<?xml version="1.0" encoding="UTF-8"?>

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="DcmMetadata"/>
  <language value="en"/>
  <text>
    <status value="extensions"/>
  </text>
  <url value="https://hl7.cz/fhir/img/StructureDefinition/DcmMetadata"/>
  <version value="0.1.0-ballot"/>
  <name value="LogEnDcmMetadataCz"/>
  <title value="A.2.7 - DICOM metadata"/>
  <status value="draft"/>
  <date value="2026-05-26T08:31:12+00:00"/>
  <publisher value="HL7 Czech Republic"/>
  <contact>
    <name value="HL7 Czech Republic"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.hl7.cz/"/>
    </telecom>
  </contact>
  <description value="Imaging Report - Imaging Report DICOM metadata - A.2.7"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="CZ"/>
      <display value="Czechia"/>
    </coding>
  </jurisdiction>
  <fhirVersion value="4.0.1"/>
  <kind value="logical"/>
  <abstract value="false"/>
  <type value="https://hl7.cz/fhir/img/StructureDefinition/DcmMetadata"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
  <derivation value="specialization"/>
  <snapshot>
    <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
      <valueString value="4.0.1"/>
    </extension>
    <element id="DcmMetadata">
      <path value="DcmMetadata"/>
      <short value="A.2.7 - DICOM metadata"/>
      <definition value="Imaging Report - Imaging Report DICOM metadata - A.2.7"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Base"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <isModifier value="false"/>
    </element>
    <element id="DcmMetadata.studyInstUID">
      <path value="DcmMetadata.studyInstUID"/>
      <short value="A.2.7.1 - Study Instance UID - DICOM tag (0020,000D)"/>
      <definition value="A globally unique study identifier. If one or more series elements are present in the ImagingStudy, there must be one DICOM Study UID identifier."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DcmMetadata.studyInstUID"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
    </element>
    <element id="DcmMetadata.studyRelatedSerNumber">
      <path value="DcmMetadata.studyRelatedSerNumber"/>
      <short value="A.2.7.2 - Number of Study Related Series - DICOM tag (0020,1000)"/>
      <definition value="The number of series in the study. This element should be present if at least one series has been created within the study. Not all series may be available for exchange (e.g., due to resource availability, security, or other factors)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DcmMetadata.studyRelatedSerNumber"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="integer"/>
      </type>
    </element>
    <element id="DcmMetadata.studyRelatedInstNumber">
      <path value="DcmMetadata.studyRelatedInstNumber"/>
      <short value="A.2.7.3 - Number of Study Related Instances - DICOM tag (0020,1002)"/>
      <definition value="The number of instances in the study. Not all instances may be available for exchange."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DcmMetadata.studyRelatedInstNumber"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="integer"/>
      </type>
    </element>
    <element id="DcmMetadata.subject">
      <path value="DcmMetadata.subject"/>
      <short value="A.2.7.4 - Information about the subject (patient) - DICOM tag: (0010,0010), (0010,0020), (0010,0030)"/>
      <definition value="Information about the subject, usually the patient, of the imaging study. For Example: Patient's Name, Patient ID or Patient's Birth Date."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DcmMetadata.subject"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="https://hl7.cz/fhir/img/StructureDefinition/SubjectCz"/>
      </type>
    </element>
    <element id="DcmMetadata.requestProcedureId">
      <path value="DcmMetadata.requestProcedureId"/>
      <short value="A.2.7.5 - Requested Procedure ID - DICOM tag (0040,1001)"/>
      <definition value="Imaging request - The diagnostic request that led to the performance of this imaging study."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DcmMetadata.requestProcedureId"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="DcmMetadata.requestingPhysician">
      <path value="DcmMetadata.requestingPhysician"/>
      <short value="A.2.7.6 - Requesting Physician - DICOM tag (0032,1032), (0032,1031)"/>
      <definition value="Service requester (referring physician or physician referring the patient)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DcmMetadata.requestingPhysician"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Base"/>
      </type>
    </element>
    <element id="DcmMetadata.requestingPhysician.identifier">
      <path value="DcmMetadata.requestingPhysician.identifier"/>
      <short value="A.2.7.6.1 - Requesting Physician Identification - DICOM tag (0032,1031)"/>
      <definition value="Identification of the physician who requested the Imaging Service Request."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="DcmMetadata.requestingPhysician.identifier"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element id="DcmMetadata.requestingPhysician.name">
      <path value="DcmMetadata.requestingPhysician.name"/>
      <short value="A.2.7.6.2 - Requesting Physician Name - DICOM tag (0032,1032)"/>
      <definition value="Name of the physician who requested the Imaging Service Request."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DcmMetadata.requestingPhysician.name"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="HumanName"/>
      </type>
    </element>
    <element id="DcmMetadata.procedure">
      <path value="DcmMetadata.procedure"/>
      <short value="A.2.7.7 - Scheduled Procedure Step Description - DICOM tag (0040,0007)"/>
