StructureDefinition for imagingstudy

<?xml version="1.0" encoding="UTF-8"?>

<StructureDefinition xmlns="http://hl7.org/fhir">  <id value="ImagingStudy"/>   <meta>     <lastUpdated value="2025-11-10T15:17:08.817+00:00"/>   </meta>   <text>     <status value="generated"/>     <div xmlns="http://www.w3.org/1999/xhtml">      <table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:

       top;">
        <tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:

         top">
          <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a>           </th>           <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a>           </th>           <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a>           </th>           <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px; width: 100px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a>           </th>           <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a>             <span style="float: right">              <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format">                <img alt="doco" src="data:(snipped in html view)" style="background-color: inherit"/>               </a>             </span>           </th>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAg
          DsHd9/w4EQIOamFnaBgAA4MMKAACAKwNp30CqZFfFmwAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Resource"/>              <span title="ImagingStudy : Representation of the content produced in a DICOM imaging study.

             A study comprises a set of series, each of which includes a set of Service-Object
             Pair Instances (SOP Instances - images or other data) acquired or produced in a
             common context.  A series is of only one modality (e.g. X-ray, CT, MR, ultrasound),
             but a study can have multiple series of different modality values.">ImagingStudy</span> 
            <a name="ImagingStudy"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;

             color: black; background-color: #e6ffe6; padding-left: 3px; padding-right: 3px;
             border: 1px grey solid; font-weight: bold; color: black; background-color: #e6ffe6" title="Standards Status = Normative">N</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="domainresource.html">DomainResource</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">A set of images or image-related data produced in single study
            <br/>              <span style="font-style: italic" title="ist-1">+ Rule: series SHALL only be present if an identifier is present with a system

               of urn:dicom:uid</span> 
            <br/>              <span style="font-style: italic" title="ist-2">+ Rule: At most, a single identifier SHALL be present with a system of urn:dicom:uid</span>             <br/>              <span style="font-style: italic" title="ist-3">+ Rule: If numberOfSeries  and series are both present, the numberOfSeries value

               SHALL match the number of series elements</span> 
            <br/>              <span style="font-style: italic" title="ist-4">+ Rule: If numberOfInstances and series.instance are both present, the numberOfInstances

               value SHALL match the total number of series.instance elements</span> 
            <br/>              <span style="font-style: italic" title="ist-5">+ Rule: If numberOfInstances and series.numberOfInstances are both present, the

               numberOfInstances value SHALL be the sum of the series.numberOfInstance values.</span> 
            <br/>              <span style="font-style: italic" title="ist-6">+ Rule: For each series element, if numberOfInstances and instance are both present,

               the numberOfInstances value SHALL match the number of instance elements</span> 
            <br/>              <span style="font-style: italic" title="ist-7">+ Rule: If modality is present, modality SHALL equal all of the distinct values

               of series.modality</span> 
            <br/>              <br/>  Elements defined in Ancestors:             <a href="resource.html#Resource" title="The logical id of the resource, as used in the URL for the resource. Once assigned,

             this value never changes.">id</a> , 

            <a href="resource.html#Resource" title="The metadata about the resource. This is content that is maintained by the infrastructure.
             Changes to the content may not always be associated with version changes to the resource., 
            A reference to a set of rules that were followed when the resource was constructed, and
             which must be understood when processing the content., 
            , 
            A human-readable narrative that contains a summary of the resource, and may be used to
             represent the content of the resource to a human. The narrative need not encode all the
             structured data, but is required to contain sufficient detail to make it &quot;clinically
             safe&quot; for a human to just read the narrative. Resource definitions may define what
             content should be represented in the narrative to ensure clinical safety., 
            These resources do not have an independent existence apart from the resource that contains
             them - they cannot be identified independently, and nor can they have their own independent
             transaction scope., 

             Changes to the content might not always be associated with version changes to the
             resource.">meta</a> , 
            <a href="resource.html#Resource" title="A reference to a set of rules that were followed when the resource was constructed,

             and which must be understood when processing the content. Often, this is a reference
             to an implementation guide that defines the special rules along with other profiles
             etc. For DomainResources, if more than one implicitRules policy applies, additional
             policies may be conveyed using the [additionalImplicitRules](https://build.fhir.org/ig/HL7/fh
            ir-extensions/StructureDefinition-additionalImplicitRules.html) extension.">implicitRules</a> , 
            <a href="resource.html#Resource" title="The base language in which the resource is written.">language</a> ,             <a href="domainresource.html#DomainResource" title="A human-readable narrative that contains a summary of the resource and can be used

             to represent the content of the resource to a human. The narrative need not encode
             all the structured data, but is required to contain sufficient detail to make it
             &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
             may define what content should be represented in the narrative to ensure clinical
             safety.">text</a> , 
            <a href="domainresource.html#DomainResource" title="These resources do not have an independent existence apart from the resource that

             contains them - they cannot be identified independently, nor can they have their
             own independent transaction scope. This is allowed to be a Parameters resource
             if and only if it is referenced by a resource that provides context/meaning.">contained</a> , 

            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
             of the resource. In order to make the use of extensions safe and manageable, there is
             a strict set of governance  applied to the definition and use of extensions. Though any
             implementer is allowed to define an extension, there is a set of requirements that SHALL
             be met as part of the definition of the extension., 

             of the resource. To make the use of extensions safe and managable, there is a strict
             set of governance applied to the definition and use of extensions. Though any implementer
             can define an extension, there is a set of requirements that SHALL be met as part
             of the definition of the extension.">extension</a> , 

            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
             of the resource, and that modifies the understanding of the element that contains it.
             Usually modifier elements provide negation or qualification. In order to make the use
             of extensions safe and manageable, there is a strict set of governance applied to the
             definition and use of extensions. Though any implementer is allowed to define an extension,
             there is a set of requirements that SHALL be met as part of the definition of the extension.
             Applications processing a resource are required to check for modifier extensions.
          
        

        
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            ImagingStudy.accession : Accession Number is an identifier related to some aspect of imaging
             workflow and data management. Usage may vary across different institutions.  See for instance
             [IHE Radiology Technical Framework Volume 1 Appendix A](http://www.ihe.net/uploadedFiles/Documents/R
            adiology/IHE_RAD_TF_Rev13.0_Vol1_FT_2014-07-30.pdf).
            
          
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           padding:0px 4px 0px 4pxOther identifiers for the study
            
          
        

        
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           padding:0px 4px 0px 4pxONLINE | OFFLINE | NEARLINE | UNAVAILABLE
            
             (
            )
          
        

        
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            ImagingStudy.modalityList : A list of all the Series.ImageModality values that are actual
             acquisition modalities, i.e. those in the DICOM Context Group 29 (value set OID 1.2.840.10008.6.1.19
            ).
            
          
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxAll series modality if actual acquisition modalities
            
             (
            To be conformant, the concept in this element SHALL be from the specified value set if
             any of the codes within the value set can apply to the concept being communicated.  If
             the value set does not cover the concept (based on human review), alternate codings (or,
             data type allowing, text) may be included instead.)
            
          
        

        
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           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            (
            )
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            (
             | 
            )
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            ImagingStudy.basedOn : A list of the diagnostic requests that resulted in this imaging
             study being performed.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            (
             | 
             | 
            )
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxRequest fulfilled
            
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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           padding:0px 4px 0px 4px
            
          
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           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            (
            )
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            (
            )
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxWho interpreted images
            
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            ImagingStudy.endpoint : The network service providing access (e.g., query, view, or retrieval)
             for the study. See implementation notes for information about using DICOM endpoints. A
             study-level endpoint applies to each series in the study, unless overridden by a series-level
             endpoint with the same Endpoint.type.
            
          
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            (
            )
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxStudy access endpoint
            
          
        

        
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           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            ImagingStudy.numberOfSeries : 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.
            
          
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           padding:0px 4px 0px 4px
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC 
            ImagingStudy.numberOfInstances : Number of SOP Instances in Study. This value given may
             be larger than the number of instance elements this resource contains due to resource
             availability, security, or other factors. This element should be present if any instance
             elements are present.
            
          
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           padding:0px 4px 0px 4px
            
          
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           padding:0px 4px 0px 4px
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            (
            )
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxThe performed Procedure reference
            
          
        

        
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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7 
            
            
          
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           padding:0px 4px 0px 4px
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxThe performed procedure code
            
             (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)
            
          
        

        
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            ImagingStudy.reason : Description of clinical condition indicating why the ImagingStudy
             was requested.
            
          
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxWhy the study was requested
            
             (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            ImagingStudy.description : Institution-generated description or classification of the
             Study performed.
            
          
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           padding:0px 4px 0px 4px
            
          
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxEach study has one or more series of instances
            
          
        

        
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           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxThe modality of the instances in the series
            
             (
            To be conformant, the concept in this element SHALL be from the specified value set if
             any of the codes within the value set can apply to the concept being communicated.  If
             the value set does not cover the concept (based on human review), alternate codings (or,
             data type allowing, text) may be included instead.)
          
        

        
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           padding:0px 4px 0px 4px
            
          
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           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC 
            ImagingStudy.series.numberOfInstances : Number of SOP Instances in the Study. The value
             given may be larger than the number of instance elements this resource contains due to
             resource availability, security, or other factors. This element should be present if any
             instance elements are present.
            
          
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxONLINE | OFFLINE | NEARLINE | UNAVAILABLE
            
             (
            )
          
        

        
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           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC 
            ImagingStudy.series.endpoint : The network service providing access (e.g., query, view,
             or retrieval) for this series. See implementation notes for information about using DICOM
             endpoints. A series-level endpoint, if present, has precedence over a study-level endpoint
             with the same Endpoint.type.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            (
            )
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxSeries access endpoint
            
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            WKQoKUQ+FEDgcdTIAV14YDmg2CgSFA0hmQC5TLE4VRTdrKJAoxOeFCzZSwsw4U6BCizwUQhQyEaAPiAwCVNCY0FCNnA6GPAwYoETI
            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7 
            ImagingStudy.series.bodySite : The anatomic structures examined. See DICOM Part 16 Annex
             L (http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html) for
             DICOM to SNOMED-CT mappings. The bodySite may indicate the laterality of body part imaged;
             if so, it shall be consistent with any content of ImagingStudy.series.laterality.
            
          
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxBody part examined
            
             (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)
          
        

        
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            kNAV0IVT5GkJKLCwtQaSsSdx9aR26Gcwt2IkQaNRI6dBERIzCFDSgWSW8WCDkbBnoOQ3uFARc/JQJfCAZlT0x4ZFyFBxdNQT9ZCBN
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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7 
            ImagingStudy.series.laterality : The laterality of the (possibly paired) anatomic structures
             examined. E.g., the left knee, both lungs, or unpaired abdomen. If present, shall be consistent
             with any laterality information indicated in ImagingStudy.series.bodySite.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxBody part laterality
            
             (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC 
            
            
          
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC 
            ImagingStudy.series.performer : The physician or operator (often the radiology technician)
              who performed the series. The performer is recorded at the series level, since each series
             in a study may be performed by a different practitioner, at different times, and using
             different devices. A series may be performed by multiple practitioners.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            (
            )
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxWho performed the series
            
          
        

        
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           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            FEhIdcAYJdYASFRUQhQkLCwkOFwcdEBAXhVabE52ecDahKy0oIQA7 
            ImagingStudy.series.instance : A single SOP instance within the series, e.g. an image,
             or presentation state.
            
          
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           padding:0px 4px 0px 4px
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           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxA single SOP instance from the series
            
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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           padding:0px 4px 0px 4px
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           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==
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           padding:0px 4px 0px 4px
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
          
            
            
               Documentation for this format
            
          
        
      
    
  
  
    
  
  
    
  
  
  
  
  
  
  
    
      
      
    
  
  
    
      
      
    
  
  
  
  
    
    
    
  
  
    
    
    
  
  
    
    
    
  
  
  
  
  
  
  
    
      
      
      Representation of the content produced in a DICOM imaging study. A study comprises a set
       of series, each of which includes a set of Service-Object Pair Instances (SOP Instances
       - images or other data) acquired or produced in a common context.  A series is of only
       one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of
       different modalities.
      
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
        
        
        If a resource is contained in another resource, it SHALL NOT have a meta.versionId or
         a meta.lastUpdated
        
        
        
      
      
        
        
        If the resource is contained in another resource, it SHALL be referred to from elsewhere
         in the resource
        
        not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f
        :reference/@value=concat('#', $id))]))
        
      
      
        
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes.
      The only time that a resource does not have an id is when it is being submitted to the
       server using a create operation.
      
