<?xml version="1.0" encoding="UTF-8"?>
<!-- 
 * #%L
 * org.hl7.fhir.r5
 * %%
 * Copyright (C) 2014 - 2019 Health Level 7
 * %%
 * Licensed under the Apache License, Version 2.0 (the "License");
 * 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 "AS IS" 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.
 * #L%
 */

/*
  Copyright (c) 2011+, HL7, Inc.
  All rights reserved.
  
  Redistribution and use in source and binary forms, with or without modification, 
  are permitted provided that the following conditions are met:
  
   * Redistributions of source code must retain the above copyright notice, this 
     list of conditions and the following disclaimer.
   * Redistributions in binary form must reproduce the above copyright notice, 
     this list of conditions and the following disclaimer in the documentation 
     and/or other materials provided with the distribution.
   * Neither the name of HL7 nor the names of its contributors may be used to 
     endorse or promote products derived from this software without specific 
     prior written permission.
  
  THIS SOFTWARE IS PROVIDED BY THE COPYRIGHT HOLDERS AND CONTRIBUTORS "AS IS" AND 
  ANY EXPRESS OR IMPLIED WARRANTIES, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED 
  WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE ARE DISCLAIMED. 
  IN NO EVENT SHALL THE COPYRIGHT HOLDER OR CONTRIBUTORS BE LIABLE FOR ANY DIRECT, 
  INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT 
  NOT LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; LOSS OF USE, DATA, OR 
  PROFITS; OR BUSINESS INTERRUPTION) HOWEVER CAUSED AND ON ANY THEORY OF LIABILITY, 
  WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT (INCLUDING NEGLIGENCE OR OTHERWISE) 
  ARISING IN ANY WAY OUT OF THE USE OF THIS SOFTWARE, EVEN IF ADVISED OF THE 
  POSSIBILITY OF SUCH DAMAGE.
  

  Generated on Mon, Mar 9, 2026 22:30+0000 for FHIR v6.0.0-ballot4 

  Note: the schemas &amp; schematrons do not contain all of the rules about what makes resources
  valid. Implementers will still need to be familiar with the content of the specification and with
  any profiles that apply to the resources in order to make a conformant implementation.

