DICOM® SR to FHIR Resource Mapping IG
1.0.0 - STU1 Ballot International flag

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

Resource Profile: Imaging Selection - DICOM SR Region In Space

Official URL: http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/region-in-space Version: 1.0.0
Active as of 2025-05-01 Computable Name: ImagingSelectionRegionInSpace
Other Identifiers: OID:2.16.840.1.113883.4.642.40.39.42.19

DICOM® SR Region In Space Mapping to ImagingSelection

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingSelection 0..* ImagingSelectionObservationImagingSelection A selection of DICOM SOP instances and/or frames
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... subject SΣ 1..1 Reference(Patient) Subject of the selected instances
ele-1: All FHIR elements must have a @value or children
... Slices for basedOn Σ 0..* Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) Associated request
Slice: Unordered, Open by type:reference
ele-1: All FHIR elements must have a @value or children
.... basedOn:serviceRequestRef SΣ 0..1 Reference(ServiceRequest) Description of the related ServiceRequest
ele-1: All FHIR elements must have a @value or children
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
... code SΣ 1..1 CodeableConcept Imaging Selection purpose text or code
Binding: KeyObjectSelectionDocumentTitle (example): Key Object Selection Document Title.


ele-1: All FHIR elements must have a @value or children
.... coding Σ 0..* Coding Code defined by a terminology system
ele-1: All FHIR elements must have a @value or children

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: 130488
..... display 1..1 string Representation defined by the system
Fixed Value: Region In Space
... Slices for derivedFrom Σ 1..* Reference(ImagingStudy | DocumentReference) The imaging study from which the imaging selection is derived
Slice: Unordered, Open by type:reference
ele-1: All FHIR elements must have a @value or children
.... derivedFrom:imagingStudyRef SΣ 1..1 Reference(ImagingStudy) Related ImagingStudy
ele-1: All FHIR elements must have a @value or children
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
... Slices for instance Σ 1..* BackboneElement The selected instances
Slice: Unordered, Open by value:sopClass
ele-1: All FHIR elements must have a @value or children
.... instance:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... uid Σ 1..1 id DICOM SOP Instance UID
ele-1: All FHIR elements must have a @value or children
Example General: 1.2.840.113747.20080222.12753225430534207568475333748793.1.1
.... instance:rtStructureInstance Σ 1..* BackboneElement The selected instances
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... uid Σ 1..1 id DICOM SOP Instance UID
ele-1: All FHIR elements must have a @value or children
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.


ele-1: All FHIR elements must have a @value or children
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: 11.2.840.10008.5.1.4.1.1.481.3
...... display 1..1 string Representation defined by the system
Fixed Value: RT Structure Set Storage
..... subset S 1..* string The selected subset of the SOP Instance
ele-1: All FHIR elements must have a @value or children

Example General: 6

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ImagingSelection.statusrequiredImagingSelectionStatus
http://hl7.org/fhir/ValueSet/imagingselection-status|5.0.0
from the FHIR Standard
ImagingSelection.codeexampleKeyObjectSelectionDocumentTitle
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html
ImagingSelection.instance:rtStructureInstance.sopClassextensiblePattern: 11.2.840.10008.5.1.4.1.1.481.3("RT Structure Set Storage")
http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

This structure is derived from ImagingSelectionObservationImagingSelection

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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: 130488
..... display 1..1 string Representation defined by the system
Fixed Value: Region In Space
... Slices for instance 1..* BackboneElement The selected instances
Slice: Unordered, Open by value:sopClass
.... instance:rtStructureInstance 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: 11.2.840.10008.5.1.4.1.1.481.3
...... display 1..1 string Representation defined by the system
Fixed Value: RT Structure Set Storage
..... subset S 1..* string The selected subset of the SOP Instance

