DataStandardsWales-ImagingStudy
The ImagingStudy resource provides information on a DICOM imaging study, and the series and imaging objects in that study. It also provides information on how to retrieve that information (in a native DICOM format, or in a rendered format, such as JPEG). ImagingStudy is used to make available information about all parts of a single DICOM study.
The DataStandardsWales-ImagingStudy profile is derived from the HL7 R4 ImagingStudy Standard. It defines additional rules for use within health and care organisations in Wales.
A direct link to the Data Standards Wales asset can be accessed here - Data Standards Wales Imaging Study
Formal Views of Profile Content
- Snapshot View
- Differential View
- Hybrid View
- Examples
| DataStandardsWalesImagingStudy (ImagingStudy) | C | ImagingStudy | There are no (further) constraints on this element Element idImagingStudyShort description A set of images produced in single study (one or more series of references images) DefinitionRepresentation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.
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| id | Σ | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.idShort description Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||
| meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idImagingStudy.metaShort description Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idImagingStudy.implicitRulesShort description A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| language | 0..1 | codeBinding | There are no (further) constraints on this element Element idImagingStudy.languageShort description Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). A human language.
The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | 0..1 | Narrative | There are no (further) constraints on this element Element idImagingStudy.textShort description Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| contained | 0..* | Resource | There are no (further) constraints on this element Element idImagingStudy.containedShort description Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | ?! C | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.modifierExtensionShort description Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| identifier | S Σ | 0..* | Identifier | There are no (further) constraints on this element Element idImagingStudy.identifierShort description Identifiers for the whole study Alternate namesStudyInstanceUID, AccessionNumber DefinitionIdentifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number. If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier (see DICOM PS 3.3 C.7.2. See discussion under Imaging Study Implementation Notes for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| status | Σ ?! | 1..1 | codeBinding | There are no (further) constraints on this element Element idImagingStudy.statusShort description registered | available | cancelled | entered-in-error | unknown DefinitionThe current state of the ImagingStudy. Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is. The status of the ImagingStudy. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modality | Σ | 0..* | CodingBinding | There are no (further) constraints on this element Element idImagingStudy.modalityShort description All series modality if actual acquisition modalities Alternate namesModalitiesInStudy DefinitionA list of all the series.modality values that are actual acquisition modalities, i.e. those in the DICOM Context Group 29 (value set OID 1.2.840.10008.6.1.19). Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Type of acquired data in the instance. http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| subject | Σ C | 1..1 | Reference(DataStandardsWalesPatient) | Element idImagingStudy.subjectShort description Who or what is the subject of the study DefinitionThe subject, typically a patient, of the imaging study. QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group. Reference(DataStandardsWalesPatient) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| encounter | Σ C | 0..1 | Reference(DataStandardsWalesEncounter) | Element idImagingStudy.encounterShort description Encounter with which this imaging study is associated DefinitionThe healthcare event (e.g. a patient and healthcare provider interaction) during which this ImagingStudy is made. This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission test). Reference(DataStandardsWalesEncounter) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| started | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idImagingStudy.startedShort description When the study was started Alternate namesStudyDate, StudyTime DefinitionDate and time the study started. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
General 2011-01-01T11:01:20+03:00Mappings
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| basedOn | Σ C | 0..* | Reference(AppointmentResponse | CarePlan | Task | DataStandardsWalesAppointment | DataStandardsWalesServiceRequest) | Element idImagingStudy.basedOnShort description Request fulfilled DefinitionA list of the diagnostic requests that resulted in this imaging study being performed. To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT). References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(AppointmentResponse | CarePlan | Task | DataStandardsWalesAppointment | DataStandardsWalesServiceRequest) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| referrer | Σ C | 0..1 | Reference(DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole) | Element idImagingStudy.referrerShort description Referring physician Alternate namesReferringPhysiciansName DefinitionThe requesting/referring physician. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| interpreter | Σ C | 0..* | Reference(DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole) | Element idImagingStudy.interpreterShort description Who interpreted images Alternate namesName of Physician(s) Reading Study DefinitionWho read the study and interpreted the images or other content. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| endpoint | S Σ C | 0..* | Reference(DataStandardsWalesEndpoint) | Element idImagingStudy.endpointShort description Study access endpoint DefinitionThe network service providing access (e.g., query, view, or retrieval) for the study. See implementation notes for information about using DICOM endpoints. A study-level endpoint applies to each series in the study, unless overridden by a series-level endpoint with the same Endpoint.connectionType. Access methods for viewing (e.g., IHE’s IID profile) or retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the study or the study’s series or instances. The study-level baseLocation applies to each series in the study, unless overridden in series by a series-level baseLocation of the same type. Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG), formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances; or IHE Invoke Image Display (IID), which provides standard invocation of an imaging web viewer. Reference(DataStandardsWalesEndpoint) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| numberOfSeries | Σ | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.numberOfSeriesShort description Number of Study Related Series Alternate namesNumberOfStudyRelatedSeries DefinitionNumber of Series in the Study. This value given may be larger than the number of series elements this Resource contains due to resource availability, security, or other factors. This element should be present if any series elements are present. 32 bit number; for values larger than this, use decimal The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| numberOfInstances | Σ | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.numberOfInstancesShort description Number of Study Related Instances Alternate namesNumberOfStudyRelatedInstances DefinitionNumber of SOP Instances in Study. This value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present. 32 bit number; for values larger than this, use decimal The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| procedureReference | Σ C | 0..1 | Reference(UKCoreProcedure) | Element idImagingStudy.procedureReferenceShort description The performed Procedure reference DefinitionThe procedure which this ImagingStudy was part of. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| procedureCode | Σ | 0..* | CodeableConceptBinding | There are no (further) constraints on this element Element idImagingStudy.procedureCodeShort description The performed procedure code Alternate namesProcedureCodeSequence DefinitionThe code for the performed procedure type. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. The performed procedure type. http://www.rsna.org/RadLex_Playbook.aspx (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| location | Σ C | 0..1 | Reference(DataStandardsWalesLocation) | Element idImagingStudy.locationShort description Where ImagingStudy occurred DefinitionThe principal physical location where the ImagingStudy was performed. Ties the event to where the records are likely kept and provides context around the event occurrence (e.g. if it occurred inside or outside a dedicated healthcare setting). References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(DataStandardsWalesLocation) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| reasonCode | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element idImagingStudy.reasonCodeShort description Why the study was requested DefinitionDescription of clinical condition indicating why the ImagingStudy was requested. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. The reason for the study. ProcedureReasonCodes (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| reasonReference | Σ C | 0..* | Reference(Media | DataStandardsWalesCondition | DataStandardsWalesDiagnosticReport | DataStandardsWalesDocumentReference | DataStandardsWalesObservation) | Element idImagingStudy.reasonReferenceShort description Why was study performed DefinitionIndicates another resource whose existence justifies this Study. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(Media | DataStandardsWalesCondition | DataStandardsWalesDiagnosticReport | DataStandardsWalesDocumentReference | DataStandardsWalesObservation) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| note | Σ | 0..* | Annotation | There are no (further) constraints on this element Element idImagingStudy.noteShort description User-defined comments DefinitionPer the recommended DICOM mapping, this element is derived from the Study Description attribute (0008,1030). Observations or findings about the imaging study should be recorded in another resource, e.g. Observation, and not in this element. For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| description | Σ | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.descriptionShort description Institution-generated description Alternate namesStudyDescription DefinitionThe Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed. Note that FHIR strings SHALL NOT exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| series | Σ | 0..* | BackboneElement | There are no (further) constraints on this element Element idImagingStudy.seriesShort description Each study has one or more series of instances DefinitionEach study has one or more series of images or other content. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| uid | Σ | 1..1 | id | There are no (further) constraints on this element Element idImagingStudy.series.uidShort description DICOM Series Instance UID for the series Alternate namesSeriesInstanceUID DefinitionThe DICOM Series Instance UID for the series. DICOM Series Instance UID. See DICOM PS3.3 C.7.3. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
General 2.16.124.113543.6003.2588828330.45298.17418.2723805630Mappings
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| number | Σ | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.series.numberShort description Numeric identifier of this series Alternate namesSeriesNumber DefinitionThe numeric identifier of this series in the study. 32 bit number; for values larger than this, use decimal The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
General 3Mappings
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| modality | Σ | 1..1 | CodingBinding | There are no (further) constraints on this element Element idImagingStudy.series.modalityShort description The modality of the instances in the series Alternate namesModality DefinitionThe modality of this series sequence. Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Type of acquired data in the instance. http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| description | Σ | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.descriptionShort description A short human readable summary of the series Alternate namesSeriesDescription DefinitionA description of the series. Note that FHIR strings SHALL NOT exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
General CT Surview 180Mappings
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| numberOfInstances | Σ | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.series.numberOfInstancesShort description Number of Series Related Instances Alternate namesNumberOfSeriesRelatedInstances DefinitionNumber of SOP Instances in the Study. The value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present. 32 bit number; for values larger than this, use decimal The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| endpoint | Σ C | 0..* | Reference(DataStandardsWalesEndpoint) | Element idImagingStudy.series.endpointShort description Series access endpoint DefinitionThe network service providing access (e.g., query, view, or retrieval) for this series. See implementation notes for information about using DICOM endpoints. A series-level endpoint, if present, has precedence over a study-level endpoint with the same Endpoint.connectionType. Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the series or the series’ instances. A baseLocation specified at the series level has precedence over a baseLocation of the same type specified at the study level. Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG) formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; and DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances. Reference(DataStandardsWalesEndpoint) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| bodySite | Σ | 0..1 | Coding | There are no (further) constraints on this element Element idImagingStudy.series.bodySiteShort description Body part examined Alternate namesBodyPartExamined DefinitionThe anatomic structures examined. See DICOM Part 16 Annex L (http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings. The bodySite may indicate the laterality of body part imaged; if so, it shall be consistent with any content of ImagingStudy.series.laterality. Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Codes describing anatomical locations. May include laterality. SNOMEDCTBodyStructures (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| laterality | Σ | 0..1 | Coding | There are no (further) constraints on this element Element idImagingStudy.series.lateralityShort description Body part laterality DefinitionThe laterality of the (possibly paired) anatomic structures examined. E.g., the left knee, both lungs, or unpaired abdomen. If present, shall be consistent with any laterality information indicated in ImagingStudy.series.bodySite. Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Codes describing body site laterality (left, right, etc.). The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| specimen | Σ C | 0..* | Reference(DataStandardsWalesSpecimen) | Element idImagingStudy.series.specimenShort description Specimen imaged DefinitionThe specimen imaged, e.g., for whole slide imaging of a biopsy. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(DataStandardsWalesSpecimen) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| started | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idImagingStudy.series.startedShort description When the series started DefinitionThe date and time the series was started. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| performer | Σ | 0..* | BackboneElement | There are no (further) constraints on this element Element idImagingStudy.series.performerShort description Who performed the series Alternate namesPerformingPhysicianName, OperatorName DefinitionIndicates who or what performed the series and how they were involved. The performer is recorded at the series level, since each series in a study may be performed by a different performer, at different times, and using different devices. A series may be performed by multiple performers. If the person who performed the series is not known, their Organization may be recorded. A patient, or related person, may be the performer, e.g. for patient-captured images. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.performer.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.performer.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.performer.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| function | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idImagingStudy.series.performer.functionShort description Type of performance DefinitionDistinguishes the type of involvement of the performer in the series. Allows disambiguation of the types of involvement of different performers. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. The type of involvement of the performer. ImagingStudySeriesPerformerFunction (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| actor | Σ C | 1..1 | Reference(CareTeam | DataStandardsWalesDevice | DataStandardsWalesOrganization | DataStandardsWalesPatient | DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole | DataStandardsWalesRelatedPerson) | Element idImagingStudy.series.performer.actorShort description Who performed the series DefinitionIndicates who or what performed the series. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(CareTeam | DataStandardsWalesDevice | DataStandardsWalesOrganization | DataStandardsWalesPatient | DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole | DataStandardsWalesRelatedPerson) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| instance | 0..* | BackboneElement | There are no (further) constraints on this element Element idImagingStudy.series.instanceShort description A single SOP instance from the series DefinitionA single SOP instance within the series, e.g. an image, or presentation state. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.instance.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.instance.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.instance.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| uid | 1..1 | id | There are no (further) constraints on this element Element idImagingStudy.series.instance.uidShort description DICOM SOP Instance UID Alternate namesSOPInstanceUID DefinitionThe DICOM SOP Instance UID for this image or other DICOM content. DICOM SOP Instance UID. See DICOM PS3.3 C.12.1. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
General 2.16.124.113543.6003.189642796.63084.16748.2599092903Mappings
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| sopClass | 1..1 | CodingBinding | There are no (further) constraints on this element Element idImagingStudy.series.instance.sopClassShort description DICOM class type Alternate namesSOPClassUID DefinitionDICOM instance type. Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. The sopClass for the instance. http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| number | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.series.instance.numberShort description The number of this instance in the series Alternate namesInstanceNumber DefinitionThe number of instance in the series. 32 bit number; for values larger than this, use decimal The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
General 1Mappings
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| title | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.instance.titleShort description Description of instance DefinitionThe description of the instance. Particularly for post-acquisition analytic objects, such as SR, presentation states, value mapping, etc. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| DataStandardsWalesImagingStudy (ImagingStudy) | C | ImagingStudy | There are no (further) constraints on this element Element idImagingStudyShort description A set of images produced in single study (one or more series of references images) DefinitionRepresentation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.
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| id | Σ | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.idShort description Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||
| meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idImagingStudy.metaShort description Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idImagingStudy.implicitRulesShort description A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| language | 0..1 | codeBinding | There are no (further) constraints on this element Element idImagingStudy.languageShort description Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). A human language.
