International Patient Summary Implementation Guide
2.0.0 - STU 2
International Patient Summary Implementation Guide
2.0.0 - STU 2
This page is part of the International Patient Summary Implementation Guide (v2.0.0: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/ips/StructureDefinition/ImagingStudy-uv-ips | Version: 2.0.0 | |||
| Standards status: Trial-use | Maturity Level: 3 | Computable Name: ImagingStudyUvIps | ||
This profile represents the constraints applied to the ImagingStudy resource by the IPS project, which specifies the information on a DICOM imaging study this imaging result is part of.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
  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 | ||||||||||||
 identifier |
SOΣ | 0..* | Identifier | Identifiers for the whole study
| ||||||||||||
| status |
?!Σ | 1..1 | code | registered | available | cancelled | entered-in-error | unknown Binding: Imaging Study Status Codes - IPS (required) | ||||||||||||
  subject |
SOΣ | 1..1 | Reference(Patient (IPS) | Group) | Who or what is the subject of the study
| ||||||||||||
  reference |
SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||||
| started |
SOΣ | 0..1 | dateTime | When the study was started Example General: 2011-01-01T11:01:20+03:00
| ||||||||||||
| procedureCode |
SOΣ | 0..* | CodeableConceptIPS | The performed procedure code Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
| ||||||||||||
| reasonCode |
SOΣ | 0..* | CodeableConceptIPS | Why the study was requested Binding: ProcedureReasonCodes (example): The reason for the study.
| ||||||||||||
 series |
SOΣ | 0..* | BackboneElement | Each study has one or more series of instances
| ||||||||||||
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||
| uid |
SOΣ | 1..1 | id | DICOM Series Instance UID for the series Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
| ||||||||||||
| modality |
SOΣ | 1..1 | Coding | The modality of the instances in the series Binding: AcquisitionModality  (extensible): Type of acquired data in the instance.
| ||||||||||||
| instance |
SO | 0..* | BackboneElement | A single SOP instance from the series
| ||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||
| uid |
SO | 1..1 | id | DICOM SOP Instance UID Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
| ||||||||||||
| sopClass |
SO | 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.
| ||||||||||||
| Documentation for this format | ||||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| ImagingStudy.status | Base | required | Imaging Study Status Codes - IPS | 📦2.0.0 | This IG |
| ImagingStudy.procedureCode | Base | extensible | http://www.rsna.org/RadLex_Playbook.aspx | ? | Unknown |
| ImagingStudy.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std. |
| ImagingStudy.series.modality | Base | extensible |
AcquisitionModality
|
⏿2025.3.20250714 | tx.fhir.org |
| ImagingStudy.series.instance.sopClass | Base | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 | ? | Unknown |
| Id | Grade | Path(s) | Description | Expression |
| 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()
|
This structure is derived from ImagingStudy
| Path | Status | Usage | ValueSet | Version | Source |
| ImagingStudy.status | Base | required | Imaging Study Status Codes - IPS | 📦2.0.0 | This IG |
| ImagingStudy.procedureCode | Base | extensible | http://www.rsna.org/RadLex_Playbook.aspx | ? | Unknown |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||
| identifier |
SOΣ | 0..* | Identifier | Identifiers for the whole study
| ||||||||||||
| status |
?!Σ | 1..1 | code | registered | available | cancelled | entered-in-error | unknown Binding: Imaging Study Status Codes - IPS (required) | ||||||||||||
| modality |
Σ | 0..* | Coding | All series modality if actual acquisition modalities Binding: AcquisitionModality (extensible): Type of acquired data in the instance. | ||||||||||||
| subject |
SOΣ | 1..1 | Reference(Patient (IPS) | Group) | Who or what is the subject of the study
| ||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||
| reference |
SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Encounter with which this imaging study is associated | ||||||||||||
| started |
SOΣ | 0..1 | dateTime | When the study was started Example General: 2011-01-01T11:01:20+03:00
| ||||||||||||
| basedOn |
Σ | 0..* | Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) | Request fulfilled | ||||||||||||
| referrer |
Σ | 0..1 | Reference(Practitioner | PractitionerRole) | Referring physician | ||||||||||||
| interpreter |
Σ | 0..* | Reference(Practitioner | 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 |
Σ | 0..1 | Reference(Procedure) | The performed Procedure reference | ||||||||||||
| procedureCode |
SOΣ | 0..* | CodeableConceptIPS | The performed procedure code Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
| ||||||||||||
| location |
Σ | 0..1 | Reference(Location) | Where ImagingStudy occurred | ||||||||||||
| reasonCode |
SOΣ | 0..* | CodeableConceptIPS | Why the study was requested Binding: ProcedureReasonCodes (example): The reason for the study.
