EU Imaging Report R5, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/imaging-r5/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: ImagingSelection: General

Usages:

• Derived from this Profile: ImagingSelection: Key Image and ImagingSelection: DICOM SR Instance
• Refer to this Profile: Composition: Imaging Report and Extension: HL7IDR DiagnosticReport Comparison Study
• Examples for this Profile: ImagingSelection/ImagingSelectionStudyExample

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ImagingSelection		0..*	ImagingSelection	A selection of DICOM SOP instances and/or frames
ImagingSelection.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
ImagingSelection.contained		0..*	Resource	Contained, inline Resources
ImagingSelection.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
ImagingSelection.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	available | entered-in-error | unknown Binding: ImagingSelectionStatus (required): The status of the ImagingSelection.
ImagingSelection.subject	Σ This element is included in summaries.	0..1	Reference(Patient (EU core))	Subject of the selected instances
ImagingSelection.code	Σ This element is included in summaries.	1..1	CodeableConcept	Imaging Selection purpose text or code Binding: KeyObjectSelectionDocumentTitle (example): Key Object Selection Document Title.
ImagingSelection.Slices for derivedFrom	Σ This element is included in summaries.	1..*	Reference(ImagingStudy | DocumentReference)	The imaging study from which the imaging selection is derived Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ImagingSelection.Slices for derivedFrom.derivedFrom:study	Σ This element is included in summaries.	1..1	Reference(ImagingStudy: Reported Study)	The imaging study from which the imaging selection is derived
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ImagingSelection.status	Base	required	Imaging Selection Status	📍5.0.0	FHIR Std.
ImagingSelection.code	Base	example	KeyObjectSelectionDocumentTitle	📦2025.3.20250714	DICOM v2025c

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	ImagingSelection	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ImagingSelection	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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()
dom-4	error	ImagingSelection	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ImagingSelection	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	ImagingSelection	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from ImagingSelection

