International Patient Summary Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-ips/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: ImagingStudy (IPS)

This profile represents the constraints applied to the ImagingStudy resource by the IPS project, which specifies the information on a DICOM imaging study this imaging result is part of.

Usage:

• Use this Resource Profile: Bundle (IPS)
• Refer to this Resource Profile: Observation Results - Radiology (IPS)

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from ImagingStudy

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy			ImagingStudy
identifier	S	0..*	Identifier	Identifiers for the whole study
status		1..1	code	registered | available | cancelled | entered-in-error | unknown Binding: Imaging Study Status Codes - IPS (required)
subject	S	1..1	Reference(Patient (IPS))	Who or what is the subject of the study
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
started	S	0..1	dateTime	When the study was started
procedureCode	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Observation - IPS (extensible)
reasonCode	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text
series	S	0..*	BackboneElement	Each study has one or more series of instances
uid	S	1..1	id	DICOM Series Instance UID for the series
modality	S	1..1	Coding	The modality of the instances in the series
instance	S	0..*	BackboneElement	A single SOP instance from the series
uid	S	1..1	id	DICOM SOP Instance UID
sopClass	S	1..1	Coding	DICOM class type
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ImagingStudy.status	required	ImagingStudyStatusUvIps http://hl7.org/fhir/uv/ips/ValueSet/imaging-study-status-uv-ips from this IG
ImagingStudy.procedureCode	extensible	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips from this IG

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy		0..*	ImagingStudy	A set of images produced in single study (one or more series of references images)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identifiers for the whole study
status	?!Σ	1..1	code	registered | available | cancelled | entered-in-error | unknown Binding: Imaging Study Status Codes - IPS (required)
subject	SΣ	1..1	Reference(Patient (IPS))	Who or what is the subject of the study
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
started	SΣ	0..1	dateTime	When the study was started Example General: 2011-01-01T11:01:20+03:00
procedureCode	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Observation - IPS (extensible)
reasonCode	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: ProcedureReasonCodes (example): The reason for the study.
series	SΣ	0..*	BackboneElement	Each study has one or more series of instances
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
uid	SΣ	1..1	id	DICOM Series Instance UID for the series Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
modality	SΣ	1..1	Coding	The modality of the instances in the series Binding: AcquisitionModality (extensible): Type of acquired data in the instance.
instance	S	0..*	BackboneElement	A single SOP instance from the series
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
uid	S	1..1	id	DICOM SOP Instance UID Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
sopClass	S	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.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ImagingStudy.status	required	ImagingStudyStatusUvIps http://hl7.org/fhir/uv/ips/ValueSet/imaging-study-status-uv-ips from this IG
ImagingStudy.procedureCode	extensible	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips from this IG
ImagingStudy.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ImagingStudy.series.modality	extensible	AcquisitionModality http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html from http://tx.fhir.org/r4
ImagingStudy.series.instance.sopClass	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy		0..*	ImagingStudy	A set of images produced in single study (one or more series of references images)
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identifiers for the whole study
status	?!Σ	1..1	code	registered | available | cancelled | entered-in-error | unknown Binding: Imaging Study Status Codes - IPS (required)
modality	Σ	0..*	Coding	All series modality if actual acquisition modalities Binding: AcquisitionModality (extensible): Type of acquired data in the instance.
subject	SΣ	1..1	Reference(Patient (IPS))	Who or what is the subject of the study
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	SΣC	1..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	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Encounter with which this imaging study is associated
started	SΣ	0..1	dateTime	When the study was started Example General: 2011-01-01T11:01:20+03:00
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)	Request fulfilled
referrer	Σ	0..1	Reference(Practitioner | PractitionerRole)	Referring physician
interpreter	Σ	0..*	Reference(Practitioner | PractitionerRole)	Who interpreted images
endpoint	Σ	0..*	Reference(Endpoint)	Study access endpoint
numberOfSeries	Σ	0..1	unsignedInt	Number of Study Related Series
numberOfInstances	Σ	0..1	unsignedInt	Number of Study Related Instances
procedureReference	Σ	0..1	Reference(Procedure)	The performed Procedure reference
procedureCode	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Observation - IPS (extensible)
location	Σ	0..1	Reference(Location)	Where ImagingStudy occurred
reasonCode	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: ProcedureReasonCodes (example): The reason for the study.
reasonReference	Σ	0..*	Reference(Condition | Observation | Media | DiagnosticReport | DocumentReference)	Why was study performed
note	Σ	0..*	Annotation	User-defined comments
description	Σ	0..1	string	Institution-generated description
series	SΣ	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	SΣ	1..1	id	DICOM Series Instance UID for the series Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
number	Σ	0..1	unsignedInt	Numeric identifier of this series Example General: 3
modality	SΣ	1..1	Coding	The modality of the instances in the series Binding: AcquisitionModality (extensible): Type of acquired data in the instance.
description	Σ	0..1	string	A short human readable summary of the series Example General: CT Surview 180
numberOfInstances	Σ	0..1	unsignedInt	Number of Series Related Instances
endpoint	Σ	0..*	Reference(Endpoint)	Series access endpoint
bodySite	Σ	0..1	Coding	Body part examined Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
laterality	Σ	0..1	Coding	Body part laterality Binding: Laterality (example): Codes describing body site laterality (left, right, etc.).
specimen	Σ	0..*	Reference(Specimen)	Specimen imaged
started	Σ	0..1	dateTime	When the series started
performer	Σ	0..*	BackboneElement	Who performed the series
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performance Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)	Who performed the series
instance	S	0..*	BackboneElement	A single SOP instance from the series
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
uid	S	1..1	id	DICOM SOP Instance UID Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
sopClass	S	1..1	Coding	DICOM class type Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance.
number		0..1	unsignedInt	The number of this instance in the series Example General: 1
title		0..1	string	Description of instance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ImagingStudy.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
ImagingStudy.status	required	ImagingStudyStatusUvIps http://hl7.org/fhir/uv/ips/ValueSet/imaging-study-status-uv-ips from this IG
ImagingStudy.modality	extensible	AcquisitionModality http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html from http://tx.fhir.org/r4
ImagingStudy.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ImagingStudy.procedureCode	extensible	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips from this IG
ImagingStudy.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ImagingStudy.series.modality	extensible	AcquisitionModality http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html from http://tx.fhir.org/r4
ImagingStudy.series.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
ImagingStudy.series.laterality	example	Laterality http://hl7.org/fhir/ValueSet/bodysite-laterality from the FHIR Standard
ImagingStudy.series.performer.function	extensible	ImagingStudySeriesPerformerFunction http://hl7.org/fhir/ValueSet/series-performer-function from the FHIR Standard
ImagingStudy.series.instance.sopClass	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

