Generated Narrative: StructureDefinition ext-R5-ImagingSelection Name Flags Card. Type Description & Constraints Extension 0..* Extension(4.0.1) A selection of DICOM SOP instances and/or frames #xD; Slices for extension 1..* Extension Extension Slice: Unordered, Closed by value:url #xD; extension:status 1..1 Extension available | entered-in-error | unknown #xD; url 1..1 uri "status" #xD; value[x] 0..1 code available | entered-in-error | unknown Binding: R5_imagingselection_status_for_R4 (0.0.1-snapshot-2) (required): The status of the ImagingSelection. #xD; extension:issued 0..1 Extension Date / Time when this imaging selection was created #xD; url 1..1 uri "issued" #xD; value[x] 0..1 instant Date / Time when this imaging selection was created #xD; extension:performer 0..* Extension Selector of the instances (human or machine) #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Closed by value:url #xD; extension:function 0..1 Extension Type of performer #xD; url 1..1 uri "function" #xD; value[x] 0..1 CodeableConcept Type of performer Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer. #xD; extension:actor 0..1 Extension Author (human or machine) #xD; url 1..1 uri "actor" #xD; value[x] 0..1 Reference() Author (human or machine) #xD; url 1..1 uri "performer" #xD; extension:basedOn 0..* Extension Associated request #xD; url 1..1 uri "basedOn" #xD; value[x] 0..1 Reference() Associated request #xD; extension:category 0..* Extension Classifies the imaging selection #xD; url 1..1 uri "category" #xD; value[x] 0..1 CodeableConcept Classifies the imaging selection Binding: R5_dicom_cid_7010_KeyObjectSelectionDocumentTitle_for_R4 (0.0.1-snapshot-2) (example): Key Object Selection Document Title. #xD; extension:studyUid 0..1 Extension DICOM Study Instance UID #xD; url 1..1 uri "studyUid" #xD; value[x] 0..1 id DICOM Study Instance UID #xD; extension:derivedFrom 0..* Extension The imaging study from which the imaging selection is derived #xD; url 1..1 uri "derivedFrom" #xD; value[x] 0..1 Reference() The imaging study from which the imaging selection is derived #xD; extension:endpoint 0..* Extension The network service providing retrieval for the images referenced in the imaging selection #xD; url 1..1 uri "endpoint" #xD; value[x] 0..1 Reference() The network service providing retrieval for the images referenced in the imaging selection #xD; extension:seriesUid 0..1 Extension DICOM Series Instance UID #xD; url 1..1 uri "seriesUid" #xD; value[x] 0..1 id DICOM Series Instance UID #xD; extension:seriesNumber 0..1 Extension DICOM Series Number #xD; url 1..1 uri "seriesNumber" #xD; value[x] 0..1 unsignedInt DICOM Series Number #xD; extension:frameOfReferenceUid 0..1 Extension The Frame of Reference UID for the selected images #xD; url 1..1 uri "frameOfReferenceUid" #xD; value[x] 0..1 id The Frame of Reference UID for the selected images #xD; extension:bodySite 0..1 Extension Body part examined #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Closed by value:url #xD; extension:concept 0..1 Extension Reference to a concept (by class) #xD; url 1..1 uri "concept" #xD; value[x] 0..1 CodeableConcept Reference to a concept (by class) #xD; extension:reference 0..1 Extension Reference to a resource (by instance) #xD; url 1..1 uri "reference" #xD; value[x] 0..1 Reference() Reference to a resource (by instance) #xD; extension:_datatype 0..1 (Complex) Data type name for ImagingSelection.bodySite from FHIR R5 URL: http://hl7.org/fhir/StructureDefinition/_datatype #xD; value[x] 1..1 string Value of extension Fixed Value: CodeableReference #xD; url 1..1 uri "bodySite" #xD; <a href="StructureDefinition-ext-R5-ImagingSelection-definitions.html#Extension.extension:focus" title="Slice focus: The actual focus of an observation when it is not the patient of record representing something or someone associated with the patient such as a spouse, parent, fetus, or donor. For example, fetus observations in a mother's record. The focus of an observation could also be an existing condition, an intervention, the subject's diet, another observation of the subject, or a body structure such as tumor or implanted device. An example use case would be using the Observation resource to capture whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is the focus.">extension:focus 0..* Extension Related resource that is the focus for the imaging selection #xD; url 1..1 uri "focus" #xD; <a href="StructureDefinition-ext-R5-ImagingSelection-definitions.html#Extension.extension:focus.value[x]" title="The actual focus of an observation when it is not the patient of record representing something or someone associated with the patient such as a spouse, parent, fetus, or donor. For example, fetus observations in a mother's record. The focus of an observation could also be an existing condition, an intervention, the subject's diet, another observation of the subject, or a body structure such as tumor or implanted device. An example use case would be using the Observation resource to capture whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is the focus.">value[x] 0..1 Reference() Related resource that is the focus for the imaging selection #xD; extension:instance 0..* Extension The selected instances #xD; Slices for extension 1..* Extension Extension Slice: Unordered, Closed by value:url #xD; extension:uid 1..1 Extension DICOM SOP Instance UID #xD; url 1..1 uri "uid" #xD; value[x] 0..1 id DICOM SOP Instance UID #xD; extension:number 0..1 Extension DICOM Instance Number #xD; url 1..1 uri "number" #xD; value[x] 0..1 unsignedInt DICOM Instance Number #xD; extension:sopClass 0..1 Extension DICOM SOP Class UID #xD; url 1..1 uri "sopClass" #xD; value[x] 0..1 Coding DICOM SOP Class UID Binding: AccountStatus (extensible): DICOM SOP Classes. #xD; <a href="StructureDefinition-ext-R5-ImagingSelection-definitions.html#Extension.extension:instance.extension:subset" title="Slice subset: Selected subset of the SOP Instance. The content and format of the subset item is determined by the SOP Class of the selected instance.