Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ImagingStudy	C	0..*	ImagingStudy	A set of images produced in single study (one or more series of references images) Constraints: im-imagingstudy-01
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Identifiers for the whole study Slice: Unordered, Open by value:system
identifier:studyInstanceUid	Σ	1..1	ImStudyInstanceUidIdentifier	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.
subject	Σ	1..1	Reference(Patient (EU base) | Device)	Who or what is the subject of the study
Slices for basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)	Request fulfilled Slice: Unordered, Open by type:$this
basedOn:imorderaccession	Σ	0..1	Reference(IM Imaging Order)	Request fulfilled
identifier	Σ	1..1	ImAccessionNumberIdentifier	Logical reference, when literal reference is not known
Slices for endpoint	Σ	0..*	Reference(Endpoint)	Study access endpoint Slice: Unordered, Open by profile:$this
endpoint:wado	Σ	0..1	Reference(IM WADO Endpoint)	Study access endpoint
endpoint:iid	Σ	0..1	Reference(IM Image Viewer Endpoint)	Study access endpoint
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

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()
im-imagingstudy-01	warning	ImagingStudy	A DICOM instance UID must start with 'urn:oid:' : identifier.where(system='urn:dicom:uid').value.startsWith('urn:oid:')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ImagingStudy	C	0..*	ImagingStudy	A set of images produced in single study (one or more series of references images) Constraints: im-imagingstudy-01
Slices for identifier		1..*	Identifier	Identifiers for the whole study Slice: Unordered, Open by value:system
identifier:studyInstanceUid		1..1	ImStudyInstanceUidIdentifier	Identifiers for the whole study
subject		1..1	Reference(Patient (EU base) | Device)	Who or what is the subject of the study
Slices for basedOn		0..*	Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)	Request fulfilled Slice: Unordered, Open by type:$this
basedOn:imorderaccession		0..1	Reference(IM Imaging Order)	Request fulfilled
identifier		1..1	ImAccessionNumberIdentifier	Logical reference, when literal reference is not known
Slices for endpoint		0..*	Reference(Endpoint)	Study access endpoint Slice: Unordered, Open by profile:$this
endpoint:wado		0..1	Reference(IM WADO Endpoint)	Study access endpoint
endpoint:iid		0..1	Reference(IM Image Viewer Endpoint)	Study access endpoint
series
Slices for endpoint		0..*	Reference(Endpoint)	Series access endpoint Slice: Unordered, Open by profile:$this
endpoint:wado		0..1	Reference(IM WADO Endpoint)	Series access endpoint
endpoint:iid		0..1	Reference(IM Image Viewer Endpoint)	Series access endpoint
Slices for performer		0..*	BackboneElement	Who performed the series Slice: Unordered, Open by type:actor
performer:All Slices				Content/Rules for all slices
function		0..1	CodeableConcept	Type of performance Binding: Imaging Study Performer Type Value Set (extensible)
performer:performer		0..1	BackboneElement	Who performed the series
function		0..1	CodeableConcept	Type of performance Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRF
actor		1..1	Reference(PractitionerRole (EU base))	Who performed the series
performer:device		0..1	BackboneElement	Who performed the series
function		0..1	CodeableConcept	Type of performance Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DEV
actor		1..1	Reference(Im Imaging Device)	Who performed the series
performer:custodian		0..1	BackboneElement	Who performed the series
function		0..1	CodeableConcept	Type of performance Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CST
actor		1..1	Reference(Organization (EU base))	Who performed the series
instance
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:instance-description		0..1	string	Instance Description URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/instance-description
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ImagingStudy.series.performer.function	extensible	ImImagingStudyPerformerTypeVS http://hl7.eu/fhir/imaging-r4/ValueSet/im-imaging-study-performer-type From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
im-imagingstudy-01	warning	ImagingStudy	A DICOM instance UID must start with 'urn:oid:' : identifier.where(system='urn:dicom:uid').value.startsWith('urn:oid:')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ImagingStudy	C	0..*	ImagingStudy	A set of images produced in single study (one or more series of references images) Constraints: im-imagingstudy-01
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Identifiers for the whole study Slice: Unordered, Open by value:system
identifier:studyInstanceUid	Σ	1..1	ImStudyInstanceUidIdentifier	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: AcquisitionModality (extensible): Type of acquired data in the instance.
subject	Σ	1..1	Reference(Patient (EU base) | Device)	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
Slices for basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)	Request fulfilled Slice: Unordered, Open by type:$this
basedOn:imorderaccession	Σ	0..1	Reference(IM Imaging Order)	Request fulfilled
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	ImAccessionNumberIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
referrer	Σ	0..1	Reference(Practitioner | PractitionerRole)	Referring physician
interpreter	Σ	0..*	Reference(Practitioner | PractitionerRole)	Who interpreted images
Slices for endpoint	Σ	0..*	Reference(Endpoint)	Study access endpoint Slice: Unordered, Open by profile:$this
endpoint:wado	Σ	0..1	Reference(IM WADO Endpoint)	Study access endpoint
endpoint:iid	Σ	0..1	Reference(IM Image Viewer 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
Slices for endpoint	Σ	0..*	Reference(Endpoint)	Series access endpoint Slice: Unordered, Open by profile:$this
endpoint:wado	Σ	0..1	Reference(IM WADO Endpoint)	Series access endpoint
endpoint:iid	Σ	0..1	Reference(IM Image Viewer 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
Slices for performer	Σ	0..*	BackboneElement	Who performed the series Slice: Unordered, Open by type:actor
performer:All Slices				Content/Rules for all slices
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: Imaging Study Performer Type Value Set (extensible)
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)	Who performed the series
performer:performer	Σ	0..1	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: Imaging Study Performer Type Value Set (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
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/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(PractitionerRole (EU base))	Who performed the series
performer:device	Σ	0..1	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: Imaging Study Performer Type Value Set (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
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/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DEV
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Im Imaging Device)	Who performed the series
performer:custodian	Σ	0..1	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: Imaging Study Performer Type Value Set (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
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/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CST
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Organization (EU base))	Who performed the series
instance		0..*	BackboneElement	A single SOP instance from the series
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:instance-description		0..1	string	Instance Description URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/instance-description
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 / Code	URI
ImagingStudy.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ImagingStudy.status	required	ImagingStudyStatus http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1 From the FHIR Standard
ImagingStudy.modality	extensible	​AcquisitionModality (missing link) http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html From this IG
ImagingStudy.basedOn:imorderaccession.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
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	​AcquisitionModality (missing link) http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html 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	ImImagingStudyPerformerTypeVS http://hl7.eu/fhir/imaging-r4/ValueSet/im-imaging-study-performer-type From this IG
ImagingStudy.series.performer:performer.function	extensible	Pattern Value: PRF http://hl7.eu/fhir/imaging-r4/ValueSet/im-imaging-study-performer-type From this IG
ImagingStudy.series.performer:device.function	extensible	Pattern Value: DEV http://hl7.eu/fhir/imaging-r4/ValueSet/im-imaging-study-performer-type From this IG
ImagingStudy.series.performer:custodian.function	extensible	Pattern Value: CST http://hl7.eu/fhir/imaging-r4/ValueSet/im-imaging-study-performer-type From this IG
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()
im-imagingstudy-01	warning	ImagingStudy	A DICOM instance UID must start with 'urn:oid:' : identifier.where(system='urn:dicom:uid').value.startsWith('urn:oid:')