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ImagingSelection			ImagingSelection
ImagingSelection.subject		0..1	Reference(Patient (EU core))	Subject of the selected instances
ImagingSelection.Slices for derivedFrom		1..*	Reference(ImagingStudy | DocumentReference)	The imaging study from which the imaging selection is derived Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ImagingSelection.Slices for derivedFrom.derivedFrom:study		1..1	Reference(ImagingStudy: Reported Study)	The imaging study from which the imaging selection is derived
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ImagingSelection		0..*	ImagingSelection	A selection of DICOM SOP instances and/or frames
ImagingSelection.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
ImagingSelection.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
ImagingSelection.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
ImagingSelection.language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
ImagingSelection.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ImagingSelection.contained		0..*	Resource	Contained, inline Resources
ImagingSelection.extension		0..*	Extension	Additional content defined by implementations
ImagingSelection.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
ImagingSelection.identifier	Σ This element is included in summaries.	0..*	Identifier	Business Identifier for Imaging Selection
ImagingSelection.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	available | entered-in-error | unknown Binding: ImagingSelectionStatus (required): The status of the ImagingSelection.
ImagingSelection.subject	Σ This element is included in summaries.	0..1	Reference(Patient (EU core))	Subject of the selected instances
ImagingSelection.issued	Σ This element is included in summaries.	0..1	instant	Date / Time when this imaging selection was created
ImagingSelection.performer	Σ This element is included in summaries.	0..*	BackboneElement	Selector of the instances (human or machine)
ImagingSelection.performer.id		0..1	string	Unique id for inter-element referencing
ImagingSelection.performer.extension		0..*	Extension	Additional content defined by implementations
ImagingSelection.performer.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ImagingSelection.performer.function	Σ This element is included in summaries.	0..1	CodeableConcept	Type of performer Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
ImagingSelection.performer.actor	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | Device | Organization | CareTeam | Patient | RelatedPerson | HealthcareService)	Author (human or machine)
ImagingSelection.basedOn	Σ This element is included in summaries.	0..*	Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)	Associated request
ImagingSelection.category	Σ This element is included in summaries.	0..*	CodeableConcept	Classifies the imaging selection Binding: KeyObjectSelectionDocumentTitle (example): Key Object Selection Document Title.
ImagingSelection.code	Σ This element is included in summaries.	1..1	CodeableConcept	Imaging Selection purpose text or code Binding: KeyObjectSelectionDocumentTitle (example): Key Object Selection Document Title.
ImagingSelection.studyUid	Σ This element is included in summaries.	0..1	id	DICOM Study Instance UID Example General: 1.2.840.113747.20080222.12753225430534207565993148475333748793
ImagingSelection.Slices for derivedFrom	Σ This element is included in summaries.	1..*	Reference(ImagingStudy | DocumentReference)	The imaging study from which the imaging selection is derived Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ImagingSelection.Slices for derivedFrom.derivedFrom:study	Σ This element is included in summaries.	1..1	Reference(ImagingStudy: Reported Study)	The imaging study from which the imaging selection is derived
ImagingSelection.endpoint	Σ This element is included in summaries.	0..*	Reference(Endpoint)	The network service providing retrieval for the images referenced in the imaging selection
ImagingSelection.seriesUid	Σ This element is included in summaries.	0..1	id	DICOM Series Instance UID Example General: 1.2.840.113747.20080222.12753225430534207565993148475333748793.1
ImagingSelection.seriesNumber	Σ This element is included in summaries.	0..1	unsignedInt	DICOM Series Number
ImagingSelection.frameOfReferenceUid	Σ This element is included in summaries.	0..1	id	The Frame of Reference UID for the selected images Example General: 1.2.840.113747.20080222.12753225430534207565993148475333748793.2
ImagingSelection.bodySite	Σ This element is included in summaries.	0..1	CodeableReference(BodyStructure)	Body part examined Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
ImagingSelection.focus	Σ This element is included in summaries.	0..*	Reference(ImagingSelection)	Related resource that is the focus for the imaging selection
ImagingSelection.instance	Σ This element is included in summaries.	0..*	BackboneElement	The selected instances
ImagingSelection.instance.id		0..1	string	Unique id for inter-element referencing
ImagingSelection.instance.extension		0..*	Extension	Additional content defined by implementations
ImagingSelection.instance.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ImagingSelection.instance.uid	Σ This element is included in summaries.	1..1	id	DICOM SOP Instance UID Example General: 1.2.840.113747.20080222.12753225430534207568475333748793.1.1
ImagingSelection.instance.number	Σ This element is included in summaries.	0..1	unsignedInt	DICOM Instance Number
ImagingSelection.instance.sopClass		0..1	Coding	DICOM SOP Class UID Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): DICOM SOP Classes. Example General: 1.2.840.10008.5.1.4.1.1.2
ImagingSelection.instance.subset		0..*	string	The selected subset of the SOP Instance Example General: 6
ImagingSelection.instance.imageRegion2D		0..*	BackboneElement	A specific 2D region in a DICOM image / frame
ImagingSelection.instance.imageRegion2D.id		0..1	string	Unique id for inter-element referencing
ImagingSelection.instance.imageRegion2D.extension		0..*	Extension	Additional content defined by implementations
ImagingSelection.instance.imageRegion2D.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ImagingSelection.instance.imageRegion2D.regionType		1..1	code	point | polyline | interpolated | circle | ellipse Binding: ImagingSelection2DGraphicType (required): The type of image region.
ImagingSelection.instance.imageRegion2D.coordinate		1..*	decimal	Specifies the coordinates that define the image region This repeating element order: The values are an ordered set of (x, y) coordinates.
ImagingSelection.instance.imageRegion3D		0..*	BackboneElement	A specific 3D region in a DICOM frame of reference
ImagingSelection.instance.imageRegion3D.id		0..1	string	Unique id for inter-element referencing
ImagingSelection.instance.imageRegion3D.extension		0..*	Extension	Additional content defined by implementations
ImagingSelection.instance.imageRegion3D.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ImagingSelection.instance.imageRegion3D.regionType		1..1	code	point | multipoint | polyline | polygon | ellipse | ellipsoid Binding: ImagingSelection3DGraphicType (required): The type of image region.
ImagingSelection.instance.imageRegion3D.coordinate		1..*	decimal	Specifies the coordinates that define the image region This repeating element order: The values are an ordered set of (x, y, z) coordinates.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ImagingSelection.language	Base	required	All Languages	📍5.0.0	FHIR Std.
ImagingSelection.status	Base	required	Imaging Selection Status	📍5.0.0	FHIR Std.
ImagingSelection.performer.​function	Base	extensible	ImagingStudy series performer function	📍5.0.0	FHIR Std.
ImagingSelection.category	Base	example	KeyObjectSelectionDocumentTitle	📦2025.3.20250714	DICOM v2025c
ImagingSelection.code	Base	example	KeyObjectSelectionDocumentTitle	📦2025.3.20250714	DICOM v2025c
ImagingSelection.bodySite	Base	example	SNOMED CT Body Structures	📍5.0.0	FHIR Std.
ImagingSelection.instance.​sopClass	Base	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1	Not State	Unknown
ImagingSelection.instance.​imageRegion2D.regionType	Base	required	Imaging Selection2 D Graphic Type	📍5.0.0	FHIR Std.
ImagingSelection.instance.​imageRegion3D.regionType	Base	required	Imaging Selection3 D Graphic Type	📍5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	ImagingSelection	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ImagingSelection	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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()
dom-4	error	ImagingSelection	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ImagingSelection	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	ImagingSelection	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from ImagingSelection

