2nd DSTU Draft For Comment

This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

4.24.4 Resource ImagingStudy - Detailed Descriptions

Detailed Descriptions for the elements in the ImagingStudy resource.

ImagingStudy
Definition

Representation 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.

Control1..1
Alternate NamesManifest; XDS-I summary; Key Images
ImagingStudy.started
Definition

Date and Time the study started.

Control0..1
TypedateTime
Alternate NamesStudyDate; StudyTime
ImagingStudy.patient
Definition

The patient for whom the images are of.

Control1..1
TypeReference(Patient)
ImagingStudy.uid
Definition

Formal identifier for the study.

Control1..1
Typeoid
Alternate NamesStudyInstanceUID
ImagingStudy.accession
Definition

Accession Number.

Control0..1
TypeIdentifier
Alternate NamesAccessionNumber
ImagingStudy.identifier
Definition

Other identifiers for the study.

Control0..*
TypeIdentifier
Alternate NamesStudyID
ImagingStudy.order
Definition

A list of the diagnostic orders that resulted in this imaging study being performed.

Control0..*
TypeReference(DiagnosticOrder)
Requirements

To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g., chest/abdomen/pelvis CT).

Comments

The order(s) can be inferred from information such as accession numbers, but the details of this depend on local workflow management. Note that there is a many-many relationship between orders and studies.

ImagingStudy.modalityList
Definition

A list of all the Series.ImageModality 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).

Control0..*
BindingImagingModality: Required: http://hl7.org/fhir/imaging-modality (Type of acquired image data in the instance)
Typecode
Alternate NamesModalitiesInStudy
ImagingStudy.referrer
Definition

The requesting/referring physician.

Control0..1
TypeReference(Practitioner)
Alternate NamesReferringPhysiciansName
ImagingStudy.availability
Definition

Availability of study (online, offline or nearline).

Control0..1
BindingInstanceAvailability: Required: http://hl7.org/fhir/instance-availability (Availability of the resource)
Typecode
Alternate NamesInstanceAvailability
ImagingStudy.url
Definition

WADO-RS URI where Study is available.

Control0..1
Typeuri
Alternate NamesRetrieveURI
ImagingStudy.numberOfSeries
Definition

Number of Series in Study.

Control1..1
Typeinteger
Alternate NamesNumberOfStudyRelatedSeries
ImagingStudy.numberOfInstances
Definition

Number of SOP Instances in Study.

Control1..1
Typeinteger
Alternate NamesNumberOfStudyRelatedInstances
ImagingStudy.clinicalInformation
Definition

Diagnoses etc provided with request.

Control0..1
Typestring
Alternate NamesAdmittingDiagnosesDescription; AdditionalPatientHistory
ImagingStudy.procedure
Definition

Type of procedure performed.

Control0..*
TypeCoding
Alternate NamesProcedureCodeSequence
ImagingStudy.interpreter
Definition

Who read study and interpreted the images.

Control0..1
TypeReference(Practitioner)
Alternate NamesName of Physician(s) Reading Study
Comments

or is this 4008,010C?.

ImagingStudy.description
Definition

Institution-generated description or classification of the Study (component) performed.

Control0..1
Typestring
ImagingStudy.series
Definition

Each study has one or more series of image instances.

Control0..*
ImagingStudy.series.number
Definition

The Numeric identifier of this series in the study.

Control0..1
Typeinteger
Alternate NamesSeriesNumber
ImagingStudy.series.modality
Definition

The modality of this series sequence.

Control1..1
BindingModality: Required: http://hl7.org/fhir/modality (Type of data in the instance)
Typecode
Alternate NamesModality
ImagingStudy.series.uid
Definition

Formal identifier for this series.

Control1..1
Typeoid
Alternate NamesSeriesInstanceUID
ImagingStudy.series.description
Definition

A description of the series.

Control0..1
Typestring
Alternate NamesSeriesDescription
ImagingStudy.series.numberOfInstances
Definition

Sequence that contains attributes from the.

Control1..1
Typeinteger
Alternate NamesNumberOfSeriesRelatedInstances
ImagingStudy.series.availability
Definition

Availability of series (online, offline or nearline).

Control0..1
BindingInstanceAvailability: Required: http://hl7.org/fhir/instance-availability (Availability of the resource)
Typecode
Alternate NamesInstanceAvailability
ImagingStudy.series.url
Definition

WADO-RS URI where Series is available.

Control0..1
Typeuri
Alternate NamesRetrieveURI
ImagingStudy.series.bodySite
Definition

Body part examined. See DICOM Part 16 Annex L for the mapping from DICOM to Snomed.

Control0..1
BindingBodySite: Example: See http://hl7.org/fhir/vs/body-site (Codes describing anatomical locations. May include laterality)
TypeCoding
Alternate NamesBodyPartExamined
ImagingStudy.series.dateTime
Definition

The date when the series was started.

Control0..1
TypedateTime
ImagingStudy.series.instance
Definition

A single image taken from a patient.

Control0..*
ImagingStudy.series.instance.number
Definition

The number of this image in the series.

Control0..1
Typeinteger
Alternate NamesInstanceNumber
ImagingStudy.series.instance.uid
Definition

Formal identifier for this image.

Control1..1
Typeoid
Alternate NamesSOPInstanceUID
ImagingStudy.series.instance.sopclass
Definition

DICOM Image type.

Control1..1
Typeoid
Alternate NamesSOPClassUID
ImagingStudy.series.instance.type
Definition

The type of the instance.

Control0..1
Typestring
Alternate NamesDirectoryRecordType
ImagingStudy.series.instance.title
Definition

The description of the instance.

Control0..1
Typestring
ImagingStudy.series.instance.url
Definition

WADO-RS url where image is available.

Control0..1
Typeuri
Comments

Each instance may have a url and an attachment. Both represent the same information, but using different approaches. The URL is a reference to a WADO-RS service that makes the instance available.

ImagingStudy.series.instance.attachment
Definition

A FHIR resource with content for this instance.

Control0..1
TypeReference(Any)
Comments

Each instance may have a url and an attachment. Both represent the same information, but using different approaches. The attachment is a reference to a FHIR resource (Media, Document, etc).