| ||||||||||||
| reasonReference |
Σ | 0..* | Reference(Condition | Observation | Media | DiagnosticReport | DocumentReference) | Why was study performed | ||||||||||||
| note |
Σ | 0..* | Annotation | User-defined comments | ||||||||||||
| description |
Σ | 0..1 | string | Institution-generated description | ||||||||||||
| series |
SOΣ | 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 |
SOΣ | 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 |
SOΣ | 1..1 | Coding | The modality of the instances in the series Binding: AcquisitionModality (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(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(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) | Who performed the series | ||||||||||||
| instance |
SO | 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 |
SO | 1..1 | id | DICOM SOP Instance UID Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
| ||||||||||||
| sopClass |
SO | 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 | Status | Usage | ValueSet | Version | Source |
| ImagingStudy.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| ImagingStudy.status | Base | required | Imaging Study Status Codes - IPS | 📦2.0.0 | This IG |
| ImagingStudy.modality | Base | extensible |
AcquisitionModality
|
⏿2025.3.20250714 | tx.fhir.org |
| ImagingStudy.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| ImagingStudy.procedureCode | Base | extensible | http://www.rsna.org/RadLex_Playbook.aspx | ? | Unknown |
| ImagingStudy.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std. |
| ImagingStudy.series.modality | Base | extensible |
AcquisitionModality
|
⏿2025.3.20250714 | tx.fhir.org |
| ImagingStudy.series.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| ImagingStudy.series.laterality | Base | example | Laterality | 📍4.0.1 | FHIR Std. |
| ImagingStudy.series.performer.function | Base | extensible | ImagingStudy series performer function | 📍4.0.1 | FHIR Std. |
| ImagingStudy.series.instance.sopClass | Base | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 | ? | Unknown |
| Id | Grade | Path(s) | Description | Expression |
| 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()
|
This structure is derived from ImagingStudy
Summary
Mandatory: 1 element
Must-Support: 12 elements
Structures
This structure refers to these other structures:
Maturity: 3
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| identifier |
SOΣ | 0..* | Identifier | Identifiers for the whole study
| ||||||||||||
| status |
?!Σ | 1..1 | code | registered | available | cancelled | entered-in-error | unknown Binding: Imaging Study Status Codes - IPS (required) | ||||||||||||
| subject |
SOΣ | 1..1 | Reference(Patient (IPS) | Group) | Who or what is the subject of the study
| ||||||||||||
| reference |
SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||||
| started |
SOΣ | 0..1 | dateTime | When the study was started Example General: 2011-01-01T11:01:20+03:00
| ||||||||||||
| procedureCode |
SOΣ | 0..* | CodeableConceptIPS | The performed procedure code Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
| ||||||||||||
| reasonCode |
SOΣ | 0..* | CodeableConceptIPS | Why the study was requested Binding: ProcedureReasonCodes (example): The reason for the study.
| ||||||||||||
| series |
SOΣ | 0..* | BackboneElement | Each study has one or more series of instances
| ||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||
| uid |
SOΣ | 1..1 | id | DICOM Series Instance UID for the series Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
| ||||||||||||
| modality |
SOΣ | 1..1 | Coding | The modality of the instances in the series Binding: AcquisitionModality (extensible): Type of acquired data in the instance.
| ||||||||||||
| instance |
SO | 0..* | BackboneElement | A single SOP instance from the series
| ||||||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||
| uid |
SO | 1..1 | id | DICOM SOP Instance UID Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
| ||||||||||||
| sopClass |
SO | 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.
