DICOM® SR to FHIR Resource Mapping IG, published by HL7 International / Imaging Integration. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/dicom-sr/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: Imaging Selection - DICOM SR Referenced Segmentation Frame Mapping

DICOM® SR Referenced Segmentation Frame Mapping to ImagingSelection

Usage:

• Refer to this Resource Profile: Observation - DICOM SR Imaging Observation
• Examples for this Resource Profile: ImagingSelection/measurement-report-referenced-segmentation-frame

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from ImagingSelectionObservationImagingSelection

Name	Flags	Card.	Type	Description & Constraints
ImagingSelection		0..*	ImagingSelectionObservationImagingSelection	A selection of DICOM SOP instances and/or frames
code	S	1..1	CodeableConcept	Imaging Selection purpose text or code
coding		0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 121214
display		1..1	string	Representation defined by the system Fixed Value: Referenced Segmentation Frame
Slices for instance		1..*	BackboneElement	The selected instances Slice: Unordered, Open by value:sopClass
instance:referencedSegmentationFrame		1..*	BackboneElement	The selected instances
uid		1..1	id	DICOM SOP Instance UID
sopClass		1..1	Coding	DICOM SOP Class UID Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1.2.840.10008.5.1.4.1.1.66.4
display		1..1	string	Representation defined by the system Fixed Value: Segmentation Storage
subset		1..1	string	The selected subset of the SOP Instance
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
ImagingSelection		0..*	ImagingSelectionObservationImagingSelection	A selection of DICOM SOP instances and/or frames
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	available | entered-in-error | unknown Binding: ImagingSelectionStatus (required): The status of the ImagingSelection.
subject	SΣ	1..1	Reference(Patient)	Subject of the selected instances
Slices for basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)	Associated request Slice: Unordered, Open by type:reference
basedOn:serviceRequestRef	SΣ	0..1	Reference(ServiceRequest)	Description of the related ServiceRequest
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
code	SΣ	1..1	CodeableConcept	Imaging Selection purpose text or code Binding: KeyObjectSelectionDocumentTitle (example): Key Object Selection Document Title.
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 121214
display		1..1	string	Representation defined by the system Fixed Value: Referenced Segmentation Frame
Slices for derivedFrom	Σ	1..*	Reference(ImagingStudy | DocumentReference)	The imaging study from which the imaging selection is derived Slice: Unordered, Open by type:reference
derivedFrom:imagingStudyRef	SΣ	1..1	Reference(ImagingStudy)	Related ImagingStudy
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
Slices for instance	Σ	1..*	BackboneElement	The selected instances Slice: Unordered, Open by value:sopClass
instance:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
uid	Σ	1..1	id	DICOM SOP Instance UID Example General: 1.2.840.113747.20080222.12753225430534207568475333748793.1.1
instance:referencedSegmentationFrame	Σ	1..*	BackboneElement	The selected instances
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
uid	Σ	1..1	id	DICOM SOP Instance UID Example General: 1.2.840.113747.20080222.12753225430534207568475333748793.1.1
sopClass		1..1	Coding	DICOM SOP Class UID Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): DICOM SOP Classes. Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1.2.840.10008.5.1.4.1.1.66.4
display		1..1	string	Representation defined by the system Fixed Value: Segmentation Storage
subset		1..1	string	The selected subset of the SOP Instance Example General: 6
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ImagingSelection.status	required	ImagingSelectionStatus http://hl7.org/fhir/ValueSet/imagingselection-status|5.0.0 from the FHIR Standard
ImagingSelection.code	example	KeyObjectSelectionDocumentTitle http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html
ImagingSelection.instance:referencedSegmentationFrame.sopClass	extensible	Pattern: 1.2.840.10008.5.1.4.1.1.66.4("Segmentation Storage") http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Name	Flags	Card.	Type	Description & Constraints
ImagingSelection		0..*	ImagingSelectionObservationImagingSelection	A selection of DICOM SOP instances and/or frames
