This class contains attributes associated with Radiology or Nuclear Medicine imaging examinations. Historically, both diagnostic imaging and the scanning and retrieval of paper documents have been included in the "imaging" domain as they both share certain characteristics in terms of the equipment used to store and retrieve the images. Yet a distinction is often made with respect to the amount and type of metadata associated with the images. For example, "Diagnostic Images" are those stored and retrieved in Picture Archive and Communications Systems (PACS) which require certain codified information regarding the modality of the image, body site, etc., and are organized into Studies, Series, Images, and subsets (regions) of images. In contrast, scanned documents do not require any of these metadata. As patient-generated images become more commonplace, we foresee a need to store these images (for example, a patient uses a smart phone to take a picture of a wound and emails it to a clinician) as well. We would foresee such images stored in the "Medical Imaging Event" hierarchy, even if a relatively-empty Study and Series construct would be required to contain such images. However, scanned documents simply need a pointer to the resulting image(s), and we therefore find it useful to continue with a logical separation of the two kinds of images.

Note that this class represents information about the act of performing the medical imaging event, with the majority of the results stored in the Study, Series, Image hierarchy. From a DICOM point of view, the Study and the Imaging Event are roughly synonymous, with the activities surrounding the production of the Study being implied in the resulting data. We make the distinction primarily in order to be consistent with how orders and accessions (aka promises) are treated elsewhere in the FHIM. Therefore this class could easily be merged with the Study class in resulting implementations.

Attributes
MedicationAdministrationPerformed	contrastMediaAdministration	Identifies Constrat Media associated with the Examination
DiagnosisListEntry	diagnosis	Pointer to an ordered list of findings or diagnoses which have been established as a result of the imaging study.
«EntryPoint» EncounterEvent	encounter	The encounter during which the Radiologic Examination took place. "The encounter or episode at which the request is initiated." - HL7 FHIR, ImagingStudy.context
ServiceDeliveryLocation	principalClinic	Th name of the principal clinic that referred the patient to Radiology/Nuclear Medicine for the exam. Equivalent to File 44.
ProcedureListEntry	procedure	Pointer to an ordered list of actions that were performed during the performance of the imaging study. These procedures are often tracked for billing or workload purposes. "A reference to the performed Procedure." - HL7 FHIR, ImagingStudy.procedureReference "The code for the performed procedure type." - HL7 FHIR, ImagingStudy.procedureCode
RadioPharmaceuticalAdministration	radioPharmaceuticalAdministration	A radiopharmaceutical associated with this examination should be entered here. Equivalent to a pointer to File 71.
ImageInterpretationReport	report	Represents the radiology/nuclear medicine report as known by the originating VistA system. Equivalent to a pointer to File 74.
«CS» Code	status	Catagorizes the state of the exam.
ImagingStudy	study	Pointer to content produced in a DICOM imaging study.
Boolean	wasContrastMediaUsed	Indicates whether an intravascular contrast was used during this Rad/Nuc Med exam. This property is marked as derived as it could potentially be determined based on the presence of a contrastMediaAdministration

Attributes inherited from  FHIM::Imaging::ImagingEvent

author,  dateTime,  description,  identifier,  imageCategory,  imagingLocation,  patient

Attributes inherited from  FHIM::Common::ClinicalStatement

clinicalDataSource,  contentVersion,  contextCode,  encounter,  note,  recordStatus,  relatedClinicalInformation,  sourceRecordType,  sourceSystem,  subjectGroup,  subjectOfInformation,  subjectOfRecord,  temporalContext,  topicCode,  cosigned,  recorded,  signed,  verified

Attributes inherited from  FHIM::Common::InformationEntry

identifier

 contrastMediaAdministration

Public MedicationAdministrationPerformed contrastMediaAdministration

Identifies Constrat Media associated with the Examination

Constraints:

Properties:

Aggregation	None
Alias
Association	medicalImagingEvent_contrastMediaAdministration
Association End
Class	MedicalImagingEvent
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	false
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	contrastMediaAdministration
Name Expression
Namespace	MedicalImagingEvent
Opposite
Owner	MedicalImagingEvent
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Imaging::MedicalImagingEvent::contrastMediaAdministration
Stereotype
Template Parameter
Type	MedicationAdministrationPerformed
Upper	1
Upper Value	(1)
Visibility	Public

 diagnosis

Public DiagnosisListEntry diagnosis

Pointer to an ordered list of findings or diagnoses which have been established as a result of the imaging study.

Constraints:

Properties:

Aggregation	None
Alias
Association	medicalImagingEvent_diagnosis
Association End
Class	MedicalImagingEvent
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	*
Name	diagnosis
Name Expression
Namespace	MedicalImagingEvent
Opposite
Owner	MedicalImagingEvent
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Imaging::MedicalImagingEvent::diagnosis
Stereotype
Template Parameter
Type	DiagnosisListEntry
Upper	*
Upper Value	(*)
Visibility	Public

 encounter

Public «EntryPoint» EncounterEvent encounter

The encounter during which the Radiologic Examination took place.
"The encounter or episode at which the request is initiated." - HL7 FHIR, ImagingStudy.context

Constraints:

Properties:

Aggregation	None
Alias
Association	medicalImagingEvent_encounter
Association End
Class	MedicalImagingEvent
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	encounter
Name Expression
Namespace	MedicalImagingEvent
Opposite
Owner	MedicalImagingEvent
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Imaging::MedicalImagingEvent::encounter
Stereotype
Template Parameter
Type	«EntryPoint» EncounterEvent
Upper	1
Upper Value	(1)
Visibility	Public

 principalClinic

Public ServiceDeliveryLocation principalClinic

Th name of the principal clinic that referred the patient to Radiology/Nuclear Medicine for the exam. Equivalent to File 44.

Constraints:

Properties:

Aggregation	None
Alias
Association	medicalImagingEvent_principalClinic
Association End
Class	MedicalImagingEvent
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	false
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	principalClinic
Name Expression
Namespace	MedicalImagingEvent
Opposite
Owner	MedicalImagingEvent
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Imaging::MedicalImagingEvent::principalClinic
Stereotype
Template Parameter
Type	ServiceDeliveryLocation
Upper	1
Upper Value	(1)
Visibility	Public

 procedure

Public ProcedureListEntry procedure

Pointer to an ordered list of actions that were performed during the performance of the imaging study. These procedures are often tracked for billing or workload purposes.
"A reference to the performed Procedure." - HL7 FHIR, ImagingStudy.procedureReference
"The code for the performed procedure type." - HL7 FHIR, ImagingStudy.procedureCode

Constraints:

Properties:

Aggregation	None
Alias
Association	medicalImagingEvent_procedure
Association End
Class	MedicalImagingEvent
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	*
Name	procedure
Name Expression
Namespace	MedicalImagingEvent
Opposite
Owner	MedicalImagingEvent
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Imaging::MedicalImagingEvent::procedure
Stereotype
Template Parameter
Type	ProcedureListEntry
Upper	*
Upper Value	(*)
Visibility	Public

 radioPharmaceuticalAdministration

Public RadioPharmaceuticalAdministration radioPharmaceuticalAdministration

A radiopharmaceutical associated with this examination should be entered here. Equivalent to a pointer to File 71.

Constraints:

Properties:

Aggregation	None
Alias
Association	medicalImagingEvent_radioPharmaceuticalAdministration
Association End
Class	MedicalImagingEvent
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	false
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	radioPharmaceuticalAdministration
Name Expression
Namespace	MedicalImagingEvent
Opposite
Owner	MedicalImagingEvent
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Imaging::MedicalImagingEvent::radioPharmaceuticalAdministration
Stereotype
Template Parameter
Type	RadioPharmaceuticalAdministration
Upper	1
Upper Value	(1)
Visibility	Public

 report

Public ImageInterpretationReport report

Represents the radiology/nuclear medicine report as known by the originating VistA system. Equivalent to a pointer to File 74.

Constraints:

Properties:

Aggregation	None
Alias
Association	medicalImagingEvent_report
Association End
Class	MedicalImagingEvent
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	false
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	report
Name Expression
Namespace	MedicalImagingEvent
Opposite
Owner	MedicalImagingEvent
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Imaging::MedicalImagingEvent::report
Stereotype
Template Parameter
Type	ImageInterpretationReport
Upper	1
Upper Value	(1)
Visibility	Public

 status

Public «CS» Code status

Catagorizes the state of the exam.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	MedicalImagingEvent
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	status
Name Expression
Namespace	MedicalImagingEvent
Opposite
Owner	MedicalImagingEvent
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Imaging::MedicalImagingEvent::status
Stereotype
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public

 study

Public ImagingStudy study

Pointer to content produced in a DICOM imaging study.

Constraints:

Properties:

Aggregation	None
Alias
Association	medicalImagingEvent_study
Association End
Class	MedicalImagingEvent
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	*
Name	study
Name Expression
Namespace	MedicalImagingEvent
Opposite
Owner	MedicalImagingEvent
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Imaging::MedicalImagingEvent::study
Stereotype
Template Parameter
Type	ImagingStudy
Upper	*
Upper Value	(*)
Visibility	Public

 wasContrastMediaUsed

Public Boolean wasContrastMediaUsed

Indicates whether an intravascular contrast was used during this Rad/Nuc Med exam. This property is marked as derived as it could potentially be determined based on the presence of a contrastMediaAdministration

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	MedicalImagingEvent
Datatype
Default
Default Value
Is Composite	false
Is Derived	true
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	wasContrastMediaUsed
Name Expression
Namespace	MedicalImagingEvent
Opposite
Owner	MedicalImagingEvent
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Imaging::MedicalImagingEvent::wasContrastMediaUsed
Stereotype
Template Parameter
Type	Boolean
Upper	1
Upper Value	(1)
Visibility	Public