      <definition value="Information about the procedure of which this imaging study was a part. A procedure is an act that is or was performed on or for a patient. It can involve a physical intervention, such as surgery, or a less invasive intervention, such as long-term services, counseling, or hypnotherapy."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DcmMetadata.procedure"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="DcmMetadata.performingPhysician">
      <path value="DcmMetadata.performingPhysician"/>
      <short value="A.2.7.8 - Performing Physicians - DICOM tag: (0008,1050), (0008,1052)"/>
      <definition value="Healthcare professional who evaluated the study (interpreted the images or other content)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DcmMetadata.performingPhysician"/>
        <min value="0"/>
        <max value="1"/>
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      <type>
        <code value="Base"/>
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    </element>
    <element id="DcmMetadata.performingPhysician.identifier">
      <path value="DcmMetadata.performingPhysician.identifier"/>
      <short value="A.2.7.8.1 - Performing Physician Identification - DICOM tag (0008,1052)"/>
      <definition value="Identification of the physician(s) administering the Series. One or more Items are permitted in this Sequence. If more than one Item, the number and report shall correspond to the value of Performing Physician's Name (0008,1050), if present."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="DcmMetadata.performingPhysician.identifier"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element id="DcmMetadata.performingPhysician.name">
      <path value="DcmMetadata.performingPhysician.name"/>
      <short value="A.2.7.8.2 - Performing Physicians Name - DICOM tag (0008,1050)"/>
      <definition value="Name of the physician(s) administering the Series."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DcmMetadata.performingPhysician.name"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="HumanName"/>
      </type>
    </element>
    <element id="DcmMetadata.institutionalDepartName">
      <path value="DcmMetadata.institutionalDepartName"/>
      <short value="A.2.7.9 - Institutional Department Name - DICOM tag (0008,1040)"/>
      <definition value="Location (organization) where the study was conducted."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DcmMetadata.institutionalDepartName"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="DcmMetadata.radiopharmaInfoSeq">
      <path value="DcmMetadata.radiopharmaInfoSeq"/>
      <short value="A.2.7.10 - Radiopharmaceutical Information Sequence - DICOM tag (0054,0016)"/>
      <definition value="Radiation exposure from internal irradiation (following the administration of radiopharmaceuticals, expressed as a value in standard SI units [Bq])."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DcmMetadata.radiopharmaInfoSeq"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
    </element>
    <element id="DcmMetadata.series">
      <path value="DcmMetadata.series"/>
      <short value="A.2.7.11 - RT Series information"/>
      <definition value="Information from individual series (for example, their names)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DcmMetadata.series"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Base"/>
      </type>
    </element>
    <element id="DcmMetadata.series.seriesNumber">
      <path value="DcmMetadata.series.seriesNumber"/>
      <short value="A.2.7.11.1 - Series Number - DICOM tag (0020,0011)"/>
      <definition value="A number that identifies this Series."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DcmMetadata.series.seriesNumber"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
    </element>
    <element id="DcmMetadata.series.seriesDescription">
      <path value="DcmMetadata.series.seriesDescription"/>
      <short value="A.2.7.11.2 - Series Description - DICOM tag (0008,103E)"/>
      <definition value="Description of the Series."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DcmMetadata.series.seriesDescription"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="DcmMetadata.studyDescription">
      <path value="DcmMetadata.studyDescription"/>
      <short value="A.2.7.12 - Study Description - DICOM tag (0008,1030)"/>
      <definition value="Description of the study or classification of the performed study."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DcmMetadata.studyDescription"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="DcmMetadata.studyPhase">
      <path value="DcmMetadata.studyPhase"/>
      <short value="A.2.7.13 - Study Phase"/>
      <definition value="A submodel containing information about the individual phases of an examination (typically for CT - e.g., native, arterial phase) and allowing structured recording of information about ionizing radiation exposure during imaging in these phases."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DcmMetadata.studyPhase"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="DcmMetadata.studyReason">
      <path value="DcmMetadata.studyReason"/>
      <short value="A.2.7.14 - Reason for Study - DICOM tag (0032,1030)"/>
      <definition value="The reason the study was performed."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DcmMetadata.studyReason"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="DcmMetadata.studyComments">
      <path value="DcmMetadata.studyComments"/>
      <short value="A.2.7.15 - Study Comments - obsoleted  DICOM tag (0032,4000)"/>
      <definition value="User-defined comment."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DcmMetadata.studyComments"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="DcmMetadata.studyEndpoint">
      <path value="DcmMetadata.studyEndpoint"/>
