Extensions for Using Data Elements from FHIR STU3 in FHIR R4B
0.1.0 - STU International flag

Extensions for Using Data Elements from FHIR STU3 in FHIR R4B - Downloaded Version null See the Directory of published versions

Extension: ExtensionImagingManifest_Study - Detailed Descriptions

Page standards status: Trial-use Maturity Level: 0

Definitions for the ext-R3-ImagingManifest.study extension.

Guidance on how to interpret the contents of this table can be foundhere

0. Extension
Definition

STU3: ImagingManifest.study (new:BackboneElement)


Optional Extension Element - found in all resources.

ShortSTU3: Study identity of the selected instances (new)Optional Extensions Element
Comments

Element ImagingManifest.study is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). Study component represents the study level identity and locator information of the DICOM SOP instances in the selection. It is the top level identity of the hierarchical identification of the instances.

Control10..*
This element is affected by the following invariants: ele-1
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2. Extension.extension
Definition

An Extension


May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortExtensionAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control20..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 4. Extension.extension:uid
    Slice Nameuid
    Definition

    STU3: ImagingManifest.study.uid (new:oid)

    ShortSTU3: Study instance UID (new)Additional content defined by implementations
    Comments

    Element ImagingManifest.study.uid is part of an existing definition because parent element ImagingManifest.study requires a cross-version extension. Element ImagingManifest.study.uid is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.uid has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

    Control10..1*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Requirements

    Study instance UID is required to fully identify the DICOM SOP instances in the selection. Element ImagingManifest.study.uid is part of an existing definition because parent element ImagingManifest.study requires a cross-version extension. Element ImagingManifest.study.uid is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.uid has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    6. Extension.extension:uid.url
    Definition

    Source of the definition for the extension code - a logical name or a URL.

    Shortidentifies the meaning of the extension
    Comments

    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

    Control1..1
    Typeuri
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    Fixed Valueuid
    8. Extension.extension:uid.value[x]
    Definition

    Study instance UID of the SOP instances in the selection.


    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    ShortStudy instance UIDValue of extension
    Control10..1
    Typeoid, date, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, RatioRange, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, CodeableReference, Signature, unsignedInt, time
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    10. Extension.extension:imagingStudy
    Slice NameimagingStudy
    Definition

    STU3: ImagingManifest.study.imagingStudy (new:Reference(ImagingStudy))

    ShortSTU3: Reference to ImagingStudy (new)Additional content defined by implementations
    Comments

    Element ImagingManifest.study.imagingStudy is part of an existing definition because parent element ImagingManifest.study requires a cross-version extension. Element ImagingManifest.study.imagingStudy is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.imagingStudy has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

    Control0..1*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Requirements

    Used to retrieve the ImagingStudy that contain the images referenced in the Imaging ObjectSelection.study. Element ImagingManifest.study.imagingStudy is part of an existing definition because parent element ImagingManifest.study requires a cross-version extension. Element ImagingManifest.study.imagingStudy is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.imagingStudy has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    12. Extension.extension:imagingStudy.url
    Definition

    Source of the definition for the extension code - a logical name or a URL.

    Shortidentifies the meaning of the extension
    Comments

    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

    Control1..1
    Typeuri
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    Fixed ValueimagingStudy
    14. Extension.extension:imagingStudy.value[x]
    Definition

    Reference to the Imaging Study in FHIR form.


    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    ShortReference to ImagingStudyValue of extension
    Control0..1
    TypeReference(Cross-version Profile for STU3.ImagingStudy for use in FHIR R4B, ImagingStudy), date, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, RatioRange, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, CodeableReference, Signature, unsignedInt, time
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. Extension.extension:endpoint
    Slice Nameendpoint
    Definition

    STU3: ImagingManifest.study.endpoint (new:Reference(Endpoint))

    ShortSTU3: Study access service endpoint (new)Additional content defined by implementations
    Comments

    Element ImagingManifest.study.endpoint is part of an existing definition because parent element ImagingManifest.study requires a cross-version extension. Element ImagingManifest.study.endpoint is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.endpoint has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Requirements

    Access methods for viewing (e.g. IHE’s IID profile) or retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the study or the study’s series or instances. The study-level baseLocation applies to each series in the study, unless overridden in series by a series-level baseLocation of the same type. Element ImagingManifest.study.endpoint is part of an existing definition because parent element ImagingManifest.study requires a cross-version extension. Element ImagingManifest.study.endpoint is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.endpoint has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    18. Extension.extension:endpoint.url
    Definition

    Source of the definition for the extension code - a logical name or a URL.

    Shortidentifies the meaning of the extension
    Comments

    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

    Control1..1
    Typeuri
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    Fixed Valueendpoint
    20. Extension.extension:endpoint.value[x]
    Definition

    The network service providing access (e.g., query, view, or retrieval) for the study. See implementation notes for information about using DICOM endpoints. A study-level endpoint applies to each series in the study, unless overridden by a series-level endpoint with the same Endpoint.type.


