ImagingSelectionKeyImageEuImaging
type: StructureDefinition
node role: treeRoot
id:
  v: ImagingSelectionKeyImageEuImaging
language:
  v: en
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition ImagingSelectionKeyImageEuImaging Language: en Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> ImagingSelection ImagingSelectionEuImaging #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:title 0..1 markdown Natural language description of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-description #xD; extension:description 0..1 string Name for this artifact (human friendly) URL: http://hl7.org/fhir/StructureDefinition/artifact-title #xD; Slices for performer 0..* BackboneElement Selector of the instances (human or machine) Slice: Unordered, Open by type:actor #xD; performer:performer 0..1 BackboneElement Selector of the instances (human or machine) #xD; actor 0..1 Reference(PractitionerRole (EU core)) Author (human or machine) #xD; performer:device 0..1 BackboneElement Selector of the instances (human or machine) #xD; actor 0..1 Reference(Device: Imaging Device) Author (human or machine) #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
    l: structuredefinition-fmm
  value: Integer
    v: 1
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: draft
url:
  v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImagingSelectionKeyImageEuImaging
  l: ImagingSelectionKeyImageEuImaging
version:
  v: 1.0.0-beta
name:
  v: ImagingSelectionKeyImageEuImaging
title:
  v: ImagingSelection: Key Image
status:
  v: draft
date:
  v: 2026-03-03T09:32:28+00:00
publisher:
  v: HL7 Europe
contact:
  name:
    v: HL7 Europe
  telecom:
    system:
      v: url
    value:
      v: http://hl7.eu
description:
  v: Key images represented as an ImagingSelection
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 150
    display:
      v: Europe
copyright:
  v: Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0).
fhir version:
  v: 5.0.0
mapping:
  identity:
    v: workflow
  uri:
    v: http://hl7.org/fhir/workflow
    l: workflow
  name:
    v: Workflow Pattern
mapping:
  identity:
    v: w5
  uri:
    v: http://hl7.org/fhir/fivews
    l: fivews
  name:
    v: FiveWs Pattern Mapping
mapping:
  identity:
    v: dicom
  uri:
    v: http://nema.org/dicom
    l: dicom
  name:
    v: DICOM Tag Mapping
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
kind:
  v: resource
abstract:
  v: false
type:
  v: ImagingSelection
  l: ImagingSelection
base definition:
  v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImagingSelectionEuImaging
  l: ImagingSelectionEuImaging
derivation:
  v: constraint
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 1.0.0-beta
  element:
    id:
      v: ImagingSelection
    path:
      v: ImagingSelection
    short:
      v: A selection of DICOM SOP instances and/or frames
    definition:
      v: A selection of DICOM SOP instances and/or frames within a single Study and Series. This might include additional specifics such as an image region, an Observation UID or a Segmentation Number, allowing linkage to an Observation Resource or transferring this information along with the ImagingStudy Resource.
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: ImagingSelection
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: 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
      expression:
        v: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-5
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a security label
      expression:
        v: contained.meta.security.empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      extension:
        value: Boolean
      extension:
        value: Markdown
      key:
        v: dom-6
      severity:
        v: warning
      human:
        v: A resource should have narrative for robust management
      expression:
        v: text.`div`.exists()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    must support:
      v: false
    is modifier:
      v: false
    is summary:
      v: false

Boolean
v: true

Markdown
v: When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.

