ke-kps-imaging-study
type: StructureDefinition
node role: treeRoot
id:
  v: ke-kps-imaging-study
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition ke-kps-imaging-study Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> ImagingStudy 0..* ImagingStudy A set of images produced in single study (one or more series of references images) #xD; status S 1..1 code Availability status of the imaging study #xD; subject S 1..1 Reference(Patient Profile - KPS) Patient this imaging study is about #xD; encounter S 0..1 Reference(Encounter Profile - KPS) Encounter during which this imaging study was performed #xD; started S 0..1 dateTime Date imaging was performed (KPS.C.DE.19) #xD; referrer S 0..1 Reference(Practitioner Profile - KPS) Clinician who requested the imaging study #xD; description S 1..1 string Type or description of the imaging study (KPS.C.DE.18) #xD; series S 0..* BackboneElement Series within the imaging study #xD; bodySite S 0..1 Coding Body site imaged (KPS.C.DE.20) #xD; instance S 0..* BackboneElement Image instances (KPS.C.DE.21) #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
url:
  v: https://fhir.dha.go.ke/kps/StructureDefinition/ke-kps-imaging-study
  l: ke-kps-imaging-study
version:
  v: 0.1.0
name:
  v: KpsImagingStudy
title:
  v: Imaging Study Profile - KPS
status:
  v: draft
date:
  v: 2026-05-12T08:53:32+00:00
publisher:
  v: Digital Health Agency of Kenya
contact:
  name:
    v: Digital Health Agency of Kenya
  telecom:
    system:
      v: url
    value:
      v: https://www.dha.go.ke
  telecom:
    system:
      v: email
contact:
  name:
    v: Digital Health Agency of Kenya – Interoperability Team
  telecom:
    system:
      v: email
    use:
      v: work
  telecom:
    system:
      v: url
    value:
      v: https://www.dha.go.ke
    use:
      v: work
description:
  v: This profile defines constraints on the ImagingStudy resource for use within the Kenya Patient Summary. It captures details of radiology and other diagnostic imaging studies performed on a patient (KPS.C – Diagnostics, imaging sub-section), supporting continuity of care and data exchange within the national Health Information Exchange (HIE).
jurisdiction:
  coding:
    system:
      v: urn:iso:std:iso:3166
      l: 3166
    code:
      v: KE
    display:
      v: Kenya
copyright:
  v: Copyright © 2024+ Digital Health Agency of Kenya. This content is licensed under Creative Commons Zero v1.0 Universal (CC0 1.0). No rights reserved.
fhir version:
  v: 4.0.1
mapping:
  identity:
    v: workflow
  uri:
    v: http://hl7.org/fhir/workflow
    l: workflow
  name:
    v: Workflow Pattern
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
mapping:
  identity:
    v: dicom
  uri:
    v: http://nema.org/dicom
    l: dicom
  name:
    v: DICOM Tag Mapping
mapping:
  identity:
    v: w5
  uri:
    v: http://hl7.org/fhir/fivews
    l: fivews
  name:
    v: FiveWs Pattern Mapping
mapping:
  identity:
    v: v2
  uri:
    v: http://hl7.org/v2
    l: v2
  name:
    v: HL7 v2 Mapping
kind:
  v: resource
abstract:
  v: false
type:
  v: ImagingStudy
  l: ImagingStudy
base definition:
  v: http://hl7.org/fhir/StructureDefinition/ImagingStudy
  l: ImagingStudy
derivation:
  v: constraint
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 4.0.1
  element:
    id:
      v: ImagingStudy
    path:
      v: ImagingStudy
    short:
      v: A set of images produced in single study (one or more series of references images)
    definition:
      v: Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: ImagingStudy
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      xpath:
        v: not(parent::f:contained and f:contained)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: 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
      expression:
        v: 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()
      xpath:
        v: not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-5
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a security label
      expression:
        v: contained.meta.security.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:security))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      extension:
        value: Boolean

Boolean
v: true

url:
  v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation
  l: elementdefinition-bestpractice-explanation
value: Markdown
  v: When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.

