EU Imaging Report R4
1.0.0-ballot - ci-build 150

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

Resource Profile: Basic-ImagingSelection: General - Detailed Descriptions

Page standards status: Draft Maturity Level: 1

Definitions for the ImagingSelectionEuImaging resource profile

See the documentation on how to interpret the contents of this table

0. Basic
Definition

Basic is used for handling concepts not yet defined in FHIR, narrative-only resources that don't map to an existing resource, and custom resources not appropriate for inclusion in the FHIR specification.

ShortResource for non-supported content
Control0..*
Is Modifierfalse
Summaryfalse
Alternate NamesZ-resource, Extension-resource, Custom-resource
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
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 (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
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 (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Basic.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Basic.extension
Definition

An Extension


May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortExtensionAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control20..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Basic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

    6. Basic.extension:issued
    Slice Nameissued
    Definition

    R5: ImagingSelection.issued (new:instant)

    ShortR5: Date / Time when this imaging selection was created (new)
    Comments

    Element ImagingSelection.issued is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.issued has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Date / Time when this imaging selection was created (new)) (Extension Type: instant)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    8. Basic.extension:performer
    Slice Nameperformer
    Definition

    R5: ImagingSelection.performer (new:BackboneElement)

    ShortR5: Selector of the instances (human or machine) (new)
    Comments

    Element ImagingSelection.performer is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.performer has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Selector of the instances (human or machine) (new)) (Complex Extension)
    Is Modifierfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. Basic.extension:basedOn
    Slice NamebasedOn
    Definition

    R5: ImagingSelection.basedOn (new:Reference(CarePlan,ServiceRequest,Appointment,AppointmentResponse,Task))

    ShortR5: Associated request (new)
    Comments

    Element ImagingSelection.basedOn is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.basedOn has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Associated request (new)) (Extension Type: Reference(Cross-version Profile for R5.CarePlan for use in FHIR R4, CarePlan, Cross-version Profile for R5.ServiceRequest for use in FHIR R4, ServiceRequest, Cross-version Profile for R5.Appointment for use in FHIR R4, Appointment, Cross-version Profile for R5.AppointmentResponse for use in FHIR R4, AppointmentResponse, Cross-version Profile for R5.Task for use in FHIR R4, Task))
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    12. Basic.extension:category
    Slice Namecategory
    Definition

    R5: ImagingSelection.category (new:CodeableConcept)

    ShortR5: Classifies the imaging selection (new)
    Comments

    Element ImagingSelection.category is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.category has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Classifies the imaging selection (new)) (Extension Type: CodeableConcept)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    14. Basic.extension:code
    Slice Namecode
    Definition

    R5: ImagingSelection.code (new:CodeableConcept)

    ShortR5: Imaging Selection purpose text or code (new)
    Comments

    Element ImagingSelection.code is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.code has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). All code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.

    Control1..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Imaging Selection purpose text or code (new)) (Extension Type: CodeableConcept)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    16. Basic.extension:studyUid
    Slice NamestudyUid
    Definition

    R5: ImagingSelection.studyUid (new:id)

    ShortR5: DICOM Study Instance UID (new)
    Comments

    Element ImagingSelection.studyUid is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.studyUid has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). See DICOM PS3.3 C.7.2.

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: DICOM Study Instance UID (new)) (Extension Type: id)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    18. Basic.extension:derivedFrom
    Slice NamederivedFrom
    Definition

    R5: ImagingSelection.derivedFrom (new:Reference(ImagingStudy,DocumentReference))

    ShortR5: The imaging study from which the imaging selection is derived (new)
    Comments

    Element ImagingSelection.derivedFrom is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.derivedFrom has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control1..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: The imaging study from which the imaging selection is derived (new)) (Extension Type: Reference(Cross-version Profile for R5.ImagingStudy for use in FHIR R4, ImagingStudy, Cross-version Profile for R5.DocumentReference for use in FHIR R4, Media))
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    20. Basic.extension:endpoint
    Slice Nameendpoint
    Definition

    R5: ImagingSelection.endpoint (new:Reference(Endpoint))

    ShortR5: The network service providing retrieval for the images referenced in the imaging selection (new)
    Comments

    Element ImagingSelection.endpoint is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.endpoint has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG) formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach.

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: The network service providing retrieval for the images referenced in the imaging selection (new)) (Extension Type: Reference(Cross-version Profile for R5.Endpoint for use in FHIR R4, Endpoint))
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    22. Basic.extension:seriesUid
    Slice NameseriesUid
    Definition

    R5: ImagingSelection.seriesUid (new:id)

    ShortR5: DICOM Series Instance UID (new)
    Comments

    Element ImagingSelection.seriesUid is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.seriesUid has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). See DICOM PS3.3 C.7.3.

