dicom-instance-uid
type: StructureDefinition
node role: treeRoot
id:
  v: dicom-instance-uid
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition dicom-instance-uid Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> Extension 0..* Extension(5.0.0) Extensión DICOM Instance UID #xD; extension 1..* Extension Extension #xD; Slices for extension Content/Rules for all slices #xD; extension:uid S 1..1 Extension Extension #xD; extension 0..0 Extension #xD; url 1..1 uri "uid" #xD; value[x] S 1..1 string UID de Instancia DICOM #xD; extension:accessUrl S 0..1 Extension Extension #xD; extension 0..0 Extension #xD; url 1..1 uri "accessUrl" #xD; value[x] 1..1 url URL de Acceso a las Imágenes #xD; extension:seriesInstanceUid S 0..1 Extension Extension #xD; extension 0..0 Extension #xD; url 1..1 uri "seriesInstanceUid" #xD; value[x] 1..1 string UID de Serie DICOM #xD; extension:studyInstanceUid S 0..1 Extension Extension #xD; extension 0..0 Extension #xD; url 1..1 uri "studyInstanceUid" #xD; value[x] 1..1 string UID del Estudio DICOM #xD; extension:modality S 0..1 Extension Extension #xD; extension 0..0 Extension #xD; url 1..1 uri "modality" #xD; value[x] 1..1 code Modalidad de Imagen Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-imaging-modalities (required) #xD; url 1..1 uri "https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid" #xD; value[x] 0..0 Value of extension #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics
    l: structuredefinition-type-characteristics
  value: Code
    v: can-bind
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
    l: structuredefinition-wg
  value: Code
    v: cgp
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
    l: structuredefinition-fmm
  value: Integer
    v: 0
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Canonical
        v: https://hl7.or.cr/fhir/imaging-report/ImplementationGuide/hl7.fhir.cr.imaging-report
        l: hl7.fhir.cr.imaging-report
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Canonical
        v: https://hl7.or.cr/fhir/imaging-report/ImplementationGuide/hl7.fhir.cr.imaging-report
        l: hl7.fhir.cr.imaging-report
url:
  v: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid
  l: dicom-instance-uid
name:
  v: DICOMInstanceUID
title:
  v: Extensión DICOM Instance UID
status:
  v: draft
date:
  v: 2026-05-03T17:31:16+00:00
publisher:
  v: Iniciativa HL7® Costa Rica
contact:
  name:
    v: Iniciativa HL7® Costa Rica
  telecom:
    system:
      v: url
    value:
      v: https://hl7.or.cr
  telecom:
    system:
      v: email
contact:
  name:
    v: Iniciativa HL7® Costa Rica
  telecom:
    system:
      v: email
    use:
      v: work
  telecom:
    system:
      v: url
    value:
      v: https://hl7.or.cr
    use:
      v: work
description:
  v: Extensión para almacenar el UID de instancia DICOM y la URL o información de acceso a las imágenes médicas digitales en formato DICOM.
jurisdiction:
  coding:
    system:
      v: urn:iso:std:iso:3166
      l: 3166
    code:
      v: CR
    display:
      v: Costa Rica
copyright:
  v: Derechos de autor (c) 2025+, Iniciativa HL7® Costa Rica. Este trabajo se distribuye bajo la licencia CC-BY-4.0. HL7®, FHIR® y el logotipo FHIR (diseño de llama) son marcas registradas de Health Level Seven International. Su uso no implica respaldo por parte de HL7®. El contenido normativo de FHIR® es © HL7.org 2011+. Todos los derechos reservados.
fhir version:
  v: 5.0.0
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
kind:
  v: complex-type
abstract:
  v: false
context:
  type:
    v: element
  expression:
    v: DiagnosticReport
type:
  v: Extension
  l: Extension
base definition:
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  l: http://hl7.org/fhir/StructureDefinition/Extension
derivation:
  v: constraint
snapshot:
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    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 5.0.0
  element:
    id:
      v: Extension
    path:
      v: Extension
    short:
      v: Extensión DICOM Instance UID
    definition:
      v: Extensión para almacenar el UID de instancia DICOM y la URL o información de acceso a las imágenes médicas digitales en formato DICOM.
    min:
      v: 0
    max:
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      min:
        v: 0
      max:
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      severity:
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      human:
        v: All FHIR elements must have a @value or children
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        v: hasValue() or (children().count() > id.count())
      source:
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        l: http://hl7.org/fhir/StructureDefinition/Element
    constraint:
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        v: ext-1
      severity:
        v: error
      human:
        v: Must have either extensions or value[x], not both
      expression:
        v: extension.exists() != value.exists()
      source:
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        l: http://hl7.org/fhir/StructureDefinition/Extension
    is modifier:
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      v: Extension.id
    path:
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    representation:
      v: xmlAttr
    short:
      v: Unique id for inter-element referencing
    definition:
      v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
    min:
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    max:
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    base:
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      min:
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      max:
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    type:
      extension:
        value: Url