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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: 130488
..... display 1..1 string Representation defined by the system
Fixed Value: Region In Space
..... 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:rtStructureInstance 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: 11.2.840.10008.5.1.4.1.1.481.3
...... display 1..1 string Representation defined by the system
Fixed Value: RT Structure Set Storage
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... subset S 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.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ImagingSelection.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
ImagingSelection.statusrequiredImagingSelectionStatus
http://hl7.org/fhir/ValueSet/imagingselection-status|5.0.0
from the FHIR Standard
ImagingSelection.performer.functionextensibleImagingStudySeriesPerformerFunction
http://hl7.org/fhir/ValueSet/series-performer-function
from the FHIR Standard
ImagingSelection.basedOn:serviceRequestRef.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
ImagingSelection.basedOn:serviceRequestRef.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
from the FHIR Standard
ImagingSelection.basedOn:serviceRequestRef.identifier.typeextensiblePattern: ACSN("Accession ID")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ImagingSelection.categoryexampleKeyObjectSelectionDocumentTitle
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html
ImagingSelection.codeexampleKeyObjectSelectionDocumentTitle
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html
ImagingSelection.derivedFrom:imagingStudyRef.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
ImagingSelection.derivedFrom:imagingStudyRef.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
from the FHIR Standard
ImagingSelection.derivedFrom:imagingStudyRef.identifier.typeextensiblePattern: 110180("Study Instance UID")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ImagingSelection.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
ImagingSelection.instance.sopClassextensiblehttp://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.regionTyperequiredImagingSelection2DGraphicType
http://hl7.org/fhir/ValueSet/imagingselection-2dgraphictype|5.0.0
from the FHIR Standard
ImagingSelection.instance.imageRegion3D.regionTyperequiredImagingSelection3DGraphicType
http://hl7.org/fhir/ValueSet/imagingselection-3dgraphictype|5.0.0
from the FHIR Standard
ImagingSelection.instance:rtStructureInstance.sopClassextensiblePattern: 11.2.840.10008.5.1.4.1.1.481.3("RT Structure Set Storage")
http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
ImagingSelection.instance:rtStructureInstance.imageRegion2D.regionTyperequiredImagingSelection2DGraphicType
http://hl7.org/fhir/ValueSet/imagingselection-2dgraphictype|5.0.0
from the FHIR Standard
ImagingSelection.instance:rtStructureInstance.imageRegion3D.regionTyperequiredImagingSelection3DGraphicType
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: 2 elements

Slices

This structure defines the following Slices:

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

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingSelection 0..* ImagingSelectionObservationImagingSelection A selection of DICOM SOP instances and/or frames
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... subject SΣ 1..1 Reference(Patient) Subject of the selected instances
ele-1: All FHIR elements must have a @value or children
... Slices for basedOn Σ 0..* Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) Associated request
Slice: Unordered, Open by type:reference
ele-1: All FHIR elements must have a @value or children
.... basedOn:serviceRequestRef SΣ 0..1 Reference(ServiceRequest) Description of the related ServiceRequest
ele-1: All FHIR elements must have a @value or children
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
... code SΣ 1..1 CodeableConcept Imaging Selection purpose text or code
Binding: KeyObjectSelectionDocumentTitle (example): Key Object Selection Document Title.


ele-1: All FHIR elements must have a @value or children
.... coding Σ 0..* Coding Code defined by a terminology system
ele-1: All FHIR elements must have a @value or children

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: 130488
..... display 1..1 string Representation defined by the system
Fixed Value: Region In Space
... Slices for derivedFrom Σ 1..* Reference(ImagingStudy | DocumentReference) The imaging study from which the imaging selection is derived
Slice: Unordered, Open by type:reference
ele-1: All FHIR elements must have a @value or children
.... derivedFrom:imagingStudyRef SΣ 1..1 Reference(ImagingStudy) Related ImagingStudy
ele-1: All FHIR elements must have a @value or children
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
... Slices for instance Σ 1..* BackboneElement The selected instances
Slice: Unordered, Open by value:sopClass
ele-1: All FHIR elements must have a @value or children
.... instance:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... uid Σ 1..1 id DICOM SOP Instance UID
ele-1: All FHIR elements must have a @value or children
Example General: 1.2.840.113747.20080222.12753225430534207568475333748793.1.1
.... instance:rtStructureInstance Σ 1..* BackboneElement The selected instances
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... uid Σ 1..1 id DICOM SOP Instance UID
ele-1: All FHIR elements must have a @value or children
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.


