HL7 Europe Imaging Study Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/imaging/ and changes regularly. See the Directory of published versions

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

Resource Profile: Imaging results from Procedure Phase

Represents the part of an imaging study that relates to a procedure phase such as e.g., without contrast, arterial phase, venous phase, delayed phase. Only some types of studies have phases.

Usage:

• Refer to this Resource Profile: Imaging Composition

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

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

Name	Flags	Card.	Type	Description & Constraints
ImagingSelection		0..*	ImImagingSelection	A selection of DICOM SOP instances and/or frames dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
meta	Σ	0..1	Meta	Metadata about the resource ele-1: All FHIR elements must have a @value or children
security	SΣ	0..*	Coding	Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. ele-1: All FHIR elements must have a @value or children
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
language	S	0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!SΣ	1..1	code	available | entered-in-error | unknown Binding: ImagingSelectionStatus (required): The status of the ImagingSelection. ele-1: All FHIR elements must have a @value or children
subject	SOΣ	1..1	Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance | Specimen)	Subject of the selected instances ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known IM Producer
Slices for category	SΣ	1..*	CodeableConcept	Classifies the imaging selection Slice: Unordered, Open by value:""coding"" Binding: KeyObjectSelectionDocumentTitle (example): Key Object Selection Document Title. ele-1: All FHIR elements must have a @value or children
category:phase	SΣ	1..1	CodeableConcept	Classifies the imaging selection Binding: KeyObjectSelectionDocumentTitle (example): Key Object Selection Document Title. ele-1: All FHIR elements must have a @value or children
coding	SΣ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 128954007
display		1..1	string	Representation defined by the system Fixed Value: Procedure phase
code	SΣ	1..1	CodeableConcept	Imaging Selection purpose text or code Binding: KeyObjectSelectionDocumentTitle (example): Key Object Selection Document Title. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ImagingSelection.meta.security	extensible	AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
ImagingSelection.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
ImagingSelection.status	required	ImagingSelectionStatus http://hl7.org/fhir/ValueSet/imagingselection-status|5.0.0 from the FHIR Standard
ImagingSelection.category	example	KeyObjectSelectionDocumentTitle http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html
ImagingSelection.category:phase	example	KeyObjectSelectionDocumentTitle http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html
ImagingSelection.code	example	KeyObjectSelectionDocumentTitle http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html

Constraints

Id	Grade	Path(s)	Details	Requirements
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 ImImagingSelection

