FLUTE Cross-border Prostate Cancer Data Standard Guide
0.1.0 - ci-build
Funded by the European Union

FLUTE Cross-border Prostate Cancer Data Standard Guide, published by Flute Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/flute/ and changes regularly. See the Directory of published versions

Resource Profile: ImagingStudy: link with variables

Official URL: http://hl7.eu/fhir/ig/flute/StructureDefinition/imagingStudy-eu-flute Version: 0.1.0
Draft as of 2025-04-24 Computable Name: ImagingStudyFlute

This profile described how to link an Imaging Study with the associated FLUTE variables.

Usage:

  • This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy 0..* ImagingStudy A set of images produced in single study (one or more series of references images)
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:supporting-info 0..* (Complex) Resource supporting information
URL: http://hl7.eu/fhir/ig/flute/StructureDefinition/resource-supportingInfo
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... extension 0..0
..... url 1..1 uri "http://hl7.eu/fhir/ig/flute/StructureDefinition/resource-supportingInfo"
..... value[x] 0..1 Reference(Procedure: biopsy | Procedure: DRE | Observation: Outcome BCN-RC 2 | Observation: PI-RADS | FamilyMemberHistory: prostate cancer family history | Observation: prostate specific antigen | Observation: prostate volume) Value of extension
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... status ?!Σ 1..1 code State of the Study
Binding: ImagingStudyStatus (required): The status of the ImagingStudy.


ele-1: All FHIR elements must have a @value or children
... modality Σ 0..* Coding Study modalities
Binding: AcquisitionModality . (extensible): Type of acquired data in the instance.


ele-1: All FHIR elements must have a @value or children
... subject Σ 1..1 Reference(Patient | Device | Group) Study subject
ele-1: All FHIR elements must have a @value or children
... series Σ 0..* BackboneElement Study series
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... uid Σ 1..1 id DICOM Series Instance UID
ele-1: All FHIR elements must have a @value or children
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
.... modality Σ 1..1 Coding The modality of the instances in the series
Binding: AcquisitionModality . (extensible): Type of acquired data in the instance.


ele-1: All FHIR elements must have a @value or children
.... instance 0..* BackboneElement DICOM Instance
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... uid 1..1 id DICOM SOP Instance UID
ele-1: All FHIR elements must have a @value or children
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
..... sopClass 1..1 Coding DICOM SOP Class
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.


ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
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.series.modalityextensibleAcquisitionModality .
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
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

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy 0..* ImagingStudy A set of images produced in single study (one or more series of references images)
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:supporting-info 0..* (Complex) Resource supporting information
URL: http://hl7.eu/fhir/ig/flute/StructureDefinition/resource-supportingInfo
..... value[x] 0..1 Reference(Procedure: biopsy | Procedure: DRE | Observation: Outcome BCN-RC 2 | Observation: PI-RADS | FamilyMemberHistory: prostate cancer family history | Observation: prostate specific antigen | Observation: prostate volume) Value of extension
... identifier 0..* Identifier Identifiers for the study
... status 1..1 code State of the Study
... subject 1..1 Reference(Patient | Device | Group) Study subject
... series 0..* BackboneElement Study series
.... uid 1..1 id DICOM Series Instance UID
.... instance 0..* BackboneElement DICOM Instance
..... sopClass 1..1 Coding DICOM SOP Class

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 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
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:supporting-info 0..* (Complex) Resource supporting information
URL: http://hl7.eu/fhir/ig/flute/StructureDefinition/resource-supportingInfo
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.eu/fhir/ig/flute/StructureDefinition/resource-supportingInfo"
..... value[x] 0..1 Reference(Procedure: biopsy | Procedure: DRE | Observation: Outcome BCN-RC 2 | Observation: PI-RADS | FamilyMemberHistory: prostate cancer family history | Observation: prostate specific antigen | Observation: prostate volume) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifiers for the study
... status ?!Σ 1..1 code State of the Study
Binding: ImagingStudyStatus (required): The status of the ImagingStudy.

... modality Σ 0..* Coding Study modalities
Binding: AcquisitionModality . (extensible): Type of acquired data in the instance.