    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    ShortStudy access service endpointValue of extension
    Control0..1
    TypeReference(Cross-version Profile for STU3.Endpoint for use in FHIR R4B, Endpoint), date, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, RatioRange, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, CodeableReference, Signature, unsignedInt, time
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. Extension.extension:series
    Slice Nameseries
    Definition

    STU3: ImagingManifest.study.series (new:BackboneElement)

    ShortSTU3: Series identity of the selected instances (new)Additional content defined by implementations
    Comments

    Element ImagingManifest.study.series is part of an existing definition because parent element ImagingManifest.study requires a cross-version extension. Element ImagingManifest.study.series is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). Series component represents the series level identity and locator information of the DICOM SOP instances in the selection.

    Control10..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Requirements

    DICOM SOP instances are identified through the UIDs of the study - series - instance hierarchy. In addition, the locator at the series level provides a means of retrieving the entire series. Element ImagingManifest.study.series is part of an existing definition because parent element ImagingManifest.study requires a cross-version extension. Element ImagingManifest.study.series is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    24. Extension.extension:series.extension
    Definition

    An Extension


    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortExtensionAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control20..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 26. Extension.extension:series.extension:uid
      Slice Nameuid
      Definition

      STU3: ImagingManifest.study.series.uid (new:oid)

      ShortSTU3: Series instance UID (new)Additional content defined by implementations
      Comments

      Element ImagingManifest.study.series.uid is part of an existing definition because parent element ImagingManifest.study.series requires a cross-version extension. Element ImagingManifest.study.series.uid is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.uid has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

      Control10..1*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Requirements

      Series instance UID is required to fully identify the DICOM SOP instances in the selection. Element ImagingManifest.study.series.uid is part of an existing definition because parent element ImagingManifest.study.series requires a cross-version extension. Element ImagingManifest.study.series.uid is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.uid has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      28. Extension.extension:series.extension:uid.url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Fixed Valueuid
      30. Extension.extension:series.extension:uid.value[x]
      Definition

      Series instance UID of the SOP instances in the selection.


      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      ShortSeries instance UIDValue of extension
      Control10..1
      Typeoid, date, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, RatioRange, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, CodeableReference, Signature, unsignedInt, time
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      32. Extension.extension:series.extension:endpoint
      Slice Nameendpoint
      Definition

      STU3: ImagingManifest.study.series.endpoint (new:Reference(Endpoint))

      ShortSTU3: Series access endpoint (new)Additional content defined by implementations
      Comments

      Element ImagingManifest.study.series.endpoint is part of an existing definition because parent element ImagingManifest.study.series requires a cross-version extension. Element ImagingManifest.study.series.endpoint is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.endpoint has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Requirements

      Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the series or the series’ instances. A baseLocation specified at the series level has precedence over a baseLocation of the same type specified at the study level. Element ImagingManifest.study.series.endpoint is part of an existing definition because parent element ImagingManifest.study.series requires a cross-version extension. Element ImagingManifest.study.series.endpoint is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.endpoint has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      34. Extension.extension:series.extension:endpoint.url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Fixed Valueendpoint
      36. Extension.extension:series.extension:endpoint.value[x]
      Definition

      The network service providing access (e.g., query, view, or retrieval) for this series. See implementation notes for information about using DICOM endpoints. A series-level endpoint, if present, has precedence over a study-level endpoint with the same Endpoint.type.


      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      ShortSeries access endpointValue of extension
      Control0..1
      TypeReference(Cross-version Profile for STU3.Endpoint for use in FHIR R4B, Endpoint), date, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, RatioRange, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, CodeableReference, Signature, unsignedInt, time
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      38. Extension.extension:series.extension:instance
      Slice Nameinstance
      Definition

      STU3: ImagingManifest.study.series.instance (new:BackboneElement)

      ShortSTU3: The selected instance (new)Additional content defined by implementations
      Comments

      Element ImagingManifest.study.series.instance is part of an existing definition because parent element ImagingManifest.study.series requires a cross-version extension. Element ImagingManifest.study.series.instance is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.instance has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). SOP Instance component identify the instance selected, along with the study and series identities to form the DICOM identity hierarchy.

      Control10..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Requirements

      DICOM SOP instances are identified through the UIDs of the study - series - instance hierarchy. This is the instance level identity of the instance in the selection. Element ImagingManifest.study.series.instance is part of an existing definition because parent element ImagingManifest.study.series requires a cross-version extension. Element ImagingManifest.study.series.instance is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.instance has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      40. Extension.extension:series.extension:instance.extension
      Definition

      An Extension


      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortExtensionAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control20..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on Extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 42. Extension.extension:series.extension:instance.extension:sopClass
        Slice NamesopClass
        Definition

        STU3: ImagingManifest.study.series.instance.sopClass (new:oid)

        ShortSTU3: SOP class UID of instance (new)Additional content defined by implementations
        Comments

        Element ImagingManifest.study.series.instance.sopClass is part of an existing definition because parent element ImagingManifest.study.series.instance requires a cross-version extension. Element ImagingManifest.study.series.instance.sopClass is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.instance.sopClass has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). SOP class UID identifies the type of the selected instances, e.g. CT image, Gray scale softcopy presentation state, ECG waveform, etc.

