This page is part of the FHIR Specification (v5.0.0-snapshot1: R5 Snapshot #1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

10.5 Resource ImagingSelection - Content

Imaging Integration

Work Group

Maturity Level: 0

Trial Use

Security Category: Patient

Compartments: Patient

A selection of DICOM SOP instances and/or frames within a single Study and Series. This might include additional specifics such as an image region, an Observation UID or a Segmentation Number, allowing linkage to an Observation Resource or transferring this information along with the ImagingStudy Resource.

10.5.1 Scope and Usage

This resource is an event resource from a FHIR workflow perspective - see Workflow.

A selection of DICOM SOP instances and/or frames within a single Study and Series. This might include additional specifics such as an image region, an Observation UID or a Segmentation Number, allowing linkage to an Observation or transferring this information along with the ImagingStudy.

Note: DICOM SOP Instances can include images, videos, waveforms or documents.

Uses for ImagingSelection resources include:

Referencing a specific image, frame or region in an Observation
Referencing the set of images, frames or segments constituting a volume in an Observation
Referencing the set of image coordinates that relate to a measurement in an Observation
Linking a node in a DICOM Structured Report SOP Instance to an Observation
Specifying key images or presentation states in an ImagingStudy
Providing additional context to imaging applications in a context-sharing environment

All DICOM SOP Instances referenced shall be part of the same DICOM Series (and therefore also the same DICOM Study).

10.5.2 Boundaries and Relationships

An Observation might reference an ImagingSelection to specify the set of DICOM images, frames, waveforms or documents used to make the Observation. By contrast, an ImagingStudy might be referenced if the Observation does not depend on any specific set of images, frames, waveforms or documents.

>Additionally, an Observation might reference an ImagingSelection to specify an image region corresponding to the measurement value expressed in the Observation.

While an ImagingSelection is restricted to a single DICOM Study and Series, a single Observation might reference multiple ImagingSelection resources if it relates to multiple Studies and / or Series – for example, to reference multiple images over different cardiac phases or a PET and a CT image.

A DiagnosticReport might or might not directly reference an ImagingSelection but might include one or more Observations derived from ImagingSelection resources.

In contrast with a DocumentReference, an ImagingSelection includes the ability to specify a region within an image, an observation node within a DICOM Structured Reporting (SR) and the ability to specify one or more Endpoint resources for retrieval of the referenced images, frames, waveforms or documents. Additionally, DocumentReference has limited ability to reference multiple images or frames and can only specify the Study, Series and SOP Instance UIDs implicitly via the URL.

DocumentReference might still be appropriate for including a rendered DICOM image in cases where the full image context is not important.

10.5.3 References

No resources refer to this resource directly.

This resource implements the Event pattern.

