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FHIRcast
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FHIRcast, published by HL7 International / Infrastructure And Messaging. This guide is not an authorized publication; it is the continuous build for version 3.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhircast-docs/ and changes regularly. See the Directory of published versions

Resource Profile: FHIRcast ImagingStudy for Open Events

Official URL: http://hl7.org/fhir/uv/fhircast/StructureDefinition/fhircast-imaging-study-open Version: 3.0.0-ballot
Draft as of 2024-10-11 Computable Name: FHIRcastImagingStudyOpen

Provides guidance as to which ImagingStudy attributes should be present and considerations as to how each attribute should be valued in all [FHIR resource]-open events.

At least one business identifier of the ImagingStudy SHALL be provided in a [FHIR resource]-open request. Two business identifiers are typically associated with an image study. Imaging systems such as a PACS viewer, advanced visualization workstation, etc. typically identify an image study by its DICOM Study Instance UID (which in DICOM is identified with a (0020,000D) tag). Likewise, information systems often identify an image study through the accession number of the order which triggered the image procedure to be performed.

The Study Instance UID SHALL be included as a business identifier if it is known. In FHIR, the Study Instance UID of an ImagingStudy is provided in the identifier array using the identifier system of urn:dicom:uid and prefixing the UID value with urn:oid:.

The accession number SHALL be included as a business identifier if it is known.

FHIR R4 versus FHIR R5

Relative to FHIR R4, the ImagingStudy resource's change relevant to FHIRcast is the guidance FHIR R5 provides in specifying the accession number. In FHIR R4, the guidance is to provide the accession number in the identifier array. In FHIR R5, the accession number is provided in the ImagingStudy's basedOn array as a reference using a ServiceRequest reference type.

Since this version of FHIRcast promotes the use of FHIR R4 resources, the guidance to provide the accession number in the identifier array SHOULD be used and this approach is shown in all ImagingStudy examples in the FHIRcast specification. However, if Subscribers agree to use FHIR R5 resources, the FHIR R5 recommendation MAY be used.

For a more detailed explanation of these business identifiers, see the FHIR R4 implementation notes of the FHIR ImagingStudy resource (and the FHIR R5 implementation notes of the FHIR ImagingStudy resource). Ideally both the accession number and Study Instance UID are available and present in an ImagingStudy resource used in FHIRcast. The presence of both business identifiers ensures that all Subscribers will be able to be able to identify the appropriate imaging study.

Usage:

Formal Views of Profile Content

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

This structure is derived from ImagingStudy

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy ImagingStudy
... id 1..1 id A logical id of the resource SHALL be provided.
... identifier 1..* Identifier At least one business identifier of the ImagingStudy SHALL be provided in a [FHIR resource]-open request (see this event's detailed description for more information).
... status 1..1 code Status of the ImagingStudy, note this may not be known and hence have a value of `unknown`; however, `status` is included since it is required by the FHIR standard

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy 0..* ImagingStudy A set of images produced in single study (one or more series of references images)
... id Σ 1..1 id A logical id of the resource SHALL be provided.
... 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 Status of the ImagingStudy, note this may not be known and hence have a value of `unknown`; however, `status` is included since it is required by the FHIR standard
Binding: ImagingStudyStatus (required): The status of the ImagingStudy.

... subject Σ 1..1 Reference(FHIRcast Patient for Open Events | Device | Group) Reference to the Patient resource associated with the ImagingStudy (see detailed description if the image study's subject is not a patient)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ImagingStudy.statusrequiredImagingStudyStatus
http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorImagingStudyIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImagingStudyIf 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-4errorImagingStudyIf 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-5errorImagingStudyIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceImagingStudyA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy 0..* ImagingStudy A set of images produced in single study (one or more series of references images)
... id Σ 1..1 id A logical id of the resource SHALL be provided.
... 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
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier At least one business identifier of the ImagingStudy SHALL be provided in a [FHIR resource]-open request (see this event's detailed description for more information).
... status ?!Σ 1..1 code Status of the ImagingStudy, note this may not be known and hence have a value of `unknown`; however, `status` is included since it is required by the FHIR standard
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(FHIRcast Patient for Open Events | Device | Group) Reference to the Patient resource associated with the ImagingStudy (see detailed description if the image study's subject is not a patient)
... encounter Σ 0..1 Reference(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(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 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(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(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 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(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) 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

