Release 5 Snapshot #1
DiagnosticsThis page is part of the FHIR Specification (v5.0.0-snapshot1: Release 5 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 
| Imaging Integration Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Patient |
Raw JSON (canonical form + also see JSON Format Specification)
StructureDefinition for imagingselection
{
"resourceType" : "StructureDefinition",
"id" : "ImagingSelection",
"meta" : {
"lastUpdated" : "2021-12-19T08:15:41.873+11:00"
},
"text" : {
"status" : "generated",
"div" : "<div>!-- Snipped for Brevity --></div>"
},
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
"valueString" : "Clinical.Diagnostics"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "trial-use"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 0
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
"valueCode" : "patient"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "ii"
}],
"url" : "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
"version" : "5.0.0-snapshot1",
"name" : "ImagingSelection",
"status" : "draft",
"date" : "2021-12-19T08:15:41+11:00",
"publisher" : "Health Level Seven International (Imaging Integration)",
"contact" : [{
"telecom" : [{
"system" : "url",
"value" : "http://hl7.org/fhir"
}]
},
{
"telecom" : [{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/imagemgt/index.cfm"
}]
}],
"description" : "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.",
"fhirVersion" : "5.0.0-snapshot1",
"mapping" : [{
"identity" : "workflow",
"uri" : "http://hl7.org/fhir/workflow",
"name" : "Workflow Pattern"
},
{
"identity" : "dicom",
"uri" : "http://nema.org/dicom",
"name" : "DICOM Tag Mapping"
},
{
"identity" : "w5",
"uri" : "http://hl7.org/fhir/fivews",
"name" : "FiveWs Pattern Mapping"
},
{
"identity" : "rim",
"uri" : "http://hl7.org/v3",
"name" : "RIM Mapping"
}],
"kind" : "resource",
"abstract" : false,
"type" : "ImagingSelection",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
"derivation" : "specialization",
"snapshot" : {
"element" : [{
"id" : "ImagingSelection",
"path" : "ImagingSelection",
"short" : "A selection of DICOM SOP instances and/or frames",
"definition" : "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.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ImagingSelection",
"min" : 0,
"max" : "*"
},
"constraint" : [{
"key" : "dom-2",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression" : "contained.contained.empty()",
"xpath" : "not(parent::f:contained and f:contained)",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-3",
"severity" : "error",
"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",
"expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
"xpath" : "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-4",
"severity" : "error",
"human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-5",
"severity" : "error",
"human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression" : "contained.meta.security.empty()",
"xpath" : "not(exists(f:contained/*/f:meta/f:security))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"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."
}],
"key" : "dom-6",
"severity" : "warning",
"human" : "A resource should have narrative for robust management",
"expression" : "text.`div`.exists()",
"xpath" : "exists(f:text/h:div)",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "workflow",
"map" : "Event"
},
{
"identity" : "dicom",
"map" : "Reference DICOM PS 3 Table 10-3b"
},
{
"identity" : "w5",
"map" : "clinical.diagnostics"
}]
},
{
"id" : "ImagingSelection.id",
"path" : "ImagingSelection.id",
"short" : "Logical id of this artifact",
"definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment" : "Typically, the resource has an id except for cases like the create operation, conditional updates.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.id",
"min" : 0,
"max" : "1"
},
"type" : [{
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "id"
}],
"code" : "http://hl7.org/fhirpath/System.String"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true
},
{
"id" : "ImagingSelection.meta",
"path" : "ImagingSelection.meta",
"short" : "Metadata about the resource",
"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.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.meta",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "Meta"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true
},
{
"id" : "ImagingSelection.implicitRules",
"path" : "ImagingSelection.implicitRules",
"short" : "A set of rules under which this content was created",
"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.",
"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 it's narrative along with other profiles, value sets, etc.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.implicitRules",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "uri"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : true,
"isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary" : true
},
{
"id" : "ImagingSelection.language",
"path" : "ImagingSelection.language",
"short" : "Language of the resource content",
"definition" : "The base language in which the resource is written.",
"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).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.language",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "code"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "Language"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean" : true
}],
"strength" : "preferred",
"description" : "IETF language tag",
"valueSet" : "http://hl7.org/fhir/ValueSet/languages"
}
},
{
"id" : "ImagingSelection.text",
"path" : "ImagingSelection.text",
"short" : "Text summary of the resource, for human interpretation",
"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.",
"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.",
"alias" : ["narrative",
"html",
"xhtml",
"display"],
"min" : 0,
"max" : "1",
"base" : {
"path" : "DomainResource.text",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "Narrative"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "Act.text?"
