German Practice Management FHIR Profiles (R4)
Version 0.101.6 - release

Resource Profile: ImagingStudy (Praxis DE)

Official URL: https://fhir.cognovis.de/praxis/StructureDefinition/imaging-study-praxis-de Version: 0.101.6
Active as of 2026-09-11 Computable Name: ImagingStudyPraxisDe
Other Identifiers: OID:2.16.840.1.113883.3.7985.42.154

Copyright/Legal: Copyright 2026+ cognovis GmbH. Cognovis-authored material is licensed under Apache-2.0; third-party material retains its own terms as documented in THIRD_PARTY_NOTICES.md.

Bildgebungs-Studie-Profil fuer die deutsche ambulante Praxis. Erbt von IPS ImagingStudy-uv-ips. Erweitert um DICOM-Modalitaet (required Binding), Koerperregion- und Lateralitaets-Slices, Ueberweiser-Tracking (referrer 1..1 fuer KV-Abrechnung), WADO-RS Endpoint, Kontrastmittel-Gabe-Extension und Aufnahmetechnik-Parameter-Extension.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImagingStudy 0..* ImagingStudyUvIps(2.0.1) A set of images produced in single study (one or more series of references images)
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:kmAdministration S 0..1 (Complex) Image KM Administration
URL: https://fhir.cognovis.de/praxis/StructureDefinition/image-km-administration
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
.... identifier:accessionNumber SOΣ 0..1 Identifier AccessionNumber (DICOM 0008,0050)
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
...... coding Σ 0..* Coding Code defined by a terminology system
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
....... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: ACSN
..... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.cognovis.de/praxis/NamingSystem/pvs-id
..... value SΣ 1..1 string The value that is unique
Example General: 123456
... status ?!Σ 1..1 code registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatusUvIps (2.0.1) (required)
... modality SΣ 0..* Coding Bildgebungsmodalitaet (DICOM CID 29, required)
Binding: DICOM Modality (required)
... subject SOΣ 1..1 Reference(Patient (IPS)(2.0.1) | Group) Who or what is the subject of the study
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
... started SOΣ 0..1 dateTime When the study was started
Example General: 2011-01-01T11:01:20+03:00
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
... referrer SΣ 1..1 Reference(Practitioner | PractitionerRole) Ueberweisender Arzt (Pflichtfeld fuer KV-Abrechnung)
... endpoint SΣ 0..* Reference(DICOMweb Endpoint (Praxis DE)) DICOMweb Endpunkt fuer DICOM-Studie
... procedureCode SOΣ 0..* CodeableConceptIPS(2.0.1) The performed procedure code
Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
Additional BindingsPurpose
ResultsRadiologyObservationUvIps (2.0.1) candidate

ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
... reasonCode SOΣ 0..* CodeableConceptIPS(2.0.1) Why the study was requested
Binding: ProcedureReasonCodes (example): The reason for the study.
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
... series SOΣ 0..* BackboneElement Each study has one or more series of instances
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:techniqueParameter S 0..1 (Complex) Technique Parameter
URL: https://fhir.cognovis.de/praxis/StructureDefinition/technique-parameter
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... uid SOΣ 1..1 id DICOM Series Instance UID for the series
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
.... modality SOΣ 1..1 Coding The modality of the instances in the series
Binding: AcquisitionModality (extensible): Type of acquired data in the instance.
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
.... bodySite Σ 0..1 Coding Koerperregion der Bildserie (SNOMED CT, preferred)
Binding: SNOMEDCTBodyStructures (preferred)
.... laterality Σ 0..1 Coding Seitenangabe (preferred Binding: bodysite-laterality)
Binding: Laterality (preferred)
.... instance SO 0..* BackboneElement A single SOP instance from the series
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... uid SO 1..1 id DICOM SOP Instance UID
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
..... sopClass SO 1..1 Coding DICOM class type
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance.
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ImagingStudy.identifier:accessionNumber.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ImagingStudy.identifier:accessionNumber.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
ImagingStudy.status Base required Imaging Study Status Codes - IPS 📍2.0.1 International Patient Summary Implementation Guide v2.0
ImagingStudy.modality Base required DICOM Modality 📦0.101.6 This IG
ImagingStudy.procedureCode Base extensible http://www.rsna.org/RadLex_Playbook.aspx Not State Unknown
ImagingStudy.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
ImagingStudy.series.​modality Base extensible AcquisitionModality 📦2025.3.20250714 DICOM v2025c
ImagingStudy.series.​bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.
ImagingStudy.series.​laterality Base preferred Laterality 📦4.0.1 FHIR Std.
ImagingStudy.series.​instance.sopClass Base extensible http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 Not State Unknown

