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
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:
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
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
ImagingStudy | 0..* | ImagingStudy | A set of images produced in single study (one or more series of references images) | |||||
id | Σ | 0..1 | string | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | Identifiers for the whole study | ||||
status | ?!Σ | 1..1 | code | registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy. | ||||
modality | Σ | 0..* | Coding | All series modality if actual acquisition modalities Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible): Type of acquired data in the instance. | ||||
subject | SΣ | 1..1 | Reference(QICorePatient) | Who or what is the subject of the study | ||||
encounter | Σ | 0..1 | Reference(QICore Encounter) | Encounter with which this imaging study is associated | ||||
started | SΣ | 0..1 | dateTime | When the study was started Example General: 2011-01-01T11:01:20+03:00 | ||||
basedOn | SΣ | 0..* | Reference(QICore Service Request | QICore Care Plan) | Request fulfilled | ||||
referrer | Σ | 0..1 | Reference(QICore Practitioner | QICorePractitionerRole) | Referring physician | ||||
interpreter | Σ | 0..* | Reference(QICore Practitioner | QICorePractitionerRole) | Who interpreted images | ||||
endpoint | Σ | 0..* | Reference(Endpoint) | Study access endpoint | ||||
numberOfSeries | Σ | 0..1 | unsignedInt | Number of Study Related Series | ||||
numberOfInstances | Σ | 0..1 | unsignedInt | Number of Study Related Instances | ||||
procedureReference | SΣ | 0..1 | Reference(QICoreProcedure) | The performed Procedure reference | ||||
procedureCode | Σ | 0..* | CodeableConcept | The performed procedure code Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type. | ||||
location | Σ | 0..1 | Reference(QICoreLocation) | Where ImagingStudy occurred | ||||
reasonCode | Σ | 0..* | CodeableConcept | Why the study was requested Binding: ProcedureReasonCodes (example): The reason for the study. | ||||
reasonReference | Σ | 0..* | Reference(QICore Condition Problems Health Concerns | QICore Observation | Media | QICore DiagnosticReport Profile for Report and Note Exchange | DocumentReference) | Why was study performed | ||||
note | Σ | 0..* | Annotation | User-defined comments | ||||
description | Σ | 0..1 | string | Institution-generated description | ||||
series | Σ | 0..* | BackboneElement | Each study has one or more series of instances | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
uid | Σ | 1..1 | id | DICOM Series Instance UID for the series Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630 | ||||
number | Σ | 0..1 | unsignedInt | Numeric identifier of this series Example General: 3 | ||||
modality | Σ | 1..1 | Coding | The modality of the instances in the series Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible): Type of acquired data in the instance. | ||||
description | Σ | 0..1 | string | A short human readable summary of the series Example General: CT Surview 180 | ||||
numberOfInstances | Σ | 0..1 | unsignedInt | Number of Series Related Instances | ||||
endpoint | Σ | 0..* | Reference(Endpoint) | Series access endpoint | ||||
bodySite | Σ | 0..1 | Coding | Body part examined Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
laterality | Σ | 0..1 | Coding | Body part laterality Binding: Laterality (example): Codes describing body site laterality (left, right, etc.). | ||||
specimen | Σ | 0..* | Reference(QICoreSpecimen) | Specimen imaged | ||||
started | Σ | 0..1 | dateTime | When the series started | ||||
performer | Σ | 0..* | BackboneElement | Who performed the series | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer. | ||||
actor | Σ | 1..1 | Reference(QICore Practitioner | QICorePractitionerRole | QICoreOrganization | QICore CareTeam | QICorePatient | QICoreDevice | QICoreRelatedPerson) | Who performed the series | ||||
instance | 0..* | BackboneElement | A single SOP instance from the series | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
uid | 1..1 | id | DICOM SOP Instance UID Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903 | |||||
sopClass | 1..1 | Coding | DICOM class type Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance. | |||||
number | 0..1 | unsignedInt | The number of this instance in the series Example General: 1 | |||||
title | 0..1 | string | Description of instance | |||||
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
ImagingStudy | 0..* | ImagingStudy | A set of images produced in single study (one or more series of references images) | |
subject | Σ | 1..1 | Reference(QICorePatient) | Who or what is the subject of the study |
started | Σ | 0..1 | dateTime | When the study was started |
basedOn | Σ | 0..* | Reference(QICore Service Request | QICore Care Plan) | Request fulfilled |
procedureReference | Σ | 0..1 | Reference(QICoreProcedure) | The performed Procedure reference |
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
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
ImagingStudy | 0..* | ImagingStudy | A set of images produced in single study (one or more series of references images) | |||||
id | Σ | 0..1 | string | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | Identifiers for the whole study | ||||
status | ?!Σ | 1..1 | code | registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy. | ||||
modality | Σ | 0..* | Coding | All series modality if actual acquisition modalities Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible): Type of acquired data in the instance. | ||||
subject | SΣ | 1..1 | Reference(QICorePatient) | Who or what is the subject of the study | ||||
encounter | Σ | 0..1 | Reference(QICore Encounter) | Encounter with which this imaging study is associated | ||||
started | SΣ | 0..1 | dateTime | When the study was started Example General: 2011-01-01T11:01:20+03:00 | ||||
basedOn | SΣ | 0..* | Reference(QICore Service Request | QICore Care Plan) | Request fulfilled | ||||
referrer | Σ | 0..1 | Reference(QICore Practitioner | QICorePractitionerRole) | Referring physician | ||||
interpreter | Σ | 0..* | Reference(QICore Practitioner | QICorePractitionerRole) | Who interpreted images | ||||
endpoint | Σ | 0..* | Reference(Endpoint) | Study access endpoint | ||||
numberOfSeries | Σ | 0..1 | unsignedInt | Number of Study Related Series | ||||
numberOfInstances | Σ | 0..1 | unsignedInt | Number of Study Related Instances | ||||
procedureReference | SΣ | 0..1 | Reference(QICoreProcedure) | The performed Procedure reference | ||||
procedureCode | Σ | 0..* | CodeableConcept | The performed procedure code Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type. | ||||
location | Σ | 0..1 | Reference(QICoreLocation) | Where ImagingStudy occurred | ||||
reasonCode | Σ | 0..* | CodeableConcept | Why the study was requested Binding: ProcedureReasonCodes (example): The reason for the study. | ||||
reasonReference | Σ | 0..* | Reference(QICore Condition Problems Health Concerns | QICore Observation | Media | QICore DiagnosticReport Profile for Report and Note Exchange | DocumentReference) | Why was study performed | ||||
note | Σ | 0..* | Annotation | User-defined comments | ||||
