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: DICOM SR Instance - Detailed Descriptions

Page standards status: Draft Maturity Level: 1

Definitions for the SrInstanceImagingSelectionEuImaging 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:studyUid.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

      20. Basic.extension:studyUid.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.studyUid"
}
      <url value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.studyUid"/>
      22. Basic.extension:studyUid.value[x]
      Definition

      The Study Instance UID for the DICOM Study from which the images were selected.


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

      ShortDICOM Study Instance UIDValue of extension
      Comments

      See DICOM PS3.3 C.7.2.

      Control10..1
      Typeid, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, 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, Reference, 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
      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()))
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      24. 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())
      26. 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())
      28. 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())
      30. Basic.extension:seriesUid.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

        32. Basic.extension:seriesUid.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.seriesUid"
}
        <url value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.seriesUid"/>
        34. Basic.extension:seriesUid.value[x]
        Definition

        The Series Instance UID for the DICOM Series from which the images were selected.


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

        ShortDICOM Series Instance UIDValue of extension
        Comments

        See DICOM PS3.3 C.7.3.

        Control10..1
        Typeid, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, 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, Reference, 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
        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()))
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        36. 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())
        38. 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())
        40. 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())
        42. 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())
        44. 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).

        Control1..1
        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())
        46. Basic.extension:instance.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.

        Control10..*
        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
          • 48. Basic.extension:instance.extension:uid
          Slice Nameuid
          Definition

          R5: ImagingSelection.instance.uid (new:id)

          ShortR5: DICOM SOP Instance UID (new)Additional content defined by implementations
          Comments

          Element ImagingSelection.instance.uid is part of an existing definition because parent element ImagingSelection.instance requires a cross-version extension. Element ImagingSelection.instance.uid is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.instance.uid 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.12.1.

          Control10..1*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Requirements

          DICOM SOP Instance UID. Element ImagingSelection.instance.uid is part of an existing definition because parent element ImagingSelection.instance requires a cross-version extension. Element ImagingSelection.instance.uid is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.instance.uid has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

          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.extension:instance.extension:uid.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.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

            52. Basic.extension:instance.extension:uid.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" : "uid"
}
            <url value="uid"/>
            54. Basic.extension:instance.extension:uid.value[x]
            Definition

            The SOP Instance UID for the selected DICOM instance.


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

            ShortDICOM SOP Instance UIDValue of extension
            Comments

            See DICOM PS3.3 C.12.1.

            Control10..1
            Typeid, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, 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, Reference, 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
            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()))
            ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            56. Basic.extension:instance.extension:number
            Slice Namenumber
            Definition

            R5: ImagingSelection.instance.number (new:unsignedInt)

            ShortR5: DICOM Instance Number (new)Additional content defined by implementations
            Comments

            Element ImagingSelection.instance.number is part of an existing definition because parent element ImagingSelection.instance requires a cross-version extension. Element ImagingSelection.instance.number is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.instance.number 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.7.6.1. Note: A multiframe instance has a single instance number with each frame identified by a frame number.

            Control0..1*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Requirements

            DICOM Instance Number. Element ImagingSelection.instance.number is part of an existing definition because parent element ImagingSelection.instance requires a cross-version extension. Element ImagingSelection.instance.number is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.instance.number has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            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())
            58. Basic.extension:instance.extension:number.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" : "number"
}
            <url value="number"/>
            60. Basic.extension:instance.extension:sopClass
            Slice NamesopClass
            Definition

            R5: ImagingSelection.instance.sopClass (new:Coding)

            ShortR5: DICOM SOP Class UID (new)Additional content defined by implementations
            Comments

            Element ImagingSelection.instance.sopClass is part of an existing definition because parent element ImagingSelection.instance requires a cross-version extension. Element ImagingSelection.instance.sopClass is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.instance.sopClass 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.12.1.