      
      
        
        
        
      
      
        
      
      
    
    
      
      

             of the resource and that modifies the understanding of the element that contains
             it and/or the understanding of the containing element's descendants. Usually modifier
             elements provide negation or qualification. To make the use of extensions safe
             and managable, there is a strict set of governance applied to the definition and
             use of extensions. Though any implementer is allowed to define an extension, there
             is a set of requirements that SHALL be met as part of the definition of the extension.
             Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
             DomainResource (including cannot change the meaning of modifierExtension itself).">modifierExtension</a> 
          </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="ImagingStudy.identifier : Business identifiers assigned to this imaging study by

             the performer and/or other systems.  These identifiers remain constant as the resource
             is updated and propagates from server to server. Typically this will include the
             DICOM Study Instance UID.">identifier</span> 
            <a name="ImagingStudy.identifier"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Business identifier for imaging study
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="ImagingStudy.status : The current state of the imaging study. This is distinct

             from the status of any service request or task associated with the imaging study.">status</span> 
            <a name="ImagingStudy.status"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is a modifier element">?!</a> 
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">registered | available | cancelled | entered-in-error | unknown | inactive
            <br/>  Binding:             <a href="valueset-imagingstudy-status.html">Imaging Study Status</a>  (            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value

             set.">Required</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="ImagingStudy.modality : All the distinct values of series.modality. This MAY be

             either an acquisition or a non-acquisition modality.">modality</span> 
            <a name="ImagingStudy.modality"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">The distinct values for series' modalities
            <br/>  Binding:             <a href="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html">Modality</a>  (            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value

             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="ImagingStudy.subject : The subject, typically a patient, of the imaging study.">subject</span>             <a name="ImagingStudy.subject"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="patient.html">Patient</a>  |             <a href="device.html">Device</a>  |             <a href="group.html">Group</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Who or what is the subject of the study
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>              <span title="ImagingStudy.encounter : The healthcare event (e.g. a patient and healthcare provider

             interaction) during which the imaging data represented by this imaging study was
             acquired.">encounter</span> 
            <a name="ImagingStudy.encounter"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="encounter.html">Encounter</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Encounter with which this imaging study is associated
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="ImagingStudy.started : Date and time the study started.">started</span>             <a name="ImagingStudy.started"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#dateTime">dateTime</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">When the study was started
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>              <span title="ImagingStudy.basedOn : A plan or order that is fulfilled in whole or in part by

             this imaging study.">basedOn</span> 
            <a name="ImagingStudy.basedOn"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="careplan.html">CarePlan</a>  |             <a href="servicerequest.html">ServiceRequest</a>  |             <a href="appointment.html">Appointment</a>  |             <a href="task.html">Task</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Fulfills plan or order
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="ImagingStudy.procedure : The performed procedure(s) during which the data associated

             with this imaging study was created.">procedure</span> 
            <a name="ImagingStudy.procedure"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="procedure.html">Procedure</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Imaging performed procedure(s)
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>              <span title="ImagingStudy.referrer : The referring physician.">referrer</span>             <a name="ImagingStudy.referrer"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="practitioner.html">Practitioner</a>  |             <a href="practitionerrole.html">PractitionerRole</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Referring physician
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="ImagingStudy.endpoint : The network service providing access (e.g., query, view,

             or retrieval) for the study. See implementation notes for information about using
             DICOM endpoints. A study-level endpoint applies to each series in the study, unless
             overridden by a series-level endpoint with the same Endpoint.connectionType.">endpoint</span> 
            <a name="ImagingStudy.endpoint"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="endpoint.html">Endpoint</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Study access endpoint
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>              <span title="ImagingStudy.location : The principal physical location where the imaging study

             was performed.">location</span> 
            <a name="ImagingStudy.location"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="location.html">Location</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Where imaging study occurred
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="ImagingStudy.reason : Describes why the imaging study occurred in coded or textual

             form or indicates another resource whose existence justifies this imaging study.">reason</span> 
            <a name="ImagingStudy.reason"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#CodeableReference">CodeableReference</a> (            <a href="condition.html">Condition</a>  |             <a href="observation.html">Observation</a>  |             <a href="diagnosticreport.html">DiagnosticReport</a>  |             <a href="documentreference.html">DocumentReference</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"> Why was imaging study performed?
            <br/>  Binding:             <a href="valueset-procedure-reason.html">Procedure Reason Codes</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="ImagingStudy.note : Comments made about the imaging study by the performer, subject

             or other participants.">note</span> 
            <a name="ImagingStudy.note"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Annotation">Annotation</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Comments made about the imaging study
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="ImagingStudy.description : Description or classification of the imaging study.">description</span>             <a name="ImagingStudy.description"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Study Description or Classification
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="ImagingStudy.numberOfSeries : Number of known Series in the Study. This value might

             be present even if the ImagingStudy.series element is empty or only partially populated.">numberOfSeries</span> 
            <a name="ImagingStudy.numberOfSeries"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#unsignedInt">unsignedInt</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Number of Study Related Series
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="ImagingStudy.numberOfInstances : Number of known SOP Instances in Study. This value

             might be present even if the ImagingStudy.series.instance elements are empty or
             only partially populated.">numberOfInstances</span> 
            <a name="ImagingStudy.numberOfInstances"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#unsignedInt">unsignedInt</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Number of Study Related Instances
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAg
          DsHd9/w4EQIOamFnaBgAA4MMKAACAKwNp30CqZFfFmwAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Element"/>              <span title="ImagingStudy.series : The set of Series belonging to the study. Each Series contains

             a set of SOP Instances, which could be images, waveforms, or other content.">series</span> 
            <a name="ImagingStudy.series"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">The set of Series belonging to the study
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw
          Esez6+89AqKGGJj7JzVWS+mm3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="ImagingStudy.series.uid : The DICOM Series Instance UID of the series.">uid</span>             <a name="ImagingStudy.series.uid"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#id">id</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">DICOM Series Instance UID
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw
          Esez6+89AqKGGJj7JzVWS+mm3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="ImagingStudy.series.number : The numeric identifier of this series in the study.">number</span>             <a name="ImagingStudy.series.number"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#unsignedInt">unsignedInt</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Numeric identifier of this series
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw
          Esez6+89AqKGGJj7JzVWS+mm3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="ImagingStudy.series.modality : The distinct modality for this series. This MAY

             be either an acquisition modality (e.g., CT, MR) or a non-acquisition modality
             (e.g., segmentation, presentation state).">modality</span> 
            <a name="ImagingStudy.series.modality"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">The modality used for this series
            <br/>  Binding:             <a href="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html">Modality</a>  (            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value

             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw
          Esez6+89AqKGGJj7JzVWS+mm3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="ImagingStudy.series.description : Description or classification of the series.">description</span>             <a name="ImagingStudy.series.description"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Series Description or Classification
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw
          Esez6+89AqKGGJj7JzVWS+mm3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="ImagingStudy.series.numberOfInstances : Number of SOP Instances in the Series.

             The value given MAY be larger than the number of instance elements this series
             contains due to resource availability, security, or other factors. This element
             SHOULD be present if any instance elements are present.">numberOfInstances</span> 
            <a name="ImagingStudy.series.numberOfInstances"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#unsignedInt">unsignedInt</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Number of Series Related Instances
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw
          Esez6+89AqKGGJj7JzVWS+mm3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>              <span title="ImagingStudy.series.endpoint : The network service providing access for the study.

             See implementation notes for information about [using DICOM endpoints](imagingstudy.html#endp
            oints).">endpoint</span> 
            <a name="ImagingStudy.series.endpoint"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="endpoint.html">Endpoint</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Series access endpoint
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw
          Esez6+89AqKGGJj7JzVWS+mm3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="ImagingStudy.series.bodySite : The anatomic structures examined. See [DICOM Part

             16 Annex L](http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html)
             for DICOM to SNOMED-CT mappings. The bodySite MAY include the laterality of body
             part imaged.">bodySite</span> 
            <a name="ImagingStudy.series.bodySite"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#CodeableReference">CodeableReference</a> (            <a href="bodystructure.html">BodyStructure</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Body part examined
            <br/>  Binding:             <a href="valueset-body-site.html" title="Codes describing anatomical locations. MAY include laterality.">SNOMED CT Body Structures</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw
          Esez6+89AqKGGJj7JzVWS+mm3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>              <span title="ImagingStudy.series.specimen : The specimen imaged, e.g., for whole slide imaging

             of a biopsy.">specimen</span> 
            <a name="ImagingStudy.series.specimen"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="specimen.html">Specimen</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Specimen imaged
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw
          Esez6+89AqKGGJj7JzVWS+mm3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="ImagingStudy.series.started : The date and time the series was started.">started</span>             <a name="ImagingStudy.series.started"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#dateTime">dateTime</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">When the series started
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw
          Esez6+89AqKGGJj7JzVWS+mm3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Element"/>              <span title="ImagingStudy.series.performer : Indicates who or what performed the series and

             how they were involved.">performer</span> 
            <a name="ImagingStudy.series.performer"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Who performed the series
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LsQkAIBR
          Dwb9r9p9BrbUSUZsLXPMglaReGmtz23H6BwAA/lkCAADALR1gq0BWueJ34gAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="ImagingStudy.series.performer.function : Distinguishes the type of involvement

             of the performer in the imaging study..">function</span> 
            <a name="ImagingStudy.series.performer.function"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Type of performance
            <br/>  Binding:             <a href="valueset-series-performer-function.html">ImagingStudy series performer function</a>  (            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value

             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw
          Esez6+89AqKGGJj7JzVWS+mm3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>              <span title="ImagingStudy.series.performer.actor : Indicates who or what performed the imaging

             study.">actor</span> 
            <a name="ImagingStudy.series.performer.actor"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="practitioner.html">Practitioner</a>  |             <a href="practitionerrole.html">PractitionerRole</a>  |             <a href="organization.html">Organization</a>  |             <a href="careteam.html">CareTeam</a>  |             <a href="patient.html">Patient</a>  |             <a href="device.html">Device</a>  |             <a href="relatedperson.html">RelatedPerson</a>  |             <a href="healthcareservice.html">HealthcareService</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Who performed imaging study
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAg
          DsHd9/w4EQIOamFnaBgAA4MMKAACAKwNp30CqZFfFmwAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Element"/>              <span title="ImagingStudy.series.instance : A single SOP instance within the series, e.g. an

             image, or presentation state.">instance</span> 
            <a name="ImagingStudy.series.instance"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">A single SOP instance from the series
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoQ0AMAw
          Esez6+8/QBqe4IJJPMrlKUpt0Zz4AAGCHZwAAAPxyAWqFQIAoZQ9kAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="ImagingStudy.series.instance.uid : The DICOM SOP Instance UID for this image or

             other DICOM content.">uid</span> 
            <a name="ImagingStudy.series.instance.uid"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#id">id</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">DICOM SOP Instance UID
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoQ0AMAw
          Esez6+8/QBqe4IJJPMrlKUpt0Zz4AAGCHZwAAAPxyAWqFQIAoZQ9kAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="ImagingStudy.series.instance.sopClass : DICOM instance  type.">sopClass</span>             <a name="ImagingStudy.series.instance.sopClass"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#oid">oid</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">DICOM class type
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoQ0AMAw
          Esez6+8/QBqe4IJJPMrlKUpt0Zz4AAGCHZwAAAPxyAWqFQIAoZQ9kAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="ImagingStudy.series.instance.number : The number of the instance assigned by the

             creator of the series. MAY or MAY NOT correspond to intended display order.">number</span> 
            <a name="ImagingStudy.series.instance.number"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#unsignedInt">unsignedInt</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">The number of this instance in the series
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw
          Esez6+89AqKGGJj7JzVWSmmS3zgcAAPxxDQAAgFcadQVAgPvMVYYAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="ImagingStudy.series.instance.title : The title of the instance.">title</span>             <a name="ImagingStudy.series.instance.title"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Name or title of the instance
            <br/>            </td>         </tr>         <tr>           <td class="hierarchy" colspan="5">            <br/>              <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format">              <img alt="doco" src="data:(snipped in html view)" style="background-color: inherit"/>  Documentation for this format            </a>           </td>         </tr>       </table>     </div>   </text>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">    <valueCode value="normative"/>   </extension>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">    <valueCode value="ii"/>   </extension>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">    <valueInteger value="6"/>   </extension>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category">    <valueCode value="patient"/>   </extension>   <url value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/>   <version value="6.0.0-ballot3"/>   <name value="ImagingStudy"/>   <status value="active"/>   <experimental value="false"/>   <date value="2025-11-10T15:17:08+00:00"/>   <publisher value="HL7 International / Imaging Integration"/>   <contact>     <telecom>       <system value="url"/>       <value value="http://www.hl7.org/Special/committees/fiwg"/>     </telecom>   </contact>   <contact>     <telecom>       <system value="url"/>       <value value="http://www.hl7.org/Special/committees/imagemgt"/>     </telecom>   </contact>   <description value="Representation of the content produced in a DICOM imaging study. A study comprises

   a set of series, each of which includes a set of images or other data objects (called
   Service-Object Pair Instances or SOP Instances) acquired or produced in a common
   context."/> 
  <jurisdiction>     <coding>       <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>       <code value="001"/>       <display value="World"/>     </coding>   </jurisdiction>   <fhirVersion value="6.0.0-ballot3"/>   <mapping>     <identity value="workflow"/>     <uri value="http://hl7.org/fhir/workflow"/>     <name value="Workflow Pattern"/>   </mapping>   <mapping>     <identity value="w5"/>     <uri value="http://hl7.org/fhir/fivews"/>     <name value="FiveWs Pattern Mapping"/>   </mapping>   <mapping>     <identity value="rim"/>     <uri value="http://hl7.org/v3"/>     <name value="RIM Mapping"/>   </mapping>   <mapping>     <identity value="dicom"/>     <uri value="https://dicomstandard.org/current"/>     <name value="DICOM Tag Mapping"/>   </mapping>   <mapping>     <identity value="v2"/>     <uri value="http://hl7.org/v2"/>     <name value="HL7 V2 Mapping"/>   </mapping>   <kind value="resource"/>   <abstract value="false"/>   <type value="ImagingStudy"/>   <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>   <derivation value="specialization"/>   <snapshot>     <element id="ImagingStudy">      <path value="ImagingStudy"/>       <short value="A set of images or image-related data produced in single study"/>       <definition value="Representation of the content produced in a DICOM imaging study. A study comprises

       a set of series, each of which includes a set of Service-Object Pair Instances
       (SOP Instances - images or other data) acquired or produced in a common context.
        A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study
       can have multiple series of different modality values."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="ImagingStudy"/>         <min value="0"/>         <max value="*"/>       </base>       <constraint>         <key value="dom-2"/>         <severity value="error"/>         <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>         <expression value="contained.contained.empty()"/>         <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>       </constraint>       <constraint>         <key value="dom-3"/>         <severity value="error"/>         <human value="If the resource is contained in another resource, it SHALL be referred to from

         elsewhere in the resource or SHALL refer to the containing resource"/> 
        <expression value="contained.where((('#'+id.trace('id') in %resource.descendants().select(reference

         | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmat
        ched', id).empty()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>       </constraint>       <constraint>         <key value="dom-4"/>         <severity value="error"/>         <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId

         or a meta.lastUpdated"/> 
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>         <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>       </constraint>       <constraint>         <key value="dom-5"/>         <severity value="error"/>         <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/>         <expression value="contained.meta.security.empty()"/>         <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>       </constraint>       <constraint>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">          <valueBoolean value="true"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can

           display the resource to a human safely. Including a human readable representation
           in the resource makes for a much more robust eco-system and cheaper handling of
           resources by intermediary systems. Some ecosystems restrict distribution of resources
           to only those systems that do fully understand the resources, and as a consequence
           implementers may believe that the narrative is superfluous. However experience
           shows that such eco-systems often open up to new participants over time."/> 
        </extension>         <key value="dom-6"/>         <severity value="warning"/>         <human value="A resource should have narrative for robust management"/>         <expression value="text.`div`.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>       </constraint>       <constraint>         <key value="ist-1"/>         <severity value="error"/>         <human value="series SHALL only be present if an identifier is present with a system of urn:dicom:uid"/>         <expression value="series.exists() implies identifier.where(system = 'urn:dicom:uid').exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/>       </constraint>       <constraint>         <key value="ist-2"/>         <severity value="error"/>         <human value="At most, a single identifier SHALL be present with a system of urn:dicom:uid"/>         <expression value="identifier.where(system = 'urn:dicom:uid').count() &lt; 2"/>         <source value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/>       </constraint>       <constraint>         <key value="ist-3"/>         <severity value="error"/>         <human value="If numberOfSeries  and series are both present, the numberOfSeries value SHALL

         match the number of series elements"/> 
        <expression value="numberOfSeries.exists() and series.exists() implies numberOfSeries = series.count()"/>         <source value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/>       </constraint>       <constraint>         <key value="ist-4"/>         <severity value="error"/>         <human value="If numberOfInstances and series.instance are both present, the numberOfInstances

         value SHALL match the total number of series.instance elements"/> 
        <expression value="numberOfInstances.exists() and series.exists() implies numberOfInstances = series.instance.co

        unt()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/>       </constraint>       <constraint>         <key value="ist-5"/>         <severity value="error"/>         <human value="If numberOfInstances and series.numberOfInstances are both present, the numberOfInstances

         value SHALL be the sum of the series.numberOfInstance values."/> 
        <expression value="numberOfInstances.exists() and series.numberOfInstances.exists() implies numberOfInstances

         = series.numberOfInstances.aggregate($total + $this.toInteger(), 0)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/>       </constraint>       <constraint>         <key value="ist-6"/>         <severity value="error"/>         <human value="For each series element, if numberOfInstances and instance are both present, the

         numberOfInstances value SHALL match the number of instance elements"/> 
        <expression value="series.where(numberOfInstances.empty() or instance.empty() or numberOfInstances

         = instance.count()).count() = series.count()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/>       </constraint>       <constraint>         <key value="ist-7"/>         <severity value="error"/>         <human value="If modality is present, modality SHALL equal all of the distinct values of series.modality"/>         <expression value="modality.exists() implies modality.coding.select(system&amp;'|'&amp;code).trace('r').exclude(

        series.modality.coding.select(system&amp;'|'&amp;code).trace('c')).empty() and modality.text.e
        xclude(series.modality.text).empty() and series.modality.coding.select(system&amp;'|'&amp;code
        ).trace('r').exclude(modality.coding.select(system&amp;'|'&amp;code).trace('c')).empty()
         and series.modality.text.exclude(modality.text).empty()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="Entity, Role, or Act,Act[classCode=COMPOSITION, moodCode=EVN]"/>       </mapping>       <mapping>         <identity value="workflow"/>         <map value="Event"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="clinical.diagnostics"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="DICOM Tag Mapping"/>       </mapping>     </element>     <element id="ImagingStudy.id">      <path value="ImagingStudy.id"/>       <short value="Logical id of this artifact"/>       <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned,

       this value never changes."/> 
      <comment value="Within the context of the FHIR RESTful interactions, the resource has an id except

       for cases like the create and conditional update. Otherwise, the use of the resouce
       id depends on the given use case."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Resource.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="ImagingStudy.meta">      <path value="ImagingStudy.meta"/>       <short value="Metadata about the resource"/> 
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure.
       Changes to the content may not always be associated with version changes to the resource.
      
      
      
        
        
        
      
      
        
      
      
    
    
      
      
      A reference to a set of rules that were followed when the resource was constructed, and
       which must be understood when processing the content.
      Asserting this rule set restricts the content to be only understood by a limited set of
       trading partners. This inherently limits the usefulness of the data in the long term.
       However, the existing health eco-system is highly fractured, and not yet ready to define,
       collect, and exchange data in a generally computable sense. Wherever possible, implementers
       and/or specification writers should avoid using this element. 

This element is labelled as a modifier because the implicit rules may provide additional
       knowledge about the resource that modifies it's meaning or interpretation.
      
      
      
        
        
        
      
      
        
      
      
      
    
    
      
      
      
      Language is provided to support indexing and accessibility (typically, services such as
       text to speech use the language tag). The html language tag in the narrative applies 
       to the narrative. The language tag on the resource may be used to specify the language
       of other presentations generated from the data in the resource  Not all the content has
       to be in the base language. The Resource.language should not be assumed to apply to the
       narrative automatically. If a language is specified, it should it also be specified on
       the div element in the html (see rules in HTML5 for information about the relationship
       between xml:lang and the html lang attribute).
      
      
      
        
        
        
      
      
        
      
      
        
          
            
          
        
        
          
        
        
          
        
        
        
        
          
        
      
    
    
      
      
      A human-readable narrative that contains a summary of the resource, and may be used to
       represent the content of the resource to a human. The narrative need not encode all the
       structured data, but is required to contain sufficient detail to make it &quot;clinically
       safe&quot; for a human to just read the narrative. Resource definitions may define what
       content should be represented in the narrative to ensure clinical safety.
      Contained resources do not have narrative. Resources that are not contained SHOULD have
       a narrative. In some cases, a resource may only have text with little or no additional
       discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary
       for data from legacy systems where information is captured as a &quot;text blob&quot;
       or where text is additionally entered raw or narrated and encoded in formation is added
       later.
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
      
        
        
      
    
    
      
      
      These resources do not have an independent existence apart from the resource that contains
       them - they cannot be identified independently, and nor can they have their own independent
       transaction scope.
      This should never be done when the content can be identified properly, as once identification
       is lost, it is extremely difficult (and context dependent) to restore it again.
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
      
    
    
      
      

       Changes to the content might not always be associated with version changes to the
       resource."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Resource.meta"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Meta"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="ImagingStudy.implicitRules">      <path value="ImagingStudy.implicitRules"/>       <short value="A set of rules under which this content was created"/>       <definition value="A reference to a set of rules that were followed when the resource was constructed,

       and which must be understood when processing the content. Often, this is a reference
       to an implementation guide that defines the special rules along with other profiles
       etc. For DomainResources, if more than one implicitRules policy applies, additional
       policies may be conveyed using the [additionalImplicitRules](https://build.fhir.org/ig/HL7/fh
      ir-extensions/StructureDefinition-additionalImplicitRules.html) extension."/> 
      <comment value="Asserting this rule set restricts the content to be only understood by a limited

       set of trading partners. This inherently limits the usefulness of the data in the
       long term. However, the existing health eco-system is highly fractured, and not
       yet ready to define, collect, and exchange data in a generally computable sense.
       Wherever possible, implementers and/or specification writers should avoid using
       this element. Often, when used, the URL is a reference to an implementation guide
       that defines these special rules as part of its narrative along with other profiles,
       value sets, etc."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Resource.implicitRules"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="uri"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="true"/>       <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional

       knowledge about the resource that modifies its meaning or interpretation"/> 
      <isSummary value="true"/>     </element>     <element id="ImagingStudy.language">      <path value="ImagingStudy.language"/>       <short value="Language of the resource content"/>       <definition value="The base language in which the resource is written."/>       <comment value="Language is provided to support indexing and accessibility (typically, services

       such as text to speech use the language tag). The html language tag in the narrative
       applies  to the narrative. The language tag on the resource may be used to specify
       the language of other presentations generated from the data in the resource. Not
       all the content has to be in the base language. The Resource.language should not
       be assumed to apply to the narrative automatically. If a language is specified,
       it should it also be specified on the div element in the html (see rules in HTML5
       for information about the relationship between xml:lang and the html lang attribute)."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Resource.language"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="code"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="Language"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="required"/>         <description value="IETF language tag for a human language"/>         <valueSet value="http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3"/>         <additional>           <purpose value="starter"/>           <valueSet value="http://hl7.org/fhir/ValueSet/languages"/>         </additional>       </binding>     </element>     <element id="ImagingStudy.text">      <path value="ImagingStudy.text"/>       <short value="Text summary of the resource, for human interpretation"/>       <definition value="A human-readable narrative that contains a summary of the resource and can be used

       to represent the content of the resource to a human. The narrative need not encode
       all the structured data, but is required to contain sufficient detail to make it
       &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
       may define what content should be represented in the narrative to ensure clinical
       safety."/> 
      <comment value="Contained resources do not have a narrative. Resources that are not contained SHOULD

       have a narrative. In some cases, a resource may only have text with little or no
       additional discrete data (as long as all minOccurs=1 elements are satisfied). 
       This may be necessary for data from legacy systems where information is captured
       as a &quot;text blob&quot; or where text is additionally entered raw or narrated
       and encoded information is added later."/> 
      <alias value="narrative"/>       <alias value="html"/>       <alias value="xhtml"/>       <alias value="display"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="DomainResource.text"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Narrative"/>       </type>       <condition value="dom-6"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="Act.text?"/>       </mapping>     </element>     <element id="ImagingStudy.contained">      <path value="ImagingStudy.contained"/>       <short value="Contained, inline Resources"/>       <definition value="These resources do not have an independent existence apart from the resource that

       contains them - they cannot be identified independently, nor can they have their
       own independent transaction scope. This is allowed to be a Parameters resource
       if and only if it is referenced by a resource that provides context/meaning."/> 
      <comment value="This should never be done when the content can be identified properly, as once

       identification is lost, it is extremely difficult (and context dependent) to restore
       it again. Contained resources may have profiles and tags in their meta elements,
       but SHALL NOT have security labels. Contained resources may be a resource type
       defined in the FHIR specification, or an [additional resource](resource.html#additional)."/> 
      <alias value="inline resources"/>       <alias value="anonymous resources"/>       <alias value="contained resources"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="DomainResource.contained"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Resource"/>       </type>       <condition value="dom-2"/>       <condition value="dom-4"/>       <condition value="dom-3"/>       <condition value="dom-5"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="ImagingStudy.extension">      <path value="ImagingStudy.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource. In order to make the use of extensions safe and manageable, there is
       a strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
      
