HL7 FHIR Costa Rica - Reportes de Imágenes Médicas
0.0.1-draft - ci-build

HL7 FHIR Costa Rica - Reportes de Imágenes Médicas, published by Iniciativa HL7 Costa Rica. This guide is not an authorized publication; it is the continuous build for version 0.0.1-draft built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cr/imaging-report/ and changes regularly. See the Directory of published versions

## Resource Profile: CR Imaging Study

Official URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-imaging-study | Version:
Standards status: Draft | Maturity Level: 0 | Computable Name: CRImagingStudy
Copyright/Legal: Utilizado con permiso de HL7 International, todos los derechos reservados Licencia Creative Commons

Perfil de Estudio de Imagen para Costa Rica. Define los datos requeridos y restricciones para registrar estudios de imagen médica.

Usages:

- This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

### 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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ImagingStudy |  | 0..* | ImagingStudy(5.0.0) | A set of images produced in single study (one or more series of references images)
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
identifier | Σ | 1..* | Identifier | Identifiers for the whole study
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 0..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986
status | ?!Σ | 1..1 | code | registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy. Required Pattern: available
modality | Σ | 1..* | CodeableConcept | All of the distinct values for series' modalities Binding: Modality (extensible): Type of acquired data in the instance.
subject | Σ | 1..1 | Reference(Patient) | Who or what is the subject of the study
started | Σ | 1..1 | dateTime | When the study was started Example General: 2011-01-01T11:01:20+03:00
basedOn | Σ | 0..* | Reference(ServiceRequest) | Request fulfilled
series | Σ | 1..* | BackboneElement | Each study has one or more series of instances
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
uid | Σ | 1..1 | id | DICOM Series Instance UID for the series Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
modality | Σ | 1..1 | CodeableConcept | The modality used for this series Binding: Modality (extensible): Type of acquired data in the instance.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ImagingStudy.identifier.​use | Base | required | IdentifierUse | 📍5.0.0 | FHIR Std.
ImagingStudy.status | Base | required | Imaging Study Status | 📍5.0.0 | FHIR Std.
ImagingStudy.modality | Base | extensible | Modality | ⏿2025.3.20250714 | tx.fhir.org
ImagingStudy.series.​modality | Base | extensible | Modality | ⏿2025.3.20250714 | tx.fhir.org

