HL7 Czech Imaging Report IG
0.1.0-ballot - ci-build Czechia flag

HL7 Czech Imaging Report IG, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.1.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/img/ and changes regularly. See the Directory of published versions

Resource Profile: CZ_StudyImaging - Detailed Descriptions

Page standards status: Draft Maturity Level: 1

Definitions for the cz-study-imaging resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. ImagingStudy
Definition

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 may have multiple series of different modalities.

ShortA set of images produced in single study (one or more series of references images)
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
imagingstudy-01: A DICOM instance UID must start with 'urn:oid:' (identifier.where(system='urn:dicom:uid').value.startsWith('urn:oid:'))
2. ImagingStudy.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. ImagingStudy.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. ImagingStudy.identifier
Definition

Identifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number.

ShortIdentifiers for the whole study
Comments

See discussion under Imaging Study Implementation Notes for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type.


See discussion under Imaging Study Implementation Notes for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control10..*
TypeIdentifier
Is Modifierfalse
Summarytrue
Requirements

If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier (see DICOM PS 3.3 C.7.2.

Alternate NamesStudyInstanceUID, AccessionNumber
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on ImagingStudy.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ system
  • 8. ImagingStudy.identifier:studyInstanceUid
    Slice NamestudyInstanceUid
    Definition

    Identifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number.

    ShortIdentifiers for the whole study
    Comments

    See discussion under Imaging Study Implementation Notes for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type.


    See discussion under Imaging Study Implementation Notes for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type.

    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control10..1*
    TypeIdentifier(Study Instance UID Identifier)
    Is Modifierfalse
    Summarytrue
    Requirements

    If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier (see DICOM PS 3.3 C.7.2.

    Alternate NamesStudyInstanceUID, AccessionNumber
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    10. ImagingStudy.status
    Definition

    The current state of the ImagingStudy.

    Shortregistered | available | cancelled | entered-in-error | unknown
    Comments

    Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.

    Control1..1
    BindingThe codes SHALL be taken from ImagingStudyStatushttp://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1
    (required to http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1)

    The status of the ImagingStudy.

    Typecode
    Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    12. ImagingStudy.subject
    Definition

    The subject, typically a patient, of the imaging study.

    ShortWho or what is the subject of the study
    Comments

    QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group.

    Control1..1
    TypeReference(Patient (CZ core), Device: Performer/Observer (CZ), Patient, Device, Group)
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    14. ImagingStudy.basedOn
    Definition

    A list of the diagnostic requests that resulted in this imaging study being performed.

    ShortRequest fulfilled
    Control0..*
    TypeReference(Care plan: Imaging Report (CZ), Service Request: Imaging Report (CZ), Appointment, CarePlan, ServiceRequest, AppointmentResponse, Task)
    Is Modifierfalse
    Summarytrue
    Requirements

    To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT).

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. ImagingStudy.referrer
    Definition

    The requesting/referring physician.

    ShortReferring physician
    Control0..1
    TypeReference(Practitioner (CZ core), Practitioner Role (CZ core), Practitioner, PractitionerRole)
    Is Modifierfalse
    Summarytrue
    Alternate NamesReferringPhysiciansName
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    18. ImagingStudy.interpreter
    Definition

    Who read the study and interpreted the images or other content.

    ShortWho interpreted images
    Control0..*
    TypeReference(Practitioner (CZ core), Practitioner Role (CZ core), Practitioner, PractitionerRole)
    Is Modifierfalse
    Summarytrue
    Alternate NamesName of Physician(s) Reading Study
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. ImagingStudy.procedureReference
    Definition

    The procedure which this ImagingStudy was part of.

    ShortThe performed Procedure reference
    Control0..1
    TypeReference(Procedure: Imaging Report (CZ), Procedure)
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. ImagingStudy.location
    Definition

    The principal physical location where the ImagingStudy was performed.

    ShortWhere ImagingStudy occurred
    Control0..1
    TypeReference(Location (CZ core), Location)
    Is Modifierfalse
    Summarytrue
    Requirements

    Ties the event to where the records are likely kept and provides context around the event occurrence (e.g. if it occurred inside or outside a dedicated healthcare setting).

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. ImagingStudy.reasonReference
    Definition

    Indicates another resource whose existence justifies this Study.