        Control10..1*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Requirements

        DICOM SOP instances can be an image or other data object. The SOP class UID provide the accurate information about what type the instance is. Element ImagingManifest.study.series.instance.sopClass is part of an existing definition because parent element ImagingManifest.study.series.instance requires a cross-version extension. Element ImagingManifest.study.series.instance.sopClass is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.instance.sopClass has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        44. Extension.extension:series.extension:instance.extension:sopClass.url
        Definition

        Source of the definition for the extension code - a logical name or a URL.

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Control1..1
        Typeuri
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        Fixed ValuesopClass
        46. Extension.extension:series.extension:instance.extension:sopClass.value[x]
        Definition

        SOP class UID of the selected instance.


        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

        ShortSOP class UID of instanceValue of extension
        Comments

        SOP class UID identifies the type of the selected instances, e.g. CT image, Gray scale softcopy presentation state, ECG waveform, etc.

        Control10..1
        Typeoid, date, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, RatioRange, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, CodeableReference, Signature, unsignedInt, time
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        48. Extension.extension:series.extension:instance.extension:uid
        Slice Nameuid
        Definition

        STU3: ImagingManifest.study.series.instance.uid (new:oid)

        ShortSTU3: Selected instance UID (new)Additional content defined by implementations
        Comments

        Element ImagingManifest.study.series.instance.uid is part of an existing definition because parent element ImagingManifest.study.series.instance requires a cross-version extension. Element ImagingManifest.study.series.instance.uid is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.instance.uid has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). SOP instance UID identifies the instance.

        Control10..1*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Requirements

        SOP instance UID is required to fully identify the DICOM SOP instance in the selection. Element ImagingManifest.study.series.instance.uid is part of an existing definition because parent element ImagingManifest.study.series.instance requires a cross-version extension. Element ImagingManifest.study.series.instance.uid is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.instance.uid has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        50. Extension.extension:series.extension:instance.extension:uid.url
        Definition

        Source of the definition for the extension code - a logical name or a URL.

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Control1..1
        Typeuri
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        Fixed Valueuid
        52. Extension.extension:series.extension:instance.extension:uid.value[x]
        Definition

        SOP Instance UID of the selected instance.


        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

        ShortSelected instance UIDValue of extension
        Comments

        SOP instance UID identifies the instance.

        Control10..1
        Typeoid, date, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, RatioRange, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, CodeableReference, Signature, unsignedInt, time
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        54. Extension.extension:series.extension:instance.url
        Definition

        Source of the definition for the extension code - a logical name or a URL.

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Control1..1
        Typeuri
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        Fixed Valueinstance
        56. Extension.extension:series.extension:instance.value[x]
        Definition

        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

        ShortValue of extension
        Control0..01
        TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, RatioRange, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        58. Extension.extension:series.url
        Definition

        Source of the definition for the extension code - a logical name or a URL.

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Control1..1
        Typeuri
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        Fixed Valueseries
        60. Extension.extension:series.value[x]
        Definition

        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

        ShortValue of extension
        Control0..01
        TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, RatioRange, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        62. Extension.url
        Definition

        Source of the definition for the extension code - a logical name or a URL.

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Control1..1
        Typeuri
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        Fixed Valuehttp://hl7.org/fhir/3.0/StructureDefinition/extension-ImagingManifest.study
        64. Extension.value[x]
        Definition

        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

        ShortValue of extension
        Control0..01
        TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, RatioRange, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

        Guidance on how to interpret the contents of this table can be foundhere

        0. Extension
        Definition

        STU3: ImagingManifest.study (new:BackboneElement)

        ShortSTU3: Study identity of the selected instances (new)
        Comments

        Element ImagingManifest.study is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). Study component represents the study level identity and locator information of the DICOM SOP instances in the selection. It is the top level identity of the hierarchical identification of the instances.

        Control1..*
        Is Modifierfalse
        2. Extension.extension
        Control2..*
        SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 4. Extension.extension:uid
          Slice Nameuid
          Definition

          STU3: ImagingManifest.study.uid (new:oid)

          ShortSTU3: Study instance UID (new)
          Comments

          Element ImagingManifest.study.uid is part of an existing definition because parent element ImagingManifest.study requires a cross-version extension. Element ImagingManifest.study.uid is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.uid has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

          Control1..1
          Requirements

          Study instance UID is required to fully identify the DICOM SOP instances in the selection. Element ImagingManifest.study.uid is part of an existing definition because parent element ImagingManifest.study requires a cross-version extension. Element ImagingManifest.study.uid is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.uid has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

          6. Extension.extension:uid.url
          Control1..1
          Fixed Valueuid
          8. Extension.extension:uid.value[x]
          Definition

          Study instance UID of the SOP instances in the selection.