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

• Patient (EU core) (http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu-core)
• ImagingStudy: Reported Study (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImagingStudyEuImaging)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ImagingSelection.derivedFrom

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ImagingSelection		0..*	ImagingSelection	A selection of DICOM SOP instances and/or frames
ImagingSelection.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
ImagingSelection.contained		0..*	Resource	Contained, inline Resources
ImagingSelection.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
ImagingSelection.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	available | entered-in-error | unknown Binding: ImagingSelectionStatus (required): The status of the ImagingSelection.
ImagingSelection.subject	Σ This element is included in summaries.	0..1	Reference(Patient (EU core))	Subject of the selected instances
ImagingSelection.code	Σ This element is included in summaries.	1..1	CodeableConcept	Imaging Selection purpose text or code Binding: KeyObjectSelectionDocumentTitle (example): Key Object Selection Document Title.
ImagingSelection.Slices for derivedFrom	Σ This element is included in summaries.	1..*	Reference(ImagingStudy | DocumentReference)	The imaging study from which the imaging selection is derived Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ImagingSelection.Slices for derivedFrom.derivedFrom:study	Σ This element is included in summaries.	1..1	Reference(ImagingStudy: Reported Study)	The imaging study from which the imaging selection is derived
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ImagingSelection.status	Base	required	Imaging Selection Status	📍5.0.0	FHIR Std.
ImagingSelection.code	Base	example	KeyObjectSelectionDocumentTitle	📦2025.3.20250714	DICOM v2025c

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	ImagingSelection	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ImagingSelection	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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()
dom-4	error	ImagingSelection	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ImagingSelection	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	ImagingSelection	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from ImagingSelection

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ImagingSelection			ImagingSelection
ImagingSelection.subject		0..1	Reference(Patient (EU core))	Subject of the selected instances
ImagingSelection.Slices for derivedFrom		1..*	Reference(ImagingStudy | DocumentReference)	The imaging study from which the imaging selection is derived Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ImagingSelection.Slices for derivedFrom.derivedFrom:study		1..1	Reference(ImagingStudy: Reported Study)	The imaging study from which the imaging selection is derived
Documentation for this format