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: DICOM Series Instance UID (new)) (Extension Type: id)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    24. Basic.extension:seriesNumber
    Slice NameseriesNumber
    Definition

    R5: ImagingSelection.seriesNumber (new:unsignedInt)

    ShortR5: DICOM Series Number (new)
    Comments

    Element ImagingSelection.seriesNumber is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.seriesNumber has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). See DICOM PS3.3 C.7.3.

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: DICOM Series Number (new)) (Extension Type: unsignedInt)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    26. Basic.extension:frameOfReferenceUid
    Slice NameframeOfReferenceUid
    Definition

    R5: ImagingSelection.frameOfReferenceUid (new:id)

    ShortR5: The Frame of Reference UID for the selected images (new)
    Comments

    Element ImagingSelection.frameOfReferenceUid is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.frameOfReferenceUid has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). See DICOM PS3.3 C.7.4.1.

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: The Frame of Reference UID for the selected images (new)) (Extension Type: id)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    28. Basic.extension:bodySite
    Slice NamebodySite
    Definition

    R5: ImagingSelection.bodySite (new:CodeableReference(BodyStructure))

    ShortR5: Body part examined (new)
    Comments

    Element ImagingSelection.bodySite is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.bodySite has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Body part examined (new)) (Complex Extension)
    Is Modifierfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    30. Basic.extension:focus
    Slice Namefocus
    Definition

    R5: ImagingSelection.focus (new:Reference(ImagingSelection))

    ShortR5: Related resource that is the focus for the imaging selection (new)
    Comments

    Element ImagingSelection.focus is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.focus has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). An imaging selection may reference a DICOM resource that itself references other DICOM resources. e.g. a presentation state references a set of source images or frames.

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Related resource that is the focus for the imaging selection (new)) (Extension Type: Reference(Cross-version Profile for R5.ImagingSelection for use in FHIR R4, Basic))
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    32. Basic.extension:instance
    Slice Nameinstance
    Definition

    R5: ImagingSelection.instance (new:BackboneElement)

    ShortR5: The selected instances (new)
    Comments

    Element ImagingSelection.instance is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.instance has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: The selected instances (new)) (Complex Extension)
    Is Modifierfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    34. Basic.extension:derivedFrom/study
    Slice NamederivedFrom/study
    Definition

    R5: ImagingSelection.derivedFrom (new:Reference(ImagingStudy,DocumentReference))

    ShortR5: The imaging study from which the imaging selection is derived (new)
    Comments

    Element ImagingSelection.derivedFrom is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.derivedFrom has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control1..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: The imaging study from which the imaging selection is derived (new)) (Extension Type: Reference(Cross-version Profile for R5.ImagingStudy for use in FHIR R4, ImagingStudy, Cross-version Profile for R5.DocumentReference for use in FHIR R4, Media))
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    36. Basic.extension:derivedFrom/study.extension
    Definition

    An Extension


    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortExtensionAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..0*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on Basic.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

      38. Basic.extension:derivedFrom/study.url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Fixed Value
      {
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.derivedFrom"
      }
      <url value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.derivedFrom"/>
      40. Basic.extension:derivedFrom/study.value[x]
      Definition

      The imaging study from which the imaging selection is made.


      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      ShortThe imaging study from which the imaging selection is derivedValue of extension
      Control10..1
      TypeReference(ImagingStudy: Reported Study), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      42. Basic.modifierExtension
      Definition

      An Extension


      May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensionExtensions that cannot be ignored
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control10..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
      Summaryfalse
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on Basic.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

        44. Basic.modifierExtension:status
        Slice Namestatus
        Definition

        R5: ImagingSelection.status (new:code)

        ShortR5: available | entered-in-error | unknown (new)
        Comments

        Element ImagingSelection.status is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.status has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.

        Control1..1
        This element is affected by the following invariants: ele-1
        TypeExtension(R5: available | entered-in-error | unknown (new)) (Extension Type: code)
        Is Modifiertrue because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        46. Basic.code
        Definition

        Identifies the 'type' of resource - equivalent to the resource name for other resources.

        ShortKind of Resource
        Comments

        Because resource references will only be able to indicate 'Basic', the type of reference will need to be specified in a Profile identified as part of the resource. Refer to the resource notes section for information on appropriate terminologies for this code.

        This element is labeled as a modifier because it defines the meaning of the resource and cannot be ignored.