          ShortStudy instance UID
          Control1..1
          Typeoid
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          10. Extension.extension:imagingStudy
          Slice NameimagingStudy
          Definition

          STU3: ImagingManifest.study.imagingStudy (new:Reference(ImagingStudy))

          ShortSTU3: Reference to ImagingStudy (new)
          Comments

          Element ImagingManifest.study.imagingStudy is part of an existing definition because parent element ImagingManifest.study requires a cross-version extension. Element ImagingManifest.study.imagingStudy is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.imagingStudy has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

          Control0..1
          Requirements

          Used to retrieve the ImagingStudy that contain the images referenced in the Imaging ObjectSelection.study. Element ImagingManifest.study.imagingStudy is part of an existing definition because parent element ImagingManifest.study requires a cross-version extension. Element ImagingManifest.study.imagingStudy is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.imagingStudy has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

          12. Extension.extension:imagingStudy.url
          Control1..1
          Fixed ValueimagingStudy
          14. Extension.extension:imagingStudy.value[x]
          Definition

          Reference to the Imaging Study in FHIR form.

          ShortReference to ImagingStudy
          Control0..1
          TypeReference(Cross-version Profile for STU3.ImagingStudy for use in FHIR R4B, ImagingStudy)
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          16. Extension.extension:endpoint
          Slice Nameendpoint
          Definition

          STU3: ImagingManifest.study.endpoint (new:Reference(Endpoint))

          ShortSTU3: Study access service endpoint (new)
          Comments

          Element ImagingManifest.study.endpoint is part of an existing definition because parent element ImagingManifest.study requires a cross-version extension. Element ImagingManifest.study.endpoint is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.endpoint has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

          Control0..*
          Requirements

          Access methods for viewing (e.g. IHE’s IID profile) or retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the study or the study’s series or instances. The study-level baseLocation applies to each series in the study, unless overridden in series by a series-level baseLocation of the same type. Element ImagingManifest.study.endpoint is part of an existing definition because parent element ImagingManifest.study requires a cross-version extension. Element ImagingManifest.study.endpoint is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.endpoint has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

          18. Extension.extension:endpoint.url
          Control1..1
          Fixed Valueendpoint
          20. Extension.extension:endpoint.value[x]
          Definition

          The network service providing access (e.g., query, view, or retrieval) for the study. See implementation notes for information about using DICOM endpoints. A study-level endpoint applies to each series in the study, unless overridden by a series-level endpoint with the same Endpoint.type.

          ShortStudy access service endpoint
          Control0..1
          TypeReference(Cross-version Profile for STU3.Endpoint for use in FHIR R4B, Endpoint)
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          22. Extension.extension:series
          Slice Nameseries
          Definition

          STU3: ImagingManifest.study.series (new:BackboneElement)

          ShortSTU3: Series identity of the selected instances (new)
          Comments

          Element ImagingManifest.study.series is part of an existing definition because parent element ImagingManifest.study requires a cross-version extension. Element ImagingManifest.study.series is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). Series component represents the series level identity and locator information of the DICOM SOP instances in the selection.

          Control1..*
          Requirements

          DICOM SOP instances are identified through the UIDs of the study - series - instance hierarchy. In addition, the locator at the series level provides a means of retrieving the entire series. Element ImagingManifest.study.series is part of an existing definition because parent element ImagingManifest.study requires a cross-version extension. Element ImagingManifest.study.series is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

          24. Extension.extension:series.extension
          Control2..*
          SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 26. Extension.extension:series.extension:uid
            Slice Nameuid
            Definition

            STU3: ImagingManifest.study.series.uid (new:oid)

            ShortSTU3: Series instance UID (new)
            Comments

            Element ImagingManifest.study.series.uid is part of an existing definition because parent element ImagingManifest.study.series requires a cross-version extension. Element ImagingManifest.study.series.uid is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.uid has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

            Control1..1
            Requirements

            Series instance UID is required to fully identify the DICOM SOP instances in the selection. Element ImagingManifest.study.series.uid is part of an existing definition because parent element ImagingManifest.study.series requires a cross-version extension. Element ImagingManifest.study.series.uid is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.uid has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

            28. Extension.extension:series.extension:uid.url
            Control1..1
            Fixed Valueuid
            30. Extension.extension:series.extension:uid.value[x]
            Definition

            Series instance UID of the SOP instances in the selection.

            ShortSeries instance UID
            Control1..1
            Typeoid
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            32. Extension.extension:series.extension:endpoint
            Slice Nameendpoint
            Definition

            STU3: ImagingManifest.study.series.endpoint (new:Reference(Endpoint))

            ShortSTU3: Series access endpoint (new)
            Comments

            Element ImagingManifest.study.series.endpoint is part of an existing definition because parent element ImagingManifest.study.series requires a cross-version extension. Element ImagingManifest.study.series.endpoint is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.endpoint has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

            Control0..*
            Requirements

            Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the series or the series’ instances. A baseLocation specified at the series level has precedence over a baseLocation of the same type specified at the study level. Element ImagingManifest.study.series.endpoint is part of an existing definition because parent element ImagingManifest.study.series requires a cross-version extension. Element ImagingManifest.study.series.endpoint is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.endpoint has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

            34. Extension.extension:series.extension:endpoint.url
            Control1..1
            Fixed Valueendpoint
            36. Extension.extension:series.extension:endpoint.value[x]
            Definition

            The network service providing access (e.g., query, view, or retrieval) for this series. See implementation notes for information about using DICOM endpoints. A series-level endpoint, if present, has precedence over a study-level endpoint with the same Endpoint.type.

