HL7 Czech Imaging Report IG
0.1.0-ballot - ci-build CZ

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: Study Imaging: Obligations

Official URL: https://hl7.cz/fhir/img/StructureDefinition/cz-studyImaging-obl-img | Version: 0.1.0-ballot | Highlight text changes?
Draft as of 2026-05-26 | Computable Name: CZ_StudyImagingObligationsImg

This profile defines obligations for a study imaging in FHIR for the purpose of this guide.

Usages:

- This Profile is not used by any profiles in this Specification

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

- Key Elements Table
- Differential Table
- Snapshot Table
- Obligations
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ImagingStudy | C | 0..* | CZ_StudyImaging | A set of images produced in single study (one or more series of references images) This profile also imposes the profile ImagingStudy: General Constraints: imagingstudy-01
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
extension:anatomical-region |  | 0..* | CodeableConcept | The anatomical regions covered by the study. URL: http://hl7.eu/fhir/imaging/StructureDefinition/AnatomicalRegionExtension Binding: ValueSet: Anatomical Region (required)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | O Σ | 1..* | Identifier | Identifiers for the whole study Slice: Unordered, Open by value:system
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
identifier:studyInstanceUid | Σ | 1..1 | CZ_StudyInstanceUidIdentifier | Identifiers for the whole study
status | ?!O Σ | 1..1 | code | registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
modality | O Σ | 0..* | Coding | All series modality if actual acquisition modalities Binding: CZ Modality (required)
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
subject | O Σ | 1..1 | Reference(Patient (CZ core) | Device: Performer/Observer (CZ core)) | Who or what is the subject of the study
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
started | O Σ | 0..1 | dateTime | When the study was started Example General: 2011-01-01T11:01:20+03:00
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
Slices for basedOn | O Σ | 0..* | Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) | Request fulfilled Slice: Unordered, Open by type:$this
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
basedOn:orderaccession | O Σ | 0..1 | Reference(Service Request: Imaging Report (CZ)) | Request fulfilled
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
identifier | Σ | 1..1 | CZ_AccessionNumberIdentifier | Logical reference, when literal reference is not known
endpoint | O Σ | 0..* | Reference(Endpoint) | Study access endpoint
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
numberOfSeries | O Σ | 0..1 | unsignedInt | Number of Study Related Series
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
numberOfInstances | O Σ | 0..1 | unsignedInt | Number of Study Related Instances
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
procedureCode | O Σ | 0..* | CodeableConcept | The performed procedure code Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
reasonCode | O Σ | 0..* | CodeableConcept | Why the study was requested Binding: ProcedureReasonCodes (example): The reason for the study.
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
note | O Σ | 0..* | Annotation | User-defined comments
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
description | O Σ | 0..1 | string | Institution-generated description
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
Documentation for this format

Name | Creator_L3 | Creator_L2 | Consumer_L2 | Consumer_L3
--- | --- | --- | --- | ---
ImagingStudy |  |  |  |
Slices for extension |  |  |  |
Slices for identifier | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
status | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
modality | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
subject | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
started | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
Slices for basedOn | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
basedOn:orderaccession | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
endpoint | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
numberOfSeries | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
numberOfInstances | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
procedureCode | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
reasonCode | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
note | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
description | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ImagingStudy.status | Base | required | ImagingStudyStatus | 📍4.0.1 | FHIR Std.
ImagingStudy.modality | Base | required | CZ Modality | 📦1.0.0 | This IG
ImagingStudy.procedureCode | Base | extensible | http://www.rsna.org/RadLex_Playbook.aspx | Not State | Unknown
ImagingStudy.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std.