Structure

Name	Flags	Card.	Type	Description & Constraints
ImagingSelection	TU		DomainResource	A selection of DICOM SOP instances and/or frames Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
identifier	Σ	0..*	Identifier	Business Identifier for Imaging Selection
basedOn	Σ	0..*	Reference(CarePlan \| ServiceRequest \| Appointment \| AppointmentResponse \| Task)	Associated request
subject	Σ	0..1	Reference(Patient \| Group \| Device \| Location \| Organization \| Procedure \| Practitioner \| Medication \| Substance \| Specimen)	Subject of the selected instances and / or frames
issued	Σ	0..1	instant	Date / Time when the selection of instances was made
performer	Σ	0..*	BackboneElement	Author (human or machine)
function	Σ	0..1	CodeableConcept	Type of performer ImagingStudy series performer function (Extensible)
actor	Σ	0..1	Reference(Practitioner \| PractitionerRole \| Device \| Organization \| CareTeam \| Patient \| RelatedPerson \| HealthcareService)	Author (human or machine)
code	Σ	1..1	CodeableConcept	Imaging Selection description text or code ImagingSelectionCode (Example)
studyUid	Σ	0..1	oid	DICOM Study Instance UID
derivedFrom	Σ	0..*	Reference(ImagingStudy)	The imaging study from which the imaging selection is derived
endpoint	Σ	0..*	Reference(Endpoint)	The network service providing retrieval for the images referenced in the imaging selection
seriesUid	Σ	0..1	oid	DICOM Series Instance UID
frameOfReferenceUid	Σ	0..1	oid	The Frame of Reference UID for the selected images
bodySite	Σ	0..1	Coding	Body part examined SNOMED CT Body Structures (Example)
instance	Σ	0..*	BackboneElement	The selected instances
uid	Σ	1..1	oid	DICOM SOP Instance UID
sopClass		0..1	Coding	DICOM SOP Class UID sopClass (Extensible)
frameList		0..1	string	List of selected frames encoded as a comma separated list of one or more non duplicate frame numbers
observationUid		0..*	oid	Selected observations in a DICOM SR
segmentList		0..1	string	List of selected segments encoded as a comma separated list of one or more non duplicate segnent numbers
roiList		0..1	string	List of selected regions of interest (ROI) encoded as a comma separated list of one or more non duplicate ROI numbers
imageRegion		0..1	BackboneElement	A specific region in a DICOM image / frame
regionType		1..1	code	POINT \| MULTIPOINT \| POLYLINE \| POLYGON \| ELLIPSE \| ELLIPSOID ImagingSelectionGraphicType (Required)
coordinateType		1..1	code	2d \| 3d ImagingSelectionCoordinateType (Required)
coordinates		1..*	decimal	Specifies the type of coordinates that define the image region 2d \| 3d
Documentation for this format

UML Diagram (Legend)

XML Template

<ImagingSelection xmlns="http://hl7.org/fhir"> 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier Business Identifier for Imaging Selection --></identifier>
 <basedOn><!-- 0..* Reference(Appointment|AppointmentResponse|CarePlan|
   ServiceRequest|Task) Associated request --></basedOn>
 <subject><!-- 0..1 Reference(Device|Group|Location|Medication|Organization|
   Patient|Practitioner|Procedure|Specimen|Substance) Subject of the selected instances and / or frames --></subject>
 <issued value="[instant]"/><!-- 0..1 Date / Time when the selection of instances was made -->
 <performer>  <!-- 0..* Author (human or machine) -->
  <function><!-- 0..1 CodeableConcept Type of performer --></function>
  <actor><!-- 0..1 Reference(CareTeam|Device|HealthcareService|Organization|
    Patient|Practitioner|PractitionerRole|RelatedPerson) Author (human or machine) --></actor>
 </performer>
 <code><!-- 1..1 CodeableConcept Imaging Selection description text or code  --></code>
 <studyUid value="[oid]"/><!-- 0..1 DICOM Study Instance UID -->
 <derivedFrom><!-- 0..* Reference(ImagingStudy) The imaging study from which the imaging selection is derived --></derivedFrom>
 <endpoint><!-- 0..* Reference(Endpoint) The network service providing retrieval for the images referenced in the imaging selection --></endpoint>
 <seriesUid value="[oid]"/><!-- 0..1 DICOM Series Instance UID -->
 <frameOfReferenceUid value="[oid]"/><!-- 0..1 The Frame of Reference UID for the selected images -->
 <bodySite><!-- 0..1 Coding Body part examined --></bodySite>
 <instance>  <!-- 0..* The selected instances -->
  <uid value="[oid]"/><!-- 1..1 DICOM SOP Instance UID -->
  <sopClass><!-- 0..1 Coding DICOM SOP Class UID  --></sopClass>
  <frameList value="[string]"/><!-- 0..1 List of selected frames encoded as a comma separated list of one or more non duplicate frame numbers -->
  <observationUid value="[oid]"/><!-- 0..* Selected observations in a DICOM SR -->
  <segmentList value="[string]"/><!-- 0..1 List of selected segments encoded as a comma separated list of one or more non duplicate segnent numbers -->
  <roiList value="[string]"/><!-- 0..1 List of selected regions of interest (ROI) encoded as a comma separated list of one or more non duplicate ROI numbers -->
 </instance>
 <imageRegion>  <!-- 0..1 A specific region in a DICOM image / frame -->
  <regionType value="[code]"/><!-- 1..1 POINT | MULTIPOINT | POLYLINE | POLYGON | ELLIPSE | ELLIPSOID -->
  <coordinateType value="[code]"/><!-- 1..1 2d | 3d -->
  <coordinates value="[decimal]"/><!-- 1..* Specifies the type of coordinates that define the image region 2d | 3d -->
 </imageRegion>
</ImagingSelection>