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for Imaging Selection
status	?!Σ	1..1	code	available | entered-in-error | unknown Binding: ImagingSelectionStatus (required): The status of the ImagingSelection.
subject	SΣ	1..1	Reference(Patient)	Subject of the selected instances
issued	Σ	0..1	instant	Date / Time when this imaging selection was created
performer	Σ	0..*	BackboneElement	Selector of the instances (human or machine)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performer Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
actor	Σ	0..1	Reference(Practitioner | PractitionerRole | Device | Organization | CareTeam | Patient | RelatedPerson | HealthcareService)	Author (human or machine)
Slices for basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)	Associated request Slice: Unordered, Open by type:reference
basedOn:serviceRequestRef	SΣ	0..1	Reference(ServiceRequest)	Description of the related ServiceRequest
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	The accession number related to the performed study
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ACSN
display		1..1	string	Representation defined by the system Fixed Value: Accession ID
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	ΣC	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Text alternative for the resource
category	Σ	0..*	CodeableConcept	Classifies the imaging selection Binding: KeyObjectSelectionDocumentTitle (example): Key Object Selection Document Title.
code	SΣ	1..1	CodeableConcept	Imaging Selection purpose text or code Binding: KeyObjectSelectionDocumentTitle (example): Key Object Selection Document Title.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 121214
display		1..1	string	Representation defined by the system Fixed Value: Referenced Segmentation Frame
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
studyUid	Σ	0..1	id	DICOM Study Instance UID Example General: 1.2.840.113747.20080222.12753225430534207565993148475333748793
Slices for derivedFrom	Σ	1..*	Reference(ImagingStudy | DocumentReference)	The imaging study from which the imaging selection is derived Slice: Unordered, Open by type:reference
derivedFrom:imagingStudyRef	SΣ	1..1	Reference(ImagingStudy)	Related ImagingStudy
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Identifier related to Study Instance UID
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 110180
display		1..1	string	Representation defined by the system Fixed Value: Study Instance UID
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
value	ΣC	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Text alternative for the resource
endpoint	Σ	0..*	Reference(Endpoint)	The network service providing retrieval for the images referenced in the imaging selection
seriesUid	Σ	0..1	id	DICOM Series Instance UID Example General: 1.2.840.113747.20080222.12753225430534207565993148475333748793.1
seriesNumber	Σ	0..1	unsignedInt	DICOM Series Number
frameOfReferenceUid	Σ	0..1	id	The Frame of Reference UID for the selected images Example General: 1.2.840.113747.20080222.12753225430534207565993148475333748793.2
bodySite	Σ	0..1	CodeableReference(BodyStructure)	Body part examined Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
focus	Σ	0..*	Reference(ImagingSelection)	Related resource that is the focus for the imaging selection
Slices for instance	Σ	1..*	BackboneElement	The selected instances Slice: Unordered, Open by value:sopClass
instance:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
uid	Σ	1..1	id	DICOM SOP Instance UID Example General: 1.2.840.113747.20080222.12753225430534207568475333748793.1.1
number	Σ	0..1	unsignedInt	DICOM Instance Number
sopClass		0..1	Coding	DICOM SOP Class UID Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): DICOM SOP Classes. Example General: 1.2.840.10008.5.1.4.1.1.2
subset		0..*	string	The selected subset of the SOP Instance Example General: 6
imageRegion2D		0..*	BackboneElement	A specific 2D region in a DICOM image / frame
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
regionType		1..1	code	point | polyline | interpolated | circle | ellipse Binding: ImagingSelection2DGraphicType (required): The type of image region.
coordinate		1..*	decimal	Specifies the coordinates that define the image region This repeating element order: The values are an ordered set of (x, y) coordinates.
imageRegion3D		0..*	BackboneElement	A specific 3D region in a DICOM frame of reference
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