The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | 0..1 | Narrative | There are no (further) constraints on this element Element idImagingStudy.textShort description Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| contained | 0..* | Resource | There are no (further) constraints on this element Element idImagingStudy.containedShort description Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | ?! C | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.modifierExtensionShort description Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| identifier | S Σ | 0..* | Identifier | There are no (further) constraints on this element Element idImagingStudy.identifierShort description Identifiers for the whole study Alternate namesStudyInstanceUID, AccessionNumber DefinitionIdentifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number. If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier (see DICOM PS 3.3 C.7.2. See discussion under Imaging Study Implementation Notes for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| status | Σ ?! | 1..1 | codeBinding | There are no (further) constraints on this element Element idImagingStudy.statusShort description registered | available | cancelled | entered-in-error | unknown DefinitionThe current state of the ImagingStudy. Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is. The status of the ImagingStudy. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modality | Σ | 0..* | CodingBinding | There are no (further) constraints on this element Element idImagingStudy.modalityShort description All series modality if actual acquisition modalities Alternate namesModalitiesInStudy DefinitionA list of all the series.modality values that are actual acquisition modalities, i.e. those in the DICOM Context Group 29 (value set OID 1.2.840.10008.6.1.19). Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Type of acquired data in the instance. http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| subject | Σ C | 1..1 | Reference(DataStandardsWalesPatient) | Element idImagingStudy.subjectShort description Who or what is the subject of the study DefinitionThe subject, typically a patient, of the imaging study. QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group. Reference(DataStandardsWalesPatient) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| encounter | Σ C | 0..1 | Reference(DataStandardsWalesEncounter) | Element idImagingStudy.encounterShort description Encounter with which this imaging study is associated DefinitionThe healthcare event (e.g. a patient and healthcare provider interaction) during which this ImagingStudy is made. This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission test). Reference(DataStandardsWalesEncounter) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| started | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idImagingStudy.startedShort description When the study was started Alternate namesStudyDate, StudyTime DefinitionDate and time the study started. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
General 2011-01-01T11:01:20+03:00Mappings
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| basedOn | Σ C | 0..* | Reference(AppointmentResponse | CarePlan | Task | DataStandardsWalesAppointment | DataStandardsWalesServiceRequest) | Element idImagingStudy.basedOnShort description Request fulfilled DefinitionA list of the diagnostic requests that resulted in this imaging study being performed. To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT). References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(AppointmentResponse | CarePlan | Task | DataStandardsWalesAppointment | DataStandardsWalesServiceRequest) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| referrer | Σ C | 0..1 | Reference(DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole) | Element idImagingStudy.referrerShort description Referring physician Alternate namesReferringPhysiciansName DefinitionThe requesting/referring physician. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| interpreter | Σ C | 0..* | Reference(DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole) | Element idImagingStudy.interpreterShort description Who interpreted images Alternate namesName of Physician(s) Reading Study DefinitionWho read the study and interpreted the images or other content. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| endpoint | S Σ C | 0..* | Reference(DataStandardsWalesEndpoint) | Element idImagingStudy.endpointShort description Study access endpoint DefinitionThe network service providing access (e.g., query, view, or retrieval) for the study. See implementation notes for information about using DICOM endpoints. A study-level endpoint applies to each series in the study, unless overridden by a series-level endpoint with the same Endpoint.connectionType. Access methods for viewing (e.g., IHE’s IID profile) or retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the study or the study’s series or instances. The study-level baseLocation applies to each series in the study, unless overridden in series by a series-level baseLocation of the same type. Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG), formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances; or IHE Invoke Image Display (IID), which provides standard invocation of an imaging web viewer. Reference(DataStandardsWalesEndpoint) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| numberOfSeries | Σ | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.numberOfSeriesShort description Number of Study Related Series Alternate namesNumberOfStudyRelatedSeries DefinitionNumber of Series in the Study. This value given may be larger than the number of series elements this Resource contains due to resource availability, security, or other factors. This element should be present if any series elements are present. 32 bit number; for values larger than this, use decimal The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| numberOfInstances | Σ | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.numberOfInstancesShort description Number of Study Related Instances Alternate namesNumberOfStudyRelatedInstances DefinitionNumber of SOP Instances in Study. This value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present. 32 bit number; for values larger than this, use decimal The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| procedureReference | Σ C | 0..1 | Reference(UKCoreProcedure) | Element idImagingStudy.procedureReferenceShort description The performed Procedure reference DefinitionThe procedure which this ImagingStudy was part of. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| procedureCode | Σ | 0..* | CodeableConceptBinding | There are no (further) constraints on this element Element idImagingStudy.procedureCodeShort description The performed procedure code Alternate namesProcedureCodeSequence DefinitionThe code for the performed procedure type. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. The performed procedure type. http://www.rsna.org/RadLex_Playbook.aspx (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| location | Σ C | 0..1 | Reference(DataStandardsWalesLocation) | Element idImagingStudy.locationShort description Where ImagingStudy occurred DefinitionThe principal physical location where the ImagingStudy was performed. Ties the event to where the records are likely kept and provides context around the event occurrence (e.g. if it occurred inside or outside a dedicated healthcare setting). References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(DataStandardsWalesLocation) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| reasonCode | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element idImagingStudy.reasonCodeShort description Why the study was requested DefinitionDescription of clinical condition indicating why the ImagingStudy was requested. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. The reason for the study. ProcedureReasonCodes (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| reasonReference | Σ C | 0..* | Reference(Media | DataStandardsWalesCondition | DataStandardsWalesDiagnosticReport | DataStandardsWalesDocumentReference | DataStandardsWalesObservation) | Element idImagingStudy.reasonReferenceShort description Why was study performed DefinitionIndicates another resource whose existence justifies this Study. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(Media | DataStandardsWalesCondition | DataStandardsWalesDiagnosticReport | DataStandardsWalesDocumentReference | DataStandardsWalesObservation) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| note | Σ | 0..* | Annotation | There are no (further) constraints on this element Element idImagingStudy.noteShort description User-defined comments DefinitionPer the recommended DICOM mapping, this element is derived from the Study Description attribute (0008,1030). Observations or findings about the imaging study should be recorded in another resource, e.g. Observation, and not in this element. For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| description | Σ | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.descriptionShort description Institution-generated description Alternate namesStudyDescription DefinitionThe Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed. Note that FHIR strings SHALL NOT exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| series | Σ | 0..* | BackboneElement | There are no (further) constraints on this element Element idImagingStudy.seriesShort description Each study has one or more series of instances DefinitionEach study has one or more series of images or other content. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| uid | Σ | 1..1 | id | There are no (further) constraints on this element Element idImagingStudy.series.uidShort description DICOM Series Instance UID for the series Alternate namesSeriesInstanceUID DefinitionThe DICOM Series Instance UID for the series. DICOM Series Instance UID. See DICOM PS3.3 C.7.3. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
General 2.16.124.113543.6003.2588828330.45298.17418.2723805630Mappings
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| number | Σ | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.series.numberShort description Numeric identifier of this series Alternate namesSeriesNumber DefinitionThe numeric identifier of this series in the study. 32 bit number; for values larger than this, use decimal The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
General 3Mappings
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| modality | Σ | 1..1 | CodingBinding | There are no (further) constraints on this element Element idImagingStudy.series.modalityShort description The modality of the instances in the series Alternate namesModality DefinitionThe modality of this series sequence. Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Type of acquired data in the instance. http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| description | Σ | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.descriptionShort description A short human readable summary of the series Alternate namesSeriesDescription DefinitionA description of the series. Note that FHIR strings SHALL NOT exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
General CT Surview 180Mappings
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| numberOfInstances | Σ | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.series.numberOfInstancesShort description Number of Series Related Instances Alternate namesNumberOfSeriesRelatedInstances DefinitionNumber of SOP Instances in the Study. The value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present. 32 bit number; for values larger than this, use decimal The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| endpoint | Σ C | 0..* | Reference(DataStandardsWalesEndpoint) | Element idImagingStudy.series.endpointShort description Series access endpoint DefinitionThe network service providing access (e.g., query, view, or retrieval) for this series. See implementation notes for information about using DICOM endpoints. A series-level endpoint, if present, has precedence over a study-level endpoint with the same Endpoint.connectionType. Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the series or the series’ instances. A baseLocation specified at the series level has precedence over a baseLocation of the same type specified at the study level. Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG) formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; and DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances. Reference(DataStandardsWalesEndpoint) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| bodySite | Σ | 0..1 | Coding | There are no (further) constraints on this element Element idImagingStudy.series.bodySiteShort description Body part examined Alternate namesBodyPartExamined DefinitionThe anatomic structures examined. See DICOM Part 16 Annex L (http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings. The bodySite may indicate the laterality of body part imaged; if so, it shall be consistent with any content of ImagingStudy.series.laterality. Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Codes describing anatomical locations. May include laterality. SNOMEDCTBodyStructures (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| laterality | Σ | 0..1 | Coding | There are no (further) constraints on this element Element idImagingStudy.series.lateralityShort description Body part laterality DefinitionThe laterality of the (possibly paired) anatomic structures examined. E.g., the left knee, both lungs, or unpaired abdomen. If present, shall be consistent with any laterality information indicated in ImagingStudy.series.bodySite. Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Codes describing body site laterality (left, right, etc.). The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| specimen | Σ C | 0..* | Reference(DataStandardsWalesSpecimen) | Element idImagingStudy.series.specimenShort description Specimen imaged DefinitionThe specimen imaged, e.g., for whole slide imaging of a biopsy. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(DataStandardsWalesSpecimen) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| started | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idImagingStudy.series.startedShort description When the series started DefinitionThe date and time the series was started. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| performer | Σ | 0..* | BackboneElement | There are no (further) constraints on this element Element idImagingStudy.series.performerShort description Who performed the series Alternate namesPerformingPhysicianName, OperatorName DefinitionIndicates who or what performed the series and how they were involved. The performer is recorded at the series level, since each series in a study may be performed by a different performer, at different times, and using different devices. A series may be performed by multiple performers. If the person who performed the series is not known, their Organization may be recorded. A patient, or related person, may be the performer, e.g. for patient-captured images. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.performer.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.performer.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.performer.