identity:
  v: rim
map:
  v: Entity, Role, or Act

identity:
  v: workflow
map:
  v: Event

identity:
  v: w5
map:
  v: clinical.diagnostics

identity:
  v: dicom
map:
  v: Reference DICOM PS 3 Table 10-3b

id:
  v: ImagingSelection.id
path:
  v: ImagingSelection.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true

id:
  v: ImagingSelection.meta
path:
  v: ImagingSelection.meta
short:
  v: Metadata about the resource
definition:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: Meta
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true

id:
  v: ImagingSelection.implicitRules
path:
  v: ImagingSelection.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: 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.
comment:
  v: 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 its narrative along with other profiles, value sets, etc.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: true
is modifier reason:
  v: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
is summary:
  v: true

id:
  v: ImagingSelection.language
path:
  v: ImagingSelection.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: 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).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: required
  description:
    v: IETF language tag for a human language
  value set:
    v: http://hl7.org/fhir/ValueSet/all-languages|5.0.0
    l: http://hl7.org/fhir/ValueSet/all-languages
  additional:
    purpose:
      v: starter
    value set:
      v: http://hl7.org/fhir/ValueSet/languages|5.0.0
      l: http://hl7.org/fhir/ValueSet/languages

id:
  v: ImagingSelection.text
path:
  v: ImagingSelection.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: 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.
comment:
  v: Contained resources do not have a 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.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
condition:
  v: dom-6
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: ImagingSelection.contained
path:
  v: ImagingSelection.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.
comment:
  v: 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.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
condition:
  v: dom-2
condition:
  v: dom-4
condition:
  v: dom-3
condition:
  v: dom-5
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ImagingSelection.extension
path:
  v: ImagingSelection.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false

id:
  v: ImagingSelection.extension:title
path:
  v: ImagingSelection.extension
slice name:
  v: title
short:
  v: Natural language description of the artifact
definition:
  v: A free text natural language description of the artifact from a consumer's perspective.
comment:
  v: This description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the artifact as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the artifact is presumed to be the predominant language in the place the artifact was created).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/artifact-description
    l: artifact-description
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false

id:
  v: ImagingSelection.extension:description
path:
  v: ImagingSelection.extension
slice name:
  v: description
short:
  v: Name for this artifact (human friendly)
definition:
  v: A short, descriptive, user-friendly title for the artifact.
comment:
  v: This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/artifact-title
    l: artifact-title
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false

id:
  v: ImagingSelection.modifierExtension
path:
  v: ImagingSelection.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: 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 managable, 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).
comment:
  v: 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.
requirements:
  v: 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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
must support:
  v: false
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ImagingSelection.identifier
path:
  v: ImagingSelection.identifier
short:
  v: Business Identifier for Imaging Selection
definition:
  v: A unique identifier assigned to this imaging selection.
comment:
  v: This is a business identifier, not a resource identifier -- see discussion under [Business Identifiers](http://hl7.org/fhir/R5/resource.html#identifiers).
requirements:
  v: Allows imaging selections to be distinguished and referenced.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ImagingSelection.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
    l: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.identifier
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.identifier

id:
  v: ImagingSelection.status
path:
  v: ImagingSelection.status
short:
  v: available | entered-in-error | unknown
definition:
  v: The current state of the ImagingSelection resource. This is not the status of any ImagingStudy, ServiceRequest, or Task resources associated with the ImagingSelection.
comment:
  v: 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.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ImagingSelection.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: true
is modifier reason:
  v: 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
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ImagingSelectionStatus
  strength:
    v: required
  description:
    v: The status of the ImagingSelection.
  value set:
    v: http://hl7.org/fhir/ValueSet/imagingselection-status|5.0.0
    l: http://hl7.org/fhir/ValueSet/imagingselection-status
mapping:
  identity:
    v: workflow
  map:
    v: Event.status
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.status

id:
  v: ImagingSelection.subject
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint
    l: structuredefinition-display-hint
  value: String
    v: dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.2.2.html
path:
  v: ImagingSelection.subject
short:
  v: Subject of the selected instances
definition:
  v: The patient, or group of patients, location, device, organization, procedure or practitioner this imaging selection is about and into whose or what record the imaging selection is placed.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingSelection.subject
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu-core
    l: patient-eu-core
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.subject
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject[x]
mapping:
  identity:
    v: dicom
  map:
    v: (0010/*)