            ShortSeries access endpoint
            Control0..1
            TypeReference(Cross-version Profile for STU3.Endpoint for use in FHIR R4B, Endpoint)
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            38. Extension.extension:series.extension:instance
            Slice Nameinstance
            Definition

            STU3: ImagingManifest.study.series.instance (new:BackboneElement)

            ShortSTU3: The selected instance (new)
            Comments

            Element ImagingManifest.study.series.instance is part of an existing definition because parent element ImagingManifest.study.series requires a cross-version extension. Element ImagingManifest.study.series.instance is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.instance has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). SOP Instance component identify the instance selected, along with the study and series identities to form the DICOM identity hierarchy.

            Control1..*
            Requirements

            DICOM SOP instances are identified through the UIDs of the study - series - instance hierarchy. This is the instance level identity of the instance in the selection. Element ImagingManifest.study.series.instance is part of an existing definition because parent element ImagingManifest.study.series requires a cross-version extension. Element ImagingManifest.study.series.instance is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.instance has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

            40. Extension.extension:series.extension:instance.extension
            Control2..*
            SlicingThis element introduces a set of slices on Extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 42. Extension.extension:series.extension:instance.extension:sopClass
              Slice NamesopClass
              Definition

              STU3: ImagingManifest.study.series.instance.sopClass (new:oid)

              ShortSTU3: SOP class UID of instance (new)
              Comments

              Element ImagingManifest.study.series.instance.sopClass is part of an existing definition because parent element ImagingManifest.study.series.instance requires a cross-version extension. Element ImagingManifest.study.series.instance.sopClass is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.instance.sopClass has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). SOP class UID identifies the type of the selected instances, e.g. CT image, Gray scale softcopy presentation state, ECG waveform, etc.

              Control1..1
              Requirements

              DICOM SOP instances can be an image or other data object. The SOP class UID provide the accurate information about what type the instance is. Element ImagingManifest.study.series.instance.sopClass is part of an existing definition because parent element ImagingManifest.study.series.instance requires a cross-version extension. Element ImagingManifest.study.series.instance.sopClass is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.instance.sopClass has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

              44. Extension.extension:series.extension:instance.extension:sopClass.url
              Control1..1
              Fixed ValuesopClass
              46. Extension.extension:series.extension:instance.extension:sopClass.value[x]
              Definition

              SOP class UID of the selected instance.

              ShortSOP class UID of instance
              Comments

              SOP class UID identifies the type of the selected instances, e.g. CT image, Gray scale softcopy presentation state, ECG waveform, etc.

              Control1..1
              Typeoid
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              48. Extension.extension:series.extension:instance.extension:uid
              Slice Nameuid
              Definition

              STU3: ImagingManifest.study.series.instance.uid (new:oid)

              ShortSTU3: Selected instance UID (new)
              Comments

              Element ImagingManifest.study.series.instance.uid is part of an existing definition because parent element ImagingManifest.study.series.instance requires a cross-version extension. Element ImagingManifest.study.series.instance.uid is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.instance.uid has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). SOP instance UID identifies the instance.

              Control1..1
              Requirements

              SOP instance UID is required to fully identify the DICOM SOP instance in the selection. Element ImagingManifest.study.series.instance.uid is part of an existing definition because parent element ImagingManifest.study.series.instance requires a cross-version extension. Element ImagingManifest.study.series.instance.uid is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.instance.uid has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

              50. Extension.extension:series.extension:instance.extension:uid.url
              Control1..1
              Fixed Valueuid
              52. Extension.extension:series.extension:instance.extension:uid.value[x]
              Definition

              SOP Instance UID of the selected instance.

              ShortSelected instance UID
              Comments

              SOP instance UID identifies the instance.

              Control1..1
              Typeoid
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              54. Extension.extension:series.extension:instance.url
              Control1..1
              Fixed Valueinstance
              56. Extension.extension:series.extension:instance.value[x]
              Control0..0
              58. Extension.extension:series.url
              Control1..1
              Fixed Valueseries
              60. Extension.extension:series.value[x]
              Control0..0
              62. Extension.url
              Control1..1
              Fixed Valuehttp://hl7.org/fhir/3.0/StructureDefinition/extension-ImagingManifest.study
              64. Extension.value[x]
              Control0..0

              Guidance on how to interpret the contents of this table can be foundhere

              0. Extension
              Definition

              STU3: ImagingManifest.study (new:BackboneElement)

              ShortSTU3: Study identity of the selected instances (new)
              Comments

              Element ImagingManifest.study is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). Study component represents the study level identity and locator information of the DICOM SOP instances in the selection. It is the top level identity of the hierarchical identification of the instances.