}]
},
{
"id" : "ImagingSelection.contained",
"path" : "ImagingSelection.contained",
"short" : "Contained, inline Resources",
"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.",
"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.",
"alias" : ["inline resources",
"anonymous resources",
"contained resources"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.contained",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Resource"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "ImagingSelection.extension",
"path" : "ImagingSelection.extension",
"short" : "Additional content defined by implementations",
"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : ["extensions",
"user content"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "ImagingSelection.modifierExtension",
"path" : "ImagingSelection.modifierExtension",
"short" : "Extensions that cannot be ignored",
"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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).",
"alias" : ["extensions",
"user content"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"mustSupport" : false,
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "ImagingSelection.identifier",
"path" : "ImagingSelection.identifier",
"short" : "Business Identifier for Imaging Selection",
"definition" : "A unique identifier assigned to this imaging selection.",
"comment" : "This is a business identifier, not a resource identifier -- see discussion under [Business Identifiers](resource.html#identifiers). ",
"requirements" : "Allows imaging selections to be distinguished and referenced.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ImagingSelection.identifier",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Identifier"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Event.identifier"
},
{
"identity" : "w5",
"map" : "FiveWs.identifier"
}]
},
{
"id" : "ImagingSelection.basedOn",
"path" : "ImagingSelection.basedOn",
"short" : "Associated request",
"definition" : "A list of the diagnostic requests that resulted in this imaging selection being performed.",
"alias" : ["AccessionNumber"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "ImagingSelection.basedOn",
"min" : 0,
"max" : "*"
},
"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/AppointmentResponse",
"http://hl7.org/fhir/StructureDefinition/Task"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Event.basedOn"
},
{
"identity" : "w5",
"map" : "FiveWs.cause"
},
{
"identity" : "dicom",
"map" : "Accession Number and Issuer (0080,0050)+(0080,0051)"
}]
},
{
"id" : "ImagingSelection.subject",
"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"
}],
"path" : "ImagingSelection.subject",
"short" : "Subject of the selected instances and / or frames",
"definition" : "The patient, or group of patients, location, device, organization, procedure or practitioner this imaging selection is about and into whose or what record the imaging selection is placed.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ImagingSelection.subject",
"min" : 0,
"max" : "1"
},
"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/Location",
"http://hl7.org/fhir/StructureDefinition/Organization",
"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"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Event.subject"
},
{
"identity" : "w5",
"map" : "FiveWs.subject[x]"
},
{
"identity" : "dicom",
"map" : "(0010/*)"
},
{
"identity" : "w5",
"map" : "FiveWs.subject"
}]
},
{
"id" : "ImagingSelection.issued",
"path" : "ImagingSelection.issued",
"short" : "Date / Time when the selection of instances was made",
"definition" : "The date and time this imaging selection was created.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ImagingSelection.issued",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "instant"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "w5",
"map" : "FiveWs.recorded"
}]
},
{
"id" : "ImagingSelection.performer",
"path" : "ImagingSelection.performer",
"short" : "Author (human or machine)",
"definition" : "Author – human or machine.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ImagingSelection.performer",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "BackboneElement"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Event.performer.actor"
},
{
"identity" : "w5",
"map" : "FiveWs.actor"
},
{
"identity" : "dicom",
"map" : "(0008, 1050) | (0008, 1052) | (0008, 1070) | (0008, 1072)"
}]
},
{
"id" : "ImagingSelection.performer.id",
"path" : "ImagingSelection.performer.id",
"representation" : ["xmlAttr"],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [{
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "id"
}],
"code" : "http://hl7.org/fhirpath/System.String"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "ImagingSelection.performer.extension",
"path" : "ImagingSelection.performer.extension",
"short" : "Additional content defined by implementations",
"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : ["extensions",
"user content"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "ImagingSelection.performer.modifierExtension",
"path" : "ImagingSelection.performer.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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).",
"alias" : ["extensions",
"user content",
"modifiers"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "ImagingSelection.performer.function",
"path" : "ImagingSelection.performer.function",
"short" : "Type of performer",
"definition" : "Distinguishes the type of involvement of the performer.",
"requirements" : "Allows disambiguation of the types and involvement of different performers.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ImagingSelection.performer.function",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "CodeableConcept"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "EventPerformerFunction"