#### 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | ImagingStudy | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | ImagingStudy | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ImagingStudy | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
imagingstudy-01 | warning | ImagingStudy | A DICOM instance UID must start with 'urn:oid:' | `identifier.where(system='urn:dicom:uid').value.startsWith('urn:oid:')`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ImagingStudy |  | 0..* | CZ_StudyImaging | A set of images produced in single study (one or more series of references images) This profile also imposes the profile ImagingStudy: General
identifier | O | 1..* | Identifier | Identifiers for the whole study
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
status | O | 1..1 | code | registered | available | cancelled | entered-in-error | unknown
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
modality | O | 0..* | Coding | All series modality if actual acquisition modalities
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
subject | O | 1..1 | Reference(Patient (CZ core) | Device: Performer/Observer (CZ core)) | Who or what is the subject of the study
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
started | O | 0..1 | dateTime | When the study was started
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
basedOn | O | 0..* | Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) | Request fulfilled
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
Slices for basedOn |  |  |  | Content/Rules for all slices
basedOn:orderaccession | O | 0..1 | Reference(Service Request: Imaging Report (CZ)) | Request fulfilled
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
endpoint | O | 0..* | Reference(Endpoint) | Study access endpoint
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
numberOfSeries | O | 0..1 | unsignedInt | Number of Study Related Series
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
numberOfInstances | O | 0..1 | unsignedInt | Number of Study Related Instances
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
procedureCode | O | 0..* | CodeableConcept | The performed procedure code
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
reasonCode | O | 0..* | CodeableConcept | Why the study was requested
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
note | O | 0..* | Annotation | User-defined comments
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
description | O | 0..1 | string | Institution-generated description
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
series |  |  |  |
number | O | 0..1 | unsignedInt | Numeric identifier of this series
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
description | O | 0..1 | string | A short human readable summary of the series
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
bodySite | O | 0..1 | Coding | Body part examined
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
performer | O | 0..* | BackboneElement | Who performed the series
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
Documentation for this format