PathConformanceValueSetURI
ImagingStudy.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
ImagingStudy.statusrequiredImagingStudyStatus
http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1
from the FHIR Standard
ImagingStudy.modalityextensibleAcquisitionModality .
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
ImagingStudy.procedureCodeextensiblehttp://www.rsna.org/RadLex_Playbook.aspx
http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
ImagingStudy.series.modalityextensibleAcquisitionModality .
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
ImagingStudy.series.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
ImagingStudy.series.lateralityexampleLaterality
http://hl7.org/fhir/ValueSet/bodysite-laterality
from the FHIR Standard
ImagingStudy.series.performer.functionextensibleImagingStudySeriesPerformerFunction
http://hl7.org/fhir/ValueSet/series-performer-function
from the FHIR Standard
ImagingStudy.series.instance.sopClassextensiblehttp://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

IdGradePath(s)DetailsRequirements
dom-2errorImagingStudyIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImagingStudyIf 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-4errorImagingStudyIf 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-5errorImagingStudyIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceImagingStudyA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from ImagingStudy

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

Differential View

This structure is derived from ImagingStudy

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy ImagingStudy
... id 1..1 id A logical id of the resource SHALL be provided.
... identifier 1..* Identifier At least one business identifier of the ImagingStudy SHALL be provided in a [FHIR resource]-open request (see this event's detailed description for more information).
... status 1..1 code Status of the ImagingStudy, note this may not be known and hence have a value of `unknown`; however, `status` is included since it is required by the FHIR standard

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy 0..* ImagingStudy A set of images produced in single study (one or more series of references images)
... id Σ 1..1 id A logical id of the resource SHALL be provided.
... 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 Status of the ImagingStudy, note this may not be known and hence have a value of `unknown`; however, `status` is included since it is required by the FHIR standard
Binding: ImagingStudyStatus (required): The status of the ImagingStudy.

... subject Σ 1..1 Reference(FHIRcast Patient for Open Events | Device | Group) Reference to the Patient resource associated with the ImagingStudy (see detailed description if the image study's subject is not a patient)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ImagingStudy.statusrequiredImagingStudyStatus
http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorImagingStudyIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImagingStudyIf 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-4errorImagingStudyIf 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-5errorImagingStudyIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceImagingStudyA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy 0..* ImagingStudy A set of images produced in single study (one or more series of references images)
... id Σ 1..1 id A logical id of the resource SHALL be provided.
... 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
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier At least one business identifier of the ImagingStudy SHALL be provided in a [FHIR resource]-open request (see this event's detailed description for more information).
... status ?!Σ 1..1 code Status of the ImagingStudy, note this may not be known and hence have a value of `unknown`; however, `status` is included since it is required by the FHIR standard
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(FHIRcast Patient for Open Events | Device | Group) Reference to the Patient resource associated with the ImagingStudy (see detailed description if the image study's subject is not a patient)
... encounter Σ 0..1 Reference(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(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 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(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(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 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(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) 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

PathConformanceValueSetURI
ImagingStudy.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
ImagingStudy.statusrequiredImagingStudyStatus
http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1
from the FHIR Standard
ImagingStudy.modalityextensibleAcquisitionModality .
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
ImagingStudy.procedureCodeextensiblehttp://www.rsna.org/RadLex_Playbook.aspx
http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
ImagingStudy.series.modalityextensibleAcquisitionModality .
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
ImagingStudy.series.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
ImagingStudy.series.lateralityexampleLaterality
http://hl7.org/fhir/ValueSet/bodysite-laterality
from the FHIR Standard
ImagingStudy.series.performer.functionextensibleImagingStudySeriesPerformerFunction
http://hl7.org/fhir/ValueSet/series-performer-function
from the FHIR Standard
ImagingStudy.series.instance.sopClassextensiblehttp://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

IdGradePath(s)DetailsRequirements
dom-2errorImagingStudyIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImagingStudyIf 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-4errorImagingStudyIf 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-5errorImagingStudyIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceImagingStudyA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from ImagingStudy

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron