{
"description": "A selection of DICOM SOP instances within a single Study and Series. This might include additional specifics such as a set of frames or an image region, allowing linkage to an Observation Resource.",
"_filename": "StructureDefinition-ImagingSelection.json",
"package_name": "hl7.fhir.r6.core",
"date": "2025-12-18T07:07:42+11:00",
"derivation": "specialization",
"meta": {
"lastUpdated": "2025-12-18T07:07:42.170+11:00"
},
"publisher": "HL7 International / Imaging Integration",
"fhirVersion": "6.0.0-ballot4",
"jurisdiction": [ {
"coding": [ {
"code": "001",
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"display": "World"
} ]
} ],
"name": "ImagingSelection",
"mapping": [ {
"uri": "http://hl7.org/fhir/workflow",
"name": "Workflow Pattern",
"identity": "workflow"
}, {
"uri": "http://hl7.org/fhir/fivews",
"name": "FiveWs Pattern Mapping",
"identity": "w5"
}, {
"uri": "https://dicomstandard.org/current",
"name": "DICOM Tag Mapping",
"identity": "dicom"
}, {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
} ],
"abstract": false,
"type": "ImagingSelection",
"experimental": "false",
"resourceType": "StructureDefinition",
"title": null,
"package_version": "6.0.0-ballot4",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
"valueString": "Clinical.Diagnostics"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "ii"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 6
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
"valueCode": "patient"
} ],
"snapshot": {
"element": [ {
"constraint": [ {
"key": "dom-2",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.contained.empty()"
}, {
"key": "dom-3",
"human": "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",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.where((('#'+id.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty()"
}, {
"key": "dom-4",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"
}, {
"key": "dom-5",
"human": "If a resource is contained in another resource, it SHALL NOT have a security label",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.meta.security.empty()"
}, {
"key": "dom-6",
"human": "A resource should have narrative for robust management",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "warning",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
} ],
"expression": "text.`div`.exists()"
}, {
"key": "isl-1",
"human": "At least one of seriesUid or imageRegion3D SHALL be present",
"source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
"severity": "error",
"expression": "seriesUid.exists() or imageRegion3D.exists()"
}, {
"key": "isl-2",
"human": "seriesUid SHALL only be present if studyUid is present",
"source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
"severity": "error",
"expression": "seriesUid.exists() implies studyUid.exists()"
}, {
"key": "isl-3",
"human": "seriesNumber SHALL only be present if seriesUid is present",
"source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
"severity": "error",
"expression": "seriesNumber.exists() implies seriesUid.exists()"
}, {
"key": "isl-4",
"human": "instance SHALL only be present if seriesUid is present",
"source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
"severity": "error",
"expression": "instance.exists() implies seriesUid.exists()"
}, {
"key": "isl-5",
"human": "imageRegion3D SHALL only be present if frameOfReferenceUid is present",
"source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
"severity": "error",
"expression": "imageRegion3D.exists() implies frameOfReferenceUid.exists()"
}, {
"key": "isl-6",
"human": "imageRegion3D SHALL only be present if instance.imageRegion2D is not present",
"source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
"severity": "error",
"expression": "imageRegion3D.exists() implies instance.imageRegion2D.empty()"
}, {
"key": "isl-7",
"human": "if present, instance.imageRegion2D.coordinate SHALL have a value count that is a multiple of 2",
"source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
"severity": "error",
"expression": "instance.imageRegion2D.coordinate.exists() implies instance.imageRegion2D.coordinate.count() mod 2 = 0"
}, {
"key": "isl-8",
"human": "if present, imageRegion3D.coordinate SHALL have a value count that is a multiple of 3",
"source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
"severity": "error",
"expression": "imageRegion3D.coordinate.exists() implies imageRegion3D.coordinate.count() mod 3 = 0"
}, {
"key": "isl-9",
"human": "modality SHALL only be present if seriesUid is present",
"source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
"severity": "error",
"expression": "modality.exists() implies seriesUid.exists()"
}, {
"key": "isl-10",
"human": "only one of instance.frameNumber, instance.referencedContentItemIdentifier, instance.segmentNumber, instance.regionOfInterest and instance.waveFormChannel SHALL be present",
"source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
"severity": "error",
"expression": "(instance.frameNumber.exists() implies (instance.referencedContentItemIdentifier.exists() or instance.segmentNumber.exists() or instance.regionOfInterest.exists() or instance.waveFormChannel.exists()).not()) and (instance.referencedContentItemIdentifier.exists() implies (instance.frameNumber.exists() or instance.segmentNumber.exists() or instance.regionOfInterest.exists() or instance.waveFormChannel.exists()).not()) and (instance.segmentNumber.exists() implies (instance.frameNumber.exists() or instance.referencedContentItemIdentifier.exists() or instance.regionOfInterest.exists() or instance.waveFormChannel.exists()).not()) and (instance.regionOfInterest.exists() implies (instance.frameNumber.exists() or instance.referencedContentItemIdentifier.exists() or instance.segmentNumber.exists() or instance.waveFormChannel.exists()).not()) and (instance.waveFormChannel.exists() implies (instance.frameNumber.exists() or instance.referencedContentItemIdentifier.exists() or instance.segmentNumber.exists() or instance.regionOfInterest.exists()).not())"
}, {
"key": "isl-11",
"human": "if present, instance.waveFormChannel SHALL have a value count that is a multiple of 2",
"source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
"severity": "error",
"expression": "instance.waveFormChannel.exists() implies instance.waveFormChannel.count() mod 2 = 0"
} ],
"path": "ImagingSelection",
"min": 0,
"definition": "A selection of DICOM SOP instances within a single Study and Series. This might include additional specifics such as a set of frames or an image region, allowing linkage to an Observation Resource.",
"isModifier": false,
"short": "A selection of DICOM SOP instances",
"mapping": [ {
"map": "Entity, Role, or Act",
"identity": "rim"
}, {
"map": "Event",
"identity": "workflow"
}, {
"map": "clinical.diagnostics",
"identity": "w5"
}, {
"map": "DICOM Tag Mapping",
"identity": "dicom"
} ],
"mustSupport": false,
"max": "*",
"id": "ImagingSelection",
"base": {
"max": "*",
"min": 0,
"path": "ImagingSelection"
},
"isSummary": false
}, {
"path": "ImagingSelection.id",
"min": 0,
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"isModifier": false,
"short": "Logical id of this artifact",
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"mustSupport": false,
"max": "1",
"id": "ImagingSelection.id",
"comment": "Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.",
"base": {
"max": "1",
"min": 0,
"path": "Resource.id"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.meta",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Metadata about the resource",
"type": [ {
"code": "Meta"
} ],
"mustSupport": false,
"max": "1",
"id": "ImagingSelection.meta",
"base": {
"max": "1",
"min": 0,
"path": "Resource.meta"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.implicitRules",
"min": 0,
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. For DomainResources, if more than one implicitRules policy applies, additional policies may be conveyed using the [additionalImplicitRules](https://build.fhir.org/ig/HL7/fhir-extensions/StructureDefinition-additionalImplicitRules.html) extension.",
"isModifier": true,
"short": "A set of rules under which this content was created",
"type": [ {
"code": "uri"
} ],
"mustSupport": false,
"max": "1",
"id": "ImagingSelection.implicitRules",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.",
"base": {
"max": "1",
"min": 0,
"path": "Resource.implicitRules"
},
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.language",
"min": 0,
"definition": "The base language in which the resource is written.",
"isModifier": false,
"short": "Language of the resource content",
"type": [ {
"code": "code"
} ],
"mustSupport": false,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot4",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
} ],
"additional": [ {
"purpose": "starter",
"valueSet": "http://hl7.org/fhir/ValueSet/languages"
} ],
"description": "IETF language tag for a human language"
},
"max": "1",
"id": "ImagingSelection.language",
"comment": "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).",
"base": {
"max": "1",
"min": 0,
"path": "Resource.language"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.text",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Text summary of the resource, for human interpretation",
"mapping": [ {
"map": "Act.text?",
"identity": "rim"
} ],
"type": [ {
"code": "Narrative"
} ],
"mustSupport": false,
"alias": [ "narrative", "html", "xhtml", "display" ],
"max": "1",
"id": "ImagingSelection.text",
"condition": [ "dom-6" ],
"comment": "Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
"base": {
"max": "1",
"min": 0,
"path": "DomainResource.text"
},
"isSummary": false
}, {
"path": "ImagingSelection.contained",
"min": 0,
"definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.",
"isModifier": false,
"short": "Contained, inline Resources",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Resource"
} ],
"mustSupport": false,
"alias": [ "inline resources", "anonymous resources", "contained resources" ],
"max": "*",
"id": "ImagingSelection.contained",
"condition": [ "dom-2", "dom-4", "dom-3", "dom-5" ],
"comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels. Contained resources may be a resource type defined in the FHIR specification, or an [additional resource](resource.html#additional).",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.contained"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.extension",
"min": 0,
"definition": "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 managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"mustSupport": false,
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "ImagingSelection.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.modifierExtension",
"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](extensibility.html#modifierExtension).",
"min": 0,
"definition": "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 managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"mustSupport": false,
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "ImagingSelection.modifierExtension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.identifier",
"requirements": "Allows identification of the imaging selection as it is known by various participating systems and in a way that remains consistent across servers.",
"min": 0,
"definition": "Business identifiers assigned to this imaging selection by the performer and/or other systems. These identifiers remain constant as the resource is updated and propagates from server to server.",
"isModifier": false,
"short": "Business identifier for imaging selection",
"mapping": [ {
"map": "Event.identifier",
"identity": "workflow"
}, {
"map": "FiveWs.identifier",
"identity": "w5"
} ],
"type": [ {
"code": "Identifier"
} ],
"mustSupport": false,
"max": "*",
"id": "ImagingSelection.identifier",
"comment": "Note: This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices MAY occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.",
"base": {
"max": "*",
"min": 0,
"path": "ImagingSelection.identifier"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.status",
"min": 1,
"definition": "The current state of the imaging selection. This is distinct from the status of any imaging study, service request, or task associated with the imaging selection.",
"isModifier": true,
"short": "available | entered-in-error | inactive | unknown",
"mapping": [ {
"map": "Event.status",
"identity": "workflow"
}, {
"map": "FiveWs.status",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"mustSupport": false,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/imagingselection-status|6.0.0-ballot4",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ImagingSelectionStatus"
} ],
"description": "The status of the ImagingSelection."
},
"max": "1",
"id": "ImagingSelection.status",
"comment": "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.",
"base": {
"max": "1",
"min": 1,
"path": "ImagingSelection.status"
},
"isModifierReason": "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource SHOULD NOT be treated as valid",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.category",
"requirements": "Used for filtering what imaging selections are retrieved and displayed.",
"min": 0,
"definition": "Classifies the general purpose of the imaging selection.",
"isModifier": false,
"short": "Classifies the imaging selection",
"mapping": [ {
"map": "Event.category",
"identity": "workflow"
}, {
"map": "FiveWs.class",
"identity": "w5"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "preferred",
"valueSet": "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ImagingSelectionCode"
} ],
"description": "Key Object Selection Document Title."
},
"max": "*",
"id": "ImagingSelection.category",
"base": {
"max": "*",
"min": 0,
"path": "ImagingSelection.category"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.modality",
"min": 0,
"definition": "The distinct modality for this selected series. This MAY be either an acquisition modality (e.g. CT, MR) or a non-acquisition modality (e.g. segmentation, presentation state).",
"isModifier": false,
"short": "The distinct modality",
"mapping": [ {
"map": "Modality (0008,0060)",
"identity": "dicom"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "extensible",
"valueSet": "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ImagingSelectionModality"
} ],
"description": "Type of acquired data in the instance."
},
"max": "1",
"id": "ImagingSelection.modality",
"condition": [ "isl-9" ],
"base": {
"max": "1",
"min": 0,
"path": "ImagingSelection.modality"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.code",
"requirements": "Identifies the type of content and the structure of the imaging selection.",
"min": 1,
"definition": "Identifies the type of imaging selection.",
"isModifier": false,
"short": "Imaging Selection purpose text or code",
"mapping": [ {
"map": "Event.code",
"identity": "workflow"
}, {
"map": "FiveWs.what[x]",
"identity": "w5"
}, {
"map": "Concept Name Code Sequence (0040,A043)",
"identity": "dicom"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "preferred",
"valueSet": "http://terminology.hl7.org/ValueSet/image-reference-type",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ImagingSelectionCode"
} ],
"description": "Image Reference Type."
},
"alias": [ "Description" ],
"max": "1",
"id": "ImagingSelection.code",
"base": {
"max": "1",
"min": 1,
"path": "ImagingSelection.code"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.subject",
"min": 0,
"definition": "The subject, typically a patient, of the imaging selection.",
"isModifier": false,
"short": "Who or what is the subject of the imaging selection",
"mapping": [ {
"map": "Event.subject",
"identity": "workflow"
}, {
"map": "FiveWs.subject",
"identity": "w5"
}, {
"map": "Patient ID (0010,0020) and Issuer of Patient ID (0010,0021) and / or Issuer of Patient ID Qualifiers Sequence (0010,0024) and / or Patient Name (0010,0010)",
"identity": "dicom"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Group", "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/Procedure", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/Medication", "http://hl7.org/fhir/StructureDefinition/Substance", "http://hl7.org/fhir/StructureDefinition/Specimen" ]
} ],
"mustSupport": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
"valueString": "dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.2.2.html"
} ],
"max": "1",
"id": "ImagingSelection.subject",
"base": {
"max": "1",
"min": 0,
"path": "ImagingSelection.subject"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.issued",
"min": 0,
"definition": "Date and time the imaging selection was created.",
"isModifier": false,
"short": "When the imaging selection was created",
"mapping": [ {
"map": "FiveWs.recorded",
"identity": "w5"
} ],
"type": [ {
"code": "instant"
} ],
"mustSupport": false,
"max": "1",
"id": "ImagingSelection.issued",
"base": {
"max": "1",
"min": 0,
"path": "ImagingSelection.issued"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children or both",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.performer",
"min": 0,
"definition": "Indicates who or what performed the imaging selection and how they were involved.",
"isModifier": false,
"short": "Who performed imaging selection and what they did",
"mapping": [ {
"map": "Event.performer",
"identity": "workflow"
}, {
"map": "FiveWs.actor",
"identity": "w5"
}, {
"map": "One or more of: Performing Physician's Name (0008,1050) and Performing Physician Identification Sequence (0008,1052); Operators' Name (0008,1070) and Operator Identification Sequence (0008,1072); Manufacturer (0008,0070) and Manufacturer's Model Name (0008,1090); or Institution Name (0008,0080)",
"identity": "dicom"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"id": "ImagingSelection.performer",
"base": {
"max": "*",
"min": 0,
"path": "ImagingSelection.performer"
},
"isSummary": true
}, {
"path": "ImagingSelection.performer.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "ImagingSelection.performer.id",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.performer.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "ImagingSelection.performer.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.performer.modifierExtension",
"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](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "ImagingSelection.performer.modifierExtension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.performer.function",
"requirements": "Allows disambiguation of the types of involvement of different performers.",
"min": 0,
"definition": "Distinguishes the type of involvement of the performer in the imaging selection.",
"isModifier": false,
"short": "Type of performance",
"mapping": [ {
"map": "Event.performer.function",
"identity": "workflow"
}, {
"map": "PRF (Performing Physician's Name); SPRF (Operator's Name); DEV (Manufacturer / Manufacturer's Model Name); or LOC (Institution Name)",
"identity": "dicom"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "extensible",
"valueSet": "http://hl7.org/fhir/ValueSet/series-performer-function",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "EventPerformerFunction"
} ],
"description": "The type of involvement of the performer."
},
"max": "1",
"id": "ImagingSelection.performer.function",
"base": {
"max": "1",
"min": 0,
"path": "ImagingSelection.performer.function"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.performer.actor",
"min": 1,
"definition": "Indicates who or what performed the imaging selection.",
"isModifier": false,
"short": "Who performed the imaging selection",
"mapping": [ {
"map": "Event.performer.actor",
"identity": "workflow"
}, {
"map": "Practitioner (Performing Physician's Name); Practitioner (Operator's Name); Device (Manufacturer / Manufacturer's Model Name); or Organization (Institution Name)",
"identity": "dicom"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/CareTeam", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/HealthcareService" ]
} ],
"mustSupport": false,
"max": "1",
"id": "ImagingSelection.performer.actor",
"base": {
"max": "1",
"min": 1,
"path": "ImagingSelection.performer.actor"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.basedOn",
"requirements": "Allows tracing of authorization for the imaging selection and tracking whether proposals/recommendations were acted upon. If the imaging selection is associated with an Accession Number, this field SHOULD include a reference to that value in the form: identifier.value = (Accession Number Value) identifier.type = ACSN. A reference value pointing to a ServiceRequest resource is allowed but is not required.",
"min": 0,
"definition": "A plan or order that is fulfilled in whole or in part by this imaging selection.",
"isModifier": false,
"short": "Fulfills plan or order",
"mapping": [ {
"map": "Event.basedOn",
"identity": "workflow"
}, {
"map": "FiveWs.cause",
"identity": "w5"
}, {
"map": "Accession Number (0080,0050) and Issuer of Accession Number Sequence (0080,0051)",
"identity": "dicom"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/CarePlan", "http://hl7.org/fhir/StructureDefinition/ServiceRequest", "http://hl7.org/fhir/StructureDefinition/Appointment", "http://hl7.org/fhir/StructureDefinition/Task" ]
} ],
"mustSupport": false,
"alias": [ "AccessionNumber" ],
"max": "*",
"id": "ImagingSelection.basedOn",
"base": {
"max": "*",
"min": 0,
"path": "ImagingSelection.basedOn"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.derivedFrom",
"min": 0,
"definition": "The imaging study from which the imaging selection is made.",
"isModifier": false,
"short": "The imaging study from which the imaging selection is derived",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/ImagingStudy", "http://hl7.org/fhir/StructureDefinition/DocumentReference" ]
} ],
"mustSupport": false,
"max": "1",
"id": "ImagingSelection.derivedFrom",
"base": {
"max": "1",
"min": 0,
"path": "ImagingSelection.derivedFrom"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.studyUid",
"min": 0,
"definition": "The Study Instance UID for the DICOM Study from which the images were selected.",
"isModifier": false,
"short": "DICOM Study Instance UID",
"mapping": [ {
"map": "Study Instance UID (0020,000D)",
"identity": "dicom"
} ],
"type": [ {
"code": "id"
} ],
"mustSupport": false,
"alias": [ "StudyInstanceUID" ],
"max": "1",
"id": "ImagingSelection.studyUid",
"condition": [ "isl-2" ],
"comment": "See [DICOM PS3.3 C.7.2](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html).",
"example": [ {
"label": "General",
"valueId": "1.2.840.113747.20080222.12753225430534207565993148475333748793"
} ],
"base": {
"max": "1",
"min": 0,
"path": "ImagingSelection.studyUid"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.seriesUid",
"requirements": "Must correspond to a Series that is part of the DICOM study identified by the `studyUid` element.",
"min": 0,
"definition": "The DICOM Series Instance UID of the selected series.",
"isModifier": false,
"short": "DICOM Series Instance UID",
"mapping": [ {
"map": "Series Instance UID (0020,000E)",
"identity": "dicom"
} ],
"type": [ {
"code": "id"
} ],
"mustSupport": false,
"alias": [ "SeriesInstanceUID" ],
"max": "1",
"id": "ImagingSelection.seriesUid",
"condition": [ "isl-1", "isl-2", "isl-3", "isl-4", "isl-9" ],
"comment": "See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.3.html).",
"example": [ {
"label": "General",
"valueId": "1.2.840.113747.20080222.12753225430534207565993148475333748793.1"
} ],
"base": {
"max": "1",
"min": 0,
"path": "ImagingSelection.seriesUid"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.seriesNumber",
"requirements": "Must correspond to the series identified by the `seriesUid` element.",
"min": 0,
"definition": "The numeric identifier of the selected series in the study.",
"isModifier": false,
"short": "Numeric identifier of the selected series",
"mapping": [ {
"map": "Series Number (0020,0011)",
"identity": "dicom"
} ],
"type": [ {
"code": "unsignedInt"
} ],
"mustSupport": false,
"alias": [ "SeriesNumber" ],
"max": "1",
"id": "ImagingSelection.seriesNumber",
"condition": [ "isl-3" ],
"comment": "See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.3.html).",
"base": {
"max": "1",
"min": 0,
"path": "ImagingSelection.seriesNumber"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.frameOfReferenceUid",
"min": 0,
"definition": "Identifier used to group composite instances that have the same coordinate system that conveys spatial and/or temporal information.",
"isModifier": false,
"short": "The Frame of Reference UID for the selected images",
"mapping": [ {
"map": "Frame of Reference UID (0020,0052)",
"identity": "dicom"
} ],
"type": [ {
"code": "id"
} ],
"mustSupport": false,
"alias": [ "FrameOfReferenceUID" ],
"max": "1",
"id": "ImagingSelection.frameOfReferenceUid",
"condition": [ "isl-5" ],
"comment": "See [DICOM PS3.3 C.7.4.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.4.html).",
"example": [ {
"label": "General",
"valueId": "1.2.840.113747.20080222.12753225430534207565993148475333748793.2"
} ],
"base": {
"max": "1",
"min": 0,
"path": "ImagingSelection.frameOfReferenceUid"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.bodySite",
"min": 0,
"definition": "The anatomic structures selected. See [DICOM Part 16 Annex L](http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings. The bodySite MAY include the laterality of body part imaged.",
"isModifier": false,
"short": "Selected anatomic structure",
"mapping": [ {
"map": "Body Part Examined (0018,0015) or Anatomic Region Sequence (0008,2218) and Laterality (0020,0060)",
"identity": "dicom"
} ],
"type": [ {
"code": "CodeableReference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/BodyStructure" ]
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/body-site",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/binding-definition",
"valueMarkdown": "Codes describing anatomical locations. MAY include laterality."
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "BodySite"
} ],
"description": "SNOMED CT Body site concepts"
},
"alias": [ "BodyPartExamined", "AnatomicRegionSequence" ],
"max": "*",
"id": "ImagingSelection.bodySite",
"base": {
"max": "*",
"min": 0,
"path": "ImagingSelection.bodySite"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.focus",
"min": 0,
"definition": "The actual focus of an imaging selection when it is another imaging selection resource and not the patient of record.",
"isModifier": false,
"short": "Related resources that are the focus for the imaging selection",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/ImagingSelection" ]
} ],
"mustSupport": false,
"max": "*",
"id": "ImagingSelection.focus",
"comment": "An imaging selection MAY reference a DICOM resource that itself references other DICOM resources.\n e.g. a presentation state references a set of source images or frames.",
"base": {
"max": "*",
"min": 0,
"path": "ImagingSelection.focus"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.endpoint",
"min": 0,
"definition": "The network services providing access to the selected images, frames, etc. See implementation notes for information about using DICOM endpoints.",
"isModifier": false,
"short": "The network services providing access for the subset of the study",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Endpoint" ]
} ],
"mustSupport": false,
"max": "*",
"id": "ImagingSelection.endpoint",
"base": {
"max": "*",
"min": 0,
"path": "ImagingSelection.endpoint"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children or both",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.instance",
"requirements": "If this element is not present and ImagingSelection.seriesUid is present, all instances in the specified series are included in the selection.",
"min": 0,
"definition": "Each imaging selection includes one or more selected DICOM SOP instances.",
"isModifier": false,
"short": "The selected instances",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"id": "ImagingSelection.instance",
"condition": [ "isl-6", "isl-4", "isl-7", "isl-10", "isl-11" ],
"base": {
"max": "*",
"min": 0,
"path": "ImagingSelection.instance"
},
"isSummary": true
}, {
"path": "ImagingSelection.instance.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "ImagingSelection.instance.id",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.instance.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "ImagingSelection.instance.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.instance.modifierExtension",
"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](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "ImagingSelection.instance.modifierExtension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.instance.uid",
"requirements": "DICOM SOP Instance UID.\nMust correspond to a SOP Instance that is part of the DICOM series identified by the `seriesUID` element.",
"min": 1,
"definition": "The SOP Instance UID for the selected DICOM this image or other DICOM content.",
"isModifier": false,
"short": "DICOM SOP Instance UID",
"mapping": [ {
"map": "SOP Instance UID (0008,0018)",
"identity": "dicom"
} ],
"type": [ {
"code": "id"
} ],
"mustSupport": false,
"alias": [ "SOPInstanceUID" ],
"max": "1",
"id": "ImagingSelection.instance.uid",
"comment": "See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html).",
"example": [ {
"label": "General",
"valueId": "1.2.840.113747.20080222.12753225430534207568475333748793.1.1"
} ],
"base": {
"max": "1",
"min": 1,
"path": "ImagingSelection.instance.uid"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.instance.number",
"requirements": "DICOM Instance Number.\nMust correspond to the SOP Instance identified by the `uid` element.",
"min": 0,
"definition": "TThe number of the instance assigned by the creator of the series. MAY or MAY NOT correspond to intended display order.",
"isModifier": false,
"short": "The number of this instance in the series",
"mapping": [ {
"map": "Instance Number (0020,0011)",
"identity": "dicom"
} ],
"type": [ {
"code": "unsignedInt"
} ],
"mustSupport": false,
"alias": [ "InstanceNumber" ],
"max": "1",
"id": "ImagingSelection.instance.number",
"comment": "See [DICOM PS3.3 C.7.6.1](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.6.html#sect_C.7.6.1).\n Note: A multiframe instance has a single instance number with each frame identified by a frame number.",
"base": {
"max": "1",
"min": 0,
"path": "ImagingSelection.instance.number"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.instance.sopClass",
"min": 0,
"definition": "DICOM instance type.",
"isModifier": false,
"short": "DICOM class type",
"mapping": [ {
"map": "SOP Class UID (0008,0016)",
"identity": "dicom"
} ],
"type": [ {
"code": "oid"
} ],
"mustSupport": false,
"alias": [ "SOPClassUID" ],
"max": "1",
"id": "ImagingSelection.instance.sopClass",
"comment": "See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html).",
"example": [ {
"label": "General",
"valueOid": "urn:oid:1.2.840.10008.5.1.4.1.1.2"
} ],
"base": {
"max": "1",
"min": 0,
"path": "ImagingSelection.instance.sopClass"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.instance.frameNumber",
"requirements": "Only allowed if the value of `instance.sopClass` corresponds to a multiframe SOP Class.",
"min": 0,
"definition": "A list of frame numbers selected from a multiframe SOP Instance (See [DICOM PS 3.3 Table 10.3](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_10.3.html#table_10-3)).",
"isModifier": false,
"short": "Selected frames",
"type": [ {
"code": "positiveInt"
} ],
"mustSupport": false,
"max": "*",
"id": "ImagingSelection.instance.frameNumber",
"condition": [ "isl-10" ],
"base": {
"max": "*",
"min": 0,
"path": "ImagingSelection.instance.frameNumber"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.instance.referencedContentItemIdentifier",
"requirements": "Only allowed if the value of `instance.sopClass` corresponds to a DICOM SR or other structured document SOP Class.",
"min": 0,
"definition": "A list of Referenced Content Item Identifier values selected from a DICOM SR or other structured document SOP Instance (See [DICOM PS 3.3 C.17.3.2.5](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.17.3.2.5.html)).",
"isModifier": false,
"short": "Selected content items",
"type": [ {
"code": "positiveInt"
} ],
"mustSupport": false,
"max": "*",
"id": "ImagingSelection.instance.referencedContentItemIdentifier",
"condition": [ "isl-10" ],
"base": {
"max": "*",
"min": 0,
"path": "ImagingSelection.instance.referencedContentItemIdentifier"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.instance.segmentNumber",
"requirements": "Only allowed if the value of `instance.sopClass` corresponds to a segmentation SOP Class.",
"min": 0,
"definition": "A list of segment numbers selected from a segmentation SOP Instance (See [DICOM PS 3.3 Table C.8.20-4](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.8.20.4.html#table_C.8.20-4)).",
"isModifier": false,
"short": "Selected segments",
"type": [ {
"code": "positiveInt"
} ],
"mustSupport": false,
"max": "*",
"id": "ImagingSelection.instance.segmentNumber",
"condition": [ "isl-10" ],
"base": {
"max": "*",
"min": 0,
"path": "ImagingSelection.instance.segmentNumber"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.instance.regionOfInterest",
"requirements": "Only allowed if the value of `instance.sopClass` corresponds to a radiotherapy structure set SOP Class.",
"min": 0,
"definition": "A list of Region of Interest (ROI) numbers selected from a radiotherapy structure set SOP Instance (See [DICOM PS 3.3 C.8.8.5](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.8.8.5.html)).",
"isModifier": false,
"short": "Selected regions of interest",
"type": [ {
"code": "positiveInt"
} ],
"mustSupport": false,
"max": "*",
"id": "ImagingSelection.instance.regionOfInterest",
"condition": [ "isl-10" ],
"base": {
"max": "*",
"min": 0,
"path": "ImagingSelection.instance.regionOfInterest"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.instance.waveFormChannel",
"requirements": "Only allowed if the value of `instance.sopClass` corresponds to a waveform structure set SOP Class.",
"min": 0,
"definition": "A list of channels in a Waveform selected from an instance of a waveform SOP Class.\nEach channel is specified as a pair of values where the first value is the Multiplex Group Number, and the second value is the Channel Number within the multiplex group (See [DICOM PS 3.3 C.18.5.1.1](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.18.5.html#sect_C.18.5.1.1)).",
"isModifier": false,
"short": "Selected waveform channel",
"type": [ {
"code": "positiveInt"
} ],
"mustSupport": false,
"max": "*",
"id": "ImagingSelection.instance.waveFormChannel",
"condition": [ "isl-10", "isl-11" ],
"base": {
"max": "*",
"min": 0,
"path": "ImagingSelection.instance.waveFormChannel"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children or both",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.instance.imageRegion2D",
"requirements": "SHALL NOT be present if the parent imagingSelection.instance is not an image. If the parent imagingSelection.instance contains a subset element of type frame, the image region applies to all frames in the subset list.",
"min": 0,
"definition": "Specifies an image region, defined by a region type and a set of 2D coordinates in pixel space.",
"isModifier": false,
"short": "A 2D region in an image",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "ImageRegion2D"
} ],
"max": "*",
"id": "ImagingSelection.instance.imageRegion2D",
"condition": [ "isl-6", "isl-7" ],
"base": {
"max": "*",
"min": 0,
"path": "ImagingSelection.instance.imageRegion2D"
},
"isSummary": false
}, {
"path": "ImagingSelection.instance.imageRegion2D.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "ImagingSelection.instance.imageRegion2D.id",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.instance.imageRegion2D.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "ImagingSelection.instance.imageRegion2D.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.instance.imageRegion2D.modifierExtension",
"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](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "ImagingSelection.instance.imageRegion2D.modifierExtension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.instance.imageRegion2D.regionType",
"min": 1,
"definition": "The type of image region.",
"isModifier": false,
"short": "point | polyline | multipoint | circle | ellipse",
"mapping": [ {
"map": "Graphic Type (0070,0023)",
"identity": "dicom"
} ],
"type": [ {
"code": "code"
} ],
"mustSupport": false,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/imagingselection-2dgraphictype|6.0.0-ballot4",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ImagingSelection2DGraphicType"
} ],
"description": "The type of image region."
},
"alias": [ "GraphicType" ],
"max": "1",
"id": "ImagingSelection.instance.imageRegion2D.regionType",
"comment": "See [DICOM PS3.3 C.10.5.1.2](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.10.5.html#sect_C.10.5.1.2).",
"base": {
"max": "1",
"min": 1,
"path": "ImagingSelection.instance.imageRegion2D.regionType"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.instance.imageRegion2D.coordinate",
"requirements": "The number of values SHALL be a multiple of two.",
"min": 1,
"definition": "The coordinates defining the image region. Encoded as a set of (column, row) pairs that denote positions in the selected image / frames specified with sub-pixel resolution.\nThe origin at the TLHC of the TLHC pixel is 0.0\\0.0, the BRHC of the TLHC pixel is 1.0\\1.0, and the BRHC of the BRHC pixel is the number of columns\\rows in the image / frames. The values SHALL be within the range 0\\0 to the number of columns\\rows in the image / frames.",
"isModifier": false,
"short": "The coordinates that define the image region",
"mapping": [ {
"map": "Graphic Data (0070,0022)",
"identity": "dicom"
} ],
"type": [ {
"code": "decimal"
} ],
"mustSupport": false,
"alias": [ "GraphicData" ],
"max": "*",
"id": "ImagingSelection.instance.imageRegion2D.coordinate",
"condition": [ "isl-7" ],
"comment": "For a description of how 2D coordinates are encoded, see [DICOM PS 3.3 C.18.6](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.18.6.html).",
"orderMeaning": "The values are an ordered set of (x, y) coordinates.",
"base": {
"max": "*",
"min": 1,
"path": "ImagingSelection.instance.imageRegion2D.coordinate"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children or both",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.imageRegion3D",
"requirements": "The referenced 3D image region must be in the coordinate system identified by the `frameOfReferenceUid` element",
"min": 0,
"definition": "Specifies a 3D image region, defined by a region type and a set of 3D coordinates.",
"isModifier": false,
"short": "A 3D region in a DICOM frame of reference",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "ImageRegion3D"
} ],
"max": "*",
"id": "ImagingSelection.imageRegion3D",
"condition": [ "isl-1", "isl-5", "isl-6", "isl-8" ],
"base": {
"max": "*",
"min": 0,
"path": "ImagingSelection.imageRegion3D"
},
"isSummary": false
}, {
"path": "ImagingSelection.imageRegion3D.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "ImagingSelection.imageRegion3D.id",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.imageRegion3D.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "ImagingSelection.imageRegion3D.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.imageRegion3D.modifierExtension",
"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](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "ImagingSelection.imageRegion3D.modifierExtension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.imageRegion3D.regionType",
"min": 1,
"definition": "Specifies the type of image region.",
"isModifier": false,
"short": "point | multipoint | polyline | polygon | ellipse | ellipsoid",
"mapping": [ {
"map": "Graphic Type (0070,0023)",
"identity": "dicom"
} ],
"type": [ {
"code": "code"
} ],
"mustSupport": false,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/imagingselection-3dgraphictype|6.0.0-ballot4",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ImagingSelection3DGraphicType"
} ],
"description": "The type of image region."
},
"alias": [ "GraphicType" ],
"max": "1",
"id": "ImagingSelection.imageRegion3D.regionType",
"comment": "See [DICOM PS3.3 C.18.9.1.2](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.18.9.html#sect_C.18.9.1.2).",
"base": {
"max": "1",
"min": 1,
"path": "ImagingSelection.imageRegion3D.regionType"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "ImagingSelection.imageRegion3D.coordinate",
"requirements": "The number of values SHALL be a multiple of three.",
"min": 1,
"definition": "The coordinates defining the image region. Encoded as an ordered set of (x,y,z) triplets (in mm and MAY be negative) that define a region of interest in the patient-relative Reference Coordinate System defined by ImagingSelection.frameOfReferenceUid element.",
"isModifier": false,
"short": "Specifies the coordinates that define the image region",
"mapping": [ {
"map": "Graphic Data (0070,0022)",
"identity": "dicom"
} ],
"type": [ {
"code": "decimal"
} ],
"mustSupport": false,
"alias": [ "GraphicData" ],
"max": "*",
"id": "ImagingSelection.imageRegion3D.coordinate",
"condition": [ "isl-8" ],
"comment": "For a description of how 3D coordinates are encoded, see [DICOM PS3.3 C.18.9](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.18.9.html).",
"orderMeaning": "The values are an ordered set of (x, y, z) coordinates.",
"base": {
"max": "*",
"min": 1,
"path": "ImagingSelection.imageRegion3D.coordinate"
},
"isSummary": false
} ]
},
"status": "active",
"id": "9ea0f359-5cb0-4696-8edc-5e246bd1d33c",
"kind": "resource",
"url": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
"version": "6.0.0-ballot4",
"differential": {
"element": [ {
"constraint": [ {
"key": "isl-8",
"human": "if present, imageRegion3D.coordinate SHALL have a value count that is a multiple of 3",
"source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
"severity": "error",
"expression": "imageRegion3D.coordinate.exists() implies imageRegion3D.coordinate.count() mod 3 = 0"
}, {
"key": "isl-7",
"human": "if present, instance.imageRegion2D.coordinate SHALL have a value count that is a multiple of 2",
"source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
"severity": "error",
"expression": "instance.imageRegion2D.coordinate.exists() implies instance.imageRegion2D.coordinate.count() mod 2 = 0"
}, {
"key": "isl-9",
"human": "modality SHALL only be present if seriesUid is present",
"source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
"severity": "error",
"expression": "modality.exists() implies seriesUid.exists()"
}, {
"key": "isl-4",
"human": "instance SHALL only be present if seriesUid is present",
"source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
"severity": "error",
"expression": "instance.exists() implies seriesUid.exists()"
}, {
"key": "isl-3",
"human": "seriesNumber SHALL only be present if seriesUid is present",
"source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
"severity": "error",
"expression": "seriesNumber.exists() implies seriesUid.exists()"
}, {
"key": "isl-6",
"human": "imageRegion3D SHALL only be present if instance.imageRegion2D is not present",
"source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
"severity": "error",
"expression": "imageRegion3D.exists() implies instance.imageRegion2D.empty()"
}, {
"key": "isl-5",
"human": "imageRegion3D SHALL only be present if frameOfReferenceUid is present",
"source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
"severity": "error",
"expression": "imageRegion3D.exists() implies frameOfReferenceUid.exists()"
}, {
"key": "isl-11",
"human": "if present, instance.waveFormChannel SHALL have a value count that is a multiple of 2",
"source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
"severity": "error",
"expression": "instance.waveFormChannel.exists() implies instance.waveFormChannel.count() mod 2 = 0"
}, {
"key": "isl-10",
"human": "only one of instance.frameNumber, instance.referencedContentItemIdentifier, instance.segmentNumber, instance.regionOfInterest and instance.waveFormChannel SHALL be present",
"source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
"severity": "error",
"expression": "(instance.frameNumber.exists() implies (instance.referencedContentItemIdentifier.exists() or instance.segmentNumber.exists() or instance.regionOfInterest.exists() or instance.waveFormChannel.exists()).not()) and (instance.referencedContentItemIdentifier.exists() implies (instance.frameNumber.exists() or instance.segmentNumber.exists() or instance.regionOfInterest.exists() or instance.waveFormChannel.exists()).not()) and (instance.segmentNumber.exists() implies (instance.frameNumber.exists() or instance.referencedContentItemIdentifier.exists() or instance.regionOfInterest.exists() or instance.waveFormChannel.exists()).not()) and (instance.regionOfInterest.exists() implies (instance.frameNumber.exists() or instance.referencedContentItemIdentifier.exists() or instance.segmentNumber.exists() or instance.waveFormChannel.exists()).not()) and (instance.waveFormChannel.exists() implies (instance.frameNumber.exists() or instance.referencedContentItemIdentifier.exists() or instance.segmentNumber.exists() or instance.regionOfInterest.exists()).not())"
}, {
"key": "isl-2",
"human": "seriesUid SHALL only be present if studyUid is present",
"source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
"severity": "error",
"expression": "seriesUid.exists() implies studyUid.exists()"
}, {
"key": "isl-1",
"human": "At least one of seriesUid or imageRegion3D SHALL be present",
"source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
"severity": "error",
"expression": "seriesUid.exists() or imageRegion3D.exists()"
} ],
"path": "ImagingSelection",
"min": 0,
"definition": "A selection of DICOM SOP instances within a single Study and Series. This might include additional specifics such as a set of frames or an image region, allowing linkage to an Observation Resource.",
"isModifier": false,
"short": "A selection of DICOM SOP instances",
"mapping": [ {
"map": "Event",
"identity": "workflow"
}, {
"map": "clinical.diagnostics",
"identity": "w5"
}, {
"map": "DICOM Tag Mapping",
"identity": "dicom"
} ],
"mustSupport": false,
"max": "*",
"id": "ImagingSelection"
}, {
"path": "ImagingSelection.identifier",
"requirements": "Allows identification of the imaging selection as it is known by various participating systems and in a way that remains consistent across servers.",
"min": 0,
"definition": "Business identifiers assigned to this imaging selection by the performer and/or other systems. These identifiers remain constant as the resource is updated and propagates from server to server.",
"isModifier": false,
"short": "Business identifier for imaging selection",
"mapping": [ {
"map": "Event.identifier",
"identity": "workflow"
}, {
"map": "FiveWs.identifier",
"identity": "w5"
} ],
"type": [ {
"code": "Identifier"
} ],
"mustSupport": false,
"max": "*",
"id": "ImagingSelection.identifier",
"comment": "Note: This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices MAY occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.",
"isSummary": true
}, {
"path": "ImagingSelection.status",
"min": 1,
"definition": "The current state of the imaging selection. This is distinct from the status of any imaging study, service request, or task associated with the imaging selection.",
"isModifier": true,
"short": "available | entered-in-error | inactive | unknown",
"mapping": [ {
"map": "Event.status",
"identity": "workflow"
}, {
"map": "FiveWs.status",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"mustSupport": false,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/imagingselection-status|6.0.0-ballot4",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ImagingSelectionStatus"
} ],
"description": "The status of the ImagingSelection."
},
"max": "1",
"id": "ImagingSelection.status",
"comment": "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.",
"isModifierReason": "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource SHOULD NOT be treated as valid",
"isSummary": true
}, {
"path": "ImagingSelection.category",
"requirements": "Used for filtering what imaging selections are retrieved and displayed.",
"min": 0,
"definition": "Classifies the general purpose of the imaging selection.",
"isModifier": false,
"short": "Classifies the imaging selection",
"mapping": [ {
"map": "Event.category",
"identity": "workflow"
}, {
"map": "FiveWs.class",
"identity": "w5"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "preferred",
"valueSet": "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ImagingSelectionCode"
} ],
"description": "Key Object Selection Document Title."
},
"max": "*",
"id": "ImagingSelection.category",
"isSummary": true
}, {
"path": "ImagingSelection.modality",
"min": 0,
"definition": "The distinct modality for this selected series. This MAY be either an acquisition modality (e.g. CT, MR) or a non-acquisition modality (e.g. segmentation, presentation state).",
"isModifier": false,
"short": "The distinct modality",
"mapping": [ {
"map": "Modality (0008,0060)",
"identity": "dicom"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "extensible",
"valueSet": "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ImagingSelectionModality"
} ],
"description": "Type of acquired data in the instance."
},
"max": "1",
"id": "ImagingSelection.modality",
"condition": [ "isl-9" ],
"isSummary": true
}, {
"path": "ImagingSelection.code",
"requirements": "Identifies the type of content and the structure of the imaging selection.",
"min": 1,
"definition": "Identifies the type of imaging selection.",
"isModifier": false,
"short": "Imaging Selection purpose text or code",
"mapping": [ {
"map": "Event.code",
"identity": "workflow"
}, {
"map": "FiveWs.what[x]",
"identity": "w5"
}, {
"map": "Concept Name Code Sequence (0040,A043)",
"identity": "dicom"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "preferred",
"valueSet": "http://terminology.hl7.org/ValueSet/image-reference-type",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ImagingSelectionCode"
} ],
"description": "Image Reference Type."
},
"alias": [ "Description" ],
"max": "1",
"id": "ImagingSelection.code",
"isSummary": true
}, {
"path": "ImagingSelection.subject",
"min": 0,
"definition": "The subject, typically a patient, of the imaging selection.",
"isModifier": false,
"short": "Who or what is the subject of the imaging selection",
"mapping": [ {
"map": "Event.subject",
"identity": "workflow"
}, {
"map": "FiveWs.subject",
"identity": "w5"
}, {
"map": "Patient ID (0010,0020) and Issuer of Patient ID (0010,0021) and / or Issuer of Patient ID Qualifiers Sequence (0010,0024) and / or Patient Name (0010,0010)",
"identity": "dicom"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Group", "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/Procedure", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/Medication", "http://hl7.org/fhir/StructureDefinition/Substance", "http://hl7.org/fhir/StructureDefinition/Specimen" ]
} ],
"mustSupport": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
"valueString": "dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.2.2.html"
} ],
"max": "1",
"id": "ImagingSelection.subject",
"isSummary": true
}, {
"path": "ImagingSelection.issued",
"min": 0,
"definition": "Date and time the imaging selection was created.",
"isModifier": false,
"short": "When the imaging selection was created",
"mapping": [ {
"map": "FiveWs.recorded",
"identity": "w5"
} ],
"type": [ {
"code": "instant"
} ],
"mustSupport": false,
"max": "1",
"id": "ImagingSelection.issued",
"isSummary": true
}, {
"path": "ImagingSelection.performer",
"min": 0,
"definition": "Indicates who or what performed the imaging selection and how they were involved.",
"isModifier": false,
"short": "Who performed imaging selection and what they did",
"mapping": [ {
"map": "Event.performer",
"identity": "workflow"
}, {
"map": "FiveWs.actor",
"identity": "w5"
}, {
"map": "One or more of: Performing Physician's Name (0008,1050) and Performing Physician Identification Sequence (0008,1052); Operators' Name (0008,1070) and Operator Identification Sequence (0008,1072); Manufacturer (0008,0070) and Manufacturer's Model Name (0008,1090); or Institution Name (0008,0080)",
"identity": "dicom"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"id": "ImagingSelection.performer",
"isSummary": true
}, {
"path": "ImagingSelection.performer.function",
"requirements": "Allows disambiguation of the types of involvement of different performers.",
"min": 0,
"definition": "Distinguishes the type of involvement of the performer in the imaging selection.",
"isModifier": false,
"short": "Type of performance",
"mapping": [ {
"map": "Event.performer.function",
"identity": "workflow"
}, {
"map": "PRF (Performing Physician's Name); SPRF (Operator's Name); DEV (Manufacturer / Manufacturer's Model Name); or LOC (Institution Name)",
"identity": "dicom"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "extensible",
"valueSet": "http://hl7.org/fhir/ValueSet/series-performer-function",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "EventPerformerFunction"
} ],
"description": "The type of involvement of the performer."
},
"max": "1",
"id": "ImagingSelection.performer.function",
"isSummary": true
}, {
"path": "ImagingSelection.performer.actor",
"min": 1,
"definition": "Indicates who or what performed the imaging selection.",
"isModifier": false,
"short": "Who performed the imaging selection",
"mapping": [ {
"map": "Event.performer.actor",
"identity": "workflow"
}, {
"map": "Practitioner (Performing Physician's Name); Practitioner (Operator's Name); Device (Manufacturer / Manufacturer's Model Name); or Organization (Institution Name)",
"identity": "dicom"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/CareTeam", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/HealthcareService" ]
} ],
"mustSupport": false,
"max": "1",
"id": "ImagingSelection.performer.actor",
"isSummary": true
}, {
"path": "ImagingSelection.basedOn",
"requirements": "Allows tracing of authorization for the imaging selection and tracking whether proposals/recommendations were acted upon. If the imaging selection is associated with an Accession Number, this field SHOULD include a reference to that value in the form: identifier.value = (Accession Number Value) identifier.type = ACSN. A reference value pointing to a ServiceRequest resource is allowed but is not required.",
"min": 0,
"definition": "A plan or order that is fulfilled in whole or in part by this imaging selection.",
"isModifier": false,
"short": "Fulfills plan or order",
"mapping": [ {
"map": "Event.basedOn",
"identity": "workflow"
}, {
"map": "FiveWs.cause",
"identity": "w5"
}, {
"map": "Accession Number (0080,0050) and Issuer of Accession Number Sequence (0080,0051)",
"identity": "dicom"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/CarePlan", "http://hl7.org/fhir/StructureDefinition/ServiceRequest", "http://hl7.org/fhir/StructureDefinition/Appointment", "http://hl7.org/fhir/StructureDefinition/Task" ]
} ],
"mustSupport": false,
"alias": [ "AccessionNumber" ],
"max": "*",
"id": "ImagingSelection.basedOn",
"isSummary": true
}, {
"path": "ImagingSelection.derivedFrom",
"min": 0,
"definition": "The imaging study from which the imaging selection is made.",
"isModifier": false,
"short": "The imaging study from which the imaging selection is derived",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/ImagingStudy", "http://hl7.org/fhir/StructureDefinition/DocumentReference" ]
} ],
"mustSupport": false,
"max": "1",
"id": "ImagingSelection.derivedFrom",
"isSummary": true
}, {
"path": "ImagingSelection.studyUid",
"min": 0,
"definition": "The Study Instance UID for the DICOM Study from which the images were selected.",
"isModifier": false,
"short": "DICOM Study Instance UID",
"mapping": [ {
"map": "Study Instance UID (0020,000D)",
"identity": "dicom"
} ],
"type": [ {
"code": "id"
} ],
"mustSupport": false,
"alias": [ "StudyInstanceUID" ],
"max": "1",
"id": "ImagingSelection.studyUid",
"condition": [ "isl-2" ],
"comment": "See [DICOM PS3.3 C.7.2](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html).",
"example": [ {
"label": "General",
"valueId": "1.2.840.113747.20080222.12753225430534207565993148475333748793"
} ],
"isSummary": true
}, {
"path": "ImagingSelection.seriesUid",
"requirements": "Must correspond to a Series that is part of the DICOM study identified by the `studyUid` element.",
"min": 0,
"definition": "The DICOM Series Instance UID of the selected series.",
"isModifier": false,
"short": "DICOM Series Instance UID",
"mapping": [ {
"map": "Series Instance UID (0020,000E)",
"identity": "dicom"
} ],
"type": [ {
"code": "id"
} ],
"mustSupport": false,
"alias": [ "SeriesInstanceUID" ],
"max": "1",
"id": "ImagingSelection.seriesUid",
"condition": [ "isl-1", "isl-2", "isl-3", "isl-4", "isl-9" ],
"comment": "See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.3.html).",
"example": [ {
"label": "General",
"valueId": "1.2.840.113747.20080222.12753225430534207565993148475333748793.1"
} ],
"isSummary": true
}, {
"path": "ImagingSelection.seriesNumber",
"requirements": "Must correspond to the series identified by the `seriesUid` element.",
"min": 0,
"definition": "The numeric identifier of the selected series in the study.",
"isModifier": false,
"short": "Numeric identifier of the selected series",
"mapping": [ {
"map": "Series Number (0020,0011)",
"identity": "dicom"
} ],
"type": [ {
"code": "unsignedInt"
} ],
"mustSupport": false,
"alias": [ "SeriesNumber" ],
"max": "1",
"id": "ImagingSelection.seriesNumber",
"condition": [ "isl-3" ],
"comment": "See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.3.html).",
"isSummary": true
}, {
"path": "ImagingSelection.frameOfReferenceUid",
"min": 0,
"definition": "Identifier used to group composite instances that have the same coordinate system that conveys spatial and/or temporal information.",
"isModifier": false,
"short": "The Frame of Reference UID for the selected images",
"mapping": [ {
"map": "Frame of Reference UID (0020,0052)",
"identity": "dicom"
} ],
"type": [ {
"code": "id"
} ],
"mustSupport": false,
"alias": [ "FrameOfReferenceUID" ],
"max": "1",
"id": "ImagingSelection.frameOfReferenceUid",
"condition": [ "isl-5" ],
"comment": "See [DICOM PS3.3 C.7.4.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.4.html).",
"example": [ {
"label": "General",
"valueId": "1.2.840.113747.20080222.12753225430534207565993148475333748793.2"
} ],
"isSummary": true
}, {
"path": "ImagingSelection.bodySite",
"min": 0,
"definition": "The anatomic structures selected. See [DICOM Part 16 Annex L](http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings. The bodySite MAY include the laterality of body part imaged.",
"isModifier": false,
"short": "Selected anatomic structure",
"mapping": [ {
"map": "Body Part Examined (0018,0015) or Anatomic Region Sequence (0008,2218) and Laterality (0020,0060)",
"identity": "dicom"
} ],
"type": [ {
"code": "CodeableReference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/BodyStructure" ]
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/body-site",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/binding-definition",
"valueMarkdown": "Codes describing anatomical locations. MAY include laterality."
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "BodySite"
} ],
"description": "SNOMED CT Body site concepts"
},
"alias": [ "BodyPartExamined", "AnatomicRegionSequence" ],
"max": "*",
"id": "ImagingSelection.bodySite",
"isSummary": true
}, {
"path": "ImagingSelection.focus",
"min": 0,
"definition": "The actual focus of an imaging selection when it is another imaging selection resource and not the patient of record.",
"isModifier": false,
"short": "Related resources that are the focus for the imaging selection",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/ImagingSelection" ]
} ],
"mustSupport": false,
"max": "*",
"id": "ImagingSelection.focus",
"comment": "An imaging selection MAY reference a DICOM resource that itself references other DICOM resources.\n e.g. a presentation state references a set of source images or frames.",
"isSummary": true
}, {
"path": "ImagingSelection.endpoint",
"min": 0,
"definition": "The network services providing access to the selected images, frames, etc. See implementation notes for information about using DICOM endpoints.",
"isModifier": false,
"short": "The network services providing access for the subset of the study",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Endpoint" ]
} ],
"mustSupport": false,
"max": "*",
"id": "ImagingSelection.endpoint",
"isSummary": true
}, {
"path": "ImagingSelection.instance",
"requirements": "If this element is not present and ImagingSelection.seriesUid is present, all instances in the specified series are included in the selection.",
"min": 0,
"definition": "Each imaging selection includes one or more selected DICOM SOP instances.",
"isModifier": false,
"short": "The selected instances",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"id": "ImagingSelection.instance",
"condition": [ "isl-6", "isl-4", "isl-7", "isl-10", "isl-11" ],
"isSummary": true
}, {
"path": "ImagingSelection.instance.uid",
"requirements": "DICOM SOP Instance UID.\nMust correspond to a SOP Instance that is part of the DICOM series identified by the `seriesUID` element.",
"min": 1,
"definition": "The SOP Instance UID for the selected DICOM this image or other DICOM content.",
"isModifier": false,
"short": "DICOM SOP Instance UID",
"mapping": [ {
"map": "SOP Instance UID (0008,0018)",
"identity": "dicom"
} ],
"type": [ {
"code": "id"
} ],
"mustSupport": false,
"alias": [ "SOPInstanceUID" ],
"max": "1",
"id": "ImagingSelection.instance.uid",
"comment": "See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html).",
"example": [ {
"label": "General",
"valueId": "1.2.840.113747.20080222.12753225430534207568475333748793.1.1"
} ],
"isSummary": true
}, {
"path": "ImagingSelection.instance.number",
"requirements": "DICOM Instance Number.\nMust correspond to the SOP Instance identified by the `uid` element.",
"min": 0,
"definition": "TThe number of the instance assigned by the creator of the series. MAY or MAY NOT correspond to intended display order.",
"isModifier": false,
"short": "The number of this instance in the series",
"mapping": [ {
"map": "Instance Number (0020,0011)",
"identity": "dicom"
} ],
"type": [ {
"code": "unsignedInt"
} ],
"mustSupport": false,
"alias": [ "InstanceNumber" ],
"max": "1",
"id": "ImagingSelection.instance.number",
"comment": "See [DICOM PS3.3 C.7.6.1](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.6.html#sect_C.7.6.1).\n Note: A multiframe instance has a single instance number with each frame identified by a frame number.",
"isSummary": true
}, {
"path": "ImagingSelection.instance.sopClass",
"min": 0,
"definition": "DICOM instance type.",
"isModifier": false,
"short": "DICOM class type",
"mapping": [ {
"map": "SOP Class UID (0008,0016)",
"identity": "dicom"
} ],
"type": [ {
"code": "oid"
} ],
"mustSupport": false,
"alias": [ "SOPClassUID" ],
"max": "1",
"id": "ImagingSelection.instance.sopClass",
"comment": "See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html).",
"example": [ {
"label": "General",
"valueOid": "urn:oid:1.2.840.10008.5.1.4.1.1.2"
} ],
"isSummary": false
}, {
"path": "ImagingSelection.instance.frameNumber",
"requirements": "Only allowed if the value of `instance.sopClass` corresponds to a multiframe SOP Class.",
"min": 0,
"definition": "A list of frame numbers selected from a multiframe SOP Instance (See [DICOM PS 3.3 Table 10.3](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_10.3.html#table_10-3)).",
"isModifier": false,
"short": "Selected frames",
"type": [ {
"code": "positiveInt"
} ],
"mustSupport": false,
"max": "*",
"id": "ImagingSelection.instance.frameNumber",
"condition": [ "isl-10" ],
"isSummary": false
}, {
"path": "ImagingSelection.instance.referencedContentItemIdentifier",
"requirements": "Only allowed if the value of `instance.sopClass` corresponds to a DICOM SR or other structured document SOP Class.",
"min": 0,
"definition": "A list of Referenced Content Item Identifier values selected from a DICOM SR or other structured document SOP Instance (See [DICOM PS 3.3 C.17.3.2.5](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.17.3.2.5.html)).",
"isModifier": false,
"short": "Selected content items",
"type": [ {
"code": "positiveInt"
} ],
"mustSupport": false,
"max": "*",
"id": "ImagingSelection.instance.referencedContentItemIdentifier",
"condition": [ "isl-10" ],
"isSummary": false
}, {
"path": "ImagingSelection.instance.segmentNumber",
"requirements": "Only allowed if the value of `instance.sopClass` corresponds to a segmentation SOP Class.",
"min": 0,
"definition": "A list of segment numbers selected from a segmentation SOP Instance (See [DICOM PS 3.3 Table C.8.20-4](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.8.20.4.html#table_C.8.20-4)).",
"isModifier": false,
"short": "Selected segments",
"type": [ {
"code": "positiveInt"
} ],
"mustSupport": false,
"max": "*",
"id": "ImagingSelection.instance.segmentNumber",
"condition": [ "isl-10" ],
"isSummary": false
}, {
"path": "ImagingSelection.instance.regionOfInterest",
"requirements": "Only allowed if the value of `instance.sopClass` corresponds to a radiotherapy structure set SOP Class.",
"min": 0,
"definition": "A list of Region of Interest (ROI) numbers selected from a radiotherapy structure set SOP Instance (See [DICOM PS 3.3 C.8.8.5](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.8.8.5.html)).",
"isModifier": false,
"short": "Selected regions of interest",
"type": [ {
"code": "positiveInt"
} ],
"mustSupport": false,
"max": "*",
"id": "ImagingSelection.instance.regionOfInterest",
"condition": [ "isl-10" ],
"isSummary": false
}, {
"path": "ImagingSelection.instance.waveFormChannel",
"requirements": "Only allowed if the value of `instance.sopClass` corresponds to a waveform structure set SOP Class.",
"min": 0,
"definition": "A list of channels in a Waveform selected from an instance of a waveform SOP Class.\nEach channel is specified as a pair of values where the first value is the Multiplex Group Number, and the second value is the Channel Number within the multiplex group (See [DICOM PS 3.3 C.18.5.1.1](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.18.5.html#sect_C.18.5.1.1)).",
"isModifier": false,
"short": "Selected waveform channel",
"type": [ {
"code": "positiveInt"
} ],
"mustSupport": false,
"max": "*",
"id": "ImagingSelection.instance.waveFormChannel",
"condition": [ "isl-10", "isl-11" ],
"isSummary": false
}, {
"path": "ImagingSelection.instance.imageRegion2D",
"requirements": "SHALL NOT be present if the parent imagingSelection.instance is not an image. If the parent imagingSelection.instance contains a subset element of type frame, the image region applies to all frames in the subset list.",
"min": 0,
"definition": "Specifies an image region, defined by a region type and a set of 2D coordinates in pixel space.",
"isModifier": false,
"short": "A 2D region in an image",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "ImageRegion2D"
} ],
"max": "*",
"id": "ImagingSelection.instance.imageRegion2D",
"condition": [ "isl-6", "isl-7" ],
"isSummary": false
}, {
"path": "ImagingSelection.instance.imageRegion2D.regionType",
"min": 1,
"definition": "The type of image region.",
"isModifier": false,
"short": "point | polyline | multipoint | circle | ellipse",
"mapping": [ {
"map": "Graphic Type (0070,0023)",
"identity": "dicom"
} ],
"type": [ {
"code": "code"
} ],
"mustSupport": false,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/imagingselection-2dgraphictype|6.0.0-ballot4",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ImagingSelection2DGraphicType"
} ],
"description": "The type of image region."
},
"alias": [ "GraphicType" ],
"max": "1",
"id": "ImagingSelection.instance.imageRegion2D.regionType",
"comment": "See [DICOM PS3.3 C.10.5.1.2](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.10.5.html#sect_C.10.5.1.2).",
"isSummary": false
}, {
"path": "ImagingSelection.instance.imageRegion2D.coordinate",
"requirements": "The number of values SHALL be a multiple of two.",
"min": 1,
"definition": "The coordinates defining the image region. Encoded as a set of (column, row) pairs that denote positions in the selected image / frames specified with sub-pixel resolution.\nThe origin at the TLHC of the TLHC pixel is 0.0\\0.0, the BRHC of the TLHC pixel is 1.0\\1.0, and the BRHC of the BRHC pixel is the number of columns\\rows in the image / frames. The values SHALL be within the range 0\\0 to the number of columns\\rows in the image / frames.",
"isModifier": false,
"short": "The coordinates that define the image region",
"mapping": [ {
"map": "Graphic Data (0070,0022)",
"identity": "dicom"
} ],
"type": [ {
"code": "decimal"
} ],
"mustSupport": false,
"alias": [ "GraphicData" ],
"max": "*",
"id": "ImagingSelection.instance.imageRegion2D.coordinate",
"condition": [ "isl-7" ],
"comment": "For a description of how 2D coordinates are encoded, see [DICOM PS 3.3 C.18.6](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.18.6.html).",
"orderMeaning": "The values are an ordered set of (x, y) coordinates.",
"isSummary": false
}, {
"path": "ImagingSelection.imageRegion3D",
"requirements": "The referenced 3D image region must be in the coordinate system identified by the `frameOfReferenceUid` element",
"min": 0,
"definition": "Specifies a 3D image region, defined by a region type and a set of 3D coordinates.",
"isModifier": false,
"short": "A 3D region in a DICOM frame of reference",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "ImageRegion3D"
} ],
"max": "*",
"id": "ImagingSelection.imageRegion3D",
"condition": [ "isl-1", "isl-5", "isl-6", "isl-8" ],
"isSummary": false
}, {
"path": "ImagingSelection.imageRegion3D.regionType",
"min": 1,
"definition": "Specifies the type of image region.",
"isModifier": false,
"short": "point | multipoint | polyline | polygon | ellipse | ellipsoid",
"mapping": [ {
"map": "Graphic Type (0070,0023)",
"identity": "dicom"
} ],
"type": [ {
"code": "code"
} ],
"mustSupport": false,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/imagingselection-3dgraphictype|6.0.0-ballot4",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ImagingSelection3DGraphicType"
} ],
"description": "The type of image region."
},
"alias": [ "GraphicType" ],
"max": "1",
"id": "ImagingSelection.imageRegion3D.regionType",
"comment": "See [DICOM PS3.3 C.18.9.1.2](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.18.9.html#sect_C.18.9.1.2).",
"isSummary": false
}, {
"path": "ImagingSelection.imageRegion3D.coordinate",
"requirements": "The number of values SHALL be a multiple of three.",
"min": 1,
"definition": "The coordinates defining the image region. Encoded as an ordered set of (x,y,z) triplets (in mm and MAY be negative) that define a region of interest in the patient-relative Reference Coordinate System defined by ImagingSelection.frameOfReferenceUid element.",
"isModifier": false,
"short": "Specifies the coordinates that define the image region",
"mapping": [ {
"map": "Graphic Data (0070,0022)",
"identity": "dicom"
} ],
"type": [ {
"code": "decimal"
} ],
"mustSupport": false,
"alias": [ "GraphicData" ],
"max": "*",
"id": "ImagingSelection.imageRegion3D.coordinate",
"condition": [ "isl-8" ],
"comment": "For a description of how 3D coordinates are encoded, see [DICOM PS3.3 C.18.9](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.18.9.html).",
"orderMeaning": "The values are an ordered set of (x, y, z) coordinates.",
"isSummary": false
} ]
},
"contact": [ {
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/fiwg",
"system": "url"
} ]
}, {
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/imagemgt",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/DomainResource"
}