    ShortWhy was study performed
    Control0..*
    TypeReference(Condition: Imaging Report (CZ), Observation: Imaging Report (CZ), Media, Diagnostic Report: Imaging Report (CZ), DocumentReference, Condition, Observation, DiagnosticReport)
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

    Guidance on how to interpret the contents of this table can be foundhere

    0. ImagingStudy
    Invariantsimagingstudy-01: A DICOM instance UID must start with 'urn:oid:' (identifier.where(system='urn:dicom:uid').value.startsWith('urn:oid:'))
    2. ImagingStudy.identifier
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control1..?
    SlicingThis element introduces a set of slices on ImagingStudy.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ system
    • 4. ImagingStudy.identifier:studyInstanceUid
      Slice NamestudyInstanceUid
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control1..1
      TypeIdentifier(Study Instance UID Identifier)
      6. ImagingStudy.subject
      TypeReference(Patient (CZ core), Device: Performer/Observer (CZ))
      8. ImagingStudy.basedOn
      TypeReference(Care plan: Imaging Report (CZ), Service Request: Imaging Report (CZ), Appointment)
      10. ImagingStudy.referrer
      TypeReference(Practitioner (CZ core), Practitioner Role (CZ core))
      12. ImagingStudy.interpreter
      TypeReference(Practitioner (CZ core), Practitioner Role (CZ core))
      14. ImagingStudy.procedureReference
      TypeReference(Procedure: Imaging Report (CZ))
      16. ImagingStudy.location
      TypeReference(Location (CZ core))
      18. ImagingStudy.reasonReference
      TypeReference(Condition: Imaging Report (CZ), Observation: Imaging Report (CZ), Media, Diagnostic Report: Imaging Report (CZ), DocumentReference)
      20. ImagingStudy.series
      22. ImagingStudy.series.modality
      BindingUnless not suitable, these codes SHALL be taken from CZ Modality
      (extensible to https://hl7.cz/fhir/img/ValueSet/cz-modality-vs)
      24. ImagingStudy.series.specimen
      TypeReference(Specimen (CZ))
      26. ImagingStudy.series.performer
      SlicingThis element introduces a set of slices on ImagingStudy.series.performer. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • type @ actor
      • 28. ImagingStudy.series.performer.function
        BindingUnless not suitable, these codes SHALL be taken from Imaging Study Performer Type Value Set
        (extensible to https://hl7.cz/fhir/img/ValueSet/cz-imaging-study-performer-type)
        30. ImagingStudy.series.performer.actor
        TypeReference(Practitioner (CZ core), Practitioner Role (CZ core), Organization (CZ core), CareTeam, Patient (CZ core), Related Person (CZ core), Device: Performer/Observer (CZ), Device)
        32. ImagingStudy.series.performer:performer
        Slice Nameperformer
        Control0..1
        34. ImagingStudy.series.performer:performer.function
        Pattern Value{
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
            "code" : "PRF"
          }]
        }
        36. ImagingStudy.series.performer:performer.actor
        TypeReference(Practitioner Role (CZ core))
        38. ImagingStudy.series.performer:device
        Slice Namedevice
        Control0..1
        40. ImagingStudy.series.performer:device.function
        Pattern Value{
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
            "code" : "DEV"
          }]
        }
        42. ImagingStudy.series.performer:device.actor
        TypeReference(Device: Performer/Observer (CZ))
        44. ImagingStudy.series.performer:custodian
        Slice Namecustodian
        Control0..1
        46. ImagingStudy.series.performer:custodian.function
        Pattern Value{
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
            "code" : "CST"
          }]
        }
        48. ImagingStudy.series.performer:custodian.actor
        TypeReference(Organization (CZ core))
        50. ImagingStudy.series.instance
        52. ImagingStudy.series.instance.extension
        SlicingThis element introduces a set of slices on ImagingStudy.series.instance.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 54. ImagingStudy.series.instance.extension:instance-description
          Slice Nameinstance-description
          Control0..1
          TypeExtension(Instance Description) (Extension Type: string)

          Guidance on how to interpret the contents of this table can be foundhere

          0. ImagingStudy
          Definition

          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 may have multiple series of different modalities.