Summary

Mandatory: 2 elements(1 nested mandatory element)

Structures

This structure refers to these other structures:

• Study Instance UID Identifier (http://hl7.eu/fhir/imaging-r4/StructureDefinition/im-study-instance-uid-identifier)
• Patient (EU base) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu)
• IM Imaging Order (http://hl7.eu/fhir/imaging-r4/StructureDefinition/ImOrder)
• Imaging Accession Number Identifier (http://hl7.eu/fhir/imaging-r4/StructureDefinition/im-accession-number-identifier)
• IM WADO Endpoint (http://hl7.eu/fhir/imaging-r4/StructureDefinition/ImWadoEndpoint)
• IM Image Viewer Endpoint (http://hl7.eu/fhir/imaging-r4/StructureDefinition/ImImageIidViewerEndpoint)
• PractitionerRole (EU base) (http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu)
• Im Imaging Device (http://hl7.eu/fhir/imaging-r4/StructureDefinition/ImImagingDevice)
• Organization (EU base) (http://hl7.eu/fhir/base/StructureDefinition/organization-eu)

Extensions

This structure refers to these extensions:

• http://hl7.eu/fhir/imaging-r4/StructureDefinition/instance-description

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ImagingStudy.identifier
• The element 1 is sliced based on the value of ImagingStudy.basedOn
• The element 1 is sliced based on the value of ImagingStudy.endpoint
• The element 1 is sliced based on the value of ImagingStudy.series.endpoint
• The element 1 is sliced based on the value of ImagingStudy.series.performer