    
    
      
      

       of the resource. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="DomainResource.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="ImagingStudy.modifierExtension">      <path value="ImagingStudy.modifierExtension"/>       <short value="Extensions that cannot be ignored"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource, and that modifies the understanding of the element that contains it.
       Usually modifier elements provide negation or qualification. In order to make the use
       of extensions safe and manageable, there is a strict set of governance applied to the
       definition and use of extensions. Though any implementer is allowed to define an extension,
       there is a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
        
        
        
      
      
        
      
      
      
        
        
      
    
    
      
        
      
      
      
      
      
      
      
      
        
      
      
        
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      Accession Number is an identifier related to some aspect of imaging workflow and data
       management. Usage may vary across different institutions.  See for instance [IHE Radiology
       Technical Framework Volume 1 Appendix A](http://www.ihe.net/uploadedFiles/Documents/Radiology/IHE_RA
      D_TF_Rev13.0_Vol1_FT_2014-07-30.pdf).
      
      
      
      
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
      
        
          
        
        
        
        
          
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      A list of all the Series.ImageModality values that are actual acquisition modalities,
       i.e. those in the DICOM Context Group 29 (value set OID 1.2.840.10008.6.1.19).
      
      
      
      
        
      
      
      
        
          
        
        
        
        
          
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
        
      
      
      
      
      
      
      
        
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
      
      
        
        
      
      
      
        
        
      
      
        
        
      
    
    
      
        
      
      
      
      
      
      
      
      
      
        
      
      
        
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      To support grouped procedures (one imaging study supporting multiple ordered procedures,
       e.g. chest/abdomen/pelvis CT).
      
      
      
        
        
      
      
        
        
      
      
        
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
        
      
      
      
        
        .outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO].participation[typeCode=AU
        T].role
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      The network service providing access (e.g., query, view, or retrieval) for the study.
       See implementation notes for information about using DICOM endpoints. A study-level endpoint
       applies to each series in the study, unless overridden by a series-level endpoint with
       the same Endpoint.type.

       of the resource and that modifies the understanding of the element that contains
       it and/or the understanding of the containing element's descendants. Usually modifier
       elements provide negation or qualification. To make the use of extensions safe
       and managable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there
       is a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="DomainResource.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       resource that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="ImagingStudy.identifier">      <path value="ImagingStudy.identifier"/>       <short value="Business identifier for imaging study"/>       <definition value="Business identifiers assigned to this imaging study by the performer and/or other

       systems.  These identifiers remain constant as the resource is updated and propagates
       from server to server. Typically this will include the DICOM Study Instance UID."/> 
      <comment value="Note: This is a business identifier, not a resource identifier (see [discussion](resource.htm

      l#identifiers)).  It is best practice for the identifier to only appear on a single
       resource instance, however business practices MAY occasionally dictate that multiple
       resource instances with the same identifier can exist - possibly even with different
       resource types.  For example, multiple Patient and a Person resource instance might
       share the same social insurance number, or an accession number MAY be used to relate
       a Task, an ImagingStudy and a DiagnosticReport.  See discussion under [Imaging
       Study Implementation Notes](imagingstudy.html#dicom-uids) for encoding of DICOM
       Study Instance UID."/> 
      <requirements value="Allows identification of the imaging study as it is known by various participating

       systems and in a way that remains consistent across servers. ImagingStudy.identifier
       SHALL include exactly one Study Instance UID value if one or more series element
       values are present (see [DICOM PS 3.3 C.7.2](http://dicom.nema.org/medical/dicom/current/outp
      ut/chtml/part03/sect_C.7.2.html).)"/> 
      <alias value="StudyInstanceUID"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="ImagingStudy.identifier"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Identifier"/>       </type>       <condition value="ist-1"/>       <condition value="ist-2"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.identifier"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.identifier"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".id and .inboundRelationship[typeCode=COMP].source[classCode=ACSN, moodCode=EVN].id"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Study Instance UID (0020,000D) and / or Study ID (0020,0010)"/>       </mapping>     </element>     <element id="ImagingStudy.status">      <path value="ImagingStudy.status"/>       <short value="registered | available | cancelled | entered-in-error | unknown | inactive"/>       <definition value="The current state of the imaging study. This is distinct from the status of any

       service request or task associated with the imaging study."/> 
      <comment value="Unknown does not represent &quot;other&quot; - one of the defined statuses must

       apply.  Unknown is used when the authoring system is not sure what the current
       status is."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="ImagingStudy.status"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="code"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="true"/>       <isModifierReason value="This element is labeled as a modifier because it is a status element that contains

       status entered-in-error which means that the resource SHOULD NOT be treated as
       valid"/> 
      <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ImagingStudyStatus"/>         </extension>         <strength value="required"/>         <description value="The status of the ImagingStudy."/>         <valueSet value="http://hl7.org/fhir/ValueSet/imagingstudy-status|6.0.0-ballot3"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Event.status"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.status"/>       </mapping>       <mapping>         <identity value="v2"/>         <map value="Varies by domain"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".status"/>       </mapping>     </element>     <element id="ImagingStudy.modality">      <path value="ImagingStudy.modality"/>       <short value="The distinct values for series' modalities"/>       <definition value="All the distinct values of series.modality. This MAY be either an acquisition or

       a non-acquisition modality."/> 
      <alias value="ModalitiesInStudy"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="ImagingStudy.modality"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <condition value="ist-7"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ImagingModality"/>         </extension>         <strength value="extensible"/>         <description value="Type of acquired data in the instance."/>         <valueSet value="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html"/>       </binding>       <mapping>         <identity value="w5"/>         <map value="FiveWs.class"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".code"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Modalities in Study (0008,0061) or Modality (0008,0060)"/>       </mapping>     </element>     <element id="ImagingStudy.subject">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint">        <valueString value="dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.2.2.html"/>       </extension>       <path value="ImagingStudy.subject"/>       <short value="Who or what is the subject of the study"/>       <definition value="The subject, typically a patient, of the imaging study."/>       <comment value="QA phantoms can be recorded with a Device; multiple subjects (such as mice) can

       be recorded with a Group."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="ImagingStudy.subject"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.subject"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.subject"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=SBJ].role"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Patient ID (0010,0020) and Issuer of Patient ID (0010,0021) and / or Issuer of

         Patient ID Qualifiers Sequence (0010,0024) and / or Patient Name (0010,0010)"/> 
      </mapping>     </element>     <element id="ImagingStudy.encounter">      <path value="ImagingStudy.encounter"/>       <short value="Encounter with which this imaging study is associated"/>       <definition value="The healthcare event (e.g. a patient and healthcare provider interaction) during

       which the imaging data represented by this imaging study was acquired."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="ImagingStudy.encounter"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.encounter"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.context"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/>       </mapping>     </element>     <element id="ImagingStudy.started">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint">        <valueString value="dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html#sect_C.

        7.2.1"/> 
      </extension>       <path value="ImagingStudy.started"/>       <short value="When the study was started"/>       <definition value="Date and time the study started."/>       <alias value="StudyDate"/>       <alias value="StudyTime"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="ImagingStudy.started"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="dateTime"/>       </type>       <example>         <label value="General"/>         <valueDateTime value="2011-01-01T11:01:20+03:00"/>       </example>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.occurrence[x]"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.init"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".effectiveTime"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Study Date (0008,0020) and Study Time (0008,0030)"/>       </mapping>     </element>     <element id="ImagingStudy.basedOn">      <path value="ImagingStudy.basedOn"/>       <short value="Fulfills plan or order"/>       <definition value="A plan or order that is fulfilled in whole or in part by this imaging study."/>       <comment value="One imaging study MAY be based on multiple ordered procedures, e.g. chest/abdomen/pelvis

       CT orders being fulfilled by a single imaging study."/> 
      <requirements value="Allows tracing of authorization for the imaging study and tracking whether proposals/recommen

      dations were acted upon. If the ImagingStudy is associated with an Accession Number,
       this field SHOULD include a reference to that value in the form: identifier.value
       = (Accession Number Value) identifier.type = ACSN. A reference value pointing to
       a ServiceRequest resource is allowed but is not required."/> 
      <alias value="AccessionNumber"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="ImagingStudy.basedOn"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Appointment"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Task"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.basedOn"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.cause"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO]"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Accession Number (0080,0050) and Issuer of Accession Number Sequence (0080,0051)

         and / or Requested Procedure Code Sequence (0032,1064)"/> 
      </mapping>     </element>     <element id="ImagingStudy.procedure">      <path value="ImagingStudy.procedure"/>       <short value="Imaging performed procedure(s)"/>       <definition value="The performed procedure(s) during which the data associated with this imaging study

       was created."/> 
      <comment value="To link an imaging study to an Encounter use `encounter`."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="ImagingStudy.procedure"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.partOf"/>       </mapping>       <mapping>         <identity value="v2"/>         <map value="Varies by domain"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=FLFS].target"/>       </mapping>     </element>     <element id="ImagingStudy.referrer">      <path value="ImagingStudy.referrer"/>       <short value="Referring physician"/>       <definition value="The referring physician."/>       <alias value="ReferringPhysiciansName"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="ImagingStudy.referrer"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="w5"/>         <map value="FiveWs.cause"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO].participation[type

        Code=AUT].role"/> 
      </mapping>       <mapping>         <identity value="dicom"/>         <map value="Referring Physician's Name (0008,0090) and Referring Physician Identification Sequence

         (0008,0096)"/> 
      </mapping>     </element>     <element id="ImagingStudy.endpoint">      <path value="ImagingStudy.endpoint"/>       <short value="Study access endpoint"/>       <definition value="The network service providing access (e.g., query, view, or retrieval) for the

       study. See implementation notes for information about using DICOM endpoints. A
       study-level endpoint applies to each series in the study, unless overridden by
       a series-level endpoint with the same Endpoint.connectionType."/> 

      <comment value="Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances
       in native or rendered (e.g., JPG, PNG), formats using a RESTful API; DICOM WADO-URI, which
       can similarly retrieve native or rendered instances, except using an HTTP query-based
       approach; DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving
       the actual instances; or IHE Invoke Image Display (IID), which provides standard invocation
       of an imaging web viewer.
      Access methods for viewing (e.g., IHE’s IID profile) or retrieving (e.g., DICOM’s WADO-URI
       and WADO-RS) the study or the study’s series or instances. The study-level baseLocation
       applies to each series in the study, unless overridden in series by a series-level baseLocation
       of the same type.
      
      
      
        
        
      
      
      
        
        
      
    
    
      
      
      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.
      
      
      
      
        
      
      
      
        
        .outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=OBSSER, moodCode=EVN].repeatN
        umber
      
      
        
        
      
    
    
      
      
      Number of SOP Instances in Study. This value given may be larger than the number of instance
       elements this resource contains due to resource availability, security, or other factors.
       This element should be present if any instance elements are present.
      
      
      
      
        
      
      
      
        
        .outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNu
        mber
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
      
        
          
        
        
        
        
          
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
        
          
        
        
        
        
          
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
        
        
        
        
        
      
      
      
        
        
      
    
    
      
      
      
      unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
      
        
      
      
        
        
      
    
    
      
      

       in native or rendered (e.g., JPG, PNG), formats using a RESTful API; DICOM WADO-URI,
       which can similarly retrieve native or rendered instances, except using an HTTP
       query-based approach; DICOM QIDO-RS, which allows RESTful query for DICOM metadata
       without retrieving the actual instances. See [Imaging Study Implementation Notes
       on Endpoints](imagingstudy.html#endpoints)."/> 
      <requirements value="Access methods for viewing or retrieving the study or the study's series or instances.

       The study-level baseLocation applies to each series in the study, unless overridden
       in series by a series-level baseLocation of the same type."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="ImagingStudy.endpoint"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Endpoint"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="Not supported"/>       </mapping>     </element>     <element id="ImagingStudy.location">      <path value="ImagingStudy.location"/>       <short value="Where imaging study occurred"/>       <definition value="The principal physical location where the imaging study was performed."/>       <requirements value="Ties the event to where the records are likely kept and provides context around

       the event occurrence (e.g. if it occurred inside or outside a dedicated healthcare
       setting)."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="ImagingStudy.location"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.location"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.where[x]"/>       </mapping>       <mapping>         <identity value="v2"/>         <map value="EVN-7"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=LOC].role"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Institutional Department Name (0008,1040) and Institutional Department Type Code

         Sequence (0008,1041)"/> 
      </mapping>     </element>     <element id="ImagingStudy.reason">      <path value="ImagingStudy.reason"/>       <short value=" Why was imaging study performed?"/>       <definition value="Describes why the imaging study occurred in coded or textual form or indicates

       another resource whose existence justifies this imaging study."/> 
      <comment value="This MAY correspond to the indications or reasons encoded in an associated service

       request."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="ImagingStudy.reason"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="CodeableReference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ImagingReason"/>         </extension>         <strength value="example"/>         <description value="The reason for the study."/>         <valueSet value="http://hl7.org/fhir/ValueSet/procedure-reason"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Event.reason"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.why[x]"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".reasonCode"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Reason for Requested Procedure Code Sequence (0040,1002)"/>       </mapping>     </element>     <element id="ImagingStudy.note">      <path value="ImagingStudy.note"/>       <short value="Comments made about the imaging study"/>       <definition value="Comments made about the imaging study by the performer, subject or other participants."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="ImagingStudy.note"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Annotation"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.note"/>       </mapping>     </element>     <element id="ImagingStudy.description">      <path value="ImagingStudy.description"/>       <short value="Study Description or Classification"/>       <definition value="Description or classification of the imaging study."/>       <alias value="StudyDescription"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="ImagingStudy.description"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value=".text"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Study Description (0008,1030)"/>       </mapping>     </element>     <element id="ImagingStudy.numberOfSeries">      <path value="ImagingStudy.numberOfSeries"/>       <short value="Number of Study Related Series"/>       <definition value="Number of known Series in the Study. This value might be present even if the ImagingStudy.ser

      ies element is empty or only partially populated."/> 
      <alias value="NumberOfStudyRelatedSeries"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="ImagingStudy.numberOfSeries"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="unsignedInt"/>       </type>       <condition value="ist-3"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=OBSSER,

         moodCode=EVN].repeatNumber"/> 
      </mapping>       <mapping>         <identity value="dicom"/>         <map value="Number of Study Related Series (0020,1206). Note: this attribute is not included

         in DICOM instance metadata but is returned as a result of a query."/> 
      </mapping>     </element>     <element id="ImagingStudy.numberOfInstances">      <path value="ImagingStudy.numberOfInstances"/>       <short value="Number of Study Related Instances"/>       <definition value="Number of known SOP Instances in Study. This value might be present even if the

       ImagingStudy.series.instance elements are empty or only partially populated."/> 
      <alias value="NumberOfStudyRelatedInstances"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="ImagingStudy.numberOfInstances"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="unsignedInt"/>       </type>       <condition value="ist-4"/>       <condition value="ist-5"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].r

        epeatNumber"/> 
      </mapping>       <mapping>         <identity value="dicom"/>         <map value="Number of Study Related Instances (0020,1208). Note: this attribute is not included

         in DICOM instance metadata but is returned as a result of a query."/> 
      </mapping>     </element>     <element id="ImagingStudy.series">      <path value="ImagingStudy.series"/>       <short value="The set of Series belonging to the study"/>       <definition value="The set of Series belonging to the study. Each Series contains a set of SOP Instances,

       which could be images, waveforms, or other content."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="ImagingStudy.series"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <condition value="ist-1"/>       <condition value="ist-3"/>       <condition value="ist-4"/>       <condition value="ist-5"/>       <condition value="ist-6"/>       <condition value="ist-7"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children or both"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBSSER, moodCode=EVN]"/>       </mapping>     </element>     <element id="ImagingStudy.series.id">      <path value="ImagingStudy.series.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="ImagingStudy.series.extension">      <path value="ImagingStudy.series.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order to make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
      
    
    
      
      

       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="ImagingStudy.series.modifierExtension">      <path value="ImagingStudy.series.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element, and that modifies the understanding of the element that contains it. Usually
       modifier elements provide negation or qualification. In order to make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
      
        
        
        
      
      
        
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
        
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
        
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
      
        
          
        
        
        
        
          
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
        
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      Number of SOP Instances in the Study. The value given may be larger than the number of
       instance elements this resource contains due to resource availability, security, or other
       factors. This element should be present if any instance elements are present.
      
      
      
      
        
      
      
      
        
        .outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNu
        mber
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
      
        
          
        
        
        
        
          
        
      
      
        
        .inboundRelationship[typeCode=COMP]. source[classCode=OBS, moodCode=EVN, code=&quot;availability&quo
        t;].value
      
      
        
        
      
    
    
      
      
      The network service providing access (e.g., query, view, or retrieval) for this series.
       See implementation notes for information about using DICOM endpoints. A series-level endpoint,
       if present, has precedence over a study-level endpoint with the same Endpoint.type.
      Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances
       in native or rendered (e.g., JPG, PNG) formats using a RESTful API; DICOM WADO-URI, which
       can similarly retrieve native or rendered instances, except using an HTTP query-based
       approach; and DICOM QIDO-RS, which allows RESTful query for DICOM information without
       retrieving the actual instances.
      Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the series or the series’
       instances. A baseLocation specified at the series level has precedence over a baseLocation
       of the same type specified at the study level.
      
      
      
        
        
      
      
      
        
        
      
    
    
      
      
      The anatomic structures examined. See DICOM Part 16 Annex L (http://dicom.nema.org/medical/dicom/cur
      rent/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings. The bodySite
       may indicate the laterality of body part imaged; if so, it shall be consistent with any
       content of ImagingStudy.series.laterality.
      
      
      
      
        
      
      
      
        
          
        
        
        
        
          
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      The laterality of the (possibly paired) anatomic structures examined. E.g., the left knee,
       both lungs, or unpaired abdomen. If present, shall be consistent with any laterality information
       indicated in ImagingStudy.series.bodySite.
      
      
      
        
      
      
      
        
          
        
        
        
        
          
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      The physician or operator (often the radiology technician)  who performed the series.
       The performer is recorded at the series level, since each series in a study may be performed
       by a different practitioner, at different times, and using different devices. A series
       may be performed by multiple practitioners.
      
      
      
      
      
        
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
      
        
      
      
        
        
      
    
    
      
      

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="ImagingStudy.series.uid">      <path value="ImagingStudy.series.uid"/>       <short value="DICOM Series Instance UID"/>       <definition value="The DICOM Series Instance UID of the series."/>       <comment value="See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_

      C.7.3.html)."/> 
      <requirements value="DICOM Series Instance UID."/>       <alias value="SeriesInstanceUID"/>       <min value="1"/>       <max value="1"/>       <base>         <path value="ImagingStudy.series.uid"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="id"/>       </type>       <example>         <label value="General"/>         <valueId value="2.16.124.113543.6003.2588828330.45298.17418.2723805630"/>       </example>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value=".id"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Series Instance UID (0020,000E)"/>       </mapping>     </element>     <element id="ImagingStudy.series.number">      <path value="ImagingStudy.series.number"/>       <short value="Numeric identifier of this series"/>       <definition value="The numeric identifier of this series in the study."/>       <alias value="SeriesNumber"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="ImagingStudy.series.number"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="unsignedInt"/>       </type>       <example>         <label value="General"/>         <valueUnsignedInt value="3"/>       </example>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value=".inboundRelationship[type=COMP, source[classCode=COMPOSITION, moodCode=EVN]].sequenceNumber"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Series Number (0020,0011)"/>       </mapping>     </element>     <element id="ImagingStudy.series.modality">      <path value="ImagingStudy.series.modality"/>       <short value="The modality used for this series"/>       <definition value="The distinct modality for this series. This MAY be either an acquisition modality

       (e.g., CT, MR) or a non-acquisition modality (e.g., segmentation, presentation
       state)."/> 
      <alias value="Modality"/>       <min value="1"/>       <max value="1"/>       <base>         <path value="ImagingStudy.series.modality"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <condition value="ist-7"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ImagingModality"/>         </extension>         <strength value="extensible"/>         <description value="Type of acquired data in the instance."/>         <valueSet value="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".code"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Modality (0008,0060)"/>       </mapping>     </element>     <element id="ImagingStudy.series.description">      <path value="ImagingStudy.series.description"/>       <short value="Series Description or Classification"/>       <definition value="Description or classification of the series."/>       <alias value="SeriesDescription"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="ImagingStudy.series.description"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <example>         <label value="General"/>         <valueString value="CT Surview 180"/>       </example>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value=".text"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Series Description (0008,103E)"/>       </mapping>     </element>     <element id="ImagingStudy.series.numberOfInstances">      <path value="ImagingStudy.series.numberOfInstances"/>       <short value="Number of Series Related Instances"/>       <definition value="Number of SOP Instances in the Series. The value given MAY be larger than the number

       of instance elements this series contains due to resource availability, security,
       or other factors. This element SHOULD be present if any instance elements are present."/> 
      <alias value="NumberOfSeriesRelatedInstances"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="ImagingStudy.series.numberOfInstances"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="unsignedInt"/>       </type>       <condition value="ist-5"/>       <condition value="ist-6"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].r

        epeatNumber"/> 
      </mapping>       <mapping>         <identity value="dicom"/>         <map value="Number of Series Related Instances (0020,1209). Note: this attribute is not included

         in DICOM instance metadata but is returned as a result of a query."/> 
      </mapping>     </element>     <element id="ImagingStudy.series.endpoint">      <path value="ImagingStudy.series.endpoint"/>       <short value="Series access endpoint"/>       <definition value="The network service providing access for the study. See implementation notes for

       information about [using DICOM endpoints](imagingstudy.html#endpoints)."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="ImagingStudy.series.endpoint"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Endpoint"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="Not supported"/>       </mapping>     </element>     <element id="ImagingStudy.series.bodySite">      <path value="ImagingStudy.series.bodySite"/>       <short value="Body part examined"/>       <definition value="The anatomic structures examined. See [DICOM Part 16 Annex L](http://dicom.nema.org/medical/d

      icom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings.
       The bodySite MAY include the laterality of body part imaged."/> 
      <alias value="BodyPartExamined"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="ImagingStudy.series.bodySite"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableReference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/BodyStructure"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/tools/StructureDefinition/binding-definition">          <valueMarkdown value="Codes describing anatomical locations. MAY include laterality."/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="BodySite"/>         </extension>         <strength value="example"/>         <description value="SNOMED CT Body site concepts"/>         <valueSet value="http://hl7.org/fhir/ValueSet/body-site"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".targetSiteCode"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Body Part Examined (0018,0015) or Anatomic Region Sequence (0008,2218) and Laterality

         (0020,0060)"/> 
      </mapping>     </element>     <element id="ImagingStudy.series.specimen">      <path value="ImagingStudy.series.specimen"/>       <short value="Specimen imaged"/>       <definition value="The specimen imaged, e.g., for whole slide imaging of a biopsy."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="ImagingStudy.series.specimen"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Specimen"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="Role[classCode=SPEC]"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Specimen Identifier (0040,0551) or Specimen UID (0040,0554) and + Issuer of the