          ShortA set of images produced in single study (one or more series of references images)
          Control0..*
          Is Modifierfalse
          Summaryfalse
          Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
          dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
          dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
          dom-6: A resource should have narrative for robust management (text.`div`.exists())
          imagingstudy-01: A DICOM instance UID must start with 'urn:oid:' (identifier.where(system='urn:dicom:uid').value.startsWith('urn:oid:'))
          2. ImagingStudy.id
          Definition

          The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

          ShortLogical id of this artifact
          Comments

          The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

          Control0..1
          Typeid
          Is Modifierfalse
          Summarytrue
          4. ImagingStudy.meta
          Definition

          The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

          ShortMetadata about the resource
          Control0..1
          TypeMeta
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          6. ImagingStudy.implicitRules
          Definition

          A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

          ShortA set of rules under which this content was created
          Comments

          Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

          Control0..1
          Typeuri
          Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          8. ImagingStudy.language
          Definition

          The base language in which the resource is written.

          ShortLanguage of the resource content
          Comments

          Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

          Control0..1
          BindingThe codes SHOULD be taken from CommonLanguages
          (preferred to http://hl7.org/fhir/ValueSet/languages)

          A human language.

          Additional BindingsPurpose
          AllLanguagesMax Binding
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          10. ImagingStudy.text
          Definition

          A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

          ShortText summary of the resource, for human interpretation
          Comments

          Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

          Control0..1
          TypeNarrative
          Is Modifierfalse
          Summaryfalse
          Alternate Namesnarrative, html, xhtml, display
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          12. ImagingStudy.contained
          Definition

          These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

          ShortContained, inline Resources
          Comments

          This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

          Control0..*
          TypeResource
          Is Modifierfalse
          Summaryfalse
          Alternate Namesinline resources, anonymous resources, contained resources
          14. ImagingStudy.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          16. ImagingStudy.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
          Summaryfalse
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          18. ImagingStudy.identifier
          Definition

          Identifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number.

          ShortIdentifiers for the whole study
          Comments

          See discussion under Imaging Study Implementation Notes for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type.

          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control1..*
          TypeIdentifier
          Is Modifierfalse
          Summarytrue
          Requirements

          If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier (see DICOM PS 3.3 C.7.2.

          Alternate NamesStudyInstanceUID, AccessionNumber
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          SlicingThis element introduces a set of slices on ImagingStudy.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ system
          • 20. ImagingStudy.identifier:studyInstanceUid
            Slice NamestudyInstanceUid
            Definition

            Identifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number.

            ShortIdentifiers for the whole study
            Comments

            See discussion under Imaging Study Implementation Notes for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type.

            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control1..1
            TypeIdentifier(Study Instance UID Identifier)
            Is Modifierfalse
            Summarytrue
            Requirements

            If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier (see DICOM PS 3.3 C.7.2.

            Alternate NamesStudyInstanceUID, AccessionNumber
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            22. ImagingStudy.status
            Definition

            The current state of the ImagingStudy.

            Shortregistered | available | cancelled | entered-in-error | unknown
            Comments

            Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.

            Control1..1
            BindingThe codes SHALL be taken from ImagingStudyStatus
            (required to http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1)

            The status of the ImagingStudy.

            Typecode
            Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            24. ImagingStudy.modality
            Definition

            A list of all the series.modality values that are actual acquisition modalities, i.e. those in the DICOM Context Group 29 (value set OID 1.2.840.10008.6.1.19).

            ShortAll series modality if actual acquisition modalities
            Control0..*
            BindingUnless not suitable, these codes SHALL be taken from AcquisitionModality
            (extensible to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html)

            Type of acquired data in the instance.

            TypeCoding
            Is Modifierfalse
            Summarytrue
            Alternate NamesModalitiesInStudy
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            26. ImagingStudy.subject
            Definition

            The subject, typically a patient, of the imaging study.

            ShortWho or what is the subject of the study
            Comments

            QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group.

            Control1..1
            TypeReference(Patient (CZ core), Device: Performer/Observer (CZ))
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            28. ImagingStudy.encounter
            Definition

            The healthcare event (e.g. a patient and healthcare provider interaction) during which this ImagingStudy is made.