This structure is derived from ImagingStudy

Summary

Mandatory: 1 element
Must-Support: 12 elements

Structures

This structure refers to these other structures:

• Patient (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips)
• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)

Maturity: 2

Differential View

This structure is derived from ImagingStudy

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy			ImagingStudy
identifier	S	0..*	Identifier	Identifiers for the whole study
status		1..1	code	registered | available | cancelled | entered-in-error | unknown Binding: Imaging Study Status Codes - IPS (required)
subject	S	1..1	Reference(Patient (IPS))	Who or what is the subject of the study
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
started	S	0..1	dateTime	When the study was started
procedureCode	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Observation - IPS (extensible)
reasonCode	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text
series	S	0..*	BackboneElement	Each study has one or more series of instances
uid	S	1..1	id	DICOM Series Instance UID for the series
modality	S	1..1	Coding	The modality of the instances in the series
instance	S	0..*	BackboneElement	A single SOP instance from the series
uid	S	1..1	id	DICOM SOP Instance UID
sopClass	S	1..1	Coding	DICOM class type
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ImagingStudy.status	required	ImagingStudyStatusUvIps http://hl7.org/fhir/uv/ips/ValueSet/imaging-study-status-uv-ips from this IG
ImagingStudy.procedureCode	extensible	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy		0..*	ImagingStudy	A set of images produced in single study (one or more series of references images)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identifiers for the whole study
status	?!Σ	1..1	code	registered | available | cancelled | entered-in-error | unknown Binding: Imaging Study Status Codes - IPS (required)
subject	SΣ	1..1	Reference(Patient (IPS))	Who or what is the subject of the study
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
started	SΣ	0..1	dateTime	When the study was started Example General: 2011-01-01T11:01:20+03:00
procedureCode	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Observation - IPS (extensible)
reasonCode	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: ProcedureReasonCodes (example): The reason for the study.
series	SΣ	0..*	BackboneElement	Each study has one or more series of instances
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
uid	SΣ	1..1	id	DICOM Series Instance UID for the series Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
modality	SΣ	1..1	Coding	The modality of the instances in the series Binding: AcquisitionModality (extensible): Type of acquired data in the instance.
instance	S	0..*	BackboneElement	A single SOP instance from the series
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
uid	S	1..1	id	DICOM SOP Instance UID Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
sopClass	S	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.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ImagingStudy.status	required	ImagingStudyStatusUvIps http://hl7.org/fhir/uv/ips/ValueSet/imaging-study-status-uv-ips from this IG
ImagingStudy.procedureCode	extensible	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips from this IG
ImagingStudy.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ImagingStudy.series.modality	extensible	AcquisitionModality http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html from http://tx.fhir.org/r4
ImagingStudy.series.instance.sopClass	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy		0..*	ImagingStudy	A set of images produced in single study (one or more series of references images)
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identifiers for the whole study
status	?!Σ	1..1	code	registered | available | cancelled | entered-in-error | unknown Binding: Imaging Study Status Codes - IPS (required)
modality	Σ	0..*	Coding	All series modality if actual acquisition modalities Binding: AcquisitionModality (extensible): Type of acquired data in the instance.
subject	SΣ	1..1	Reference(Patient (IPS))	Who or what is the subject of the study
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	SΣC	1..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	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Encounter with which this imaging study is associated
started	SΣ	0..1	dateTime	When the study was started Example General: 2011-01-01T11:01:20+03:00
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)	Request fulfilled
referrer	Σ	0..1	Reference(Practitioner | PractitionerRole)	Referring physician
interpreter	Σ	0..*	Reference(Practitioner | PractitionerRole)	Who interpreted images
endpoint	Σ	0..*	Reference(Endpoint)	Study access endpoint
numberOfSeries	Σ	0..1	unsignedInt	Number of Study Related Series
numberOfInstances	Σ	0..1	unsignedInt	Number of Study Related Instances
procedureReference	Σ	0..1	Reference(Procedure)	The performed Procedure reference
procedureCode	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Results Radiology Observation - IPS (extensible)
location	Σ	0..1	Reference(Location)	Where ImagingStudy occurred
reasonCode	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: ProcedureReasonCodes (example): The reason for the study.
reasonReference	Σ	0..*	Reference(Condition | Observation | Media | DiagnosticReport | DocumentReference)	Why was study performed
note	Σ	0..*	Annotation	User-defined comments
description	Σ	0..1	string	Institution-generated description
series	SΣ	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	SΣ	1..1	id	DICOM Series Instance UID for the series Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
number	Σ	0..1	unsignedInt	Numeric identifier of this series Example General: 3
modality	SΣ	1..1	Coding	The modality of the instances in the series Binding: AcquisitionModality (extensible): Type of acquired data in the instance.
description	Σ	0..1	string	A short human readable summary of the series Example General: CT Surview 180
numberOfInstances	Σ	0..1	unsignedInt	Number of Series Related Instances
endpoint	Σ	0..*	Reference(Endpoint)	Series access endpoint
bodySite	Σ	0..1	Coding	Body part examined Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
laterality	Σ	0..1	Coding	Body part laterality Binding: Laterality (example): Codes describing body site laterality (left, right, etc.).
specimen	Σ	0..*	Reference(Specimen)	Specimen imaged
started	Σ	0..1	dateTime	When the series started
performer	Σ	0..*	BackboneElement	Who performed the series
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performance Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)	Who performed the series
instance	S	0..*	BackboneElement	A single SOP instance from the series
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
uid	S	1..1	id	DICOM SOP Instance UID Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
sopClass	S	1..1	Coding	DICOM class type Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance.
number		0..1	unsignedInt	The number of this instance in the series Example General: 1
title		0..1	string	Description of instance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ImagingStudy.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
ImagingStudy.status	required	ImagingStudyStatusUvIps http://hl7.org/fhir/uv/ips/ValueSet/imaging-study-status-uv-ips from this IG
ImagingStudy.modality	extensible	AcquisitionModality http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html from http://tx.fhir.org/r4
ImagingStudy.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ImagingStudy.procedureCode	extensible	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips from this IG
ImagingStudy.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ImagingStudy.series.modality	extensible	AcquisitionModality http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html from http://tx.fhir.org/r4
ImagingStudy.series.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
ImagingStudy.series.laterality	example	Laterality http://hl7.org/fhir/ValueSet/bodysite-laterality from the FHIR Standard
ImagingStudy.series.performer.function	extensible	ImagingStudySeriesPerformerFunction http://hl7.org/fhir/ValueSet/series-performer-function from the FHIR Standard
ImagingStudy.series.instance.sopClass	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

This structure is derived from ImagingStudy

Summary

Mandatory: 1 element
Must-Support: 12 elements

Structures

This structure refers to these other structures:

• Patient (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips)
• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)

Maturity: 2

Other representations of profile: CSV, Excel, Schematron