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Packagextehr.eu.ehds.models
Resource TypeStructureDefinition
IdStructureDefinition-EHDSImagingStudy.json
FHIR VersionR5
Sourcehttps://build.fhir.org/ig/Xt-EHR/xt-ehr-common/StructureDefinition-EHDSImagingStudy.html
URLhttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSImagingStudy
Version0.2.1
Statusdraft
Date2026-02-04T19:00:50+00:00
NameEHDSImagingStudy
TitleImaging study model
DescriptionImaging study model includes the key information about the content of an imaging study. It does not include image pixels but includes location pointers to its image content and organises this information according to the well-established model of an imaging study made of one or more series and each series made of instances or images. Composed of a set of data (DICOM KOS) that facilitates the location of all available images.
Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSImagingStudy
Kindlogical

Resources that use this resource

StructureDefinition
EHDSImagingReportImaging report model
EHDSObservationObservation model

Resources that this resource uses

StructureDefinition
EHDSBodyStructureBody structure model
EHDSDataSetDataSet model
EHDSEncounterEncounter model
EHDSEndpointEndpoint model
EHDSOrganisationOrganisation model
EHDSServiceRequestService request model
EHDSSpecimenSpecimen model

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: StructureDefinition EHDSImagingStudy

NameFlagsCard.TypeDescription & Constraintsdoco
.. EHDSImagingStudy 0..*EHDSDataSetImaging study model

Elements defined in Ancestors:header
Instances of this logical model can be the target of a Reference
... header
.... identifier 1..*IdentifierIdentifiers for the Imaging Study such as DICOM Study Instance UID. If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier.
.... author[x] 1..*EHDSHealthProfessional, EHDSOrganisation, EHDSDeviceAuthor(s) responsible for the provided information.
.... date 1..1dateTimeDate and optionally time of authoring/issuing
... modality 0..*CodeableConceptAll of the distinct values for series' modalities
Binding Description: (preferred): DICOM CID029
... encounter 0..1EHDSEncounterReference to the encounter with which this imaging study is associated
... started 0..1dateTimeDate and time the study started.
... basedOn 0..*EHDSServiceRequestReferences to the diagnostic requests that resulted in this imaging study being performed.
... numberOfSeries 0..1integerNumber 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.
... numberOfInstances 0..1integerNumber of Service-Object Pairs (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.
... description 0..1stringThe Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed.
... studyCustodian 0..1EHDSOrganisationOrganisation name, address, contact information.
... studyEndpoint 0..1EHDSEndpointStudy endpoint describing the technical details of a location that can be connected to for the delivery/retrieval of information. Sufficient information is required to ensure that a connection can be made securely, and appropriate data transmitted as defined by the endpoint owner. These may be locally hosted services, regional services, or national service.
... series 0..*BaseSeries. Each study has one or more series of instances, but they may be absent when no series information needs to be conveyed
.... seriesUid 1..1IdentifierDICOM Series Instance UID for the series
.... number 0..1integerNumeric identifier of this series
.... acquisitionModality 1..1CodeableConceptAcquisition modality - the modality used for this series
Binding Description: (preferred): DICOM CID029
.... description 0..1stringA short human readable summary of the series
.... numberOfInstances 0..1integerNumber of Series Related Instances
.... seriesEndpoint 0..1EHDSEndpointSeries endpoint describing the technical details of a location that can be connected to for the delivery/retrieval of information. Sufficient information is required to ensure that a connection can be made securely, and appropriate data transmitted as defined by the endpoint owner. These may be locally hosted services, regional services, or national service.
.... bodySite 0..1EHDSBodyStructureBody part (with laterality) examined
.... specimen 0..*EHDSSpecimenSpecimen imaged
.... started 0..1dateTimeWhen the series started
.... instancesInTheSeries 0..*BaseEach series has one or more instances, but they may be absent when no instance information needs to be conveyed
..... instanceTitle 0..1stringInstance title that is the description of the instance.