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| function | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idImagingStudy.series.performer.functionShort description Type of performance DefinitionDistinguishes the type of involvement of the performer in the series. Allows disambiguation of the types of involvement of different performers. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. The type of involvement of the performer. ImagingStudySeriesPerformerFunction (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| actor | Σ C | 1..1 | Reference(CareTeam | DataStandardsWalesDevice | DataStandardsWalesOrganization | DataStandardsWalesPatient | DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole | DataStandardsWalesRelatedPerson) | Element idImagingStudy.series.performer.actorShort description Who performed the series DefinitionIndicates who or what performed the series. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(CareTeam | DataStandardsWalesDevice | DataStandardsWalesOrganization | DataStandardsWalesPatient | DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole | DataStandardsWalesRelatedPerson) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| instance | 0..* | BackboneElement | There are no (further) constraints on this element Element idImagingStudy.series.instanceShort description A single SOP instance from the series DefinitionA single SOP instance within the series, e.g. an image, or presentation state. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.instance.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.instance.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.instance.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| uid | 1..1 | id | There are no (further) constraints on this element Element idImagingStudy.series.instance.uidShort description DICOM SOP Instance UID Alternate namesSOPInstanceUID DefinitionThe DICOM SOP Instance UID for this image or other DICOM content. DICOM SOP Instance UID. See DICOM PS3.3 C.12.1. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
General 2.16.124.113543.6003.189642796.63084.16748.2599092903Mappings
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| sopClass | 1..1 | CodingBinding | There are no (further) constraints on this element Element idImagingStudy.series.instance.sopClassShort description DICOM class type Alternate namesSOPClassUID DefinitionDICOM instance type. Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. The sopClass for the instance. http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| number | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.series.instance.numberShort description The number of this instance in the series Alternate namesInstanceNumber DefinitionThe number of instance in the series. 32 bit number; for values larger than this, use decimal The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
General 1Mappings
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| title | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.instance.titleShort description Description of instance DefinitionThe description of the instance. Particularly for post-acquisition analytic objects, such as SR, presentation states, value mapping, etc. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| DataStandardsWalesImagingStudy (ImagingStudy) | C | ImagingStudy | There are no (further) constraints on this element Element idImagingStudyShort description A set of images produced in single study (one or more series of references images) DefinitionRepresentation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.
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| id | Σ | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.idShort description Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||
| meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idImagingStudy.metaShort description Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idImagingStudy.implicitRulesShort description A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| language | 0..1 | codeBinding | There are no (further) constraints on this element Element idImagingStudy.languageShort description Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). A human language.
The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| text | 0..1 | Narrative | There are no (further) constraints on this element Element idImagingStudy.textShort description Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| contained | 0..* | Resource | There are no (further) constraints on this element Element idImagingStudy.containedShort description Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | ?! C | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.modifierExtensionShort description Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| identifier | S Σ | 0..* | Identifier | There are no (further) constraints on this element Element idImagingStudy.identifierShort description Identifiers for the whole study Alternate namesStudyInstanceUID, AccessionNumber DefinitionIdentifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number. If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier (see DICOM PS 3.3 C.7.2. See discussion under Imaging Study Implementation Notes for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| status | Σ ?! | 1..1 | codeBinding | There are no (further) constraints on this element Element idImagingStudy.statusShort description registered | available | cancelled | entered-in-error | unknown DefinitionThe current state of the ImagingStudy. Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is. The status of the ImagingStudy. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modality | Σ | 0..* | CodingBinding | There are no (further) constraints on this element Element idImagingStudy.modalityShort description All series modality if actual acquisition modalities Alternate namesModalitiesInStudy DefinitionA list of all the series.modality values that are actual acquisition modalities, i.e. those in the DICOM Context Group 29 (value set OID 1.2.840.10008.6.1.19). Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Type of acquired data in the instance. http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| subject | Σ C | 1..1 | Reference(DataStandardsWalesPatient) | Element idImagingStudy.subjectShort description Who or what is the subject of the study DefinitionThe subject, typically a patient, of the imaging study. QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group. Reference(DataStandardsWalesPatient) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| encounter | Σ C | 0..1 | Reference(DataStandardsWalesEncounter) | Element idImagingStudy.encounterShort description Encounter with which this imaging study is associated DefinitionThe healthcare event (e.g. a patient and healthcare provider interaction) during which this ImagingStudy is made. This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission test). Reference(DataStandardsWalesEncounter) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| started | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idImagingStudy.startedShort description When the study was started Alternate namesStudyDate, StudyTime DefinitionDate and time the study started. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
General 2011-01-01T11:01:20+03:00Mappings