         Specimen Identifier Sequence (0040,0562)"/> 
      </mapping>     </element>     <element id="ImagingStudy.series.started">      <path value="ImagingStudy.series.started"/>       <short value="When the series started"/>       <definition value="The date and time the series was started."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="ImagingStudy.series.started"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="dateTime"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value=".effectiveTime"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Series Date (0008,0021) + and Series Time (0008,0031)"/>       </mapping>     </element>     <element id="ImagingStudy.series.performer">      <path value="ImagingStudy.series.performer"/>       <short value="Who performed the series"/>       <definition value="Indicates who or what performed the series and how they were involved."/>       <comment value="If the person who performed the series is not known, their Organization MAY be

       recorded. A patient, or related person, MAY be the performer, e.g. for patient-captured
       images."/> 
      <requirements value="The performer is recorded at the series level, since each series in a study MAY

       be performed by a different performer, at different times, and using different
       devices. A series MAY be performed by multiple performers."/> 
      <alias value="PerformingPhysicianName"/>       <alias value="OperatorName"/>       <alias value="ManufacturersModelName"/>       <alias value="InstitutionName"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="ImagingStudy.series.performer"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children or both"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.performer"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=PRF].role"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="One or more of: Performing Physician's Name (0008,1050) and Performing Physician

         Identification Sequence (0008,1052); Operators' Name (0008,1070) and Operator Identification
         Sequence (0008,1072); Manufacturer (0008,0070) and Manufacturer's Model Name (0008,1090);
         or Institution Name (0008,0080)"/> 
      </mapping>     </element>     <element id="ImagingStudy.series.performer.id">      <path value="ImagingStudy.series.performer.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="ImagingStudy.series.performer.extension">      <path value="ImagingStudy.series.performer.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order to make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
      
    
    
      
      

       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="ImagingStudy.series.performer.modifierExtension">      <path value="ImagingStudy.series.performer.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element, and that modifies the understanding of the element that contains it. Usually
       modifier elements provide negation or qualification. In order to make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
      
        
        
        
      
      
        
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
        
        
      
      
        

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="ImagingStudy.series.performer.function">      <path value="ImagingStudy.series.performer.function"/>       <short value="Type of performance"/>       <definition value="Distinguishes the type of involvement of the performer in the imaging study.."/>       <requirements value="Allows disambiguation of the types of involvement of different performers."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="ImagingStudy.series.performer.function"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="EventPerformerFunction"/>         </extension>         <strength value="extensible"/>         <description value="The type of involvement of the performer."/>         <valueSet value="http://hl7.org/fhir/ValueSet/series-performer-function"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Event.performer.function"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=PRF].role"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="PRF (Performing Physician's Name); SPRF (Operator's Name); DEV (Manufacturer /

         Manufacturer's Model Name); or LOC (Institution Name)"/> 
      </mapping>     </element>     <element id="ImagingStudy.series.performer.actor">      <path value="ImagingStudy.series.performer.actor"/>       <short value="Who performed imaging study"/>       <definition value="Indicates who or what performed the imaging study."/>       <min value="1"/>       <max value="1"/>       <base>         <path value="ImagingStudy.series.performer.actor"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/HealthcareService"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.performer.actor"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.actor"/>       </mapping>       <mapping>         <identity value="v2"/>         <map value="EVN-5 or by domain"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Practitioner (Performing Physician's Name); Practitioner (Operator's Name); Device

         (Manufacturer / Manufacturer's Model Name); or Organization (Institution Name)"/> 
      </mapping>     </element>     <element id="ImagingStudy.series.instance">      <path value="ImagingStudy.series.instance"/>       <short value="A single SOP instance from the series"/>       <definition value="A single SOP instance within the series, e.g. an image, or presentation state."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="ImagingStudy.series.instance"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <condition value="ist-4"/>       <condition value="ist-6"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children or both"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=COMP].target[classCode=DGIMG, moodCode=EVN]"/>       </mapping>     </element>     <element id="ImagingStudy.series.instance.id">      <path value="ImagingStudy.series.instance.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="ImagingStudy.series.instance.extension">      <path value="ImagingStudy.series.instance.extension"/>       <short value="Additional content defined by implementations"/>       <definition value="May be used to represent additional information that is not part of the basic definition

       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="ImagingStudy.series.instance.modifierExtension">      <path value="ImagingStudy.series.instance.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/>       <definition value="May be used to represent additional information that is not part of the basic definition

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="ImagingStudy.series.instance.uid">      <path value="ImagingStudy.series.instance.uid"/>       <short value="DICOM SOP Instance UID"/>       <definition value="The DICOM SOP Instance UID for this image or other DICOM content."/>       <comment value="See  [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sec

      t_C.12.html#sect_C.12.1)."/> 
      <requirements value="DICOM SOP Instance UID."/>       <alias value="SOPInstanceUID"/>       <min value="1"/>       <max value="1"/>       <base>         <path value="ImagingStudy.series.instance.uid"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="id"/>       </type>       <example>         <label value="General"/>         <valueId value="2.16.124.113543.6003.189642796.63084.16748.2599092903"/>       </example>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".id"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="SOP Instance UID (0008,0018)"/>       </mapping>     </element>     <element id="ImagingStudy.series.instance.sopClass">      <path value="ImagingStudy.series.instance.sopClass"/>       <short value="DICOM class type"/>       <definition value="DICOM instance  type."/>       <comment value="Typically a well-known DICOM SOP Class UID but MAY be the UID of a private SOP

       Class"/> 
      <alias value="SOPClassUID"/>       <min value="1"/>       <max value="1"/>       <base>         <path value="ImagingStudy.series.instance.sopClass"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="oid"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=COMP]. source[classCode=OBS, moodCode=EVN, code=&quot;sop
         class&quot;].value
      
      
        
        
      
    
    
      
      
      
      Particularly for post-acquisition analytic objects, such as SR, presentation states, value
       mapping, etc.
      
      
      
        
      
      
        
        
      
      
        
        
      
    
  
  
    
      
      
      Representation of the content produced in a DICOM imaging study. A study comprises a set
       of series, each of which includes a set of Service-Object Pair Instances (SOP Instances
       - images or other data) acquired or produced in a common context.  A series is of only
       one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of
       different modalities.
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
        
      
      
      
      
      
      
      
      
        
      
      
        
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      Accession Number is an identifier related to some aspect of imaging workflow and data
       management. Usage may vary across different institutions.  See for instance [IHE Radiology
       Technical Framework Volume 1 Appendix A](http://www.ihe.net/uploadedFiles/Documents/Radiology/IHE_RA
      D_TF_Rev13.0_Vol1_FT_2014-07-30.pdf).
      
      
      
      
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
      
        
          
        
        
        
        
          
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      A list of all the Series.ImageModality values that are actual acquisition modalities,
       i.e. those in the DICOM Context Group 29 (value set OID 1.2.840.10008.6.1.19).
      
      
      
      
        
      
      
      
        
          
        
        
        
        
          
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
        
      
      
      
      
      
      
      
        
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
      
      
        
        
      
      
      
        
        
      
      
        
        
      
    
    
      
        
      
      
      
      
      
      
      
      
      
        
      
      
        
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      To support grouped procedures (one imaging study supporting multiple ordered procedures,
       e.g. chest/abdomen/pelvis CT).
      
      
      
        
        
      
      
        
        
      
      
        
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
        
      
      
      
        
        .outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO].participation[typeCode=AU
        T].role
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      The network service providing access (e.g., query, view, or retrieval) for the study.
       See implementation notes for information about using DICOM endpoints. A study-level endpoint
       applies to each series in the study, unless overridden by a series-level endpoint with
       the same Endpoint.type.
      Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances
       in native or rendered (e.g., JPG, PNG), formats using a RESTful API; DICOM WADO-URI, which
       can similarly retrieve native or rendered instances, except using an HTTP query-based
       approach; DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving
       the actual instances; or IHE Invoke Image Display (IID), which provides standard invocation
       of an imaging web viewer.
      Access methods for viewing (e.g., IHE’s IID profile) or retrieving (e.g., DICOM’s WADO-URI
       and WADO-RS) the study or the study’s series or instances. The study-level baseLocation
       applies to each series in the study, unless overridden in series by a series-level baseLocation
       of the same type.
      
      
      
        
        
      
      
      
        
        
      
    
    
      
      
      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.
      
      
      
      
        
      
      
      
        
        .outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=OBSSER, moodCode=EVN].repeatN
        umber
      
      
        
        
      
    
    
      
      
      Number of SOP Instances in Study. This value given may be larger than the number of instance
       elements this resource contains due to resource availability, security, or other factors.
       This element should be present if any instance elements are present.
      
      
      
      
        
      
      
      
        
        .outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNu
        mber
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
      
        
          
        
        
        
        
          
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
        
          
        
        
        
        
          
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
        
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
        
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
      
        
          
        
        
        
        
          
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
        
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      Number of SOP Instances in the Study. The value given may be larger than the number of
       instance elements this resource contains due to resource availability, security, or other
       factors. This element should be present if any instance elements are present.
      
      
      
      
        
      
      
      
        
        .outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNu
        mber
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
      
        
          
        
        
        
        
          
        
      
      
        
        .inboundRelationship[typeCode=COMP]. source[classCode=OBS, moodCode=EVN, code=&quot;availability&quo
        t;].value
      
      
        
        
      
    
    
      
      
      The network service providing access (e.g., query, view, or retrieval) for this series.
       See implementation notes for information about using DICOM endpoints. A series-level endpoint,
       if present, has precedence over a study-level endpoint with the same Endpoint.type.

         class&quot;].value"/> 
      </mapping>       <mapping>         <identity value="dicom"/>         <map value="SOP Class UID (0008,0016)"/>       </mapping>     </element>     <element id="ImagingStudy.series.instance.number">      <path value="ImagingStudy.series.instance.number"/>       <short value="The number of this instance in the series"/>       <definition value="The number of the instance assigned by the creator of the series. MAY or MAY NOT

       correspond to intended display order."/> 
      <alias value="InstanceNumber"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="ImagingStudy.series.instance.number"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="unsignedInt"/>       </type>       <example>         <label value="General"/>         <valueUnsignedInt value="1"/>       </example>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".inboundRelationship[typeCode=COMP, source[classCode=OBSSER, moodCode=EVN]].sequenceNumber"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Instance Number (0020,0013)"/>       </mapping>     </element>     <element id="ImagingStudy.series.instance.title">      <path value="ImagingStudy.series.instance.title"/>       <short value="Name or title of the instance"/>       <definition value="The title of the instance."/>       <comment value="Particularly for post-acquisition analytic objects, such as SR, presentation states,

       value mapping, etc."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="ImagingStudy.series.instance.title"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".title"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Document Title (0042,0010)"/>       </mapping>     </element>   </snapshot>   <differential>     <element id="ImagingStudy">      <path value="ImagingStudy"/>       <short value="A set of images or image-related data produced in single study"/>       <definition value="Representation of the content produced in a DICOM imaging study. A study comprises

       a set of series, each of which includes a set of Service-Object Pair Instances
       (SOP Instances - images or other data) acquired or produced in a common context.
        A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study
       can have multiple series of different modality values."/> 
      <min value="0"/>       <max value="*"/>       <constraint>         <key value="ist-2"/>         <severity value="error"/>         <human value="At most, a single identifier SHALL be present with a system of urn:dicom:uid"/>         <expression value="identifier.where(system = 'urn:dicom:uid').count() &lt; 2"/>         <source value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/>       </constraint>       <constraint>         <key value="ist-1"/>         <severity value="error"/>         <human value="series SHALL only be present if an identifier is present with a system of urn:dicom:uid"/>         <expression value="series.exists() implies identifier.where(system = 'urn:dicom:uid').exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/>       </constraint>       <constraint>         <key value="ist-7"/>         <severity value="error"/>         <human value="If modality is present, modality SHALL equal all of the distinct values of series.modality"/>         <expression value="modality.exists() implies modality.coding.select(system&amp;'|'&amp;code).trace('r').exclude(

        series.modality.coding.select(system&amp;'|'&amp;code).trace('c')).empty() and modality.text.e
        xclude(series.modality.text).empty() and series.modality.coding.select(system&amp;'|'&amp;code
        ).trace('r').exclude(modality.coding.select(system&amp;'|'&amp;code).trace('c')).empty()
         and series.modality.text.exclude(modality.text).empty()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/>       </constraint>       <constraint>         <key value="ist-4"/>         <severity value="error"/>         <human value="If numberOfInstances and series.instance are both present, the numberOfInstances

         value SHALL match the total number of series.instance elements"/> 
        <expression value="numberOfInstances.exists() and series.exists() implies numberOfInstances = series.instance.co

        unt()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/>       </constraint>       <constraint>         <key value="ist-3"/>         <severity value="error"/>         <human value="If numberOfSeries  and series are both present, the numberOfSeries value SHALL

         match the number of series elements"/> 
        <expression value="numberOfSeries.exists() and series.exists() implies numberOfSeries = series.count()"/>         <source value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/>       </constraint>       <constraint>         <key value="ist-6"/>         <severity value="error"/>         <human value="For each series element, if numberOfInstances and instance are both present, the

         numberOfInstances value SHALL match the number of instance elements"/> 
        <expression value="series.where(numberOfInstances.empty() or instance.empty() or numberOfInstances