..... instanceUid 1..1IdentifierDICOM SOP Instance UID
..... sopClass 1..1uriSOP class - DICOM class type
..... instanceNumber 0..1integerThe number of this instance in the series
..... numberOfFrames 0..1integerThe number of frames in a multiframe instance
..... keyImage 0..*BaseList of key image flags with a reason why this image is selected as a key image, and reference to the Key Image Note that flags the image as significant within the Imaging Study Manifest
...... flag 1..1CodeableConceptReason for flagging the image as significant
Binding Description: (preferred): DICOM PS3.16 in Table CID 7010
...... reason 0..1stringTextual reason for flagging the image as significant
...... seriesUID 1..*IdentifierSeries instance UID for the series that contains the instances flagged as significant
...... instanceUID 1..*IdentifierSOP Instance UID for the instances flagged as significant by the Key Image Note object (DICOM KOS) that flags this image

doco Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "EHDSImagingStudy",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics",
      "valueCode": "can-be-target"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics",
      "valueCode": "can-be-target"
    }
  ],
  "url": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSImagingStudy",
  "version": "0.2.1",
  "name": "EHDSImagingStudy",
  "title": "Imaging study model",
  "status": "draft",
  "date": "2026-02-04T19:00:50+00:00",
  "publisher": "Xt-EHR",
  "contact": [
    {
      "name": "Xt-EHR",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.xt-ehr.eu/"
        }
      ]
    }
  ],
  "description": "Imaging study model includes the key information about the content of an imaging study. It does not include image pixels but includes location pointers to its image content and organises this information according to the well-established model of an imaging study made of one or more series and each series made of instances or images. Composed of a set of data (DICOM KOS) that facilitates the location of all available images.",
  "fhirVersion": "5.0.0",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "logical",
  "abstract": false,
  "type": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSImagingStudy",
  "baseDefinition": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDataSet",
  "derivation": "specialization",
  "snapshot": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
        "valueString": "0.2.1"
      }
    ],
    "element": [
      {
        "id": "EHDSImagingStudy",
        "path": "EHDSImagingStudy",
        "short": "Imaging study model",
        "definition": "Imaging study model includes the key information about the content of an imaging study. It does not include image pixels but includes location pointers to its image content and organises this information according to the well-established model of an imaging study made of one or more series and each series made of instances or images. Composed of a set of data (DICOM KOS) that facilitates the location of all available images.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Base",
          "min": 0,
          "max": "*"
        },
        "isModifier": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.header",
        "path": "EHDSImagingStudy.header",
        "short": "Basic metadata for this information",
        "definition": "Basic metadata for this information",
        "min": 1,
        "max": "1",
        "base": {
          "path": "EHDSDataSet.header",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Base"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.header.subject",
        "path": "EHDSImagingStudy.header.subject",
        "short": "Patient/subject information",
        "definition": "Patient/subject information",
        "min": 1,
        "max": "1",
        "base": {
          "path": "EHDSDataSet.header.subject",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.header.identifier",
        "path": "EHDSImagingStudy.header.identifier",
        "short": "Identifiers for the Imaging Study such as DICOM Study Instance UID. If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier.",
        "definition": "Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).",
        "requirements": "eHN Guideline IMG (v1.1): B.1.1",
        "min": 1,
        "max": "*",
        "base": {
          "path": "EHDSDataSet.header.identifier",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.header.author[x]",
        "path": "EHDSImagingStudy.header.author[x]",
        "short": "Author(s) responsible for the provided information.",
        "definition": "Author(s) responsible for the provided information. The exact role of the responsible author varies across use cases and is specific to individual models.",
        "min": 1,
        "max": "*",
        "base": {
          "path": "EHDSDataSet.header.author[x]",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional"
          },
          {
            "code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation"
          },
          {
            "code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.header.date",
        "path": "EHDSImagingStudy.header.date",
        "short": "Date and optionally time of authoring/issuing",
        "definition": "Date and optionally time of authoring/issuing",
        "min": 1,
        "max": "1",
        "base": {
          "path": "EHDSDataSet.header.date",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.header.status",
        "path": "EHDSImagingStudy.header.status",
        "short": "Status of the resource or document",