            ShortEncounter with which this imaging study is associated
            Comments

            This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission test).

            Control0..1
            TypeReference(Encounter)
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            30. ImagingStudy.started
            Definition

            Date and time the study started.

            ShortWhen the study was started
            Control0..1
            TypedateTime
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Alternate NamesStudyDate, StudyTime
            ExampleGeneral: 2011-01-01T11:01:20+03:00
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            32. ImagingStudy.basedOn
            Definition

            A list of the diagnostic requests that resulted in this imaging study being performed.

            ShortRequest fulfilled
            Control0..*
            TypeReference(Care plan: Imaging Report (CZ), Service Request: Imaging Report (CZ), Appointment)
            Is Modifierfalse
            Summarytrue
            Requirements

            To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT).

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            34. ImagingStudy.referrer
            Definition

            The requesting/referring physician.

            ShortReferring physician
            Control0..1
            TypeReference(Practitioner (CZ core), Practitioner Role (CZ core))
            Is Modifierfalse
            Summarytrue
            Alternate NamesReferringPhysiciansName
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            36. ImagingStudy.interpreter
            Definition

            Who read the study and interpreted the images or other content.

            ShortWho interpreted images
            Control0..*
            TypeReference(Practitioner (CZ core), Practitioner Role (CZ core))
            Is Modifierfalse
            Summarytrue
            Alternate NamesName of Physician(s) Reading Study
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            38. ImagingStudy.endpoint
            Definition

            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.

            ShortStudy access endpoint
            Comments

            Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG), formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances; or IHE Invoke Image Display (IID), which provides standard invocation of an imaging web viewer.

            Control0..*
            TypeReference(Endpoint)
            Is Modifierfalse
            Summarytrue
            Requirements

            Access methods for viewing (e.g., IHE’s IID profile) or retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the study or the study’s series or instances. The study-level baseLocation applies to each series in the study, unless overridden in series by a series-level baseLocation of the same type.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            40. ImagingStudy.numberOfSeries
            Definition

            Number of Series in the Study. This value given may be larger than the number of series elements this Resource contains due to resource availability, security, or other factors. This element should be present if any series elements are present.

            ShortNumber of Study Related Series
            Control0..1
            TypeunsignedInt
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Alternate NamesNumberOfStudyRelatedSeries
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            42. ImagingStudy.numberOfInstances
            Definition

            Number of SOP Instances in Study. This value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present.

            ShortNumber of Study Related Instances
            Control0..1
            TypeunsignedInt
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Alternate NamesNumberOfStudyRelatedInstances
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            44. ImagingStudy.procedureReference
            Definition

            The procedure which this ImagingStudy was part of.

            ShortThe performed Procedure reference
            Control0..1
            TypeReference(Procedure: Imaging Report (CZ))
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            46. ImagingStudy.procedureCode
            Definition

            The code for the performed procedure type.

            ShortThe performed procedure code
            Control0..*
            BindingUnless not suitable, these codes SHALL be taken from http://www.rsna.org/RadLex_Playbook.aspx
            (extensible to http://www.rsna.org/RadLex_Playbook.aspx)

            The performed procedure type.

            TypeCodeableConcept
            Is Modifierfalse
            Summarytrue
            Alternate NamesProcedureCodeSequence
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            48. ImagingStudy.location
            Definition

            The principal physical location where the ImagingStudy was performed.

            ShortWhere ImagingStudy occurred
            Control0..1
            TypeReference(Location (CZ core))
            Is Modifierfalse
            Summarytrue
            Requirements

            Ties the event to where the records are likely kept and provides context around the event occurrence (e.g. if it occurred inside or outside a dedicated healthcare setting).

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            50. ImagingStudy.reasonCode
            Definition

            Description of clinical condition indicating why the ImagingStudy was requested.

            ShortWhy the study was requested
            Control0..*
            BindingFor example codes, see ProcedureReasonCodes
            (example to http://hl7.org/fhir/ValueSet/procedure-reason)

            The reason for the study.

            TypeCodeableConcept
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            52. ImagingStudy.reasonReference
            Definition

            Indicates another resource whose existence justifies this Study.