Constraints

Id Grade Path(s) Description Expression
dom-2 error ImagingStudy If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ImagingStudy If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ImagingStudy If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ImagingStudy If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ImagingStudy A resource should have narrative for robust management text.`div`.exists()
ele-1 error ImagingStudy.implicitRules, ImagingStudy.extension, ImagingStudy.extension:kmAdministration, ImagingStudy.modifierExtension, ImagingStudy.identifier, ImagingStudy.identifier:accessionNumber, ImagingStudy.identifier:accessionNumber.use, ImagingStudy.identifier:accessionNumber.type, ImagingStudy.identifier:accessionNumber.type.coding, ImagingStudy.identifier:accessionNumber.type.coding.system, ImagingStudy.identifier:accessionNumber.type.coding.code, ImagingStudy.identifier:accessionNumber.system, ImagingStudy.identifier:accessionNumber.value, ImagingStudy.status, ImagingStudy.modality, ImagingStudy.subject, ImagingStudy.subject.reference, ImagingStudy.started, ImagingStudy.referrer, ImagingStudy.endpoint, ImagingStudy.procedureCode, ImagingStudy.reasonCode, ImagingStudy.series, ImagingStudy.series.extension, ImagingStudy.series.extension:techniqueParameter, ImagingStudy.series.modifierExtension, ImagingStudy.series.uid, ImagingStudy.series.modality, ImagingStudy.series.bodySite, ImagingStudy.series.laterality, ImagingStudy.series.instance, ImagingStudy.series.instance.modifierExtension, ImagingStudy.series.instance.uid, ImagingStudy.series.instance.sopClass All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error ImagingStudy.extension, ImagingStudy.extension:kmAdministration, ImagingStudy.modifierExtension, ImagingStudy.series.extension, ImagingStudy.series.extension:techniqueParameter, ImagingStudy.series.modifierExtension, ImagingStudy.series.instance.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ImagingStudyUvIps

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImagingStudy 0..* ImagingStudyUvIps(2.0.1) A set of images produced in single study (one or more series of references images)
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:kmAdministration S 0..1 (Complex) Image KM Administration
URL: https://fhir.cognovis.de/praxis/StructureDefinition/image-km-administration
... Slices for identifier 0..* Identifier Identifiers for the whole study
Slice: Unordered, Open by value:type.coding.code
.... identifier:accessionNumber S 0..1 Identifier AccessionNumber (DICOM 0008,0050)
..... type
...... coding
....... system S 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Required Pattern: ACSN
..... system S 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.cognovis.de/praxis/NamingSystem/pvs-id
..... value S 1..1 string The value that is unique
... modality S 0..* Coding Bildgebungsmodalitaet (DICOM CID 29, required)
Binding: DICOM Modality (required)
... endpoint S 0..* Reference(DICOMweb Endpoint (Praxis DE)) DICOMweb Endpunkt fuer DICOM-Studie
... series
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:techniqueParameter S 0..1 (Complex) Technique Parameter
URL: https://fhir.cognovis.de/praxis/StructureDefinition/technique-parameter
.... bodySite 0..1 Coding Koerperregion der Bildserie (SNOMED CT, preferred)
Binding: SNOMEDCTBodyStructures (preferred)
.... laterality 0..1 Coding Seitenangabe (preferred Binding: bodysite-laterality)
Binding: Laterality (preferred)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ImagingStudy.modality Base required DICOM Modality 📦0.101.6 This IG
ImagingStudy.series.​bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.
ImagingStudy.series.​laterality Base preferred Laterality 📦4.0.1 FHIR Std.
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImagingStudy 0..* ImagingStudyUvIps(2.0.1) A set of images produced in single study (one or more series of references images)
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:kmAdministration S 0..1 (Complex) Image KM Administration
URL: https://fhir.cognovis.de/praxis/StructureDefinition/image-km-administration
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... Slices for identifier SOΣ 0..* Identifier Identifiers for the whole study
Slice: Unordered, Open by value:type.coding.code
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
.... identifier:accessionNumber SOΣ 0..1 Identifier AccessionNumber (DICOM 0008,0050)
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: ACSN
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.cognovis.de/praxis/NamingSystem/pvs-id
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... status ?!Σ 1..1 code registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatusUvIps (2.0.1) (required)
... modality SΣ 0..* Coding Bildgebungsmodalitaet (DICOM CID 29, required)
Binding: DICOM Modality (required)
... subject SOΣ 1..1 Reference(Patient (IPS)(2.0.1) | Group) Who or what is the subject of the study
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Encounter with which this imaging study is associated
... started SOΣ 0..1 dateTime When the study was started
Example General: 2011-01-01T11:01:20+03:00
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) Request fulfilled
... referrer SΣ 1..1 Reference(Practitioner | PractitionerRole) Ueberweisender Arzt (Pflichtfeld fuer KV-Abrechnung)
... interpreter Σ 0..* Reference(Practitioner | PractitionerRole) Who interpreted images
... endpoint SΣ 0..* Reference(DICOMweb Endpoint (Praxis DE)) DICOMweb Endpunkt fuer DICOM-Studie
... numberOfSeries Σ 0..1 unsignedInt Number of Study Related Series
... numberOfInstances Σ 0..1 unsignedInt Number of Study Related Instances
... procedureReference Σ 0..1 Reference(Procedure) The performed Procedure reference
... procedureCode SOΣ 0..* CodeableConceptIPS(2.0.1) The performed procedure code
Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
Additional BindingsPurpose
ResultsRadiologyObservationUvIps (2.0.1) candidate

ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
... location Σ 0..1 Reference(Location) Where ImagingStudy occurred
... reasonCode SOΣ 0..* CodeableConceptIPS(2.0.1) Why the study was requested
Binding: ProcedureReasonCodes (example): The reason for the study.
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
... reasonReference Σ 0..* Reference(Condition | Observation | Media | DiagnosticReport | DocumentReference) Why was study performed
... note Σ 0..* Annotation User-defined comments
... description Σ 0..1 string Institution-generated description
... series SOΣ 0..* BackboneElement Each study has one or more series of instances
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:techniqueParameter S 0..1 (Complex) Technique Parameter
URL: https://fhir.cognovis.de/praxis/StructureDefinition/technique-parameter
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... uid SOΣ 1..1 id DICOM Series Instance UID for the series
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
.... number Σ 0..1 unsignedInt Numeric identifier of this series
Example General: 3
.... modality SOΣ 1..1 Coding The modality of the instances in the series
Binding: AcquisitionModality (extensible): Type of acquired data in the instance.
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
.... 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 Koerperregion der Bildserie (SNOMED CT, preferred)
Binding: SNOMEDCTBodyStructures (preferred)
.... laterality Σ 0..1 Coding Seitenangabe (preferred Binding: bodysite-laterality)
Binding: Laterality (preferred)
.... specimen Σ 0..* Reference(Specimen) Specimen imaged
.... started Σ 0..1 dateTime When the series started
.... performer Σ 0..* BackboneElement Who performed the series
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... function Σ 0..1 CodeableConcept Type of performance
Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
..... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) Who performed the series
.... instance SO 0..* BackboneElement A single SOP instance from the series
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... uid SO 1..1 id DICOM SOP Instance UID
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
..... sopClass SO 1..1 Coding DICOM class type
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance.
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
..... number 0..1 unsignedInt The number of this instance in the series
Example General: 1
..... title 0..1 string Description of instance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ImagingStudy.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ImagingStudy.identifier:accessionNumber.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ImagingStudy.identifier:accessionNumber.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
ImagingStudy.status Base required Imaging Study Status Codes - IPS 📍2.0.1 International Patient Summary Implementation Guide v2.0
ImagingStudy.modality Base required DICOM Modality 📦0.101.6 This IG
ImagingStudy.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
ImagingStudy.procedureCode Base extensible http://www.rsna.org/RadLex_Playbook.aspx Not State Unknown
ImagingStudy.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
ImagingStudy.series.​modality Base extensible AcquisitionModality 📦2025.3.20250714 DICOM v2025c
ImagingStudy.series.​bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.
ImagingStudy.series.​laterality Base preferred Laterality 📦4.0.1 FHIR Std.
ImagingStudy.series.​performer.function Base extensible ImagingStudy series performer function 📍4.0.1 FHIR Std.
ImagingStudy.series.​instance.sopClass Base extensible http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 Not State Unknown

Constraints

Id Grade Path(s) Description Expression
dom-2 error ImagingStudy If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ImagingStudy If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ImagingStudy If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ImagingStudy If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ImagingStudy A resource should have narrative for robust management text.`div`.exists()
ele-1 error ImagingStudy.meta, ImagingStudy.implicitRules, ImagingStudy.language, ImagingStudy.text, ImagingStudy.extension, ImagingStudy.extension:kmAdministration, ImagingStudy.modifierExtension, ImagingStudy.identifier, ImagingStudy.identifier:accessionNumber, ImagingStudy.identifier:accessionNumber.extension, ImagingStudy.identifier:accessionNumber.use, ImagingStudy.identifier:accessionNumber.type, ImagingStudy.identifier:accessionNumber.type.extension, ImagingStudy.identifier:accessionNumber.type.coding, ImagingStudy.identifier:accessionNumber.type.coding.extension, ImagingStudy.identifier:accessionNumber.type.coding.system, ImagingStudy.identifier:accessionNumber.type.coding.version, ImagingStudy.identifier:accessionNumber.type.coding.code, ImagingStudy.identifier:accessionNumber.type.coding.display, ImagingStudy.identifier:accessionNumber.type.coding.userSelected, ImagingStudy.identifier:accessionNumber.type.text, ImagingStudy.identifier:accessionNumber.system, ImagingStudy.identifier:accessionNumber.value, ImagingStudy.identifier:accessionNumber.period, ImagingStudy.identifier:accessionNumber.assigner, ImagingStudy.status, ImagingStudy.modality, ImagingStudy.subject, ImagingStudy.subject.extension, ImagingStudy.subject.reference, ImagingStudy.subject.type, ImagingStudy.subject.identifier, ImagingStudy.subject.display, ImagingStudy.encounter, ImagingStudy.started, ImagingStudy.basedOn, ImagingStudy.referrer, ImagingStudy.interpreter, ImagingStudy.endpoint, ImagingStudy.numberOfSeries, ImagingStudy.numberOfInstances, ImagingStudy.procedureReference, ImagingStudy.procedureCode, ImagingStudy.location, ImagingStudy.reasonCode, ImagingStudy.reasonReference, ImagingStudy.note, ImagingStudy.description, ImagingStudy.series, ImagingStudy.series.extension, ImagingStudy.series.extension:techniqueParameter, ImagingStudy.series.modifierExtension, ImagingStudy.series.uid, ImagingStudy.series.number, ImagingStudy.series.modality, ImagingStudy.series.description, ImagingStudy.series.numberOfInstances, ImagingStudy.series.endpoint, ImagingStudy.series.bodySite, ImagingStudy.series.laterality, ImagingStudy.series.specimen, ImagingStudy.series.started, ImagingStudy.series.performer, ImagingStudy.series.performer.extension, ImagingStudy.series.performer.modifierExtension, ImagingStudy.series.performer.function, ImagingStudy.series.performer.actor, ImagingStudy.series.instance, ImagingStudy.series.instance.extension, ImagingStudy.series.instance.modifierExtension, ImagingStudy.series.instance.uid, ImagingStudy.series.instance.sopClass, ImagingStudy.series.instance.number, ImagingStudy.series.instance.title All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error ImagingStudy.extension, ImagingStudy.extension:kmAdministration, ImagingStudy.modifierExtension, ImagingStudy.identifier:accessionNumber.extension, ImagingStudy.identifier:accessionNumber.type.extension, ImagingStudy.identifier:accessionNumber.type.coding.extension, ImagingStudy.subject.extension, ImagingStudy.series.extension, ImagingStudy.series.extension:techniqueParameter, ImagingStudy.series.modifierExtension, ImagingStudy.series.performer.extension, ImagingStudy.series.performer.modifierExtension, ImagingStudy.series.instance.extension, ImagingStudy.series.instance.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ImagingStudyUvIps