            Control0..1*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Requirements

            DICOM SOP Class UID. Element ImagingSelection.instance.sopClass is part of an existing definition because parent element ImagingSelection.instance requires a cross-version extension. Element ImagingSelection.instance.sopClass is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.instance.sopClass has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            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())
            62. Basic.extension:instance.extension:sopClass.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" : "sopClass"
}
            <url value="sopClass"/>
            64. Basic.extension:instance.extension:subset
            Slice Namesubset
            Definition

            R5: ImagingSelection.instance.subset (new:string)

            ShortR5: The selected subset of the SOP Instance (new)Additional content defined by implementations
            Comments

            Element ImagingSelection.instance.subset is part of an existing definition because parent element ImagingSelection.instance requires a cross-version extension. Element ImagingSelection.instance.subset is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.instance.subset has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            Control0..0*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Requirements

            Element ImagingSelection.instance.subset is part of an existing definition because parent element ImagingSelection.instance requires a cross-version extension. Element ImagingSelection.instance.subset is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.instance.subset has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            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())
            67. Basic.extension:instance.extension:imageRegion2D
            Slice NameimageRegion2D
            Definition

            R5: ImagingSelection.instance.imageRegion2D (new:BackboneElement)

            ShortR5: A specific 2D region in a DICOM image / frame (new)Additional content defined by implementations
            Comments

            Element ImagingSelection.instance.imageRegion2D is part of an existing definition because parent element ImagingSelection.instance requires a cross-version extension. Element ImagingSelection.instance.imageRegion2D is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.instance.imageRegion2D has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            Control0..0*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Requirements

            Shall not be present if the parent imagingSelection.instance is not an image. Element ImagingSelection.instance.imageRegion2D is part of an existing definition because parent element ImagingSelection.instance requires a cross-version extension. Element ImagingSelection.instance.imageRegion2D is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.instance.imageRegion2D has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            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())
            78. Basic.extension:instance.extension:imageRegion3D
            Slice NameimageRegion3D
            Definition

            R5: ImagingSelection.instance.imageRegion3D (new:BackboneElement)

            ShortR5: A specific 3D region in a DICOM frame of reference (new)Additional content defined by implementations
            Comments

            Element ImagingSelection.instance.imageRegion3D is part of an existing definition because parent element ImagingSelection.instance requires a cross-version extension. Element ImagingSelection.instance.imageRegion3D is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.instance.imageRegion3D has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            Control0..0*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Requirements

            Requires that the ImagingSelection.frameOfReferenceUid element is present. Element ImagingSelection.instance.imageRegion3D is part of an existing definition because parent element ImagingSelection.instance requires a cross-version extension. Element ImagingSelection.instance.imageRegion3D is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.instance.imageRegion3D has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            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())
            89. Basic.extension:instance.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.instance"
}
            <url value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.instance"/>
            91. Basic.extension:instance.value[x]
            Definition

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

            ShortValue of extension
            Control0..01
            TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
            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()))
            ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            93. 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())
            95. 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

              97. 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"/>
              99. 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()))
              101. 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

                103. 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())
                105. 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)
                Control10..*
                TypeIdentifier
                Is Modifierfalse
                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()))
                SlicingThis element introduces a set of slices on Basic.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ type

                  • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                  107. Basic.identifier:sopInstanceUid
                  Slice NamesopInstanceUid
                  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)
                  Control10..1*
                  TypeIdentifier(Identifier: SOP Instance UID)
                  Is Modifierfalse
                  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()))
                  109. 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
                  Control3..?
                  4. Basic.extension:studyUid
                  Slice NamestudyUid
                  6. Basic.extension:studyUid.extension
                  Control0..0
                  8. Basic.extension:studyUid.value[x]
                  Control1..?
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  10. Basic.extension:seriesUid
                  Slice NameseriesUid
                  12. Basic.extension:seriesUid.extension
                  Control0..0
                  14. Basic.extension:seriesUid.value[x]
                  Control1..?
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  16. Basic.extension:instance
                  Slice Nameinstance
                  Control1..1
                  18. Basic.extension:instance.extension:uid
                  Slice Nameuid
                  20. Basic.extension:instance.extension:uid.extension
                  Control0..0
                  22. Basic.extension:instance.extension:subset
                  Slice Namesubset
                  Control0..0
                  24. Basic.extension:instance.extension:imageRegion2D
                  Slice NameimageRegion2D
                  Control0..0
                  26. Basic.extension:instance.extension:imageRegion3D
                  Slice NameimageRegion3D
                  Control0..0
                  28. Basic.identifier
                  NoteThis is a business identifier, not a resource identifier (see discussion)
                  Control1..?
                  SlicingThis element introduces a set of slices on Basic.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ type

                    • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                    30. Basic.identifier:sopInstanceUid
                    Slice NamesopInstanceUid
                    NoteThis is a business identifier, not a resource identifier (see discussion)
                    Control1..1
                    TypeIdentifier(Identifier: SOP Instance UID)

                    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:studyUid.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
                      30. Basic.extension:studyUid.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

                        32. Basic.extension:studyUid.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.studyUid"
}
                        <url value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.studyUid"/>
                        34. Basic.extension:studyUid.value[x]
                        Definition

                        The Study Instance UID for the DICOM Study from which the images were selected.