            ShortWhy was study performed
            Control0..*
            TypeReference(Condition: Imaging Report (CZ), Observation: Imaging Report (CZ), Media, Diagnostic Report: Imaging Report (CZ), DocumentReference)
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            54. ImagingStudy.note
            Definition

            Per the recommended DICOM mapping, this element is derived from the Study Description attribute (0008,1030). Observations or findings about the imaging study should be recorded in another resource, e.g. Observation, and not in this element.

            ShortUser-defined comments
            Control0..*
            TypeAnnotation
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            56. ImagingStudy.description
            Definition

            The Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed.

            ShortInstitution-generated description
            Control0..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Alternate NamesStudyDescription
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            58. ImagingStudy.series
            Definition

            Each study has one or more series of images or other content.

            ShortEach study has one or more series of instances
            Control0..*
            TypeBackboneElement
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            60. ImagingStudy.series.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            62. ImagingStudy.series.extension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            64. ImagingStudy.series.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            66. ImagingStudy.series.uid
            Definition

            The DICOM Series Instance UID for the series.

            ShortDICOM Series Instance UID for the series
            Comments

            See DICOM PS3.3 C.7.3.

            Control1..1
            Typeid
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            DICOM Series Instance UID.

            Alternate NamesSeriesInstanceUID
            ExampleGeneral: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            68. ImagingStudy.series.number
            Definition

            The numeric identifier of this series in the study.

            ShortNumeric identifier of this series
            Control0..1
            TypeunsignedInt
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Alternate NamesSeriesNumber
            ExampleGeneral: 3
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            70. ImagingStudy.series.modality
            Definition

            The modality of this series sequence.

            ShortThe modality of the instances in the series
            Control1..1
            BindingUnless not suitable, these codes SHALL be taken from CZ Modality
            (extensible to https://hl7.cz/fhir/img/ValueSet/cz-modality-vs)
            TypeCoding
            Is Modifierfalse
            Summarytrue
            Alternate NamesModality
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            72. ImagingStudy.series.description
            Definition

            A description of the series.

            ShortA short human readable summary of the series
            Control0..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Alternate NamesSeriesDescription
            ExampleGeneral: CT Surview 180
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            74. ImagingStudy.series.numberOfInstances
            Definition

            Number of SOP Instances in the Study. The value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present.

            ShortNumber of Series Related Instances
            Control0..1
            TypeunsignedInt
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Alternate NamesNumberOfSeriesRelatedInstances
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            76. ImagingStudy.series.endpoint
            Definition

            The network service providing access (e.g., query, view, or retrieval) for this series. See implementation notes for information about using DICOM endpoints. A series-level endpoint, if present, has precedence over a study-level endpoint with the same Endpoint.connectionType.

            ShortSeries access endpoint
            Comments

            Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG) formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; and DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances.

            Control0..*
            TypeReference(Endpoint)
            Is Modifierfalse
            Summarytrue
            Requirements

            Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the series or the series’ instances. A baseLocation specified at the series level has precedence over a baseLocation of the same type specified at the study level.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            78. ImagingStudy.series.bodySite
            Definition

            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 indicate the laterality of body part imaged; if so, it shall be consistent with any content of ImagingStudy.series.laterality.

            ShortBody part examined
            Control0..1
            BindingFor example codes, see SNOMEDCTBodyStructures
            (example to http://hl7.org/fhir/ValueSet/body-site)

            Codes describing anatomical locations. May include laterality.

            TypeCoding
            Is Modifierfalse
            Summarytrue
            Alternate NamesBodyPartExamined
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            80. ImagingStudy.series.laterality
            Definition

            The laterality of the (possibly paired) anatomic structures examined. E.g., the left knee, both lungs, or unpaired abdomen. If present, shall be consistent with any laterality information indicated in ImagingStudy.series.bodySite.

            ShortBody part laterality
            Control0..1
            BindingFor example codes, see Laterality
            (example to http://hl7.org/fhir/ValueSet/bodysite-laterality)

            Codes describing body site laterality (left, right, etc.).

            TypeCoding
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            82. ImagingStudy.series.specimen
            Definition

            The specimen imaged, e.g., for whole slide imaging of a biopsy.

            ShortSpecimen imaged
            Control0..*
            TypeReference(Specimen (CZ))
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            84. ImagingStudy.series.started
            Definition

            The date and time the series was started.