Maturity: 1

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ImagingStudy	C	0..*	ImagingStudy	A set of images produced in single study (one or more series of references images) Constraints: im-imagingstudy-01
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Identifiers for the whole study Slice: Unordered, Open by value:system
identifier:studyInstanceUid	Σ	1..1	ImStudyInstanceUidIdentifier	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.
subject	Σ	1..1	Reference(Patient (EU base) | Device)	Who or what is the subject of the study
Slices for basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)	Request fulfilled Slice: Unordered, Open by type:$this
basedOn:imorderaccession	Σ	0..1	Reference(IM Imaging Order)	Request fulfilled
identifier	Σ	1..1	ImAccessionNumberIdentifier	Logical reference, when literal reference is not known
Slices for endpoint	Σ	0..*	Reference(Endpoint)	Study access endpoint Slice: Unordered, Open by profile:$this
endpoint:wado	Σ	0..1	Reference(IM WADO Endpoint)	Study access endpoint
endpoint:iid	Σ	0..1	Reference(IM Image Viewer Endpoint)	Study access endpoint
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

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()
im-imagingstudy-01	warning	ImagingStudy	A DICOM instance UID must start with 'urn:oid:' : identifier.where(system='urn:dicom:uid').value.startsWith('urn:oid:')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ImagingStudy	C	0..*	ImagingStudy	A set of images produced in single study (one or more series of references images) Constraints: im-imagingstudy-01
Slices for identifier		1..*	Identifier	Identifiers for the whole study Slice: Unordered, Open by value:system
identifier:studyInstanceUid		1..1	ImStudyInstanceUidIdentifier	Identifiers for the whole study
subject		1..1	Reference(Patient (EU base) | Device)	Who or what is the subject of the study
Slices for basedOn		0..*	Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)	Request fulfilled Slice: Unordered, Open by type:$this
basedOn:imorderaccession		0..1	Reference(IM Imaging Order)	Request fulfilled
identifier		1..1	ImAccessionNumberIdentifier	Logical reference, when literal reference is not known
Slices for endpoint		0..*	Reference(Endpoint)	Study access endpoint Slice: Unordered, Open by profile:$this
endpoint:wado		0..1	Reference(IM WADO Endpoint)	Study access endpoint
endpoint:iid		0..1	Reference(IM Image Viewer Endpoint)	Study access endpoint
series
Slices for endpoint		0..*	Reference(Endpoint)	Series access endpoint Slice: Unordered, Open by profile:$this
endpoint:wado		0..1	Reference(IM WADO Endpoint)	Series access endpoint
endpoint:iid		0..1	Reference(IM Image Viewer Endpoint)	Series access endpoint
Slices for performer		0..*	BackboneElement	Who performed the series Slice: Unordered, Open by type:actor
performer:All Slices				Content/Rules for all slices
function		0..1	CodeableConcept	Type of performance Binding: Imaging Study Performer Type Value Set (extensible)
performer:performer		0..1	BackboneElement	Who performed the series
function		0..1	CodeableConcept	Type of performance Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRF
actor		1..1	Reference(PractitionerRole (EU base))	Who performed the series
performer:device		0..1	BackboneElement	Who performed the series
function		0..1	CodeableConcept	Type of performance Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DEV
actor		1..1	Reference(Im Imaging Device)	Who performed the series
performer:custodian		0..1	BackboneElement	Who performed the series
function		0..1	CodeableConcept	Type of performance Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CST
actor		1..1	Reference(Organization (EU base))	Who performed the series
instance
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:instance-description		0..1	string	Instance Description URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/instance-description
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ImagingStudy.series.performer.function	extensible	ImImagingStudyPerformerTypeVS http://hl7.eu/fhir/imaging-r4/ValueSet/im-imaging-study-performer-type From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
im-imagingstudy-01	warning	ImagingStudy	A DICOM instance UID must start with 'urn:oid:' : identifier.where(system='urn:dicom:uid').value.startsWith('urn:oid:')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ImagingStudy	C	0..*	ImagingStudy	A set of images produced in single study (one or more series of references images) Constraints: im-imagingstudy-01
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Identifiers for the whole study Slice: Unordered, Open by value:system
identifier:studyInstanceUid	Σ	1..1	ImStudyInstanceUidIdentifier	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: AcquisitionModality (extensible): Type of acquired data in the instance.
subject	Σ	1..1	Reference(Patient (EU base) | Device)	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
Slices for basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)	Request fulfilled Slice: Unordered, Open by type:$this
basedOn:imorderaccession	Σ	0..1	Reference(IM Imaging Order)	Request fulfilled
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	ImAccessionNumberIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
referrer	Σ	0..1	Reference(Practitioner | PractitionerRole)	Referring physician
interpreter	Σ	0..*	Reference(Practitioner | PractitionerRole)	Who interpreted images
Slices for endpoint	Σ	0..*	Reference(Endpoint)	Study access endpoint Slice: Unordered, Open by profile:$this
endpoint:wado	Σ	0..1	Reference(IM WADO Endpoint)	Study access endpoint
endpoint:iid	Σ	0..1	Reference(IM Image Viewer 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
Slices for endpoint	Σ	0..*	Reference(Endpoint)	Series access endpoint Slice: Unordered, Open by profile:$this
endpoint:wado	Σ	0..1	Reference(IM WADO Endpoint)	Series access endpoint
endpoint:iid	Σ	0..1	Reference(IM Image Viewer 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
Slices for performer	Σ	0..*	BackboneElement	Who performed the series Slice: Unordered, Open by type:actor
performer:All Slices				Content/Rules for all slices
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: Imaging Study Performer Type Value Set (extensible)
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)	Who performed the series
performer:performer	Σ	0..1	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: Imaging Study Performer Type Value Set (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
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/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(PractitionerRole (EU base))	Who performed the series
performer:device	Σ	0..1	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: Imaging Study Performer Type Value Set (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
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/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DEV
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Im Imaging Device)	Who performed the series
performer:custodian	Σ	0..1	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: Imaging Study Performer Type Value Set (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
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/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CST
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(Organization (EU base))	Who performed the series
instance		0..*	BackboneElement	A single SOP instance from the series
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:instance-description		0..1	string	Instance Description URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/instance-description
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 / Code	URI
ImagingStudy.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ImagingStudy.status	required	ImagingStudyStatus http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1 From the FHIR Standard
ImagingStudy.modality	extensible	​AcquisitionModality (missing link) http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html From this IG
ImagingStudy.basedOn:imorderaccession.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
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	​AcquisitionModality (missing link) http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html 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	ImImagingStudyPerformerTypeVS http://hl7.eu/fhir/imaging-r4/ValueSet/im-imaging-study-performer-type From this IG
ImagingStudy.series.performer:performer.function	extensible	Pattern Value: PRF http://hl7.eu/fhir/imaging-r4/ValueSet/im-imaging-study-performer-type From this IG
ImagingStudy.series.performer:device.function	extensible	Pattern Value: DEV http://hl7.eu/fhir/imaging-r4/ValueSet/im-imaging-study-performer-type From this IG
ImagingStudy.series.performer:custodian.function	extensible	Pattern Value: CST http://hl7.eu/fhir/imaging-r4/ValueSet/im-imaging-study-performer-type From this IG
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()
im-imagingstudy-01	warning	ImagingStudy	A DICOM instance UID must start with 'urn:oid:' : identifier.where(system='urn:dicom:uid').value.startsWith('urn:oid:')