JSON Template

{
  "resourceType" : "ImagingSelection",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // Business Identifier for Imaging Selection
  "basedOn" : [{ Reference(Appointment|AppointmentResponse|CarePlan|
   ServiceRequest|Task) }], // Associated request
  "subject" : { Reference(Device|Group|Location|Medication|Organization|
   Patient|Practitioner|Procedure|Specimen|Substance) }, // Subject of the selected instances and / or frames
  "issued" : "<instant>", // Date / Time when the selection of instances was made
  "performer" : [{ // Author (human or machine)
    "function" : { CodeableConcept }, // Type of performer
    "actor" : { Reference(CareTeam|Device|HealthcareService|Organization|
    Patient|Practitioner|PractitionerRole|RelatedPerson) } // Author (human or machine)
  }],
  "code" : { CodeableConcept }, // R!  Imaging Selection description text or code 
  "studyUid" : "<oid>", // DICOM Study Instance UID
  "derivedFrom" : [{ Reference(ImagingStudy) }], // The imaging study from which the imaging selection is derived
  "endpoint" : [{ Reference(Endpoint) }], // The network service providing retrieval for the images referenced in the imaging selection
  "seriesUid" : "<oid>", // DICOM Series Instance UID
  "frameOfReferenceUid" : "<oid>", // The Frame of Reference UID for the selected images
  "bodySite" : { Coding }, // Body part examined
  "instance" : [{ // The selected instances
    "uid" : "<oid>", // R!  DICOM SOP Instance UID
    "sopClass" : { Coding }, // DICOM SOP Class UID 
    "frameList" : "<string>", // List of selected frames encoded as a comma separated list of one or more non duplicate frame numbers
    "observationUid" : ["<oid>"], // Selected observations in a DICOM SR
    "segmentList" : "<string>", // List of selected segments encoded as a comma separated list of one or more non duplicate segnent numbers
    "roiList" : "<string>" // List of selected regions of interest (ROI) encoded as a comma separated list of one or more non duplicate ROI numbers
  }],
  "imageRegion" : { // A specific region in a DICOM image / frame
    "regionType" : "<code>", // R!  POINT | MULTIPOINT | POLYLINE | POLYGON | ELLIPSE | ELLIPSOID
    "coordinateType" : "<code>", // R!  2d | 3d
    "coordinates" : [<decimal>] // R!  Specifies the type of coordinates that define the image region 2d | 3d
  }
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .


[ a fhir:ImagingSelection;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:ImagingSelection.identifier [ Identifier ], ... ; # 0..* Business Identifier for Imaging Selection
  fhir:ImagingSelection.basedOn [ Reference(Appointment|AppointmentResponse|CarePlan|ServiceRequest|Task) ], ... ; # 0..* Associated request
  fhir:ImagingSelection.subject [ Reference(Device|Group|Location|Medication|Organization|Patient|Practitioner|Procedure|
  Specimen|Substance) ]; # 0..1 Subject of the selected instances and / or frames
  fhir:ImagingSelection.issued [ instant ]; # 0..1 Date / Time when the selection of instances was made
  fhir:ImagingSelection.performer [ # 0..* Author (human or machine)
    fhir:ImagingSelection.performer.function [ CodeableConcept ]; # 0..1 Type of performer
    fhir:ImagingSelection.performer.actor [ Reference(CareTeam|Device|HealthcareService|Organization|Patient|Practitioner|
  PractitionerRole|RelatedPerson) ]; # 0..1 Author (human or machine)
  ], ...;
  fhir:ImagingSelection.code [ CodeableConcept ]; # 1..1 Imaging Selection description text or code
  fhir:ImagingSelection.studyUid [ oid ]; # 0..1 DICOM Study Instance UID
  fhir:ImagingSelection.derivedFrom [ Reference(ImagingStudy) ], ... ; # 0..* The imaging study from which the imaging selection is derived
  fhir:ImagingSelection.endpoint [ Reference(Endpoint) ], ... ; # 0..* The network service providing retrieval for the images referenced in the imaging selection
  fhir:ImagingSelection.seriesUid [ oid ]; # 0..1 DICOM Series Instance UID
  fhir:ImagingSelection.frameOfReferenceUid [ oid ]; # 0..1 The Frame of Reference UID for the selected images
  fhir:ImagingSelection.bodySite [ Coding ]; # 0..1 Body part examined
  fhir:ImagingSelection.instance [ # 0..* The selected instances
    fhir:ImagingSelection.instance.uid [ oid ]; # 1..1 DICOM SOP Instance UID
    fhir:ImagingSelection.instance.sopClass [ Coding ]; # 0..1 DICOM SOP Class UID
    fhir:ImagingSelection.instance.frameList [ string ]; # 0..1 List of selected frames encoded as a comma separated list of one or more non duplicate frame numbers
    fhir:ImagingSelection.instance.observationUid [ oid ], ... ; # 0..* Selected observations in a DICOM SR
    fhir:ImagingSelection.instance.segmentList [ string ]; # 0..1 List of selected segments encoded as a comma separated list of one or more non duplicate segnent numbers
    fhir:ImagingSelection.instance.roiList [ string ]; # 0..1 List of selected regions of interest (ROI) encoded as a comma separated list of one or more non duplicate ROI numbers
  ], ...;
  fhir:ImagingSelection.imageRegion [ # 0..1 A specific region in a DICOM image / frame
    fhir:ImagingSelection.imageRegion.regionType [ code ]; # 1..1 POINT | MULTIPOINT | POLYLINE | POLYGON | ELLIPSE | ELLIPSOID
    fhir:ImagingSelection.imageRegion.coordinateType [ code ]; # 1..1 2d | 3d
    fhir:ImagingSelection.imageRegion.coordinates [ decimal ], ... ; # 1..* Specifies the type of coordinates that define the image region 2d | 3d
  ];
]

Changes since R3

This resource did not exist in Release 2

This analysis is available as XML or JSON.

Structure

Name	Flags	Card.	Type	Description & Constraints
ImagingSelection	TU		DomainResource	A selection of DICOM SOP instances and/or frames Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
identifier	Σ	0..*	Identifier	Business Identifier for Imaging Selection
basedOn	Σ	0..*	Reference(CarePlan \| ServiceRequest \| Appointment \| AppointmentResponse \| Task)	Associated request
subject	Σ	0..1	Reference(Patient \| Group \| Device \| Location \| Organization \| Procedure \| Practitioner \| Medication \| Substance \| Specimen)	Subject of the selected instances and / or frames
issued	Σ	0..1	instant	Date / Time when the selection of instances was made
performer	Σ	0..*	BackboneElement	Author (human or machine)
function	Σ	0..1	CodeableConcept	Type of performer ImagingStudy series performer function (Extensible)
actor	Σ	0..1	Reference(Practitioner \| PractitionerRole \| Device \| Organization \| CareTeam \| Patient \| RelatedPerson \| HealthcareService)	Author (human or machine)
code	Σ	1..1	CodeableConcept	Imaging Selection description text or code ImagingSelectionCode (Example)
studyUid	Σ	0..1	oid	DICOM Study Instance UID
derivedFrom	Σ	0..*	Reference(ImagingStudy)	The imaging study from which the imaging selection is derived
endpoint	Σ	0..*	Reference(Endpoint)	The network service providing retrieval for the images referenced in the imaging selection
seriesUid	Σ	0..1	oid	DICOM Series Instance UID
frameOfReferenceUid	Σ	0..1	oid	The Frame of Reference UID for the selected images
bodySite	Σ	0..1	Coding	Body part examined SNOMED CT Body Structures (Example)
instance	Σ	0..*	BackboneElement	The selected instances
uid	Σ	1..1	oid	DICOM SOP Instance UID
sopClass		0..1	Coding	DICOM SOP Class UID sopClass (Extensible)
frameList		0..1	string	List of selected frames encoded as a comma separated list of one or more non duplicate frame numbers
observationUid		0..*	oid	Selected observations in a DICOM SR
segmentList		0..1	string	List of selected segments encoded as a comma separated list of one or more non duplicate segnent numbers
roiList		0..1	string	List of selected regions of interest (ROI) encoded as a comma separated list of one or more non duplicate ROI numbers
imageRegion		0..1	BackboneElement	A specific region in a DICOM image / frame
regionType		1..1	code	POINT \| MULTIPOINT \| POLYLINE \| POLYGON \| ELLIPSE \| ELLIPSOID ImagingSelectionGraphicType (Required)
coordinateType		1..1	code	2d \| 3d ImagingSelectionCoordinateType (Required)
coordinates		1..*	decimal	Specifies the type of coordinates that define the image region 2d \| 3d
Documentation for this format