            ShortWhen the series started
            Control0..1
            TypedateTime
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            86. ImagingStudy.series.performer
            Definition

            Indicates who or what performed the series and how they were involved.

            ShortWho performed the series
            Comments

            If the person who performed the series is not known, their Organization may be recorded. A patient, or related person, may be the performer, e.g. for patient-captured images.

            Control0..*
            TypeBackboneElement
            Is Modifierfalse
            Summarytrue
            Requirements

            The performer is recorded at the series level, since each series in a study may be performed by a different performer, at different times, and using different devices. A series may be performed by multiple performers.

            Alternate NamesPerformingPhysicianName, OperatorName
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            SlicingThis element introduces a set of slices on ImagingStudy.series.performer. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • type @ actor
            • 88. ImagingStudy.series.performer.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              90. ImagingStudy.series.performer.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              92. ImagingStudy.series.performer.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              94. ImagingStudy.series.performer.function
              Definition

              Distinguishes the type of involvement of the performer in the series.

              ShortType of performance
              Control0..1
              BindingUnless not suitable, these codes SHALL be taken from Imaging Study Performer Type Value Set
              (extensible to https://hl7.cz/fhir/img/ValueSet/cz-imaging-study-performer-type)
              TypeCodeableConcept
              Is Modifierfalse
              Summarytrue
              Requirements

              Allows disambiguation of the types of involvement of different performers.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              96. ImagingStudy.series.performer.actor
              Definition

              Indicates who or what performed the series.

              ShortWho performed the series
              Control1..1
              TypeReference(Practitioner (CZ core), Practitioner Role (CZ core), Organization (CZ core), CareTeam, Patient (CZ core), Related Person (CZ core), Device: Performer/Observer (CZ), Device)
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              98. ImagingStudy.series.performer:performer
              Slice Nameperformer
              Definition

              Indicates who or what performed the series and how they were involved.

              ShortWho performed the series
              Comments

              If the person who performed the series is not known, their Organization may be recorded. A patient, or related person, may be the performer, e.g. for patient-captured images.

              Control0..1
              TypeBackboneElement
              Is Modifierfalse
              Summarytrue
              Requirements

              The performer is recorded at the series level, since each series in a study may be performed by a different performer, at different times, and using different devices. A series may be performed by multiple performers.

              Alternate NamesPerformingPhysicianName, OperatorName
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              100. ImagingStudy.series.performer:performer.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              102. ImagingStudy.series.performer:performer.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              104. ImagingStudy.series.performer:performer.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              106. ImagingStudy.series.performer:performer.function
              Definition

              Distinguishes the type of involvement of the performer in the series.

              ShortType of performance
              Control0..1
              BindingUnless not suitable, these codes SHALL be taken from Imaging Study Performer Type Value Set
              (extensible to https://hl7.cz/fhir/img/ValueSet/cz-imaging-study-performer-type)
              TypeCodeableConcept
              Is Modifierfalse
              Summarytrue
              Requirements

              Allows disambiguation of the types of involvement of different performers.

              Pattern Value{
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code" : "PRF"
                }]
              }
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              108. ImagingStudy.series.performer:performer.actor
              Definition

              Indicates who or what performed the series.

              ShortWho performed the series
              Control1..1
              TypeReference(Practitioner Role (CZ core))
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              110. ImagingStudy.series.performer:device
              Slice Namedevice
              Definition

              Indicates who or what performed the series and how they were involved.

              ShortWho performed the series
              Comments

              If the person who performed the series is not known, their Organization may be recorded. A patient, or related person, may be the performer, e.g. for patient-captured images.

              Control0..1
              TypeBackboneElement
              Is Modifierfalse
              Summarytrue
              Requirements

              The performer is recorded at the series level, since each series in a study may be performed by a different performer, at different times, and using different devices. A series may be performed by multiple performers.

              Alternate NamesPerformingPhysicianName, OperatorName
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              112. ImagingStudy.series.performer:device.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              114. ImagingStudy.series.performer:device.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              116. ImagingStudy.series.performer:device.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              118. ImagingStudy.series.performer:device.function
              Definition

              Distinguishes the type of involvement of the performer in the series.