Name | Creator_L3 | Creator_L2 | Consumer_L2 | Consumer_L3
--- | --- | --- | --- | ---
ImagingStudy |  |  |  |
identifier | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
status | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
modality | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
subject | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
started | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
basedOn | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
Slices for basedOn |  |  |  |
basedOn:orderaccession | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
endpoint | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
numberOfSeries | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
numberOfInstances | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
procedureCode | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
reasonCode | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
note | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
description | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
series |  |  |  |
number | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
description | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
bodySite | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
performer | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ImagingStudy | C | 0..* | CZ_StudyImaging | A set of images produced in single study (one or more series of references images) This profile also imposes the profile ImagingStudy: General Constraints: imagingstudy-01
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:anatomical-region |  | 0..* | CodeableConcept | The anatomical regions covered by the study. URL: http://hl7.eu/fhir/imaging/StructureDefinition/AnatomicalRegionExtension Binding: ValueSet: Anatomical Region (required)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | O Σ | 1..* | Identifier | Identifiers for the whole study Slice: Unordered, Open by value:system
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
identifier:studyInstanceUid | Σ | 1..1 | CZ_StudyInstanceUidIdentifier | Identifiers for the whole study
status | ?!O Σ | 1..1 | code | registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
modality | O Σ | 0..* | Coding | All series modality if actual acquisition modalities Binding: CZ Modality (required)
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
subject | O Σ | 1..1 | Reference(Patient (CZ core) | Device: Performer/Observer (CZ core)) | Who or what is the subject of the study
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
encounter | Σ | 0..1 | Reference(Encounter) | Encounter with which this imaging study is associated
started | O Σ | 0..1 | dateTime | When the study was started Example General: 2011-01-01T11:01:20+03:00
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
Slices for basedOn | O Σ | 0..* | Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) | Request fulfilled Slice: Unordered, Open by type:$this
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
basedOn:orderaccession | O Σ | 0..1 | Reference(Service Request: Imaging Report (CZ)) | Request fulfilled
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 1..1 | CZ_AccessionNumberIdentifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
referrer | Σ | 0..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core)) | Referring physician
interpreter | Σ | 0..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core)) | Who interpreted images
endpoint | O Σ | 0..* | Reference(Endpoint) | Study access endpoint
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
numberOfSeries | O Σ | 0..1 | unsignedInt | Number of Study Related Series
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
numberOfInstances | O Σ | 0..1 | unsignedInt | Number of Study Related Instances
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
procedureReference | Σ | 0..1 | Reference(Procedure: Imaging Report (CZ)) | The performed Procedure reference
procedureCode | O Σ | 0..* | CodeableConcept | The performed procedure code Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
location | Σ | 0..1 | Reference(Location (CZ core)) | Where ImagingStudy occurred
reasonCode | O Σ | 0..* | CodeableConcept | Why the study was requested Binding: ProcedureReasonCodes (example): The reason for the study.
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
reasonReference | Σ | 0..* | Reference(Condition: Imaging Report (CZ) | Observation: Imaging Report (CZ) | Media | Diagnostic Report: Imaging Report (CZ) | DocumentReference) | Why was study performed
note | O Σ | 0..* | Annotation | User-defined comments
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
description | O Σ | 0..1 | string | Institution-generated description
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
series | Σ | 0..* | BackboneElement | Each study has one or more series of instances
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
uid | Σ | 1..1 | id | DICOM Series Instance UID for the series Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
number | O Σ | 0..1 | unsignedInt | Numeric identifier of this series Example General: 3
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
modality | Σ | 1..1 | Coding | The modality of the instances in the series Binding: CZ Modality (extensible)
description | O Σ | 0..1 | string | A short human readable summary of the series Example General: CT Surview 180
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
numberOfInstances | Σ | 0..1 | unsignedInt | Number of Series Related Instances
endpoint | Σ | 0..* | Reference(Endpoint) | Series access endpoint
bodySite | O Σ | 0..1 | Coding | Body part examined Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
laterality | Σ | 0..1 | Coding | Body part laterality Binding: Laterality (example): Codes describing body site laterality (left, right, etc.).
specimen | Σ | 0..* | Reference(Specimen (CZ Core)) | Specimen imaged
started | Σ | 0..1 | dateTime | When the series started
Slices for performer | O Σ | 0..* | BackboneElement | Who performed the series Slice: Unordered, Open by type:actor
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
performer:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: Participation Type Value Set (extensible)
actor | Σ | 1..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam | Patient (CZ core) | Related Person (CZ core) | Device: Performer/Observer (CZ core) | Device) | Who performed the series
performer:performer | Σ | 0..1 | BackboneElement | Who performed the series
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: Participation Type Value Set (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PRF
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
actor | Σ | 1..1 | Reference(Practitioner Role (CZ core)) | Who performed the series
performer:device | Σ | 0..1 | BackboneElement | Who performed the series
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: Participation Type Value Set (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DEV
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
actor | Σ | 1..1 | Reference(Device: Performer/Observer (CZ core)) | Who performed the series
performer:custodian | Σ | 0..1 | BackboneElement | Who performed the series
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: Participation Type Value Set (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: CST
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
actor | Σ | 1..1 | Reference(Organization (CZ core)) | Who performed the series
performer:organization | Σ | 0..1 | BackboneElement | The organization representing the location where the imaging was performed.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: Participation Type Value Set (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: LOC
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
actor | Σ | 1..1 | Reference(Organization (CZ core)) | Who performed the series
instance |  | 0..* | BackboneElement | A single SOP instance from the series
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:instance-description |  | 0..1 | string | Instance Description URL: https://hl7.cz/fhir/img/StructureDefinition/instance-description
extension:number-of-frames |  | 0..1 | integer | Extension: Number of Frames URL: https://hl7.cz/fhir/img/StructureDefinition/NumberOfFrames
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
uid |  | 1..1 | id | DICOM SOP Instance UID Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
sopClass |  | 1..1 | Coding | DICOM class type Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance.
number |  | 0..1 | unsignedInt | The number of this instance in the series Example General: 1
title |  | 0..1 | string | Description of instance
Documentation for this format