}],
"strength" : "extensible",
"description" : "The type of involvement of the performer.",
"valueSet" : "http://hl7.org/fhir/ValueSet/series-performer-function"
}
},
{
"id" : "ImagingSelection.performer.actor",
"path" : "ImagingSelection.performer.actor",
"short" : "Author (human or machine)",
"definition" : "Author – human or machine.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ImagingSelection.performer.actor",
"min" : 0,
"max" : "1"
},
"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"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true
},
{
"id" : "ImagingSelection.code",
"path" : "ImagingSelection.code",
"short" : "Imaging Selection description text or code",
"definition" : "Describes the imaging selection.",
"comment" : "*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.",
"requirements" : "Knowing what kind of observation is being made is essential to understanding the observation.",
"alias" : ["Description"],
"min" : 1,
"max" : "1",
"base" : {
"path" : "ImagingSelection.code",
"min" : 1,
"max" : "1"
},
"type" : [{
"code" : "CodeableConcept"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ImagingSelectionCode"
}],
"strength" : "example",
"description" : "Key Object Selection Document Title.",
"valueSet" : "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html"
},
"mapping" : [{
"identity" : "dicom",
"map" : "Concept Name Code Sequence (0040,A043)"
}]
},
{
"id" : "ImagingSelection.studyUid",
"path" : "ImagingSelection.studyUid",
"short" : "DICOM Study Instance UID",
"definition" : "The Study Instance UID for the DICOM Study from which the images were selected.",
"comment" : "See [DICOM PS3.3 C.7.2](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html).",
"requirements" : "DICOM Study Instance UID. Required unless frameOfReferenceUid and imageRegion are present.",
"alias" : ["StudyInstanceUID"],
"min" : 0,
"max" : "1",
"base" : {
"path" : "ImagingSelection.studyUid",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "oid"
}],
"example" : [{
"label" : "General",
"valueId" : "urn:oid:1.2.840.113747.20080222.12753225430534207565993148475333748793"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "dicom",
"map" : "Study Instance UID (0020,000D)"
}]
},
{
"id" : "ImagingSelection.derivedFrom",
"path" : "ImagingSelection.derivedFrom",
"short" : "The imaging study from which the imaging selection is derived",
"definition" : "The imaging study from which the imaging selection is made.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ImagingSelection.derivedFrom",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ImagingStudy"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true
},
{
"id" : "ImagingSelection.endpoint",
"path" : "ImagingSelection.endpoint",
"short" : "The network service providing retrieval for the images referenced in the imaging selection",
"definition" : "The network service providing retrieval access to the selected images, frames, etc. See implementation notes for information about using DICOM endpoints.",
"comment" : "Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG) formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach.",
"requirements" : "Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the selected images, frames, etc.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ImagingSelection.endpoint",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Endpoint"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true
},
{
"id" : "ImagingSelection.seriesUid",
"path" : "ImagingSelection.seriesUid",
"short" : "DICOM Series Instance UID",
"definition" : "The Series Instance UID for the DICOM Series from which the images were selected.",
"comment" : "See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.3.html).",
"requirements" : "DICOM Series Instance UID. Required unless frameOfReferenceUid and imageRegion are present.",
"alias" : ["SeriesInstanceUID"],
"min" : 0,
"max" : "1",
"base" : {
"path" : "ImagingSelection.seriesUid",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "oid"
}],
"example" : [{
"label" : "General",
"valueId" : "urn:oid:1.2.840.113747.20080222.12753225430534207565993148475333748793.1"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "dicom",
"map" : "Series Instance UID (0020,000E)"
}]
},
{
"id" : "ImagingSelection.frameOfReferenceUid",
"path" : "ImagingSelection.frameOfReferenceUid",
"short" : "The Frame of Reference UID for the selected images",
"definition" : "The Frame of Reference UID identifying the coordinate system that conveys spatial and/or temporal information for the selected images or frames.",
"comment" : "See [DICOM PS3.3 C.7.4.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.4.html).",
"requirements" : "DICOM Frame of Reference UID. Required if studyInstanceUid and seriesInstanceUid are not present.",
"alias" : ["FrameOfReferenceUID"],
"min" : 0,
"max" : "1",
"base" : {
"path" : "ImagingSelection.frameOfReferenceUid",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "oid"
}],
"example" : [{
"label" : "General",
"valueId" : "urn:oid:1.2.840.113747.20080222.12753225430534207565993148475333748793.2"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "dicom",
"map" : "Frame of Reference UID (0020,0052)"
}]
},
{
"id" : "ImagingSelection.bodySite",
"path" : "ImagingSelection.bodySite",
"short" : "Body part examined",
"definition" : "The anatomic structures examined. See DICOM Part 16 Annex L (http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings.",
"alias" : ["BodyPartExamined"],
"min" : 0,
"max" : "1",
"base" : {
"path" : "ImagingSelection.bodySite",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "Coding"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "BodySite"