Summary

Mandatory: 2 elements(1 nested mandatory element)

Structures

This structure refers to these other structures:

• Study Instance UID Identifier (http://hl7.eu/fhir/imaging-r4/StructureDefinition/im-study-instance-uid-identifier)
• Patient (EU base) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu)
• IM Imaging Order (http://hl7.eu/fhir/imaging-r4/StructureDefinition/ImOrder)
• Imaging Accession Number Identifier (http://hl7.eu/fhir/imaging-r4/StructureDefinition/im-accession-number-identifier)
• IM WADO Endpoint (http://hl7.eu/fhir/imaging-r4/StructureDefinition/ImWadoEndpoint)
• IM Image Viewer Endpoint (http://hl7.eu/fhir/imaging-r4/StructureDefinition/ImImageIidViewerEndpoint)
• PractitionerRole (EU base) (http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu)
• Im Imaging Device (http://hl7.eu/fhir/imaging-r4/StructureDefinition/ImImagingDevice)
• Organization (EU base) (http://hl7.eu/fhir/base/StructureDefinition/organization-eu)

Extensions

This structure refers to these extensions:

• http://hl7.eu/fhir/imaging-r4/StructureDefinition/instance-description

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ImagingStudy.identifier
• The element 1 is sliced based on the value of ImagingStudy.basedOn
• The element 1 is sliced based on the value of ImagingStudy.endpoint
• The element 1 is sliced based on the value of ImagingStudy.series.endpoint
• The element 1 is sliced based on the value of ImagingStudy.series.performer

Maturity: 1