Name | Creator_L3 | Creator_L2 | Consumer_L2 | Consumer_L3
--- | --- | --- | --- | ---
ImagingStudy |  |  |  |
Slices for extension |  |  |  |
Slices for identifier | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
status | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
modality | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
subject | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
started | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
Slices for basedOn | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
basedOn:orderaccession | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
endpoint | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
numberOfSeries | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
numberOfInstances | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
procedureCode | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
reasonCode | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
note | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
description | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
series |  |  |  |
number | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
description | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
bodySite | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
Slices for performer | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
performer:All Slices |  |  |  |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ImagingStudy.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
ImagingStudy.status | Base | required | ImagingStudyStatus | 📍4.0.1 | FHIR Std.
ImagingStudy.modality | Base | required | CZ Modality | 📦1.0.0 | This IG
ImagingStudy.basedOn:orderaccession.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
ImagingStudy.procedureCode | Base | extensible | http://www.rsna.org/RadLex_Playbook.aspx | Not State | Unknown
ImagingStudy.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std.
ImagingStudy.series.​modality | Base | extensible | CZ Modality | 📦1.0.0 | This IG
ImagingStudy.series.​bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.
ImagingStudy.series.​laterality | Base | example | Laterality | 📍4.0.1 | FHIR Std.
ImagingStudy.series.​performer.function | Base | extensible | Participation Type Value Set | 📦1.0.0 | This IG
ImagingStudy.series.​performer:performer.​function | Base | extensible | Participation Type Value Set | 📦1.0.0 | This IG
ImagingStudy.series.​performer:device.function | Base | extensible | Participation Type Value Set | 📦1.0.0 | This IG
ImagingStudy.series.​performer:custodian.​function | Base | extensible | Participation Type Value Set | 📦1.0.0 | This IG
ImagingStudy.series.​performer:organization.​function | Base | extensible | Participation Type Value Set | 📦1.0.0 | This IG
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | ImagingStudy | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | ImagingStudy | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ImagingStudy | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
imagingstudy-01 | warning | ImagingStudy | A DICOM instance UID must start with 'urn:oid:' | `identifier.where(system='urn:dicom:uid').value.startsWith('urn:oid:')`

Name | Creator_L3 | Creator_L2 | Consumer_L2 | Consumer_L3
--- | --- | --- | --- | ---
ImagingStudy |  |  |  |
Slices for extension |  |  |  |
Slices for identifier | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
status | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
modality | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
subject | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
started | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
Slices for basedOn | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
basedOn:orderaccession | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
endpoint | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
numberOfSeries | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
numberOfInstances | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
procedureCode | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
reasonCode | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
note | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
description | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
series |  |  |  |
number | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
description | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
bodySite | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
Slices for performer | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
performer:All Slices |  |  |  |
Documentation for this format

Summary

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ImagingStudy | C | 0..* | CZ_StudyImaging | A set of images produced in single study (one or more series of references images) This profile also imposes the profile ImagingStudy: General Constraints: imagingstudy-01
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
extension:anatomical-region |  | 0..* | CodeableConcept | The anatomical regions covered by the study. URL: http://hl7.eu/fhir/imaging/StructureDefinition/AnatomicalRegionExtension Binding: ValueSet: Anatomical Region (required)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | O Σ | 1..* | Identifier | Identifiers for the whole study Slice: Unordered, Open by value:system
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
identifier:studyInstanceUid | Σ | 1..1 | CZ_StudyInstanceUidIdentifier | Identifiers for the whole study
status | ?!O Σ | 1..1 | code | registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
modality | O Σ | 0..* | Coding | All series modality if actual acquisition modalities Binding: CZ Modality (required)
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
subject | O Σ | 1..1 | Reference(Patient (CZ core) | Device: Performer/Observer (CZ core)) | Who or what is the subject of the study
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
started | O Σ | 0..1 | dateTime | When the study was started Example General: 2011-01-01T11:01:20+03:00
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
Slices for basedOn | O Σ | 0..* | Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) | Request fulfilled Slice: Unordered, Open by type:$this
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
basedOn:orderaccession | O Σ | 0..1 | Reference(Service Request: Imaging Report (CZ)) | Request fulfilled
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
identifier | Σ | 1..1 | CZ_AccessionNumberIdentifier | Logical reference, when literal reference is not known
endpoint | O Σ | 0..* | Reference(Endpoint) | Study access endpoint
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
numberOfSeries | O Σ | 0..1 | unsignedInt | Number of Study Related Series
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
numberOfInstances | O Σ | 0..1 | unsignedInt | Number of Study Related Instances
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
procedureCode | O Σ | 0..* | CodeableConcept | The performed procedure code Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
reasonCode | O Σ | 0..* | CodeableConcept | Why the study was requested Binding: ProcedureReasonCodes (example): The reason for the study.
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
note | O Σ | 0..* | Annotation | User-defined comments
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
description | O Σ | 0..1 | string | Institution-generated description
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
Documentation for this format

