KR Core Implementation Guide
1.0.2 - STU1

KR Core Implementation Guide - Local Development build (v1.0.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: KR Core ImagingStudy Profile

Official URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-imagingstudy | Version: 1.0.2
Active as of 2024-09-12 | Computable Name: KRCore_ImagingStudy

KR Core의 진단영상 정보에 적용되는 ImagingStudy 구조.

Usage:

- Refer to this Resource Profile: KR Core DiagnosticReport Profile for Diagnostic Imaging
- Examples for this Resource Profile: ImagingStudy/krcore-imagingstudy-example-01

### Formal Views of Profile Content

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

- Differential Table
- Key Elements Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from ImagingStudy

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ImagingStudy |  | 0..* | ImagingStudy | KR Core ImagingStudy Profile
status |  | 1..1 | code | 진단영상 상태: registered | available | cancelled | entered-in-error | unknown
subject |  | 1..1 | Reference(KR Core Patient Profile) | 진단영상 대상
started |  | 0..1 | dateTime | 진단영상 촬영 시작 날짜
series |  | 0..* | BackboneElement | DICOM Series 정보
uid |  | 1..1 | id | DICOM Series UID
modality |  | 1..1 | Coding | DICOM 촬영 장비
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ImagingStudy |  | 0..* | ImagingStudy | KR Core ImagingStudy Profile
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | 진단영상 상태: registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
subject | Σ | 1..1 | Reference(KR Core Patient Profile) | 진단영상 대상
started | Σ | 0..1 | dateTime | 진단영상 촬영 시작 날짜 Example General: 2011-01-01T11:01:20+03:00
series | Σ | 0..* | BackboneElement | DICOM Series 정보
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
uid | Σ | 1..1 | id | DICOM Series UID Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
modality | Σ | 1..1 | Coding | DICOM 촬영 장비 Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible): Type of acquired data in the instance.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet
ImagingStudy.status | required | ImagingStudyStatus
ImagingStudy.series.modality | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ImagingStudy |  | 0..* | ImagingStudy | KR Core ImagingStudy Profile
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Identifiers for the whole study
status | ?!Σ | 1..1 | code | 진단영상 상태: registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
modality | Σ | 0..* | Coding | All series modality if actual acquisition modalities Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible): Type of acquired data in the instance.
subject | Σ | 1..1 | Reference(KR Core Patient Profile) | 진단영상 대상
encounter | Σ | 0..1 | Reference(Encounter) | Encounter with which this imaging study is associated
started | Σ | 0..1 | dateTime | 진단영상 촬영 시작 날짜 Example General: 2011-01-01T11:01:20+03:00
basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) | Request fulfilled
referrer | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | Referring physician
interpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole) | Who interpreted images
endpoint | Σ | 0..* | Reference(Endpoint) | Study access endpoint
numberOfSeries | Σ | 0..1 | unsignedInt | Number of Study Related Series
numberOfInstances | Σ | 0..1 | unsignedInt | Number of Study Related Instances
procedureReference | Σ | 0..1 | Reference(Procedure) | The performed Procedure reference
procedureCode | Σ | 0..* | CodeableConcept | The performed procedure code Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
location | Σ | 0..1 | Reference(Location) | Where ImagingStudy occurred
reasonCode | Σ | 0..* | CodeableConcept | Why the study was requested Binding: ProcedureReasonCodes (example): The reason for the study.
reasonReference | Σ | 0..* | Reference(Condition | Observation | Media | DiagnosticReport | DocumentReference) | Why was study performed
note | Σ | 0..* | Annotation | User-defined comments
description | Σ | 0..1 | string | Institution-generated description
series | Σ | 0..* | BackboneElement | DICOM Series 정보
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
uid | Σ | 1..1 | id | DICOM Series UID Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
number | Σ | 0..1 | unsignedInt | Numeric identifier of this series Example General: 3
modality | Σ | 1..1 | Coding | DICOM 촬영 장비 Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible): Type of acquired data in the instance.
description | Σ | 0..1 | string | A short human readable summary of the series Example General: CT Surview 180
numberOfInstances | Σ | 0..1 | unsignedInt | Number of Series Related Instances
endpoint | Σ | 0..* | Reference(Endpoint) | Series access endpoint
bodySite | Σ | 0..1 | Coding | Body part examined Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
laterality | Σ | 0..1 | Coding | Body part laterality Binding: Laterality (example): Codes describing body site laterality (left, right, etc.).
specimen | Σ | 0..* | Reference(Specimen) | Specimen imaged
started | Σ | 0..1 | dateTime | When the series started
performer | Σ | 0..* | BackboneElement | Who performed the series
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) | Who performed the series
instance |  | 0..* | BackboneElement | A single SOP instance from the series
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
uid |  | 1..1 | id | DICOM SOP Instance UID Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
sopClass |  | 1..1 | Coding | DICOM class type Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance.
number |  | 0..1 | unsignedInt | The number of this instance in the series Example General: 1
title |  | 0..1 | string | Description of instance
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet
ImagingStudy.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
ImagingStudy.status | required | ImagingStudyStatus
ImagingStudy.modality | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
ImagingStudy.procedureCode | extensible | http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.reasonCode | example | ProcedureReasonCodes
ImagingStudy.series.modality | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
ImagingStudy.series.bodySite | example | SNOMEDCTBodyStructures
ImagingStudy.series.laterality | example | Laterality
ImagingStudy.series.performer.function | extensible | ImagingStudySeriesPerformerFunction
ImagingStudy.series.instance.sopClass | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

