QI-Core Implementation Guide
5.0.0-ballot - STU Ballot US

This page is part of the Quality Improvement Core Framework (v5.0.0-ballot: STU 5 Ballot 1) based on FHIR R4. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions

Resource Profile: QICore Imaging Study

Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-imagingstudy Version: 5.0.0-ballot
Active as of 2018-08-22 Computable Name: QICoreImagingStudy

Profile of ImagingStudy for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

Usage

See the patterns page for implementation and usage patterns.

Examples

Chest CT

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from ImagingStudy

Summary

Mandatory: 0 element (1 nested mandatory element)
Must-Support: 4 elements

Structures

This structure refers to these other structures:

This structure is derived from ImagingStudy

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy 0..*ImagingStudyA set of images produced in single study (one or more series of references images)
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierIdentifiers for the whole study
... status ?!Σ1..1coderegistered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required): The status of the ImagingStudy.

... modality Σ0..*CodingAll series modality if actual acquisition modalities
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible): Type of acquired data in the instance.


... subject SΣ1..1Reference(QICorePatient)Who or what is the subject of the study
... encounter Σ0..1Reference(QICore Encounter)Encounter with which this imaging study is associated
... started SΣ0..1dateTimeWhen the study was started
Example General: 2011-01-01T11:01:20+03:00
... basedOn SΣ0..*Reference(QICore Service Request | QICore Care Plan)Request fulfilled
... referrer Σ0..1Reference(QICore Practitioner | QICorePractitionerRole)Referring physician
... interpreter Σ0..*Reference(QICore Practitioner | QICorePractitionerRole)Who interpreted images
... endpoint Σ0..*Reference(Endpoint)Study access endpoint
... numberOfSeries Σ0..1unsignedIntNumber of Study Related Series
... numberOfInstances Σ0..1unsignedIntNumber of Study Related Instances
... procedureReference SΣ0..1Reference(QICoreProcedure)The performed Procedure reference
... procedureCode Σ0..*CodeableConceptThe performed procedure code
Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.


... location Σ0..1Reference(QICoreLocation)Where ImagingStudy occurred
... reasonCode Σ0..*CodeableConceptWhy the study was requested
Binding: ProcedureReasonCodes (example): The reason for the study.


... reasonReference Σ0..*Reference(QICore Condition Problems Health Concerns | QICore Observation | Media | QICore DiagnosticReport Profile for Report and Note Exchange | DocumentReference)Why was study performed
... note Σ0..*AnnotationUser-defined comments
... description Σ0..1stringInstitution-generated description
... series Σ0..*BackboneElementEach study has one or more series of instances
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... uid Σ1..1idDICOM Series Instance UID for the series
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
.... number Σ0..1unsignedIntNumeric identifier of this series
Example General: 3
.... modality Σ1..1CodingThe modality of the instances in the series
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible): Type of acquired data in the instance.

.... description Σ0..1stringA short human readable summary of the series
Example General: CT Surview 180
.... numberOfInstances Σ0..1unsignedIntNumber of Series Related Instances
.... endpoint Σ0..*Reference(Endpoint)Series access endpoint
.... bodySite Σ0..1CodingBody part examined
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

.... laterality Σ0..1CodingBody part laterality
Binding: Laterality (example): Codes describing body site laterality (left, right, etc.).

.... specimen Σ0..*Reference(QICoreSpecimen)Specimen imaged
.... started Σ0..1dateTimeWhen the series started
.... performer Σ0..*BackboneElementWho performed the series
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... function Σ0..1CodeableConceptType of performance
Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.

..... actor Σ1..1Reference(QICore Practitioner | QICorePractitionerRole | QICoreOrganization | QICore CareTeam | QICorePatient | QICoreDevice | QICoreRelatedPerson)Who performed the series
.... instance 0..*BackboneElementA single SOP instance from the series
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... uid 1..1idDICOM SOP Instance UID
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
..... sopClass 1..1CodingDICOM class type
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance.

..... number 0..1unsignedIntThe number of this instance in the series
Example General: 1
..... title 0..1stringDescription of instance

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy 0..*ImagingStudyA set of images produced in single study (one or more series of references images)
... subject Σ1..1Reference(QICorePatient)Who or what is the subject of the study
... started Σ0..1dateTimeWhen the study was started
... basedOn Σ0..*Reference(QICore Service Request | QICore Care Plan)Request fulfilled

doco Documentation for this format

This structure is derived from ImagingStudy

Summary

Mandatory: 0 element (1 nested mandatory element)
Must-Support: 4 elements

Structures

This structure refers to these other structures:

Differential View

This structure is derived from ImagingStudy

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy 0..*ImagingStudyA set of images produced in single study (one or more series of references images)
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierIdentifiers for the whole study
... status ?!Σ1..1coderegistered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required): The status of the ImagingStudy.

... modality Σ0..*CodingAll series modality if actual acquisition modalities
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible): Type of acquired data in the instance.