v: dom-6

v: warning

v: A resource should have narrative for robust management

v: text.`div`.exists()

v: exists(f:text/h:div)

v: false

v: false

identity:
  v: rim
map:
  v: Entity. Role, or Act

identity:
  v: workflow
map:
  v: Event

identity:
  v: rim
map:
  v: Act[classCode=COMPOSITION, moodCode=EVN]

identity:
  v: dicom
map:
  v: Reference IHE radiology TF vol 2 table 4.14-1

id:
  v: ImagingStudy.id
path:
  v: ImagingStudy.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: true

id:
  v: ImagingStudy.meta
path:
  v: ImagingStudy.meta
short:
  v: Metadata about the resource
definition:
  v: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: Meta
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true

id:
  v: ImagingStudy.implicitRules
path:
  v: ImagingStudy.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
comment:
  v: Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
is summary:
  v: true

id:
  v: ImagingStudy.language
path:
  v: ImagingStudy.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
      l: elementdefinition-maxValueSet
    value: Canonical
      v: http://hl7.org/fhir/ValueSet/all-languages
      l: all-languages
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: preferred
  description:
    v: A human language.
  value set:
    v: http://hl7.org/fhir/ValueSet/languages|4.0.1
    l: http://hl7.org/fhir/ValueSet/languages

id:
  v: ImagingStudy.text
path:
  v: ImagingStudy.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
comment:
  v: Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: ImagingStudy.contained
path:
  v: ImagingStudy.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
comment:
  v: This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ImagingStudy.extension
path:
  v: ImagingStudy.extension
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource. 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ImagingStudy.modifierExtension
path:
  v: ImagingStudy.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: 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.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ImagingStudy.identifier
path:
  v: ImagingStudy.identifier
short:
  v: Identifiers for the whole study
definition:
  v: Identifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number.
comment:
  v: See discussion under [Imaging Study Implementation Notes](http://hl7.org/fhir/R4/imagingstudy.html#notes) for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type.
requirements:
  v: If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier (see [DICOM PS 3.3 C.7.2](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html).
alias:
  v: StudyInstanceUID
alias:
  v: AccessionNumber
min:
  v: 0
max:
  v: *
base:
  path:
    v: ImagingStudy.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
    l: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.identifier
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.identifier
mapping:
  identity:
    v: rim
  map:
    v: .id and .inboundRelationship[typeCode=COMP].source[classCode=ACSN, moodCode=EVN].id
mapping:
  identity:
    v: dicom
  map:
    v: StudyInstanceUID (0020,000D) | Accession Number and Issuer (0080,0050)+(0080,0051) | Study ID (0020,0010)

id:
  v: ImagingStudy.status
path:
  v: ImagingStudy.status
short:
  v: Availability status of the imaging study
definition:
  v: The current state of the ImagingStudy.
comment:
  v: Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ImagingStudy.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: true
is modifier reason:
  v: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ImagingStudyStatus
  strength:
    v: required
  description:
    v: The status of the ImagingStudy.
  value set:
    v: http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1
    l: http://hl7.org/fhir/ValueSet/imagingstudy-status
mapping:
  identity:
    v: workflow
  map:
    v: Event.status
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.status
mapping:
  identity:
    v: v2
  map:
    v: Varies by domain
mapping:
  identity:
    v: rim
  map:
    v: .status

id:
  v: ImagingStudy.modality
path:
  v: ImagingStudy.modality
short:
  v: All series modality if actual acquisition modalities
definition:
  v: A list of all the series.modality values that are actual acquisition modalities, i.e. those in the DICOM Context Group 29 (value set OID 1.2.840.10008.6.1.19).
alias:
  v: ModalitiesInStudy
min:
  v: 0
max:
  v: *
base:
  path:
    v: ImagingStudy.modality
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ImagingModality
  strength:
    v: extensible
  description:
    v: Type of acquired data in the instance.
  value set:
    v: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
    l: sect CID 29.html
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class
mapping:
  identity:
    v: rim
  map:
    v: .code
mapping:
  identity:
    v: dicom
  map:
    v: (0008,0061)

id:
  v: ImagingStudy.subject
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint
    l: structuredefinition-display-hint
  value: String
    v: dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.2.2.html
path:
  v: ImagingStudy.subject
short:
  v: Patient this imaging study is about
definition:
  v: The subject, typically a patient, of the imaging study.
comment:
  v: QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ImagingStudy.subject
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: https://fhir.dha.go.ke/kps/StructureDefinition/ke-kps-patient
    l: ke-kps-patient
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.subject
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject[x]
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=SBJ].role
mapping:
  identity:
    v: dicom
  map:
    v: (0010/*)
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject

id:
  v: ImagingStudy.encounter
path:
  v: ImagingStudy.encounter
short:
  v: Encounter during which this imaging study was performed
definition:
  v: The healthcare event (e.g. a patient and healthcare provider interaction) during which this ImagingStudy is made.
comment:
  v: This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission test).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingStudy.encounter
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: https://fhir.dha.go.ke/kps/StructureDefinition/ke-kps-encounter
    l: ke-kps-encounter
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.encounter
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.context
mapping:
  identity:
    v: rim
  map:
    v: inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]

id:
  v: ImagingStudy.started
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint
    l: structuredefinition-display-hint
  value: String
    v: dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html#sect_C.7.2.1
path:
  v: ImagingStudy.started
short:
  v: Date imaging was performed (KPS.C.DE.19)
definition:
  v: The date and time the imaging study was started.
alias:
  v: StudyDate
alias:
  v: StudyTime
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingStudy.started
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
example:
  label:
    v: General
  value: DateTime
    v: 2011-01-01T11:01:20+03:00
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.occurrence[x]
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.init
mapping:
  identity:
    v: rim
  map:
    v: .effectiveTime
mapping:
  identity:
    v: dicom
  map:
    v: (0008,0020)+(0008,0030)

id:
  v: ImagingStudy.basedOn
path:
  v: ImagingStudy.basedOn
short:
  v: Request fulfilled
definition:
  v: A list of the diagnostic requests that resulted in this imaging study being performed.
requirements:
  v: To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT).
min:
  v: 0
max:
  v: *
base:
  path:
    v: ImagingStudy.basedOn
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/CarePlan
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/ServiceRequest
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Appointment|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Appointment
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/AppointmentResponse|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/AppointmentResponse
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Task|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Task
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.basedOn
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.cause
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO]
mapping:
  identity:
    v: dicom
  map:
    v: (0032,1064)

id:
  v: ImagingStudy.referrer
path:
  v: ImagingStudy.referrer
short:
  v: Clinician who requested the imaging study
definition:
  v: The requesting/referring physician.
alias:
  v: ReferringPhysiciansName
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingStudy.referrer
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: https://fhir.dha.go.ke/kps/StructureDefinition/ke-kps-practitioner
    l: ke-kps-practitioner
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.cause
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO].participation[typeCode=AUT].role
mapping:
  identity:
    v: dicom
  map:
    v: (0008,0090)+(0008,0096)

id:
  v: ImagingStudy.interpreter
path:
  v: ImagingStudy.interpreter
short:
  v: Who interpreted images
definition:
  v: Who read the study and interpreted the images or other content.
alias:
  v: Name of Physician(s) Reading Study
min:
  v: 0
max:
  v: *
base:
  path:
    v: ImagingStudy.interpreter
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Practitioner
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/PractitionerRole
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.witness
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=PRF].role
mapping:
  identity:
    v: dicom
  map:
    v: (0008,1060)

id:
  v: ImagingStudy.endpoint
path:
  v: ImagingStudy.endpoint
short:
  v: Study access endpoint
definition:
  v: 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.connectionType.
comment:
  v: Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG), formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances; or IHE Invoke Image Display (IID), which provides standard invocation of an imaging web viewer.
requirements:
  v: 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.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ImagingStudy.endpoint
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Endpoint|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Endpoint
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: Not supported

id:
  v: ImagingStudy.numberOfSeries
path:
  v: ImagingStudy.numberOfSeries
short:
  v: Number of Study Related Series
definition:
  v: Number of Series in the Study. This value given may be larger than the number of series elements this Resource contains due to resource availability, security, or other factors. This element should be present if any series elements are present.
alias:
  v: NumberOfStudyRelatedSeries
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingStudy.numberOfSeries
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: unsignedInt
    l: unsignedInt
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=OBSSER, moodCode=EVN].repeatNumber
mapping:
  identity:
    v: dicom
  map:
    v: (0020,1206)

id:
  v: ImagingStudy.numberOfInstances
path:
  v: ImagingStudy.numberOfInstances
short:
  v: Number of Study Related Instances
definition:
  v: Number of SOP Instances in Study. This value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present.
alias:
  v: NumberOfStudyRelatedInstances
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingStudy.numberOfInstances
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: unsignedInt
    l: unsignedInt
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber
mapping:
  identity:
    v: dicom
  map:
    v: (0020,1208)