UML Diagram (Legend)

XML Template

<ImagingSelection xmlns="http://hl7.org/fhir"> 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier Business Identifier for Imaging Selection --></identifier>
 <basedOn><!-- 0..* Reference(Appointment|AppointmentResponse|CarePlan|
   ServiceRequest|Task) Associated request --></basedOn>
 <subject><!-- 0..1 Reference(Device|Group|Location|Medication|Organization|
   Patient|Practitioner|Procedure|Specimen|Substance) Subject of the selected instances and / or frames --></subject>
 <issued value="[instant]"/><!-- 0..1 Date / Time when the selection of instances was made -->
 <performer>  <!-- 0..* Author (human or machine) -->
  <function><!-- 0..1 CodeableConcept Type of performer --></function>
  <actor><!-- 0..1 Reference(CareTeam|Device|HealthcareService|Organization|
    Patient|Practitioner|PractitionerRole|RelatedPerson) Author (human or machine) --></actor>
 </performer>
 <code><!-- 1..1 CodeableConcept Imaging Selection description text or code  --></code>
 <studyUid value="[oid]"/><!-- 0..1 DICOM Study Instance UID -->
 <derivedFrom><!-- 0..* Reference(ImagingStudy) The imaging study from which the imaging selection is derived --></derivedFrom>
 <endpoint><!-- 0..* Reference(Endpoint) The network service providing retrieval for the images referenced in the imaging selection --></endpoint>
 <seriesUid value="[oid]"/><!-- 0..1 DICOM Series Instance UID -->
 <frameOfReferenceUid value="[oid]"/><!-- 0..1 The Frame of Reference UID for the selected images -->
 <bodySite><!-- 0..1 Coding Body part examined --></bodySite>
 <instance>  <!-- 0..* The selected instances -->
  <uid value="[oid]"/><!-- 1..1 DICOM SOP Instance UID -->
  <sopClass><!-- 0..1 Coding DICOM SOP Class UID  --></sopClass>
  <frameList value="[string]"/><!-- 0..1 List of selected frames encoded as a comma separated list of one or more non duplicate frame numbers -->
  <observationUid value="[oid]"/><!-- 0..* Selected observations in a DICOM SR -->
  <segmentList value="[string]"/><!-- 0..1 List of selected segments encoded as a comma separated list of one or more non duplicate segnent numbers -->
  <roiList value="[string]"/><!-- 0..1 List of selected regions of interest (ROI) encoded as a comma separated list of one or more non duplicate ROI numbers -->
 </instance>
 <imageRegion>  <!-- 0..1 A specific region in a DICOM image / frame -->
  <regionType value="[code]"/><!-- 1..1 POINT | MULTIPOINT | POLYLINE | POLYGON | ELLIPSE | ELLIPSOID -->
  <coordinateType value="[code]"/><!-- 1..1 2d | 3d -->
  <coordinates value="[decimal]"/><!-- 1..* Specifies the type of coordinates that define the image region 2d | 3d -->
 </imageRegion>
</ImagingSelection>