Summary

Mandatory: 1 element(4 nested mandatory elements)
Must-Support: 9 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of ImagingStudy.identifier

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImagingStudy 0..* ImagingStudyUvIps(2.0.1) A set of images produced in single study (one or more series of references images)
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:kmAdministration S 0..1 (Complex) Image KM Administration
URL: https://fhir.cognovis.de/praxis/StructureDefinition/image-km-administration
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
.... identifier:accessionNumber SOΣ 0..1 Identifier AccessionNumber (DICOM 0008,0050)
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
...... coding Σ 0..* Coding Code defined by a terminology system
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
....... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: ACSN
..... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.cognovis.de/praxis/NamingSystem/pvs-id
..... value SΣ 1..1 string The value that is unique
Example General: 123456
... status ?!Σ 1..1 code registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatusUvIps (2.0.1) (required)
... modality SΣ 0..* Coding Bildgebungsmodalitaet (DICOM CID 29, required)
Binding: DICOM Modality (required)
... subject SOΣ 1..1 Reference(Patient (IPS)(2.0.1) | Group) Who or what is the subject of the study
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
... started SOΣ 0..1 dateTime When the study was started
Example General: 2011-01-01T11:01:20+03:00
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
... referrer SΣ 1..1 Reference(Practitioner | PractitionerRole) Ueberweisender Arzt (Pflichtfeld fuer KV-Abrechnung)
... endpoint SΣ 0..* Reference(DICOMweb Endpoint (Praxis DE)) DICOMweb Endpunkt fuer DICOM-Studie
... procedureCode SOΣ 0..* CodeableConceptIPS(2.0.1) The performed procedure code
Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
Additional BindingsPurpose
ResultsRadiologyObservationUvIps (2.0.1) candidate

ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
... reasonCode SOΣ 0..* CodeableConceptIPS(2.0.1) Why the study was requested
Binding: ProcedureReasonCodes (example): The reason for the study.
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
... series SOΣ 0..* BackboneElement Each study has one or more series of instances
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:techniqueParameter S 0..1 (Complex) Technique Parameter
URL: https://fhir.cognovis.de/praxis/StructureDefinition/technique-parameter
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... uid SOΣ 1..1 id DICOM Series Instance UID for the series
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
.... modality SOΣ 1..1 Coding The modality of the instances in the series
Binding: AcquisitionModality (extensible): Type of acquired data in the instance.
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
.... bodySite Σ 0..1 Coding Koerperregion der Bildserie (SNOMED CT, preferred)
Binding: SNOMEDCTBodyStructures (preferred)
.... laterality Σ 0..1 Coding Seitenangabe (preferred Binding: bodysite-laterality)
Binding: Laterality (preferred)
.... instance SO 0..* BackboneElement A single SOP instance from the series
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... uid SO 1..1 id DICOM SOP Instance UID
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
..... sopClass SO 1..1 Coding DICOM class type
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance.
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ImagingStudy.identifier:accessionNumber.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ImagingStudy.identifier:accessionNumber.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
ImagingStudy.status Base required Imaging Study Status Codes - IPS 📍2.0.1 International Patient Summary Implementation Guide v2.0
ImagingStudy.modality Base required DICOM Modality 📦0.101.6 This IG
ImagingStudy.procedureCode Base extensible http://www.rsna.org/RadLex_Playbook.aspx Not State Unknown
ImagingStudy.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
ImagingStudy.series.​modality Base extensible AcquisitionModality 📦2025.3.20250714 DICOM v2025c
ImagingStudy.series.​bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.
ImagingStudy.series.​laterality Base preferred Laterality 📦4.0.1 FHIR Std.
ImagingStudy.series.​instance.sopClass Base extensible http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 Not State Unknown