id:
  v: ImagingStudy.procedureReference
path:
  v: ImagingStudy.procedureReference
short:
  v: The performed Procedure reference
definition:
  v: The procedure which this ImagingStudy was part of.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingStudy.procedureReference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Procedure
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.partOf
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN]
mapping:
  identity:
    v: dicom
  map:
    v: (0008,1032)

id:
  v: ImagingStudy.procedureCode
path:
  v: ImagingStudy.procedureCode
short:
  v: The performed procedure code
definition:
  v: The code for the performed procedure type.
alias:
  v: ProcedureCodeSequence
min:
  v: 0
max:
  v: *
base:
  path:
    v: ImagingStudy.procedureCode
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ImagingProcedureCode
  strength:
    v: extensible
  description:
    v: The performed procedure type.
  value set:
    v: http://www.rsna.org/RadLex_Playbook.aspx
    l: RadLex Playbook.aspx
mapping:
  identity:
    v: workflow
  map:
    v: Event.code
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN]
mapping:
  identity:
    v: dicom
  map:
    v: (0008,1032)

id:
  v: ImagingStudy.location
path:
  v: ImagingStudy.location
short:
  v: Where ImagingStudy occurred
definition:
  v: The principal physical location where the ImagingStudy was performed.
requirements:
  v: Ties the event to where the records are likely kept and provides context around the event occurrence (e.g. if it occurred inside or outside a dedicated healthcare setting).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingStudy.location
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Location|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Location
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.location
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.where[x]
mapping:
  identity:
    v: v2
  map:
    v: EVN.7
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=LOC].role
mapping:
  identity:
    v: dicom
  map:
    v: (0008,1040) | (0040,0243)

id:
  v: ImagingStudy.reasonCode
path:
  v: ImagingStudy.reasonCode
short:
  v: Why the study was requested
definition:
  v: Description of clinical condition indicating why the ImagingStudy was requested.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ImagingStudy.reasonCode
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ImagingReason
  strength:
    v: example
  description:
    v: The reason for the study.
  value set:
    v: http://hl7.org/fhir/ValueSet/procedure-reason|4.0.1
    l: http://hl7.org/fhir/ValueSet/procedure-reason
mapping:
  identity:
    v: workflow
  map:
    v: Event.reasonCode
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.why[x]
mapping:
  identity:
    v: rim
  map:
    v: .reasonCode
mapping:
  identity:
    v: dicom
  map:
    v: (0040,1002)

id:
  v: ImagingStudy.reasonReference
path:
  v: ImagingStudy.reasonReference
short:
  v: Why was study performed
definition:
  v: Indicates another resource whose existence justifies this Study.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ImagingStudy.reasonReference
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Condition|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Condition
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Observation|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Observation
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Media|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Media
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/DiagnosticReport
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/DocumentReference
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.reasonReference
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.why[x]
mapping:
  identity:
    v: v2
  map:
    v: EVN.4 or by domain
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=RSON].target

id:
  v: ImagingStudy.note
path:
  v: ImagingStudy.note
short:
  v: User-defined comments
definition:
  v: Per the recommended DICOM mapping, this element is derived from the Study Description attribute (0008,1030). Observations or findings about the imaging study should be recorded in another resource, e.g. Observation, and not in this element.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ImagingStudy.note
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Annotation
    l: Annotation
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.note
mapping:
  identity:
    v: rim
  map:
    v: unknown

id:
  v: ImagingStudy.description
path:
  v: ImagingStudy.description
short:
  v: Type or description of the imaging study (KPS.C.DE.18)
definition:
  v: A narrative description or name of the imaging study requested or performed (e.g., X-ray lumbar spine, CT brain, ultrasound abdomen).
alias:
  v: StudyDescription
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ImagingStudy.description
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .text
mapping:
  identity:
    v: dicom
  map:
    v: (0008,1030)

id:
  v: ImagingStudy.series
path:
  v: ImagingStudy.series
short:
  v: Series within the imaging study
definition:
  v: Each study has one or more series of images or other content.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ImagingStudy.series
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP].target[classCode=OBSSER, moodCode=EVN]