... subject Σ 1..1 Reference(Patient | Device | Group) Study subject
... 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 Study 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 Σ 1..1 id DICOM Series Instance UID
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 DICOM Instance
..... 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 SOP Class
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
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
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()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy 0..* ImagingStudy A set of images produced in single study (one or more series of references images)
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:supporting-info 0..* (Complex) Resource supporting information
URL: http://hl7.eu/fhir/ig/flute/StructureDefinition/resource-supportingInfo
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... extension 0..0
..... url 1..1 uri "http://hl7.eu/fhir/ig/flute/StructureDefinition/resource-supportingInfo"
..... value[x] 0..1 Reference(Procedure: biopsy | Procedure: DRE | Observation: Outcome BCN-RC 2 | Observation: PI-RADS | FamilyMemberHistory: prostate cancer family history | Observation: prostate specific antigen | Observation: prostate volume) Value of extension
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... status ?!Σ 1..1 code State of the Study
Binding: ImagingStudyStatus (required): The status of the ImagingStudy.


ele-1: All FHIR elements must have a @value or children
... modality Σ 0..* Coding Study modalities
Binding: AcquisitionModality . (extensible): Type of acquired data in the instance.


ele-1: All FHIR elements must have a @value or children
... subject Σ 1..1 Reference(Patient | Device | Group) Study subject
ele-1: All FHIR elements must have a @value or children
... series Σ 0..* BackboneElement Study series
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... uid Σ 1..1 id DICOM Series Instance UID
ele-1: All FHIR elements must have a @value or children
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
.... modality Σ 1..1 Coding The modality of the instances in the series
Binding: AcquisitionModality . (extensible): Type of acquired data in the instance.


ele-1: All FHIR elements must have a @value or children
.... instance 0..* BackboneElement DICOM Instance
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... uid 1..1 id DICOM SOP Instance UID
ele-1: All FHIR elements must have a @value or children
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
..... sopClass 1..1 Coding DICOM SOP Class
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.


ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
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.series.modalityextensibleAcquisitionModality .
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
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()

Differential View

This structure is derived from ImagingStudy

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy 0..* ImagingStudy A set of images produced in single study (one or more series of references images)
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:supporting-info 0..* (Complex) Resource supporting information
URL: http://hl7.eu/fhir/ig/flute/StructureDefinition/resource-supportingInfo
..... value[x] 0..1 Reference(Procedure: biopsy | Procedure: DRE | Observation: Outcome BCN-RC 2 | Observation: PI-RADS | FamilyMemberHistory: prostate cancer family history | Observation: prostate specific antigen | Observation: prostate volume) Value of extension
... identifier 0..* Identifier Identifiers for the study
... status 1..1 code State of the Study
... subject 1..1 Reference(Patient | Device | Group) Study subject
... series 0..* BackboneElement Study series
.... uid 1..1 id DICOM Series Instance UID
.... instance 0..* BackboneElement DICOM Instance
..... sopClass 1..1 Coding DICOM SOP Class

doco Documentation for this format

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 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
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:supporting-info 0..* (Complex) Resource supporting information
URL: http://hl7.eu/fhir/ig/flute/StructureDefinition/resource-supportingInfo
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.eu/fhir/ig/flute/StructureDefinition/resource-supportingInfo"
..... value[x] 0..1 Reference(Procedure: biopsy | Procedure: DRE | Observation: Outcome BCN-RC 2 | Observation: PI-RADS | FamilyMemberHistory: prostate cancer family history | Observation: prostate specific antigen | Observation: prostate volume) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifiers for the study
... status ?!Σ 1..1 code State of the Study
Binding: ImagingStudyStatus (required): The status of the ImagingStudy.

... modality Σ 0..* Coding Study modalities
Binding: AcquisitionModality . (extensible): Type of acquired data in the instance.


... subject Σ 1..1 Reference(Patient | Device | Group) Study subject
... 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 Study 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 Σ 1..1 id DICOM Series Instance UID
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 DICOM Instance
..... 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 SOP Class
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
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
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()

 

Other representations of profile: CSV, Excel, Schematron