Constraints

Id Grade Path(s) Description Expression
dom-2 error ImagingStudy If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ImagingStudy If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ImagingStudy If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ImagingStudy If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ImagingStudy A resource should have narrative for robust management text.`div`.exists()
ele-1 error ImagingStudy.implicitRules, ImagingStudy.extension, ImagingStudy.extension:kmAdministration, ImagingStudy.modifierExtension, ImagingStudy.identifier, ImagingStudy.identifier:accessionNumber, ImagingStudy.identifier:accessionNumber.use, ImagingStudy.identifier:accessionNumber.type, ImagingStudy.identifier:accessionNumber.type.coding, ImagingStudy.identifier:accessionNumber.type.coding.system, ImagingStudy.identifier:accessionNumber.type.coding.code, ImagingStudy.identifier:accessionNumber.system, ImagingStudy.identifier:accessionNumber.value, ImagingStudy.status, ImagingStudy.modality, ImagingStudy.subject, ImagingStudy.subject.reference, ImagingStudy.started, ImagingStudy.referrer, ImagingStudy.endpoint, ImagingStudy.procedureCode, ImagingStudy.reasonCode, ImagingStudy.series, ImagingStudy.series.extension, ImagingStudy.series.extension:techniqueParameter, ImagingStudy.series.modifierExtension, ImagingStudy.series.uid, ImagingStudy.series.modality, ImagingStudy.series.bodySite, ImagingStudy.series.laterality, ImagingStudy.series.instance, ImagingStudy.series.instance.modifierExtension, ImagingStudy.series.instance.uid, ImagingStudy.series.instance.sopClass All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error ImagingStudy.extension, ImagingStudy.extension:kmAdministration, ImagingStudy.modifierExtension, ImagingStudy.series.extension, ImagingStudy.series.extension:techniqueParameter, ImagingStudy.series.modifierExtension, ImagingStudy.series.instance.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from ImagingStudyUvIps

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImagingStudy 0..* ImagingStudyUvIps(2.0.1) A set of images produced in single study (one or more series of references images)
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:kmAdministration S 0..1 (Complex) Image KM Administration
URL: https://fhir.cognovis.de/praxis/StructureDefinition/image-km-administration
... Slices for identifier 0..* Identifier Identifiers for the whole study
Slice: Unordered, Open by value:type.coding.code
.... identifier:accessionNumber S 0..1 Identifier AccessionNumber (DICOM 0008,0050)
..... type
...... coding
....... system S 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Required Pattern: ACSN
..... system S 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.cognovis.de/praxis/NamingSystem/pvs-id
..... value S 1..1 string The value that is unique
... modality S 0..* Coding Bildgebungsmodalitaet (DICOM CID 29, required)
Binding: DICOM Modality (required)
... endpoint S 0..* Reference(DICOMweb Endpoint (Praxis DE)) DICOMweb Endpunkt fuer DICOM-Studie
... series
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:techniqueParameter S 0..1 (Complex) Technique Parameter
URL: https://fhir.cognovis.de/praxis/StructureDefinition/technique-parameter
.... bodySite 0..1 Coding Koerperregion der Bildserie (SNOMED CT, preferred)
Binding: SNOMEDCTBodyStructures (preferred)
.... laterality 0..1 Coding Seitenangabe (preferred Binding: bodysite-laterality)
Binding: Laterality (preferred)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ImagingStudy.modality Base required DICOM Modality 📦0.101.6 This IG
ImagingStudy.series.​bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.
ImagingStudy.series.​laterality Base preferred Laterality 📦4.0.1 FHIR Std.

