US Quality Core Implementation Guide
1.0.0-ballot - STU 1 - ballot United States of America flag

US Quality Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-quality-core/ and changes regularly. See the Directory of published versions

Resource Profile: US Quality Core ImagingStudy

Official URL: http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-imagingstudy Version: 1.0.0-ballot
Standards status: Trial-use Maturity Level: 4 Computable Name: USQualityCoreImagingStudy
Other Identifiers: OID:2.16.840.1.113883.4.642.40.78.42.19

Profile of ImagingStudy for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

USCDI+ Quality Element Support Expectations

Systems are expected to support this profile as part of implementing USCDI+ Quality V2 in FHIR and meeting the conformance requirements of this guide.

The following elements are specifically relevant to USCDI+ Quality V2 data classes and elements. Systems are expected to support these elements as applicable to their role in US Quality Core data exchange. See the Must Support section of this guide for more information. These elements are flagged as (USCDI+ Quality) in the formal profile views.

USCDI+ Quality Elements:

Profile element Description USCDI+ Quality Data Element(s)
interpreter Who interpreted images Provenance: Author
series.performer.actor Who performed the series Provenance: Author
status registered | available | cancelled | entered-in-error | unknown Diagnostic Imaging: Diagnostic Imaging Status

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... status ?!Σ 1..1 code (USCDI+ Quality) registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
... encounter Σ 0..1 Reference(US Quality Core Encounter) Encounter with which this imaging study is associated
... basedOn Σ 0..* Reference(US Quality Core ServiceRequest | US Quality Core CarePlan) Request fulfilled
... referrer Σ 0..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole) Referring physician
... interpreter Σ 0..* Reference(US Quality Core Practitioner | US Quality Core PractitionerRole) (USCDI+ Quality) Who interpreted images
... procedureReference Σ 0..1 Reference(US Quality Core Procedure) The performed Procedure reference
... location Σ 0..1 Reference(US Quality Core Location) Where ImagingStudy occurred
... reasonReference Σ 0..* Reference(US Quality Core Condition Problems Health Concerns | US Quality Core Simple Observation | Media | US Quality Core DiagnosticReport Profile for Report and Note Exchange | DocumentReference) Why was study performed

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ImagingStudy.status Base required ImagingStudyStatus 📍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()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImagingStudy 0..* ImagingStudy A set of images produced in single study (one or more series of references images)
... status 1..1 code (USCDI+ Quality) registered | available | cancelled | entered-in-error | unknown
... subject 1..1 Reference(US Quality Core Patient) Who or what is the subject of the study
... encounter 0..1 Reference(US Quality Core Encounter) Encounter with which this imaging study is associated
... referrer 0..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole) Referring physician
... interpreter 0..* Reference(US Quality Core Practitioner | US Quality Core PractitionerRole) (USCDI+ Quality) Who interpreted images
... procedureReference 0..1 Reference(US Quality Core Procedure) The performed Procedure reference
... location 0..1 Reference(US Quality Core Location) Where ImagingStudy occurred
... reasonReference 0..* Reference(US Quality Core Condition Problems Health Concerns | US Quality Core Simple Observation | Media | US Quality Core DiagnosticReport Profile for Report and Note Exchange | DocumentReference) Why was study performed
... series
.... performer
..... actor 1..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Organization | US Quality Core CareTeam | US Quality Core Patient | US Core Device Profile(9.0.0) | US Quality Core RelatedPerson) (USCDI+ Quality) Who performed the series