JSON Template

{
  "resourceType" : "ImagingSelection",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // Business Identifier for Imaging Selection
  "basedOn" : [{ Reference(Appointment|AppointmentResponse|CarePlan|
   ServiceRequest|Task) }], // Associated request
  "subject" : { Reference(Device|Group|Location|Medication|Organization|
   Patient|Practitioner|Procedure|Specimen|Substance) }, // Subject of the selected instances and / or frames
  "issued" : "<instant>", // Date / Time when the selection of instances was made
  "performer" : [{ // Author (human or machine)
    "function" : { CodeableConcept }, // Type of performer
    "actor" : { Reference(CareTeam|Device|HealthcareService|Organization|
    Patient|Practitioner|PractitionerRole|RelatedPerson) } // Author (human or machine)
  }],
  "code" : { CodeableConcept }, // R!  Imaging Selection description text or code 
  "studyUid" : "<oid>", // DICOM Study Instance UID
  "derivedFrom" : [{ Reference(ImagingStudy) }], // The imaging study from which the imaging selection is derived
  "endpoint" : [{ Reference(Endpoint) }], // The network service providing retrieval for the images referenced in the imaging selection
  "seriesUid" : "<oid>", // DICOM Series Instance UID
  "frameOfReferenceUid" : "<oid>", // The Frame of Reference UID for the selected images
  "bodySite" : { Coding }, // Body part examined
  "instance" : [{ // The selected instances
    "uid" : "<oid>", // R!  DICOM SOP Instance UID
    "sopClass" : { Coding }, // DICOM SOP Class UID 
    "frameList" : "<string>", // List of selected frames encoded as a comma separated list of one or more non duplicate frame numbers
    "observationUid" : ["<oid>"], // Selected observations in a DICOM SR
    "segmentList" : "<string>", // List of selected segments encoded as a comma separated list of one or more non duplicate segnent numbers
    "roiList" : "<string>" // List of selected regions of interest (ROI) encoded as a comma separated list of one or more non duplicate ROI numbers
  }],
  "imageRegion" : { // A specific region in a DICOM image / frame
    "regionType" : "<code>", // R!  POINT | MULTIPOINT | POLYLINE | POLYGON | ELLIPSE | ELLIPSOID
    "coordinateType" : "<code>", // R!  2d | 3d
    "coordinates" : [<decimal>] // R!  Specifies the type of coordinates that define the image region 2d | 3d
  }
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .


[ a fhir:ImagingSelection;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:ImagingSelection.identifier [ Identifier ], ... ; # 0..* Business Identifier for Imaging Selection
  fhir:ImagingSelection.basedOn [ Reference(Appointment|AppointmentResponse|CarePlan|ServiceRequest|Task) ], ... ; # 0..* Associated request
  fhir:ImagingSelection.subject [ Reference(Device|Group|Location|Medication|Organization|Patient|Practitioner|Procedure|
  Specimen|Substance) ]; # 0..1 Subject of the selected instances and / or frames
  fhir:ImagingSelection.issued [ instant ]; # 0..1 Date / Time when the selection of instances was made
  fhir:ImagingSelection.performer [ # 0..* Author (human or machine)
    fhir:ImagingSelection.performer.function [ CodeableConcept ]; # 0..1 Type of performer
    fhir:ImagingSelection.performer.actor [ Reference(CareTeam|Device|HealthcareService|Organization|Patient|Practitioner|
  PractitionerRole|RelatedPerson) ]; # 0..1 Author (human or machine)
  ], ...;
  fhir:ImagingSelection.code [ CodeableConcept ]; # 1..1 Imaging Selection description text or code
  fhir:ImagingSelection.studyUid [ oid ]; # 0..1 DICOM Study Instance UID
  fhir:ImagingSelection.derivedFrom [ Reference(ImagingStudy) ], ... ; # 0..* The imaging study from which the imaging selection is derived
  fhir:ImagingSelection.endpoint [ Reference(Endpoint) ], ... ; # 0..* The network service providing retrieval for the images referenced in the imaging selection
  fhir:ImagingSelection.seriesUid [ oid ]; # 0..1 DICOM Series Instance UID
  fhir:ImagingSelection.frameOfReferenceUid [ oid ]; # 0..1 The Frame of Reference UID for the selected images
  fhir:ImagingSelection.bodySite [ Coding ]; # 0..1 Body part examined
  fhir:ImagingSelection.instance [ # 0..* The selected instances
    fhir:ImagingSelection.instance.uid [ oid ]; # 1..1 DICOM SOP Instance UID
    fhir:ImagingSelection.instance.sopClass [ Coding ]; # 0..1 DICOM SOP Class UID
    fhir:ImagingSelection.instance.frameList [ string ]; # 0..1 List of selected frames encoded as a comma separated list of one or more non duplicate frame numbers
    fhir:ImagingSelection.instance.observationUid [ oid ], ... ; # 0..* Selected observations in a DICOM SR
    fhir:ImagingSelection.instance.segmentList [ string ]; # 0..1 List of selected segments encoded as a comma separated list of one or more non duplicate segnent numbers
    fhir:ImagingSelection.instance.roiList [ string ]; # 0..1 List of selected regions of interest (ROI) encoded as a comma separated list of one or more non duplicate ROI numbers
  ], ...;
  fhir:ImagingSelection.imageRegion [ # 0..1 A specific region in a DICOM image / frame
    fhir:ImagingSelection.imageRegion.regionType [ code ]; # 1..1 POINT | MULTIPOINT | POLYLINE | POLYGON | ELLIPSE | ELLIPSOID
    fhir:ImagingSelection.imageRegion.coordinateType [ code ]; # 1..1 2d | 3d
    fhir:ImagingSelection.imageRegion.coordinates [ decimal ], ... ; # 1..* Specifies the type of coordinates that define the image region 2d | 3d
  ];
]