        "definition": "Status of the resource or document",
        "min": 1,
        "max": "1",
        "base": {
          "path": "EHDSDataSet.header.status",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.header.source",
        "path": "EHDSImagingStudy.header.source",
        "short": "Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.",
        "definition": "Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSDataSet.header.source",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.header.language",
        "path": "EHDSImagingStudy.header.language",
        "short": "Language in which the resource is written. Language is expressed by the IETF language tag.",
        "definition": "Language in which the resource is written. Language is expressed by the IETF language tag.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSDataSet.header.language",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "BCP 47"
        }
      },
      {
        "id": "EHDSImagingStudy.modality",
        "path": "EHDSImagingStudy.modality",
        "short": "All of the distinct values for series' modalities",
        "definition": "All of the distinct values for series' modalities",
        "min": 0,
        "max": "*",
        "base": {
          "path": "EHDSImagingStudy.modality",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "DICOM CID029"
        }
      },
      {
        "id": "EHDSImagingStudy.encounter",
        "path": "EHDSImagingStudy.encounter",
        "short": "Reference to the encounter with which this imaging study is associated",
        "definition": "Reference to the encounter with which this imaging study is associated",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSImagingStudy.encounter",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSEncounter"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.started",
        "path": "EHDSImagingStudy.started",
        "short": "Date and time the study started.",
        "definition": "Date and time the study started.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSImagingStudy.started",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.basedOn",
        "path": "EHDSImagingStudy.basedOn",
        "short": "References to the diagnostic requests that resulted in this imaging study being performed.",
        "definition": "References to the diagnostic requests that resulted in this imaging study being performed.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "EHDSImagingStudy.basedOn",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSServiceRequest"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.numberOfSeries",
        "path": "EHDSImagingStudy.numberOfSeries",
        "short": "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.",
        "definition": "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.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSImagingStudy.numberOfSeries",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "integer"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.numberOfInstances",
        "path": "EHDSImagingStudy.numberOfInstances",
        "short": "Number of Service-Object Pairs (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.",
        "definition": "Number of Service-Object Pairs (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.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSImagingStudy.numberOfInstances",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "integer"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.description",
        "path": "EHDSImagingStudy.description",
        "short": "The Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed.",
        "definition": "The Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed.",
        "requirements": "eHN Guideline IMG (v1.1): B.1.2",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSImagingStudy.description",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.studyCustodian",
        "path": "EHDSImagingStudy.studyCustodian",
        "short": "Organisation name, address, contact information.",
        "definition": "Organisation name, address, contact information.",
        "requirements": "eHN Guideline IMG (v1.1): B.1.3",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSImagingStudy.studyCustodian",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.studyEndpoint",
        "path": "EHDSImagingStudy.studyEndpoint",
        "short": "Study endpoint describing the technical details of a location that can be connected to for the delivery/retrieval of information. Sufficient information is required to ensure that a connection can be made securely, and appropriate data transmitted as defined by the endpoint owner. These may be locally hosted services, regional services, or national service.",
        "definition": "Study endpoint describing the technical details of a location that can be connected to for the delivery/retrieval of information. Sufficient information is required to ensure that a connection can be made securely, and appropriate data transmitted as defined by the endpoint owner. These may be locally hosted services, regional services, or national service.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSImagingStudy.studyEndpoint",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSEndpoint"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series",
        "path": "EHDSImagingStudy.series",
        "short": "Series. Each study has one or more series of instances, but they may be absent when no series information needs to be conveyed",