id:
  v: ImagingSelection.issued
path:
  v: ImagingSelection.issued
short:
  v: Date / Time when this imaging selection was created
definition:
  v: The date and time this imaging selection was created.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingSelection.issued
  min:
    v: 0
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    v: 1
type:
  code:
    v: instant
    l: instant
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.recorded

id:
  v: ImagingSelection.performer
path:
  v: ImagingSelection.performer
slicing:
  discriminator:
    type:
      v: type
    path:
      v: actor
  ordered:
    v: false
  rules:
    v: open
short:
  v: Selector of the instances (human or machine)
definition:
  v: Selector of the instances – human or machine.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ImagingSelection.performer
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    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
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    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
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  v: false
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  v: true
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    v: Event.performer.actor
mapping:
  identity:
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    v: FiveWs.actor
mapping:
  identity:
    v: dicom
  map:
    v: (0008, 1050) | (0008, 1052) | (0008, 1070) | (0008, 1072)

id:
  v: ImagingSelection.performer.id
path:
  v: ImagingSelection.performer.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ImagingSelection.performer.extension
path:
  v: ImagingSelection.performer.extension
short:
  v: Additional content defined by implementations
definition:
  v: 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 managable, 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
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    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
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  key:
    v: ele-1
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    v: error
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    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
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    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ImagingSelection.performer.modifierExtension
path:
  v: ImagingSelection.performer.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 managable, 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. 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).
comment:
  v: 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.
requirements:
  v: 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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
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    v: error
  human:
    v: Must have either extensions or value[x], not both
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    v: extension.exists() != value.exists()
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    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
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  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ImagingSelection.performer.function
path:
  v: ImagingSelection.performer.function
short:
  v: Type of performer
definition:
  v: Distinguishes the type of involvement of the performer.
requirements:
  v: Allows disambiguation of the types and involvement of different performers.
min:
  v: 0
max:
  v: 1
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  path:
    v: ImagingSelection.performer.function
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    v: 0
  max:
    v: 1
type:
  code:
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    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: EventPerformerFunction
  strength:
    v: extensible
  description:
    v: The type of involvement of the performer.
  value set:
    v: http://hl7.org/fhir/ValueSet/series-performer-function|5.0.0
    l: http://hl7.org/fhir/ValueSet/series-performer-function

id:
  v: ImagingSelection.performer.actor
path:
  v: ImagingSelection.performer.actor
short:
  v: Author (human or machine)
definition:
  v: Author – human or machine.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingSelection.performer.actor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Practitioner
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/PractitionerRole|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/PractitionerRole
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Device|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Device
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Organization
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/CareTeam|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/CareTeam
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Patient
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/RelatedPerson|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/RelatedPerson
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/HealthcareService|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/HealthcareService
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true

id:
  v: ImagingSelection.performer:performer
path:
  v: ImagingSelection.performer
slice name:
  v: performer
short:
  v: Selector of the instances (human or machine)
definition:
  v: Selector of the instances – human or machine.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingSelection.performer
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    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.performer.actor
mapping:
  identity:
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  map:
    v: FiveWs.actor
mapping:
  identity:
    v: dicom
  map:
    v: (0008, 1050) | (0008, 1052) | (0008, 1070) | (0008, 1072)

id:
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path:
  v: ImagingSelection.performer.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
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    v: Element.id
  min:
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    v: 1
type:
  extension:
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    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ImagingSelection.performer:performer.extension
path:
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short:
  v: Additional content defined by implementations
definition:
  v: 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 managable, 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.
comment:
  v: 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.
alias:
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  v: user content
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  v: 0
max:
  v: *
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type:
  code:
    v: Extension
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    v: error
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    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
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constraint:
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    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
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    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ImagingSelection.performer:performer.modifierExtension
path:
  v: ImagingSelection.performer.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 managable, 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. 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).
comment:
  v: 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.
requirements:
  v: 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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
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alias:
  v: user content
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type:
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constraint:
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    v: error
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    v: All FHIR elements must have a @value or children
  expression:
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    v: error
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    v: Must have either extensions or value[x], not both
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mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
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definition:
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requirements:
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type:
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    v: error
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    v: All FHIR elements must have a @value or children
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  v: false
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is summary:
  v: true
binding:
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    value: String
      v: EventPerformerFunction
  strength:
    v: extensible
  description:
    v: The type of involvement of the performer.
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    l: http://hl7.org/fhir/ValueSet/series-performer-function