regionType		1..1	code	point | multipoint | polyline | polygon | ellipse | ellipsoid Binding: ImagingSelection3DGraphicType (required): The type of image region.
coordinate		1..*	decimal	Specifies the coordinates that define the image region This repeating element order: The values are an ordered set of (x, y, z) coordinates.
instance:referencedSegmentationFrame	Σ	1..*	BackboneElement	The selected instances
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
uid	Σ	1..1	id	DICOM SOP Instance UID Example General: 1.2.840.113747.20080222.12753225430534207568475333748793.1.1
number	Σ	0..1	unsignedInt	DICOM Instance Number
sopClass		1..1	Coding	DICOM SOP Class UID Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): DICOM SOP Classes. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1.2.840.10008.5.1.4.1.1.66.4
display		1..1	string	Representation defined by the system Fixed Value: Segmentation Storage
userSelected		0..1	boolean	If this coding was chosen directly by the user
subset		1..1	string	The selected subset of the SOP Instance Example General: 6
imageRegion2D		0..*	BackboneElement	A specific 2D region in a DICOM image / frame
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
regionType		1..1	code	point | polyline | interpolated | circle | ellipse Binding: ImagingSelection2DGraphicType (required): The type of image region.
coordinate		1..*	decimal	Specifies the coordinates that define the image region This repeating element order: The values are an ordered set of (x, y) coordinates.
imageRegion3D		0..*	BackboneElement	A specific 3D region in a DICOM frame of reference
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
regionType		1..1	code	point | multipoint | polyline | polygon | ellipse | ellipsoid Binding: ImagingSelection3DGraphicType (required): The type of image region.
coordinate		1..*	decimal	Specifies the coordinates that define the image region This repeating element order: The values are an ordered set of (x, y, z) coordinates.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ImagingSelection.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
ImagingSelection.status	required	ImagingSelectionStatus http://hl7.org/fhir/ValueSet/imagingselection-status|5.0.0 from the FHIR Standard
ImagingSelection.performer.function	extensible	ImagingStudySeriesPerformerFunction http://hl7.org/fhir/ValueSet/series-performer-function from the FHIR Standard
ImagingSelection.basedOn:serviceRequestRef.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ImagingSelection.basedOn:serviceRequestRef.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
ImagingSelection.basedOn:serviceRequestRef.identifier.type	extensible	Pattern: ACSN("Accession ID") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
ImagingSelection.category	example	KeyObjectSelectionDocumentTitle http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html
ImagingSelection.code	example	KeyObjectSelectionDocumentTitle http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html
ImagingSelection.derivedFrom:imagingStudyRef.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ImagingSelection.derivedFrom:imagingStudyRef.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
ImagingSelection.derivedFrom:imagingStudyRef.identifier.type	extensible	Pattern: 110180("Study Instance UID") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
ImagingSelection.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
ImagingSelection.instance.sopClass	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
ImagingSelection.instance.imageRegion2D.regionType	required	ImagingSelection2DGraphicType http://hl7.org/fhir/ValueSet/imagingselection-2dgraphictype|5.0.0 from the FHIR Standard
ImagingSelection.instance.imageRegion3D.regionType	required	ImagingSelection3DGraphicType http://hl7.org/fhir/ValueSet/imagingselection-3dgraphictype|5.0.0 from the FHIR Standard
ImagingSelection.instance:referencedSegmentationFrame.sopClass	extensible	Pattern: 1.2.840.10008.5.1.4.1.1.66.4("Segmentation Storage") http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
ImagingSelection.instance:referencedSegmentationFrame.imageRegion2D.regionType	required	ImagingSelection2DGraphicType http://hl7.org/fhir/ValueSet/imagingselection-2dgraphictype|5.0.0 from the FHIR Standard
ImagingSelection.instance:referencedSegmentationFrame.imageRegion3D.regionType	required	ImagingSelection3DGraphicType http://hl7.org/fhir/ValueSet/imagingselection-3dgraphictype|5.0.0 from the FHIR Standard

This structure is derived from ImagingSelectionObservationImagingSelection

Summary

Mandatory: 4 elements
Must-Support: 1 element

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ImagingSelection.instance

Differential View

This structure is derived from ImagingSelectionObservationImagingSelection

Name	Flags	Card.	Type	Description & Constraints
ImagingSelection		0..*	ImagingSelectionObservationImagingSelection	A selection of DICOM SOP instances and/or frames
code	S	1..1	CodeableConcept	Imaging Selection purpose text or code
coding		0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 121214
display		1..1	string	Representation defined by the system Fixed Value: Referenced Segmentation Frame
Slices for instance		1..*	BackboneElement	The selected instances Slice: Unordered, Open by value:sopClass
instance:referencedSegmentationFrame		1..*	BackboneElement	The selected instances
uid		1..1	id	DICOM SOP Instance UID
sopClass		1..1	Coding	DICOM SOP Class UID Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1.2.840.10008.5.1.4.1.1.66.4
display		1..1	string	Representation defined by the system Fixed Value: Segmentation Storage
subset		1..1	string	The selected subset of the SOP Instance
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ImagingSelection		0..*	ImagingSelectionObservationImagingSelection	A selection of DICOM SOP instances and/or frames
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	available | entered-in-error | unknown Binding: ImagingSelectionStatus (required): The status of the ImagingSelection.
subject	SΣ	1..1	Reference(Patient)	Subject of the selected instances
Slices for basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)	Associated request Slice: Unordered, Open by type:reference
basedOn:serviceRequestRef	SΣ	0..1	Reference(ServiceRequest)	Description of the related ServiceRequest
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
code	SΣ	1..1	CodeableConcept	Imaging Selection purpose text or code Binding: KeyObjectSelectionDocumentTitle (example): Key Object Selection Document Title.
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 121214
display		1..1	string	Representation defined by the system Fixed Value: Referenced Segmentation Frame
Slices for derivedFrom	Σ	1..*	Reference(ImagingStudy | DocumentReference)	The imaging study from which the imaging selection is derived Slice: Unordered, Open by type:reference
derivedFrom:imagingStudyRef	SΣ	1..1	Reference(ImagingStudy)	Related ImagingStudy
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
Slices for instance	Σ	1..*	BackboneElement	The selected instances Slice: Unordered, Open by value:sopClass
instance:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
uid	Σ	1..1	id	DICOM SOP Instance UID Example General: 1.2.840.113747.20080222.12753225430534207568475333748793.1.1
instance:referencedSegmentationFrame	Σ	1..*	BackboneElement	The selected instances
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
uid	Σ	1..1	id	DICOM SOP Instance UID Example General: 1.2.840.113747.20080222.12753225430534207568475333748793.1.1
sopClass		1..1	Coding	DICOM SOP Class UID Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): DICOM SOP Classes. Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1.2.840.10008.5.1.4.1.1.66.4
display		1..1	string	Representation defined by the system Fixed Value: Segmentation Storage
subset		1..1	string	The selected subset of the SOP Instance Example General: 6
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ImagingSelection.status	required	ImagingSelectionStatus http://hl7.org/fhir/ValueSet/imagingselection-status|5.0.0 from the FHIR Standard
ImagingSelection.code	example	KeyObjectSelectionDocumentTitle http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html
ImagingSelection.instance:referencedSegmentationFrame.sopClass	extensible	Pattern: 1.2.840.10008.5.1.4.1.1.66.4("Segmentation Storage") http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ImagingSelection		0..*	ImagingSelectionObservationImagingSelection	A selection of DICOM SOP instances and/or frames
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for Imaging Selection
status	?!Σ	1..1	code	available | entered-in-error | unknown Binding: ImagingSelectionStatus (required): The status of the ImagingSelection.
subject	SΣ	1..1	Reference(Patient)	Subject of the selected instances
issued	Σ	0..1	instant	Date / Time when this imaging selection was created
