Guia de implementação do Sumário Internacional do Paciente: Release 1 - BR Realm | STU1
1.0.0 - STU1 Brazil flag

This page is part of the IPS Brasil (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: ImagingStudyBRIPS - Descrições detalhadas

Active as of 2024-12-23

Definitions for the ImagingStudyBRIPS resource profile.

Guidance on how to interpret the contents of this table can be found here

0. ImagingStudy
2. ImagingStudy.id
Definition

Identificador lógico deste artefato

ShortIdentificador lógico deste artefato
4. ImagingStudy.meta
Definition

Metadados sobre o recurso

ShortMetadados sobre o recurso
6. ImagingStudy.implicitRules
Definition

Conjunto de regras sob as quais este conteúdo foi criado

ShortConjunto de regras sob as quais este conteúdo foi criado
8. ImagingStudy.language
Definition

Idioma do conteúdo do recurso

ShortIdioma do conteúdo do recurso
10. ImagingStudy.text
Definition

Resumo do texto do recurso em linguagem natural

ShortResumo do texto do recurso em linguagem natural
12. ImagingStudy.contained
Definition

Recursos contidos neste recurso

ShortRecursos contidos
14. ImagingStudy.extension
Definition

Conteúdo adicional definido por implementações

ShortConteúdo adicional definido por implementações
16. ImagingStudy.modifierExtension
Definition

Extensão que não pode ser ignorada

ShortExtensão que não pode ser ignorada
18. ImagingStudy.identifier
Definition

Identificadores externos para este item

ShortIdentificadores externos para este item
NoteThis is a business identifier, not a resource identifier (see discussion)
20. ImagingStudy.status
Definition

Situação do exame de imagem: registrado, disponível, cancelado, inserido com erro

ShortSituação do exame de imagem ou ImagingStudy
22. ImagingStudy.modality
Definition

Todas as séries da modalidades

ShortTodas as séries da modalidades
24. ImagingStudy.subject
Definition

Quem ou o que é o objeto do estudo

ShortQuem ou o que é o objeto do estudo
TypeReference(PatientBRIPS)
26. ImagingStudy.subject.id
Definition

ID exclusivo para referência entre elementos

ShortID exclusivo para referência entre elementos
28. ImagingStudy.subject.extension
Definition

Conteúdo adicional definido pelas implementações

ShortConteúdo adicional definido pelas implementações
30. ImagingStudy.subject.reference
Definition

Referência literal, URL relativa, interna ou absoluta

ShortReferência literal, URL relativa, interna ou absoluta
32. ImagingStudy.subject.type
Definition

Informe o tipo de referência (por exemplo, Paciente)

ShortInforme o tipo de referência
34. ImagingStudy.subject.identifier
Definition

Referência lógica, quando a referência literal não é conhecida

ShortReferência lógica, quando a referência literal não é conhecida
NoteThis is a business identifier, not a resource identifier (see discussion)
36. ImagingStudy.subject.display
Definition

Alternativa de texto para o recurso

ShortAlternativa de texto para o recurso
38. ImagingStudy.encounter
Definition

Contato assistencial que este exame de imagens está associado

ShortContato assistencial que este exame de imagens está associado
40. ImagingStudy.started
Definition

Data e hora que o exame foi iniciado

ShortData e hora que o exame foi iniciado
42. ImagingStudy.basedOn
Definition

Qual a requisição atendida

ShortQual a requisição atendida
44. ImagingStudy.referrer
Definition

Médico de referência

ShortMédico de referência
TypeReference(PractitionerBRIPS, PractitionerRoleBRIPS)
46. ImagingStudy.interpreter
Definition

Quem interpretou as imagens

ShortQuem interpretou as imagens
TypeReference(PractitionerBRIPS, PractitionerRoleBRIPS)
48. ImagingStudy.endpoint
Definition

Endpoint de acesso ao estudo

ShortEndpoint de acesso ao estudo
50. ImagingStudy.numberOfSeries
Definition

Número de séries relacionadas ao estudo

ShortNúmero de séries relacionadas ao estudo
52. ImagingStudy.numberOfInstances
Definition

Número de instâncias relacionadas ao estudo

ShortNúmero de instâncias relacionadas ao estudo
54. ImagingStudy.procedureReference
Definition

Procedimento de referência realizado

ShortProcedimento de referência realizado
TypeReference(ProcedureBRIPS)
56. ImagingStudy.procedureCode
Definition

Procedimento realizado

ShortProcedimento realizado
58. ImagingStudy.location
Definition

Onde ocorreu o estudo de imagem

ShortOnde ocorreu o estudo de imagem
60. ImagingStudy.reasonCode
Definition

Código do motivo para a realização do exame

ShortCódigo do motivo para a realização do exame
62. ImagingStudy.reasonReference
Definition

Motivo pelo qual o exame foi realizado

ShortMotivo pelo qual o exame foi realizado
TypeReference(ConditionBRIPS, Observation, Media, DiagnosticReportBRIPS, DocumentReference)
64. ImagingStudy.note
Definition

Comentários/notas definidos pelo usuário

ShortComentários/notas definidos pelo usuário
66. ImagingStudy.description
Definition

Descrição gerada pelo estabelecimento que realizou o exame

ShortDescrição gerada pelo estabelecimento
68. ImagingStudy.series
Definition

Cada estudo tem uma ou mais conjuntos imagens seriadas

ShortCada estudo tem uma ou mais conjuntos de imagens seriadas
70. ImagingStudy.series.id
Definition

ID exclusivo para referência entre elementos

ShortID exclusivo para referência entre elementos
72. ImagingStudy.series.extension
Definition

Conteúdo adicional definido por implementações

ShortConteúdo adicional definido por implementações
74. ImagingStudy.series.modifierExtension
Definition

Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas

ShortExtensões que não podem ser ignoradas mesmo que não sejam reconhecidas
76. ImagingStudy.series.uid
Definition

UID da série de imagens DICOM

ShortUID da série de imagens DICOM
78. ImagingStudy.series.number
Definition

Identificador numérico da série de imagens

ShortIdentificador numérico da série de imagens
80. ImagingStudy.series.modality
Definition

A modalidade da instância da série de imagens

ShortA modalidade da instância da série de imagens
82. ImagingStudy.series.description
Definition

Um breve resumo da série legível por humanos

ShortUm breve resumo da série legível por humanos
84. ImagingStudy.series.numberOfInstances
Definition

Número de instâncias relacionados à série de imagens

ShortNúmero de instâncias relacionados à série de imagens
86. ImagingStudy.series.endpoint
Definition

Endpoint de acesso a série de imagens

ShortEndpoint de acesso a série deimagens
88. ImagingStudy.series.bodySite
Definition

Local anatômico examinado

ShortLocal anatômico examinado
90. ImagingStudy.series.laterality
Definition

Códigos que descrevem a lateralidade do local anatômico examinado (esquerda, direita, etc)

ShortCódigos que descrevem a lateralidade do local anatômico examinado
92. ImagingStudy.series.specimen
Definition

Amostra coletada

ShortAmostra coletada
TypeReference(SpecimenBRIPS)
94. ImagingStudy.series.started
Definition

Quando a série começou

ShortQuando a série começou
96. ImagingStudy.series.performer
Definition

Quem realizou a série

ShortQuem realizou a série
98. ImagingStudy.series.performer.id
Definition

ID exclusivo para referência entre elementos

ShortID exclusivo para referência entre elementos
100. ImagingStudy.series.performer.extension
Definition

Conteúdo adicional definido por implementações

ShortConteúdo adicional definido por implementações
102. ImagingStudy.series.performer.modifierExtension
Definition

Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas

ShortExtensões que não podem ser ignoradas mesmo que não sejam reconhecidas
104. ImagingStudy.series.performer.function
Definition

O tipo de participação de quem realizou a série imagens

ShortO tipo de participação de quem realizou a série de imagens
106. ImagingStudy.series.performer.actor
Definition

Quem realizou a série

ShortQuem realizou a série
TypeReference(PractitionerBRIPS, PractitionerRoleBRIPS, OrganizationBRIPS, CareTeam, PatientBRIPS, Device, RelatedPerson)
108. ImagingStudy.series.instance
Definition

Uma única instância Service Object Pair (SOP) da série

ShortUma única instância Service Object Pair (SOP) da série
110. ImagingStudy.series.instance.id
Definition

ID exclusivo para referência entre elementos

ShortID exclusivo para referência entre elementos
112. ImagingStudy.series.instance.extension
Definition

Conteúdo adicional definido por implementações

ShortConteúdo adicional definido por implementações
114. ImagingStudy.series.instance.modifierExtension
Definition

Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas

ShortExtensões que não podem ser ignoradas mesmo que não sejam reconhecidas
116. ImagingStudy.series.instance.uid
Definition

UID da instância de DICOM Service Object Pair (SOP)

ShortUID da instância de DICOM Service Object Pair (SOP)
118. ImagingStudy.series.instance.sopClass
Definition

Tipo de classe DICOM

ShortTipo de classe DICOM
120. ImagingStudy.series.instance.number
Definition

O número desta instância na série

ShortO número desta instância na série
122. ImagingStudy.series.instance.title
Definition

Descrição da instância

ShortDescrição da instância

Guidance on how to interpret the contents of this table can be found here

0. ImagingStudy
Definition

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.

ShortA set of images produced in single study (one or more series of references images)
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. ImagingStudy.id
Definition

Identificador lógico deste artefato


The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

ShortIdentificador lógico deste artefatoLogical id of this artifact
Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Control0..1
Typeidstring
Is Modifierfalse
Summarytrue
4. ImagingStudy.meta
Definition

Metadados sobre o recurso


The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

ShortMetadados sobre o recursoMetadata about the resource
Control0..1
TypeMeta
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. ImagingStudy.implicitRules
Definition

Conjunto de regras sob as quais este conteúdo foi criado


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.

ShortConjunto de regras sob as quais este conteúdo foi criadoA set of rules under which this content was created
Comments

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 it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. ImagingStudy.language
Definition

Idioma do conteúdo do recurso


The base language in which the resource is written.

ShortIdioma do conteúdo do recursoLanguage of the resource content
Comments

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).

Control0..1
BindingThe codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages
(preferred to http://hl7.org/fhir/ValueSet/languages)

A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. ImagingStudy.text
Definition

Resumo do texto do recurso em linguagem natural


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 "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

ShortResumo do texto do recurso em linguagem naturalText summary of the resource, for human interpretation
Comments

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 "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Control0..1
TypeNarrative
Is Modifierfalse
Summaryfalse
Alternate Namesnarrative, html, xhtml, display
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. ImagingStudy.contained
Definition

Recursos contidos neste recurso


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.

ShortRecursos contidosContained, inline Resources
Comments

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.

Control0..*
TypeResource
Is Modifierfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
14. ImagingStudy.extension
Definition

Conteúdo adicional definido por implementações


May be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortConteúdo adicional definido por implementaçõesAdditional content defined by implementations
Comments

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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. ImagingStudy.modifierExtension
Definition

Extensão que não pode ser ignorada


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 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 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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensão que não pode ser ignoradaExtensions that cannot be ignored
Comments

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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

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.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
18. ImagingStudy.identifier
Definition

Identificadores externos para este item


Identifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number.

ShortIdentificadores externos para este itemIdentifiers for the whole study
Comments

See discussion under Imaging Study Implementation Notes for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type.


See discussion under Imaging Study Implementation Notes for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier (see DICOM PS 3.3 C.7.2.

Alternate NamesStudyInstanceUID, AccessionNumber
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. ImagingStudy.status
Definition

Situação do exame de imagem: registrado, disponível, cancelado, inserido com erro


The current state of the ImagingStudy.

ShortSituação do exame de imagem ou ImagingStudyregistered | available | cancelled | entered-in-error | unknown
Comments

Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.

Control1..1
BindingThe codes SHALL be taken from ImagingStudyStatushttp://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1
(required to http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1)

The status of the ImagingStudy.

Typecode
Is Modifiertrue because This element is labelled 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
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. ImagingStudy.modality
Definition

Todas as séries da modalidades


A list of all the series.modality 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).

ShortTodas as séries da modalidadesAll series modality if actual acquisition modalities
Control0..*
BindingUnless not suitable, these codes SHALL be taken from AcquisitionModalityhttp://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
(extensible to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html)

Type of acquired data in the instance.

TypeCoding
Is Modifierfalse
Summarytrue
Alternate NamesModalitiesInStudy
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. ImagingStudy.subject
Definition

Quem ou o que é o objeto do estudo


The subject, typically a patient, of the imaging study.

ShortQuem ou o que é o objeto do estudoWho or what is the subject of the study
Comments

QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group.

Control1..1
TypeReference(PatientBRIPS, Patient, Device, Group)
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. ImagingStudy.subject.id
Definition

ID exclusivo para referência entre elementos


Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortID exclusivo para referência entre elementosUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
28. ImagingStudy.subject.extension
Definition

Conteúdo adicional definido pelas implementações


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 manageable, 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.

ShortConteúdo adicional definido pelas implementaçõesAdditional content defined by implementations
Comments

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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on ImagingStudy.subject.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 30. ImagingStudy.subject.reference
    Definition

    Referência literal, URL relativa, interna ou absoluta


    A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

    ShortReferência literal, URL relativa, interna ou absolutaLiteral reference, Relative, internal or absolute URL
    Comments

    Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

    Control10..1
    This element is affected by the following invariants: ref-1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    32. ImagingStudy.subject.type
    Definition

    Informe o tipo de referência (por exemplo, Paciente)


    The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

    The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

    ShortInforme o tipo de referênciaType the reference refers to (e.g. "Patient")
    Comments

    This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

    Control0..1
    BindingUnless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
    (extensible to http://hl7.org/fhir/ValueSet/resource-types)

    Aa resource (or, for logical models, the URI of the logical model).

    Typeuri
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    34. ImagingStudy.subject.identifier
    Definition

    Referência lógica, quando a referência literal não é conhecida


    An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

    ShortReferência lógica, quando a referência literal não é conhecidaLogical reference, when literal reference is not known
    Comments

    When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

    When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

    Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

    Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..1
    TypeIdentifier
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    36. ImagingStudy.subject.display
    Definition

    Alternativa de texto para o recurso


    Plain text narrative that identifies the resource in addition to the resource reference.

    ShortAlternativa de texto para o recursoText alternative for the resource
    Comments

    This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    38. ImagingStudy.encounter
    Definition

    Contato assistencial que este exame de imagens está associado


    The healthcare event (e.g. a patient and healthcare provider interaction) during which this ImagingStudy is made.

    ShortContato assistencial que este exame de imagens está associadoEncounter with which this imaging study is associated
    Comments

    This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission test).

    Control0..1
    TypeReference(Encounter)
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    40. ImagingStudy.started
    Definition

    Data e hora que o exame foi iniciado


    Date and time the study started.

    ShortData e hora que o exame foi iniciadoWhen the study was started
    Control0..1
    TypedateTime
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Alternate NamesStudyDate, StudyTime
    Example<br/><b>General</b>:2011-01-01T11:01:20+03:00
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    42. ImagingStudy.basedOn
    Definition

    Qual a requisição atendida


    A list of the diagnostic requests that resulted in this imaging study being performed.

    ShortQual a requisição atendidaRequest fulfilled
    Control0..*
    TypeReference(CarePlan, ServiceRequest, Appointment, AppointmentResponse, Task)
    Is Modifierfalse
    Summarytrue
    Requirements

    To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT).

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    44. ImagingStudy.referrer
    Definition

    Médico de referência


    The requesting/referring physician.

    ShortMédico de referênciaReferring physician
    Control0..1
    TypeReference(PractitionerBRIPS, PractitionerRoleBRIPS, Practitioner, PractitionerRole)
    Is Modifierfalse
    Summarytrue
    Alternate NamesReferringPhysiciansName
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    46. ImagingStudy.interpreter
    Definition

    Quem interpretou as imagens


    Who read the study and interpreted the images or other content.

    ShortQuem interpretou as imagensWho interpreted images
    Control0..*
    TypeReference(PractitionerBRIPS, PractitionerRoleBRIPS, Practitioner, PractitionerRole)
    Is Modifierfalse
    Summarytrue
    Alternate NamesName of Physician(s) Reading Study
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    48. ImagingStudy.endpoint
    Definition

    Endpoint de acesso ao estudo


    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.

    ShortEndpoint de acesso ao estudoStudy access endpoint
    Comments

    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.

    Control0..*
    TypeReference(Endpoint)
    Is Modifierfalse
    Summarytrue
    Requirements

    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.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    50. ImagingStudy.numberOfSeries
    Definition

    Número de séries relacionadas ao estudo


    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.

    ShortNúmero de séries relacionadas ao estudoNumber of Study Related Series
    Control0..1
    TypeunsignedInt
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Alternate NamesNumberOfStudyRelatedSeries
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    52. ImagingStudy.numberOfInstances
    Definition

    Número de instâncias relacionadas ao estudo


    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.

    ShortNúmero de instâncias relacionadas ao estudoNumber of Study Related Instances
    Control0..1
    TypeunsignedInt
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Alternate NamesNumberOfStudyRelatedInstances
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    54. ImagingStudy.procedureReference
    Definition

    Procedimento de referência realizado


    The procedure which this ImagingStudy was part of.

    ShortProcedimento de referência realizadoThe performed Procedure reference
    Control0..1
    TypeReference(ProcedureBRIPS, Procedure)
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    56. ImagingStudy.procedureCode
    Definition

    Procedimento realizado


    The code for the performed procedure type.

    ShortProcedimento realizadoThe performed procedure code
    Comments

    Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

    Control0..*
    This element is affected by the following invariants: ele-1
    BindingUnless not suitable, these codes SHALL be taken from Results Radiology Observation - IPShttp://www.rsna.org/RadLex_Playbook.aspx
    (extensible to http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips)
    TypeCodeableConcept(Codeable Concept (IPS))
    Is Modifierfalse
    Must Supporttrue
    Alternate NamesProcedureCodeSequence
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    58. ImagingStudy.location
    Definition

    Onde ocorreu o estudo de imagem


    The principal physical location where the ImagingStudy was performed.

    ShortOnde ocorreu o estudo de imagemWhere ImagingStudy occurred
    Control0..1
    TypeReference(Location)
    Is Modifierfalse
    Summarytrue
    Requirements

    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).

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    60. ImagingStudy.reasonCode
    Definition

    Código do motivo para a realização do exame


    Description of clinical condition indicating why the ImagingStudy was requested.

    ShortCódigo do motivo para a realização do exameWhy the study was requested
    Comments

    Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

    Control0..*
    This element is affected by the following invariants: ele-1
    BindingFor example codes, see ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reason
    (example to http://hl7.org/fhir/ValueSet/procedure-reason)

    The reason for the study.

    TypeCodeableConcept(Codeable Concept (IPS))
    Is Modifierfalse
    Must Supporttrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    62. ImagingStudy.reasonReference
    Definition

    Motivo pelo qual o exame foi realizado


    Indicates another resource whose existence justifies this Study.

    ShortMotivo pelo qual o exame foi realizadoWhy was study performed
    Control0..*
    TypeReference(ConditionBRIPS, Observation, Media, DiagnosticReportBRIPS, DocumentReference, Condition, DiagnosticReport)
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    64. ImagingStudy.note
    Definition

    Comentários/notas definidos pelo usuário


    Per the recommended DICOM mapping, this element is derived from the Study Description attribute (0008,1030). Observations or findings about the imaging study should be recorded in another resource, e.g. Observation, and not in this element.

    ShortComentários/notas definidos pelo usuárioUser-defined comments
    Control0..*
    TypeAnnotation
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    66. ImagingStudy.description
    Definition

    Descrição gerada pelo estabelecimento que realizou o exame


    The Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed.

    ShortDescrição gerada pelo estabelecimentoInstitution-generated description
    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Alternate NamesStudyDescription
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    68. ImagingStudy.series
    Definition

    Cada estudo tem uma ou mais conjuntos imagens seriadas


    Each study has one or more series of images or other content.

    ShortCada estudo tem uma ou mais conjuntos de imagens seriadasEach study has one or more series of instances
    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    70. ImagingStudy.series.id
    Definition

    ID exclusivo para referência entre elementos


    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortID exclusivo para referência entre elementosUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    72. ImagingStudy.series.extension
    Definition

    Conteúdo adicional definido por implementações


    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 manageable, 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.

    ShortConteúdo adicional definido por implementaçõesAdditional content defined by implementations
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    74. ImagingStudy.series.modifierExtension
    Definition

    Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas


    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 manageable, 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).

    ShortExtensões que não podem ser ignoradas mesmo que não sejam reconhecidasExtensions that cannot be ignored even if unrecognized
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    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.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    76. ImagingStudy.series.uid
    Definition

    UID da série de imagens DICOM


    The DICOM Series Instance UID for the series.

    ShortUID da série de imagens DICOMDICOM Series Instance UID for the series
    Comments

    See DICOM PS3.3 C.7.3.

    Control1..1
    Typeid
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    DICOM Series Instance UID.

    Alternate NamesSeriesInstanceUID
    Example<br/><b>General</b>:2.16.124.113543.6003.2588828330.45298.17418.2723805630
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    78. ImagingStudy.series.number
    Definition

    Identificador numérico da série de imagens


    The numeric identifier of this series in the study.

    ShortIdentificador numérico da série de imagensNumeric identifier of this series
    Control0..1
    TypeunsignedInt
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Alternate NamesSeriesNumber
    Example<br/><b>General</b>:3
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    80. ImagingStudy.series.modality
    Definition

    A modalidade da instância da série de imagens


    The modality of this series sequence.

    ShortA modalidade da instância da série de imagensThe modality of the instances in the series
    Control1..1
    BindingUnless not suitable, these codes SHALL be taken from AcquisitionModalityhttp://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
    (extensible to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html)

    Type of acquired data in the instance.

    TypeCoding
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Alternate NamesModality
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    82. ImagingStudy.series.description
    Definition

    Um breve resumo da série legível por humanos


    A description of the series.

    ShortUm breve resumo da série legível por humanosA short human readable summary of the series
    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Alternate NamesSeriesDescription
    Example<br/><b>General</b>:CT Surview 180
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    84. ImagingStudy.series.numberOfInstances
    Definition

    Número de instâncias relacionados à série de imagens


    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.

    ShortNúmero de instâncias relacionados à série de imagensNumber of Series Related Instances
    Control0..1
    TypeunsignedInt
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Alternate NamesNumberOfSeriesRelatedInstances
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    86. ImagingStudy.series.endpoint
    Definition

    Endpoint de acesso a série de imagens


    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.connectionType.

    ShortEndpoint de acesso a série deimagensSeries access endpoint
    Comments

    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.

    Control0..*
    TypeReference(Endpoint)
    Is Modifierfalse
    Summarytrue
    Requirements

    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.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    88. ImagingStudy.series.bodySite
    Definition

    Local anatômico examinado


    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.

    ShortLocal anatômico examinadoBody part examined
    Control0..1
    BindingFor example codes, see SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site
    (example to http://hl7.org/fhir/ValueSet/body-site)

    Codes describing anatomical locations. May include laterality.

    TypeCoding
    Is Modifierfalse
    Summarytrue
    Alternate NamesBodyPartExamined
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    90. ImagingStudy.series.laterality
    Definition

    Códigos que descrevem a lateralidade do local anatômico examinado (esquerda, direita, etc)


    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.

    ShortCódigos que descrevem a lateralidade do local anatômico examinadoBody part laterality
    Control0..1
    BindingFor example codes, see Lateralityhttp://hl7.org/fhir/ValueSet/bodysite-laterality
    (example to http://hl7.org/fhir/ValueSet/bodysite-laterality)

    Codes describing body site laterality (left, right, etc.).

    TypeCoding
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    92. ImagingStudy.series.specimen
    Definition

    Amostra coletada


    The specimen imaged, e.g., for whole slide imaging of a biopsy.

    ShortAmostra coletadaSpecimen imaged
    Control0..*
    TypeReference(SpecimenBRIPS, Specimen)
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    94. ImagingStudy.series.started
    Definition

    Quando a série começou


    The date and time the series was started.

    ShortQuando a série começouWhen the series started
    Control0..1
    TypedateTime
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    96. ImagingStudy.series.performer
    Definition

    Quem realizou a série


    Indicates who or what performed the series and how they were involved.

    ShortQuem realizou a sérieWho performed the series
    Comments

    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.

    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Summarytrue
    Requirements

    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.

    Alternate NamesPerformingPhysicianName, OperatorName
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    98. ImagingStudy.series.performer.id
    Definition

    ID exclusivo para referência entre elementos


    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortID exclusivo para referência entre elementosUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    100. ImagingStudy.series.performer.extension
    Definition

    Conteúdo adicional definido por implementações


    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 manageable, 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.

    ShortConteúdo adicional definido por implementaçõesAdditional content defined by implementations
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    102. ImagingStudy.series.performer.modifierExtension
    Definition

    Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas


    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 manageable, 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).

    ShortExtensões que não podem ser ignoradas mesmo que não sejam reconhecidasExtensions that cannot be ignored even if unrecognized
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    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.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    104. ImagingStudy.series.performer.function
    Definition

    O tipo de participação de quem realizou a série imagens


    Distinguishes the type of involvement of the performer in the series.

    ShortO tipo de participação de quem realizou a série de imagensType of performance
    Control0..1
    BindingUnless not suitable, these codes SHALL be taken from ImagingStudySeriesPerformerFunctionhttp://hl7.org/fhir/ValueSet/series-performer-function
    (extensible to http://hl7.org/fhir/ValueSet/series-performer-function)

    The type of involvement of the performer.

    TypeCodeableConcept
    Is Modifierfalse
    Summarytrue
    Requirements

    Allows disambiguation of the types of involvement of different performers.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    106. ImagingStudy.series.performer.actor
    Definition

    Quem realizou a série


    Indicates who or what performed the series.

    ShortQuem realizou a sérieWho performed the series
    Control1..1
    TypeReference(PractitionerBRIPS, PractitionerRoleBRIPS, OrganizationBRIPS, CareTeam, PatientBRIPS, Device, RelatedPerson, Practitioner, PractitionerRole, Organization, Patient)
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    108. ImagingStudy.series.instance
    Definition

    Uma única instância Service Object Pair (SOP) da série


    A single SOP instance within the series, e.g. an image, or presentation state.

    ShortUma única instância Service Object Pair (SOP) da sérieA single SOP instance from the series
    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    110. ImagingStudy.series.instance.id
    Definition

    ID exclusivo para referência entre elementos


    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortID exclusivo para referência entre elementosUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    112. ImagingStudy.series.instance.extension
    Definition

    Conteúdo adicional definido por implementações


    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 manageable, 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.

    ShortConteúdo adicional definido por implementaçõesAdditional content defined by implementations
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    114. ImagingStudy.series.instance.modifierExtension
    Definition

    Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas


    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 manageable, 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).

    ShortExtensões que não podem ser ignoradas mesmo que não sejam reconhecidasExtensions that cannot be ignored even if unrecognized
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    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.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    116. ImagingStudy.series.instance.uid
    Definition

    UID da instância de DICOM Service Object Pair (SOP)


    The DICOM SOP Instance UID for this image or other DICOM content.

    ShortUID da instância de DICOM Service Object Pair (SOP)DICOM SOP Instance UID
    Comments

    See DICOM PS3.3 C.12.1.

    Control1..1
    Typeid
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summaryfalse
    Requirements

    DICOM SOP Instance UID.

    Alternate NamesSOPInstanceUID
    Example<br/><b>General</b>:2.16.124.113543.6003.189642796.63084.16748.2599092903
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    118. ImagingStudy.series.instance.sopClass
    Definition

    Tipo de classe DICOM


    DICOM instance type.

    ShortTipo de classe DICOMDICOM class type
    Control1..1
    BindingUnless not suitable, these codes SHALL be taken from http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
    (extensible to http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1)

    The sopClass for the instance.

    TypeCoding
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Alternate NamesSOPClassUID
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    120. ImagingStudy.series.instance.number
    Definition

    O número desta instância na série


    The number of instance in the series.

    ShortO número desta instância na sérieThe number of this instance in the series
    Control0..1
    TypeunsignedInt
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Alternate NamesInstanceNumber
    Example<br/><b>General</b>:1
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    122. ImagingStudy.series.instance.title
    Definition

    Descrição da instância


    The description of the instance.

    ShortDescrição da instânciaDescription of instance
    Comments

    Particularly for post-acquisition analytic objects, such as SR, presentation states, value mapping, etc.

    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

    Guidance on how to interpret the contents of this table can be found here

    0. ImagingStudy
    Definition

    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.

    ShortA set of images produced in single study (one or more series of references images)
    Control0..*
    Is Modifierfalse
    Summaryfalse
    Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
    dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
    dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
    dom-6: A resource should have narrative for robust management (text.`div`.exists())
    2. ImagingStudy.id
    Definition

    Identificador lógico deste artefato

    ShortIdentificador lógico deste artefato
    Comments

    The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

    Control0..1
    Typeid
    Is Modifierfalse
    Summarytrue
    4. ImagingStudy.meta
    Definition

    Metadados sobre o recurso

    ShortMetadados sobre o recurso
    Control0..1
    TypeMeta
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    6. ImagingStudy.implicitRules
    Definition

    Conjunto de regras sob as quais este conteúdo foi criado

    ShortConjunto de regras sob as quais este conteúdo foi criado
    Comments

    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 it's narrative along with other profiles, value sets, etc.

    Control0..1
    Typeuri
    Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    8. ImagingStudy.language
    Definition

    Idioma do conteúdo do recurso

    ShortIdioma do conteúdo do recurso
    Comments

    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).

    Control0..1
    BindingThe codes SHOULD be taken from CommonLanguages
    (preferred to http://hl7.org/fhir/ValueSet/languages)

    A human language.

    Additional BindingsPurpose
    AllLanguagesMax Binding
    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    10. ImagingStudy.text
    Definition

    Resumo do texto do recurso em linguagem natural

    ShortResumo do texto do recurso em linguagem natural
    Comments

    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 "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

    Control0..1
    TypeNarrative
    Is Modifierfalse
    Summaryfalse
    Alternate Namesnarrative, html, xhtml, display
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    12. ImagingStudy.contained
    Definition

    Recursos contidos neste recurso

    ShortRecursos contidos
    Comments

    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.

    Control0..*
    TypeResource
    Is Modifierfalse
    Summaryfalse
    Alternate Namesinline resources, anonymous resources, contained resources
    14. ImagingStudy.extension
    Definition

    Conteúdo adicional definido por implementações

    ShortConteúdo adicional definido por implementações
    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    16. ImagingStudy.modifierExtension
    Definition

    Extensão que não pode ser ignorada

    ShortExtensão que não pode ser ignorada
    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    18. ImagingStudy.identifier
    Definition

    Identificadores externos para este item

    ShortIdentificadores externos para este item
    Comments

    See discussion under Imaging Study Implementation Notes for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type.

    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..*
    TypeIdentifier
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

    If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier (see DICOM PS 3.3 C.7.2.

    Alternate NamesStudyInstanceUID, AccessionNumber
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. ImagingStudy.status
    Definition

    Situação do exame de imagem: registrado, disponível, cancelado, inserido com erro

    ShortSituação do exame de imagem ou ImagingStudy
    Comments

    Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.

    Control1..1
    BindingThe codes SHALL be taken from ImagingStudyStatus
    (required to http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1)

    The status of the ImagingStudy.

    Typecode
    Is Modifiertrue because This element is labelled 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
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. ImagingStudy.modality
    Definition

    Todas as séries da modalidades

    ShortTodas as séries da modalidades
    Control0..*
    BindingUnless not suitable, these codes SHALL be taken from AcquisitionModality
    (extensible to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html)

    Type of acquired data in the instance.

    TypeCoding
    Is Modifierfalse
    Summarytrue
    Alternate NamesModalitiesInStudy
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. ImagingStudy.subject
    Definition

    Quem ou o que é o objeto do estudo

    ShortQuem ou o que é o objeto do estudo
    Comments

    QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group.

    Control1..1
    TypeReference(PatientBRIPS)
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    26. ImagingStudy.subject.id
    Definition

    ID exclusivo para referência entre elementos

    ShortID exclusivo para referência entre elementos
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    28. ImagingStudy.subject.extension
    Definition

    Conteúdo adicional definido pelas implementações

    ShortConteúdo adicional definido pelas implementações
    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on ImagingStudy.subject.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 30. ImagingStudy.subject.reference
      Definition

      Referência literal, URL relativa, interna ou absoluta

      ShortReferência literal, URL relativa, interna ou absoluta
      Comments

      Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

      Control1..1
      This element is affected by the following invariants: ref-1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      32. ImagingStudy.subject.type
      Definition

      Informe o tipo de referência (por exemplo, Paciente)

      ShortInforme o tipo de referência
      Comments

      This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

      Control0..1
      BindingUnless not suitable, these codes SHALL be taken from ResourceType
      (extensible to http://hl7.org/fhir/ValueSet/resource-types)

      Aa resource (or, for logical models, the URI of the logical model).

      Typeuri
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      34. ImagingStudy.subject.identifier
      Definition

      Referência lógica, quando a referência literal não é conhecida

      ShortReferência lógica, quando a referência literal não é conhecida
      Comments

      When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

      When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

      Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

      Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..1
      TypeIdentifier
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      36. ImagingStudy.subject.display
      Definition

      Alternativa de texto para o recurso

      ShortAlternativa de texto para o recurso
      Comments

      This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      38. ImagingStudy.encounter
      Definition

      Contato assistencial que este exame de imagens está associado

      ShortContato assistencial que este exame de imagens está associado
      Comments

      This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission test).

      Control0..1
      TypeReference(Encounter)
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      40. ImagingStudy.started
      Definition

      Data e hora que o exame foi iniciado

      ShortData e hora que o exame foi iniciado
      Control0..1
      TypedateTime
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Alternate NamesStudyDate, StudyTime
      Example<br/><b>General</b>:2011-01-01T11:01:20+03:00
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      42. ImagingStudy.basedOn
      Definition

      Qual a requisição atendida

      ShortQual a requisição atendida
      Control0..*
      TypeReference(CarePlan, ServiceRequest, Appointment, AppointmentResponse, Task)
      Is Modifierfalse
      Summarytrue
      Requirements

      To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT).

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      44. ImagingStudy.referrer
      Definition

      Médico de referência

      ShortMédico de referência
      Control0..1
      TypeReference(PractitionerBRIPS, PractitionerRoleBRIPS)
      Is Modifierfalse
      Summarytrue
      Alternate NamesReferringPhysiciansName
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      46. ImagingStudy.interpreter
      Definition

      Quem interpretou as imagens

      ShortQuem interpretou as imagens
      Control0..*
      TypeReference(PractitionerBRIPS, PractitionerRoleBRIPS)
      Is Modifierfalse
      Summarytrue
      Alternate NamesName of Physician(s) Reading Study
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      48. ImagingStudy.endpoint
      Definition

      Endpoint de acesso ao estudo

      ShortEndpoint de acesso ao estudo
      Comments

      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.

      Control0..*
      TypeReference(Endpoint)
      Is Modifierfalse
      Summarytrue
      Requirements

      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.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      50. ImagingStudy.numberOfSeries
      Definition

      Número de séries relacionadas ao estudo

      ShortNúmero de séries relacionadas ao estudo
      Control0..1
      TypeunsignedInt
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Alternate NamesNumberOfStudyRelatedSeries
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      52. ImagingStudy.numberOfInstances
      Definition

      Número de instâncias relacionadas ao estudo

      ShortNúmero de instâncias relacionadas ao estudo
      Control0..1
      TypeunsignedInt
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Alternate NamesNumberOfStudyRelatedInstances
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      54. ImagingStudy.procedureReference
      Definition

      Procedimento de referência realizado

      ShortProcedimento de referência realizado
      Control0..1
      TypeReference(ProcedureBRIPS)
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      56. ImagingStudy.procedureCode
      Definition

      Procedimento realizado

      ShortProcedimento realizado
      Comments

      Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

      Control0..*
      This element is affected by the following invariants: ele-1
      BindingUnless not suitable, these codes SHALL be taken from Results Radiology Observation - IPS
      (extensible to http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips)
      TypeCodeableConcept(Codeable Concept (IPS))
      Is Modifierfalse
      Must Supporttrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      58. ImagingStudy.location
      Definition

      Onde ocorreu o estudo de imagem

      ShortOnde ocorreu o estudo de imagem
      Control0..1
      TypeReference(Location)
      Is Modifierfalse
      Summarytrue
      Requirements

      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).

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      60. ImagingStudy.reasonCode
      Definition

      Código do motivo para a realização do exame

      ShortCódigo do motivo para a realização do exame
      Comments

      Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

      Control0..*
      This element is affected by the following invariants: ele-1
      BindingFor example codes, see ProcedureReasonCodes
      (example to http://hl7.org/fhir/ValueSet/procedure-reason)

      The reason for the study.

      TypeCodeableConcept(Codeable Concept (IPS))
      Is Modifierfalse
      Must Supporttrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      62. ImagingStudy.reasonReference
      Definition

      Motivo pelo qual o exame foi realizado

      ShortMotivo pelo qual o exame foi realizado
      Control0..*
      TypeReference(ConditionBRIPS, Observation, Media, DiagnosticReportBRIPS, DocumentReference)
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      64. ImagingStudy.note
      Definition

      Comentários/notas definidos pelo usuário

      ShortComentários/notas definidos pelo usuário
      Control0..*
      TypeAnnotation
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      66. ImagingStudy.description
      Definition

      Descrição gerada pelo estabelecimento que realizou o exame

      ShortDescrição gerada pelo estabelecimento
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Alternate NamesStudyDescription
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      68. ImagingStudy.series
      Definition

      Cada estudo tem uma ou mais conjuntos imagens seriadas

      ShortCada estudo tem uma ou mais conjuntos de imagens seriadas
      Control0..*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      70. ImagingStudy.series.id
      Definition

      ID exclusivo para referência entre elementos

      ShortID exclusivo para referência entre elementos
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      72. ImagingStudy.series.extension
      Definition

      Conteúdo adicional definido por implementações

      ShortConteúdo adicional definido por implementações
      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      74. ImagingStudy.series.modifierExtension
      Definition

      Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas

      ShortExtensões que não podem ser ignoradas mesmo que não sejam reconhecidas
      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      76. ImagingStudy.series.uid
      Definition

      UID da série de imagens DICOM

      ShortUID da série de imagens DICOM
      Comments

      See DICOM PS3.3 C.7.3.

      Control1..1
      Typeid
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Requirements

      DICOM Series Instance UID.

      Alternate NamesSeriesInstanceUID
      Example<br/><b>General</b>:2.16.124.113543.6003.2588828330.45298.17418.2723805630
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      78. ImagingStudy.series.number
      Definition

      Identificador numérico da série de imagens

      ShortIdentificador numérico da série de imagens
      Control0..1
      TypeunsignedInt
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Alternate NamesSeriesNumber
      Example<br/><b>General</b>:3
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      80. ImagingStudy.series.modality
      Definition

      A modalidade da instância da série de imagens

      ShortA modalidade da instância da série de imagens
      Control1..1
      BindingUnless not suitable, these codes SHALL be taken from AcquisitionModality
      (extensible to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html)

      Type of acquired data in the instance.

      TypeCoding
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Alternate NamesModality
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      82. ImagingStudy.series.description
      Definition

      Um breve resumo da série legível por humanos

      ShortUm breve resumo da série legível por humanos
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Alternate NamesSeriesDescription
      Example<br/><b>General</b>:CT Surview 180
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      84. ImagingStudy.series.numberOfInstances
      Definition

      Número de instâncias relacionados à série de imagens

      ShortNúmero de instâncias relacionados à série de imagens
      Control0..1
      TypeunsignedInt
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Alternate NamesNumberOfSeriesRelatedInstances
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      86. ImagingStudy.series.endpoint
      Definition

      Endpoint de acesso a série de imagens

      ShortEndpoint de acesso a série deimagens
      Comments

      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.

      Control0..*
      TypeReference(Endpoint)
      Is Modifierfalse
      Summarytrue
      Requirements

      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.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      88. ImagingStudy.series.bodySite
      Definition

      Local anatômico examinado

      ShortLocal anatômico examinado
      Control0..1
      BindingFor example codes, see SNOMEDCTBodyStructures
      (example to http://hl7.org/fhir/ValueSet/body-site)

      Codes describing anatomical locations. May include laterality.

      TypeCoding
      Is Modifierfalse
      Summarytrue
      Alternate NamesBodyPartExamined
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      90. ImagingStudy.series.laterality
      Definition

      Códigos que descrevem a lateralidade do local anatômico examinado (esquerda, direita, etc)

      ShortCódigos que descrevem a lateralidade do local anatômico examinado
      Control0..1
      BindingFor example codes, see Laterality
      (example to http://hl7.org/fhir/ValueSet/bodysite-laterality)

      Codes describing body site laterality (left, right, etc.).

      TypeCoding
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      92. ImagingStudy.series.specimen
      Definition

      Amostra coletada

      ShortAmostra coletada
      Control0..*
      TypeReference(SpecimenBRIPS)
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      94. ImagingStudy.series.started
      Definition

      Quando a série começou

      ShortQuando a série começou
      Control0..1
      TypedateTime
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      96. ImagingStudy.series.performer
      Definition

      Quem realizou a série

      ShortQuem realizou a série
      Comments

      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.

      Control0..*
      TypeBackboneElement
      Is Modifierfalse
      Summarytrue
      Requirements

      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.

      Alternate NamesPerformingPhysicianName, OperatorName
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      98. ImagingStudy.series.performer.id
      Definition

      ID exclusivo para referência entre elementos

      ShortID exclusivo para referência entre elementos
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      100. ImagingStudy.series.performer.extension
      Definition

      Conteúdo adicional definido por implementações

      ShortConteúdo adicional definido por implementações
      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      102. ImagingStudy.series.performer.modifierExtension
      Definition

      Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas

      ShortExtensões que não podem ser ignoradas mesmo que não sejam reconhecidas
      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      104. ImagingStudy.series.performer.function
      Definition

      O tipo de participação de quem realizou a série imagens

      ShortO tipo de participação de quem realizou a série de imagens
      Control0..1
      BindingUnless not suitable, these codes SHALL be taken from ImagingStudySeriesPerformerFunction
      (extensible to http://hl7.org/fhir/ValueSet/series-performer-function)

      The type of involvement of the performer.

      TypeCodeableConcept
      Is Modifierfalse
      Summarytrue
      Requirements

      Allows disambiguation of the types of involvement of different performers.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      106. ImagingStudy.series.performer.actor
      Definition

      Quem realizou a série

      ShortQuem realizou a série
      Control1..1
      TypeReference(PractitionerBRIPS, PractitionerRoleBRIPS, OrganizationBRIPS, CareTeam, PatientBRIPS, Device, RelatedPerson)
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      108. ImagingStudy.series.instance
      Definition

      Uma única instância Service Object Pair (SOP) da série

      ShortUma única instância Service Object Pair (SOP) da série
      Control0..*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      110. ImagingStudy.series.instance.id
      Definition

      ID exclusivo para referência entre elementos

      ShortID exclusivo para referência entre elementos
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      112. ImagingStudy.series.instance.extension
      Definition

      Conteúdo adicional definido por implementações

      ShortConteúdo adicional definido por implementações
      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      114. ImagingStudy.series.instance.modifierExtension
      Definition

      Extensões que não podem ser ignoradas mesmo que não sejam reconhecidas

      ShortExtensões que não podem ser ignoradas mesmo que não sejam reconhecidas
      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      116. ImagingStudy.series.instance.uid
      Definition

      UID da instância de DICOM Service Object Pair (SOP)

      ShortUID da instância de DICOM Service Object Pair (SOP)
      Comments

      See DICOM PS3.3 C.12.1.

      Control1..1
      Typeid
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      DICOM SOP Instance UID.

      Alternate NamesSOPInstanceUID
      Example<br/><b>General</b>:2.16.124.113543.6003.189642796.63084.16748.2599092903
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      118. ImagingStudy.series.instance.sopClass
      Definition

      Tipo de classe DICOM

      ShortTipo de classe DICOM
      Control1..1
      BindingUnless not suitable, these codes SHALL be taken from http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
      (extensible to http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1)

      The sopClass for the instance.

      TypeCoding
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Alternate NamesSOPClassUID
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      120. ImagingStudy.series.instance.number
      Definition

      O número desta instância na série

      ShortO número desta instância na série
      Control0..1
      TypeunsignedInt
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Alternate NamesInstanceNumber
      Example<br/><b>General</b>:1
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      122. ImagingStudy.series.instance.title
      Definition

      Descrição da instância

      ShortDescrição da instância
      Comments

      Particularly for post-acquisition analytic objects, such as SR, presentation states, value mapping, etc.

      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))