        Control1..1
        BindingFor example codes, see BasicResourceTypeshttp://hl7.org/fhir/ValueSet/basic-resource-type|4.0.1
        (example to http://hl7.org/fhir/ValueSet/basic-resource-type|4.0.1)

        Codes for identifying types of resources not yet defined by FHIR.

        TypeCodeableConcept
        Is Modifiertrue because This element determines what kind of resource is being represented which drives the meaning of all of the other elements.
        Summarytrue
        Requirements

        Must be able to distinguish different types of Basic resources.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        48. Basic.subject
        Definition

        Identifies the patient, practitioner, device or any other resource that is the "focus" of this resource.

        ShortIdentifies the focus of this resource
        Comments

        Optional as not all potential resources will have subjects. Resources associated with multiple subjects can handle this via extension.

        Control0..1
        TypeReference(Patient (EU core), Resource)
        Is Modifierfalse
        Summarytrue
        Requirements

        Needed for partitioning the resource by Patient.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

        See the documentation on how to interpret the contents of this table

        0. Basic
        2. Basic.extension
        Control2..?
        4. Basic.extension:derivedFrom
        Slice NamederivedFrom
        Control1..?
        SlicingThis element introduces a set of slices on Basic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • profile @ value.resolve()
        • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

          6. Basic.extension:derivedFrom/study
          Slice NamederivedFrom/study
          Control1..1
          8. Basic.extension:derivedFrom/study.extension
          Control0..0
          10. Basic.extension:derivedFrom/study.value[x]
          Control1..?
          TypeReference(ImagingStudy: Reported Study)
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          12. Basic.modifierExtension
          Control1..?
          14. Basic.subject
          TypeReference(Patient (EU core))

          See the documentation on how to interpret the contents of this table

          0. Basic
          Definition

          Basic is used for handling concepts not yet defined in FHIR, narrative-only resources that don't map to an existing resource, and custom resources not appropriate for inclusion in the FHIR specification.

          ShortResource for non-supported content
          Control0..*
          Is Modifierfalse
          Summaryfalse
          Alternate NamesZ-resource, Extension-resource, Custom-resource
          Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
          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 (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
          dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
          dom-6: A resource should have narrative for robust management (text.`div`.exists())
          2. Basic.id
          Definition

          The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

          ShortLogical id of this artifact
          Comments

          The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

          Control0..1
          Typeid
          Is Modifierfalse
          Summarytrue
          4. Basic.meta
          Definition

          The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

          ShortMetadata about the resource
          Control0..1
          TypeMeta
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          6. Basic.implicitRules
          Definition

          A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

          ShortA set of rules under which this content was created
          Comments

          Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

          Control0..1
          Typeuri
          Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          8. Basic.language
          Definition

          The base language in which the resource is written.

          ShortLanguage of the resource content
          Comments

          Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

          Control0..1
          BindingThe codes SHOULD be taken from CommonLanguages
          (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

          A human language.

          Additional BindingsPurpose
          AllLanguagesMax Binding
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          10. Basic.text
          Definition

          A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

          ShortText summary of the resource, for human interpretation
          Comments

          Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

          Control0..1
          TypeNarrative
          Is Modifierfalse
          Summaryfalse
          Alternate Namesnarrative, html, xhtml, display
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          12. Basic.contained
          Definition

          These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

          ShortContained, inline Resources
          Comments

          This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

          Control0..*
          TypeResource
          Is Modifierfalse
          Summaryfalse
          Alternate Namesinline resources, anonymous resources, contained resources
          14. Basic.extension
          Definition

          An Extension

          ShortExtension
          Control2..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on Basic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

            16. Basic.extension:issued
            Slice Nameissued
            Definition

            R5: ImagingSelection.issued (new:instant)

            ShortR5: Date / Time when this imaging selection was created (new)
            Comments

            Element ImagingSelection.issued is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.issued has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Date / Time when this imaging selection was created (new)) (Extension Type: instant)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            18. Basic.extension:performer
            Slice Nameperformer
            Definition

            R5: ImagingSelection.performer (new:BackboneElement)

            ShortR5: Selector of the instances (human or machine) (new)
            Comments

            Element ImagingSelection.performer is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.performer has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Selector of the instances (human or machine) (new)) (Complex Extension)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            20. Basic.extension:basedOn
            Slice NamebasedOn
            Definition

            R5: ImagingSelection.basedOn (new:Reference(CarePlan,ServiceRequest,Appointment,AppointmentResponse,Task))

            ShortR5: Associated request (new)
            Comments

            Element ImagingSelection.basedOn is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.basedOn has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Associated request (new)) (Extension Type: Reference(Cross-version Profile for R5.CarePlan for use in FHIR R4, CarePlan, Cross-version Profile for R5.ServiceRequest for use in FHIR R4, ServiceRequest, Cross-version Profile for R5.Appointment for use in FHIR R4, Appointment, Cross-version Profile for R5.AppointmentResponse for use in FHIR R4, AppointmentResponse, Cross-version Profile for R5.Task for use in FHIR R4, Task))
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            22. Basic.extension:category
            Slice Namecategory
            Definition

            R5: ImagingSelection.category (new:CodeableConcept)

            ShortR5: Classifies the imaging selection (new)
            Comments

            Element ImagingSelection.category is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.category has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Classifies the imaging selection (new)) (Extension Type: CodeableConcept)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            24. Basic.extension:code
            Slice Namecode
            Definition

            R5: ImagingSelection.code (new:CodeableConcept)

            ShortR5: Imaging Selection purpose text or code (new)
            Comments

            Element ImagingSelection.code is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.code has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). All code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.

            Control1..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Imaging Selection purpose text or code (new)) (Extension Type: CodeableConcept)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            26. Basic.extension:studyUid
            Slice NamestudyUid
            Definition

            R5: ImagingSelection.studyUid (new:id)

            ShortR5: DICOM Study Instance UID (new)
            Comments

            Element ImagingSelection.studyUid is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.studyUid has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). See DICOM PS3.3 C.7.2.

            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: DICOM Study Instance UID (new)) (Extension Type: id)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            28. Basic.extension:derivedFrom
            Slice NamederivedFrom
            Definition

            R5: ImagingSelection.derivedFrom (new:Reference(ImagingStudy,DocumentReference))

            ShortR5: The imaging study from which the imaging selection is derived (new)
            Comments

            Element ImagingSelection.derivedFrom is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.derivedFrom has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            Control1..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: The imaging study from which the imaging selection is derived (new)) (Extension Type: Reference(Cross-version Profile for R5.ImagingStudy for use in FHIR R4, ImagingStudy, Cross-version Profile for R5.DocumentReference for use in FHIR R4, Media))
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            30. Basic.extension:endpoint
            Slice Nameendpoint
            Definition

            R5: ImagingSelection.endpoint (new:Reference(Endpoint))

            ShortR5: The network service providing retrieval for the images referenced in the imaging selection (new)
            Comments

            Element ImagingSelection.endpoint is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.endpoint has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG) formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach.

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: The network service providing retrieval for the images referenced in the imaging selection (new)) (Extension Type: Reference(Cross-version Profile for R5.Endpoint for use in FHIR R4, Endpoint))
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            32. Basic.extension:seriesUid
            Slice NameseriesUid
            Definition

            R5: ImagingSelection.seriesUid (new:id)

            ShortR5: DICOM Series Instance UID (new)
            Comments

            Element ImagingSelection.seriesUid is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.seriesUid has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). See DICOM PS3.3 C.7.3.

            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: DICOM Series Instance UID (new)) (Extension Type: id)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            34. Basic.extension:seriesNumber
            Slice NameseriesNumber
            Definition

            R5: ImagingSelection.seriesNumber (new:unsignedInt)

            ShortR5: DICOM Series Number (new)
            Comments

            Element ImagingSelection.seriesNumber is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.seriesNumber has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). See DICOM PS3.3 C.7.3.

            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: DICOM Series Number (new)) (Extension Type: unsignedInt)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            36. Basic.extension:frameOfReferenceUid
            Slice NameframeOfReferenceUid
            Definition

            R5: ImagingSelection.frameOfReferenceUid (new:id)

            ShortR5: The Frame of Reference UID for the selected images (new)
            Comments

            Element ImagingSelection.frameOfReferenceUid is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.frameOfReferenceUid has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). See DICOM PS3.3 C.7.4.1.

            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: The Frame of Reference UID for the selected images (new)) (Extension Type: id)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            38. Basic.extension:bodySite
            Slice NamebodySite
            Definition

            R5: ImagingSelection.bodySite (new:CodeableReference(BodyStructure))

            ShortR5: Body part examined (new)
            Comments

            Element ImagingSelection.bodySite is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.bodySite has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Body part examined (new)) (Complex Extension)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            40. Basic.extension:focus
            Slice Namefocus
            Definition

            R5: ImagingSelection.focus (new:Reference(ImagingSelection))

            ShortR5: Related resource that is the focus for the imaging selection (new)
            Comments

            Element ImagingSelection.focus is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.focus has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). An imaging selection may reference a DICOM resource that itself references other DICOM resources. e.g. a presentation state references a set of source images or frames.

