EU Imaging Report R4, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/imaging-r4/ and changes regularly. See the Directory of published versions

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: ImagingSelection: DICOM key image instance

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{
  "resourceType" : "Basic",
  "id" : "KeyImageImagingSelectionDicomInstanceExample",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.eu/fhir/imaging/StructureDefinition/ImagingSelectionKeyImageEuImaging"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Basic KeyImageImagingSelectionDicomInstanceExample</b></p><a name=\"KeyImageImagingSelectionDicomInstanceExample\"> </a><a name=\"hcKeyImageImagingSelectionDicomInstanceExample\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ImagingSelectionKeyImageEuImaging.html\">Key images represented as an ImagingSelection for R4</a></p></div><p><b>R5: Imaging Selection purpose text or code (new)</b>: <span title=\"Codes:{http://dicom.nema.org/resources/ontology/DCM 113000}\">Of Interest</span></p><p><b>Artifact Description</b>: </p><div><p>Representative ultrasound key image</p>\n</div><p><b>Artifact Title</b>: Frame selected by the reporting radiologist for follow-up comparison.</p><p><b>R5: The imaging study from which the imaging selection is derived (new)</b>: <a href=\"ImagingStudy-ImagingStudyStructuredReport.html\">ImagingStudy: extension = Upper trunk; identifier = Study Instance UID: DICOM Unique Id#urn:oid:1.3.46.670589.58.10.10562925256214266678.11674839624289915183; status = available; modality = Ultrasound (DICOM#US); started = 2025-04-29</a></p><blockquote><p><b>R5: Selector of the instances (human or machine) (new)</b></p><ul><li>actor: <a href=\"PractitionerRole-PractitionerRoleStructuredReportAuthor.html\">Ph.D. Philips van de JOCHEMSEN, Prof.(official): Cardiology at Ultrasound centrum</a></li><li>function: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationType PRF}\">Performer</span></li></ul></blockquote><blockquote><p><b>R5: Selector of the instances (human or machine) (new)</b></p><ul><li>actor: <a href=\"Device-UltrasoundScannerExample.html\">Device: extension = Diagnostic imaging equipment; identifier = urn:dicom:uid#DICOM Unique Id#urn:oid:1.2.840.113619.6.184.3.20260831.1; manufacturer = Example Medical Imaging; serialNumber = US-2026-0001; type = Ultrasound</a></li><li>function: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationType DEV}\">Device</span></li></ul></blockquote><p><b>R5: DICOM Study Instance UID (new)</b>: 1.2.840.113619.2.5.1762583153.215519.978957063.110</p><p><b>R5: DICOM Series Instance UID (new)</b>: 1.2.840.113619.2.5.1762583153.215519.978957063.120</p><blockquote><p><b>R5: The selected instances (new)</b></p><ul><li>uid: 1.2.840.113619.2.5.1762583153.215519.978957063.121</li></ul></blockquote><p><b>R5: available | entered-in-error | unknown (new)</b>: available</p><p><b>code</b>: <span title=\"Codes:{http://dicom.nema.org/resources/ontology/DCM 113000}\">Of Interest</span></p><p><b>subject</b>: <a href=\"Patient-PatientStructuredReport.html\">3D TEE 2D(official) (no stated gender), DoB: 1976-04-29 ( 00 CARDIAC 2)</a></p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.code",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://dicom.nema.org/resources/ontology/DCM",
            "code" : "113000",
            "display" : "Of Interest"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/artifact-description",
      "valueMarkdown" : "Representative ultrasound key image"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/artifact-title",
      "valueString" : "Frame selected by the reporting radiologist for follow-up comparison."
    },
    {
      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.derivedFrom",
      "valueReference" : {
        🔗 "reference" : "ImagingStudy/ImagingStudyStructuredReport"
      }
    },
    {
      "extension" : [
        {
          "url" : "actor",
          "valueReference" : {
            🔗 "reference" : "PractitionerRole/PractitionerRoleStructuredReportAuthor"
          }
        },
        {
          "url" : "function",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                "code" : "PRF",
                "display" : "Performer"
              }
            ]
          }
        }
      ],
      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.performer"
    },
    {
      "extension" : [
        {
          "url" : "actor",
          "valueReference" : {
            🔗 "reference" : "Device/UltrasoundScannerExample"
          }
        },
        {
          "url" : "function",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                "code" : "DEV",
                "display" : "Device"
              }
            ]
          }
        }
      ],
      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.performer"
    },
    {
      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.studyUid",
      "valueId" : "1.2.840.113619.2.5.1762583153.215519.978957063.110"
    },
    {
      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.seriesUid",
      "valueId" : "1.2.840.113619.2.5.1762583153.215519.978957063.120"
    },
    {
      "extension" : [
        {
          "url" : "uid",
          "valueId" : "1.2.840.113619.2.5.1762583153.215519.978957063.121"
        }
      ],
      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.instance"
    }
  ],
  "modifierExtension" : [
    {
      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.status",
      "valueCode" : "available"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://dicom.nema.org/resources/ontology/DCM",
        "code" : "113000",
        "display" : "Of Interest"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/PatientStructuredReport"
  }
}