#### Constraints

Id | Grade | Path(s) | Description | Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 | ImagingStudy.implicitRules, ImagingStudy.modifierExtension, ImagingStudy.identifier, ImagingStudy.identifier.use, ImagingStudy.identifier.system, ImagingStudy.status, ImagingStudy.modality, ImagingStudy.subject, ImagingStudy.started, ImagingStudy.basedOn, ImagingStudy.series, ImagingStudy.series.modifierExtension, ImagingStudy.series.uid, ImagingStudy.series.modality | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | ImagingStudy.modifierExtension, ImagingStudy.series.modifierExtension | 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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ImagingStudy |  | 0..* | ImagingStudy(5.0.0) | A set of images produced in single study (one or more series of references images)
identifier |  | 1..* | Identifier | Identifiers for the whole study
system |  | 0..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986
status |  | 1..1 | code | registered | available | cancelled | entered-in-error | unknown Required Pattern: available
modality |  | 1..* | CodeableConcept | All of the distinct values for series' modalities
subject |  | 1..1 | Reference(Patient) | Who or what is the subject of the study
started |  | 1..1 | dateTime | When the study was started
basedOn |  | 0..* | Reference(ServiceRequest) | Request fulfilled
series |  | 1..* | BackboneElement | Each study has one or more series of instances
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ImagingStudy |  | 0..* | ImagingStudy(5.0.0) | 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: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
identifier | Σ | 1..* | Identifier | Identifiers for the whole study
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 0..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986
value | Σ C | 0..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
status | ?!Σ | 1..1 | code | registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy. Required Pattern: available
modality | Σ | 1..* | CodeableConcept | All of the distinct values for series' modalities Binding: Modality (extensible): Type of acquired data in the instance.
subject | Σ | 1..1 | Reference(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 | 1..1 | dateTime | When the study was started Example General: 2011-01-01T11:01:20+03:00
basedOn | Σ | 0..* | Reference(ServiceRequest) | Request fulfilled
partOf | Σ | 0..* | Reference(Procedure) | Part of referenced event
referrer | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | Referring physician
endpoint | Σ | 0..* | Reference(Endpoint) | Study access endpoint
numberOfSeries | Σ | 0..1 | unsignedInt | Number of Study Related Series
numberOfInstances | Σ | 0..1 | unsignedInt | Number of Study Related Instances
procedure | Σ | 0..* | CodeableReference(PlanDefinition | ActivityDefinition) | The performed procedure or code Binding: LOINC loinc-rsna-radiology-playbook (preferred): Use of RadLex is preferred
location | Σ | 0..1 | Reference(Location) | Where ImagingStudy occurred
reason | Σ | 0..* | CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference) | Why the study was requested / performed Binding: ProcedureReasonCodes (example): The reason for the study.
note | Σ | 0..* | Annotation | User-defined comments
description | Σ | 0..1 | string | Institution-generated description
series | Σ | 1..* | 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 Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
uid | Σ | 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 | Σ | 1..1 | CodeableConcept | The modality used for this series Binding: Modality (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 | CodeableReference(BodyStructure) | Body part examined Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
laterality | Σ | 0..1 | CodeableConcept | 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 Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson | HealthcareService) | Who performed the series
instance |  | 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 Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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 | Status | Usage | ValueSet | Version | Source
ImagingStudy.language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
ImagingStudy.identifier.​use | Base | required | IdentifierUse | 📍5.0.0 | FHIR Std.
ImagingStudy.identifier.​type | Base | extensible | Identifier Type Codes | 📍5.0.0 | FHIR Std.
ImagingStudy.status | Base | required | Imaging Study Status | 📍5.0.0 | FHIR Std.
ImagingStudy.modality | Base | extensible | Modality | ⏿2025.3.20250714 | tx.fhir.org
ImagingStudy.procedure | Base | preferred | LOINC/RSNA Radiology Playbook | ∅ | tx.fhir.org
ImagingStudy.reason | Base | example | Procedure Reason Codes | 📍5.0.0 | FHIR Std.
ImagingStudy.series.​modality | Base | extensible | Modality | ⏿2025.3.20250714 | tx.fhir.org
ImagingStudy.series.​bodySite | Base | example | SNOMED CT Body Structures | 📍5.0.0 | FHIR Std.
ImagingStudy.series.​laterality | Base | example | Laterality | ⏿2025.3.20250714 | tx.fhir.org
ImagingStudy.series.​performer.function | Base | extensible | ImagingStudy series performer function | 📍5.0.0 | FHIR Std.
ImagingStudy.series.​instance.sopClass | Base | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 | Not State | Unknown

#### Constraints

Id | Grade | Path(s) | Description | Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 | ImagingStudy.meta, ImagingStudy.implicitRules, ImagingStudy.language, ImagingStudy.text, ImagingStudy.extension, ImagingStudy.modifierExtension, ImagingStudy.identifier, ImagingStudy.identifier.extension, ImagingStudy.identifier.use, ImagingStudy.identifier.type, ImagingStudy.identifier.system, ImagingStudy.identifier.value, ImagingStudy.identifier.period, ImagingStudy.identifier.assigner, ImagingStudy.status, ImagingStudy.modality, ImagingStudy.subject, ImagingStudy.encounter, ImagingStudy.started, ImagingStudy.basedOn, ImagingStudy.partOf, ImagingStudy.referrer, ImagingStudy.endpoint, ImagingStudy.numberOfSeries, ImagingStudy.numberOfInstances, ImagingStudy.procedure, ImagingStudy.location, ImagingStudy.reason, ImagingStudy.note, ImagingStudy.description, ImagingStudy.series, ImagingStudy.series.extension, ImagingStudy.series.modifierExtension, ImagingStudy.series.uid, ImagingStudy.series.number, ImagingStudy.series.modality, ImagingStudy.series.description, ImagingStudy.series.numberOfInstances, ImagingStudy.series.endpoint, ImagingStudy.series.bodySite, ImagingStudy.series.laterality, ImagingStudy.series.specimen, ImagingStudy.series.started, ImagingStudy.series.performer, ImagingStudy.series.performer.extension, ImagingStudy.series.performer.modifierExtension, ImagingStudy.series.performer.function, ImagingStudy.series.performer.actor, ImagingStudy.series.instance, ImagingStudy.series.instance.extension, ImagingStudy.series.instance.modifierExtension, ImagingStudy.series.instance.uid, ImagingStudy.series.instance.sopClass, ImagingStudy.series.instance.number, ImagingStudy.series.instance.title | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | ImagingStudy.extension, ImagingStudy.modifierExtension, ImagingStudy.identifier.extension, ImagingStudy.series.extension, ImagingStudy.series.modifierExtension, ImagingStudy.series.performer.extension, ImagingStudy.series.performer.modifierExtension, ImagingStudy.series.instance.extension, ImagingStudy.series.instance.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from ImagingStudy

Summary

Mandatory: 4 elements

Structures

This structure refers to these other structures:

- Patient (http://hl7.org/fhir/StructureDefinition/Patient|5.0.0)
- ServiceRequest (http://hl7.org/fhir/StructureDefinition/ServiceRequest|5.0.0)

Maturity: 0

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ImagingStudy |  | 0..* | ImagingStudy(5.0.0) | A set of images produced in single study (one or more series of references images)
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
identifier | Σ | 1..* | Identifier | Identifiers for the whole study
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 0..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986
status | ?!Σ | 1..1 | code | registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy. Required Pattern: available
modality | Σ | 1..* | CodeableConcept | All of the distinct values for series' modalities Binding: Modality (extensible): Type of acquired data in the instance.
subject | Σ | 1..1 | Reference(Patient) | Who or what is the subject of the study
started | Σ | 1..1 | dateTime | When the study was started Example General: 2011-01-01T11:01:20+03:00
basedOn | Σ | 0..* | Reference(ServiceRequest) | Request fulfilled
series | Σ | 1..* | BackboneElement | Each study has one or more series of instances
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
uid | Σ | 1..1 | id | DICOM Series Instance UID for the series Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
modality | Σ | 1..1 | CodeableConcept | The modality used for this series Binding: Modality (extensible): Type of acquired data in the instance.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ImagingStudy.identifier.​use | Base | required | IdentifierUse | 📍5.0.0 | FHIR Std.
ImagingStudy.status | Base | required | Imaging Study Status | 📍5.0.0 | FHIR Std.
ImagingStudy.modality | Base | extensible | Modality | ⏿2025.3.20250714 | tx.fhir.org
ImagingStudy.series.​modality | Base | extensible | Modality | ⏿2025.3.20250714 | tx.fhir.org

#### Constraints

Id | Grade | Path(s) | Description | Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 | ImagingStudy.implicitRules, ImagingStudy.modifierExtension, ImagingStudy.identifier, ImagingStudy.identifier.use, ImagingStudy.identifier.system, ImagingStudy.status, ImagingStudy.modality, ImagingStudy.subject, ImagingStudy.started, ImagingStudy.basedOn, ImagingStudy.series, ImagingStudy.series.modifierExtension, ImagingStudy.series.uid, ImagingStudy.series.modality | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | ImagingStudy.modifierExtension, ImagingStudy.series.modifierExtension | 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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ImagingStudy |  | 0..* | ImagingStudy(5.0.0) | A set of images produced in single study (one or more series of references images)
identifier |  | 1..* | Identifier | Identifiers for the whole study
system |  | 0..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986
status |  | 1..1 | code | registered | available | cancelled | entered-in-error | unknown Required Pattern: available
modality |  | 1..* | CodeableConcept | All of the distinct values for series' modalities
subject |  | 1..1 | Reference(Patient) | Who or what is the subject of the study
started |  | 1..1 | dateTime | When the study was started
basedOn |  | 0..* | Reference(ServiceRequest) | Request fulfilled
series |  | 1..* | BackboneElement | Each study has one or more series of instances
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ImagingStudy |  | 0..* | ImagingStudy(5.0.0) | 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: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
identifier | Σ | 1..* | Identifier | Identifiers for the whole study
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 0..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986
value | Σ C | 0..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
status | ?!Σ | 1..1 | code | registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy. Required Pattern: available
modality | Σ | 1..* | CodeableConcept | All of the distinct values for series' modalities Binding: Modality (extensible): Type of acquired data in the instance.
subject | Σ | 1..1 | Reference(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 | 1..1 | dateTime | When the study was started Example General: 2011-01-01T11:01:20+03:00
basedOn | Σ | 0..* | Reference(ServiceRequest) | Request fulfilled
partOf | Σ | 0..* | Reference(Procedure) | Part of referenced event
referrer | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | Referring physician
endpoint | Σ | 0..* | Reference(Endpoint) | Study access endpoint
numberOfSeries | Σ | 0..1 | unsignedInt | Number of Study Related Series
numberOfInstances | Σ | 0..1 | unsignedInt | Number of Study Related Instances
procedure | Σ | 0..* | CodeableReference(PlanDefinition | ActivityDefinition) | The performed procedure or code Binding: LOINC loinc-rsna-radiology-playbook (preferred): Use of RadLex is preferred
location | Σ | 0..1 | Reference(Location) | Where ImagingStudy occurred
reason | Σ | 0..* | CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference) | Why the study was requested / performed Binding: ProcedureReasonCodes (example): The reason for the study.
note | Σ | 0..* | Annotation | User-defined comments
description | Σ | 0..1 | string | Institution-generated description
series | Σ | 1..* | 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 Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
uid | Σ | 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 | Σ | 1..1 | CodeableConcept | The modality used for this series Binding: Modality (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 | CodeableReference(BodyStructure) | Body part examined Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
laterality | Σ | 0..1 | CodeableConcept | 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 Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson | HealthcareService) | Who performed the series
instance |  | 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 Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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 | Status | Usage | ValueSet | Version | Source
ImagingStudy.language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
ImagingStudy.identifier.​use | Base | required | IdentifierUse | 📍5.0.0 | FHIR Std.
ImagingStudy.identifier.​type | Base | extensible | Identifier Type Codes | 📍5.0.0 | FHIR Std.
ImagingStudy.status | Base | required | Imaging Study Status | 📍5.0.0 | FHIR Std.
ImagingStudy.modality | Base | extensible | Modality | ⏿2025.3.20250714 | tx.fhir.org
ImagingStudy.procedure | Base | preferred | LOINC/RSNA Radiology Playbook | ∅ | tx.fhir.org
ImagingStudy.reason | Base | example | Procedure Reason Codes | 📍5.0.0 | FHIR Std.
ImagingStudy.series.​modality | Base | extensible | Modality | ⏿2025.3.20250714 | tx.fhir.org
ImagingStudy.series.​bodySite | Base | example | SNOMED CT Body Structures | 📍5.0.0 | FHIR Std.
ImagingStudy.series.​laterality | Base | example | Laterality | ⏿2025.3.20250714 | tx.fhir.org
ImagingStudy.series.​performer.function | Base | extensible | ImagingStudy series performer function | 📍5.0.0 | FHIR Std.
ImagingStudy.series.​instance.sopClass | Base | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 | Not State | Unknown