... subject SΣ1..1Reference(QICorePatient)Who or what is the subject of the study
... encounter Σ0..1Reference(QICore Encounter)Encounter with which this imaging study is associated
... started SΣ0..1dateTimeWhen the study was started
Example General: 2011-01-01T11:01:20+03:00
... basedOn SΣ0..*Reference(QICore Service Request | QICore Care Plan)Request fulfilled
... referrer Σ0..1Reference(QICore Practitioner | QICorePractitionerRole)Referring physician
... interpreter Σ0..*Reference(QICore Practitioner | QICorePractitionerRole)Who interpreted images
... endpoint Σ0..*Reference(Endpoint)Study access endpoint
... numberOfSeries Σ0..1unsignedIntNumber of Study Related Series
... numberOfInstances Σ0..1unsignedIntNumber of Study Related Instances
... procedureReference SΣ0..1Reference(QICoreProcedure)The performed Procedure reference
... procedureCode Σ0..*CodeableConceptThe performed procedure code
Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.


... location Σ0..1Reference(QICoreLocation)Where ImagingStudy occurred
... reasonCode Σ0..*CodeableConceptWhy the study was requested
Binding: ProcedureReasonCodes (example): The reason for the study.


... reasonReference Σ0..*Reference(QICore Condition Problems Health Concerns | QICore Observation | Media | QICore DiagnosticReport Profile for Report and Note Exchange | DocumentReference)Why was study performed
... note Σ0..*AnnotationUser-defined comments
... description Σ0..1stringInstitution-generated description
... series Σ0..*BackboneElementEach study has one or more series of instances
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... uid Σ1..1idDICOM Series Instance UID for the series
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
.... number Σ0..1unsignedIntNumeric identifier of this series
Example General: 3
.... modality Σ1..1CodingThe modality of the instances in the series
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible): Type of acquired data in the instance.

.... description Σ0..1stringA short human readable summary of the series
Example General: CT Surview 180
.... numberOfInstances Σ0..1unsignedIntNumber of Series Related Instances
.... endpoint Σ0..*Reference(Endpoint)Series access endpoint
.... bodySite Σ0..1CodingBody part examined
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

.... laterality Σ0..1CodingBody part laterality
Binding: Laterality (example): Codes describing body site laterality (left, right, etc.).

.... specimen Σ0..*Reference(QICoreSpecimen)Specimen imaged
.... started Σ0..1dateTimeWhen the series started
.... performer Σ0..*BackboneElementWho performed the series
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... function Σ0..1CodeableConceptType of performance
Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.

..... actor Σ1..1Reference(QICore Practitioner | QICorePractitionerRole | QICoreOrganization | QICore CareTeam | QICorePatient | QICoreDevice | QICoreRelatedPerson)Who performed the series
.... instance 0..*BackboneElementA single SOP instance from the series
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... uid 1..1idDICOM SOP Instance UID
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
..... sopClass 1..1CodingDICOM class type
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance.

..... number 0..1unsignedIntThe number of this instance in the series
Example General: 1
..... title 0..1stringDescription of instance

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet
ImagingStudy.languagepreferredCommonLanguages
Max Binding: AllLanguages
ImagingStudy.statusrequiredImagingStudyStatus
ImagingStudy.modalityextensiblehttp://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
ImagingStudy.procedureCodeextensiblehttp://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.reasonCodeexampleProcedureReasonCodes
ImagingStudy.series.modalityextensiblehttp://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
ImagingStudy.series.bodySiteexampleSNOMEDCTBodyStructures
ImagingStudy.series.lateralityexampleLaterality
ImagingStudy.series.performer.functionextensibleImagingStudySeriesPerformerFunction
ImagingStudy.series.instance.sopClassextensiblehttp://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Constraints

IdGradePathDetailsRequirements
dom-2errorImagingStudyIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImagingStudyIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorImagingStudyIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorImagingStudyIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6Best PracticeImagingStudyA resource should have narrative for robust management
: text.`div`.exists()
ele-1errorImagingStudy.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImagingStudy.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImagingStudy.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImagingStudy.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImagingStudy.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.modalityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.encounterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.startedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.basedOnAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.referrerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.interpreterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.endpointAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.numberOfSeriesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.numberOfInstancesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.procedureReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.procedureCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.locationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.reasonCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.reasonReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.noteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.seriesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.series.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImagingStudy.series.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImagingStudy.series.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImagingStudy.series.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImagingStudy.series.uidAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.series.numberAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.series.modalityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.series.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.series.numberOfInstancesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.series.endpointAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.series.bodySiteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.series.lateralityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.series.specimenAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.series.startedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.series.performerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.series.performer.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImagingStudy.series.performer.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImagingStudy.series.performer.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImagingStudy.series.performer.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImagingStudy.series.performer.functionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.series.performer.actorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.series.instanceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.series.instance.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImagingStudy.series.instance.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImagingStudy.series.instance.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorImagingStudy.series.instance.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorImagingStudy.series.instance.uidAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.series.instance.sopClassAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.series.instance.numberAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorImagingStudy.series.instance.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())