This structure is derived from ImagingStudy

Summary

Structures

This structure refers to these other structures:

- KR Core Patient Profile (http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-patient)

Differential View

This structure is derived from ImagingStudy

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ImagingStudy |  | 0..* | ImagingStudy | KR Core ImagingStudy Profile
status |  | 1..1 | code | 진단영상 상태: registered | available | cancelled | entered-in-error | unknown
subject |  | 1..1 | Reference(KR Core Patient Profile) | 진단영상 대상
started |  | 0..1 | dateTime | 진단영상 촬영 시작 날짜
series |  | 0..* | BackboneElement | DICOM Series 정보
uid |  | 1..1 | id | DICOM Series UID
modality |  | 1..1 | Coding | DICOM 촬영 장비
Documentation for this format

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ImagingStudy |  | 0..* | ImagingStudy | KR Core ImagingStudy Profile
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | 진단영상 상태: registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
subject | Σ | 1..1 | Reference(KR Core Patient Profile) | 진단영상 대상
started | Σ | 0..1 | dateTime | 진단영상 촬영 시작 날짜 Example General: 2011-01-01T11:01:20+03:00
series | Σ | 0..* | BackboneElement | DICOM Series 정보
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
uid | Σ | 1..1 | id | DICOM Series UID Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
modality | Σ | 1..1 | Coding | DICOM 촬영 장비 Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible): Type of acquired data in the instance.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet
ImagingStudy.status | required | ImagingStudyStatus
ImagingStudy.series.modality | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
ImagingStudy |  | 0..* | ImagingStudy | KR Core ImagingStudy Profile
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Identifiers for the whole study
status | ?!Σ | 1..1 | code | 진단영상 상태: registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
modality | Σ | 0..* | Coding | All series modality if actual acquisition modalities Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible): Type of acquired data in the instance.
subject | Σ | 1..1 | Reference(KR Core Patient Profile) | 진단영상 대상
encounter | Σ | 0..1 | Reference(Encounter) | Encounter with which this imaging study is associated
started | Σ | 0..1 | dateTime | 진단영상 촬영 시작 날짜 Example General: 2011-01-01T11:01:20+03:00
basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) | Request fulfilled
referrer | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | Referring physician
interpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole) | Who interpreted images
endpoint | Σ | 0..* | Reference(Endpoint) | Study access endpoint
numberOfSeries | Σ | 0..1 | unsignedInt | Number of Study Related Series
numberOfInstances | Σ | 0..1 | unsignedInt | Number of Study Related Instances
procedureReference | Σ | 0..1 | Reference(Procedure) | The performed Procedure reference
procedureCode | Σ | 0..* | CodeableConcept | The performed procedure code Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
location | Σ | 0..1 | Reference(Location) | Where ImagingStudy occurred
reasonCode | Σ | 0..* | CodeableConcept | Why the study was requested Binding: ProcedureReasonCodes (example): The reason for the study.
reasonReference | Σ | 0..* | Reference(Condition | Observation | Media | DiagnosticReport | DocumentReference) | Why was study performed
note | Σ | 0..* | Annotation | User-defined comments
description | Σ | 0..1 | string | Institution-generated description
series | Σ | 0..* | BackboneElement | DICOM Series 정보
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
uid | Σ | 1..1 | id | DICOM Series UID Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
number | Σ | 0..1 | unsignedInt | Numeric identifier of this series Example General: 3
modality | Σ | 1..1 | Coding | DICOM 촬영 장비 Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html (extensible): Type of acquired data in the instance.
description | Σ | 0..1 | string | A short human readable summary of the series Example General: CT Surview 180
numberOfInstances | Σ | 0..1 | unsignedInt | Number of Series Related Instances
endpoint | Σ | 0..* | Reference(Endpoint) | Series access endpoint
bodySite | Σ | 0..1 | Coding | Body part examined Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
laterality | Σ | 0..1 | Coding | Body part laterality Binding: Laterality (example): Codes describing body site laterality (left, right, etc.).
specimen | Σ | 0..* | Reference(Specimen) | Specimen imaged
started | Σ | 0..1 | dateTime | When the series started
performer | Σ | 0..* | BackboneElement | Who performed the series
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) | Who performed the series
instance |  | 0..* | BackboneElement | A single SOP instance from the series
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
uid |  | 1..1 | id | DICOM SOP Instance UID Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
sopClass |  | 1..1 | Coding | DICOM class type Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance.
number |  | 0..1 | unsignedInt | The number of this instance in the series Example General: 1
title |  | 0..1 | string | Description of instance
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet
ImagingStudy.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
ImagingStudy.status | required | ImagingStudyStatus
ImagingStudy.modality | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
ImagingStudy.procedureCode | extensible | http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.reasonCode | example | ProcedureReasonCodes
ImagingStudy.series.modality | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
ImagingStudy.series.bodySite | example | SNOMEDCTBodyStructures
ImagingStudy.series.laterality | example | Laterality
ImagingStudy.series.performer.function | extensible | ImagingStudySeriesPerformerFunction
ImagingStudy.series.instance.sopClass | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