              ShortType of performance
              Control0..1
              BindingUnless not suitable, these codes SHALL be taken from Imaging Study Performer Type Value Set
              (extensible to https://hl7.cz/fhir/img/ValueSet/cz-imaging-study-performer-type)
              TypeCodeableConcept
              Is Modifierfalse
              Summarytrue
              Requirements

              Allows disambiguation of the types of involvement of different performers.

              Pattern Value{
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code" : "DEV"
                }]
              }
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              120. ImagingStudy.series.performer:device.actor
              Definition

              Indicates who or what performed the series.

              ShortWho performed the series
              Control1..1
              TypeReference(Device: Performer/Observer (CZ))
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              122. ImagingStudy.series.performer:custodian
              Slice Namecustodian
              Definition

              Indicates who or what performed the series and how they were involved.

              ShortWho performed the series
              Comments

              If the person who performed the series is not known, their Organization may be recorded. A patient, or related person, may be the performer, e.g. for patient-captured images.

              Control0..1
              TypeBackboneElement
              Is Modifierfalse
              Summarytrue
              Requirements

              The performer is recorded at the series level, since each series in a study may be performed by a different performer, at different times, and using different devices. A series may be performed by multiple performers.

              Alternate NamesPerformingPhysicianName, OperatorName
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              124. ImagingStudy.series.performer:custodian.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              126. ImagingStudy.series.performer:custodian.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              128. ImagingStudy.series.performer:custodian.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              130. ImagingStudy.series.performer:custodian.function
              Definition

              Distinguishes the type of involvement of the performer in the series.

              ShortType of performance
              Control0..1
              BindingUnless not suitable, these codes SHALL be taken from Imaging Study Performer Type Value Set
              (extensible to https://hl7.cz/fhir/img/ValueSet/cz-imaging-study-performer-type)
              TypeCodeableConcept
              Is Modifierfalse
              Summarytrue
              Requirements

              Allows disambiguation of the types of involvement of different performers.

              Pattern Value{
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code" : "CST"
                }]
              }
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              132. ImagingStudy.series.performer:custodian.actor
              Definition

              Indicates who or what performed the series.

              ShortWho performed the series
              Control1..1
              TypeReference(Organization (CZ core))
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              134. ImagingStudy.series.instance
              Definition

              A single SOP instance within the series, e.g. an image, or presentation state.

              ShortA single SOP instance from the series
              Control0..*
              TypeBackboneElement
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              136. ImagingStudy.series.instance.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              138. ImagingStudy.series.instance.extension
              Definition

              An Extension

              ShortExtension
              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on ImagingStudy.series.instance.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 140. ImagingStudy.series.instance.extension:instance-description
                Slice Nameinstance-description
                Definition

                A description of the instance in an ImagingStudy.

                ShortInstance Description
                Control0..1
                This element is affected by the following invariants: ele-1
                TypeExtension(Instance Description) (Extension Type: string)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                142. ImagingStudy.series.instance.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                144. ImagingStudy.series.instance.uid
                Definition

                The DICOM SOP Instance UID for this image or other DICOM content.

                ShortDICOM SOP Instance UID
                Comments

                See DICOM PS3.3 C.12.1.

                Control1..1
                Typeid
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Requirements

                DICOM SOP Instance UID.

                Alternate NamesSOPInstanceUID
                ExampleGeneral: 2.16.124.113543.6003.189642796.63084.16748.2599092903
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                146. ImagingStudy.series.instance.sopClass
                Definition

                DICOM instance type.

                ShortDICOM class type
                Control1..1
                BindingUnless not suitable, these codes SHALL be taken from http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
                (extensible to http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1)

                The sopClass for the instance.

                TypeCoding
                Is Modifierfalse
                Summaryfalse
                Alternate NamesSOPClassUID
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                148. ImagingStudy.series.instance.number
                Definition

                The number of instance in the series.

                ShortThe number of this instance in the series
                Control0..1
                TypeunsignedInt
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Alternate NamesInstanceNumber
                ExampleGeneral: 1
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                150. ImagingStudy.series.instance.title
                Definition

                The description of the instance.

                ShortDescription of instance
                Comments

                Particularly for post-acquisition analytic objects, such as SR, presentation states, value mapping, etc.

                Control0..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))