Url
v: id
l: id

v: ele-1

v: false

v: false

identity:
  v: rim
map:
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id:
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path:
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slicing:
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    path:
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constraint:
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  source:
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    l: http://hl7.org/fhir/StructureDefinition/Element
constraint:
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    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
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    l: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
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is summary:
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id:
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    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
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    l: http://hl7.org/fhir/StructureDefinition/Element
constraint:
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    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
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must support:
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is modifier:
  v: false
is summary:
  v: false

id:
  v: Extension.extension:uid.id
path:
  v: Extension.extension.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
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  min:
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type:
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      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:uid.extension
path:
  v: Extension.extension.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
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base:
  path:
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type:
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    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Element
constraint:
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    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
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    l: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false

id:
  v: Extension.extension:uid.url
path:
  v: Extension.extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
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    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: uri
      l: uri
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
fixed: Uri
  v: uid
  l: uid
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:uid.value[x]
path:
  v: Extension.extension.value[x]
short:
  v: UID de Instancia DICOM
definition:
  v: Identificador único de la instancia DICOM (formato: 1.2.3.4.5.6.7.8.9.10)
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ext-1
constraint:
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    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:accessUrl
path:
  v: Extension.extension
slice name:
  v: accessUrl
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
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base:
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type:
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    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
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    l: http://hl7.org/fhir/StructureDefinition/Extension
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false

id:
  v: Extension.extension:accessUrl.id
path:
  v: Extension.extension.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:accessUrl.extension
path:
  v: Extension.extension.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
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base:
  path:
    v: Element.extension
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    v: 0
  max:
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type:
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    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Element
constraint:
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    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
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    l: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
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is summary:
  v: false

id:
  v: Extension.extension:accessUrl.url
path:
  v: Extension.extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: uri
      l: uri
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
fixed: Uri
  v: accessUrl
  l: accessUrl
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:accessUrl.value[x]
path:
  v: Extension.extension.value[x]
short:
  v: URL de Acceso a las Imágenes
definition:
  v: URL para acceder a las imágenes DICOM (DICOM Web, WADO-URI, o sistema local PACS)
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: url
    l: url
condition:
  v: ext-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
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path:
  v: Extension.extension
slice name:
  v: seriesInstanceUid
short:
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definition:
  v: An Extension
min:
  v: 0
max:
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base:
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    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
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    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
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    l: http://hl7.org/fhir/StructureDefinition/Extension
must support:
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is modifier:
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is summary:
  v: false

id:
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path:
  v: Extension.extension.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
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is summary:
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mapping:
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    v: rim
  map:
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id:
  v: Extension.extension:seriesInstanceUid.extension
path:
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slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false

id:
  v: Extension.extension:seriesInstanceUid.url
path:
  v: Extension.extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: uri
      l: uri
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
fixed: Uri
  v: seriesInstanceUid
  l: seriesInstanceUid
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:seriesInstanceUid.value[x]
path:
  v: Extension.extension.value[x]
short:
  v: UID de Serie DICOM
definition:
  v: Identificador único de la serie DICOM a la que pertenece la instancia
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ext-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:studyInstanceUid
path:
  v: Extension.extension
slice name:
  v: studyInstanceUid
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Extension
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false

id:
  v: Extension.extension:studyInstanceUid.id
path:
  v: Extension.extension.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:studyInstanceUid.extension
path:
  v: Extension.extension.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false

id:
  v: Extension.extension:studyInstanceUid.url
path:
  v: Extension.extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: uri
      l: uri
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
fixed: Uri
  v: studyInstanceUid
  l: studyInstanceUid
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:studyInstanceUid.value[x]
path:
  v: Extension.extension.value[x]
short:
  v: UID del Estudio DICOM
definition:
  v: Identificador único del estudio DICOM completo
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ext-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:modality
path:
  v: Extension.extension
slice name:
  v: modality
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Extension
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false

id:
  v: Extension.extension:modality.id
path:
  v: Extension.extension.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:modality.extension
path:
  v: Extension.extension.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false

