QI-Core Implementation Guide
5.0.0 - STU5
QI-Core Implementation Guide
5.0.0 - STU5
This page is part of the Quality Improvement Core Framework (v5.0.0: STU5 (v5.0.0)) 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 | |||
| 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
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  ImagingStudy | 0..* | ImagingStudy | A set of images produced in single study (one or more series of references images) | |
  implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!Σ | 1..1 | code | registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy. |
 subject | SΣ | 1..1 | Reference(QICore Patient) | 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 ServiceRequest | QICore CarePlan) | Request fulfilled |
| referrer | Σ | 0..1 | Reference(QICore Practitioner | QICore PractitionerRole) | Referring physician |
| interpreter | Σ | 0..* | Reference(QICore Practitioner | QICore PractitionerRole) | Who interpreted images |
| procedureReference | SΣ | 0..1 | Reference(QICore Procedure) | The performed Procedure reference |
| location | Σ | 0..1 | Reference(QICore Location) | Where ImagingStudy occurred |
 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 |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| ImagingStudy.status | required | ImagingStudyStatus |
| Id | Grade | Path(s) | 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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
| 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 | id | 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(QICore Patient) | 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 ServiceRequest | QICore CarePlan) | Request fulfilled | ||||
| referrer | Σ | 0..1 | Reference(QICore Practitioner | QICore PractitionerRole) | Referring physician | ||||
| interpreter | Σ | 0..* | Reference(QICore Practitioner | QICore PractitionerRole) | 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(QICore Procedure) | 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(QICore Location) | 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(QICore Specimen) | 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 | QICore PractitionerRole | QICore Organization | QICore CareTeam | QICore Patient | QICore Device | US Core Implantable Device Profile | QICore RelatedPerson) | 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 | ||||||||
| Path | Conformance | ValueSet | ||||
| ImagingStudy.language | preferred | CommonLanguages
| ||||
| 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(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
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
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
Key Elements 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) | |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!Σ | 1..1 | code | registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy. |
| subject | SΣ | 1..1 | Reference(QICore Patient) | 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 ServiceRequest | QICore CarePlan) | Request fulfilled |
| referrer | Σ | 0..1 | Reference(QICore Practitioner | QICore PractitionerRole) | Referring physician |
| interpreter | Σ | 0..* | Reference(QICore Practitioner | QICore PractitionerRole) | Who interpreted images |
| procedureReference | SΣ | 0..1 | Reference(QICore Procedure) | The performed Procedure reference |
| location | Σ | 0..1 | Reference(QICore Location) | Where ImagingStudy occurred |
| 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 |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| ImagingStudy.status | required | ImagingStudyStatus |
| Id | Grade | Path(s) | 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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
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 | id | 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(QICore Patient) | 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 ServiceRequest | QICore CarePlan) | Request fulfilled | ||||
| referrer | Σ | 0..1 | Reference(QICore Practitioner | QICore PractitionerRole) | Referring physician | ||||
| interpreter | Σ | 0..* | Reference(QICore Practitioner | QICore PractitionerRole) | 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(QICore Procedure) | 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(QICore Location) | 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(QICore Specimen) | 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 | QICore PractitionerRole | QICore Organization | QICore CareTeam | QICore Patient | QICore Device | US Core Implantable Device Profile | QICore RelatedPerson) | 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 | ||||||||
| Path | Conformance | ValueSet | ||||
| ImagingStudy.language | preferred | CommonLanguages
| ||||
| 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(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
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:
Other representations of profile: CSV, Excel, Schematron
IG © 2019+ http://www.hl7.org/Special/committees/cqi/index.cfm. Package hl7.fhir.us.qicore#5.0.0 based on FHIR 4.0.1. Generated 2023-04-04
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