This structure is derived from ImagingStudy

Summary

Structures

This structure refers to these other structures:

- KR Core Patient Profile (http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-patient)

Other representations of profile: CSV, Excel, Schematron

### Notes:

KR Core IG를 따르는 Server는 반드시(SHALL) `ImagingStudy Resource`를 지원하고, KR Core ImagingStudy Profile을 반드시(SHALL) 지원해야 한다.
KR Core IG를 따르는 Client는 가능한 한(SHOULD) `ImagingStudy Resource` 리소스를 지원하고, `Observation Resource`를 지원하는 경우, KR Core ImagingStudy Profile을 반드시(SHALL) 지원해야 한다.

### KR CDI 관련항목

KR Core ImagingStudy Profile은 KR CDI의 진단영상검사 클래스 중 일부에 대응됨.

KR CDI 진단영상검사 클래스 항목 | KR Core ImagingStudy Profile 관련 항목
--- | ---
진단영상검사명 | KR Core DiagnosticReport Profile for Diagnostic Imaging 참고
진단영상검사결과 | KR Core DiagnosticReport Profile for Diagnostic Imaging 참고
진단영상검사상태 | KR Core DiagnosticReport Profile for Diagnostic Imaging 참고
진단영상 | ImagingStudy.series.uid
진단영상상태 | ImagingStudy.status

### KR Core Search Parameters (derived)

ImagingStudy Resource를 검색하기 위해 기본 FHIR 사양을 기반으로 정의한 검색 파라미터.

Name | Type | Description | Expression | Expectations
--- | --- | --- | --- | ---
modality | token | DICOM 촬영 장비 | ImagingStudy.series.modality | MAY
patient | reference | 진단영상 대상 환자 | ImagingStudy.subject.where(resolve() is Patient) | SHALL
series | token | DICOM Series UID | ImagingStudy.series.uid | MAY
started | date | 진단영상 촬영 시작 날짜 | ImagingStudy.started | MAY
status | token | 진단영상 상태 | ImagingStudy.status | MAY

NOTE: 위 Search Parameter 목록은 아래 요소에 대한 구현 기대치를 정의함:

- multipleAnd
- multipleOr
- comparator
- modifier
- chain

NOTE: 이 외 기본 FHIR 사양에서 정의하고 있는 Search Parameter들은 KR Core IG를 구현한 서버의 선택 사항에 따라 추가로 제공 가능.