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ImagingSelection		0..*	ImagingSelection	A selection of DICOM SOP instances and/or frames
ImagingSelection.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
ImagingSelection.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
ImagingSelection.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
ImagingSelection.language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
ImagingSelection.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ImagingSelection.contained		0..*	Resource	Contained, inline Resources
ImagingSelection.extension		0..*	Extension	Additional content defined by implementations
ImagingSelection.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
ImagingSelection.identifier	Σ This element is included in summaries.	0..*	Identifier	Business Identifier for Imaging Selection
ImagingSelection.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	available | entered-in-error | unknown Binding: ImagingSelectionStatus (required): The status of the ImagingSelection.
ImagingSelection.subject	Σ This element is included in summaries.	0..1	Reference(Patient (EU core))	Subject of the selected instances
ImagingSelection.issued	Σ This element is included in summaries.	0..1	instant	Date / Time when this imaging selection was created
ImagingSelection.performer	Σ This element is included in summaries.	0..*	BackboneElement	Selector of the instances (human or machine)
ImagingSelection.performer.id		0..1	string	Unique id for inter-element referencing
ImagingSelection.performer.extension		0..*	Extension	Additional content defined by implementations
ImagingSelection.performer.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ImagingSelection.performer.function	Σ This element is included in summaries.	0..1	CodeableConcept	Type of performer Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
ImagingSelection.performer.actor	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | Device | Organization | CareTeam | Patient | RelatedPerson | HealthcareService)	Author (human or machine)
ImagingSelection.basedOn	Σ This element is included in summaries.	0..*	Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)	Associated request
ImagingSelection.category	Σ This element is included in summaries.	0..*	CodeableConcept	Classifies the imaging selection Binding: KeyObjectSelectionDocumentTitle (example): Key Object Selection Document Title.
ImagingSelection.code	Σ This element is included in summaries.	1..1	CodeableConcept	Imaging Selection purpose text or code Binding: KeyObjectSelectionDocumentTitle (example): Key Object Selection Document Title.
ImagingSelection.studyUid	Σ This element is included in summaries.	0..1	id	DICOM Study Instance UID Example General: 1.2.840.113747.20080222.12753225430534207565993148475333748793
ImagingSelection.Slices for derivedFrom	Σ This element is included in summaries.	1..*	Reference(ImagingStudy | DocumentReference)	The imaging study from which the imaging selection is derived Slice: Unordered, Open by profile:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ImagingSelection.Slices for derivedFrom.derivedFrom:study	Σ This element is included in summaries.	1..1	Reference(ImagingStudy: Reported Study)	The imaging study from which the imaging selection is derived
ImagingSelection.endpoint	Σ This element is included in summaries.	0..*	Reference(Endpoint)	The network service providing retrieval for the images referenced in the imaging selection
ImagingSelection.seriesUid	Σ This element is included in summaries.	0..1	id	DICOM Series Instance UID Example General: 1.2.840.113747.20080222.12753225430534207565993148475333748793.1
ImagingSelection.seriesNumber	Σ This element is included in summaries.	0..1	unsignedInt	DICOM Series Number
ImagingSelection.frameOfReferenceUid	Σ This element is included in summaries.	0..1	id	The Frame of Reference UID for the selected images Example General: 1.2.840.113747.20080222.12753225430534207565993148475333748793.2
ImagingSelection.bodySite	Σ This element is included in summaries.	0..1	CodeableReference(BodyStructure)	Body part examined Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
ImagingSelection.focus	Σ This element is included in summaries.	0..*	Reference(ImagingSelection)	Related resource that is the focus for the imaging selection
ImagingSelection.instance	Σ This element is included in summaries.	0..*	BackboneElement	The selected instances
ImagingSelection.instance.id		0..1	string	Unique id for inter-element referencing
ImagingSelection.instance.extension		0..*	Extension	Additional content defined by implementations
ImagingSelection.instance.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ImagingSelection.instance.uid	Σ This element is included in summaries.	1..1	id	DICOM SOP Instance UID Example General: 1.2.840.113747.20080222.12753225430534207568475333748793.1.1
ImagingSelection.instance.number	Σ This element is included in summaries.	0..1	unsignedInt	DICOM Instance Number
ImagingSelection.instance.sopClass		0..1	Coding	DICOM SOP Class UID Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): DICOM SOP Classes. Example General: 1.2.840.10008.5.1.4.1.1.2
ImagingSelection.instance.subset		0..*	string	The selected subset of the SOP Instance Example General: 6
ImagingSelection.instance.imageRegion2D		0..*	BackboneElement	A specific 2D region in a DICOM image / frame
ImagingSelection.instance.imageRegion2D.id		0..1	string	Unique id for inter-element referencing
ImagingSelection.instance.imageRegion2D.extension		0..*	Extension	Additional content defined by implementations
ImagingSelection.instance.imageRegion2D.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ImagingSelection.instance.imageRegion2D.regionType		1..1	code	point | polyline | interpolated | circle | ellipse Binding: ImagingSelection2DGraphicType (required): The type of image region.
ImagingSelection.instance.imageRegion2D.coordinate		1..*	decimal	Specifies the coordinates that define the image region This repeating element order: The values are an ordered set of (x, y) coordinates.
ImagingSelection.instance.imageRegion3D		0..*	BackboneElement	A specific 3D region in a DICOM frame of reference
ImagingSelection.instance.imageRegion3D.id		0..1	string	Unique id for inter-element referencing
ImagingSelection.instance.imageRegion3D.extension		0..*	Extension	Additional content defined by implementations
ImagingSelection.instance.imageRegion3D.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ImagingSelection.instance.imageRegion3D.regionType		1..1	code	point | multipoint | polyline | polygon | ellipse | ellipsoid Binding: ImagingSelection3DGraphicType (required): The type of image region.
ImagingSelection.instance.imageRegion3D.coordinate		1..*	decimal	Specifies the coordinates that define the image region This repeating element order: The values are an ordered set of (x, y, z) coordinates.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ImagingSelection.language	Base	required	All Languages	📍5.0.0	FHIR Std.
ImagingSelection.status	Base	required	Imaging Selection Status	📍5.0.0	FHIR Std.
ImagingSelection.performer.​function	Base	extensible	ImagingStudy series performer function	📍5.0.0	FHIR Std.
ImagingSelection.category	Base	example	KeyObjectSelectionDocumentTitle	📦2025.3.20250714	DICOM v2025c
ImagingSelection.code	Base	example	KeyObjectSelectionDocumentTitle	📦2025.3.20250714	DICOM v2025c
ImagingSelection.bodySite	Base	example	SNOMED CT Body Structures	📍5.0.0	FHIR Std.
ImagingSelection.instance.​sopClass	Base	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1	Not State	Unknown
ImagingSelection.instance.​imageRegion2D.regionType	Base	required	Imaging Selection2 D Graphic Type	📍5.0.0	FHIR Std.
ImagingSelection.instance.​imageRegion3D.regionType	Base	required	Imaging Selection3 D Graphic Type	📍5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	ImagingSelection	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ImagingSelection	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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()
dom-4	error	ImagingSelection	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ImagingSelection	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	ImagingSelection	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from ImagingSelection

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

• Patient (EU core) (http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu-core)
• ImagingStudy: Reported Study (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImagingStudyEuImaging)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ImagingSelection.derivedFrom

Maturity: 1

Other representations of profile: CSV, Excel, Schematron