bodysite-laterality from the FHIR Standard
ImagingStudy.series.performer.function	extensible	ImagingStudySeriesPerformerFunction http://hl7.org/fhir/ValueSet/series-performer-function from the FHIR Standard
ImagingStudy.series.instance.sopClass	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ImagingStudy	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImagingStudy	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	error	ImagingStudy	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	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImagingStudy	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from ImagingStudy

Summary

Mandatory: 0 element(6 nested mandatory elements)
Must-Support: 13 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

• Patient (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient)
• Encounter (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Encounter)
• Appointment (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Appointment)
• ServiceRequest (https://nrces.in/ndhm/fhir/r4/StructureDefinition/ServiceRequest)
• CarePlan (https://nrces.in/ndhm/fhir/r4/StructureDefinition/CarePlan)
• Task (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Task)
• Practitioner (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner)
• PractitionerRole (https://nrces.in/ndhm/fhir/r4/StructureDefinition/PractitionerRole)
• Procedure (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Procedure)
• Condition (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Condition)
• Observation (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation)
• Media (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Media)
• DocumentReference (https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentReference)
• DiagnosticReportImaging (https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportImaging)
• DiagnosticReportLab (https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportLab)
• Specimen (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Specimen)
• Organization (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy		0..*	ImagingStudy	A set of images produced in single study (one or more series of references images) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!SΣ	1..1	code	registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy. ele-1: All FHIR elements must have a @value or children
modality	SΣ	0..*	Coding	All series modality if actual acquisition modalities Binding: AcquisitionModality (extensible): Type of acquired data in the instance. ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Device | Group | Patient)	Who or what is the subject of the study ele-1: All FHIR elements must have a @value or children
encounter	Σ	0..1	Reference(Encounter)	Encounter with which this imaging study is associated ele-1: All FHIR elements must have a @value or children
basedOn	Σ	0..*	Reference(Appointment | AppointmentResponse | ServiceRequest | CarePlan | Task)	Request fulfilled ele-1: All FHIR elements must have a @value or children
referrer	Σ	0..1	Reference(Practitioner | PractitionerRole)	Referring physician ele-1: All FHIR elements must have a @value or children
interpreter	Σ	0..*	Reference(Practitioner | PractitionerRole)	Who interpreted images ele-1: All FHIR elements must have a @value or children
numberOfSeries	SΣ	0..1	unsignedInt	Number of Study Related Series ele-1: All FHIR elements must have a @value or children
numberOfInstances	SΣ	0..1	unsignedInt	Number of Study Related Instances ele-1: All FHIR elements must have a @value or children
procedureReference	Σ	0..1	Reference(Procedure)	The performed Procedure reference ele-1: All FHIR elements must have a @value or children
procedureCode	Σ	0..*	CodeableConcept	The performed procedure code Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type. ele-1: All FHIR elements must have a @value or children
coding	SΣ	0..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	Σ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
reasonCode	Σ	0..*	CodeableConcept	Why the study was requested Binding: ProcedureReasonCodes (example): The reason for the study. ele-1: All FHIR elements must have a @value or children
coding	SΣ	0..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	Σ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
reasonReference	Σ	0..*	Reference(Condition | Observation | Media | DocumentReference | DiagnosticReportImaging | DiagnosticReportLab)	Why was study performed ele-1: All FHIR elements must have a @value or children
series	SΣ	0..*	BackboneElement	Each study has one or more series of instances ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
uid	SΣ	1..1	id	DICOM Series Instance UID for the series ele-1: All FHIR elements must have a @value or children Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
modality	SΣ	1..1	Coding	The modality of the instances in the series Binding: AcquisitionModality (extensible): Type of acquired data in the instance. ele-1: All FHIR elements must have a @value or children
specimen	Σ	0..*	Reference(Specimen)	Specimen imaged ele-1: All FHIR elements must have a @value or children
instance	S	0..*	BackboneElement	A single SOP instance from the series ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
uid		1..1	id	DICOM SOP Instance UID ele-1: All FHIR elements must have a @value or children Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
sopClass		1..1	Coding	DICOM class type Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ImagingStudy.status	required	ImagingStudyStatus http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1 from the FHIR Standard
ImagingStudy.modality	extensible	AcquisitionModality http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html from http://tx.fhir.org/r4
ImagingStudy.procedureCode	extensible	http://www.rsna.org/RadLex_Playbook.aspx http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ImagingStudy.series.modality	extensible	AcquisitionModality http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html from http://tx.fhir.org/r4
ImagingStudy.series.instance.sopClass	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ImagingStudy	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImagingStudy	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	error	ImagingStudy	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	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImagingStudy	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from ImagingStudy