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Related resource that is the focus for the imaging selection (new)) (Extension Type: Reference(Cross-version Profile for R5.ImagingSelection for use in FHIR R4, Basic))
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            42. Basic.extension:instance
            Slice Nameinstance
            Definition

            R5: ImagingSelection.instance (new:BackboneElement)

            ShortR5: The selected instances (new)
            Comments

            Element ImagingSelection.instance is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.instance has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: The selected instances (new)) (Complex Extension)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            44. Basic.extension:derivedFrom/study
            Slice NamederivedFrom/study
            Definition

            R5: ImagingSelection.derivedFrom (new:Reference(ImagingStudy,DocumentReference))

            ShortR5: The imaging study from which the imaging selection is derived (new)
            Comments

            Element ImagingSelection.derivedFrom is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.derivedFrom has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            Control1..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: The imaging study from which the imaging selection is derived (new)) (Extension Type: Reference(Cross-version Profile for R5.ImagingStudy for use in FHIR R4, ImagingStudy, Cross-version Profile for R5.DocumentReference for use in FHIR R4, Media))
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            46. Basic.extension:derivedFrom/study.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            48. Basic.extension:derivedFrom/study.extension
            Definition

            An Extension

            ShortExtension
            Control0..0
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on Basic.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

              50. Basic.extension:derivedFrom/study.url
              Definition

              Source of the definition for the extension code - a logical name or a URL.

              Shortidentifies the meaning of the extension
              Comments

              The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

              Control1..1
              Typeuri
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              Fixed Value
              {
                "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.derivedFrom"
              }
              <url value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.derivedFrom"/>
              52. Basic.extension:derivedFrom/study.value[x]
              Definition

              The imaging study from which the imaging selection is made.

              ShortThe imaging study from which the imaging selection is derived
              Control1..1
              TypeReference(ImagingStudy: Reported Study)
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              54. Basic.modifierExtension
              Definition

              An Extension

              ShortExtension
              Control1..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on Basic.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                56. Basic.modifierExtension:status
                Slice Namestatus
                Definition

                R5: ImagingSelection.status (new:code)

                ShortR5: available | entered-in-error | unknown (new)
                Comments

                Element ImagingSelection.status is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.status has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.

                Control1..1
                This element is affected by the following invariants: ele-1
                TypeExtension(R5: available | entered-in-error | unknown (new)) (Extension Type: code)
                Is Modifiertrue because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                58. Basic.identifier
                Definition

                Identifier assigned to the resource for business purposes, outside the context of FHIR.

                ShortBusiness identifier
                NoteThis is a business identifier, not a resource identifier (see discussion)
                Control0..*
                TypeIdentifier
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                60. Basic.code
                Definition

                Identifies the 'type' of resource - equivalent to the resource name for other resources.

                ShortKind of Resource
                Comments

                Because resource references will only be able to indicate 'Basic', the type of reference will need to be specified in a Profile identified as part of the resource. Refer to the resource notes section for information on appropriate terminologies for this code.

                This element is labeled as a modifier because it defines the meaning of the resource and cannot be ignored.

                Control1..1
                BindingFor example codes, see BasicResourceTypes
                (example to http://hl7.org/fhir/ValueSet/basic-resource-type|4.0.1)

                Codes for identifying types of resources not yet defined by FHIR.

                TypeCodeableConcept
                Is Modifiertrue because This element determines what kind of resource is being represented which drives the meaning of all of the other elements.
                Summarytrue
                Requirements

                Must be able to distinguish different types of Basic resources.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                62. Basic.subject
                Definition

                Identifies the patient, practitioner, device or any other resource that is the "focus" of this resource.

                ShortIdentifies the focus of this resource
                Comments

                Optional as not all potential resources will have subjects. Resources associated with multiple subjects can handle this via extension.

                Control0..1
                TypeReference(Patient (EU core))
                Is Modifierfalse
                Summarytrue
                Requirements

                Needed for partitioning the resource by Patient.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                64. Basic.created
                Definition

                Identifies when the resource was first created.

                ShortWhen created
                Control0..1
                Typedate
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Allows ordering resource instances by time.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                66. Basic.author
                Definition

                Indicates who was responsible for creating the resource instance.

                ShortWho created
                Control0..1
                TypeReference(Practitioner, PractitionerRole, Patient, RelatedPerson, Organization)
                Is Modifierfalse
                Summarytrue
                Requirements

                Needed for partitioning the resource.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))