#xA; May be one of:#xA; - A list of frame numbers selected from a multiframe SOP Instance.#xA; - A list of Content Item Observation UID values selected from a DICOM SR or other structured document SOP Instance.#xA; - A list of segment numbers selected from a segmentation SOP Instance.#xA; - A list of Region of Interest (ROI) numbers selected from a radiotherapy structure set SOP Instance.">extension:subset 0..* Extension The selected subset of the SOP Instance #xD; url 1..1 uri "subset" #xD; <a href="StructureDefinition-ext-R5-ImagingSelection-definitions.html#Extension.extension:instance.extension:subset.value[x]" title="Selected subset of the SOP Instance. The content and format of the subset item is determined by the SOP Class of the selected instance.#xA; May be one of:#xA; - A list of frame numbers selected from a multiframe SOP Instance.#xA; - A list of Content Item Observation UID values selected from a DICOM SR or other structured document SOP Instance.#xA; - A list of segment numbers selected from a segmentation SOP Instance.#xA; - A list of Region of Interest (ROI) numbers selected from a radiotherapy structure set SOP Instance.">value[x] 0..1 string The selected subset of the SOP Instance #xD; <a href="StructureDefinition-ext-R5-ImagingSelection-definitions.html#Extension.extension:instance.extension:imageRegion2D" title="Slice imageRegion2D: Each imaging selection instance or frame list might includes an image region, specified by a region type and a set of 2D coordinates.#xA; If the parent imagingSelection.instance contains a subset element of type frame, the image region applies to all frames in the subset list.">extension:imageRegion2D 0..* Extension A specific 2D region in a DICOM image / frame #xD; Slices for extension 2..* Extension Extension Slice: Unordered, Closed by value:url #xD; extension:regionType 1..1 Extension point | polyline | interpolated | circle | ellipse #xD; url 1..1 uri "regionType" #xD; value[x] 0..1 code point | polyline | interpolated | circle | ellipse Binding: R5_imagingselection_2dgraphictype_for_R4 (0.0.1-snapshot-2) (required): The type of image region. #xD; <a href="StructureDefinition-ext-R5-ImagingSelection-definitions.html#Extension.extension:instance.extension:imageRegion2D.extension:coordinate" title="Slice coordinate: The coordinates describing the image region. Encoded as a set of (column, row) pairs that denote positions in the selected image / frames specified with sub-pixel resolution.#xA; The origin at the TLHC of the TLHC pixel is 0.0\0.0, the BRHC of the TLHC pixel is 1.0\1.0, and the BRHC of the BRHC pixel is the number of columns\rows in the image / frames. The values must be within the range 0\0 to the number of columns\rows in the image / frames.">extension:coordinate 1..* Extension Specifies the coordinates that define the image region #xD; url 1..1 uri "coordinate" #xD; <a href="StructureDefinition-ext-R5-ImagingSelection-definitions.html#Extension.extension:instance.extension:imageRegion2D.extension:coordinate.value[x]" title="The coordinates describing the image region. Encoded as a set of (column, row) pairs that denote positions in the selected image / frames specified with sub-pixel resolution.#xA; The origin at the TLHC of the TLHC pixel is 0.0\0.0, the BRHC of the TLHC pixel is 1.0\1.0, and the BRHC of the BRHC pixel is the number of columns\rows in the image / frames. The values must be within the range 0\0 to the number of columns\rows in the image / frames.">value[x] 0..1 decimal Specifies the coordinates that define the image region #xD; url 1..1 uri "imageRegion2D" #xD; extension:imageRegion3D 0..* Extension A specific 3D region in a DICOM frame of reference #xD; Slices for extension 2..* Extension Extension Slice: Unordered, Closed by value:url #xD; extension:regionType 1..1 Extension point | multipoint | polyline | polygon | ellipse | ellipsoid #xD; url 1..1 uri "regionType" #xD; value[x] 0..1 code point | multipoint | polyline | polygon | ellipse | ellipsoid Binding: R5_imagingselection_3dgraphictype_for_R4 (0.0.1-snapshot-2) (required): The type of image region. #xD; <a href="StructureDefinition-ext-R5-ImagingSelection-definitions.html#Extension.extension:instance.extension:imageRegion3D.extension:coordinate" title="Slice coordinate: The coordinates describing the image region. Encoded as an ordered set of (x,y,z) triplets (in mm and may be negative) that define a region of interest in the patient-relative Reference Coordinate System defined by ImagingSelection.frameOfReferenceUid element.">extension:coordinate 1..* Extension Specifies the coordinates that define the image region #xD; url 1..1 uri "coordinate" #xD; <a href="StructureDefinition-ext-R5-ImagingSelection-definitions.html#Extension.extension:instance.extension:imageRegion3D.extension:coordinate.value[x]" title="The coordinates describing the image region. Encoded as an ordered set of (x,y,z) triplets (in mm and may be negative) that define a region of interest in the patient-relative Reference Coordinate System defined by ImagingSelection.frameOfReferenceUid element.">value[x] 0..1 decimal Specifies the coordinates that define the image region #xD; url 1..1 uri "imageRegion3D" #xD; url 1..1 uri "instance" #xD; url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection" #xD; Documentation for this format
Cross-version Extension for R5.ImagingSelection for use in FHIR R4
This cross-version extension represents ImagingSelection from http://hl7.org/fhir/StructureDefinition/ImagingSelection|5.0.0 for use in FHIR R4.
A selection of DICOM SOP instances and/or frames
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.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
The current state of the ImagingSelection resource. This is not the status of any ImagingStudy, ServiceRequest, or Task resources associated with the ImagingSelection.
Additional content defined by implementations
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.
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.
Source of the definition for the extension code - a logical name or a URL.
The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Date / Time when this imaging selection was created
The date and time this imaging selection was created.
Selector of the instances (human or machine)
Selector of the instances – human or machine.
Distinguishes the type of involvement of the performer.
The type of involvement of the performer.
Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).
A list of the diagnostic requests that resulted in this imaging selection being performed.
This cross-version extension represents ImagingSelection.category from http://hl7.org/fhir/StructureDefinition/ImagingSelection|5.0.0 for use in FHIR R4.
The Study Instance UID for the DICOM Study from which the images were selected.
The imaging study from which the imaging selection is derived
The imaging study from which the imaging selection is made.
The network service providing retrieval for the images referenced in the imaging selection
The network service providing retrieval access to the selected images, frames, etc. See implementation notes for information about using DICOM endpoints.
The Series Instance UID for the DICOM Series from which the images were selected.
The Series Number for the DICOM Series from which the images were selected.
The Frame of Reference UID for the selected images
The Frame of Reference UID identifying the coordinate system that conveys spatial and/or temporal information for the selected images or frames.
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.
A reference to a concept - e.g. the information is identified by its general class to the degree of precision found in the terminology.
A reference to a resource the provides exact details about the information being referenced.
Data type name for ImagingSelection.bodySite from FHIR R5
Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R5/extensibility.html) for a list).
Related resource that is the focus for the imaging selection
The actual focus of an observation when it is not the patient of record representing something or someone associated with the patient such as a spouse, parent, fetus, or donor. For example, fetus observations in a mother's record. The focus of an observation could also be an existing condition, an intervention, the subject's diet, another observation of the subject, or a body structure such as tumor or implanted device. An example use case would be using the Observation resource to capture whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is the focus.
Each imaging selection includes one or more selected DICOM SOP instances.
The SOP Instance UID for the selected DICOM instance.
The Instance Number for the selected DICOM instance.
The SOP Class UID for the selected DICOM instance.
Selected subset of the SOP Instance. The content and format of the subset item is determined by the SOP Class of the selected instance. May be one of: - A list of frame numbers selected from a multiframe SOP Instance. - A list of Content Item Observation UID values selected from a DICOM SR or other structured document SOP Instance. - A list of segment numbers selected from a segmentation SOP Instance. - A list of Region of Interest (ROI) numbers selected from a radiotherapy structure set SOP Instance.
A specific 2D region in a DICOM image / frame
Each imaging selection instance or frame list might includes an image region, specified by a region type and a set of 2D coordinates. If the parent imagingSelection.instance contains a subset element of type frame, the image region applies to all frames in the subset list.
point | polyline | interpolated | circle | ellipse
Specifies the coordinates that define the image region
The coordinates describing the image region. Encoded as a set of (column, row) pairs that denote positions in the selected image / frames specified with sub-pixel resolution. The origin at the TLHC of the TLHC pixel is 0.0\0.0, the BRHC of the TLHC pixel is 1.0\1.0, and the BRHC of the BRHC pixel is the number of columns\rows in the image / frames. The values must be within the range 0\0 to the number of columns\rows in the image / frames.
A specific 3D region in a DICOM frame of reference
Each imaging selection might includes a 3D image region, specified by a region type and a set of 3D coordinates.
point | multipoint | polyline | polygon | ellipse | ellipsoid
The coordinates describing the image region. Encoded as an ordered set of (x,y,z) triplets (in mm and may be negative) that define a region of interest in the patient-relative Reference Coordinate System defined by ImagingSelection.frameOfReferenceUid element.