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy			ImagingStudy
status	S	1..1	code	registered | available | cancelled | entered-in-error | unknown
modality	S	0..*	Coding	All series modality if actual acquisition modalities
subject	S	1..1	Reference(Device | Group | Patient)	Who or what is the subject of the study
encounter		0..1	Reference(Encounter)	Encounter with which this imaging study is associated
basedOn		0..*	Reference(Appointment | AppointmentResponse | ServiceRequest | CarePlan | Task)	Request fulfilled
referrer		0..1	Reference(Practitioner | PractitionerRole)	Referring physician
interpreter		0..*	Reference(Practitioner | PractitionerRole)	Who interpreted images
numberOfSeries	S	0..1	unsignedInt	Number of Study Related Series
numberOfInstances	S	0..1	unsignedInt	Number of Study Related Instances
procedureReference		0..1	Reference(Procedure)	The performed Procedure reference
procedureCode
coding	S	0..*	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
text	S	0..1	string	Plain text representation of the concept
reasonCode
coding	S	0..*	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
text	S	0..1	string	Plain text representation of the concept
reasonReference		0..*	Reference(Condition | Observation | Media | DocumentReference | DiagnosticReportImaging | DiagnosticReportLab)	Why was study performed
series	S	0..*	BackboneElement	Each study has one or more series of instances
uid	S	1..1	id	DICOM Series Instance UID for the series
modality	S	1..1	Coding	The modality of the instances in the series
specimen		0..*	Reference(Specimen)	Specimen imaged
performer
actor		1..1	Reference(CareTeam | Device | RelatedPerson | Practitioner | PractitionerRole | Organization | Patient)	Who performed the series
instance	S	0..*	BackboneElement	A single SOP instance from the series
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy		0..*	ImagingStudy	A set of images produced in single study (one or more series of references images)
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifiers for the whole study
status	?!SΣ	1..1	code	registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
modality	SΣ	0..*	Coding	All series modality if actual acquisition modalities Binding: AcquisitionModality (extensible): Type of acquired data in the instance.
subject	SΣ	1..1	Reference(Device | Group | Patient)	Who or what is the subject of the study
encounter	Σ	0..1	Reference(Encounter)	Encounter with which this imaging study is associated
started	Σ	0..1	dateTime	When the study was started Example General: 2011-01-01T11:01:20+03:00
basedOn	Σ	0..*	Reference(Appointment | AppointmentResponse | ServiceRequest | CarePlan | Task)	Request fulfilled
referrer	Σ	0..1	Reference(Practitioner | PractitionerRole)	Referring physician
interpreter	Σ	0..*	Reference(Practitioner | PractitionerRole)	Who interpreted images
endpoint	Σ	0..*	Reference(Endpoint)	Study access endpoint
numberOfSeries	SΣ	0..1	unsignedInt	Number of Study Related Series
numberOfInstances	SΣ	0..1	unsignedInt	Number of Study Related Instances
procedureReference	Σ	0..1	Reference(Procedure)	The performed Procedure reference
procedureCode	Σ	0..*	CodeableConcept	The performed procedure code Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
location	Σ	0..1	Reference(Location)	Where ImagingStudy occurred
reasonCode	Σ	0..*	CodeableConcept	Why the study was requested Binding: ProcedureReasonCodes (example): The reason for the study.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
reasonReference	Σ	0..*	Reference(Condition | Observation | Media | DocumentReference | DiagnosticReportImaging | DiagnosticReportLab)	Why was study performed
note	Σ	0..*	Annotation	User-defined comments
description	Σ	0..1	string	Institution-generated description
series	SΣ	0..*	BackboneElement	Each study has one or more series of instances
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
uid	SΣ	1..1	id	DICOM Series Instance UID for the series Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
number	Σ	0..1	unsignedInt	Numeric identifier of this series Example General: 3
modality	SΣ	1..1	Coding	The modality of the instances in the series Binding: AcquisitionModality (extensible): Type of acquired data in the instance.
description	Σ	0..1	string	A short human readable summary of the series Example General: CT Surview 180
