QI-Core Implementation Guide: STU Ballot (v3.3.0 for FHIR 4.0.0)
Quality Improvement Core Framework (v3.3.0: STU 4 Ballot 1). The current version is 3.2.0 based on FHIR R4. See the Directory of published versions
The official URL for this profile is:
http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-imagingstudy
Profile of ImagingStudy for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
This profile builds on ImagingStudy.
This profile was published on Wed Aug 22 00:00:00 EDT 2018 as a draft by Health Level Seven, Inc. - CQI WG.
Description of Profiles, Differentials, and Snapshots.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  ImagingStudy | I | 0..* | A set of images produced in single study (one or more series of references images) | |
  id | Σ | 0..1 | id | Logical id of this artifact |
 meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
 contained | 0..* | Resource | Contained, inline Resources | |
 extension | 0..* | Extension | Additional content defined by implementations | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..* | Identifier | Identifiers for the whole study |
| status | ?!Σ | 1..1 | code | registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required) |
| modality | Σ | 0..* | Coding | All series modality if actual acquisition modalities Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible) |
 subject | SΣ | 1..1 | Reference(QICorePatient) | Who or what is the subject of the study |
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter with which this imaging study is associated |
| started | SΣ | 0..1 | dateTime | When the study was started Example General': 2011-01-01T03:01:20-05:00 |
| basedOn | SΣ | 0..* | Reference(QICoreServiceRequest | CarePlan) | Request fulfilled |
| referrer | Σ | 0..1 | Reference(QICorePractitioner) | Referring physician |
| interpreter | Σ | 0..* | Reference(QICorePractitioner) | Who interpreted images |
| endpoint | Σ | 0..* | Reference(Endpoint) | Study access endpoint |
| numberOfSeries | Σ | 0..1 | unsignedInt | Number of Study Related Series |
| numberOfInstances | Σ | 0..1 | unsignedInt | Number of Study Related Instances |
| procedureReference | SΣ | 0..1 | Reference(QICoreProcedure) | The performed Procedure reference |
| procedureCode | Σ | 0..* | CodeableConcept | The performed procedure code Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible) |
| location | Σ | 0..1 | Reference(Location) | Where ImagingStudy occurred |
| reasonCode | Σ | 0..* | CodeableConcept | Why the study was requested Binding: ProcedureReasonCodes (example) |
| reasonReference | Σ | 0..* | Reference(Condition | Observation | Media | DiagnosticReport | DocumentReference) | Why was study performed |
| note | Σ | 0..* | Annotation | User-defined comments |
| description | Σ | 0..1 | string | Institution-generated description |
 series | ΣI | 0..* | BackboneElement | Each study has one or more series of instances |
 id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| uid | Σ | 1..1 | id | DICOM Series Instance UID for the series Example General': 2.16.124.113543.6003.2588828330.45298.17418.2723805630 |
| number | Σ | 0..1 | unsignedInt | Numeric identifier of this series Example General': 3 |
| modality | Σ | 1..1 | Coding | The modality of the instances in the series Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible) |
| description | Σ | 0..1 | string | A short human readable summary of the series Example General': CT Surview 180 |
| numberOfInstances | Σ | 0..1 | unsignedInt | Number of Series Related Instances |
| endpoint | Σ | 0..* | Reference(Endpoint) | Series access endpoint |
| bodySite | Σ | 0..1 | Coding | Body part examined Binding: SNOMEDCTBodyStructures (example) |
| laterality | Σ | 0..1 | Coding | Body part laterality Binding: Laterality (example) |
| specimen | Σ | 0..* | Reference(Specimen) | Specimen imaged |
| started | Σ | 0..1 | dateTime | When the series started |
| performer | ΣI | 0..* | BackboneElement | Who performed the series |
 id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ImagingStudySeriesPerformerFunction (extensible) |
| actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) | Who performed the series |
| instance | I | 0..* | BackboneElement | A single SOP instance from the series |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| uid | 1..1 | id | DICOM SOP Instance UID Example General': 2.16.124.113543.6003.189642796.63084.16748.2599092903 | |
| sopClass | 1..1 | Coding | DICOM class type Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible) | |
| number | 0..1 | unsignedInt | The number of this instance in the series Example General': 1 | |
| title | 0..1 | string | Description of instance | |
| Documentation for this format | ||||
Differential View
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ImagingStudy | I | 0..* | A set of images produced in single study (one or more series of references images) | |
| id | Σ | 0..1 | id | Logical id of this artifact |
| meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..* | Identifier | Identifiers for the whole study |
| status | ?!Σ | 1..1 | code | registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required) |
| modality | Σ | 0..* | Coding | All series modality if actual acquisition modalities Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible) |
| subject | SΣ | 1..1 | Reference(QICorePatient) | Who or what is the subject of the study |
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter with which this imaging study is associated |
| started | SΣ | 0..1 | dateTime | When the study was started Example General': 2011-01-01T03:01:20-05:00 |
| basedOn | SΣ | 0..* | Reference(QICoreServiceRequest | CarePlan) | Request fulfilled |
| referrer | Σ | 0..1 | Reference(QICorePractitioner) | Referring physician |
| interpreter | Σ | 0..* | Reference(QICorePractitioner) | Who interpreted images |
| endpoint | Σ | 0..* | Reference(Endpoint) | Study access endpoint |
| numberOfSeries | Σ | 0..1 | unsignedInt | Number of Study Related Series |
| numberOfInstances | Σ | 0..1 | unsignedInt | Number of Study Related Instances |
| procedureReference | SΣ | 0..1 | Reference(QICoreProcedure) | The performed Procedure reference |
| procedureCode | Σ | 0..* | CodeableConcept | The performed procedure code Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible) |
| location | Σ | 0..1 | Reference(Location) | Where ImagingStudy occurred |
| reasonCode | Σ | 0..* | CodeableConcept | Why the study was requested Binding: ProcedureReasonCodes (example) |
| reasonReference | Σ | 0..* | Reference(Condition | Observation | Media | DiagnosticReport | DocumentReference) | Why was study performed |
| note | Σ | 0..* | Annotation | User-defined comments |
| description | Σ | 0..1 | string | Institution-generated description |
| series | ΣI | 0..* | BackboneElement | Each study has one or more series of instances |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| uid | Σ | 1..1 | id | DICOM Series Instance UID for the series Example General': 2.16.124.113543.6003.2588828330.45298.17418.2723805630 |
| number | Σ | 0..1 | unsignedInt | Numeric identifier of this series Example General': 3 |
| modality | Σ | 1..1 | Coding | The modality of the instances in the series Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible) |
| description | Σ | 0..1 | string | A short human readable summary of the series Example General': CT Surview 180 |
| numberOfInstances | Σ | 0..1 | unsignedInt | Number of Series Related Instances |
| endpoint | Σ | 0..* | Reference(Endpoint) | Series access endpoint |
| bodySite | Σ | 0..1 | Coding | Body part examined Binding: SNOMEDCTBodyStructures (example) |
| laterality | Σ | 0..1 | Coding | Body part laterality Binding: Laterality (example) |
| specimen | Σ | 0..* | Reference(Specimen) | Specimen imaged |
| started | Σ | 0..1 | dateTime | When the series started |
| performer | ΣI | 0..* | BackboneElement | Who performed the series |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ImagingStudySeriesPerformerFunction (extensible) |
| actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) | Who performed the series |
| instance | I | 0..* | BackboneElement | A single SOP instance from the series |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| uid | 1..1 | id | DICOM SOP Instance UID Example General': 2.16.124.113543.6003.189642796.63084.16748.2599092903 | |
| sopClass | 1..1 | Coding | DICOM class type Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible) | |
| number | 0..1 | unsignedInt | The number of this instance in the series Example General': 1 | |
| title | 0..1 | string | Description of instance | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| ImagingStudy.language | preferred | CommonLanguages Max Binding: AllLanguages |
| ImagingStudy.status | required | ImagingStudyStatus |
| ImagingStudy.modality | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html |
| ImagingStudy.procedureCode | extensible | http://www.rsna.org/RadLex_Playbook.aspx |
| ImagingStudy.reasonCode | example | ProcedureReasonCodes |
| ImagingStudy.series.modality | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html |
| ImagingStudy.series.bodySite | example | SNOMEDCTBodyStructures |
| ImagingStudy.series.laterality | example | Laterality |
| ImagingStudy.series.performer.function | extensible | ImagingStudySeriesPerformerFunction |
| ImagingStudy.series.instance.sopClass | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 |
| Id | Path | Details | Requirements |
| dom-2 | ImagingStudy | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-4 | ImagingStudy | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-3 | ImagingStudy | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-6 | ImagingStudy | A resource should have narrative for robust management : text.div.exists() | |
| dom-5 | ImagingStudy | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| ele-1 | ImagingStudy.series | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ImagingStudy.series.performer | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | ImagingStudy.series.instance | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
© HL7.org 2011+. (Clinical Quality Improvement WG). hl7.fhir.us.qicore#3.3.0 based on FHIR v4.0.0 generated 06/08/2019.
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