              Control1..*
              This element is affected by the following invariants: ele-1
              Is Modifierfalse
              Invariantsele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              2. Extension.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typeid
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              4. Extension.extension
              Definition

              An Extension

              ShortExtension
              Control2..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 6. Extension.extension:uid
                Slice Nameuid
                Definition

                STU3: ImagingManifest.study.uid (new:oid)

                ShortSTU3: Study instance UID (new)
                Comments

                Element ImagingManifest.study.uid is part of an existing definition because parent element ImagingManifest.study requires a cross-version extension. Element ImagingManifest.study.uid is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.uid has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

                Control1..1
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Requirements

                Study instance UID is required to fully identify the DICOM SOP instances in the selection. Element ImagingManifest.study.uid is part of an existing definition because parent element ImagingManifest.study requires a cross-version extension. Element ImagingManifest.study.uid is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.uid has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                8. Extension.extension:uid.id
                Definition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                ShortUnique id for inter-element referencing
                Control0..1
                Typeid
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                10. Extension.extension:uid.extension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                ShortAdditional content defined by implementations
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 12. Extension.extension:uid.url
                  Definition

                  Source of the definition for the extension code - a logical name or a URL.

                  Shortidentifies the meaning of the extension
                  Comments

                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                  Control1..1
                  Typeuri
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  Fixed Valueuid
                  14. Extension.extension:uid.value[x]
                  Definition

                  Study instance UID of the SOP instances in the selection.

                  ShortStudy instance UID
                  Control1..1
                  Typeoid
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  16. Extension.extension:imagingStudy
                  Slice NameimagingStudy
                  Definition

                  STU3: ImagingManifest.study.imagingStudy (new:Reference(ImagingStudy))

                  ShortSTU3: Reference to ImagingStudy (new)
                  Comments

                  Element ImagingManifest.study.imagingStudy is part of an existing definition because parent element ImagingManifest.study requires a cross-version extension. Element ImagingManifest.study.imagingStudy is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.imagingStudy has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

                  Control0..1
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Requirements

                  Used to retrieve the ImagingStudy that contain the images referenced in the Imaging ObjectSelection.study. Element ImagingManifest.study.imagingStudy is part of an existing definition because parent element ImagingManifest.study requires a cross-version extension. Element ImagingManifest.study.imagingStudy is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.imagingStudy has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  18. Extension.extension:imagingStudy.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typeid
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  20. Extension.extension:imagingStudy.extension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  ShortAdditional content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 22. Extension.extension:imagingStudy.url
                    Definition

                    Source of the definition for the extension code - a logical name or a URL.

                    Shortidentifies the meaning of the extension
                    Comments

                    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                    Control1..1
                    Typeuri
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    Fixed ValueimagingStudy
                    24. Extension.extension:imagingStudy.value[x]
                    Definition

                    Reference to the Imaging Study in FHIR form.

                    ShortReference to ImagingStudy
                    Control0..1
                    TypeReference(Cross-version Profile for STU3.ImagingStudy for use in FHIR R4B, ImagingStudy)
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    26. Extension.extension:endpoint
                    Slice Nameendpoint
                    Definition

                    STU3: ImagingManifest.study.endpoint (new:Reference(Endpoint))

                    ShortSTU3: Study access service endpoint (new)
                    Comments

                    Element ImagingManifest.study.endpoint is part of an existing definition because parent element ImagingManifest.study requires a cross-version extension. Element ImagingManifest.study.endpoint is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.endpoint has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Requirements

                    Access methods for viewing (e.g. IHE’s IID profile) or retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the study or the study’s series or instances. The study-level baseLocation applies to each series in the study, unless overridden in series by a series-level baseLocation of the same type. Element ImagingManifest.study.endpoint is part of an existing definition because parent element ImagingManifest.study requires a cross-version extension. Element ImagingManifest.study.endpoint is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.endpoint has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    28. Extension.extension:endpoint.id
                    Definition

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    ShortUnique id for inter-element referencing
                    Control0..1
                    Typeid
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    30. Extension.extension:endpoint.extension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    ShortAdditional content defined by implementations
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 32. Extension.extension:endpoint.url
                      Definition

                      Source of the definition for the extension code - a logical name or a URL.

                      Shortidentifies the meaning of the extension
                      Comments

                      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                      Control1..1
                      Typeuri
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      Fixed Valueendpoint
                      34. Extension.extension:endpoint.value[x]
                      Definition

                      The network service providing access (e.g., query, view, or retrieval) for the study. See implementation notes for information about using DICOM endpoints. A study-level endpoint applies to each series in the study, unless overridden by a series-level endpoint with the same Endpoint.type.

                      ShortStudy access service endpoint
                      Control0..1
                      TypeReference(Cross-version Profile for STU3.Endpoint for use in FHIR R4B, Endpoint)
                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      36. Extension.extension:series
                      Slice Nameseries
                      Definition

                      STU3: ImagingManifest.study.series (new:BackboneElement)

                      ShortSTU3: Series identity of the selected instances (new)
                      Comments

                      Element ImagingManifest.study.series is part of an existing definition because parent element ImagingManifest.study requires a cross-version extension. Element ImagingManifest.study.series is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). Series component represents the series level identity and locator information of the DICOM SOP instances in the selection.

