DICOM® SR to FHIR Resource Mapping IG
1.0.0 - 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 Illustration Of ROI Mapping

Official URL: http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/illustration-of-roi Version: 1.0.0
Standards status: Trial-use Active as of 2025-10-29 Maturity Level: 2 Computable Name: ImagingSelectionIllustrationOfROI
Other Identifiers: OID:2.16.840.1.113883.4.642.40.39.42.8

DICOM® SR Illustration Of ROI Mapping to ImagingSelection

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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
..... 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: 121200
..... display 1..1 string Representation defined by the system
Fixed Value: Illustration of ROI
..... userSelected 0..1 boolean If this coding was chosen directly by the user
... 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
... instance SΣ 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 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ImagingSelection.status Base required Imaging Selection Status 📍5.0.0 FHIR Std.
ImagingSelection.code Base example KeyObjectSelectionDocumentTitle 📦2025.2.20250411 DICOM v2025b
ImagingSelection.instance.​sopClass Base extensible http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 Not Stated Unknown

Constraints

Id Grade Path(s) Description Expression
dom-2 error ImagingSelection If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ImagingSelection 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ImagingSelection If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ImagingSelection If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ImagingSelection A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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: 121200
..... display 1..1 string Representation defined by the system
Fixed Value: Illustration of ROI
... instance S 1..* BackboneElement The selected instances
.... uid 1..1 id DICOM SOP Instance UID
.... sopClass 0..1 Coding DICOM SOP Class UID

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... 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: 121200
..... display 1..1 string Representation defined by the system
Fixed Value: Illustration of ROI
..... 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
... instance SΣ 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 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.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ImagingSelection.language Base required All Languages 📍5.0.0 FHIR Std.
ImagingSelection.status Base required Imaging Selection Status 📍5.0.0 FHIR Std.
ImagingSelection.performer.​function Base extensible ImagingStudy series performer function 📍5.0.0 FHIR Std.
ImagingSelection.basedOn:serviceRequestRef.​type Base extensible Resource Types 📍5.0.0 FHIR Std.
ImagingSelection.basedOn:serviceRequestRef.​identifier.use Base required IdentifierUse 📍5.0.0 FHIR Std.
ImagingSelection.basedOn:serviceRequestRef.​identifier.type Base extensible Identifier Type Codes 📍5.0.0 FHIR Std.
ImagingSelection.category Base example KeyObjectSelectionDocumentTitle 📦2025.2.20250411 DICOM v2025b
ImagingSelection.code Base example KeyObjectSelectionDocumentTitle 📦2025.2.20250411 DICOM v2025b
ImagingSelection.derivedFrom:imagingStudyRef.​type Base extensible Resource Types 📍5.0.0 FHIR Std.
ImagingSelection.derivedFrom:imagingStudyRef.​identifier.use Base required IdentifierUse 📍5.0.0 FHIR Std.
ImagingSelection.derivedFrom:imagingStudyRef.​identifier.type Base extensible Identifier Type Codes 📍5.0.0 FHIR Std.
ImagingSelection.bodySite Base example SNOMED CT Body Structures 📍5.0.0 FHIR Std.
ImagingSelection.instance.​sopClass Base extensible http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 Not Stated Unknown
ImagingSelection.instance.​imageRegion2D.regionType Base required Imaging Selection2 D Graphic Type 📍5.0.0 FHIR Std.
ImagingSelection.instance.​imageRegion3D.regionType Base required Imaging Selection3 D Graphic Type 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error ImagingSelection If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ImagingSelection 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ImagingSelection If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ImagingSelection If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ImagingSelection A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Mandatory: 1 element
Must-Support: 2 elements

Maturity: 2

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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
..... 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: 121200
..... display 1..1 string Representation defined by the system
Fixed Value: Illustration of ROI
..... userSelected 0..1 boolean If this coding was chosen directly by the user
... 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
... instance SΣ 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 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ImagingSelection.status Base required Imaging Selection Status 📍5.0.0 FHIR Std.
ImagingSelection.code Base example KeyObjectSelectionDocumentTitle 📦2025.2.20250411 DICOM v2025b
ImagingSelection.instance.​sopClass Base extensible http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 Not Stated Unknown

Constraints

Id Grade Path(s) Description Expression
dom-2 error ImagingSelection If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ImagingSelection 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ImagingSelection If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ImagingSelection If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ImagingSelection A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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: 121200
..... display 1..1 string Representation defined by the system
Fixed Value: Illustration of ROI
... instance S 1..* BackboneElement The selected instances
.... uid 1..1 id DICOM SOP Instance UID
.... sopClass 0..1 Coding DICOM SOP Class UID

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... 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: 121200
..... display 1..1 string Representation defined by the system
Fixed Value: Illustration of ROI
..... 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
... instance SΣ 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 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.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ImagingSelection.language Base required All Languages 📍5.0.0 FHIR Std.
ImagingSelection.status Base required Imaging Selection Status 📍5.0.0 FHIR Std.
ImagingSelection.performer.​function Base extensible ImagingStudy series performer function 📍5.0.0 FHIR Std.
ImagingSelection.basedOn:serviceRequestRef.​type Base extensible Resource Types 📍5.0.0 FHIR Std.
ImagingSelection.basedOn:serviceRequestRef.​identifier.use Base required IdentifierUse 📍5.0.0 FHIR Std.
ImagingSelection.basedOn:serviceRequestRef.​identifier.type Base extensible Identifier Type Codes 📍5.0.0 FHIR Std.
ImagingSelection.category Base example KeyObjectSelectionDocumentTitle 📦2025.2.20250411 DICOM v2025b
ImagingSelection.code Base example KeyObjectSelectionDocumentTitle 📦2025.2.20250411 DICOM v2025b
ImagingSelection.derivedFrom:imagingStudyRef.​type Base extensible Resource Types 📍5.0.0 FHIR Std.
ImagingSelection.derivedFrom:imagingStudyRef.​identifier.use Base required IdentifierUse 📍5.0.0 FHIR Std.
ImagingSelection.derivedFrom:imagingStudyRef.​identifier.type Base extensible Identifier Type Codes 📍5.0.0 FHIR Std.
ImagingSelection.bodySite Base example SNOMED CT Body Structures 📍5.0.0 FHIR Std.
ImagingSelection.instance.​sopClass Base extensible http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 Not Stated Unknown
ImagingSelection.instance.​imageRegion2D.regionType Base required Imaging Selection2 D Graphic Type 📍5.0.0 FHIR Std.
ImagingSelection.instance.​imageRegion3D.regionType Base required Imaging Selection3 D Graphic Type 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error ImagingSelection If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ImagingSelection 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ImagingSelection If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ImagingSelection If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ImagingSelection A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Mandatory: 1 element
Must-Support: 2 elements

Maturity: 2

 

Other representations of profile: CSV, Excel, Schematron