Changes since Release 3

This resource did not exist in Release 2

This analysis is available as XML or JSON.

See the Profiles & Extensions and the alternate definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) + see the extensions, the spreadsheet version & the dependency analysis a

10.5.4.1 Terminology Bindings

Path	Type	Reference
ImagingSelection.performer.function	Extensible	ImagingStudySeriesPerformerFunction
ImagingSelection.code	Example	http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html
ImagingSelection.bodySite	Example	SNOMEDCTBodyStructures
ImagingSelection.instance.sopClass	Extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
ImagingSelection.imageRegion.regionType	Required	ImagingSelectionGraphicType
ImagingSelection.imageRegion.coordinateType	Required	ImagingSelectionCoordinateType

Path

Definition

Type

Reference

ImagingSelection.performer.function

Extensible

ImagingStudySeriesPerformerFunction

ImagingSelection.code

Example

http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html

ImagingSelection.bodySite

Example

SNOMEDCTBodyStructures

ImagingSelection.instance.sopClass

Extensible

http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

ImagingSelection.imageRegion.regionType

Required

ImagingSelectionGraphicType

ImagingSelection.imageRegion.coordinateType

Required

ImagingSelectionCoordinateType

10.5.4.2 Implementation Notes

TODO

10.5.5 Search Parameters

Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

Name	Type	Description	Expression	In Common
based-on	reference	The request associated with an imaging selection	ImagingSelection.basedOn (Appointment, AppointmentResponse, CarePlan, Task, ServiceRequest)
body-site	token	The body site associated with the imaging selection	ImagingSelection.bodySite
code	token	The imaging selection description text or code	ImagingSelection.code
derived-from	reference	The imaging study from which the imaging selection was derived	ImagingSelection.derivedFrom (ImagingStudy)
identifier	token	Identifiers for the imaging selection	ImagingSelection.identifier
issued N	date	The date / time the imaging selection was created	ImagingSelection.issued
patient	reference	Who the study is about	ImagingSelection.subject.where(resolve() is Patient) (Practitioner, Group, Specimen, Organization, Device, Medication, Patient, Procedure, Substance, Location)
study-uid	uri	The DICOM Study Instance UID from which the images were selected	ImagingSelection.studyUid
subject	reference	The subject of the Imaging Selection, such as the associated Patient	ImagingSelection.subject (Practitioner, Group, Specimen, Organization, Device, Medication, Patient, Procedure, Substance, Location)