performer	Σ	0..*	BackboneElement	Selector of the instances (human or machine)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performer Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
actor	Σ	0..1	Reference(Practitioner | PractitionerRole | Device | Organization | CareTeam | Patient | RelatedPerson | HealthcareService)	Author (human or machine)
Slices for basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)	Associated request Slice: Unordered, Open by type:reference
basedOn:serviceRequestRef	SΣ	0..1	Reference(ServiceRequest)	Description of the related ServiceRequest
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	The accession number related to the performed study
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ACSN
display		1..1	string	Representation defined by the system Fixed Value: Accession ID
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	ΣC	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Text alternative for the resource
category	Σ	0..*	CodeableConcept	Classifies the imaging selection Binding: KeyObjectSelectionDocumentTitle (example): Key Object Selection Document Title.
code	SΣ	1..1	CodeableConcept	Imaging Selection purpose text or code Binding: KeyObjectSelectionDocumentTitle (example): Key Object Selection Document Title.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 121214
display		1..1	string	Representation defined by the system Fixed Value: Referenced Segmentation Frame
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
studyUid	Σ	0..1	id	DICOM Study Instance UID Example General: 1.2.840.113747.20080222.12753225430534207565993148475333748793
Slices for derivedFrom	Σ	1..*	Reference(ImagingStudy | DocumentReference)	The imaging study from which the imaging selection is derived Slice: Unordered, Open by type:reference
derivedFrom:imagingStudyRef	SΣ	1..1	Reference(ImagingStudy)	Related ImagingStudy
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Identifier related to Study Instance UID
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 110180
display		1..1	string	Representation defined by the system Fixed Value: Study Instance UID
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
value	ΣC	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Text alternative for the resource
endpoint	Σ	0..*	Reference(Endpoint)	The network service providing retrieval for the images referenced in the imaging selection
seriesUid	Σ	0..1	id	DICOM Series Instance UID Example General: 1.2.840.113747.20080222.12753225430534207565993148475333748793.1
seriesNumber	Σ	0..1	unsignedInt	DICOM Series Number
frameOfReferenceUid	Σ	0..1	id	The Frame of Reference UID for the selected images Example General: 1.2.840.113747.20080222.12753225430534207565993148475333748793.2
bodySite	Σ	0..1	CodeableReference(BodyStructure)	Body part examined Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
focus	Σ	0..*	Reference(ImagingSelection)	Related resource that is the focus for the imaging selection
Slices for instance	Σ	1..*	BackboneElement	The selected instances Slice: Unordered, Open by value:sopClass
instance:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
uid	Σ	1..1	id	DICOM SOP Instance UID Example General: 1.2.840.113747.20080222.12753225430534207568475333748793.1.1
number	Σ	0..1	unsignedInt	DICOM Instance Number
sopClass		0..1	Coding	DICOM SOP Class UID Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): DICOM SOP Classes. Example General: 1.2.840.10008.5.1.4.1.1.2
subset		0..*	string	The selected subset of the SOP Instance Example General: 6
imageRegion2D		0..*	BackboneElement	A specific 2D region in a DICOM image / frame
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
regionType		1..1	code	point | polyline | interpolated | circle | ellipse Binding: ImagingSelection2DGraphicType (required): The type of image region.
coordinate		1..*	decimal	Specifies the coordinates that define the image region This repeating element order: The values are an ordered set of (x, y) coordinates.
imageRegion3D		0..*	BackboneElement	A specific 3D region in a DICOM frame of reference
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
regionType		1..1	code	point | multipoint | polyline | polygon | ellipse | ellipsoid Binding: ImagingSelection3DGraphicType (required): The type of image region.
coordinate		1..*	decimal	Specifies the coordinates that define the image region This repeating element order: The values are an ordered set of (x, y, z) coordinates.
instance:referencedSegmentationFrame	Σ	1..*	BackboneElement	The selected instances
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
uid	Σ	1..1	id	DICOM SOP Instance UID Example General: 1.2.840.113747.20080222.12753225430534207568475333748793.1.1
number	Σ	0..1	unsignedInt	DICOM Instance Number
sopClass		1..1	Coding	DICOM SOP Class UID Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): DICOM SOP Classes. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1.2.840.10008.5.1.4.1.1.66.4
display		1..1	string	Representation defined by the system Fixed Value: Segmentation Storage
userSelected		0..1	boolean	If this coding was chosen directly by the user
subset		1..1	string	The selected subset of the SOP Instance Example General: 6
imageRegion2D		0..*	BackboneElement	A specific 2D region in a DICOM image / frame
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
regionType		1..1	code	point | polyline | interpolated | circle | ellipse Binding: ImagingSelection2DGraphicType (required): The type of image region.
coordinate		1..*	decimal	Specifies the coordinates that define the image region This repeating element order: The values are an ordered set of (x, y) coordinates.
imageRegion3D		0..*	BackboneElement	A specific 3D region in a DICOM frame of reference
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
regionType		1..1	code	point | multipoint | polyline | polygon | ellipse | ellipsoid Binding: ImagingSelection3DGraphicType (required): The type of image region.
coordinate		1..*	decimal	Specifies the coordinates that define the image region This repeating element order: The values are an ordered set of (x, y, z) coordinates.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ImagingSelection.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
ImagingSelection.status	required	ImagingSelectionStatus http://hl7.org/fhir/ValueSet/imagingselection-status|5.0.0 from the FHIR Standard
ImagingSelection.performer.function	extensible	ImagingStudySeriesPerformerFunction http://hl7.org/fhir/ValueSet/series-performer-function from the FHIR Standard
ImagingSelection.basedOn:serviceRequestRef.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ImagingSelection.basedOn:serviceRequestRef.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
ImagingSelection.basedOn:serviceRequestRef.identifier.type	extensible	Pattern: ACSN("Accession ID") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
ImagingSelection.category	example	KeyObjectSelectionDocumentTitle http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html
ImagingSelection.code	example	KeyObjectSelectionDocumentTitle http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html
ImagingSelection.derivedFrom:imagingStudyRef.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ImagingSelection.derivedFrom:imagingStudyRef.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
ImagingSelection.derivedFrom:imagingStudyRef.identifier.type	extensible	Pattern: 110180("Study Instance UID") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
ImagingSelection.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
ImagingSelection.instance.sopClass	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
ImagingSelection.instance.imageRegion2D.regionType	required	ImagingSelection2DGraphicType http://hl7.org/fhir/ValueSet/imagingselection-2dgraphictype|5.0.0 from the FHIR Standard
ImagingSelection.instance.imageRegion3D.regionType	required	ImagingSelection3DGraphicType http://hl7.org/fhir/ValueSet/imagingselection-3dgraphictype|5.0.0 from the FHIR Standard
ImagingSelection.instance:referencedSegmentationFrame.sopClass	extensible	Pattern: 1.2.840.10008.5.1.4.1.1.66.4("Segmentation Storage") http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
ImagingSelection.instance:referencedSegmentationFrame.imageRegion2D.regionType	required	ImagingSelection2DGraphicType http://hl7.org/fhir/ValueSet/imagingselection-2dgraphictype|5.0.0 from the FHIR Standard
ImagingSelection.instance:referencedSegmentationFrame.imageRegion3D.regionType	required	ImagingSelection3DGraphicType http://hl7.org/fhir/ValueSet/imagingselection-3dgraphictype|5.0.0 from the FHIR Standard

This structure is derived from ImagingSelectionObservationImagingSelection

Summary

Mandatory: 4 elements
Must-Support: 1 element

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ImagingSelection.instance

Other representations of profile: CSV, Excel, Schematron