ele-1: All FHIR elements must have a @value or children
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: 11.2.840.10008.5.1.4.1.1.481.3
...... display 1..1 string Representation defined by the system
Fixed Value: RT Structure Set Storage
..... subset S 1..* string The selected subset of the SOP Instance
ele-1: All FHIR elements must have a @value or children

Example General: 6

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ImagingSelection.statusrequiredImagingSelectionStatus
http://hl7.org/fhir/ValueSet/imagingselection-status|5.0.0
from the FHIR Standard
ImagingSelection.codeexampleKeyObjectSelectionDocumentTitle
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html
ImagingSelection.instance:rtStructureInstance.sopClassextensiblePattern: 11.2.840.10008.5.1.4.1.1.481.3("RT Structure Set Storage")
http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Differential View

This structure is derived from ImagingSelectionObservationImagingSelection

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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: 130488
..... display 1..1 string Representation defined by the system
Fixed Value: Region In Space
... Slices for instance 1..* BackboneElement The selected instances
Slice: Unordered, Open by value:sopClass
.... instance:rtStructureInstance 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: 11.2.840.10008.5.1.4.1.1.481.3
...... display 1..1 string Representation defined by the system
Fixed Value: RT Structure Set Storage
..... subset S 1..* string The selected subset of the SOP Instance

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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: 130488
..... display 1..1 string Representation defined by the system
Fixed Value: Region In Space
..... 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:rtStructureInstance 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: 11.2.840.10008.5.1.4.1.1.481.3
...... display 1..1 string Representation defined by the system
Fixed Value: RT Structure Set Storage
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... subset S 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.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ImagingSelection.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
ImagingSelection.statusrequiredImagingSelectionStatus
http://hl7.org/fhir/ValueSet/imagingselection-status|5.0.0
from the FHIR Standard
ImagingSelection.performer.functionextensibleImagingStudySeriesPerformerFunction
http://hl7.org/fhir/ValueSet/series-performer-function
from the FHIR Standard
ImagingSelection.basedOn:serviceRequestRef.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
ImagingSelection.basedOn:serviceRequestRef.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
from the FHIR Standard
ImagingSelection.basedOn:serviceRequestRef.identifier.typeextensiblePattern: ACSN("Accession ID")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ImagingSelection.categoryexampleKeyObjectSelectionDocumentTitle
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html
ImagingSelection.codeexampleKeyObjectSelectionDocumentTitle
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html
ImagingSelection.derivedFrom:imagingStudyRef.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
ImagingSelection.derivedFrom:imagingStudyRef.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
from the FHIR Standard
ImagingSelection.derivedFrom:imagingStudyRef.identifier.typeextensiblePattern: 110180("Study Instance UID")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ImagingSelection.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
ImagingSelection.instance.sopClassextensiblehttp://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.regionTyperequiredImagingSelection2DGraphicType
http://hl7.org/fhir/ValueSet/imagingselection-2dgraphictype|5.0.0
from the FHIR Standard
ImagingSelection.instance.imageRegion3D.regionTyperequiredImagingSelection3DGraphicType
http://hl7.org/fhir/ValueSet/imagingselection-3dgraphictype|5.0.0
from the FHIR Standard
ImagingSelection.instance:rtStructureInstance.sopClassextensiblePattern: 11.2.840.10008.5.1.4.1.1.481.3("RT Structure Set Storage")
http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
ImagingSelection.instance:rtStructureInstance.imageRegion2D.regionTyperequiredImagingSelection2DGraphicType
http://hl7.org/fhir/ValueSet/imagingselection-2dgraphictype|5.0.0
from the FHIR Standard
ImagingSelection.instance:rtStructureInstance.imageRegion3D.regionTyperequiredImagingSelection3DGraphicType
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: 2 elements

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