description | Σ | 0..1 | string | Institution-generated description | ||||
series | Σ | 0..* | BackboneElement | Each study has one or more series of instances | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
uid | Σ | 1..1 | id | DICOM Series Instance UID for the series Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630 | ||||
number | Σ | 0..1 | unsignedInt | Numeric identifier of this series Example General: 3 | ||||
modality | Σ | 1..1 | Coding | The modality of the instances in the series Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible): Type of acquired data in the instance. | ||||
description | Σ | 0..1 | string | A short human readable summary of the series Example General: CT Surview 180 | ||||
numberOfInstances | Σ | 0..1 | unsignedInt | Number of Series Related Instances | ||||
endpoint | Σ | 0..* | Reference(Endpoint) | Series access endpoint | ||||
bodySite | Σ | 0..1 | Coding | Body part examined Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
laterality | Σ | 0..1 | Coding | Body part laterality Binding: Laterality (example): Codes describing body site laterality (left, right, etc.). | ||||
specimen | Σ | 0..* | Reference(QICoreSpecimen) | Specimen imaged | ||||
started | Σ | 0..1 | dateTime | When the series started | ||||
performer | Σ | 0..* | BackboneElement | Who performed the series | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer. | ||||
actor | Σ | 1..1 | Reference(QICore Practitioner | QICorePractitionerRole | QICoreOrganization | QICore CareTeam | QICorePatient | QICoreDevice | QICoreRelatedPerson) | Who performed the series | ||||
instance | 0..* | BackboneElement | A single SOP instance from the series | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
uid | 1..1 | id | DICOM SOP Instance UID Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903 | |||||
sopClass | 1..1 | Coding | DICOM class type Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance. | |||||
number | 0..1 | unsignedInt | The number of this instance in the series Example General: 1 | |||||
title | 0..1 | string | Description of instance | |||||
Documentation for this format |
Other representations of profile: CSV, Excel, Schematron
Path | Conformance | ValueSet |
ImagingStudy.language | preferred | CommonLanguages Max Binding: AllLanguages |
ImagingStudy.status | required | ImagingStudyStatus |
ImagingStudy.modality | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html |
ImagingStudy.procedureCode | extensible | http://www.rsna.org/RadLex_Playbook.aspx |
ImagingStudy.reasonCode | example | ProcedureReasonCodes |
ImagingStudy.series.modality | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html |
ImagingStudy.series.bodySite | example | SNOMEDCTBodyStructures |
ImagingStudy.series.laterality | example | Laterality |
ImagingStudy.series.performer.function | extensible | ImagingStudySeriesPerformerFunction |
ImagingStudy.series.instance.sopClass | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 |
Id | Grade | Path | Details | Requirements |
dom-2 | error | ImagingStudy | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | ImagingStudy | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | ImagingStudy | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | ImagingStudy | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | Best Practice | ImagingStudy | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | ImagingStudy.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | ImagingStudy.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | ImagingStudy.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | ImagingStudy.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | ImagingStudy.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.status | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.modality | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.subject | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.encounter | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.started | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.basedOn | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.referrer | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.interpreter | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.endpoint | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.numberOfSeries | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.numberOfInstances | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.procedureReference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.procedureCode | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.location | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.reasonCode | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.reasonReference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.note | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.description | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.series | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.series.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | ImagingStudy.series.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | ImagingStudy.series.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | ImagingStudy.series.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | ImagingStudy.series.uid | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.series.number | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.series.modality | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.series.description | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.series.numberOfInstances | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.series.endpoint | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.series.bodySite | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.series.laterality | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.series.specimen | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.series.started | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.series.performer | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.series.performer.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | ImagingStudy.series.performer.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | ImagingStudy.series.performer.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | ImagingStudy.series.performer.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | ImagingStudy.series.performer.function | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.series.performer.actor | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.series.instance | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.series.instance.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | ImagingStudy.series.instance.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | ImagingStudy.series.instance.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | ImagingStudy.series.instance.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | ImagingStudy.series.instance.uid | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.series.instance.sopClass | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.series.instance.number | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | ImagingStudy.series.instance.title | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |