ImplementationGuide for Malaysia Core (MY Core), published by Malaysia Healthcare Nexus (MHN). This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nhphong245/my-core-ig-r4/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• XML
• JSON

Resource Profile: ImagingStudy (MY Core)

Official URL: http://fhir.hie.moh.gov.my/StructureDefinition/ImagingStudy-my-core				Version: 0.0.1
Active as of 2024-02-12		Responsible: Malaysia Healthcare Nexus (MHN)	Realm:	Computable Name: ImagingStudyMyCore

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.

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

This structure is derived from ImagingStudy

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy		0..*	ImagingStudy	A set of images produced in single study (one or more series of references images)
modality		0..*	Coding	All series modality if actual acquisition modalities Binding: ValueSetImagingModality (MY Core) (extensible)
series
modality		1..1	Coding	The modality of the instances in the series Binding: ValueSetImagingModality (MY Core) (extensible)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ImagingStudy.modality	extensible	ValueSetImagingModalityMyCore (a valid code from CodeSystemImagingModality (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/imaging-modality-my-core from this IG
ImagingStudy.series.modality	extensible	ValueSetImagingModalityMyCore (a valid code from CodeSystemImagingModality (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/imaging-modality-my-core from this IG

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy		0..*	ImagingStudy	A set of images produced in single study (one or more series of references images)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	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: ValueSetImagingModality (MY Core) (extensible)
subject	Σ	1..1	Reference(Patient | Device | Group)	Who or what is the subject of the study
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ImagingStudy.status	required	ImagingStudyStatus http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1 from the FHIR Standard
ImagingStudy.modality	extensible	ValueSetImagingModalityMyCore (a valid code from CodeSystemImagingModality (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/imaging-modality-my-core from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ImagingStudy	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImagingStudy	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImagingStudy	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy		0..*	ImagingStudy	A set of images produced in single study (one or more series of references images)
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifiers for the whole study
status	?!Σ	1..1	code	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: ValueSetImagingModality (MY Core) (extensible)
subject	Σ	1..1	Reference(Patient | Device | Group)	Who or what is the subject of the study
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: ValueSetImagingModality (MY Core) (extensible)
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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ImagingStudy.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
ImagingStudy.status	required	ImagingStudyStatus http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1 from the FHIR Standard
ImagingStudy.modality	extensible	ValueSetImagingModalityMyCore (a valid code from CodeSystemImagingModality (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/imaging-modality-my-core from this IG
ImagingStudy.procedureCode	extensible	http://www.rsna.org/RadLex_Playbook.aspx http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ImagingStudy.series.modality	extensible	ValueSetImagingModalityMyCore (a valid code from CodeSystemImagingModality (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/imaging-modality-my-core from this IG
ImagingStudy.series.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
ImagingStudy.series.laterality	example	Laterality http://hl7.org/fhir/ValueSet/bodysite-laterality from the FHIR Standard
ImagingStudy.series.performer.function	extensible	ImagingStudySeriesPerformerFunction http://hl7.org/fhir/ValueSet/series-performer-function from the FHIR Standard
ImagingStudy.series.instance.sopClass	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ImagingStudy	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImagingStudy	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImagingStudy	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from ImagingStudy

Summary

Differential View

This structure is derived from ImagingStudy

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy		0..*	ImagingStudy	A set of images produced in single study (one or more series of references images)
modality		0..*	Coding	All series modality if actual acquisition modalities Binding: ValueSetImagingModality (MY Core) (extensible)
series
modality		1..1	Coding	The modality of the instances in the series Binding: ValueSetImagingModality (MY Core) (extensible)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ImagingStudy.modality	extensible	ValueSetImagingModalityMyCore (a valid code from CodeSystemImagingModality (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/imaging-modality-my-core from this IG
ImagingStudy.series.modality	extensible	ValueSetImagingModalityMyCore (a valid code from CodeSystemImagingModality (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/imaging-modality-my-core from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy		0..*	ImagingStudy	A set of images produced in single study (one or more series of references images)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	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: ValueSetImagingModality (MY Core) (extensible)
subject	Σ	1..1	Reference(Patient | Device | Group)	Who or what is the subject of the study
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ImagingStudy.status	required	ImagingStudyStatus http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1 from the FHIR Standard
ImagingStudy.modality	extensible	ValueSetImagingModalityMyCore (a valid code from CodeSystemImagingModality (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/imaging-modality-my-core from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ImagingStudy	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImagingStudy	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImagingStudy	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy		0..*	ImagingStudy	A set of images produced in single study (one or more series of references images)
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifiers for the whole study
status	?!Σ	1..1	code	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: ValueSetImagingModality (MY Core) (extensible)
subject	Σ	1..1	Reference(Patient | Device | Group)	Who or what is the subject of the study
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: ValueSetImagingModality (MY Core) (extensible)
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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ImagingStudy.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
ImagingStudy.status	required	ImagingStudyStatus http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1 from the FHIR Standard
ImagingStudy.modality	extensible	ValueSetImagingModalityMyCore (a valid code from CodeSystemImagingModality (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/imaging-modality-my-core from this IG
ImagingStudy.procedureCode	extensible	http://www.rsna.org/RadLex_Playbook.aspx http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ImagingStudy.series.modality	extensible	ValueSetImagingModalityMyCore (a valid code from CodeSystemImagingModality (MY Core)) http://fhir.hie.moh.gov.my/ValueSet/imaging-modality-my-core from this IG
ImagingStudy.series.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
ImagingStudy.series.laterality	example	Laterality http://hl7.org/fhir/ValueSet/bodysite-laterality from the FHIR Standard
ImagingStudy.series.performer.function	extensible	ImagingStudySeriesPerformerFunction http://hl7.org/fhir/ValueSet/series-performer-function from the FHIR Standard
ImagingStudy.series.instance.sopClass	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ImagingStudy	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImagingStudy	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImagingStudy	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from ImagingStudy

Summary

Other representations of profile: CSV, Excel, Schematron