         = instance.count()).count() = series.count()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/>       </constraint>       <constraint>         <key value="ist-5"/>         <severity value="error"/>         <human value="If numberOfInstances and series.numberOfInstances are both present, the numberOfInstances

         value SHALL be the sum of the series.numberOfInstance values."/> 
        <expression value="numberOfInstances.exists() and series.numberOfInstances.exists() implies numberOfInstances

         = series.numberOfInstances.aggregate($total + $this.toInteger(), 0)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Event"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="clinical.diagnostics"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="Act[classCode=COMPOSITION, moodCode=EVN]"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="DICOM Tag Mapping"/>       </mapping>     </element>     <element id="ImagingStudy.identifier">      <path value="ImagingStudy.identifier"/>       <short value="Business identifier for imaging study"/>       <definition value="Business identifiers assigned to this imaging study by the performer and/or other

       systems.  These identifiers remain constant as the resource is updated and propagates
       from server to server. Typically this will include the DICOM Study Instance UID."/> 
      <comment value="Note: This is a business identifier, not a resource identifier (see [discussion](resource.htm

      l#identifiers)).  It is best practice for the identifier to only appear on a single
       resource instance, however business practices MAY occasionally dictate that multiple
       resource instances with the same identifier can exist - possibly even with different
       resource types.  For example, multiple Patient and a Person resource instance might
       share the same social insurance number, or an accession number MAY be used to relate
       a Task, an ImagingStudy and a DiagnosticReport.  See discussion under [Imaging
       Study Implementation Notes](imagingstudy.html#dicom-uids) for encoding of DICOM
       Study Instance UID."/> 
      <requirements value="Allows identification of the imaging study as it is known by various participating

       systems and in a way that remains consistent across servers. ImagingStudy.identifier
       SHALL include exactly one Study Instance UID value if one or more series element
       values are present (see [DICOM PS 3.3 C.7.2](http://dicom.nema.org/medical/dicom/current/outp
      ut/chtml/part03/sect_C.7.2.html).)"/> 
      <alias value="StudyInstanceUID"/>       <min value="0"/>       <max value="*"/>       <type>         <code value="Identifier"/>       </type>       <condition value="ist-1"/>       <condition value="ist-2"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.identifier"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.identifier"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".id and .inboundRelationship[typeCode=COMP].source[classCode=ACSN, moodCode=EVN].id"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Study Instance UID (0020,000D) and / or Study ID (0020,0010)"/>       </mapping>     </element>     <element id="ImagingStudy.status">      <path value="ImagingStudy.status"/>       <short value="registered | available | cancelled | entered-in-error | unknown | inactive"/>       <definition value="The current state of the imaging study. This is distinct from the status of any

       service request or task associated with the imaging study."/> 
      <comment value="Unknown does not represent &quot;other&quot; - one of the defined statuses must

       apply.  Unknown is used when the authoring system is not sure what the current
       status is."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="code"/>       </type>       <mustSupport value="false"/>       <isModifier value="true"/>       <isModifierReason value="This element is labeled as a modifier because it is a status element that contains

       status entered-in-error which means that the resource SHOULD NOT be treated as
       valid"/> 
      <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ImagingStudyStatus"/>         </extension>         <strength value="required"/>         <description value="The status of the ImagingStudy."/>         <valueSet value="http://hl7.org/fhir/ValueSet/imagingstudy-status|6.0.0-ballot3"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Event.status"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.status"/>       </mapping>       <mapping>         <identity value="v2"/>         <map value="Varies by domain"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".status"/>       </mapping>     </element>     <element id="ImagingStudy.modality">      <path value="ImagingStudy.modality"/>       <short value="The distinct values for series' modalities"/>       <definition value="All the distinct values of series.modality. This MAY be either an acquisition or

       a non-acquisition modality."/> 
      <alias value="ModalitiesInStudy"/>       <min value="0"/>       <max value="*"/>       <type>         <code value="CodeableConcept"/>       </type>       <condition value="ist-7"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ImagingModality"/>         </extension>         <strength value="extensible"/>         <description value="Type of acquired data in the instance."/>         <valueSet value="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html"/>       </binding>       <mapping>         <identity value="w5"/>         <map value="FiveWs.class"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".code"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Modalities in Study (0008,0061) or Modality (0008,0060)"/>       </mapping>     </element>     <element id="ImagingStudy.subject">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint">        <valueString value="dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.2.2.html"/>       </extension>       <path value="ImagingStudy.subject"/>       <short value="Who or what is the subject of the study"/>       <definition value="The subject, typically a patient, of the imaging study."/>       <comment value="QA phantoms can be recorded with a Device; multiple subjects (such as mice) can

       be recorded with a Group."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.subject"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.subject"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=SBJ].role"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Patient ID (0010,0020) and Issuer of Patient ID (0010,0021) and / or Issuer of

         Patient ID Qualifiers Sequence (0010,0024) and / or Patient Name (0010,0010)"/> 
      </mapping>     </element>     <element id="ImagingStudy.encounter">      <path value="ImagingStudy.encounter"/>       <short value="Encounter with which this imaging study is associated"/>       <definition value="The healthcare event (e.g. a patient and healthcare provider interaction) during

       which the imaging data represented by this imaging study was acquired."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.encounter"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.context"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/>       </mapping>     </element>     <element id="ImagingStudy.started">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint">        <valueString value="dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html#sect_C.

        7.2.1"/> 
      </extension>       <path value="ImagingStudy.started"/>       <short value="When the study was started"/>       <definition value="Date and time the study started."/>       <alias value="StudyDate"/>       <alias value="StudyTime"/>       <min value="0"/>       <max value="1"/>       <type>         <code value="dateTime"/>       </type>       <example>         <label value="General"/>         <valueDateTime value="2011-01-01T11:01:20+03:00"/>       </example>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.occurrence[x]"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.init"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".effectiveTime"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Study Date (0008,0020) and Study Time (0008,0030)"/>       </mapping>     </element>     <element id="ImagingStudy.basedOn">      <path value="ImagingStudy.basedOn"/>       <short value="Fulfills plan or order"/>       <definition value="A plan or order that is fulfilled in whole or in part by this imaging study."/>       <comment value="One imaging study MAY be based on multiple ordered procedures, e.g. chest/abdomen/pelvis

       CT orders being fulfilled by a single imaging study."/> 
      <requirements value="Allows tracing of authorization for the imaging study and tracking whether proposals/recommen

      dations were acted upon. If the ImagingStudy is associated with an Accession Number,
       this field SHOULD include a reference to that value in the form: identifier.value
       = (Accession Number Value) identifier.type = ACSN. A reference value pointing to
       a ServiceRequest resource is allowed but is not required."/> 
      <alias value="AccessionNumber"/>       <min value="0"/>       <max value="*"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Appointment"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Task"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.basedOn"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.cause"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO]"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Accession Number (0080,0050) and Issuer of Accession Number Sequence (0080,0051)

         and / or Requested Procedure Code Sequence (0032,1064)"/> 
      </mapping>     </element>     <element id="ImagingStudy.procedure">      <path value="ImagingStudy.procedure"/>       <short value="Imaging performed procedure(s)"/>       <definition value="The performed procedure(s) during which the data associated with this imaging study

       was created."/> 
      <comment value="To link an imaging study to an Encounter use `encounter`."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.partOf"/>       </mapping>       <mapping>         <identity value="v2"/>         <map value="Varies by domain"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=FLFS].target"/>       </mapping>     </element>     <element id="ImagingStudy.referrer">      <path value="ImagingStudy.referrer"/>       <short value="Referring physician"/>       <definition value="The referring physician."/>       <alias value="ReferringPhysiciansName"/>       <min value="0"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="w5"/>         <map value="FiveWs.cause"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO].participation[type

        Code=AUT].role"/> 
      </mapping>       <mapping>         <identity value="dicom"/>         <map value="Referring Physician's Name (0008,0090) and Referring Physician Identification Sequence

         (0008,0096)"/> 
      </mapping>     </element>     <element id="ImagingStudy.endpoint">      <path value="ImagingStudy.endpoint"/>       <short value="Study access endpoint"/>       <definition value="The network service providing access (e.g., query, view, or retrieval) for the

       study. See implementation notes for information about using DICOM endpoints. A
       study-level endpoint applies to each series in the study, unless overridden by
       a series-level endpoint with the same Endpoint.connectionType."/> 

      <comment value="Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances
       in native or rendered (e.g., JPG, PNG) formats using a RESTful API; DICOM WADO-URI, which
       can similarly retrieve native or rendered instances, except using an HTTP query-based
       approach; and DICOM QIDO-RS, which allows RESTful query for DICOM information without
       retrieving the actual instances.
      Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the series or the series’
       instances. A baseLocation specified at the series level has precedence over a baseLocation
       of the same type specified at the study level.
      
      
      
        
        
      
      
      
        
        
      
    
    
      
      
      The anatomic structures examined. See DICOM Part 16 Annex L (http://dicom.nema.org/medical/dicom/cur
      rent/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings. The bodySite
       may indicate the laterality of body part imaged; if so, it shall be consistent with any
       content of ImagingStudy.series.laterality.
      
      
      
      
        
      
      
      
        
          
        
        
        
        
          
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      The laterality of the (possibly paired) anatomic structures examined. E.g., the left knee,
       both lungs, or unpaired abdomen. If present, shall be consistent with any laterality information
       indicated in ImagingStudy.series.bodySite.
      
      
      
        
      
      
      
        
          
        
        
        
        
          
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      The physician or operator (often the radiology technician)  who performed the series.
       The performer is recorded at the series level, since each series in a study may be performed
       by a different practitioner, at different times, and using different devices. A series
       may be performed by multiple practitioners.
      
      
      
      
      
        
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
        
        
      
      
        

       in native or rendered (e.g., JPG, PNG), formats using a RESTful API; DICOM WADO-URI,
       which can similarly retrieve native or rendered instances, except using an HTTP
       query-based approach; DICOM QIDO-RS, which allows RESTful query for DICOM metadata
       without retrieving the actual instances. See [Imaging Study Implementation Notes
       on Endpoints](imagingstudy.html#endpoints)."/> 
      <requirements value="Access methods for viewing or retrieving the study or the study's series or instances.

       The study-level baseLocation applies to each series in the study, unless overridden
       in series by a series-level baseLocation of the same type."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Endpoint"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="Not supported"/>       </mapping>     </element>     <element id="ImagingStudy.location">      <path value="ImagingStudy.location"/>       <short value="Where imaging study occurred"/>       <definition value="The principal physical location where the imaging study was performed."/>       <requirements value="Ties the event to where the records are likely kept and provides context around

       the event occurrence (e.g. if it occurred inside or outside a dedicated healthcare
       setting)."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.location"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.where[x]"/>       </mapping>       <mapping>         <identity value="v2"/>         <map value="EVN-7"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=LOC].role"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Institutional Department Name (0008,1040) and Institutional Department Type Code

         Sequence (0008,1041)"/> 
      </mapping>     </element>     <element id="ImagingStudy.reason">      <path value="ImagingStudy.reason"/>       <short value=" Why was imaging study performed?"/>       <definition value="Describes why the imaging study occurred in coded or textual form or indicates

       another resource whose existence justifies this imaging study."/> 
      <comment value="This MAY correspond to the indications or reasons encoded in an associated service

       request."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="CodeableReference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ImagingReason"/>         </extension>         <strength value="example"/>         <description value="The reason for the study."/>         <valueSet value="http://hl7.org/fhir/ValueSet/procedure-reason"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Event.reason"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.why[x]"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".reasonCode"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Reason for Requested Procedure Code Sequence (0040,1002)"/>       </mapping>     </element>     <element id="ImagingStudy.note">      <path value="ImagingStudy.note"/>       <short value="Comments made about the imaging study"/>       <definition value="Comments made about the imaging study by the performer, subject or other participants."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="Annotation"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.note"/>       </mapping>     </element>     <element id="ImagingStudy.description">      <path value="ImagingStudy.description"/>       <short value="Study Description or Classification"/>       <definition value="Description or classification of the imaging study."/>       <alias value="StudyDescription"/>       <min value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value=".text"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Study Description (0008,1030)"/>       </mapping>     </element>     <element id="ImagingStudy.numberOfSeries">      <path value="ImagingStudy.numberOfSeries"/>       <short value="Number of Study Related Series"/>       <definition value="Number of known Series in the Study. This value might be present even if the ImagingStudy.ser

      ies element is empty or only partially populated."/> 
      <alias value="NumberOfStudyRelatedSeries"/>       <min value="0"/>       <max value="1"/>       <type>         <code value="unsignedInt"/>       </type>       <condition value="ist-3"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=OBSSER,

         moodCode=EVN].repeatNumber"/> 
      </mapping>       <mapping>         <identity value="dicom"/>         <map value="Number of Study Related Series (0020,1206). Note: this attribute is not included

         in DICOM instance metadata but is returned as a result of a query."/> 
      </mapping>     </element>     <element id="ImagingStudy.numberOfInstances">      <path value="ImagingStudy.numberOfInstances"/>       <short value="Number of Study Related Instances"/>       <definition value="Number of known SOP Instances in Study. This value might be present even if the

