EU Imaging Report R5
1.0.0-ballot - ci-build
150
EU Imaging Report R5
1.0.0-ballot - ci-build
150
EU Imaging Report R5, published by HL7 Europe. 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-eu/imaging-r5/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/AccessionNumberIdentifierEuImaging | Version: 1.0.0-ballot | ||||
| Standards status: Draft | Maturity Level: 1 | Computable Name: AccessionNumberIdentifierEuImaging | |||
Copyright/Legal: Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0). |
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This profile on Identifier represents the Accession Number for the Imaging Order.
Within a Hospital Information System environment, accession numbers will usually uniquely identify a manifest or report but are not required to always map 1:1 with a report or manifest due to certain imaging workflows. The imaging report may not be uniquely identified by accession number in an overread scenario (two radiologists reading a single imaging study). The manifest may not be uniquely identified by accession number in the case that the RIS imaging request (accession number assigner) requires two imaging modalities to perform the exam, and thus produces two image manifests.
In order to ensure uniqueness across Hospital Information Systems, accession numbers are required to have a system value that identifies the namespace for the issuing authority (ensuring their global uniqueness).
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  Identifier |
C | 0..* | Identifier | An identifier intended for computation Constraints: ident-1 |
  use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
  type |
1..1 | CodeableConcept | Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | |
   Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
   coding:v2-0203-coding |
1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
  id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
 system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: ACSN | |
| display |
0..1 | string | Representation defined by the system | |
 userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
 coding:dcm |
0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 121022 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Accession Number | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |
 value |
C | 1..1 | string | The unique identifier value within the namespace defined by system Example General: 123456 |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Identifier.use | Base | required | IdentifierUse | 📍5.0.0 | FHIR Std. |
| Identifier.type | Base | extensible | Identifier Type Codes | 📍5.0.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ident-1 | warning | Identifier | Identifier with no value has limited utility. If communicating that an identifier value has been suppressed or missing, the value element SHOULD be present with an extension indicating the missing semantic - e.g. data-absent-reason |
value.exists()
|
This structure is derived from Identifier
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
 Identifier |
0..* | Identifier | An identifier intended for computation | |
| type |
1..1 | CodeableConcept | Description of identifier | |
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| coding:v2-0203-coding |
1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: ACSN | |
| coding:dcm |
0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 121022 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Accession Number | |
| system |
1..1 | uri | The namespace for the identifier value | |
| value |
1..1 | string | The unique identifier value within the namespace defined by system | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Identifier |
C | 0..* | Identifier | An identifier intended for computation Constraints: ident-1 |
| id |
0..1 | id | Unique id for inter-element referencing | |
 extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
| type |
1..1 | CodeableConcept | Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | |
| id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| coding:v2-0203-coding |
1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: ACSN | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| coding:dcm |
0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 121022 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Accession Number | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| system |
1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |
| value |
C | 1..1 | string | The unique identifier value within the namespace defined by system Example General: 123456 |
| period |
0..1 | Period | Time period when id is/was valid for use | |
 assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Identifier.use | Base | required | IdentifierUse | 📍5.0.0 | FHIR Std. |
| Identifier.type | Base | extensible | Identifier Type Codes | 📍5.0.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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()
|
| ident-1 | warning | Identifier | Identifier with no value has limited utility. If communicating that an identifier value has been suppressed or missing, the value element SHOULD be present with an extension indicating the missing semantic - e.g. data-absent-reason |
value.exists()
|
This structure is derived from Identifier
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Identifier |
C | 0..* | Identifier | An identifier intended for computation Constraints: ident-1 |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
| type |
1..1 | CodeableConcept | Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | |
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| coding:v2-0203-coding |
1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: ACSN | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| coding:dcm |
0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 121022 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Accession Number | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |
| value |
C | 1..1 | string | The unique identifier value within the namespace defined by system Example General: 123456 |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Identifier.use | Base | required | IdentifierUse | 📍5.0.0 | FHIR Std. |
| Identifier.type | Base | extensible | Identifier Type Codes | 📍5.0.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ident-1 | warning | Identifier | Identifier with no value has limited utility. If communicating that an identifier value has been suppressed or missing, the value element SHOULD be present with an extension indicating the missing semantic - e.g. data-absent-reason |
value.exists()
|
Differential View
This structure is derived from Identifier
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Identifier |
0..* | Identifier | An identifier intended for computation | |
| type |
1..1 | CodeableConcept | Description of identifier | |
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| coding:v2-0203-coding |
1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: ACSN | |
| coding:dcm |
0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 121022 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Accession Number | |
| system |
1..1 | uri | The namespace for the identifier value | |
| value |
1..1 | string | The unique identifier value within the namespace defined by system | |
| Documentation for this format | ||||
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Identifier |
C | 0..* | Identifier | An identifier intended for computation Constraints: ident-1 |
| id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
| type |
1..1 | CodeableConcept | Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | |
| id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| coding:v2-0203-coding |
1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: ACSN | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| coding:dcm |
0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 121022 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Accession Number | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| system |
1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |
| value |
C | 1..1 | string | The unique identifier value within the namespace defined by system Example General: 123456 |
| period |
0..1 | Period | Time period when id is/was valid for use | |
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Identifier.use | Base | required | IdentifierUse | 📍5.0.0 | FHIR Std. |
| Identifier.type | Base | extensible | Identifier Type Codes | 📍5.0.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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()
|
| ident-1 | warning | Identifier | Identifier with no value has limited utility. If communicating that an identifier value has been suppressed or missing, the value element SHOULD be present with an extension indicating the missing semantic - e.g. data-absent-reason |
value.exists()
|
This structure is derived from Identifier
Other representations of profile: CSV, Excel, Schematron
IG © 2025+ HL7 Europe.
Package hl7.fhir.eu.imaging-r5#1.0.0-ballot based on FHIR 5.0.0.
Generated
2026-10-13