        "definition": "Series. Each study has one or more series of instances, but they may be absent when no series information needs to be conveyed",
        "requirements": "eHN Guideline IMG (v1.1): B.1.4",
        "min": 0,
        "max": "*",
        "base": {
          "path": "EHDSImagingStudy.series",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Base"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.seriesUid",
        "path": "EHDSImagingStudy.series.seriesUid",
        "short": "DICOM Series Instance UID for the series",
        "definition": "DICOM Series Instance UID for the series",
        "requirements": "eHN Guideline IMG (v1.1): B.1.4.2",
        "min": 1,
        "max": "1",
        "base": {
          "path": "EHDSImagingStudy.series.seriesUid",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.number",
        "path": "EHDSImagingStudy.series.number",
        "short": "Numeric identifier of this series",
        "definition": "Numeric identifier of this series",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSImagingStudy.series.number",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "integer"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.acquisitionModality",
        "path": "EHDSImagingStudy.series.acquisitionModality",
        "short": "Acquisition modality - the modality used for this series",
        "definition": "Acquisition modality - the modality used for this series",
        "requirements": "eHN Guideline IMG (v1.1): B.1.4.3",
        "min": 1,
        "max": "1",
        "base": {
          "path": "EHDSImagingStudy.series.acquisitionModality",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "DICOM CID029"
        }
      },
      {
        "id": "EHDSImagingStudy.series.description",
        "path": "EHDSImagingStudy.series.description",
        "short": "A short human readable summary of the series",
        "definition": "A short human readable summary of the series",
        "requirements": "eHN Guideline IMG (v1.1): B.1.4.1",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSImagingStudy.series.description",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.numberOfInstances",
        "path": "EHDSImagingStudy.series.numberOfInstances",
        "short": "Number of Series Related Instances",
        "definition": "Number of Series Related Instances",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSImagingStudy.series.numberOfInstances",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "integer"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.seriesEndpoint",
        "path": "EHDSImagingStudy.series.seriesEndpoint",
        "short": "Series endpoint describing the technical details of a location that can be connected to for the delivery/retrieval of information. Sufficient information is required to ensure that a connection can be made securely, and appropriate data transmitted as defined by the endpoint owner. These may be locally hosted services, regional services, or national service.",
        "definition": "Series endpoint describing the technical details of a location that can be connected to for the delivery/retrieval of information. Sufficient information is required to ensure that a connection can be made securely, and appropriate data transmitted as defined by the endpoint owner. These may be locally hosted services, regional services, or national service.",
        "requirements": "eHN Guideline IMG (v1.1): B.1.4.6",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSImagingStudy.series.seriesEndpoint",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSEndpoint"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.bodySite",
        "path": "EHDSImagingStudy.series.bodySite",
        "short": "Body part (with laterality) examined",
        "definition": "Body part (with laterality) examined",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSImagingStudy.series.bodySite",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSBodyStructure"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.specimen",
        "path": "EHDSImagingStudy.series.specimen",
        "short": "Specimen imaged",
        "definition": "Specimen imaged",
        "min": 0,
        "max": "*",
        "base": {
          "path": "EHDSImagingStudy.series.specimen",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSSpecimen"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.started",
        "path": "EHDSImagingStudy.series.started",
        "short": "When the series started",
        "definition": "When the series started",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSImagingStudy.series.started",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.instancesInTheSeries",
        "path": "EHDSImagingStudy.series.instancesInTheSeries",
        "short": "Each series has one or more instances, but they may be absent when no instance information needs to be conveyed",
        "definition": "Each series has one or more instances, but they may be absent when no instance information needs to be conveyed",
        "requirements": "eHN Guideline IMG (v1.1): B.1.4.7",
        "min": 0,
        "max": "*",
        "base": {
          "path": "EHDSImagingStudy.series.instancesInTheSeries",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Base"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.instancesInTheSeries.instanceTitle",
        "path": "EHDSImagingStudy.series.instancesInTheSeries.instanceTitle",
        "short": "Instance title that is the description of the instance.",