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifiers for the whole study
... status ?!Σ 1..1 code (USCDI+ Quality) registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
... modality Σ 0..* Coding All series modality if actual acquisition modalities
Binding: AcquisitionModality (extensible): Type of acquired data in the instance.
... subject Σ 1..1 Reference(US Quality Core Patient) Who or what is the subject of the study
... encounter Σ 0..1 Reference(US Quality Core Encounter) Encounter with which this imaging study is associated
... started Σ 0..1 dateTime When the study was started
Example General: 2011-01-01T11:01:20+03:00
... basedOn Σ 0..* Reference(US Quality Core ServiceRequest | US Quality Core CarePlan) Request fulfilled
... referrer Σ 0..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole) Referring physician
... interpreter Σ 0..* Reference(US Quality Core Practitioner | US Quality Core PractitionerRole) (USCDI+ Quality) 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(US Quality Core Procedure) The performed Procedure reference
... procedureCode Σ 0..* CodeableConcept The performed procedure code
Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
... location Σ 0..1 Reference(US Quality Core Location) Where ImagingStudy occurred
... reasonCode Σ 0..* CodeableConcept Why the study was requested
Binding: ProcedureReasonCodes (example): The reason for the study.
... reasonReference Σ 0..* Reference(US Quality Core Condition Problems Health Concerns | US Quality Core Simple Observation | Media | US Quality Core DiagnosticReport Profile for Report and Note Exchange | DocumentReference) Why was study performed
... note Σ 0..* Annotation User-defined comments
... description Σ 0..1 string Institution-generated description
... 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 Σ 0..1 unsignedInt Numeric identifier of this series
Example General: 3
.... modality Σ 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(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Organization | US Quality Core CareTeam | US Quality Core Patient | US Core Device Profile(9.0.0) | US Quality Core RelatedPerson) (USCDI+ Quality) Who performed the series
.... instance 0..* BackboneElement A single SOP instance from the series
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... 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

doco 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 extensible AcquisitionModality 📦2025.2.20250411 DICOM v2025b
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 AcquisitionModality 📦2025.2.20250411 DICOM v2025b
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 ImagingStudy series performer function 📍4.0.1 FHIR Std.
ImagingStudy.series.​instance.sopClass Base extensible http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 Not State Unknown

Constraints

Id Grade Path(s) Description Expression
dom-2 error ImagingStudy If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ImagingStudy If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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()

Summary

Structures

This structure refers to these other structures:

Maturity: 4

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... status ?!Σ 1..1 code (USCDI+ Quality) registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
... encounter Σ 0..1 Reference(US Quality Core Encounter) Encounter with which this imaging study is associated
... basedOn Σ 0..* Reference(US Quality Core ServiceRequest | US Quality Core CarePlan) Request fulfilled
... referrer Σ 0..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole) Referring physician
... interpreter Σ 0..* Reference(US Quality Core Practitioner | US Quality Core PractitionerRole) (USCDI+ Quality) Who interpreted images
... procedureReference Σ 0..1 Reference(US Quality Core Procedure) The performed Procedure reference
... location Σ 0..1 Reference(US Quality Core Location) Where ImagingStudy occurred
... reasonReference Σ 0..* Reference(US Quality Core Condition Problems Health Concerns | US Quality Core Simple Observation | Media | US Quality Core DiagnosticReport Profile for Report and Note Exchange | DocumentReference) Why was study performed

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ImagingStudy.status Base required ImagingStudyStatus 📍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()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImagingStudy 0..* ImagingStudy A set of images produced in single study (one or more series of references images)
... status 1..1 code (USCDI+ Quality) registered | available | cancelled | entered-in-error | unknown
... subject 1..1 Reference(US Quality Core Patient) Who or what is the subject of the study
... encounter 0..1 Reference(US Quality Core Encounter) Encounter with which this imaging study is associated
... referrer 0..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole) Referring physician
... interpreter 0..* Reference(US Quality Core Practitioner | US Quality Core PractitionerRole) (USCDI+ Quality) Who interpreted images
... procedureReference 0..1 Reference(US Quality Core Procedure) The performed Procedure reference
... location 0..1 Reference(US Quality Core Location) Where ImagingStudy occurred
... reasonReference 0..* Reference(US Quality Core Condition Problems Health Concerns | US Quality Core Simple Observation | Media | US Quality Core DiagnosticReport Profile for Report and Note Exchange | DocumentReference) Why was study performed
... series
.... performer
..... actor 1..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Organization | US Quality Core CareTeam | US Quality Core Patient | US Core Device Profile(9.0.0) | US Quality Core RelatedPerson) (USCDI+ Quality) Who performed the series

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifiers for the whole study
... status ?!Σ 1..1 code (USCDI+ Quality) registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
... modality Σ 0..* Coding All series modality if actual acquisition modalities
Binding: AcquisitionModality (extensible): Type of acquired data in the instance.
... subject Σ 1..1 Reference(US Quality Core Patient) Who or what is the subject of the study
... encounter Σ 0..1 Reference(US Quality Core Encounter) Encounter with which this imaging study is associated
... started Σ 0..1 dateTime When the study was started
Example General: 2011-01-01T11:01:20+03:00
... basedOn Σ 0..* Reference(US Quality Core ServiceRequest | US Quality Core CarePlan) Request fulfilled
... referrer Σ 0..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole) Referring physician
... interpreter Σ 0..* Reference(US Quality Core Practitioner | US Quality Core PractitionerRole) (USCDI+ Quality) 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(US Quality Core Procedure) The performed Procedure reference
... procedureCode Σ 0..* CodeableConcept The performed procedure code
Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
... location Σ 0..1 Reference(US Quality Core Location) Where ImagingStudy occurred
... reasonCode Σ 0..* CodeableConcept Why the study was requested
Binding: ProcedureReasonCodes (example): The reason for the study.
... reasonReference Σ 0..* Reference(US Quality Core Condition Problems Health Concerns | US Quality Core Simple Observation | Media | US Quality Core DiagnosticReport Profile for Report and Note Exchange | DocumentReference) Why was study performed
... note Σ 0..* Annotation User-defined comments
... description Σ 0..1 string Institution-generated description
... 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 Σ 0..1 unsignedInt Numeric identifier of this series
Example General: 3
.... modality Σ 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(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Organization | US Quality Core CareTeam | US Quality Core Patient | US Core Device Profile(9.0.0) | US Quality Core RelatedPerson) (USCDI+ Quality) Who performed the series
.... instance 0..* BackboneElement A single SOP instance from the series
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... 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

doco 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 extensible AcquisitionModality 📦2025.2.20250411 DICOM v2025b
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 AcquisitionModality 📦2025.2.20250411 DICOM v2025b
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 ImagingStudy series performer function 📍4.0.1 FHIR Std.
ImagingStudy.series.​instance.sopClass Base extensible http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 Not State Unknown

Constraints

Id Grade Path(s) Description Expression
dom-2 error ImagingStudy If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ImagingStudy If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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()

Summary

Structures

This structure refers to these other structures:

Maturity: 4

 

Other representations of profile: CSV, Excel, Schematron

Notes:

Element Conformance Indicators by Profile Layer

Badges identify the profile layer where each conformance indicator is first introduced. Indicators introduced in an earlier layer remain applicable in later derived profiles.

Element conformance indicators organized by the profile layer where they are first introduced
Profile element FHIR US Quality Core
status Mandatory USCDI+ Quality
subject Mandatory
interpreter USCDI+ Quality
series.uid Mandatory
series.modality Mandatory
series.performer.actor Mandatory USCDI+ Quality
series.instance.uid Mandatory
series.instance.sopClass Mandatory

Cardinality note: “Mandatory” means the element has a minimum cardinality greater than zero. For nested elements, the cardinality indicator applies when the containing element is present.

Mandatory US Quality Core Server Search Parameters

The searches below are the focused set identified by US Quality Core as needed to retrieve USCDI+ Quality data for quality measurement and reporting. See the US Core FHIR RESTful Search API Requirements for detailed information on requirements by search parameter type.

See the US Quality Core Server CapabilityStatement for complete requirements for the underlying ImagingStudy resource and Search Requirement Selection for how this focused set was selected.

Servers supporting this profile SHALL support the following search parameters and search parameter combinations:

  1. SHALL support searching for all ImagingStudy resources for a patient using the subject search parameter.

    GET [base]/ImagingStudy?subject={Patient/}[id]

    Example:

    GET [base]/ImagingStudy?subject=Patient/example

    Implementation Notes: Fetches a bundle of US Quality Core ImagingStudy resources matching the specified search criteria. See how to search by reference.

    Rationale for inclusion: Supports subject-scoped retrieval of ImagingStudy resources for USCDI+ Quality workflows.