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: Key images represented as an ImagingSelection for R4 - Detailed Descriptions

Page standards status: Draft Maturity Level: 1

Definitions for the ImagingSelectionKeyImageEuImaging 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.

Control30..*
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 Valuehttp://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.extension:title
      Slice Nametitle
      Definition

      A free text natural language description of the artifact from a consumer's perspective.

      ShortNatural language description of the artifact
      Comments

      This description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the artifact as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the artifact is presumed to be the predominant language in the place the artifact was created).

      Control0..1
      TypeExtension(Artifact Description) (Extension Type: markdown)
      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())
      44. Basic.extension:description
      Slice Namedescription
      Definition

      A short, descriptive, user-friendly title for the artifact.

      ShortName for this artifact (human friendly)
      Comments

      This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.

      Control0..1
      TypeExtension(Artifact Title) (Extension Type: string)
      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.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

        48. 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())
        50. 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()))

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

        0. Basic
        2. Basic.extension:title
        Slice Nametitle
        Control0..1
        TypeExtension(Artifact Description) (Extension Type: markdown)
        4. Basic.extension:description
        Slice Namedescription
        Control0..1
        TypeExtension(Artifact Title) (Extension Type: string)

        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
        Control3..*
        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 Valuehttp://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.extension:title
            Slice Nametitle
            Definition

            A free text natural language description of the artifact from a consumer's perspective.

            ShortNatural language description of the artifact
            Comments

            This description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the artifact as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the artifact is presumed to be the predominant language in the place the artifact was created).

            Control0..1
            TypeExtension(Artifact Description) (Extension Type: markdown)
            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())
            56. Basic.extension:description
            Slice Namedescription
            Definition

            A short, descriptive, user-friendly title for the artifact.

            ShortName for this artifact (human friendly)
            Comments

            This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.

            Control0..1
            TypeExtension(Artifact Title) (Extension Type: string)
            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())
            58. 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

              60. 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())
              62. 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()))
              64. 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()))
              66. 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()))
              68. 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()))
              70. 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()))