FHIR Implementation Guide for NDHM CI Build v2.0
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NDHM (R4), Published and maintained by NRCeS for NHA.
This version is based on the NDHM Health Data Interchange Specifications 1.0 and updated periodically.

StructureDefinition-ImagingStudy

This profile sets minimum expectations for the ImagingStudy resource to searching for and fetching a Organization associated with a patient or provider. It identifies which core elements, extensions, vocabularies and value sets SHALL be present in the resource when using this profile.

Examples

Formal Views of Profile Content

Description of Profiles, Differentials, and Snapshots.

The official URL for this profile is: https://nrces.in/ndhm/fhir/r4/StructureDefinition/ImagingStudy

This profile builds on ImagingStudy

Summary

Mandatory: 0 element (4 nested mandatory elements)
Must-Support: 13 elements
Fixed Value: 2 elements

Structures

This structure refers to these other structures:

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy 0..*ImagingStudyA set of images produced in single study (one or more series of references images)
... status S1..1coderegistered | available | cancelled | entered-in-error | unknown
... modality S0..*CodingAll series modality if actual acquisition modalities
... subject S1..1Reference(Device | Group | Patient)Who or what is the subject of the study
... basedOn 0..*Reference(CarePlan | Appointment | AppointmentResponse | Task | ServiceRequest)Request fulfilled
... referrer 0..1Reference(Practitioner | PractitionerRole)Referring physician
... interpreter 0..*Reference(Practitioner | PractitionerRole)Who interpreted images
... numberOfSeries S0..1unsignedIntNumber of Study Related Series
... numberOfInstances S0..1unsignedIntNumber of Study Related Instances
... procedureCode
.... coding S0..*CodingCode defined by a terminology system
..... system 0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1codeSymbol in syntax defined by the system
..... display 1..1stringRepresentation defined by the system
.... text S0..1stringPlain text representation of the concept
... reasonCode
.... coding S0..*CodingCode defined by a terminology system
..... system 0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1codeSymbol in syntax defined by the system
..... display 1..1stringRepresentation defined by the system
.... text S0..1stringPlain text representation of the concept
... reasonReference 0..*Reference(Condition | Observation | Media | DocumentReference | DiagnosticReportImaging | DiagnosticReportLab)Why was study performed
... series S0..*BackboneElementEach study has one or more series of instances
.... uid S1..1idDICOM Series Instance UID for the series
.... modality S1..1CodingThe modality of the instances in the series
.... specimen 0..*Reference(Specimen)Specimen imaged
.... performer
..... actor 1..1Reference(CareTeam | Device | RelatedPerson | Practitioner | PractitionerRole | Organization | Patient)Who performed the series
.... instance S0..*BackboneElementA single SOP instance from the series