        "definition": "Instance title that is the description of the instance.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSImagingStudy.series.instancesInTheSeries.instanceTitle",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.instancesInTheSeries.instanceUid",
        "path": "EHDSImagingStudy.series.instancesInTheSeries.instanceUid",
        "short": "DICOM SOP Instance UID",
        "definition": "DICOM SOP Instance UID",
        "requirements": "eHN Guideline IMG (v1.1): B.1.4.7.1",
        "min": 1,
        "max": "1",
        "base": {
          "path": "EHDSImagingStudy.series.instancesInTheSeries.instanceUid",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.instancesInTheSeries.sopClass",
        "path": "EHDSImagingStudy.series.instancesInTheSeries.sopClass",
        "short": "SOP class - DICOM class type",
        "definition": "SOP class - DICOM class type",
        "requirements": "DICOM KOS",
        "min": 1,
        "max": "1",
        "base": {
          "path": "EHDSImagingStudy.series.instancesInTheSeries.sopClass",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.instancesInTheSeries.instanceNumber",
        "path": "EHDSImagingStudy.series.instancesInTheSeries.instanceNumber",
        "short": "The number of this instance in the series",
        "definition": "The number of this instance in the series",
        "requirements": "eHN Guideline IMG (v1.1): B.1.4.7.3",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSImagingStudy.series.instancesInTheSeries.instanceNumber",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "integer"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.instancesInTheSeries.numberOfFrames",
        "path": "EHDSImagingStudy.series.instancesInTheSeries.numberOfFrames",
        "short": "The number of frames in a multiframe instance",
        "definition": "The number of frames in a multiframe instance",
        "requirements": "DICOM KOS",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSImagingStudy.series.instancesInTheSeries.numberOfFrames",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "integer"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.instancesInTheSeries.keyImage",
        "path": "EHDSImagingStudy.series.instancesInTheSeries.keyImage",
        "short": "List of key image flags with a reason why this image is selected as a key image, and reference to the Key Image Note that flags the image as significant within the Imaging Study Manifest",
        "definition": "List of key image flags with a reason why this image is selected as a key image, and reference to the Key Image Note that flags the image as significant within the Imaging Study Manifest",
        "min": 0,
        "max": "*",
        "base": {
          "path": "EHDSImagingStudy.series.instancesInTheSeries.keyImage",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Base"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.instancesInTheSeries.keyImage.flag",
        "path": "EHDSImagingStudy.series.instancesInTheSeries.keyImage.flag",
        "short": "Reason for flagging the image as significant",
        "definition": "Reason for flagging the image as significant",
        "min": 1,
        "max": "1",
        "base": {
          "path": "EHDSImagingStudy.series.instancesInTheSeries.keyImage.flag",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "DICOM PS3.16 in Table CID 7010"
        }
      },
      {
        "id": "EHDSImagingStudy.series.instancesInTheSeries.keyImage.reason",
        "path": "EHDSImagingStudy.series.instancesInTheSeries.keyImage.reason",
        "short": "Textual reason for flagging the image as significant",
        "definition": "Textual reason for flagging the image as significant",
        "min": 0,
        "max": "1",
        "base": {
          "path": "EHDSImagingStudy.series.instancesInTheSeries.keyImage.reason",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.instancesInTheSeries.keyImage.seriesUID",
        "path": "EHDSImagingStudy.series.instancesInTheSeries.keyImage.seriesUID",
        "short": "Series instance UID for the series that contains the instances flagged as significant",
        "definition": "Series instance UID for the series that contains the instances flagged as significant",
        "min": 1,
        "max": "*",
        "base": {
          "path": "EHDSImagingStudy.series.instancesInTheSeries.keyImage.seriesUID",
          "min": 1,
          "max": "*"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.instancesInTheSeries.keyImage.instanceUID",
        "path": "EHDSImagingStudy.series.instancesInTheSeries.keyImage.instanceUID",
        "short": "SOP Instance UID for the instances flagged as significant by the Key Image Note object (DICOM KOS) that flags this image",
        "definition": "SOP Instance UID for the instances flagged as significant by the Key Image Note object (DICOM KOS) that flags this image",
        "min": 1,
        "max": "*",
        "base": {
          "path": "EHDSImagingStudy.series.instancesInTheSeries.keyImage.instanceUID",
          "min": 1,
          "max": "*"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "EHDSImagingStudy",
        "path": "EHDSImagingStudy",
        "short": "Imaging study model",
        "definition": "Imaging study model includes the key information about the content of an imaging study. It does not include image pixels but includes location pointers to its image content and organises this information according to the well-established model of an imaging study made of one or more series and each series made of instances or images. Composed of a set of data (DICOM KOS) that facilitates the location of all available images."
      },
      {
        "id": "EHDSImagingStudy.header.identifier",
        "path": "EHDSImagingStudy.header.identifier",
        "short": "Identifiers for the Imaging Study such as DICOM Study Instance UID. If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier.",
        "requirements": "eHN Guideline IMG (v1.1): B.1.1",
        "min": 1
      },
      {
        "id": "EHDSImagingStudy.header.author[x]",
        "path": "EHDSImagingStudy.header.author[x]",
        "min": 1
      },
      {
        "id": "EHDSImagingStudy.header.date",
        "path": "EHDSImagingStudy.header.date",
        "min": 1
      },
      {
        "id": "EHDSImagingStudy.modality",
        "path": "EHDSImagingStudy.modality",
        "short": "All of the distinct values for series' modalities",
        "definition": "All of the distinct values for series' modalities",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "DICOM CID029"
        }
      },
      {
        "id": "EHDSImagingStudy.encounter",
        "path": "EHDSImagingStudy.encounter",
        "short": "Reference to the encounter with which this imaging study is associated",
        "definition": "Reference to the encounter with which this imaging study is associated",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSEncounter"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.started",
        "path": "EHDSImagingStudy.started",
        "short": "Date and time the study started.",
        "definition": "Date and time the study started.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.basedOn",
        "path": "EHDSImagingStudy.basedOn",
        "short": "References to the diagnostic requests that resulted in this imaging study being performed.",
        "definition": "References to the diagnostic requests that resulted in this imaging study being performed.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSServiceRequest"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.numberOfSeries",
        "path": "EHDSImagingStudy.numberOfSeries",
        "short": "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.",
        "definition": "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.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "integer"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.numberOfInstances",
        "path": "EHDSImagingStudy.numberOfInstances",
        "short": "Number of Service-Object Pairs (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.",
        "definition": "Number of Service-Object Pairs (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.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "integer"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.description",
        "path": "EHDSImagingStudy.description",
        "short": "The Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed.",
        "definition": "The Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed.",
        "requirements": "eHN Guideline IMG (v1.1): B.1.2",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.studyCustodian",
        "path": "EHDSImagingStudy.studyCustodian",
        "short": "Organisation name, address, contact information.",
        "definition": "Organisation name, address, contact information.",
        "requirements": "eHN Guideline IMG (v1.1): B.1.3",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.studyEndpoint",
        "path": "EHDSImagingStudy.studyEndpoint",
        "short": "Study endpoint describing the technical details of a location that can be connected to for the delivery/retrieval of information. Sufficient information is required to ensure that a connection can be made securely, and appropriate data transmitted as defined by the endpoint owner. These may be locally hosted services, regional services, or national service.",
        "definition": "Study endpoint describing the technical details of a location that can be connected to for the delivery/retrieval of information. Sufficient information is required to ensure that a connection can be made securely, and appropriate data transmitted as defined by the endpoint owner. These may be locally hosted services, regional services, or national service.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSEndpoint"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series",
        "path": "EHDSImagingStudy.series",
        "short": "Series. Each study has one or more series of instances, but they may be absent when no series information needs to be conveyed",
        "definition": "Series. Each study has one or more series of instances, but they may be absent when no series information needs to be conveyed",
        "requirements": "eHN Guideline IMG (v1.1): B.1.4",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Base"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.seriesUid",
        "path": "EHDSImagingStudy.series.seriesUid",
        "short": "DICOM Series Instance UID for the series",
        "definition": "DICOM Series Instance UID for the series",
        "requirements": "eHN Guideline IMG (v1.1): B.1.4.2",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Identifier"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.number",
        "path": "EHDSImagingStudy.series.number",
        "short": "Numeric identifier of this series",
        "definition": "Numeric identifier of this series",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "integer"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.acquisitionModality",
        "path": "EHDSImagingStudy.series.acquisitionModality",
        "short": "Acquisition modality - the modality used for this series",
        "definition": "Acquisition modality - the modality used for this series",
        "requirements": "eHN Guideline IMG (v1.1): B.1.4.3",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "DICOM CID029"
        }
      },
      {
        "id": "EHDSImagingStudy.series.description",
        "path": "EHDSImagingStudy.series.description",
        "short": "A short human readable summary of the series",
        "definition": "A short human readable summary of the series",
        "requirements": "eHN Guideline IMG (v1.1): B.1.4.1",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.numberOfInstances",
        "path": "EHDSImagingStudy.series.numberOfInstances",
        "short": "Number of Series Related Instances",
        "definition": "Number of Series Related Instances",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "integer"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.seriesEndpoint",