}],
"strength" : "example",
"description" : "SNOMED CT Body site concepts",
"valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
},
"mapping" : [{
"identity" : "dicom",
"map" : "Body Part Examined (0018,0015)"
}]
},
{
"id" : "ImagingSelection.instance",
"path" : "ImagingSelection.instance",
"short" : "The selected instances",
"definition" : "Each imaging selection includes one or more selected DICOM SOP instances.",
"requirements" : "Required if the the selection does not include all instances in the specified series.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ImagingSelection.instance",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "BackboneElement"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true
},
{
"id" : "ImagingSelection.instance.id",
"path" : "ImagingSelection.instance.id",
"representation" : ["xmlAttr"],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [{
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "id"
}],
"code" : "http://hl7.org/fhirpath/System.String"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "ImagingSelection.instance.extension",
"path" : "ImagingSelection.instance.extension",
"short" : "Additional content defined by implementations",
"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : ["extensions",
"user content"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "ImagingSelection.instance.modifierExtension",
"path" : "ImagingSelection.instance.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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).",
"alias" : ["extensions",
"user content",
"modifiers"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "ImagingSelection.instance.uid",
"path" : "ImagingSelection.instance.uid",
"short" : "DICOM SOP Instance UID",
"definition" : "The SOP Instance UID for the selected DICOM instance.",
"comment" : "See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html).",
"requirements" : "DICOM SOP Instance UID.",
"alias" : ["SOPInstanceUID"],
"min" : 1,
"max" : "1",
"base" : {
"path" : "ImagingSelection.instance.uid",
"min" : 1,
"max" : "1"
},
"type" : [{
"code" : "oid"
}],
"example" : [{
"label" : "General",
"valueId" : "urn:oid:1.2.840.113747.20080222.12753225430534207565993148475333748793.1.1"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "dicom",
"map" : "SOP Instance UID (0008,0018)"
}]
},
{
"id" : "ImagingSelection.instance.sopClass",
"path" : "ImagingSelection.instance.sopClass",
"short" : "DICOM SOP Class UID",
"definition" : "The SOP Class UID for the selected DICOM instance.",
"comment" : "See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html).",
"requirements" : "DICOM SOP Class UID.",
"alias" : ["SOPClassUID"],
"min" : 0,
"max" : "1",
"base" : {
"path" : "ImagingSelection.instance.sopClass",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "Coding"
}],
"example" : [{
"label" : "General",
"valueId" : "1.2.840.10008.5.1.4.1.1.2"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "sopClass"
}],
"strength" : "extensible",
"description" : "DICOM SOP Classes.",
"valueSet" : "http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1"
},
"mapping" : [{
"identity" : "dicom",
"map" : "SOP Class UID (0008,0016)"
}]
},
{
"id" : "ImagingSelection.instance.frameList",
"path" : "ImagingSelection.instance.frameList",
"short" : "List of selected frames encoded as a comma separated list of one or more non duplicate frame numbers",
"definition" : "The set of frames within a multi-frame SOP Instance that are included in the imaging selection. Encoded as a comma separated list of one or more non duplicate frame numbers. If this is absent, all frames within the referenced SOP Instance are included in the selection.",
"comment" : "See [DICOM PS3.3 10.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_10.3.html).",
"requirements" : "Required if not the selected instance is multi-frame and not all frames are included in the selection.",
"alias" : ["ReferencedFrameNumber"],
"min" : 0,
"max" : "1",
"base" : {
"path" : "ImagingSelection.instance.frameList",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "string"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "dicom",
"map" : "Referenced Frame Number (0008,1160)"
}]
},
{
"id" : "ImagingSelection.instance.observationUid",
"path" : "ImagingSelection.instance.observationUid",
"short" : "Selected observations in a DICOM SR",
"definition" : "The unique identifier for the observation Content Item (and its subsidiary Content Items, if any) that are included in the imaging selection.",
"comment" : "See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html).",
"requirements" : "DICOM Observation UID.",
"alias" : ["ObservationUID"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "ImagingSelection.instance.observationUid",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "oid"
}],
"example" : [{
"label" : "General",
"valueId" : "urn:oid:1.2.840.113747.20080222.12753225430534207565993148475333748793.1.1.2"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "dicom",
"map" : "Observation UID (0040,A171)"
}]
},
{
"id" : "ImagingSelection.instance.segmentList",
"path" : "ImagingSelection.instance.segmentList",
"short" : "List of selected segments encoded as a comma separated list of one or more non duplicate segnent numbers",
"definition" : "The set of segments within a segmentation SOP Instance that are included in the imaging selection. Encoded as a comma separated list of one or more non duplicate segment numbers. If this is absent, all segments within the referenced segmentation SOP Instance are included in the selection.",
"comment" : "See [DICOM PS3.3 10.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_10.3.html).",
"requirements" : "Required if not the selected instance is segmentation and not all segments are included in the selection.",
"alias" : ["ReferencedSegmentNumber"],
"min" : 0,
"max" : "1",
"base" : {
"path" : "ImagingSelection.instance.segmentList",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "string"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "dicom",
"map" : "Referenced Segment Number (0062,000B)"
}]
},
{
"id" : "ImagingSelection.instance.roiList",
"path" : "ImagingSelection.instance.roiList",
"short" : "List of selected regions of interest (ROI) encoded as a comma separated list of one or more non duplicate ROI numbers",
"definition" : "The set of regions of interest (ROI) within a radiotherapy structure set instance that are included in the imaging selection. Encoded as a comma separated list of one or more non duplicate ROI numbers. If this is absent, all ROIs within the referenced radiotherapy structure set SOP Instance are included in the selection.",
"comment" : "See [DICOM PS3.3 C.8.8.5](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.8.8.5.html).",
"requirements" : "Required if not the selected instance is a radiotherapy structure set and not all ROIs are included in the selection.",
"alias" : ["ROINumber"],
"min" : 0,
"max" : "1",
"base" : {
"path" : "ImagingSelection.instance.roiList",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "string"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "dicom",
"map" : "ROI Number (3006,0022)"
}]
},
{
"id" : "ImagingSelection.imageRegion",
"path" : "ImagingSelection.imageRegion",
"short" : "A specific region in a DICOM image / frame",
"definition" : "Each imaging selection might includes one or more image regions. Image regions are specified by a region type and a set of 2D or 3D coordinates.",
"requirements" : "Required if studyInstanceUid and seriesInstanceUid are not present. A single imaging selection shall not include both 2D and 3D coordinates.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ImagingSelection.imageRegion",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "BackboneElement"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "ImagingSelection.imageRegion.id",
"path" : "ImagingSelection.imageRegion.id",
"representation" : ["xmlAttr"],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [{
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "id"
}],
"code" : "http://hl7.org/fhirpath/System.String"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "ImagingSelection.imageRegion.extension",
"path" : "ImagingSelection.imageRegion.extension",
"short" : "Additional content defined by implementations",
"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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.",
"alias" : ["extensions",
"user content"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "ImagingSelection.imageRegion.modifierExtension",
"path" : "ImagingSelection.imageRegion.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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).",
"alias" : ["extensions",
"user content",
"modifiers"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "ImagingSelection.imageRegion.regionType",
"path" : "ImagingSelection.imageRegion.regionType",
"short" : "POINT | MULTIPOINT | POLYLINE | POLYGON | ELLIPSE | ELLIPSOID",
"definition" : "Specifies the type of image region.",
"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).",
"alias" : ["GraphicType"],
"min" : 1,
"max" : "1",
"base" : {
"path" : "ImagingSelection.imageRegion.regionType",
"min" : 1,
"max" : "1"
},
"type" : [{
"code" : "code"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ImagingSelectionGraphicType"
}],
"strength" : "required",
"description" : "The type of image region.",
"valueSet" : "http://hl7.org/fhir/ValueSet/imagingselection-graphictype|5.0.0-snapshot1"
},
"mapping" : [{
"identity" : "dicom",
"map" : "Graphic Type (0070,0023)"
}]
},
{
"id" : "ImagingSelection.imageRegion.coordinateType",
"path" : "ImagingSelection.imageRegion.coordinateType",
"short" : "2d | 3d",
"definition" : "Specifies the type of coordinate system that define the image region.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ImagingSelection.imageRegion.coordinateType",
"min" : 1,
"max" : "1"
},
"type" : [{
"code" : "code"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ImagingSelectionCoordinateType"
}],
"strength" : "required",
"description" : "The type of coordinates describing an image region.",
"valueSet" : "http://hl7.org/fhir/ValueSet/imagingselection-coordinatetype|5.0.0-snapshot1"
}
},
{
"id" : "ImagingSelection.imageRegion.coordinates",
"path" : "ImagingSelection.imageRegion.coordinates",
"short" : "Specifies the type of coordinates that define the image region 2d | 3d",
"definition" : "The coordinates describing the image region. If coordinateType is 2D this specifies sequence of (x,y) coordinates in the coordinate system of the image specified by the instance.uid element that contains this image region. If coordinateType is 3D this specifies sequence of (x,y,z) coordinates in the coordinate system specified by the frameOfReferenceUid element.",
"comment" : "For a description of how 2D coordinates are encoded, see [DICOM PS3.3 C.18.6](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.18.6.html). 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).",
"alias" : ["GraphicData"],
"min" : 1,
"max" : "*",
"base" : {
"path" : "ImagingSelection.imageRegion.coordinates",
"min" : 1,
"max" : "*"
},
"type" : [{
"code" : "decimal"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "dicom",
"map" : "Graphic Data (0070,0022)"
}]
}]
},
"differential" : {
"element" : [{
"id" : "ImagingSelection",
"path" : "ImagingSelection",
"short" : "A selection of DICOM SOP instances and/or frames",
"definition" : "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.",
"min" : 0,
"max" : "*",
"mustSupport" : false,
"isModifier" : false,
"mapping" : [{
"identity" : "workflow",
"map" : "Event"
},
{
"identity" : "dicom",
"map" : "Reference DICOM PS 3 Table 10-3b"
},
{
"identity" : "w5",
"map" : "clinical.diagnostics"
}]
},
{
"id" : "ImagingSelection.identifier",
"path" : "ImagingSelection.identifier",
"short" : "Business Identifier for Imaging Selection",
"definition" : "A unique identifier assigned to this imaging selection.",
"comment" : "This is a business identifier, not a resource identifier -- see discussion under [Business Identifiers](resource.html#identifiers). ",
"requirements" : "Allows imaging selections to be distinguished and referenced.",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "Identifier"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Event.identifier"
},
{
"identity" : "w5",
"map" : "FiveWs.identifier"
}]
},
{
"id" : "ImagingSelection.basedOn",
"path" : "ImagingSelection.basedOn",
"short" : "Associated request",
"definition" : "A list of the diagnostic requests that resulted in this imaging selection being performed.",
"alias" : ["AccessionNumber"],
"min" : 0,
"max" : "*",
"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/AppointmentResponse",
"http://hl7.org/fhir/StructureDefinition/Task"]
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Event.basedOn"
},
{
"identity" : "w5",
"map" : "FiveWs.cause"
},
{
"identity" : "dicom",
"map" : "Accession Number and Issuer (0080,0050)+(0080,0051)"
}]
},
{
"id" : "ImagingSelection.subject",
"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"
}],
"path" : "ImagingSelection.subject",
"short" : "Subject of the selected instances and / or frames",
"definition" : "The patient, or group of patients, location, device, organization, procedure or practitioner this imaging selection is about and into whose or what record the imaging selection is placed.",
"min" : 0,
"max" : "1",
"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/Location",
"http://hl7.org/fhir/StructureDefinition/Organization",
"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,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Event.subject"
},
{
"identity" : "w5",
"map" : "FiveWs.subject[x]"
},
{
"identity" : "dicom",
"map" : "(0010/*)"
},
{
"identity" : "w5",
"map" : "FiveWs.subject"
}]
},
{
"id" : "ImagingSelection.issued",
"path" : "ImagingSelection.issued",
"short" : "Date / Time when the selection of instances was made",
"definition" : "The date and time this imaging selection was created.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "instant"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "w5",
"map" : "FiveWs.recorded"
}]
},
{
"id" : "ImagingSelection.performer",
"path" : "ImagingSelection.performer",
"short" : "Author (human or machine)",
"definition" : "Author – human or machine.",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "BackboneElement"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Event.performer.actor"
},
{
"identity" : "w5",
"map" : "FiveWs.actor"
},
{
"identity" : "dicom",
"map" : "(0008, 1050) | (0008, 1052) | (0008, 1070) | (0008, 1072)"
}]
},
{
"id" : "ImagingSelection.performer.function",
"path" : "ImagingSelection.performer.function",
"short" : "Type of performer",
"definition" : "Distinguishes the type of involvement of the performer.",
"requirements" : "Allows disambiguation of the types and involvement of different performers.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "CodeableConcept"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "EventPerformerFunction"
}],
"strength" : "extensible",
"description" : "The type of involvement of the performer.",
"valueSet" : "http://hl7.org/fhir/ValueSet/series-performer-function"
}
},
{
"id" : "ImagingSelection.performer.actor",
"path" : "ImagingSelection.performer.actor",
"short" : "Author (human or machine)",
"definition" : "Author – human or machine.",
"min" : 0,
"max" : "1",
"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,
"isModifier" : false,
"isSummary" : true
},
{
"id" : "ImagingSelection.code",
"path" : "ImagingSelection.code",
"short" : "Imaging Selection description text or code",
"definition" : "Describes the imaging selection.",
"comment" : "*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.",
"requirements" : "Knowing what kind of observation is being made is essential to understanding the observation.",
"alias" : ["Description"],
"min" : 1,
"max" : "1",
"type" : [{
"code" : "CodeableConcept"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ImagingSelectionCode"
}],
"strength" : "example",
"description" : "Key Object Selection Document Title.",
"valueSet" : "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html"
},
"mapping" : [{
"identity" : "dicom",
"map" : "Concept Name Code Sequence (0040,A043)"
}]
},
{
"id" : "ImagingSelection.studyUid",
"path" : "ImagingSelection.studyUid",
"short" : "DICOM Study Instance UID",
"definition" : "The Study Instance UID for the DICOM Study from which the images were selected.",
"comment" : "See [DICOM PS3.3 C.7.2](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html).",
"requirements" : "DICOM Study Instance UID. Required unless frameOfReferenceUid and imageRegion are present.",
"alias" : ["StudyInstanceUID"],
"min" : 0,
"max" : "1",
"type" : [{
"code" : "oid"
}],
"example" : [{
"label" : "General",
"valueId" : "urn:oid:1.2.840.113747.20080222.12753225430534207565993148475333748793"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "dicom",
"map" : "Study Instance UID (0020,000D)"
}]
},
{
"id" : "ImagingSelection.derivedFrom",
"path" : "ImagingSelection.derivedFrom",
"short" : "The imaging study from which the imaging selection is derived",
"definition" : "The imaging study from which the imaging selection is made.",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ImagingStudy"]
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true
},
{
"id" : "ImagingSelection.endpoint",
"path" : "ImagingSelection.endpoint",
"short" : "The network service providing retrieval for the images referenced in the imaging selection",
"definition" : "The network service providing retrieval access to the selected images, frames, etc. See implementation notes for information about using DICOM endpoints.",
"comment" : "Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG) formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach.",
"requirements" : "Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the selected images, frames, etc.",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Endpoint"]
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true
},
{
"id" : "ImagingSelection.seriesUid",
"path" : "ImagingSelection.seriesUid",
"short" : "DICOM Series Instance UID",
"definition" : "The Series Instance UID for the DICOM Series from which the images were selected.",
"comment" : "See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.3.html).",
"requirements" : "DICOM Series Instance UID. Required unless frameOfReferenceUid and imageRegion are present.",
"alias" : ["SeriesInstanceUID"],
"min" : 0,
"max" : "1",
"type" : [{
"code" : "oid"
}],
"example" : [{
"label" : "General",
"valueId" : "urn:oid:1.2.840.113747.20080222.12753225430534207565993148475333748793.1"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "dicom",
"map" : "Series Instance UID (0020,000E)"
}]
},
{
"id" : "ImagingSelection.frameOfReferenceUid",
"path" : "ImagingSelection.frameOfReferenceUid",
"short" : "The Frame of Reference UID for the selected images",
"definition" : "The Frame of Reference UID identifying the coordinate system that conveys spatial and/or temporal information for the selected images or frames.",
"comment" : "See [DICOM PS3.3 C.7.4.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.4.html).",
"requirements" : "DICOM Frame of Reference UID. Required if studyInstanceUid and seriesInstanceUid are not present.",
"alias" : ["FrameOfReferenceUID"],
"min" : 0,
"max" : "1",
"type" : [{
"code" : "oid"
}],
"example" : [{
"label" : "General",
"valueId" : "urn:oid:1.2.840.113747.20080222.12753225430534207565993148475333748793.2"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "dicom",
"map" : "Frame of Reference UID (0020,0052)"
}]
},
{
"id" : "ImagingSelection.bodySite",
"path" : "ImagingSelection.bodySite",
"short" : "Body part examined",
"definition" : "The anatomic structures examined. See DICOM Part 16 Annex L (http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings.",
"alias" : ["BodyPartExamined"],
"min" : 0,
"max" : "1",
"type" : [{
"code" : "Coding"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "BodySite"
}],
"strength" : "example",
"description" : "SNOMED CT Body site concepts",
"valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
},
"mapping" : [{
"identity" : "dicom",
"map" : "Body Part Examined (0018,0015)"
}]
},
{
"id" : "ImagingSelection.instance",
"path" : "ImagingSelection.instance",
"short" : "The selected instances",
"definition" : "Each imaging selection includes one or more selected DICOM SOP instances.",
"requirements" : "Required if the the selection does not include all instances in the specified series.",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "BackboneElement"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true
},
{
"id" : "ImagingSelection.instance.uid",
"path" : "ImagingSelection.instance.uid",
"short" : "DICOM SOP Instance UID",
"definition" : "The SOP Instance UID for the selected DICOM instance.",
"comment" : "See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html).",
"requirements" : "DICOM SOP Instance UID.",
"alias" : ["SOPInstanceUID"],
"min" : 1,
"max" : "1",
"type" : [{
"code" : "oid"
}],
"example" : [{
"label" : "General",
"valueId" : "urn:oid:1.2.840.113747.20080222.12753225430534207565993148475333748793.1.1"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "dicom",
"map" : "SOP Instance UID (0008,0018)"
}]
},
{
"id" : "ImagingSelection.instance.sopClass",
"path" : "ImagingSelection.instance.sopClass",
"short" : "DICOM SOP Class UID",
"definition" : "The SOP Class UID for the selected DICOM instance.",
"comment" : "See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html).",
"requirements" : "DICOM SOP Class UID.",
"alias" : ["SOPClassUID"],
"min" : 0,
"max" : "1",
"type" : [{
"code" : "Coding"
}],
"example" : [{
"label" : "General",
"valueId" : "1.2.840.10008.5.1.4.1.1.2"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "sopClass"
}],
"strength" : "extensible",
"description" : "DICOM SOP Classes.",
"valueSet" : "http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1"
},
"mapping" : [{
"identity" : "dicom",
"map" : "SOP Class UID (0008,0016)"
}]
},
{
"id" : "ImagingSelection.instance.frameList",
"path" : "ImagingSelection.instance.frameList",
"short" : "List of selected frames encoded as a comma separated list of one or more non duplicate frame numbers",
"definition" : "The set of frames within a multi-frame SOP Instance that are included in the imaging selection. Encoded as a comma separated list of one or more non duplicate frame numbers. If this is absent, all frames within the referenced SOP Instance are included in the selection.",
"comment" : "See [DICOM PS3.3 10.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_10.3.html).",
"requirements" : "Required if not the selected instance is multi-frame and not all frames are included in the selection.",
"alias" : ["ReferencedFrameNumber"],
"min" : 0,
"max" : "1",
"type" : [{
"code" : "string"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "dicom",
"map" : "Referenced Frame Number (0008,1160)"
}]
},
{
"id" : "ImagingSelection.instance.observationUid",
"path" : "ImagingSelection.instance.observationUid",
"short" : "Selected observations in a DICOM SR",
"definition" : "The unique identifier for the observation Content Item (and its subsidiary Content Items, if any) that are included in the imaging selection.",
"comment" : "See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html).",
"requirements" : "DICOM Observation UID.",
"alias" : ["ObservationUID"],
"min" : 0,
"max" : "*",
"type" : [{
"code" : "oid"
}],
"example" : [{
"label" : "General",
"valueId" : "urn:oid:1.2.840.113747.20080222.12753225430534207565993148475333748793.1.1.2"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "dicom",
"map" : "Observation UID (0040,A171)"
}]
},
{
"id" : "ImagingSelection.instance.segmentList",
"path" : "ImagingSelection.instance.segmentList",
"short" : "List of selected segments encoded as a comma separated list of one or more non duplicate segnent numbers",
"definition" : "The set of segments within a segmentation SOP Instance that are included in the imaging selection. Encoded as a comma separated list of one or more non duplicate segment numbers. If this is absent, all segments within the referenced segmentation SOP Instance are included in the selection.",
"comment" : "See [DICOM PS3.3 10.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_10.3.html).",
"requirements" : "Required if not the selected instance is segmentation and not all segments are included in the selection.",
"alias" : ["ReferencedSegmentNumber"],
"min" : 0,
"max" : "1",
"type" : [{
"code" : "string"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "dicom",
"map" : "Referenced Segment Number (0062,000B)"
}]
},
{
"id" : "ImagingSelection.instance.roiList",
"path" : "ImagingSelection.instance.roiList",
"short" : "List of selected regions of interest (ROI) encoded as a comma separated list of one or more non duplicate ROI numbers",
"definition" : "The set of regions of interest (ROI) within a radiotherapy structure set instance that are included in the imaging selection. Encoded as a comma separated list of one or more non duplicate ROI numbers. If this is absent, all ROIs within the referenced radiotherapy structure set SOP Instance are included in the selection.",
"comment" : "See [DICOM PS3.3 C.8.8.5](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.8.8.5.html).",
"requirements" : "Required if not the selected instance is a radiotherapy structure set and not all ROIs are included in the selection.",
"alias" : ["ROINumber"],
"min" : 0,
"max" : "1",
"type" : [{
"code" : "string"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "dicom",
"map" : "ROI Number (3006,0022)"
}]
},
{
"id" : "ImagingSelection.imageRegion",
"path" : "ImagingSelection.imageRegion",
"short" : "A specific region in a DICOM image / frame",
"definition" : "Each imaging selection might includes one or more image regions. Image regions are specified by a region type and a set of 2D or 3D coordinates.",
"requirements" : "Required if studyInstanceUid and seriesInstanceUid are not present. A single imaging selection shall not include both 2D and 3D coordinates.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "BackboneElement"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "ImagingSelection.imageRegion.regionType",
"path" : "ImagingSelection.imageRegion.regionType",
"short" : "POINT | MULTIPOINT | POLYLINE | POLYGON | ELLIPSE | ELLIPSOID",
"definition" : "Specifies the type of image region.",
"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).",
"alias" : ["GraphicType"],
"min" : 1,
"max" : "1",
"type" : [{
"code" : "code"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ImagingSelectionGraphicType"
}],
"strength" : "required",
"description" : "The type of image region.",
"valueSet" : "http://hl7.org/fhir/ValueSet/imagingselection-graphictype|5.0.0-snapshot1"
},
"mapping" : [{
"identity" : "dicom",
"map" : "Graphic Type (0070,0023)"
}]
},
{
"id" : "ImagingSelection.imageRegion.coordinateType",
"path" : "ImagingSelection.imageRegion.coordinateType",
"short" : "2d | 3d",
"definition" : "Specifies the type of coordinate system that define the image region.",
"min" : 1,
"max" : "1",
"type" : [{
"code" : "code"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ImagingSelectionCoordinateType"
}],
"strength" : "required",
"description" : "The type of coordinates describing an image region.",
"valueSet" : "http://hl7.org/fhir/ValueSet/imagingselection-coordinatetype|5.0.0-snapshot1"
}
},
{
"id" : "ImagingSelection.imageRegion.coordinates",
"path" : "ImagingSelection.imageRegion.coordinates",
"short" : "Specifies the type of coordinates that define the image region 2d | 3d",
"definition" : "The coordinates describing the image region. If coordinateType is 2D this specifies sequence of (x,y) coordinates in the coordinate system of the image specified by the instance.uid element that contains this image region. If coordinateType is 3D this specifies sequence of (x,y,z) coordinates in the coordinate system specified by the frameOfReferenceUid element.",
"comment" : "For a description of how 2D coordinates are encoded, see [DICOM PS3.3 C.18.6](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.18.6.html). 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).",
"alias" : ["GraphicData"],
"min" : 1,
"max" : "*",
"type" : [{
"code" : "decimal"
}],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "dicom",
"map" : "Graphic Data (0070,0022)"
}]
}]
}
}
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
FHIR ®© HL7.org 2011+. FHIR R5 Draft Ballot hl7.fhir.core#5.0.0-snapshot1 generated on Sun, Dec 19, 2021 08:19+1100.
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