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImagingStudy 0..* ImagingStudyUvIps(2.0.1) A set of images produced in single study (one or more series of references images)
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:kmAdministration S 0..1 (Complex) Image KM Administration
URL: https://fhir.cognovis.de/praxis/StructureDefinition/image-km-administration
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... Slices for identifier SOΣ 0..* Identifier Identifiers for the whole study
Slice: Unordered, Open by value:type.coding.code
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
.... identifier:accessionNumber SOΣ 0..1 Identifier AccessionNumber (DICOM 0008,0050)
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: ACSN
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.cognovis.de/praxis/NamingSystem/pvs-id
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... status ?!Σ 1..1 code registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatusUvIps (2.0.1) (required)
... modality SΣ 0..* Coding Bildgebungsmodalitaet (DICOM CID 29, required)
Binding: DICOM Modality (required)
... subject SOΣ 1..1 Reference(Patient (IPS)(2.0.1) | Group) Who or what is the subject of the study
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Encounter with which this imaging study is associated
... started SOΣ 0..1 dateTime When the study was started
Example General: 2011-01-01T11:01:20+03:00
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) Request fulfilled
... referrer SΣ 1..1 Reference(Practitioner | PractitionerRole) Ueberweisender Arzt (Pflichtfeld fuer KV-Abrechnung)
... interpreter Σ 0..* Reference(Practitioner | PractitionerRole) Who interpreted images
... endpoint SΣ 0..* Reference(DICOMweb Endpoint (Praxis DE)) DICOMweb Endpunkt fuer DICOM-Studie
... numberOfSeries Σ 0..1 unsignedInt Number of Study Related Series
... numberOfInstances Σ 0..1 unsignedInt Number of Study Related Instances
... procedureReference Σ 0..1 Reference(Procedure) The performed Procedure reference
... procedureCode SOΣ 0..* CodeableConceptIPS(2.0.1) The performed procedure code
Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
Additional BindingsPurpose
ResultsRadiologyObservationUvIps (2.0.1) candidate

ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
... location Σ 0..1 Reference(Location) Where ImagingStudy occurred
... reasonCode SOΣ 0..* CodeableConceptIPS(2.0.1) Why the study was requested
Binding: ProcedureReasonCodes (example): The reason for the study.
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
... reasonReference Σ 0..* Reference(Condition | Observation | Media | DiagnosticReport | DocumentReference) Why was study performed
... note Σ 0..* Annotation User-defined comments
... description Σ 0..1 string Institution-generated description
... series SOΣ 0..* BackboneElement Each study has one or more series of instances
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:techniqueParameter S 0..1 (Complex) Technique Parameter
URL: https://fhir.cognovis.de/praxis/StructureDefinition/technique-parameter
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... uid SOΣ 1..1 id DICOM Series Instance UID for the series
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
.... number Σ 0..1 unsignedInt Numeric identifier of this series
Example General: 3
.... modality SOΣ 1..1 Coding The modality of the instances in the series
Binding: AcquisitionModality (extensible): Type of acquired data in the instance.
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
.... 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 Koerperregion der Bildserie (SNOMED CT, preferred)
Binding: SNOMEDCTBodyStructures (preferred)
.... laterality Σ 0..1 Coding Seitenangabe (preferred Binding: bodysite-laterality)
Binding: Laterality (preferred)
.... specimen Σ 0..* Reference(Specimen) Specimen imaged
.... started Σ 0..1 dateTime When the series started
.... performer Σ 0..* BackboneElement Who performed the series
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... function Σ 0..1 CodeableConcept Type of performance
Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
..... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) Who performed the series
.... instance SO 0..* BackboneElement A single SOP instance from the series
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... uid SO 1..1 id DICOM SOP Instance UID
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
..... sopClass SO 1..1 Coding DICOM class type
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance.
ObligationsActorSource
SHALL:populate-if-known Creator (IPS) from ImagingStudy (IPS)
SHALL:handle Consumer (IPS) from ImagingStudy (IPS)
SHOULD:display Consumer (IPS) from ImagingStudy (IPS)
..... number 0..1 unsignedInt The number of this instance in the series
Example General: 1
..... title 0..1 string Description of instance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ImagingStudy.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ImagingStudy.identifier:accessionNumber.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ImagingStudy.identifier:accessionNumber.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
ImagingStudy.status Base required Imaging Study Status Codes - IPS 📍2.0.1 International Patient Summary Implementation Guide v2.0
ImagingStudy.modality Base required DICOM Modality 📦0.101.6 This IG
ImagingStudy.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
ImagingStudy.procedureCode Base extensible http://www.rsna.org/RadLex_Playbook.aspx Not State Unknown
ImagingStudy.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
ImagingStudy.series.​modality Base extensible AcquisitionModality 📦2025.3.20250714 DICOM v2025c
ImagingStudy.series.​bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.
ImagingStudy.series.​laterality Base preferred Laterality 📦4.0.1 FHIR Std.
ImagingStudy.series.​performer.function Base extensible ImagingStudy series performer function 📍4.0.1 FHIR Std.
ImagingStudy.series.​instance.sopClass Base extensible http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 Not State Unknown