                      Control1..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Requirements

                      DICOM SOP instances are identified through the UIDs of the study - series - instance hierarchy. In addition, the locator at the series level provides a means of retrieving the entire series. Element ImagingManifest.study.series is part of an existing definition because parent element ImagingManifest.study requires a cross-version extension. Element ImagingManifest.study.series is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      38. Extension.extension:series.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typeid
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      40. Extension.extension:series.extension
                      Definition

                      An Extension

                      ShortExtension
                      Control2..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 42. Extension.extension:series.extension:uid
                        Slice Nameuid
                        Definition

                        STU3: ImagingManifest.study.series.uid (new:oid)

                        ShortSTU3: Series instance UID (new)
                        Comments

                        Element ImagingManifest.study.series.uid is part of an existing definition because parent element ImagingManifest.study.series requires a cross-version extension. Element ImagingManifest.study.series.uid is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.uid has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

                        Control1..1
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Requirements

                        Series instance UID is required to fully identify the DICOM SOP instances in the selection. Element ImagingManifest.study.series.uid is part of an existing definition because parent element ImagingManifest.study.series requires a cross-version extension. Element ImagingManifest.study.series.uid is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.uid has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        44. Extension.extension:series.extension:uid.id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typeid
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        46. Extension.extension:series.extension:uid.extension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        ShortAdditional content defined by implementations
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        SlicingThis element introduces a set of slices on Extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 48. Extension.extension:series.extension:uid.url
                          Definition

                          Source of the definition for the extension code - a logical name or a URL.

                          Shortidentifies the meaning of the extension
                          Comments

                          The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          Fixed Valueuid
                          50. Extension.extension:series.extension:uid.value[x]
                          Definition

                          Series instance UID of the SOP instances in the selection.

                          ShortSeries instance UID
                          Control1..1
                          Typeoid
                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          52. Extension.extension:series.extension:endpoint
                          Slice Nameendpoint
                          Definition

                          STU3: ImagingManifest.study.series.endpoint (new:Reference(Endpoint))

                          ShortSTU3: Series access endpoint (new)
                          Comments

                          Element ImagingManifest.study.series.endpoint is part of an existing definition because parent element ImagingManifest.study.series requires a cross-version extension. Element ImagingManifest.study.series.endpoint is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.endpoint has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Requirements

                          Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the series or the series’ instances. A baseLocation specified at the series level has precedence over a baseLocation of the same type specified at the study level. Element ImagingManifest.study.series.endpoint is part of an existing definition because parent element ImagingManifest.study.series requires a cross-version extension. Element ImagingManifest.study.series.endpoint is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.endpoint has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          54. Extension.extension:series.extension:endpoint.id
                          Definition

                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typeid
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          56. Extension.extension:series.extension:endpoint.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          SlicingThis element introduces a set of slices on Extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 58. Extension.extension:series.extension:endpoint.url
                            Definition

                            Source of the definition for the extension code - a logical name or a URL.

                            Shortidentifies the meaning of the extension
                            Comments

                            The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                            Control1..1
                            Typeuri
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            Fixed Valueendpoint
                            60. Extension.extension:series.extension:endpoint.value[x]
                            Definition

                            The network service providing access (e.g., query, view, or retrieval) for this series. See implementation notes for information about using DICOM endpoints. A series-level endpoint, if present, has precedence over a study-level endpoint with the same Endpoint.type.

                            ShortSeries access endpoint
                            Control0..1
                            TypeReference(Cross-version Profile for STU3.Endpoint for use in FHIR R4B, Endpoint)
                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            62. Extension.extension:series.extension:instance
                            Slice Nameinstance
                            Definition

                            STU3: ImagingManifest.study.series.instance (new:BackboneElement)

                            ShortSTU3: The selected instance (new)
                            Comments

                            Element ImagingManifest.study.series.instance is part of an existing definition because parent element ImagingManifest.study.series requires a cross-version extension. Element ImagingManifest.study.series.instance is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.instance has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). SOP Instance component identify the instance selected, along with the study and series identities to form the DICOM identity hierarchy.

                            Control1..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Requirements

                            DICOM SOP instances are identified through the UIDs of the study - series - instance hierarchy. This is the instance level identity of the instance in the selection. Element ImagingManifest.study.series.instance is part of an existing definition because parent element ImagingManifest.study.series requires a cross-version extension. Element ImagingManifest.study.series.instance is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.instance has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            64. Extension.extension:series.extension:instance.id
                            Definition

                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                            ShortUnique id for inter-element referencing
                            Control0..1
                            Typeid
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            66. Extension.extension:series.extension:instance.extension
                            Definition

                            An Extension

                            ShortExtension
                            Control2..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            SlicingThis element introduces a set of slices on Extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 68. Extension.extension:series.extension:instance.extension:sopClass
                              Slice NamesopClass
                              Definition

                              STU3: ImagingManifest.study.series.instance.sopClass (new:oid)

                              ShortSTU3: SOP class UID of instance (new)
                              Comments

                              Element ImagingManifest.study.series.instance.sopClass is part of an existing definition because parent element ImagingManifest.study.series.instance requires a cross-version extension. Element ImagingManifest.study.series.instance.sopClass is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.instance.sopClass has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). SOP class UID identifies the type of the selected instances, e.g. CT image, Gray scale softcopy presentation state, ECG waveform, etc.

                              Control1..1
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Requirements

                              DICOM SOP instances can be an image or other data object. The SOP class UID provide the accurate information about what type the instance is. Element ImagingManifest.study.series.instance.sopClass is part of an existing definition because parent element ImagingManifest.study.series.instance requires a cross-version extension. Element ImagingManifest.study.series.instance.sopClass is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.instance.sopClass has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              70. Extension.extension:series.extension:instance.extension:sopClass.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control0..1
                              Typeid
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              72. Extension.extension:series.extension:instance.extension:sopClass.extension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              ShortAdditional content defined by implementations
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 74. Extension.extension:series.extension:instance.extension:sopClass.url
                                Definition

                                Source of the definition for the extension code - a logical name or a URL.

                                Shortidentifies the meaning of the extension
                                Comments

                                The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                Control1..1
                                Typeuri
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                Fixed ValuesopClass
                                76. Extension.extension:series.extension:instance.extension:sopClass.value[x]
                                Definition

                                SOP class UID of the selected instance.

                                ShortSOP class UID of instance
                                Comments

                                SOP class UID identifies the type of the selected instances, e.g. CT image, Gray scale softcopy presentation state, ECG waveform, etc.

                                Control1..1
                                Typeoid
                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                78. Extension.extension:series.extension:instance.extension:uid
                                Slice Nameuid
                                Definition

                                STU3: ImagingManifest.study.series.instance.uid (new:oid)

                                ShortSTU3: Selected instance UID (new)
                                Comments

                                Element ImagingManifest.study.series.instance.uid is part of an existing definition because parent element ImagingManifest.study.series.instance requires a cross-version extension. Element ImagingManifest.study.series.instance.uid is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.instance.uid has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). SOP instance UID identifies the instance.

                                Control1..1
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Requirements

                                SOP instance UID is required to fully identify the DICOM SOP instance in the selection. Element ImagingManifest.study.series.instance.uid is part of an existing definition because parent element ImagingManifest.study.series.instance requires a cross-version extension. Element ImagingManifest.study.series.instance.uid is not mapped to FHIR R4B, since FHIR STU3 ImagingManifest is not mapped. Element ImagingManifest.study.series.instance.uid has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                80. Extension.extension:series.extension:instance.extension:uid.id
                                Definition

                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                ShortUnique id for inter-element referencing
                                Control0..1
                                Typeid
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                82. Extension.extension:series.extension:instance.extension:uid.extension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                ShortAdditional content defined by implementations
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Alternate Namesextensions, user content
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                SlicingThis element introduces a set of slices on Extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 84. Extension.extension:series.extension:instance.extension:uid.url
                                  Definition

                                  Source of the definition for the extension code - a logical name or a URL.

                                  Shortidentifies the meaning of the extension
                                  Comments

                                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                  Control1..1
                                  Typeuri
                                  Is Modifierfalse
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Summaryfalse
                                  Fixed Valueuid
                                  86. Extension.extension:series.extension:instance.extension:uid.value[x]
                                  Definition

                                  SOP Instance UID of the selected instance.

                                  ShortSelected instance UID
                                  Comments

                                  SOP instance UID identifies the instance.

                                  Control1..1
                                  Typeoid
                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  88. Extension.extension:series.extension:instance.url
                                  Definition

                                  Source of the definition for the extension code - a logical name or a URL.

                                  Shortidentifies the meaning of the extension
                                  Comments

                                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                  Control1..1
                                  Typeuri
                                  Is Modifierfalse
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Summaryfalse
                                  Fixed Valueinstance
                                  90. Extension.extension:series.extension:instance.value[x]
                                  Definition

                                  Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                  ShortValue of extension
                                  Control0..0
                                  TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, RatioRange, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  92. Extension.extension:series.url
                                  Definition

                                  Source of the definition for the extension code - a logical name or a URL.

                                  Shortidentifies the meaning of the extension
                                  Comments

                                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                  Control1..1
                                  Typeuri
                                  Is Modifierfalse
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Summaryfalse
                                  Fixed Valueseries
                                  94. Extension.extension:series.value[x]
                                  Definition

                                  Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                  ShortValue of extension
                                  Control0..0
                                  TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, RatioRange, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  96. Extension.url
                                  Definition

                                  Source of the definition for the extension code - a logical name or a URL.

                                  Shortidentifies the meaning of the extension
                                  Comments

                                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                  Control1..1
                                  Typeuri
                                  Is Modifierfalse
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Summaryfalse
                                  Fixed Valuehttp://hl7.org/fhir/3.0/StructureDefinition/extension-ImagingManifest.study
                                  98. Extension.value[x]
                                  Definition

                                  Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                  ShortValue of extension
                                  Control0..0
                                  TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, RatioRange, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))