Name | Creator_L3 | Creator_L2 | Consumer_L2 | Consumer_L3
--- | --- | --- | --- | ---
ImagingStudy |  |  |  |
Slices for extension |  |  |  |
Slices for identifier | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
status | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
modality | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
subject | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
started | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
Slices for basedOn | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
basedOn:orderaccession | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
endpoint | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
numberOfSeries | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
numberOfInstances | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
procedureCode | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
reasonCode | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
note | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
description | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ImagingStudy.status | Base | required | ImagingStudyStatus | 📍4.0.1 | FHIR Std.
ImagingStudy.modality | Base | required | CZ Modality | 📦1.0.0 | This IG
ImagingStudy.procedureCode | Base | extensible | http://www.rsna.org/RadLex_Playbook.aspx | Not State | Unknown
ImagingStudy.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std.

#### 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | ImagingStudy | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | ImagingStudy | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ImagingStudy | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
imagingstudy-01 | warning | ImagingStudy | A DICOM instance UID must start with 'urn:oid:' | `identifier.where(system='urn:dicom:uid').value.startsWith('urn:oid:')`

Differential View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ImagingStudy |  | 0..* | CZ_StudyImaging | A set of images produced in single study (one or more series of references images) This profile also imposes the profile ImagingStudy: General
identifier | O | 1..* | Identifier | Identifiers for the whole study
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
status | O | 1..1 | code | registered | available | cancelled | entered-in-error | unknown
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
modality | O | 0..* | Coding | All series modality if actual acquisition modalities
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
subject | O | 1..1 | Reference(Patient (CZ core) | Device: Performer/Observer (CZ core)) | Who or what is the subject of the study
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
started | O | 0..1 | dateTime | When the study was started
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
basedOn | O | 0..* | Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) | Request fulfilled
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
Slices for basedOn |  |  |  | Content/Rules for all slices
basedOn:orderaccession | O | 0..1 | Reference(Service Request: Imaging Report (CZ)) | Request fulfilled
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
endpoint | O | 0..* | Reference(Endpoint) | Study access endpoint
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
numberOfSeries | O | 0..1 | unsignedInt | Number of Study Related Series
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
numberOfInstances | O | 0..1 | unsignedInt | Number of Study Related Instances
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
procedureCode | O | 0..* | CodeableConcept | The performed procedure code
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
reasonCode | O | 0..* | CodeableConcept | Why the study was requested
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
note | O | 0..* | Annotation | User-defined comments
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
description | O | 0..1 | string | Institution-generated description
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
series |  |  |  |
number | O | 0..1 | unsignedInt | Numeric identifier of this series
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
description | O | 0..1 | string | A short human readable summary of the series
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
bodySite | O | 0..1 | Coding | Body part examined
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
performer | O | 0..* | BackboneElement | Who performed the series
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
Documentation for this format

Name | Creator_L3 | Creator_L2 | Consumer_L2 | Consumer_L3
--- | --- | --- | --- | ---
ImagingStudy |  |  |  |
identifier | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
status | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
modality | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
subject | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
started | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
basedOn | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
Slices for basedOn |  |  |  |
basedOn:orderaccession | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
endpoint | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
numberOfSeries | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
numberOfInstances | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
procedureCode | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
reasonCode | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
note | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
description | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
series |  |  |  |
number | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
description | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
bodySite | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
performer | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
Documentation for this format