Constraints

Id Grade Path(s) Description Expression
dom-2 error ImagingStudy If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ImagingStudy If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ImagingStudy If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ImagingStudy If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ImagingStudy A resource should have narrative for robust management text.`div`.exists()
ele-1 error ImagingStudy.meta, ImagingStudy.implicitRules, ImagingStudy.language, ImagingStudy.text, ImagingStudy.extension, ImagingStudy.extension:kmAdministration, ImagingStudy.modifierExtension, ImagingStudy.identifier, ImagingStudy.identifier:accessionNumber, ImagingStudy.identifier:accessionNumber.extension, ImagingStudy.identifier:accessionNumber.use, ImagingStudy.identifier:accessionNumber.type, ImagingStudy.identifier:accessionNumber.type.extension, ImagingStudy.identifier:accessionNumber.type.coding, ImagingStudy.identifier:accessionNumber.type.coding.extension, ImagingStudy.identifier:accessionNumber.type.coding.system, ImagingStudy.identifier:accessionNumber.type.coding.version, ImagingStudy.identifier:accessionNumber.type.coding.code, ImagingStudy.identifier:accessionNumber.type.coding.display, ImagingStudy.identifier:accessionNumber.type.coding.userSelected, ImagingStudy.identifier:accessionNumber.type.text, ImagingStudy.identifier:accessionNumber.system, ImagingStudy.identifier:accessionNumber.value, ImagingStudy.identifier:accessionNumber.period, ImagingStudy.identifier:accessionNumber.assigner, ImagingStudy.status, ImagingStudy.modality, ImagingStudy.subject, ImagingStudy.subject.extension, ImagingStudy.subject.reference, ImagingStudy.subject.type, ImagingStudy.subject.identifier, ImagingStudy.subject.display, ImagingStudy.encounter, ImagingStudy.started, ImagingStudy.basedOn, ImagingStudy.referrer, ImagingStudy.interpreter, ImagingStudy.endpoint, ImagingStudy.numberOfSeries, ImagingStudy.numberOfInstances, ImagingStudy.procedureReference, ImagingStudy.procedureCode, ImagingStudy.location, ImagingStudy.reasonCode, ImagingStudy.reasonReference, ImagingStudy.note, ImagingStudy.description, ImagingStudy.series, ImagingStudy.series.extension, ImagingStudy.series.extension:techniqueParameter, ImagingStudy.series.modifierExtension, ImagingStudy.series.uid, ImagingStudy.series.number, ImagingStudy.series.modality, ImagingStudy.series.description, ImagingStudy.series.numberOfInstances, ImagingStudy.series.endpoint, ImagingStudy.series.bodySite, ImagingStudy.series.laterality, ImagingStudy.series.specimen, ImagingStudy.series.started, ImagingStudy.series.performer, ImagingStudy.series.performer.extension, ImagingStudy.series.performer.modifierExtension, ImagingStudy.series.performer.function, ImagingStudy.series.performer.actor, ImagingStudy.series.instance, ImagingStudy.series.instance.extension, ImagingStudy.series.instance.modifierExtension, ImagingStudy.series.instance.uid, ImagingStudy.series.instance.sopClass, ImagingStudy.series.instance.number, ImagingStudy.series.instance.title All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error ImagingStudy.extension, ImagingStudy.extension:kmAdministration, ImagingStudy.modifierExtension, ImagingStudy.identifier:accessionNumber.extension, ImagingStudy.identifier:accessionNumber.type.extension, ImagingStudy.identifier:accessionNumber.type.coding.extension, ImagingStudy.subject.extension, ImagingStudy.series.extension, ImagingStudy.series.extension:techniqueParameter, ImagingStudy.series.modifierExtension, ImagingStudy.series.performer.extension, ImagingStudy.series.performer.modifierExtension, ImagingStudy.series.instance.extension, ImagingStudy.series.instance.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ImagingStudyUvIps

Summary

Mandatory: 1 element(4 nested mandatory elements)
Must-Support: 9 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of ImagingStudy.identifier

 

Other representations of profile: CSV, Excel, Schematron