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| basedOn | Σ C | 0..* | Reference(AppointmentResponse | CarePlan | Task | DataStandardsWalesAppointment | DataStandardsWalesServiceRequest) | Element idImagingStudy.basedOnShort description Request fulfilled DefinitionA list of the diagnostic requests that resulted in this imaging study being performed. To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT). References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(AppointmentResponse | CarePlan | Task | DataStandardsWalesAppointment | DataStandardsWalesServiceRequest) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| referrer | Σ C | 0..1 | Reference(DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole) | Element idImagingStudy.referrerShort description Referring physician Alternate namesReferringPhysiciansName DefinitionThe requesting/referring physician. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| interpreter | Σ C | 0..* | Reference(DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole) | Element idImagingStudy.interpreterShort description Who interpreted images Alternate namesName of Physician(s) Reading Study DefinitionWho read the study and interpreted the images or other content. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| endpoint | S Σ C | 0..* | Reference(DataStandardsWalesEndpoint) | Element idImagingStudy.endpointShort description Study access endpoint DefinitionThe network service providing access (e.g., query, view, or retrieval) for the study. See implementation notes for information about using DICOM endpoints. A study-level endpoint applies to each series in the study, unless overridden by a series-level endpoint with the same Endpoint.connectionType. Access methods for viewing (e.g., IHE’s IID profile) or retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the study or the study’s series or instances. The study-level baseLocation applies to each series in the study, unless overridden in series by a series-level baseLocation of the same type. Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG), formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances; or IHE Invoke Image Display (IID), which provides standard invocation of an imaging web viewer. Reference(DataStandardsWalesEndpoint) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| numberOfSeries | Σ | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.numberOfSeriesShort description Number of Study Related Series Alternate namesNumberOfStudyRelatedSeries DefinitionNumber of Series in the Study. This value given may be larger than the number of series elements this Resource contains due to resource availability, security, or other factors. This element should be present if any series elements are present. 32 bit number; for values larger than this, use decimal The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| numberOfInstances | Σ | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.numberOfInstancesShort description Number of Study Related Instances Alternate namesNumberOfStudyRelatedInstances DefinitionNumber of SOP Instances in Study. This value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present. 32 bit number; for values larger than this, use decimal The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| procedureReference | Σ C | 0..1 | Reference(UKCoreProcedure) | Element idImagingStudy.procedureReferenceShort description The performed Procedure reference DefinitionThe procedure which this ImagingStudy was part of. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| procedureCode | Σ | 0..* | CodeableConceptBinding | There are no (further) constraints on this element Element idImagingStudy.procedureCodeShort description The performed procedure code Alternate namesProcedureCodeSequence DefinitionThe code for the performed procedure type. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. The performed procedure type. http://www.rsna.org/RadLex_Playbook.aspx (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| location | Σ C | 0..1 | Reference(DataStandardsWalesLocation) | Element idImagingStudy.locationShort description Where ImagingStudy occurred DefinitionThe principal physical location where the ImagingStudy was performed. Ties the event to where the records are likely kept and provides context around the event occurrence (e.g. if it occurred inside or outside a dedicated healthcare setting). References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(DataStandardsWalesLocation) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| reasonCode | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element idImagingStudy.reasonCodeShort description Why the study was requested DefinitionDescription of clinical condition indicating why the ImagingStudy was requested. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. The reason for the study. ProcedureReasonCodes (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| reasonReference | Σ C | 0..* | Reference(Media | DataStandardsWalesCondition | DataStandardsWalesDiagnosticReport | DataStandardsWalesDocumentReference | DataStandardsWalesObservation) | Element idImagingStudy.reasonReferenceShort description Why was study performed DefinitionIndicates another resource whose existence justifies this Study. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(Media | DataStandardsWalesCondition | DataStandardsWalesDiagnosticReport | DataStandardsWalesDocumentReference | DataStandardsWalesObservation) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| note | Σ | 0..* | Annotation | There are no (further) constraints on this element Element idImagingStudy.noteShort description User-defined comments DefinitionPer the recommended DICOM mapping, this element is derived from the Study Description attribute (0008,1030). Observations or findings about the imaging study should be recorded in another resource, e.g. Observation, and not in this element. For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| description | Σ | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.descriptionShort description Institution-generated description Alternate namesStudyDescription DefinitionThe Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed. Note that FHIR strings SHALL NOT exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| series | Σ | 0..* | BackboneElement | There are no (further) constraints on this element Element idImagingStudy.seriesShort description Each study has one or more series of instances DefinitionEach study has one or more series of images or other content. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| uid | Σ | 1..1 | id | There are no (further) constraints on this element Element idImagingStudy.series.uidShort description DICOM Series Instance UID for the series Alternate namesSeriesInstanceUID DefinitionThe DICOM Series Instance UID for the series. DICOM Series Instance UID. See DICOM PS3.3 C.7.3. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
General 2.16.124.113543.6003.2588828330.45298.17418.2723805630Mappings
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| number | Σ | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.series.numberShort description Numeric identifier of this series Alternate namesSeriesNumber DefinitionThe numeric identifier of this series in the study. 32 bit number; for values larger than this, use decimal The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
General 3Mappings
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| modality | Σ | 1..1 | CodingBinding | There are no (further) constraints on this element Element idImagingStudy.series.modalityShort description The modality of the instances in the series Alternate namesModality DefinitionThe modality of this series sequence. Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Type of acquired data in the instance. http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| description | Σ | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.descriptionShort description A short human readable summary of the series Alternate namesSeriesDescription DefinitionA description of the series. Note that FHIR strings SHALL NOT exceed 1MB in size The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
General CT Surview 180Mappings