                        ShortDICOM Study Instance UID
                        Comments

                        See DICOM PS3.3 C.7.2.

                        Control1..1
                        Typeid
                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                        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()))
                        36. 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())
                        38. 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())
                        40. 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())
                        42. Basic.extension:seriesUid.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
                        44. Basic.extension:seriesUid.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

                          46. Basic.extension:seriesUid.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.seriesUid"
}
                          <url value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.seriesUid"/>
                          48. Basic.extension:seriesUid.value[x]
                          Definition

                          The Series Instance UID for the DICOM Series from which the images were selected.

                          ShortDICOM Series Instance UID
                          Comments

                          See DICOM PS3.3 C.7.3.

                          Control1..1
                          Typeid
                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                          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()))
                          50. 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())
                          52. 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())
                          54. 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())
                          56. 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())
                          58. 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).

                          Control1..1
                          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())
                          60. Basic.extension:instance.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
                          62. Basic.extension:instance.extension
                          Definition

                          An Extension

                          ShortExtension
                          Control1..*
                          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
                            • 64. Basic.extension:instance.extension:uid
                            Slice Nameuid
                            Definition

                            R5: ImagingSelection.instance.uid (new:id)

                            ShortR5: DICOM SOP Instance UID (new)
                            Comments

                            Element ImagingSelection.instance.uid is part of an existing definition because parent element ImagingSelection.instance requires a cross-version extension. Element ImagingSelection.instance.uid is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.instance.uid 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.12.1.

                            Control1..1
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Requirements

                            DICOM SOP Instance UID. Element ImagingSelection.instance.uid is part of an existing definition because parent element ImagingSelection.instance requires a cross-version extension. Element ImagingSelection.instance.uid is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.instance.uid has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                            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())
                            66. Basic.extension:instance.extension:uid.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
                            68. Basic.extension:instance.extension:uid.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.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

                              70. Basic.extension:instance.extension:uid.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" : "uid"
}
                              <url value="uid"/>
                              72. Basic.extension:instance.extension:uid.value[x]
                              Definition

                              The SOP Instance UID for the selected DICOM instance.

                              ShortDICOM SOP Instance UID
                              Comments

                              See DICOM PS3.3 C.12.1.

                              Control1..1
                              Typeid
                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                              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()))
                              74. Basic.extension:instance.extension:number
                              Slice Namenumber
                              Definition

                              R5: ImagingSelection.instance.number (new:unsignedInt)

                              ShortR5: DICOM Instance Number (new)
                              Comments

                              Element ImagingSelection.instance.number is part of an existing definition because parent element ImagingSelection.instance requires a cross-version extension. Element ImagingSelection.instance.number is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.instance.number 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.7.6.1. Note: A multiframe instance has a single instance number with each frame identified by a frame number.

                              Control0..1
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Requirements

                              DICOM Instance Number. Element ImagingSelection.instance.number is part of an existing definition because parent element ImagingSelection.instance requires a cross-version extension. Element ImagingSelection.instance.number is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.instance.number has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                              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())
                              76. Basic.extension:instance.extension:number.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
                              78. Basic.extension:instance.extension:number.extension
                              Definition

                              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.

                              ShortAdditional 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..*
                              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())
                              SlicingThis element introduces a set of slices on Basic.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                                • 80. Basic.extension:instance.extension:number.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" : "number"
}
                                <url value="number"/>
                                82. Basic.extension:instance.extension:number.value[x]
                                Definition

                                The Instance Number for the selected DICOM instance.

                                ShortDICOM Instance Number
                                Comments

                                See DICOM PS3.3 C.7.6.1. Note: A multiframe instance has a single instance number with each frame identified by a frame number.

                                Control0..1
                                TypeunsignedInt
                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                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()))
                                84. Basic.extension:instance.extension:sopClass
                                Slice NamesopClass
                                Definition

                                R5: ImagingSelection.instance.sopClass (new:Coding)

                                ShortR5: DICOM SOP Class UID (new)
                                Comments

                                Element ImagingSelection.instance.sopClass is part of an existing definition because parent element ImagingSelection.instance requires a cross-version extension. Element ImagingSelection.instance.sopClass is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.instance.sopClass 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.12.1.