id:
  v: Extension.extension:modality.url
path:
  v: Extension.extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: uri
      l: uri
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
fixed: Uri
  v: modality
  l: modality
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:modality.value[x]
path:
  v: Extension.extension.value[x]
short:
  v: Modalidad de Imagen
definition:
  v: Código de la modalidad de imagen (CR, MR, CT, MG, US, etc.)
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
condition:
  v: ext-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: false
binding:
  strength:
    v: required
  value set:
    v: https://hl7.or.cr/fhir/terminology/ValueSet/cr-imaging-modalities
    l: cr-imaging-modalities
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.url
path:
  v: Extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: uri
      l: uri
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
fixed: Uri
  v: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid
  l: dicom-instance-uid
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.value[x]
path:
  v: Extension.value[x]
short:
  v: Value of extension
definition:
  v: Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R5/extensibility.html) for a list).
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: base64Binary
    l: base64Binary
type:
  code:
    v: boolean
    l: boolean
type:
  code:
    v: canonical
    l: canonical
type:
  code:
    v: code
    l: code
type:
  code:
    v: date
    l: date
type:
  code:
    v: dateTime
    l: dateTime
type:
  code:
    v: decimal
    l: decimal
type:
  code:
    v: id
    l: id
type:
  code:
    v: instant
    l: instant
type:
  code:
    v: integer
    l: integer
type:
  code:
    v: integer64
    l: integer64
type:
  code:
    v: markdown
    l: markdown
type:
  code:
    v: oid
    l: oid
type:
  code:
    v: positiveInt
    l: positiveInt
type:
  code:
    v: string
    l: string
type:
  code:
    v: time
    l: time
type:
  code:
    v: unsignedInt
    l: unsignedInt
type:
  code:
    v: uri
    l: uri
type:
  code:
    v: url
    l: url
type:
  code:
    v: uuid
    l: uuid
type:
  code:
    v: Address
    l: Address
type:
  code:
    v: Age
    l: Age
type:
  code:
    v: Annotation
    l: Annotation
type:
  code:
    v: Attachment
    l: Attachment
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
type:
  code:
    v: CodeableReference
    l: CodeableReference
type:
  code:
    v: Coding
    l: Coding
type:
  code:
    v: ContactPoint
    l: ContactPoint
type:
  code:
    v: Count
    l: Count
type:
  code:
    v: Distance
    l: Distance
type:
  code:
    v: Duration
    l: Duration
type:
  code:
    v: HumanName
    l: HumanName
type:
  code:
    v: Identifier
    l: Identifier
type:
  code:
    v: Money
    l: Money
type:
  code:
    v: Period
    l: Period
type:
  code:
    v: Quantity
    l: Quantity
type:
  code:
    v: Range
    l: Range
type:
  code:
    v: Ratio
    l: Ratio
type:
  code:
    v: RatioRange
    l: RatioRange
type:
  code:
    v: Reference
    l: Reference
type:
  code:
    v: SampledData
    l: SampledData
type:
  code:
    v: Signature
    l: Signature
type:
  code:
    v: Timing
    l: Timing
type:
  code:
    v: ContactDetail
    l: ContactDetail
type:
  code:
    v: DataRequirement
    l: DataRequirement
type:
  code:
    v: Expression
    l: Expression

code:
  v: ParameterDefinition
  l: ParameterDefinition

code:
  v: RelatedArtifact
  l: RelatedArtifact

code:
  v: TriggerDefinition
  l: TriggerDefinition

code:
  v: UsageContext
  l: UsageContext

code:
  v: Availability
  l: Availability

code:
  v: ExtendedContactDetail
  l: ExtendedContactDetail

code:
  v: Dosage
  l: Dosage

code:
  v: Meta
  l: Meta

v: ext-1

key:
  v: ele-1
severity:
  v: error
human:
  v: All FHIR elements must have a @value or children
expression:
  v: hasValue() or (children().count() > id.count())
source:
  v: http://hl7.org/fhir/StructureDefinition/Element|5.0.0
  l: http://hl7.org/fhir/StructureDefinition/Element