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| numberOfInstances | Σ | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.series.numberOfInstancesShort description Number of Series Related Instances Alternate namesNumberOfSeriesRelatedInstances DefinitionNumber of SOP Instances in the Study. The value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present. 32 bit number; for values larger than this, use decimal The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| endpoint | Σ C | 0..* | Reference(DataStandardsWalesEndpoint) | Element idImagingStudy.series.endpointShort description Series access endpoint DefinitionThe network service providing access (e.g., query, view, or retrieval) for this series. See implementation notes for information about using DICOM endpoints. A series-level endpoint, if present, has precedence over a study-level endpoint with the same Endpoint.connectionType. Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the series or the series’ instances. A baseLocation specified at the series level has precedence over a baseLocation of the same type specified at the study level. Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG) formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; and DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances. Reference(DataStandardsWalesEndpoint) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| bodySite | Σ | 0..1 | Coding | There are no (further) constraints on this element Element idImagingStudy.series.bodySiteShort description Body part examined Alternate namesBodyPartExamined DefinitionThe anatomic structures examined. See DICOM Part 16 Annex L (http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings. The bodySite may indicate the laterality of body part imaged; if so, it shall be consistent with any content of ImagingStudy.series.laterality. Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Codes describing anatomical locations. May include laterality. SNOMEDCTBodyStructures (example) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| laterality | Σ | 0..1 | Coding | There are no (further) constraints on this element Element idImagingStudy.series.lateralityShort description Body part laterality DefinitionThe laterality of the (possibly paired) anatomic structures examined. E.g., the left knee, both lungs, or unpaired abdomen. If present, shall be consistent with any laterality information indicated in ImagingStudy.series.bodySite. Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Codes describing body site laterality (left, right, etc.). The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| specimen | Σ C | 0..* | Reference(DataStandardsWalesSpecimen) | Element idImagingStudy.series.specimenShort description Specimen imaged DefinitionThe specimen imaged, e.g., for whole slide imaging of a biopsy. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(DataStandardsWalesSpecimen) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| started | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idImagingStudy.series.startedShort description When the series started DefinitionThe date and time the series was started. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| performer | Σ | 0..* | BackboneElement | There are no (further) constraints on this element Element idImagingStudy.series.performerShort description Who performed the series Alternate namesPerformingPhysicianName, OperatorName DefinitionIndicates who or what performed the series and how they were involved. The performer is recorded at the series level, since each series in a study may be performed by a different performer, at different times, and using different devices. A series may be performed by multiple performers. If the person who performed the series is not known, their Organization may be recorded. A patient, or related person, may be the performer, e.g. for patient-captured images. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.performer.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.performer.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.performer.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| function | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idImagingStudy.series.performer.functionShort description Type of performance DefinitionDistinguishes the type of involvement of the performer in the series. Allows disambiguation of the types of involvement of different performers. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. The type of involvement of the performer. ImagingStudySeriesPerformerFunction (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| actor | Σ C | 1..1 | Reference(CareTeam | DataStandardsWalesDevice | DataStandardsWalesOrganization | DataStandardsWalesPatient | DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole | DataStandardsWalesRelatedPerson) | Element idImagingStudy.series.performer.actorShort description Who performed the series DefinitionIndicates who or what performed the series. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(CareTeam | DataStandardsWalesDevice | DataStandardsWalesOrganization | DataStandardsWalesPatient | DataStandardsWalesPractitioner | DataStandardsWalesPractitionerRole | DataStandardsWalesRelatedPerson) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| instance | 0..* | BackboneElement | There are no (further) constraints on this element Element idImagingStudy.series.instanceShort description A single SOP instance from the series DefinitionA single SOP instance within the series, e.g. an image, or presentation state. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| id | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.instance.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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| extension | C | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.instance.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idImagingStudy.series.instance.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| uid | 1..1 | id | There are no (further) constraints on this element Element idImagingStudy.series.instance.uidShort description DICOM SOP Instance UID Alternate namesSOPInstanceUID DefinitionThe DICOM SOP Instance UID for this image or other DICOM content. DICOM SOP Instance UID. See DICOM PS3.3 C.12.1. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
General 2.16.124.113543.6003.189642796.63084.16748.2599092903Mappings
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| sopClass | 1..1 | CodingBinding | There are no (further) constraints on this element Element idImagingStudy.series.instance.sopClassShort description DICOM class type Alternate namesSOPClassUID DefinitionDICOM instance type. Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. The sopClass for the instance. http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible) ConditionsThe cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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| number | 0..1 | unsignedInt | There are no (further) constraints on this element Element idImagingStudy.series.instance.numberShort description The number of this instance in the series Alternate namesInstanceNumber DefinitionThe number of instance in the series. 32 bit number; for values larger than this, use decimal The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
General 1Mappings
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| title | 0..1 | string | There are no (further) constraints on this element Element idImagingStudy.series.instance.titleShort description Description of instance DefinitionThe description of the instance. Particularly for post-acquisition analytic objects, such as SR, presentation states, value mapping, etc. The cardinality or value of this element may be affected by these constraints: ele-1 Constraints
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