id:
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definition:
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type:
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    v: ele-1
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    v: error
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    v: All FHIR elements must have a @value or children
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    l: Element
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is summary:
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id:
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base:
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    v: All FHIR elements must have a @value or children
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  map:
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id:
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short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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max:
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base:
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type:
  extension:
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    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
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is modifier:
  v: false
is summary:
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mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
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short:
  v: Additional content defined by implementations
definition:
  v: 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 managable, 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.
comment:
  v: 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.
alias:
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alias:
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  v: *
base:
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    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
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constraint:
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    v: error
  human:
    v: Must have either extensions or value[x], not both
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    v: extension.exists() != value.exists()
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    l: Extension
is modifier:
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is summary:
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mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ImagingSelection.performer:device.modifierExtension
path:
  v: ImagingSelection.performer.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 managable, 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. 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).
comment:
  v: 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.
requirements:
  v: 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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ImagingSelection.performer:device.function
path:
  v: ImagingSelection.performer.function
short:
  v: Type of performer
definition:
  v: Distinguishes the type of involvement of the performer.
requirements:
  v: Allows disambiguation of the types and involvement of different performers.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingSelection.performer.function
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: EventPerformerFunction
  strength:
    v: extensible
  description:
    v: The type of involvement of the performer.
  value set:
    v: http://hl7.org/fhir/ValueSet/series-performer-function|5.0.0
    l: http://hl7.org/fhir/ValueSet/series-performer-function

id:
  v: ImagingSelection.performer:device.actor
path:
  v: ImagingSelection.performer.actor
short:
  v: Author (human or machine)
definition:
  v: Author – human or machine.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingSelection.performer.actor
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/DeviceEuImaging
    l: DeviceEuImaging
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true

id:
  v: ImagingSelection.basedOn
path:
  v: ImagingSelection.basedOn
short:
  v: Associated request
definition:
  v: A list of the diagnostic requests that resulted in this imaging selection being performed.
alias:
  v: AccessionNumber
min:
  v: 0
max:
  v: *
base:
  path:
    v: ImagingSelection.basedOn
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/CarePlan|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/CarePlan
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ServiceRequest|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/ServiceRequest
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Appointment|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Appointment
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/AppointmentResponse|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/AppointmentResponse
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Task|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Task
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.basedOn
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.cause
mapping:
  identity:
    v: dicom
  map:
    v: Accession Number and Issuer (0080,0050)+(0080,0051)

id:
  v: ImagingSelection.category
path:
  v: ImagingSelection.category
short:
  v: Classifies the imaging selection
definition:
  v: Classifies the imaging selection.
requirements:
  v: Used for filtering what imaging selections are retrieved and displayed.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ImagingSelection.category
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ImagingSelectionCode
  strength:
    v: example
  description:
    v: Key Object Selection Document Title.
  value set:
    v: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html
    l: sect CID 7010.html

id:
  v: ImagingSelection.code
path:
  v: ImagingSelection.code
short:
  v: Imaging Selection purpose text or code
definition:
  v: Reason for referencing the selected content.
comment:
  v: *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.
requirements:
  v: Knowing what kind of observation is being made is essential to understanding the observation.
alias:
  v: Description
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ImagingSelection.code
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ImagingSelectionCode
  strength:
    v: example
  description:
    v: Key Object Selection Document Title.
  value set:
    v: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html
    l: sect CID 7010.html
mapping:
  identity:
    v: dicom
  map:
    v: Concept Name Code Sequence (0040,A043)