v: false

v: false

identity:
  v: rim
map:
  v: N/A

element:
  id:
    v: Extension
  path:
    v: Extension
  short:
    v: Extensión DICOM Instance UID
  definition:
    v: Extensión para almacenar el UID de instancia DICOM y la URL o información de acceso a las imágenes médicas digitales en formato DICOM.
element:
  id:
    v: Extension.extension
  path:
    v: Extension.extension
  min:
    v: 1
element:
  id:
    v: Extension.extension:uid
  path:
    v: Extension.extension
  slice name:
    v: uid
  min:
    v: 1
  max:
    v: 1
  must support:
    v: true
element:
  id:
    v: Extension.extension:uid.extension
  path:
    v: Extension.extension.extension
  max:
    v: 0
element:
  id:
    v: Extension.extension:uid.url
  path:
    v: Extension.extension.url
  fixed: Uri
    v: uid
    l: uid
element:
  id:
    v: Extension.extension:uid.value[x]
  path:
    v: Extension.extension.value[x]
  short:
    v: UID de Instancia DICOM
  definition:
    v: Identificador único de la instancia DICOM (formato: 1.2.3.4.5.6.7.8.9.10)
  min:
    v: 1
  type:
    code:
      v: string
      l: string
  must support:
    v: true
element:
  id:
    v: Extension.extension:accessUrl
  path:
    v: Extension.extension
  slice name:
    v: accessUrl
  min:
    v: 0
  max:
    v: 1
  must support:
    v: true
element:
  id:
    v: Extension.extension:accessUrl.extension
  path:
    v: Extension.extension.extension
  max:
    v: 0
element:
  id:
    v: Extension.extension:accessUrl.url
  path:
    v: Extension.extension.url
  fixed: Uri
    v: accessUrl
    l: accessUrl
element:
  id:
    v: Extension.extension:accessUrl.value[x]
  path:
    v: Extension.extension.value[x]
  short:
    v: URL de Acceso a las Imágenes
  definition:
    v: URL para acceder a las imágenes DICOM (DICOM Web, WADO-URI, o sistema local PACS)
  min:
    v: 1
  type:
    code:
      v: url
      l: url
element:
  id:
    v: Extension.extension:seriesInstanceUid
  path:
    v: Extension.extension
  slice name:
    v: seriesInstanceUid
  min:
    v: 0
  max:
    v: 1
  must support:
    v: true
element:
  id:
    v: Extension.extension:seriesInstanceUid.extension
  path:
    v: Extension.extension.extension
  max:
    v: 0
element:
  id:
    v: Extension.extension:seriesInstanceUid.url
  path:
    v: Extension.extension.url
  fixed: Uri
    v: seriesInstanceUid
    l: seriesInstanceUid
element:
  id:
    v: Extension.extension:seriesInstanceUid.value[x]
  path:
    v: Extension.extension.value[x]
  short:
    v: UID de Serie DICOM
  definition:
    v: Identificador único de la serie DICOM a la que pertenece la instancia
  min:
    v: 1
  type:
    code:
      v: string
      l: string
element:
  id:
    v: Extension.extension:studyInstanceUid
  path:
    v: Extension.extension
  slice name:
    v: studyInstanceUid
  min:
    v: 0
  max:
    v: 1
  must support:
    v: true
element:
  id:
    v: Extension.extension:studyInstanceUid.extension
  path:
    v: Extension.extension.extension
  max:
    v: 0
element:
  id:
    v: Extension.extension:studyInstanceUid.url
  path:
    v: Extension.extension.url
  fixed: Uri
    v: studyInstanceUid
    l: studyInstanceUid
element:
  id:
    v: Extension.extension:studyInstanceUid.value[x]
  path:
    v: Extension.extension.value[x]
  short:
    v: UID del Estudio DICOM
  definition:
    v: Identificador único del estudio DICOM completo
  min:
    v: 1
  type:
    code:
      v: string
      l: string
element:
  id:
    v: Extension.extension:modality
  path:
    v: Extension.extension
  slice name:
    v: modality
  min:
    v: 0
  max:
    v: 1

v: true

id:
  v: Extension.extension:modality.extension
path:
  v: Extension.extension.extension
max:
  v: 0

id:
  v: Extension.extension:modality.url
path:
  v: Extension.extension.url
fixed: Uri
  v: modality
  l: modality

id:
  v: Extension.extension:modality.value[x]
path:
  v: Extension.extension.value[x]
short:
  v: Modalidad de Imagen
definition:
  v: Código de la modalidad de imagen (CR, MR, CT, MG, US, etc.)
min:
  v: 1
type:
  code:
    v: code
    l: code
binding:
  strength:
    v: required
  value set:
    v: https://hl7.or.cr/fhir/terminology/ValueSet/cr-imaging-modalities
    l: cr-imaging-modalities

id:
  v: Extension.url
path:
  v: Extension.url
fixed: Uri
  v: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid
  l: dicom-instance-uid

id:
  v: Extension.value[x]
path:
  v: Extension.value[x]
max:
  v: 0