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy I0..*ImagingStudyA set of images produced in single study (one or more series of references images)
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier ΣI0..*IdentifierIdentifiers for the whole study
... status ?!SΣI1..1coderegistered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required)
... modality SΣI0..*CodingAll series modality if actual acquisition modalities
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible)
... subject SΣI1..1Reference(Device | Group | Patient)Who or what is the subject of the study
... encounter ΣI0..1Reference(Encounter)Encounter with which this imaging study is associated
... started ΣI0..1dateTimeWhen the study was started
Example General: 2011-01-01T11:01:20+03:00
... basedOn ΣI0..*Reference(CarePlan | Appointment | AppointmentResponse | Task | ServiceRequest)Request fulfilled
... referrer ΣI0..1Reference(Practitioner | PractitionerRole)Referring physician
... interpreter ΣI0..*Reference(Practitioner | PractitionerRole)Who interpreted images
... endpoint ΣI0..*Reference(Endpoint)Study access endpoint
... numberOfSeries SΣI0..1unsignedIntNumber of Study Related Series
... numberOfInstances SΣI0..1unsignedIntNumber of Study Related Instances
... procedureReference ΣI0..1Reference(Procedure)The performed Procedure reference
... procedureCode ΣI0..*CodeableConceptThe performed procedure code
Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣI0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version ΣI0..1stringVersion of the system - if relevant
..... code ΣI1..1codeSymbol in syntax defined by the system
..... display ΣI1..1stringRepresentation defined by the system
..... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
.... text SΣI0..1stringPlain text representation of the concept
... location ΣI0..1Reference(Location)Where ImagingStudy occurred
... reasonCode ΣI0..*CodeableConceptWhy the study was requested
Binding: ProcedureReasonCodes (example)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣI0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version ΣI0..1stringVersion of the system - if relevant
..... code ΣI1..1codeSymbol in syntax defined by the system
..... display ΣI1..1stringRepresentation defined by the system
..... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
.... text SΣI0..1stringPlain text representation of the concept
... reasonReference ΣI0..*Reference(Condition | Observation | Media | DocumentReference | DiagnosticReportImaging | DiagnosticReportLab)Why was study performed
... note ΣI0..*AnnotationUser-defined comments
... description ΣI0..1stringInstitution-generated description
... series SΣI0..*BackboneElementEach study has one or more series of instances
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... uid SΣI1..1idDICOM Series Instance UID for the series
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
.... number ΣI0..1unsignedIntNumeric identifier of this series
Example General: 3
.... modality SΣI1..1CodingThe modality of the instances in the series
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible)
.... description ΣI0..1stringA short human readable summary of the series
Example General: CT Surview 180
.... numberOfInstances ΣI0..1unsignedIntNumber of Series Related Instances
.... endpoint ΣI0..*Reference(Endpoint)Series access endpoint
.... bodySite ΣI0..1CodingBody part examined
Binding: SNOMEDCTBodyStructures (example)
.... laterality ΣI0..1CodingBody part laterality
Binding: Laterality (example)
.... specimen ΣI0..*Reference(Specimen)Specimen imaged
.... started ΣI0..1dateTimeWhen the series started
.... performer ΣI0..*BackboneElementWho performed the series
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... function ΣI0..1CodeableConceptType of performance
Binding: ImagingStudySeriesPerformerFunction (extensible)
..... actor ΣI1..1Reference(CareTeam | Device | RelatedPerson | Practitioner | PractitionerRole | Organization | Patient)Who performed the series
.... instance SI0..*BackboneElementA single SOP instance from the series
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... uid I1..1idDICOM SOP Instance UID
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
..... sopClass I1..1CodingDICOM class type
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible)
..... number I0..1unsignedIntThe number of this instance in the series
Example General: 1
..... title I0..1stringDescription of instance

doco Documentation for this format

Summary

Mandatory: 0 element (4 nested mandatory elements)
Must-Support: 13 elements
Fixed Value: 2 elements

Structures

This structure refers to these other structures:

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy 0..*ImagingStudyA set of images produced in single study (one or more series of references images)
... status S1..1coderegistered | available | cancelled | entered-in-error | unknown
... modality S0..*CodingAll series modality if actual acquisition modalities
... subject S1..1Reference(Device | Group | Patient)Who or what is the subject of the study
... basedOn 0..*Reference(CarePlan | Appointment | AppointmentResponse | Task | ServiceRequest)Request fulfilled
... referrer 0..1Reference(Practitioner | PractitionerRole)Referring physician
... interpreter 0..*Reference(Practitioner | PractitionerRole)Who interpreted images
... numberOfSeries S0..1unsignedIntNumber of Study Related Series
... numberOfInstances S0..1unsignedIntNumber of Study Related Instances
... procedureCode
.... coding S0..*CodingCode defined by a terminology system
..... system 0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1codeSymbol in syntax defined by the system
..... display 1..1stringRepresentation defined by the system
.... text S0..1stringPlain text representation of the concept
... reasonCode
.... coding S0..*CodingCode defined by a terminology system
..... system 0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1codeSymbol in syntax defined by the system
..... display 1..1stringRepresentation defined by the system
.... text S0..1stringPlain text representation of the concept
... reasonReference 0..*Reference(Condition | Observation | Media | DocumentReference | DiagnosticReportImaging | DiagnosticReportLab)Why was study performed
... series S0..*BackboneElementEach study has one or more series of instances
.... uid S1..1idDICOM Series Instance UID for the series
.... modality S1..1CodingThe modality of the instances in the series
.... specimen 0..*Reference(Specimen)Specimen imaged
.... performer
..... actor 1..1Reference(CareTeam | Device | RelatedPerson | Practitioner | PractitionerRole | Organization | Patient)Who performed the series
.... instance S0..*BackboneElementA single SOP instance from the series