      <short value="A.2.7.16 - Study end-point"/>
      <definition value="A network service providing access to the study, such as query, display, or retrieval."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DcmMetadata.studyEndpoint"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="DcmMetadata.modality">
      <path value="DcmMetadata.modality"/>
      <short value="A.2.7.17 - Modality - DICOM tag (0008,0060)"/>
      <definition value="A list of all modalities that were used to acquire the study."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DcmMetadata.modality"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element id="DcmMetadata.studyStatus">
      <path value="DcmMetadata.studyStatus"/>
      <short value="A.2.7.18 - Study Status"/>
      <definition value="Current status of the DICOM imaging study."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DcmMetadata.studyStatus"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="DcmMetadata.accessionNumber">
      <path value="DcmMetadata.accessionNumber"/>
      <short value="A.2.7.19 - Accession Number - DICOM tag (0008,0050)"/>
      <definition value="ID of the imaging service request. Unique within the organization."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DcmMetadata.accessionNumber"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
    </element>
    <element id="DcmMetadata.studyDateTime">
      <path value="DcmMetadata.studyDateTime"/>
      <short value="A.2.7.20 - Study Date Time - DICOM tag:(0008,0020), (0008,0030)"/>
      <definition value="The date and time when the study was initiated."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DcmMetadata.studyDateTime"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element id="DcmMetadata">
      <path value="DcmMetadata"/>
      <short value="A.2.7 - DICOM metadata"/>
      <definition value="Imaging Report - Imaging Report DICOM metadata - A.2.7"/>
    </element>
    <element id="DcmMetadata.studyInstUID">
      <path value="DcmMetadata.studyInstUID"/>
      <short value="A.2.7.1 - Study Instance UID - DICOM tag (0020,000D)"/>
      <definition value="A globally unique study identifier. If one or more series elements are present in the ImagingStudy, there must be one DICOM Study UID identifier."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
    </element>
    <element id="DcmMetadata.studyRelatedSerNumber">
      <path value="DcmMetadata.studyRelatedSerNumber"/>
      <short value="A.2.7.2 - Number of Study Related Series - DICOM tag (0020,1000)"/>
      <definition value="The number of series in the study. This element should be present if at least one series has been created within the study. Not all series may be available for exchange (e.g., due to resource availability, security, or other factors)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="integer"/>
      </type>
    </element>
    <element id="DcmMetadata.studyRelatedInstNumber">
      <path value="DcmMetadata.studyRelatedInstNumber"/>
      <short value="A.2.7.3 - Number of Study Related Instances - DICOM tag (0020,1002)"/>
      <definition value="The number of instances in the study. Not all instances may be available for exchange."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="integer"/>
      </type>
    </element>
    <element id="DcmMetadata.subject">
      <path value="DcmMetadata.subject"/>
      <short value="A.2.7.4 - Information about the subject (patient) - DICOM tag: (0010,0010), (0010,0020), (0010,0030)"/>
      <definition value="Information about the subject, usually the patient, of the imaging study. For Example: Patient's Name, Patient ID or Patient's Birth Date."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="https://hl7.cz/fhir/img/StructureDefinition/SubjectCz"/>
      </type>
    </element>
    <element id="DcmMetadata.requestProcedureId">
      <path value="DcmMetadata.requestProcedureId"/>
      <short value="A.2.7.5 - Requested Procedure ID - DICOM tag (0040,1001)"/>
      <definition value="Imaging request - The diagnostic request that led to the performance of this imaging study."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="DcmMetadata.requestingPhysician">
      <path value="DcmMetadata.requestingPhysician"/>
      <short value="A.2.7.6 - Requesting Physician - DICOM tag (0032,1032), (0032,1031)"/>
      <definition value="Service requester (referring physician or physician referring the patient)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Base"/>
      </type>
    </element>
    <element id="DcmMetadata.requestingPhysician.identifier">
      <path value="DcmMetadata.requestingPhysician.identifier"/>
      <short value="A.2.7.6.1 - Requesting Physician Identification - DICOM tag (0032,1031)"/>
      <definition value="Identification of the physician who requested the Imaging Service Request."/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element id="DcmMetadata.requestingPhysician.name">
      <path value="DcmMetadata.requestingPhysician.name"/>
      <short value="A.2.7.6.2 - Requesting Physician Name - DICOM tag (0032,1032)"/>
      <definition value="Name of the physician who requested the Imaging Service Request."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="HumanName"/>
      </type>
    </element>
    <element id="DcmMetadata.procedure">
      <path value="DcmMetadata.procedure"/>
      <short value="A.2.7.7 - Scheduled Procedure Step Description - DICOM tag (0040,0007)"/>
      <definition value="Information about the procedure of which this imaging study was a part. A procedure is an act that is or was performed on or for a patient. It can involve a physical intervention, such as surgery, or a less invasive intervention, such as long-term services, counseling, or hypnotherapy."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="DcmMetadata.performingPhysician">
      <path value="DcmMetadata.performingPhysician"/>
      <short value="A.2.7.8 - Performing Physicians - DICOM tag: (0008,1050), (0008,1052)"/>
      <definition value="Healthcare professional who evaluated the study (interpreted the images or other content)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Base"/>
      </type>
    </element>
    <element id="DcmMetadata.performingPhysician.identifier">
      <path value="DcmMetadata.performingPhysician.identifier"/>
      <short value="A.2.7.8.1 - Performing Physician Identification - DICOM tag (0008,1052)"/>
      <definition value="Identification of the physician(s) administering the Series. One or more Items are permitted in this Sequence. If more than one Item, the number and report shall correspond to the value of Performing Physician's Name (0008,1050), if present."/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element id="DcmMetadata.performingPhysician.name">
      <path value="DcmMetadata.performingPhysician.name"/>
      <short value="A.2.7.8.2 - Performing Physicians Name - DICOM tag (0008,1050)"/>
      <definition value="Name of the physician(s) administering the Series."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="HumanName"/>
      </type>
    </element>
    <element id="DcmMetadata.institutionalDepartName">
      <path value="DcmMetadata.institutionalDepartName"/>
      <short value="A.2.7.9 - Institutional Department Name - DICOM tag (0008,1040)"/>
      <definition value="Location (organization) where the study was conducted."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="DcmMetadata.radiopharmaInfoSeq">
      <path value="DcmMetadata.radiopharmaInfoSeq"/>
      <short value="A.2.7.10 - Radiopharmaceutical Information Sequence - DICOM tag (0054,0016)"/>
      <definition value="Radiation exposure from internal irradiation (following the administration of radiopharmaceuticals, expressed as a value in standard SI units [Bq])."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="id"/>
      </type>
    </element>
    <element id="DcmMetadata.series">
      <path value="DcmMetadata.series"/>
      <short value="A.2.7.11 - RT Series information"/>
      <definition value="Information from individual series (for example, their names)."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Base"/>
      </type>
    </element>
    <element id="DcmMetadata.series.seriesNumber">
      <path value="DcmMetadata.series.seriesNumber"/>
      <short value="A.2.7.11.1 - Series Number - DICOM tag (0020,0011)"/>
      <definition value="A number that identifies this Series."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="id"/>
      </type>
    </element>
    <element id="DcmMetadata.series.seriesDescription">
      <path value="DcmMetadata.series.seriesDescription"/>
      <short value="A.2.7.11.2 - Series Description - DICOM tag (0008,103E)"/>
      <definition value="Description of the Series."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="DcmMetadata.studyDescription">
      <path value="DcmMetadata.studyDescription"/>
      <short value="A.2.7.12 - Study Description - DICOM tag (0008,1030)"/>
      <definition value="Description of the study or classification of the performed study."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="DcmMetadata.studyPhase">
      <path value="DcmMetadata.studyPhase"/>
      <short value="A.2.7.13 - Study Phase"/>
      <definition value="A submodel containing information about the individual phases of an examination (typically for CT - e.g., native, arterial phase) and allowing structured recording of information about ionizing radiation exposure during imaging in these phases."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="DcmMetadata.studyReason">
      <path value="DcmMetadata.studyReason"/>
      <short value="A.2.7.14 - Reason for Study - DICOM tag (0032,1030)"/>
      <definition value="The reason the study was performed."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="DcmMetadata.studyComments">
      <path value="DcmMetadata.studyComments"/>
      <short value="A.2.7.15 - Study Comments - obsoleted  DICOM tag (0032,4000)"/>
      <definition value="User-defined comment."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="DcmMetadata.studyEndpoint">
      <path value="DcmMetadata.studyEndpoint"/>
      <short value="A.2.7.16 - Study end-point"/>
      <definition value="A network service providing access to the study, such as query, display, or retrieval."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="DcmMetadata.modality">
      <path value="DcmMetadata.modality"/>
      <short value="A.2.7.17 - Modality - DICOM tag (0008,0060)"/>
      <definition value="A list of all modalities that were used to acquire the study."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element id="DcmMetadata.studyStatus">
      <path value="DcmMetadata.studyStatus"/>
      <short value="A.2.7.18 - Study Status"/>
      <definition value="Current status of the DICOM imaging study."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="DcmMetadata.accessionNumber">
      <path value="DcmMetadata.accessionNumber"/>
      <short value="A.2.7.19 - Accession Number - DICOM tag (0008,0050)"/>
      <definition value="ID of the imaging service request. Unique within the organization."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
    </element>
    <element id="DcmMetadata.studyDateTime">
      <path value="DcmMetadata.studyDateTime"/>
      <short value="A.2.7.20 - Study Date Time - DICOM tag:(0008,0020), (0008,0030)"/>
      <definition value="The date and time when the study was initiated."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
    </element>
  </differential>
</StructureDefinition>