        "path": "EHDSImagingStudy.series.seriesEndpoint",
        "short": "Series endpoint describing the technical details of a location that can be connected to for the delivery/retrieval of information. Sufficient information is required to ensure that a connection can be made securely, and appropriate data transmitted as defined by the endpoint owner. These may be locally hosted services, regional services, or national service.",
        "definition": "Series endpoint describing the technical details of a location that can be connected to for the delivery/retrieval of information. Sufficient information is required to ensure that a connection can be made securely, and appropriate data transmitted as defined by the endpoint owner. These may be locally hosted services, regional services, or national service.",
        "requirements": "eHN Guideline IMG (v1.1): B.1.4.6",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSEndpoint"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.bodySite",
        "path": "EHDSImagingStudy.series.bodySite",
        "short": "Body part (with laterality) examined",
        "definition": "Body part (with laterality) examined",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSBodyStructure"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.specimen",
        "path": "EHDSImagingStudy.series.specimen",
        "short": "Specimen imaged",
        "definition": "Specimen imaged",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSSpecimen"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.started",
        "path": "EHDSImagingStudy.series.started",
        "short": "When the series started",
        "definition": "When the series started",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.instancesInTheSeries",
        "path": "EHDSImagingStudy.series.instancesInTheSeries",
        "short": "Each series has one or more instances, but they may be absent when no instance information needs to be conveyed",
        "definition": "Each series has one or more instances, but they may be absent when no instance information needs to be conveyed",
        "requirements": "eHN Guideline IMG (v1.1): B.1.4.7",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Base"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.instancesInTheSeries.instanceTitle",
        "path": "EHDSImagingStudy.series.instancesInTheSeries.instanceTitle",
        "short": "Instance title that is the description of the instance.",
        "definition": "Instance title that is the description of the instance.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.instancesInTheSeries.instanceUid",
        "path": "EHDSImagingStudy.series.instancesInTheSeries.instanceUid",
        "short": "DICOM SOP Instance UID",
        "definition": "DICOM SOP Instance UID",
        "requirements": "eHN Guideline IMG (v1.1): B.1.4.7.1",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Identifier"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.instancesInTheSeries.sopClass",
        "path": "EHDSImagingStudy.series.instancesInTheSeries.sopClass",
        "short": "SOP class - DICOM class type",
        "definition": "SOP class - DICOM class type",
        "requirements": "DICOM KOS",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "uri"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.instancesInTheSeries.instanceNumber",
        "path": "EHDSImagingStudy.series.instancesInTheSeries.instanceNumber",
        "short": "The number of this instance in the series",
        "definition": "The number of this instance in the series",
        "requirements": "eHN Guideline IMG (v1.1): B.1.4.7.3",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "integer"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.instancesInTheSeries.numberOfFrames",
        "path": "EHDSImagingStudy.series.instancesInTheSeries.numberOfFrames",
        "short": "The number of frames in a multiframe instance",
        "definition": "The number of frames in a multiframe instance",
        "requirements": "DICOM KOS",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "integer"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.instancesInTheSeries.keyImage",
        "path": "EHDSImagingStudy.series.instancesInTheSeries.keyImage",
        "short": "List of key image flags with a reason why this image is selected as a key image, and reference to the Key Image Note that flags the image as significant within the Imaging Study Manifest",
        "definition": "List of key image flags with a reason why this image is selected as a key image, and reference to the Key Image Note that flags the image as significant within the Imaging Study Manifest",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Base"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.instancesInTheSeries.keyImage.flag",
        "path": "EHDSImagingStudy.series.instancesInTheSeries.keyImage.flag",
        "short": "Reason for flagging the image as significant",
        "definition": "Reason for flagging the image as significant",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "DICOM PS3.16 in Table CID 7010"
        }
      },
      {
        "id": "EHDSImagingStudy.series.instancesInTheSeries.keyImage.reason",
        "path": "EHDSImagingStudy.series.instancesInTheSeries.keyImage.reason",
        "short": "Textual reason for flagging the image as significant",
        "definition": "Textual reason for flagging the image as significant",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.instancesInTheSeries.keyImage.seriesUID",
        "path": "EHDSImagingStudy.series.instancesInTheSeries.keyImage.seriesUID",
        "short": "Series instance UID for the series that contains the instances flagged as significant",
        "definition": "Series instance UID for the series that contains the instances flagged as significant",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "Identifier"
          }
        ]
      },
      {
        "id": "EHDSImagingStudy.series.instancesInTheSeries.keyImage.instanceUID",
        "path": "EHDSImagingStudy.series.instancesInTheSeries.keyImage.instanceUID",
        "short": "SOP Instance UID for the instances flagged as significant by the Key Image Note object (DICOM KOS) that flags this image",
        "definition": "SOP Instance UID for the instances flagged as significant by the Key Image Note object (DICOM KOS) that flags this image",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "Identifier"
          }
        ]
      }
    ]
  }
}