       ImagingStudy.series.instance elements are empty or only partially populated."/> 
      <alias value="NumberOfStudyRelatedInstances"/>       <min value="0"/>       <max value="1"/>       <type>         <code value="unsignedInt"/>       </type>       <condition value="ist-4"/>       <condition value="ist-5"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].r

        epeatNumber"/> 
      </mapping>       <mapping>         <identity value="dicom"/>         <map value="Number of Study Related Instances (0020,1208). Note: this attribute is not included

         in DICOM instance metadata but is returned as a result of a query."/> 
      </mapping>     </element>     <element id="ImagingStudy.series">      <path value="ImagingStudy.series"/>       <short value="The set of Series belonging to the study"/>       <definition value="The set of Series belonging to the study. Each Series contains a set of SOP Instances,

       which could be images, waveforms, or other content."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <condition value="ist-1"/>       <condition value="ist-3"/>       <condition value="ist-4"/>       <condition value="ist-5"/>       <condition value="ist-6"/>       <condition value="ist-7"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBSSER, moodCode=EVN]"/>       </mapping>     </element>     <element id="ImagingStudy.series.uid">      <path value="ImagingStudy.series.uid"/>       <short value="DICOM Series Instance UID"/>       <definition value="The DICOM Series Instance UID of the series."/>       <comment value="See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_

      C.7.3.html)."/> 
      <requirements value="DICOM Series Instance UID."/>       <alias value="SeriesInstanceUID"/>       <min value="1"/>       <max value="1"/>       <type>         <code value="id"/>       </type>       <example>         <label value="General"/>         <valueId value="2.16.124.113543.6003.2588828330.45298.17418.2723805630"/>       </example>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value=".id"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Series Instance UID (0020,000E)"/>       </mapping>     </element>     <element id="ImagingStudy.series.number">      <path value="ImagingStudy.series.number"/>       <short value="Numeric identifier of this series"/>       <definition value="The numeric identifier of this series in the study."/>       <alias value="SeriesNumber"/>       <min value="0"/>       <max value="1"/>       <type>         <code value="unsignedInt"/>       </type>       <example>         <label value="General"/>         <valueUnsignedInt value="3"/>       </example>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value=".inboundRelationship[type=COMP, source[classCode=COMPOSITION, moodCode=EVN]].sequenceNumber"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Series Number (0020,0011)"/>       </mapping>     </element>     <element id="ImagingStudy.series.modality">      <path value="ImagingStudy.series.modality"/>       <short value="The modality used for this series"/>       <definition value="The distinct modality for this series. This MAY be either an acquisition modality

       (e.g., CT, MR) or a non-acquisition modality (e.g., segmentation, presentation
       state)."/> 
      <alias value="Modality"/>       <min value="1"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <condition value="ist-7"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ImagingModality"/>         </extension>         <strength value="extensible"/>         <description value="Type of acquired data in the instance."/>         <valueSet value="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".code"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Modality (0008,0060)"/>       </mapping>     </element>     <element id="ImagingStudy.series.description">      <path value="ImagingStudy.series.description"/>       <short value="Series Description or Classification"/>       <definition value="Description or classification of the series."/>       <alias value="SeriesDescription"/>       <min value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <example>         <label value="General"/>         <valueString value="CT Surview 180"/>       </example>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value=".text"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Series Description (0008,103E)"/>       </mapping>     </element>     <element id="ImagingStudy.series.numberOfInstances">      <path value="ImagingStudy.series.numberOfInstances"/>       <short value="Number of Series Related Instances"/>       <definition value="Number of SOP Instances in the Series. The value given MAY be larger than the number

       of instance elements this series contains due to resource availability, security,
       or other factors. This element SHOULD be present if any instance elements are present."/> 
      <alias value="NumberOfSeriesRelatedInstances"/>       <min value="0"/>       <max value="1"/>       <type>         <code value="unsignedInt"/>       </type>       <condition value="ist-5"/>       <condition value="ist-6"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].r

        epeatNumber"/> 
      </mapping>       <mapping>         <identity value="dicom"/>         <map value="Number of Series Related Instances (0020,1209). Note: this attribute is not included

         in DICOM instance metadata but is returned as a result of a query."/> 
      </mapping>     </element>     <element id="ImagingStudy.series.endpoint">      <path value="ImagingStudy.series.endpoint"/>       <short value="Series access endpoint"/>       <definition value="The network service providing access for the study. See implementation notes for

       information about [using DICOM endpoints](imagingstudy.html#endpoints)."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Endpoint"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="Not supported"/>       </mapping>     </element>     <element id="ImagingStudy.series.bodySite">      <path value="ImagingStudy.series.bodySite"/>       <short value="Body part examined"/>       <definition value="The anatomic structures examined. See [DICOM Part 16 Annex L](http://dicom.nema.org/medical/d

      icom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings.
       The bodySite MAY include the laterality of body part imaged."/> 
      <alias value="BodyPartExamined"/>       <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableReference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/BodyStructure"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/tools/StructureDefinition/binding-definition">          <valueMarkdown value="Codes describing anatomical locations. MAY include laterality."/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="BodySite"/>         </extension>         <strength value="example"/>         <description value="SNOMED CT Body site concepts"/>         <valueSet value="http://hl7.org/fhir/ValueSet/body-site"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".targetSiteCode"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Body Part Examined (0018,0015) or Anatomic Region Sequence (0008,2218) and Laterality

         (0020,0060)"/> 
      </mapping>     </element>     <element id="ImagingStudy.series.specimen">      <path value="ImagingStudy.series.specimen"/>       <short value="Specimen imaged"/>       <definition value="The specimen imaged, e.g., for whole slide imaging of a biopsy."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Specimen"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="Role[classCode=SPEC]"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Specimen Identifier (0040,0551) or Specimen UID (0040,0554) and + Issuer of the

         Specimen Identifier Sequence (0040,0562)"/> 
      </mapping>     </element>     <element id="ImagingStudy.series.started">      <path value="ImagingStudy.series.started"/>       <short value="When the series started"/>       <definition value="The date and time the series was started."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="dateTime"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value=".effectiveTime"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Series Date (0008,0021) + and Series Time (0008,0031)"/>       </mapping>     </element>     <element id="ImagingStudy.series.performer">      <path value="ImagingStudy.series.performer"/>       <short value="Who performed the series"/>       <definition value="Indicates who or what performed the series and how they were involved."/>       <comment value="If the person who performed the series is not known, their Organization MAY be

       recorded. A patient, or related person, MAY be the performer, e.g. for patient-captured
       images."/> 
      <requirements value="The performer is recorded at the series level, since each series in a study MAY

       be performed by a different performer, at different times, and using different
       devices. A series MAY be performed by multiple performers."/> 
      <alias value="PerformingPhysicianName"/>       <alias value="OperatorName"/>       <alias value="ManufacturersModelName"/>       <alias value="InstitutionName"/>       <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.performer"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=PRF].role"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="One or more of: Performing Physician's Name (0008,1050) and Performing Physician

         Identification Sequence (0008,1052); Operators' Name (0008,1070) and Operator Identification
         Sequence (0008,1072); Manufacturer (0008,0070) and Manufacturer's Model Name (0008,1090);
         or Institution Name (0008,0080)"/> 
      </mapping>     </element>     <element id="ImagingStudy.series.performer.function">      <path value="ImagingStudy.series.performer.function"/>       <short value="Type of performance"/>       <definition value="Distinguishes the type of involvement of the performer in the imaging study.."/>       <requirements value="Allows disambiguation of the types of involvement of different performers."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="EventPerformerFunction"/>         </extension>         <strength value="extensible"/>         <description value="The type of involvement of the performer."/>         <valueSet value="http://hl7.org/fhir/ValueSet/series-performer-function"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Event.performer.function"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=PRF].role"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="PRF (Performing Physician's Name); SPRF (Operator's Name); DEV (Manufacturer /

         Manufacturer's Model Name); or LOC (Institution Name)"/> 
      </mapping>     </element>     <element id="ImagingStudy.series.performer.actor">      <path value="ImagingStudy.series.performer.actor"/>       <short value="Who performed imaging study"/>       <definition value="Indicates who or what performed the imaging study."/>       <min value="1"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/HealthcareService"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Event.performer.actor"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.actor"/>       </mapping>       <mapping>         <identity value="v2"/>         <map value="EVN-5 or by domain"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Practitioner (Performing Physician's Name); Practitioner (Operator's Name); Device

         (Manufacturer / Manufacturer's Model Name); or Organization (Institution Name)"/> 
      </mapping>     </element>     <element id="ImagingStudy.series.instance">      <path value="ImagingStudy.series.instance"/>       <short value="A single SOP instance from the series"/>       <definition value="A single SOP instance within the series, e.g. an image, or presentation state."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <condition value="ist-4"/>       <condition value="ist-6"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=COMP].target[classCode=DGIMG, moodCode=EVN]"/>       </mapping>     </element>     <element id="ImagingStudy.series.instance.uid">      <path value="ImagingStudy.series.instance.uid"/>       <short value="DICOM SOP Instance UID"/>       <definition value="The DICOM SOP Instance UID for this image or other DICOM content."/>       <comment value="See  [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sec

      t_C.12.html#sect_C.12.1)."/> 
      <requirements value="DICOM SOP Instance UID."/>       <alias value="SOPInstanceUID"/>       <min value="1"/>       <max value="1"/>       <type>         <code value="id"/>       </type>       <example>         <label value="General"/>         <valueId value="2.16.124.113543.6003.189642796.63084.16748.2599092903"/>       </example>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".id"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="SOP Instance UID (0008,0018)"/>       </mapping>     </element>     <element id="ImagingStudy.series.instance.sopClass">      <path value="ImagingStudy.series.instance.sopClass"/>       <short value="DICOM class type"/>       <definition value="DICOM instance  type."/>       <comment value="Typically a well-known DICOM SOP Class UID but MAY be the UID of a private SOP

       Class"/> 
      <alias value="SOPClassUID"/>       <min value="1"/>       <max value="1"/>       <type>         <code value="oid"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=COMP]. source[classCode=OBS, moodCode=EVN, code=&quot;sop
         class&quot;].value
      
      
        
        
      
    
    
      
      
      
      Particularly for post-acquisition analytic objects, such as SR, presentation states, value
       mapping, etc.
      
      
      
        
      
      
        
        
      
      
        
        
      
    
  

         class&quot;].value"/> 
      </mapping>       <mapping>         <identity value="dicom"/>         <map value="SOP Class UID (0008,0016)"/>       </mapping>     </element>     <element id="ImagingStudy.series.instance.number">      <path value="ImagingStudy.series.instance.number"/>       <short value="The number of this instance in the series"/>       <definition value="The number of the instance assigned by the creator of the series. MAY or MAY NOT

       correspond to intended display order."/> 
      <alias value="InstanceNumber"/>       <min value="0"/>       <max value="1"/>       <type>         <code value="unsignedInt"/>       </type>       <example>         <label value="General"/>         <valueUnsignedInt value="1"/>       </example>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".inboundRelationship[typeCode=COMP, source[classCode=OBSSER, moodCode=EVN]].sequenceNumber"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Instance Number (0020,0013)"/>       </mapping>     </element>     <element id="ImagingStudy.series.instance.title">      <path value="ImagingStudy.series.instance.title"/>       <short value="Name or title of the instance"/>       <definition value="The title of the instance."/>       <comment value="Particularly for post-acquisition analytic objects, such as SR, presentation states,

       value mapping, etc."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".title"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Document Title (0042,0010)"/>       </mapping>     </element>   </differential> 


</

StructureDefinition

>