| ||||||||||||
| Documentation for this format | ||||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| ImagingStudy.status | Base | required | Imaging Study Status Codes - IPS | 📦2.0.0 | This IG |
| ImagingStudy.procedureCode | Base | extensible | http://www.rsna.org/RadLex_Playbook.aspx | ? | Unknown |
| ImagingStudy.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std. |
| ImagingStudy.series.modality | Base | extensible |
AcquisitionModality
|
⏿2025.3.20250714 | tx.fhir.org |
| ImagingStudy.series.instance.sopClass | Base | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 | ? | Unknown |
| Id | Grade | Path(s) | Description | Expression |
| 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()
|
Differential View
This structure is derived from ImagingStudy
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ImagingStudy |
ImagingStudy | |||||||||||||||
 identifier |
SO | 0..* | Identifier | Identifiers for the whole study
| ||||||||||||
| status |
1..1 | code | registered | available | cancelled | entered-in-error | unknown Binding: Imaging Study Status Codes - IPS (required) | |||||||||||||
| subject |
SO | 1..1 | Reference(Patient (IPS) | Group) | Who or what is the subject of the study
| ||||||||||||
| reference |
SO | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||||
| started |
SO | 0..1 | dateTime | When the study was started
| ||||||||||||
| procedureCode |
SO | 0..* | CodeableConceptIPS | The performed procedure code Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
| ||||||||||||
| reasonCode |
SO | 0..* | CodeableConceptIPS | Why the study was requested
| ||||||||||||
| series |
SO | 0..* | BackboneElement | Each study has one or more series of instances
| ||||||||||||
| uid |
SO | 1..1 | id | DICOM Series Instance UID for the series
| ||||||||||||
| modality |
SO | 1..1 | Coding | The modality of the instances in the series
| ||||||||||||
| instance |
SO | 0..* | BackboneElement | A single SOP instance from the series
| ||||||||||||
| uid |
SO | 1..1 | id | DICOM SOP Instance UID
| ||||||||||||
| sopClass |
SO | 1..1 | Coding | DICOM class type
| ||||||||||||
| Documentation for this format | ||||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| ImagingStudy.status | Base | required | Imaging Study Status Codes - IPS | 📦2.0.0 | This IG |
| ImagingStudy.procedureCode | Base | extensible | http://www.rsna.org/RadLex_Playbook.aspx | ? | Unknown |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||
| identifier |
SOΣ | 0..* | Identifier | Identifiers for the whole study
| ||||||||||||
| status |
?!Σ | 1..1 | code | registered | available | cancelled | entered-in-error | unknown Binding: Imaging Study Status Codes - IPS (required) | ||||||||||||
| modality |
Σ | 0..* | Coding | All series modality if actual acquisition modalities Binding: AcquisitionModality (extensible): Type of acquired data in the instance. | ||||||||||||
| subject |
SOΣ | 1..1 | Reference(Patient (IPS) | Group) | Who or what is the subject of the study
| ||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||
| reference |
SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Encounter with which this imaging study is associated | ||||||||||||
| started |
SOΣ | 0..1 | dateTime | When the study was started Example General: 2011-01-01T11:01:20+03:00
| ||||||||||||
| basedOn |
Σ | 0..* | Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) | Request fulfilled | ||||||||||||
| referrer |
Σ | 0..1 | Reference(Practitioner | PractitionerRole) | Referring physician | ||||||||||||
| interpreter |
Σ | 0..* | Reference(Practitioner | 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 |
Σ | 0..1 | Reference(Procedure) | The performed Procedure reference | ||||||||||||
| procedureCode |
SOΣ | 0..* | CodeableConceptIPS | The performed procedure code Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
| ||||||||||||
| location |
Σ | 0..1 | Reference(Location) | Where ImagingStudy occurred | ||||||||||||
| reasonCode |
SOΣ | 0..* | CodeableConceptIPS | Why the study was requested Binding: ProcedureReasonCodes (example): The reason for the study.
| ||||||||||||
| reasonReference |
Σ | 0..* | Reference(Condition | Observation | Media | DiagnosticReport | DocumentReference) | Why was study performed | ||||||||||||
| note |
Σ | 0..* | Annotation | User-defined comments | ||||||||||||
| description |
Σ | 0..1 | string | Institution-generated description | ||||||||||||
| series |
SOΣ | 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 |
SOΣ | 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 |
SOΣ | 1..1 | Coding | The modality of the instances in the series Binding: AcquisitionModality (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(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(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) | Who performed the series | ||||||||||||
| instance |
SO | 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 |
SO | 1..1 | id | DICOM SOP Instance UID Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
| ||||||||||||
| sopClass |
SO | 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 | Status | Usage | ValueSet | Version | Source |
| ImagingStudy.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| ImagingStudy.status | Base | required | Imaging Study Status Codes - IPS | 📦2.0.0 | This IG |
| ImagingStudy.modality | Base | extensible |
AcquisitionModality
|
⏿2025.3.20250714 | tx.fhir.org |
| ImagingStudy.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| ImagingStudy.procedureCode | Base | extensible | http://www.rsna.org/RadLex_Playbook.aspx | ? | Unknown |
| ImagingStudy.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std. |
| ImagingStudy.series.modality | Base | extensible |
AcquisitionModality
|
⏿2025.3.20250714 | tx.fhir.org |
| ImagingStudy.series.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| ImagingStudy.series.laterality | Base | example | Laterality | 📍4.0.1 | FHIR Std. |
| ImagingStudy.series.performer.function | Base | extensible | ImagingStudy series performer function | 📍4.0.1 | FHIR Std. |
| ImagingStudy.series.instance.sopClass | Base | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 | ? | Unknown |
| Id | Grade | Path(s) | Description | Expression |
| 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()
|
This structure is derived from ImagingStudy
Summary
Mandatory: 1 element
Must-Support: 12 elements
Structures
This structure refers to these other structures:
Maturity: 3
Other representations of profile: CSV, Excel, Schematron
IG © 2020+ HL7 International / Patient Care. Package hl7.fhir.uv.ips#2.0.0 based on FHIR 4.0.1. Generated 2025-10-03
Links: Table of Contents |
QA Report
| Version History |
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