Snapshot ViewView

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ImagingStudy | C | 0..* | CZ_StudyImaging | A set of images produced in single study (one or more series of references images) This profile also imposes the profile ImagingStudy: General Constraints: imagingstudy-01
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:anatomical-region |  | 0..* | CodeableConcept | The anatomical regions covered by the study. URL: http://hl7.eu/fhir/imaging/StructureDefinition/AnatomicalRegionExtension Binding: ValueSet: Anatomical Region (required)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | O Σ | 1..* | Identifier | Identifiers for the whole study Slice: Unordered, Open by value:system
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
identifier:studyInstanceUid | Σ | 1..1 | CZ_StudyInstanceUidIdentifier | Identifiers for the whole study
status | ?!O Σ | 1..1 | code | registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
modality | O Σ | 0..* | Coding | All series modality if actual acquisition modalities Binding: CZ Modality (required)
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
subject | O Σ | 1..1 | Reference(Patient (CZ core) | Device: Performer/Observer (CZ core)) | Who or what is the subject of the study
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
encounter | Σ | 0..1 | Reference(Encounter) | Encounter with which this imaging study is associated
started | O Σ | 0..1 | dateTime | When the study was started Example General: 2011-01-01T11:01:20+03:00
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
Slices for basedOn | O Σ | 0..* | Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) | Request fulfilled Slice: Unordered, Open by type:$this
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
basedOn:orderaccession | O Σ | 0..1 | Reference(Service Request: Imaging Report (CZ)) | Request fulfilled
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 1..1 | CZ_AccessionNumberIdentifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
referrer | Σ | 0..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core)) | Referring physician
interpreter | Σ | 0..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core)) | Who interpreted images
endpoint | O Σ | 0..* | Reference(Endpoint) | Study access endpoint
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
numberOfSeries | O Σ | 0..1 | unsignedInt | Number of Study Related Series
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
numberOfInstances | O Σ | 0..1 | unsignedInt | Number of Study Related Instances
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
procedureReference | Σ | 0..1 | Reference(Procedure: Imaging Report (CZ)) | The performed Procedure reference
procedureCode | O Σ | 0..* | CodeableConcept | The performed procedure code Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
location | Σ | 0..1 | Reference(Location (CZ core)) | Where ImagingStudy occurred
reasonCode | O Σ | 0..* | CodeableConcept | Why the study was requested Binding: ProcedureReasonCodes (example): The reason for the study.
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
reasonReference | Σ | 0..* | Reference(Condition: Imaging Report (CZ) | Observation: Imaging Report (CZ) | Media | Diagnostic Report: Imaging Report (CZ) | DocumentReference) | Why was study performed
note | O Σ | 0..* | Annotation | User-defined comments
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
description | O Σ | 0..1 | string | Institution-generated description
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
series | Σ | 0..* | BackboneElement | Each study has one or more series of instances
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
uid | Σ | 1..1 | id | DICOM Series Instance UID for the series Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
number | O Σ | 0..1 | unsignedInt | Numeric identifier of this series Example General: 3
Obligations | Actor
SHOULD:able-to-populate | Creator_L2
SHOULD:able-to-populate | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
modality | Σ | 1..1 | Coding | The modality of the instances in the series Binding: CZ Modality (extensible)
description | O Σ | 0..1 | string | A short human readable summary of the series Example General: CT Surview 180
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
numberOfInstances | Σ | 0..1 | unsignedInt | Number of Series Related Instances
endpoint | Σ | 0..* | Reference(Endpoint) | Series access endpoint
bodySite | O Σ | 0..1 | Coding | Body part examined Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L2
SHALL:display | Consumer_L3
laterality | Σ | 0..1 | Coding | Body part laterality Binding: Laterality (example): Codes describing body site laterality (left, right, etc.).
specimen | Σ | 0..* | Reference(Specimen (CZ Core)) | Specimen imaged
started | Σ | 0..1 | dateTime | When the series started
Slices for performer | O Σ | 0..* | BackboneElement | Who performed the series Slice: Unordered, Open by type:actor
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L2
SHOULD:display | Consumer_L3
performer:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: Participation Type Value Set (extensible)
actor | Σ | 1..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam | Patient (CZ core) | Related Person (CZ core) | Device: Performer/Observer (CZ core) | Device) | Who performed the series
performer:performer | Σ | 0..1 | BackboneElement | Who performed the series
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: Participation Type Value Set (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PRF
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
actor | Σ | 1..1 | Reference(Practitioner Role (CZ core)) | Who performed the series
performer:device | Σ | 0..1 | BackboneElement | Who performed the series
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: Participation Type Value Set (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: DEV
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
actor | Σ | 1..1 | Reference(Device: Performer/Observer (CZ core)) | Who performed the series
performer:custodian | Σ | 0..1 | BackboneElement | Who performed the series
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: Participation Type Value Set (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: CST
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
actor | Σ | 1..1 | Reference(Organization (CZ core)) | Who performed the series
performer:organization | Σ | 0..1 | BackboneElement | The organization representing the location where the imaging was performed.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: Participation Type Value Set (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: LOC
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
actor | Σ | 1..1 | Reference(Organization (CZ core)) | Who performed the series
instance |  | 0..* | BackboneElement | A single SOP instance from the series
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:instance-description |  | 0..1 | string | Instance Description URL: https://hl7.cz/fhir/img/StructureDefinition/instance-description
extension:number-of-frames |  | 0..1 | integer | Extension: Number of Frames URL: https://hl7.cz/fhir/img/StructureDefinition/NumberOfFrames
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
uid |  | 1..1 | id | DICOM SOP Instance UID Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
sopClass |  | 1..1 | Coding | DICOM class type Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance.
number |  | 0..1 | unsignedInt | The number of this instance in the series Example General: 1
title |  | 0..1 | string | Description of instance
Documentation for this format