-->
<xs:schema xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns="http://hl7.org/fhir" xmlns:xhtml="http://www.w3.org/1999/xhtml" targetNamespace="http://hl7.org/fhir" elementFormDefault="qualified" version="1.0">
  <xs:include schemaLocation="fhir-base.xsd"/>
  <xs:element name="ImagingStudy" type="ImagingStudy">
    <xs:annotation>
      <xs:documentation xml:lang="en">Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context.  A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study can have multiple series of different modality values.</xs:documentation>
    </xs:annotation>
  </xs:element>
  <xs:complexType name="ImagingStudy">
    <xs:annotation>
      <xs:documentation xml:lang="en">Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context.  A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study can have multiple series of different modality values.</xs:documentation>
      <xs:documentation xml:lang="en">If the element is present, it must have either a @value, an @id, or extensions</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="DomainResource">
        <xs:sequence>
          <xs:element name="identifier" minOccurs="0" maxOccurs="unbounded" type="Identifier">
            <xs:annotation>
              <xs:documentation xml:lang="en">Business identifiers assigned to this imaging study by the performer and/or other systems.  These identifiers remain constant as the resource is updated and propagates from server to server. Typically this will include the DICOM Study Instance UID.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="status" minOccurs="1" maxOccurs="1" type="ImagingStudyStatus">
            <xs:annotation>
              <xs:documentation xml:lang="en">The current state of the imaging study. This is distinct from the status of any service request or task associated with the imaging study.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="modality" minOccurs="0" maxOccurs="unbounded" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">All the distinct values of series.modality. This MAY be either an acquisition or a non-acquisition modality.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="subject" minOccurs="1" maxOccurs="1" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">The subject, typically a patient, of the imaging study.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="encounter" minOccurs="0" maxOccurs="1" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">The healthcare event (e.g. a patient and healthcare provider interaction) during which the imaging data represented by this imaging study was acquired.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="started" minOccurs="0" maxOccurs="1" type="dateTime">
            <xs:annotation>
              <xs:documentation xml:lang="en">Date and time the study started.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="basedOn" minOccurs="0" maxOccurs="unbounded" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">A plan or order that is fulfilled in whole or in part by this imaging study.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="procedure" minOccurs="0" maxOccurs="unbounded" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">The performed procedure(s) during which the data associated with this imaging study was created.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="referrer" minOccurs="0" maxOccurs="1" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">The referring physician.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="endpoint" minOccurs="0" maxOccurs="unbounded" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">The network service providing access (e.g., query, view, or retrieval) for the study. See implementation notes for information about using DICOM endpoints. A study-level endpoint applies to each series in the study, unless overridden by a series-level endpoint with the same Endpoint.connectionType.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="location" minOccurs="0" maxOccurs="1" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">The principal physical location where the imaging study was performed.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="reason" minOccurs="0" maxOccurs="unbounded" type="CodeableReference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Describes why the imaging study occurred in coded or textual form or indicates another resource whose existence justifies this imaging study.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="note" minOccurs="0" maxOccurs="unbounded" type="Annotation">
            <xs:annotation>
              <xs:documentation xml:lang="en">Comments made about the imaging study by the performer, subject or other participants.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="description" minOccurs="0" maxOccurs="1" type="string">
            <xs:annotation>
              <xs:documentation xml:lang="en">Description or classification of the imaging study.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="numberOfSeries" minOccurs="0" maxOccurs="1" type="unsignedInt">
            <xs:annotation>
              <xs:documentation xml:lang="en">Number of known Series in the Study. This value might be present even if the ImagingStudy.series element is empty or only partially populated.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="numberOfInstances" minOccurs="0" maxOccurs="1" type="unsignedInt">
            <xs:annotation>
              <xs:documentation xml:lang="en">Number of known SOP Instances in Study. This value might be present even if the ImagingStudy.series.instance elements are empty or only partially populated.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="series" type="ImagingStudy.Series" minOccurs="0" maxOccurs="unbounded">
            <xs:annotation>
              <xs:documentation xml:lang="en">The set of Series belonging to the study. Each Series contains a set of SOP Instances, which could be images, waveforms, or other content.</xs:documentation>
           </xs:annotation>
          </xs:element>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:complexType name="ImagingStudy.Series">
    <xs:annotation>
      <xs:documentation xml:lang="en">Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context.  A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study can have multiple series of different modality values.</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="BackboneElement">
        <xs:sequence>
          <xs:element name="uid" minOccurs="1" maxOccurs="1" type="id">
            <xs:annotation>
              <xs:documentation xml:lang="en">The DICOM Series Instance UID of the series.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="number" minOccurs="0" maxOccurs="1" type="unsignedInt">
            <xs:annotation>
              <xs:documentation xml:lang="en">The numeric identifier of this series in the study.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="modality" minOccurs="1" maxOccurs="1" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">The distinct modality for this series. This MAY be either an acquisition modality (e.g., CT, MR) or a non-acquisition modality (e.g., segmentation, presentation state).</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="description" minOccurs="0" maxOccurs="1" type="string">
            <xs:annotation>
              <xs:documentation xml:lang="en">Description or classification of the series.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="numberOfInstances" minOccurs="0" maxOccurs="1" type="unsignedInt">
            <xs:annotation>
              <xs:documentation xml:lang="en">Number of SOP Instances in the Series. The value given MAY be larger than the number of instance elements this series contains due to resource availability, security, or other factors. This element SHOULD be present if any instance elements are present.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="endpoint" minOccurs="0" maxOccurs="unbounded" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">The network service providing access for the study. See implementation notes for information about [using DICOM endpoints](imagingstudy.html#endpoints).</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="bodySite" minOccurs="0" maxOccurs="1" type="CodeableReference">
            <xs:annotation>
              <xs:documentation xml:lang="en">The anatomic structures examined. See [DICOM Part 16 Annex L](http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings. The bodySite MAY include the laterality of body part imaged.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="specimen" minOccurs="0" maxOccurs="unbounded" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">The specimen imaged, e.g., for whole slide imaging of a biopsy.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="started" minOccurs="0" maxOccurs="1" type="dateTime">
            <xs:annotation>
              <xs:documentation xml:lang="en">The date and time the series was started.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="performer" type="ImagingStudy.Performer" minOccurs="0" maxOccurs="unbounded">
            <xs:annotation>
              <xs:documentation xml:lang="en">Indicates who or what performed the series and how they were involved.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="instance" type="ImagingStudy.Instance" minOccurs="0" maxOccurs="unbounded">
            <xs:annotation>
              <xs:documentation xml:lang="en">A single SOP instance within the series, e.g. an image, or presentation state.</xs:documentation>
           </xs:annotation>
          </xs:element>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:complexType name="ImagingStudy.Performer">
    <xs:annotation>
      <xs:documentation xml:lang="en">Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context.  A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study can have multiple series of different modality values.</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="BackboneElement">
        <xs:sequence>
          <xs:element name="function" minOccurs="0" maxOccurs="1" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">Distinguishes the type of involvement of the performer in the imaging study..</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="actor" minOccurs="1" maxOccurs="1" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Indicates who or what performed the imaging study.</xs:documentation>
           </xs:annotation>
          </xs:element>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:complexType name="ImagingStudy.Instance">
    <xs:annotation>
      <xs:documentation xml:lang="en">Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context.  A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study can have multiple series of different modality values.</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="BackboneElement">
        <xs:sequence>
          <xs:element name="uid" minOccurs="1" maxOccurs="1" type="id">
            <xs:annotation>
              <xs:documentation xml:lang="en">The DICOM SOP Instance UID for this image or other DICOM content.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="sopClass" minOccurs="1" maxOccurs="1" type="oid">
            <xs:annotation>
              <xs:documentation xml:lang="en">DICOM instance  type.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="number" minOccurs="0" maxOccurs="1" type="unsignedInt">
            <xs:annotation>
              <xs:documentation xml:lang="en">The number of the instance assigned by the creator of the series. MAY or MAY NOT correspond to intended display order.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="title" minOccurs="0" maxOccurs="1" type="string">
            <xs:annotation>
              <xs:documentation xml:lang="en">The title of the instance.</xs:documentation>
           </xs:annotation>
          </xs:element>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:simpleType name="ImagingStudyStatusEnum">
    <xs:restriction base="code-primitive">
      <xs:enumeration value="registered">
        <xs:annotation>
          <xs:documentation xml:lang="en">Registered</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="available">
        <xs:annotation>
          <xs:documentation xml:lang="en">Available</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="cancelled">
        <xs:annotation>
          <xs:documentation xml:lang="en">Cancelled</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="entered-in-error">
        <xs:annotation>
          <xs:documentation xml:lang="en">Entered in Error</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="unknown">
        <xs:annotation>
          <xs:documentation xml:lang="en">Unknown</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="inactive">
        <xs:annotation>
          <xs:documentation xml:lang="en">Inactive</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
    </xs:restriction>
  </xs:simpleType>
  <xs:complexType name="ImagingStudyStatus">
    <xs:annotation>
      <xs:documentation xml:lang="en"></xs:documentation>
      <xs:documentation xml:lang="en">If the element is present, it must have either a @value, an @id, or extensions</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="Element">
        <xs:attribute name="value" type="ImagingStudyStatusEnum" use="optional"/>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
</xs:schema>