id:
  v: ImagingSelection.studyUid
path:
  v: ImagingSelection.studyUid
short:
  v: DICOM Study Instance UID
definition:
  v: The Study Instance UID for the DICOM Study from which the images were selected.
comment:
  v: See [DICOM PS3.3 C.7.2](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html).
requirements:
  v: DICOM Study Instance UID. Required unless frameOfReferenceUid and imageRegion are present and instance is not present.
alias:
  v: StudyInstanceUID
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingSelection.studyUid
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: id
    l: id
example:
  label:
    v: General
  value: Id
    v: 1.2.840.113747.20080222.12753225430534207565993148475333748793
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: dicom
  map:
    v: Study Instance UID (0020,000D)

id:
  v: ImagingSelection.derivedFrom
path:
  v: ImagingSelection.derivedFrom
slicing:
  discriminator:
    type:
      v: profile
    path:
      v: $this
  ordered:
    v: false
  rules:
    v: open
short:
  v: The imaging study from which the imaging selection is derived
definition:
  v: The imaging study from which the imaging selection is made.
min:
  v: 1
max:
  v: *
base:
  path:
    v: ImagingSelection.derivedFrom
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ImagingStudy|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/ImagingStudy
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/DocumentReference|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/DocumentReference
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true

id:
  v: ImagingSelection.derivedFrom:study
path:
  v: ImagingSelection.derivedFrom
slice name:
  v: study
short:
  v: The imaging study from which the imaging selection is derived
definition:
  v: The imaging study from which the imaging selection is made.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ImagingSelection.derivedFrom
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImagingStudyEuImaging
    l: ImagingStudyEuImaging
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true

id:
  v: ImagingSelection.endpoint
path:
  v: ImagingSelection.endpoint
short:
  v: The network service providing retrieval for the images referenced in the imaging selection
definition:
  v: The network service providing retrieval access to the selected images, frames, etc. See implementation notes for information about using DICOM endpoints.
comment:
  v: 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.
requirements:
  v: Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the selected images, frames, etc.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ImagingSelection.endpoint
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Endpoint|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Endpoint
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true

id:
  v: ImagingSelection.seriesUid
path:
  v: ImagingSelection.seriesUid
short:
  v: DICOM Series Instance UID
definition:
  v: The Series Instance UID for the DICOM Series from which the images were selected.
comment:
  v: See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.3.html).
requirements:
  v: DICOM Series Instance UID. Required unless frameOfReferenceUid and imageRegion are present and instance is not present.
alias:
  v: SeriesInstanceUID
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingSelection.seriesUid
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: id
    l: id
example:
  label:
    v: General
  value: Id
    v: 1.2.840.113747.20080222.12753225430534207565993148475333748793.1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: dicom
  map:
    v: Series Instance UID (0020,000E)

id:
  v: ImagingSelection.seriesNumber
path:
  v: ImagingSelection.seriesNumber
short:
  v: DICOM Series Number
definition:
  v: The Series Number for the DICOM Series from which the images were selected.
comment:
  v: See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.3.html).
requirements:
  v: DICOM Series Number.
alias:
  v: SeriesNumber
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingSelection.seriesNumber
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: unsignedInt
    l: unsignedInt
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: dicom
  map:
    v: Series Number (0020,0011)

id:
  v: ImagingSelection.frameOfReferenceUid
path:
  v: ImagingSelection.frameOfReferenceUid
short:
  v: The Frame of Reference UID for the selected images
definition:
  v: The Frame of Reference UID identifying the coordinate system that conveys spatial and/or temporal information for the selected images or frames.
comment:
  v: See [DICOM PS3.3 C.7.4.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.4.html).
requirements:
  v: DICOM Frame of Reference UID. Required if studyInstanceUid and seriesInstanceUid are not present.
alias:
  v: FrameOfReferenceUID
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingSelection.frameOfReferenceUid
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: id
    l: id
example:
  label:
    v: General
  value: Id
    v: 1.2.840.113747.20080222.12753225430534207565993148475333748793.2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: dicom
  map:
    v: Frame of Reference UID (0020,0052)