Name | Creator_L3 | Creator_L2 | Consumer_L2 | Consumer_L3
--- | --- | --- | --- | ---
ImagingStudy |  |  |  |
Slices for extension |  |  |  |
Slices for identifier | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
status | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
modality | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
subject | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
started | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
Slices for basedOn | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
basedOn:orderaccession | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
endpoint | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
numberOfSeries | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
numberOfInstances | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
procedureCode | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
reasonCode | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
note | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
description | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
series |  |  |  |
number | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
description | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
bodySite | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
Slices for performer | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
performer:All Slices |  |  |  |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ImagingStudy.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
ImagingStudy.status | Base | required | ImagingStudyStatus | 📍4.0.1 | FHIR Std.
ImagingStudy.modality | Base | required | CZ Modality | 📦1.0.0 | This IG
ImagingStudy.basedOn:orderaccession.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
ImagingStudy.procedureCode | Base | extensible | http://www.rsna.org/RadLex_Playbook.aspx | Not State | Unknown
ImagingStudy.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std.
ImagingStudy.series.​modality | Base | extensible | CZ Modality | 📦1.0.0 | This IG
ImagingStudy.series.​bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.
ImagingStudy.series.​laterality | Base | example | Laterality | 📍4.0.1 | FHIR Std.
ImagingStudy.series.​performer.function | Base | extensible | Participation Type Value Set | 📦1.0.0 | This IG
ImagingStudy.series.​performer:performer.​function | Base | extensible | Participation Type Value Set | 📦1.0.0 | This IG
ImagingStudy.series.​performer:device.function | Base | extensible | Participation Type Value Set | 📦1.0.0 | This IG
ImagingStudy.series.​performer:custodian.​function | Base | extensible | Participation Type Value Set | 📦1.0.0 | This IG
ImagingStudy.series.​performer:organization.​function | Base | extensible | Participation Type Value Set | 📦1.0.0 | This IG
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | ImagingStudy | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | ImagingStudy | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ImagingStudy | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
imagingstudy-01 | warning | ImagingStudy | A DICOM instance UID must start with 'urn:oid:' | `identifier.where(system='urn:dicom:uid').value.startsWith('urn:oid:')`

Name | Creator_L3 | Creator_L2 | Consumer_L2 | Consumer_L3
--- | --- | --- | --- | ---
ImagingStudy |  |  |  |
Slices for extension |  |  |  |
Slices for identifier | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
status | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
modality | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
subject | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
started | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
Slices for basedOn | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
basedOn:orderaccession | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
endpoint | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
numberOfSeries | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
numberOfInstances | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
procedureCode | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
reasonCode | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
note | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
description | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
series |  |  |  |
number | SHOULD:able-to-populate | SHOULD:able-to-populate | SHOULD:display | SHOULD:display
description | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
bodySite | SHALL:able-to-populate | SHALL:able-to-populate | SHALL:display | SHALL:display
Slices for performer | SHOULD:populate-if-known | SHOULD:populate-if-known | SHOULD:display | SHOULD:display
performer:All Slices |  |  |  |
Documentation for this format

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