id:
  v: ImagingStudy.series.id
path:
  v: ImagingStudy.series.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ImagingStudy.series.extension
path:
  v: ImagingStudy.series.extension
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ImagingStudy.series.modifierExtension
path:
  v: ImagingStudy.series.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: 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.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ImagingStudy.series.uid
path:
  v: ImagingStudy.series.uid
short:
  v: DICOM Series Instance UID for the series
definition:
  v: The DICOM Series Instance UID for the series.
comment:
  v: See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.3.html).
requirements:
  v: DICOM Series Instance UID.
alias:
  v: SeriesInstanceUID
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ImagingStudy.series.uid
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: id
    l: id
example:
  label:
    v: General
  value: Id
    v: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .id
mapping:
  identity:
    v: dicom
  map:
    v: (0020,000E)

id:
  v: ImagingStudy.series.number
path:
  v: ImagingStudy.series.number
short:
  v: Numeric identifier of this series
definition:
  v: The numeric identifier of this series in the study.
alias:
  v: SeriesNumber
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingStudy.series.number
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: unsignedInt
    l: unsignedInt
example:
  label:
    v: General
  value: UnsignedInt
    v: 3
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[type=COMP, source[classCode=COMPOSITION, moodCode=EVN]].sequenceNumber
mapping:
  identity:
    v: dicom
  map:
    v: (0020,0011)

id:
  v: ImagingStudy.series.modality
path:
  v: ImagingStudy.series.modality
short:
  v: The modality of the instances in the series
definition:
  v: The modality of this series sequence.
alias:
  v: Modality
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ImagingStudy.series.modality
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Coding
    l: Coding
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ImagingModality
  strength:
    v: extensible
  description:
    v: Type of acquired data in the instance.
  value set:
    v: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
    l: sect CID 29.html
mapping:
  identity:
    v: rim
  map:
    v: .code
mapping:
  identity:
    v: dicom
  map:
    v: (0008,0060)

id:
  v: ImagingStudy.series.description
path:
  v: ImagingStudy.series.description
short:
  v: A short human readable summary of the series
definition:
  v: A description of the series.
alias:
  v: SeriesDescription
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingStudy.series.description
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
example:
  label:
    v: General
  value: String
    v: CT Surview 180
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .text
mapping:
  identity:
    v: dicom
  map:
    v: (0008,103E)

id:
  v: ImagingStudy.series.numberOfInstances
path:
  v: ImagingStudy.series.numberOfInstances
short:
  v: Number of Series Related Instances
definition:
  v: Number of SOP Instances in the Study. The value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present.
alias:
  v: NumberOfSeriesRelatedInstances
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingStudy.series.numberOfInstances
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: unsignedInt
    l: unsignedInt
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber
mapping:
  identity:
    v: dicom
  map:
    v: (0020,1209)

id:
  v: ImagingStudy.series.endpoint
path:
  v: ImagingStudy.series.endpoint
short:
  v: Series access endpoint
definition:
  v: 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.connectionType.
comment:
  v: Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG) formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; and DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances.
requirements:
  v: 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.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ImagingStudy.series.endpoint
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Endpoint|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Endpoint
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: Not supported

id:
  v: ImagingStudy.series.bodySite
path:
  v: ImagingStudy.series.bodySite
short:
  v: Body site imaged (KPS.C.DE.20)
definition:
  v: The anatomical part of the body that was the focus of the imaging study.
alias:
  v: BodyPartExamined
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingStudy.series.bodySite
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Coding
    l: Coding
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: BodySite
  strength:
    v: example
  description:
    v: Codes describing anatomical locations. May include laterality.
  value set:
    v: http://hl7.org/fhir/ValueSet/body-site|4.0.1
    l: http://hl7.org/fhir/ValueSet/body-site
mapping:
  identity:
    v: rim
  map:
    v: .targetSiteCode
mapping:
  identity:
    v: dicom
  map:
    v: (0018,0015)

id:
  v: ImagingStudy.series.laterality
path:
  v: ImagingStudy.series.laterality
short:
  v: Body part laterality
definition:
  v: The laterality of the (possibly paired) anatomic structures examined. E.g., the left knee, both lungs, or unpaired abdomen. If present, shall be consistent with any laterality information indicated in ImagingStudy.series.bodySite.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingStudy.series.laterality
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Coding
    l: Coding
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Laterality
  strength:
    v: example
  description:
    v: Codes describing body site laterality (left, right, etc.).
  value set:
    v: http://hl7.org/fhir/ValueSet/bodysite-laterality|4.0.1
    l: http://hl7.org/fhir/ValueSet/bodysite-laterality
mapping:
  identity:
    v: rim
  map:
    v: .targetSiteCode
mapping:
  identity:
    v: dicom
  map:
    v: (0020,0060)