id:
  v: ImagingSelection.bodySite
path:
  v: ImagingSelection.bodySite
short:
  v: Body part examined
definition:
  v: The anatomic structures examined. See DICOM Part 16 Annex L (http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings.
alias:
  v: BodyPartExamined
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingSelection.bodySite
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableReference
    l: CodeableReference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/BodyStructure|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/BodyStructure
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: BodySite
  strength:
    v: example
  description:
    v: SNOMED CT Body site concepts
  value set:
    v: http://hl7.org/fhir/ValueSet/body-site|5.0.0
    l: http://hl7.org/fhir/ValueSet/body-site
mapping:
  identity:
    v: dicom
  map:
    v: Body Part Examined (0018,0015)

id:
  v: ImagingSelection.focus
path:
  v: ImagingSelection.focus
short:
  v: Related resource that is the focus for the imaging selection
definition:
  v: The actual focus of an observation when it is not the patient of record representing something or someone associated with the patient such as a spouse, parent, fetus, or donor. For example, fetus observations in a mother's record. The focus of an observation could also be an existing condition, an intervention, the subject's diet, another observation of the subject, or a body structure such as tumor or implanted device. An example use case would be using the Observation resource to capture whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is the focus.
comment:
  v: 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.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ImagingSelection.focus
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ImagingSelection|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/ImagingSelection
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true

id:
  v: ImagingSelection.instance
path:
  v: ImagingSelection.instance
short:
  v: The selected instances
definition:
  v: Each imaging selection includes one or more selected DICOM SOP instances.
requirements:
  v: Required if the the selection does not include all instances in the specified series.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ImagingSelection.instance
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true

id:
  v: ImagingSelection.instance.id
path:
  v: ImagingSelection.instance.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ImagingSelection.instance.extension
path:
  v: ImagingSelection.instance.extension
short:
  v: Additional content defined by implementations
definition:
  v: 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 managable, 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ImagingSelection.instance.modifierExtension
path:
  v: ImagingSelection.instance.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 managable, 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. 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).
comment:
  v: 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.
requirements:
  v: 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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ImagingSelection.instance.uid
path:
  v: ImagingSelection.instance.uid
short:
  v: DICOM SOP Instance UID
definition:
  v: The SOP Instance UID for the selected DICOM instance.
comment:
  v: See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html).
requirements:
  v: DICOM SOP Instance UID.
alias:
  v: SOPInstanceUID
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ImagingSelection.instance.uid
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: id
    l: id
example:
  label:
    v: General
  value: Id
    v: 1.2.840.113747.20080222.12753225430534207568475333748793.1.1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: dicom
  map:
    v: SOP Instance UID (0008,0018)

id:
  v: ImagingSelection.instance.number
path:
  v: ImagingSelection.instance.number
short:
  v: DICOM Instance Number
definition:
  v: The Instance Number for the selected DICOM instance.
comment:
  v: See [DICOM PS3.3 C.7.6.1](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.6.html#sect_C.7.6.1). Note: A multiframe instance has a single instance number with each frame identified by a frame number.
requirements:
  v: DICOM Instance Number.
alias:
  v: InstanceNumber
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingSelection.instance.number
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: unsignedInt
    l: unsignedInt
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: dicom
  map:
    v: Instance Number (0020,0011)