numberOfInstances	Σ	0..1	unsignedInt	Number of Series Related Instances
endpoint	Σ	0..*	Reference(Endpoint)	Series access endpoint
bodySite	Σ	0..1	Coding	Body part examined Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
laterality	Σ	0..1	Coding	Body part laterality Binding: Laterality (example): Codes describing body site laterality (left, right, etc.).
specimen	Σ	0..*	Reference(Specimen)	Specimen imaged
started	Σ	0..1	dateTime	When the series started
performer	Σ	0..*	BackboneElement	Who performed the series
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performance Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
actor	Σ	1..1	Reference(CareTeam | Device | RelatedPerson | Practitioner | PractitionerRole | Organization | Patient)	Who performed the series
instance	S	0..*	BackboneElement	A single SOP instance from the series
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
uid		1..1	id	DICOM SOP Instance UID Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
sopClass		1..1	Coding	DICOM class type Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance.
number		0..1	unsignedInt	The number of this instance in the series Example General: 1
title		0..1	string	Description of instance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ImagingStudy.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ImagingStudy.status	required	ImagingStudyStatus http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1 from the FHIR Standard
ImagingStudy.modality	extensible	AcquisitionModality http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html from http://tx.fhir.org/r4
ImagingStudy.procedureCode	extensible	http://www.rsna.org/RadLex_Playbook.aspx http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ImagingStudy.series.modality	extensible	AcquisitionModality http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html from http://tx.fhir.org/r4
ImagingStudy.series.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
ImagingStudy.series.laterality	example	Laterality http://hl7.org/fhir/ValueSet/bodysite-laterality from the FHIR Standard
ImagingStudy.series.performer.function	extensible	ImagingStudySeriesPerformerFunction http://hl7.org/fhir/ValueSet/series-performer-function from the FHIR Standard
ImagingStudy.series.instance.sopClass	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ImagingStudy	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImagingStudy	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	error	ImagingStudy	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	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImagingStudy	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from ImagingStudy

Summary

Mandatory: 0 element(6 nested mandatory elements)
Must-Support: 13 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

• Patient (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient)
• Encounter (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Encounter)
• Appointment (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Appointment)
• ServiceRequest (https://nrces.in/ndhm/fhir/r4/StructureDefinition/ServiceRequest)
• CarePlan (https://nrces.in/ndhm/fhir/r4/StructureDefinition/CarePlan)
• Task (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Task)
• Practitioner (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner)
• PractitionerRole (https://nrces.in/ndhm/fhir/r4/StructureDefinition/PractitionerRole)
• Procedure (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Procedure)
• Condition (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Condition)
• Observation (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Observation)
• Media (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Media)
• DocumentReference (https://nrces.in/ndhm/fhir/r4/StructureDefinition/DocumentReference)
• DiagnosticReportImaging (https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportImaging)
• DiagnosticReportLab (https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportLab)
• Specimen (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Specimen)
• Organization (https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization)

Other representations of profile: CSV, Excel, Schematron