id:
  v: ImagingStudy.series.specimen
path:
  v: ImagingStudy.series.specimen
short:
  v: Specimen imaged
definition:
  v: The specimen imaged, e.g., for whole slide imaging of a biopsy.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ImagingStudy.series.specimen
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Specimen|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Specimen
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: Role[classCode=SPEC]
mapping:
  identity:
    v: dicom
  map:
    v: (0040,0551) + (0040,0562)

id:
  v: ImagingStudy.series.started
path:
  v: ImagingStudy.series.started
short:
  v: When the series started
definition:
  v: The date and time the series was started.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingStudy.series.started
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .effectiveTime
mapping:
  identity:
    v: dicom
  map:
    v: (0008,0021) + (0008,0031)

id:
  v: ImagingStudy.series.performer
path:
  v: ImagingStudy.series.performer
short:
  v: Who performed the series
definition:
  v: Indicates who or what performed the series and how they were involved.
comment:
  v: If the person who performed the series is not known, their Organization may be recorded. A patient, or related person, may be the performer, e.g. for patient-captured images.
requirements:
  v: The performer is recorded at the series level, since each series in a study may be performed by a different performer, at different times, and using different devices. A series may be performed by multiple performers.
alias:
  v: PerformingPhysicianName
alias:
  v: OperatorName
min:
  v: 0
max:
  v: *
base:
  path:
    v: ImagingStudy.series.performer
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.performer
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=PRF].role
mapping:
  identity:
    v: dicom
  map:
    v: (0008, 1050) | (0008, 1052) | (0008, 1070) | (0008, 1072)

id:
  v: ImagingStudy.series.performer.id
path:
  v: ImagingStudy.series.performer.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ImagingStudy.series.performer.extension
path:
  v: ImagingStudy.series.performer.extension
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ImagingStudy.series.performer.modifierExtension
path:
  v: ImagingStudy.series.performer.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: 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.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ImagingStudy.series.performer.function
path:
  v: ImagingStudy.series.performer.function
short:
  v: Type of performance
definition:
  v: Distinguishes the type of involvement of the performer in the series.
requirements:
  v: Allows disambiguation of the types of involvement of different performers.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingStudy.series.performer.function
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: EventPerformerFunction
  strength:
    v: extensible
  description:
    v: The type of involvement of the performer.
  value set:
    v: http://hl7.org/fhir/ValueSet/series-performer-function|4.0.1
    l: http://hl7.org/fhir/ValueSet/series-performer-function
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=PRF].role

id:
  v: ImagingStudy.series.performer.actor
path:
  v: ImagingStudy.series.performer.actor
short:
  v: Who performed the series
definition:
  v: Indicates who or what performed the series.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ImagingStudy.series.performer.actor
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Practitioner
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/PractitionerRole
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Organization
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/CareTeam|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/CareTeam
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Patient
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Device|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Device
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/RelatedPerson
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.actor
mapping:
  identity:
    v: v2
  map:
    v: EVN.5 or by domain
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]

id:
  v: ImagingStudy.series.instance
path:
  v: ImagingStudy.series.instance
short:
  v: Image instances (KPS.C.DE.21)
definition:
  v: One or more images or image objects obtained during this imaging study series.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ImagingStudy.series.instance
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP].target[classCode=DGIMG, moodCode=EVN]

id:
  v: ImagingStudy.series.instance.id
path:
  v: ImagingStudy.series.instance.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ImagingStudy.series.instance.extension
path:
  v: ImagingStudy.series.instance.extension
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ImagingStudy.series.instance.modifierExtension
path:
  v: ImagingStudy.series.instance.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: 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.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ImagingStudy.series.instance.uid
path:
  v: ImagingStudy.series.instance.uid
short:
  v: DICOM SOP Instance UID
definition:
  v: The DICOM SOP Instance UID for this image or other DICOM content.
comment:
  v: See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html#sect_C.12.1).
requirements:
  v: DICOM SOP Instance UID.
alias:
  v: SOPInstanceUID
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ImagingStudy.series.instance.uid
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: id
    l: id
example:
  label:
    v: General
  value: Id
    v: 2.16.124.113543.6003.189642796.63084.16748.2599092903
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .id
mapping:
  identity:
    v: dicom
  map:
    v: (0008,0018)