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy I0..*ImagingStudyA set of images produced in single study (one or more series of references images)
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier ΣI0..*IdentifierIdentifiers for the whole study
... status ?!SΣI1..1coderegistered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required)
... modality SΣI0..*CodingAll series modality if actual acquisition modalities
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible)
... subject SΣI1..1Reference(Device | Group | Patient)Who or what is the subject of the study
... encounter ΣI0..1Reference(Encounter)Encounter with which this imaging study is associated
... started ΣI0..1dateTimeWhen the study was started
Example General: 2011-01-01T11:01:20+03:00
... basedOn ΣI0..*Reference(CarePlan | Appointment | AppointmentResponse | Task | ServiceRequest)Request fulfilled
... referrer ΣI0..1Reference(Practitioner | PractitionerRole)Referring physician
... interpreter ΣI0..*Reference(Practitioner | PractitionerRole)Who interpreted images
... endpoint ΣI0..*Reference(Endpoint)Study access endpoint
... numberOfSeries SΣI0..1unsignedIntNumber of Study Related Series
... numberOfInstances SΣI0..1unsignedIntNumber of Study Related Instances
... procedureReference ΣI0..1Reference(Procedure)The performed Procedure reference
... procedureCode ΣI0..*CodeableConceptThe performed procedure code
Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣI0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version ΣI0..1stringVersion of the system - if relevant
..... code ΣI1..1codeSymbol in syntax defined by the system
..... display ΣI1..1stringRepresentation defined by the system
..... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
.... text SΣI0..1stringPlain text representation of the concept
... location ΣI0..1Reference(Location)Where ImagingStudy occurred
... reasonCode ΣI0..*CodeableConceptWhy the study was requested
Binding: ProcedureReasonCodes (example)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣI0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version ΣI0..1stringVersion of the system - if relevant
..... code ΣI1..1codeSymbol in syntax defined by the system
..... display ΣI1..1stringRepresentation defined by the system
..... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
.... text SΣI0..1stringPlain text representation of the concept
... reasonReference ΣI0..*Reference(Condition | Observation | Media | DocumentReference | DiagnosticReportImaging | DiagnosticReportLab)Why was study performed
... note ΣI0..*AnnotationUser-defined comments
... description ΣI0..1stringInstitution-generated description
... series SΣI0..*BackboneElementEach study has one or more series of instances
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... uid SΣI1..1idDICOM Series Instance UID for the series
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
.... number ΣI0..1unsignedIntNumeric identifier of this series
Example General: 3
.... modality SΣI1..1CodingThe modality of the instances in the series
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible)
.... description ΣI0..1stringA short human readable summary of the series
Example General: CT Surview 180
.... numberOfInstances ΣI0..1unsignedIntNumber of Series Related Instances
.... endpoint ΣI0..*Reference(Endpoint)Series access endpoint
.... bodySite ΣI0..1CodingBody part examined
Binding: SNOMEDCTBodyStructures (example)
.... laterality ΣI0..1CodingBody part laterality
Binding: Laterality (example)
.... specimen ΣI0..*Reference(Specimen)Specimen imaged
.... started ΣI0..1dateTimeWhen the series started
.... performer ΣI0..*BackboneElementWho performed the series
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... function ΣI0..1CodeableConceptType of performance
Binding: ImagingStudySeriesPerformerFunction (extensible)
..... actor ΣI1..1Reference(CareTeam | Device | RelatedPerson | Practitioner | PractitionerRole | Organization | Patient)Who performed the series
.... instance SI0..*BackboneElementA single SOP instance from the series
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... uid I1..1idDICOM SOP Instance UID
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
..... sopClass I1..1CodingDICOM class type
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible)
..... number I0..1unsignedIntThe number of this instance in the series
Example General: 1
..... title I0..1stringDescription of instance

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron