A manifest of a set of DICOM Service-Object Pair Instances (SOP Instances). The referenced SOP Instances (images or other content) are for a single patient, and may be from one or more studies. The referenced SOP Instances have been selected for a purpose, such as quality assurance, conference, or consult. Reflecting that range of purposes, typical ImagingObjectSelection resources may include all SOP Instances in a study (perhaps for sharing through a Health Information Exchange); key images from multiple studies (for reference by a referring or treating physician); a multi-frame ultrasound instance ("cine" video clip) and a set of measurements taken from that instance (for inclusion in a teaching file); and so on.

A FHIR representation of DICOM Key Object Selection (KOS) SOP Instances enables access to a set of selected DICOM SOP Instances.

Instance UID of the DICOM KOS SOP Instances represented in this resource.

DICOM SOP Instance is always assigned with a unique identifier (UID).

A patient resource reference which is the patient subject of all DICOM SOP Instances in this ImagingObjectSelection.

SOP Instances in ImagingObjectSelection must be from the same patient.

SOP instances selected in the ImagingObjectSelection can be from different studies, but must be of the same patient.

Date and time when the selection of the referenced instances were made. It is (typically) different from the creation date of the selection resource, and from dates associated with the referenced instances (e.g. capture time of the referenced image).

Date and time when the selection was made can be important to understand the content of selection.

Author of ImagingObjectSelection. It can be a human author or a device which made the decision of the SOP instances selected. For example, a radiologist selected a set of imaging SOP instances to attach in a diagnostic report, and a CAD application may author a selection to describe SOP instances it used to generate a detection conclusion.

Track the selection decision maker.

The reason for, or significance of, the selection of objects referenced in the resource.

Need to represent the application purpose that the SOP instances in ImagingObjectSelection are selected for.

Coded concept of kind of the ImagingObjectSelection. Value set is defined in the DICOM standard Part 16, CID-7010.

Text description of the DICOM SOP instances selected in the ImagingObjectSelection. This should be aligned with the content of the title element, and can provide further explanation of the SOP instances in the selection.

Need to provide a narrative description of the SOP instances in the selection.

Free text narrative description of the ImagingObjectSelection.

Study identity and locating information of the DICOM SOP instances in the selection.

DICOM SOP instances are identified through the UIDs of the study - series - instance hierarchy. In addition, the locator at the study level provide a means of retrieving the entire study.

Study component represents the study level identity and locator information of the DICOM SOP instances in the selection. It is the top level identity of the hierachical identification of the instances.

Study instance UID of the SOP instances in the selection.

Study instance UID is required to fully identify the DICOM SOP instances in the selection.

WADO-RS URL to retrieve the study. Note that this URL retrieves all SOP instances of the study, not only those in the selection.

WADO-RS URL enables retrieval of the entire study using DICOM WADO-RS API.

Study level locator information is optional. If provided, this is the URL to retrieve the entire study with WADO-RS interaction, though only a subset of these are selected in the selection.

Reference to the Imaging Study in FHIR form.

Used to retrieve the ImagingStudy that contain the images referenced in the Imaging ObjectSelection.study.

Series identity and locating information of the DICOM SOP instances in the selection.

DICOM SOP instances are identified through the UIDs of the study - series - instance hierarchy. In addition, the locator at the series level provide a means of retrieving the entire series.

Series component represents the series level identity and locator information of the DICOM SOP instances in the selection.

Series instance UID of the SOP instances in the selection.

Series instance UID is required to fully identify the DICOM SOP instances in the selection.

WADO-RS URL to retrieve the series. Note that this URL retrieves all SOP instances of the series not only those in the selection.

WADO-RS URL enables retrieval of the entire series using DICOM WADO-RS API.

Series level locator information is optional. If provided, this is the URL to retrieve the entire series with WADO-RS interaction, though only a subset of these are selected in the selection.

Identity and locating information of the selected DICOM SOP instances.

DICOM SOP instances are identified through the UIDs of the study - series - instance hierarchy. This is the instance level identity of the instance in the selection.

SOP Instance component identify the instance selected, along with the study and series identities to form the DICOM identity hierachy.

SOP class UID of the selected instance.

DICOM SOP instances can be an image or other data object. The SOP class UID provide the accurate information about what type the instance is.

SOP class UID identifies the type of the selected instances, e.g. CT image, Gray scale softcopy presentation state, ECG waveform, etc.

SOP Instance UID of the selected instance.

SOP instance UID is required to fully identify the DICOM SOP instance in the selection.

SOP instance UID identifies the instance.

WADO-RS URL to retrieve the DICOM SOP Instance.

WADO-RS URL enables retrieval of the SOP instance using DICOM WADO-RS API.

Instance level locator information is required.

Identity and location information of the frames in the selected instance.

The specific set of frames referenced in this imaging object selection. The URL retrieves the pixel data, and is encapsulated in a multipart MIME response.

This component may be used if the referenced image SOP Instance is a multi-frame image.

The specific frame reference within a multi-frame object.

One or more non-duplicate frame numbers in the selected instance.

WADO-RS URL to retrieve the DICOM frames.

WADO-RS URL enables retrieval of the frames using DICOM WADO-RS API.

Frame level locator information is required.