id:
  v: ImagingStudy.series.instance.sopClass
path:
  v: ImagingStudy.series.instance.sopClass
short:
  v: DICOM class type
definition:
  v: DICOM instance type.
alias:
  v: SOPClassUID
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ImagingStudy.series.instance.sopClass
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Coding
    l: Coding
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: sopClass
  strength:
    v: extensible
  description:
    v: The sopClass for the instance.
  value set:
    v: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
    l: table B.5-1
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=COMP]. source[classCode=OBS, moodCode=EVN, code="sop class"].value
mapping:
  identity:
    v: dicom
  map:
    v: (0008,0016)

id:
  v: ImagingStudy.series.instance.number
path:
  v: ImagingStudy.series.instance.number
short:
  v: The number of this instance in the series
definition:
  v: The number of instance in the series.
alias:
  v: InstanceNumber
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingStudy.series.instance.number
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: unsignedInt
    l: unsignedInt
example:
  label:
    v: General
  value: UnsignedInt
    v: 1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=COMP, source[classCode=OBSSER, moodCode=EVN]].sequenceNumber
mapping:
  identity:
    v: dicom
  map:
    v: (0020,0013)

id:
  v: ImagingStudy.series.instance.title
path:
  v: ImagingStudy.series.instance.title
short:
  v: Description of instance
definition:
  v: The description of the instance.
comment:
  v: Particularly for post-acquisition analytic objects, such as SR, presentation states, value mapping, etc.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingStudy.series.instance.title
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .title
mapping:
  identity:
    v: dicom
  map:
    v: (0008,0008) | (0007,0080) | (0040,A043) + (0008,0104) | (0042,0010)

element:
  id:
    v: ImagingStudy
  path:
    v: ImagingStudy
element:
  id:
    v: ImagingStudy.status
  path:
    v: ImagingStudy.status
  short:
    v: Availability status of the imaging study
  must support:
    v: true
element:
  id:
    v: ImagingStudy.subject
  path:
    v: ImagingStudy.subject
  short:
    v: Patient this imaging study is about
  type:
    code:
      v: Reference
      l: Reference
    target profile:
      v: https://fhir.dha.go.ke/kps/StructureDefinition/ke-kps-patient
      l: ke-kps-patient
  must support:
    v: true
element:
  id:
    v: ImagingStudy.encounter
  path:
    v: ImagingStudy.encounter
  short:
    v: Encounter during which this imaging study was performed
  type:
    code:
      v: Reference
      l: Reference
    target profile:
      v: https://fhir.dha.go.ke/kps/StructureDefinition/ke-kps-encounter
      l: ke-kps-encounter
  must support:
    v: true
element:
  id:
    v: ImagingStudy.started
  path:
    v: ImagingStudy.started
  short:
    v: Date imaging was performed (KPS.C.DE.19)
  definition:
    v: The date and time the imaging study was started.
  must support:
    v: true
element:
  id:
    v: ImagingStudy.referrer
  path:
    v: ImagingStudy.referrer
  short:
    v: Clinician who requested the imaging study
  type:
    code:
      v: Reference
      l: Reference
    target profile:
      v: https://fhir.dha.go.ke/kps/StructureDefinition/ke-kps-practitioner
      l: ke-kps-practitioner
  must support:
    v: true
element:
  id:
    v: ImagingStudy.description
  path:
    v: ImagingStudy.description
  short:
    v: Type or description of the imaging study (KPS.C.DE.18)
  definition:
    v: A narrative description or name of the imaging study requested or performed (e.g., X-ray lumbar spine, CT brain, ultrasound abdomen).
  min:
    v: 1
  must support:
    v: true
element:
  id:
    v: ImagingStudy.series
  path:
    v: ImagingStudy.series
  short:
    v: Series within the imaging study
  must support:
    v: true
element:
  id:
    v: ImagingStudy.series.bodySite
  path:
    v: ImagingStudy.series.bodySite
  short:
    v: Body site imaged (KPS.C.DE.20)
  definition:
    v: The anatomical part of the body that was the focus of the imaging study.
  must support:
    v: true
element:
  id:
    v: ImagingStudy.series.instance
  path:
    v: ImagingStudy.series.instance
  short:
    v: Image instances (KPS.C.DE.21)
  definition:
    v: One or more images or image objects obtained during this imaging study series.
  must support:
    v: true