#### Constraints

Id | Grade | Path(s) | Description | Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 | ImagingStudy.meta, ImagingStudy.implicitRules, ImagingStudy.language, ImagingStudy.text, ImagingStudy.extension, ImagingStudy.modifierExtension, ImagingStudy.identifier, ImagingStudy.identifier.extension, ImagingStudy.identifier.use, ImagingStudy.identifier.type, ImagingStudy.identifier.system, ImagingStudy.identifier.value, ImagingStudy.identifier.period, ImagingStudy.identifier.assigner, ImagingStudy.status, ImagingStudy.modality, ImagingStudy.subject, ImagingStudy.encounter, ImagingStudy.started, ImagingStudy.basedOn, ImagingStudy.partOf, ImagingStudy.referrer, ImagingStudy.endpoint, ImagingStudy.numberOfSeries, ImagingStudy.numberOfInstances, ImagingStudy.procedure, ImagingStudy.location, ImagingStudy.reason, ImagingStudy.note, ImagingStudy.description, ImagingStudy.series, ImagingStudy.series.extension, ImagingStudy.series.modifierExtension, ImagingStudy.series.uid, ImagingStudy.series.number, ImagingStudy.series.modality, ImagingStudy.series.description, ImagingStudy.series.numberOfInstances, ImagingStudy.series.endpoint, ImagingStudy.series.bodySite, ImagingStudy.series.laterality, ImagingStudy.series.specimen, ImagingStudy.series.started, ImagingStudy.series.performer, ImagingStudy.series.performer.extension, ImagingStudy.series.performer.modifierExtension, ImagingStudy.series.performer.function, ImagingStudy.series.performer.actor, ImagingStudy.series.instance, ImagingStudy.series.instance.extension, ImagingStudy.series.instance.modifierExtension, ImagingStudy.series.instance.uid, ImagingStudy.series.instance.sopClass, ImagingStudy.series.instance.number, ImagingStudy.series.instance.title | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | ImagingStudy.extension, ImagingStudy.modifierExtension, ImagingStudy.identifier.extension, ImagingStudy.series.extension, ImagingStudy.series.modifierExtension, ImagingStudy.series.performer.extension, ImagingStudy.series.performer.modifierExtension, ImagingStudy.series.instance.extension, ImagingStudy.series.instance.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from ImagingStudy

Summary

Mandatory: 4 elements

Structures

This structure refers to these other structures:

- Patient (http://hl7.org/fhir/StructureDefinition/Patient|5.0.0)
- ServiceRequest (http://hl7.org/fhir/StructureDefinition/ServiceRequest|5.0.0)

Maturity: 0

Other representations of profile: CSV, Excel, Schematron