                                Control0..1
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Requirements

                                DICOM SOP Class UID. Element ImagingSelection.instance.sopClass is part of an existing definition because parent element ImagingSelection.instance requires a cross-version extension. Element ImagingSelection.instance.sopClass is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.instance.sopClass has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                                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())
                                86. Basic.extension:instance.extension:sopClass.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
                                88. Basic.extension:instance.extension:sopClass.extension
                                Definition

                                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.

                                ShortAdditional 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..*
                                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())
                                SlicingThis element introduces a set of slices on Basic.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                  • 90. Basic.extension:instance.extension:sopClass.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" : "sopClass"
}
                                  <url value="sopClass"/>
                                  92. Basic.extension:instance.extension:sopClass.value[x]
                                  Definition

                                  The SOP Class UID for the selected DICOM instance.

                                  ShortDICOM SOP Class UID
                                  Comments

                                  See DICOM PS3.3 C.12.1.

                                  Control0..1
                                  TypeCoding
                                  [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()))
                                  94. Basic.extension:instance.extension:subset
                                  Slice Namesubset
                                  Definition

                                  R5: ImagingSelection.instance.subset (new:string)

                                  ShortR5: The selected subset of the SOP Instance (new)
                                  Comments

                                  Element ImagingSelection.instance.subset is part of an existing definition because parent element ImagingSelection.instance requires a cross-version extension. Element ImagingSelection.instance.subset is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.instance.subset has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                                  Control0..0
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Requirements

                                  Element ImagingSelection.instance.subset is part of an existing definition because parent element ImagingSelection.instance requires a cross-version extension. Element ImagingSelection.instance.subset is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.instance.subset has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                                  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())
                                  100. Basic.extension:instance.extension:imageRegion2D
                                  Slice NameimageRegion2D
                                  Definition

                                  R5: ImagingSelection.instance.imageRegion2D (new:BackboneElement)

                                  ShortR5: A specific 2D region in a DICOM image / frame (new)
                                  Comments

                                  Element ImagingSelection.instance.imageRegion2D is part of an existing definition because parent element ImagingSelection.instance requires a cross-version extension. Element ImagingSelection.instance.imageRegion2D is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.instance.imageRegion2D has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                                  Control0..0
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Requirements

                                  Shall not be present if the parent imagingSelection.instance is not an image. Element ImagingSelection.instance.imageRegion2D is part of an existing definition because parent element ImagingSelection.instance requires a cross-version extension. Element ImagingSelection.instance.imageRegion2D is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.instance.imageRegion2D has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                                  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())
                                  116. Basic.extension:instance.extension:imageRegion3D
                                  Slice NameimageRegion3D
                                  Definition

                                  R5: ImagingSelection.instance.imageRegion3D (new:BackboneElement)

                                  ShortR5: A specific 3D region in a DICOM frame of reference (new)
                                  Comments

                                  Element ImagingSelection.instance.imageRegion3D is part of an existing definition because parent element ImagingSelection.instance requires a cross-version extension. Element ImagingSelection.instance.imageRegion3D is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.instance.imageRegion3D has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                                  Control0..0
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Requirements

                                  Requires that the ImagingSelection.frameOfReferenceUid element is present. Element ImagingSelection.instance.imageRegion3D is part of an existing definition because parent element ImagingSelection.instance requires a cross-version extension. Element ImagingSelection.instance.imageRegion3D is not mapped to FHIR R4, since FHIR R5 ImagingSelection is not mapped. Element ImagingSelection.instance.imageRegion3D has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                                  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())
                                  132. Basic.extension:instance.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.instance"
}
                                  <url value="http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.instance"/>
                                  134. Basic.extension:instance.value[x]
                                  Definition

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

                                  ShortValue of extension
                                  Control0..0
                                  TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                                  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()))
                                  136. 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())
                                  138. 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
                                  140. 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

                                    142. 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"/>
                                    144. 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()))
                                    146. 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

                                      148. 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())
                                      150. 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)
                                      Control1..*
                                      TypeIdentifier
                                      Is Modifierfalse
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      SlicingThis element introduces a set of slices on Basic.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                      • value @ type

                                        • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                                        152. Basic.identifier:sopInstanceUid
                                        Slice NamesopInstanceUid
                                        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)
                                        Control1..1
                                        TypeIdentifier(Identifier: SOP Instance UID)
                                        Is Modifierfalse
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        154. 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()))
                                        156. 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()))
                                        158. 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()))
                                        160. 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()))