id:
  v: ImagingSelection.instance.sopClass
path:
  v: ImagingSelection.instance.sopClass
short:
  v: DICOM SOP Class UID
definition:
  v: The SOP Class UID for the selected DICOM instance.
comment:
  v: See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html).
requirements:
  v: DICOM SOP Class UID.
alias:
  v: SOPClassUID
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ImagingSelection.instance.sopClass
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Coding
    l: Coding
example:
  label:
    v: General
  value: Id
    v: 1.2.840.10008.5.1.4.1.1.2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: sopClass
  strength:
    v: extensible
  description:
    v: DICOM SOP Classes.
  value set:
    v: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
    l: table B.5-1
mapping:
  identity:
    v: dicom
  map:
    v: SOP Class UID (0008,0016)

id:
  v: ImagingSelection.instance.subset
path:
  v: ImagingSelection.instance.subset
short:
  v: The selected subset of the SOP Instance
definition:
  v: Selected subset of the SOP Instance. The content and format of the subset item is determined by the SOP Class of the selected instance. May be one of: - A list of frame numbers selected from a multiframe SOP Instance. - A list of Content Item Observation UID values selected from a DICOM SR or other structured document SOP Instance. - A list of segment numbers selected from a segmentation SOP Instance. - A list of Region of Interest (ROI) numbers selected from a radiotherapy structure set SOP Instance.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ImagingSelection.instance.subset
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: string
    l: string
example:
  label:
    v: General
  value: String
    v: 6
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false

id:
  v: ImagingSelection.instance.imageRegion2D
path:
  v: ImagingSelection.instance.imageRegion2D
short:
  v: A specific 2D region in a DICOM image / frame
definition:
  v: Each imaging selection instance or frame list might includes an image region, specified by a region type and a set of 2D coordinates. If the parent imagingSelection.instance contains a subset element of type frame, the image region applies to all frames in the subset list.
requirements:
  v: Shall not be present if the parent imagingSelection.instance is not an image.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ImagingSelection.instance.imageRegion2D
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false

representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

short:
  v: Additional content defined by implementations
definition:
  v: 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 managable, 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 managable, 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. 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).
comment:
  v: 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.
requirements:
  v: 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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

short:
  v: point | polyline | interpolated | circle | ellipse
definition:
  v: Specifies the type of image region.
comment:
  v: See [DICOM PS3.3 C.10.5.1.2](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.10.5.html#sect_C.10.5.1.2).
alias:
  v: GraphicType
min:
  v: 1
max:
  v: 1
base:
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ImagingSelection2DGraphicType
  strength:
    v: required
  description:
    v: The type of image region.
  value set:
    v: http://hl7.org/fhir/ValueSet/imagingselection-2dgraphictype|5.0.0
    l: http://hl7.org/fhir/ValueSet/imagingselection-2dgraphictype
mapping:
  identity:
    v: dicom
  map:
    v: Graphic Type (0070,0023)

short:
  v: Specifies the coordinates that define the image region
definition:
  v: The coordinates describing the image region. Encoded as a set of (column, row) pairs that denote positions in the selected image / frames specified with sub-pixel resolution. The origin at the TLHC of the TLHC pixel is 0.0\0.0, the BRHC of the TLHC pixel is 1.0\1.0, and the BRHC of the BRHC pixel is the number of columns\rows in the image / frames. The values must be within the range 0\0 to the number of columns\rows in the image / frames.
comment:
  v: For a description of how 2D coordinates are encoded, see [DICOM PS3.3 C.18.6](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.18.6.html).
requirements:
  v: The number of values must be a multiple of two.
alias:
  v: GraphicData
min:
  v: 1
max:
  v: *
base:
  min:
    v: 1
  max:
    v: *
type:
  code:
    v: decimal
    l: decimal
order meaning:
  v: The values are an ordered set of (x, y) coordinates.
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: dicom
  map:
    v: Graphic Data (0070,0022)

id:
  v: ImagingSelection.instance.imageRegion3D
path:
  v: ImagingSelection.instance.imageRegion3D
short:
  v: A specific 3D region in a DICOM frame of reference
definition:
  v: Each imaging selection might includes a 3D image region, specified by a region type and a set of 3D coordinates.
requirements:
  v: Requires that the ImagingSelection.frameOfReferenceUid element is present.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ImagingSelection.instance.imageRegion3D
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false

representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

short:
  v: Additional content defined by implementations
definition:
  v: 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 managable, 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 managable, 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. 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).
comment:
  v: 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.
requirements:
  v: 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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

short:
  v: point | multipoint | polyline | polygon | ellipse | ellipsoid
definition:
  v: Specifies the type of image region.
comment:
  v: See [DICOM PS3.3 C.18.9.1.2](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.18.9.html#sect_C.18.9.1.2).
alias:
  v: GraphicType
min:
  v: 1
max:
  v: 1
base:
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ImagingSelection3DGraphicType
  strength:
    v: required
  description:
    v: The type of image region.
  value set:
    v: http://hl7.org/fhir/ValueSet/imagingselection-3dgraphictype|5.0.0
    l: http://hl7.org/fhir/ValueSet/imagingselection-3dgraphictype
mapping:
  identity:
    v: dicom
  map:
    v: Graphic Type (0070,0023)

short:
  v: Specifies the coordinates that define the image region
definition:
  v: The coordinates describing the image region. Encoded as an ordered set of (x,y,z) triplets (in mm and may be negative) that define a region of interest in the patient-relative Reference Coordinate System defined by ImagingSelection.frameOfReferenceUid element.
comment:
  v: For a description of how 3D coordinates are encoded, see [DICOM PS3.3 C.18.9](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.18.9.html).
requirements:
  v: The number of values must be a multiple of three.
alias:
  v: GraphicData
min:
  v: 1
max:
  v: *
base:
  min:
    v: 1
  max:
    v: *
type:
  code:
    v: decimal
    l: decimal
order meaning:
  v: The values are an ordered set of (x, y, z) coordinates.
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: dicom
  map:
    v: Graphic Data (0070,0022)

element:
  id:
    v: ImagingSelection.extension
  path:
    v: ImagingSelection.extension
  slicing:
    discriminator:
      type:
        v: value
      path:
        v: url
    ordered:
      v: false
    rules:
      v: open
element:
  id:
    v: ImagingSelection.extension:title
  path:
    v: ImagingSelection.extension
  slice name:
    v: title
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: Extension
      l: Extension
    profile:
      v: http://hl7.org/fhir/StructureDefinition/artifact-description
      l: artifact-description
element:
  id:
    v: ImagingSelection.extension:description
  path:
    v: ImagingSelection.extension
  slice name:
    v: description
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: Extension
      l: Extension
    profile:
      v: http://hl7.org/fhir/StructureDefinition/artifact-title
      l: artifact-title
element:
  id:
    v: ImagingSelection.performer
  path:
    v: ImagingSelection.performer
  slicing:
    discriminator:
      type:
        v: type
      path:
        v: actor
    ordered:
      v: false
    rules:
      v: open
element:
  id:
    v: ImagingSelection.performer:performer
  path:
    v: ImagingSelection.performer
  slice name:
    v: performer
  min:
    v: 0
  max:
    v: 1
element:
  id:
    v: ImagingSelection.performer:performer.actor
  path:
    v: ImagingSelection.performer.actor
  type:
    code:
      v: Reference
      l: Reference
    target profile:
      v: http://hl7.eu/fhir/base-r5/StructureDefinition/practitionerRole-eu-core
      l: practitionerRole-eu-core
element:
  id:
    v: ImagingSelection.performer:device
  path:
    v: ImagingSelection.performer
  slice name:
    v: device
  min:
    v: 0
  max:
    v: 1
element:
  id:
    v: ImagingSelection.performer:device.actor
  path:
    v: ImagingSelection.performer.actor
  type:
    code:
      v: Reference
      l: Reference
    target profile:
      v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/DeviceEuImaging
      l: DeviceEuImaging