{
  "description": "This profile represents the constraints applied to the ImagingStudy resource by the pan-Canadian Patient Summary project, which specifies the information on a DICOM imaging study referenced by a Radiology Result Observation.",
  "_filename": "structuredefinition-profile-imagingstudy-ca-ps.json",
  "package_name": "ca.infoway.io.psca",
  "date": "2023-12-06T00:00:00-08:00",
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "ImagingStudyPSCA",
  "abstract": false,
  "copyright": "Copyright © 2024+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy).",
  "type": "ImagingStudy",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": "Imaging Study (PS-CA)",
  "package_version": "2.0.0-DFT-Ballot",
  "status": "draft",
  "id": "5f4d95ee-a164-4adf-9387-5e0154412706",
  "kind": "resource",
  "url": "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/imagingstudy-ca-ps",
  "version": null,
  "differential": {
    "element": [ {
      "id": "ImagingStudy",
      "path": "ImagingStudy",
      "comment": "Preliminary analysis has identified that imaging study information may have limited support in current systems intending to produce a diagnostic results section in their initial patient summaries, further feedback and investigation is required with participating jurisdictions to confirm the support of any of the imaging study elements - until then, initial constraints put forth in the IPS-UV specification have been mantained."
    }, {
      "id": "ImagingStudy.identifier",
      "path": "ImagingStudy.identifier",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
        "valueString": "dicom="
      } ],
      "mustSupport": true
    }, {
      "id": "ImagingStudy.subject",
      "path": "ImagingStudy.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/patient-ca-ps" ]
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
        "valueString": "dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.2.2.html"
      } ],
      "mustSupport": true
    }, {
      "id": "ImagingStudy.subject.reference",
      "min": 1,
      "path": "ImagingStudy.subject.reference",
      "mustSupport": true
    }, {
      "id": "ImagingStudy.started",
      "path": "ImagingStudy.started",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
        "valueString": "dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html#sect_C.7.2.1"
      } ],
      "mustSupport": true
    }, {
      "id": "ImagingStudy.procedureCode",
      "path": "ImagingStudy.procedureCode",
      "type": [ {
        "code": "CodeableConcept",
        "profile": [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/CodeableConcept-ca-ps" ]
      } ],
      "binding": {
        "strength": "example",
        "extension": [ {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips"
          }, {
            "url": "documentation",
            "valueMarkdown": "LOINC radiology codes utilized in IPS. This additional binding is surfaced to socialize the value sets that are proposed for international exchange in IPS. Where multiple codings can be supplied, it is encouraged to supply the original coding alongside the pan-Canadian preferred terminology."
          } ]
        } ],
        "description": "Work is underway to define the pan-Canadian terminology that will be preferred and/or socialized for this element"
      },
      "comment": "Work is underway to define the pan-Canadian terminology that will be preferred and/or socialized for this element.",
      "mustSupport": true
    }, {
      "id": "ImagingStudy.reasonCode",
      "path": "ImagingStudy.reasonCode",
      "type": [ {
        "code": "CodeableConcept",
        "profile": [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/CodeableConcept-ca-ps" ]
      } ],
      "mustSupport": true
    }, {
      "id": "ImagingStudy.series",
      "path": "ImagingStudy.series",
      "mustSupport": true
    }, {
      "id": "ImagingStudy.series.uid",
      "path": "ImagingStudy.series.uid",
      "mustSupport": true
    }, {
      "id": "ImagingStudy.series.modality",
      "path": "ImagingStudy.series.modality",
      "mustSupport": true
    }, {
      "id": "ImagingStudy.series.instance",
      "path": "ImagingStudy.series.instance",
      "mustSupport": true
    }, {
      "id": "ImagingStudy.series.instance.uid",
      "path": "ImagingStudy.series.instance.uid",
      "mustSupport": true
    }, {
      "id": "ImagingStudy.series.instance.sopClass",
      "path": "ImagingStudy.series.instance.sopClass",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ImagingStudy"
}