Name	Flags	Card.	Type	Description & Constraints
ImagingSelection			ImImagingSelection
Slices for category		1..*	CodeableConcept	Classifies the imaging selection Slice: Unordered, Open by value:""coding""
category:phase	S	1..1	CodeableConcept	Classifies the imaging selection
coding	S	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 128954007
display		1..1	string	Representation defined by the system Fixed Value: Procedure phase
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
ImagingSelection		0..*	ImImagingSelection	A selection of DICOM SOP instances and/or frames
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	SΣ	0..*	Coding	Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	S	0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for Imaging Selection
status	?!SΣ	1..1	code	available | entered-in-error | unknown Binding: ImagingSelectionStatus (required): The status of the ImagingSelection.
subject	SOΣ	1..1	Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance | Specimen)	Subject of the selected instances Obligations Actor SHALL:populate-if-known IM Producer
issued	Σ	0..1	instant	Date / Time when this imaging selection was created
performer	Σ	0..*	BackboneElement	Selector of the instances (human or machine)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performer Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
actor	Σ	0..1	Reference(Practitioner | PractitionerRole | Device | Organization | CareTeam | Patient | RelatedPerson | HealthcareService)	Author (human or machine)
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)	Associated request
Slices for category	SΣ	1..*	CodeableConcept	Classifies the imaging selection Slice: Unordered, Open by value:""coding"" Binding: KeyObjectSelectionDocumentTitle (example): Key Object Selection Document Title.
category:phase	SΣ	1..1	CodeableConcept	Classifies the imaging selection Binding: KeyObjectSelectionDocumentTitle (example): Key Object Selection Document Title.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 128954007
display		1..1	string	Representation defined by the system Fixed Value: Procedure phase
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Imaging Selection purpose text or code Binding: KeyObjectSelectionDocumentTitle (example): Key Object Selection Document Title.
studyUid	Σ	0..1	id	DICOM Study Instance UID Example General: 1.2.840.113747.20080222.12753225430534207565993148475333748793
derivedFrom	Σ	0..*	Reference(ImagingStudy | DocumentReference)	The imaging study from which the imaging selection is derived
endpoint	Σ	0..*	Reference(Endpoint)	The network service providing retrieval for the images referenced in the imaging selection
seriesUid	Σ	0..1	id	DICOM Series Instance UID Example General: 1.2.840.113747.20080222.12753225430534207565993148475333748793.1
seriesNumber	Σ	0..1	unsignedInt	DICOM Series Number
frameOfReferenceUid	Σ	0..1	id	The Frame of Reference UID for the selected images Example General: 1.2.840.113747.20080222.12753225430534207565993148475333748793.2
bodySite	Σ	0..1	CodeableReference(BodyStructure)	Body part examined Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
focus	Σ	0..*	Reference(ImagingSelection)	Related resource that is the focus for the imaging selection
instance	Σ	0..*	BackboneElement	The selected instances
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
uid	Σ	1..1	id	DICOM SOP Instance UID Example General: 1.2.840.113747.20080222.12753225430534207568475333748793.1.1
number	Σ	0..1	unsignedInt	DICOM Instance Number
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
subset		0..*	string	The selected subset of the SOP Instance Example General: 6
imageRegion2D		0..*	BackboneElement	A specific 2D region in a DICOM image / frame
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
regionType		1..1	code	point | polyline | interpolated | circle | ellipse Binding: ImagingSelection2DGraphicType (required): The type of image region.
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.
imageRegion3D		0..*	BackboneElement	A specific 3D region in a DICOM frame of reference
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
regionType		1..1	code	point | multipoint | polyline | polygon | ellipse | ellipsoid Binding: ImagingSelection3DGraphicType (required): The type of image region.
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	Conformance	ValueSet	URI
ImagingSelection.meta.security	extensible	AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
ImagingSelection.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
ImagingSelection.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
ImagingSelection.status	required	ImagingSelectionStatus http://hl7.org/fhir/ValueSet/imagingselection-status|5.0.0 from the FHIR Standard
ImagingSelection.performer.function	extensible	ImagingStudySeriesPerformerFunction http://hl7.org/fhir/ValueSet/series-performer-function from the FHIR Standard
ImagingSelection.category	example	KeyObjectSelectionDocumentTitle http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html
ImagingSelection.category:phase	example	KeyObjectSelectionDocumentTitle http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html
ImagingSelection.code	example	KeyObjectSelectionDocumentTitle http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html
ImagingSelection.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
ImagingSelection.instance.sopClass	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
ImagingSelection.instance.imageRegion2D.regionType	required	ImagingSelection2DGraphicType http://hl7.org/fhir/ValueSet/imagingselection-2dgraphictype|5.0.0 from the FHIR Standard
ImagingSelection.instance.imageRegion3D.regionType	required	ImagingSelection3DGraphicType http://hl7.org/fhir/ValueSet/imagingselection-3dgraphictype|5.0.0 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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 ImImagingSelection

Summary

Mandatory: 3 elements
Must-Support: 2 elements

Slices

This structure defines the following Slices:

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

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ImagingSelection		0..*	ImImagingSelection	A selection of DICOM SOP instances and/or frames dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
meta	Σ	0..1	Meta	Metadata about the resource ele-1: All FHIR elements must have a @value or children
security	SΣ	0..*	Coding	Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. ele-1: All FHIR elements must have a @value or children
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
language	S	0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!SΣ	1..1	code	available | entered-in-error | unknown Binding: ImagingSelectionStatus (required): The status of the ImagingSelection. ele-1: All FHIR elements must have a @value or children
subject	SOΣ	1..1	Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance | Specimen)	Subject of the selected instances ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known IM Producer
Slices for category	SΣ	1..*	CodeableConcept	Classifies the imaging selection Slice: Unordered, Open by value:""coding"" Binding: KeyObjectSelectionDocumentTitle (example): Key Object Selection Document Title. ele-1: All FHIR elements must have a @value or children
category:phase	SΣ	1..1	CodeableConcept	Classifies the imaging selection Binding: KeyObjectSelectionDocumentTitle (example): Key Object Selection Document Title. ele-1: All FHIR elements must have a @value or children
coding	SΣ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 128954007
display		1..1	string	Representation defined by the system Fixed Value: Procedure phase
code	SΣ	1..1	CodeableConcept	Imaging Selection purpose text or code Binding: KeyObjectSelectionDocumentTitle (example): Key Object Selection Document Title. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ImagingSelection.meta.security	extensible	AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
ImagingSelection.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
ImagingSelection.status	required	ImagingSelectionStatus http://hl7.org/fhir/ValueSet/imagingselection-status|5.0.0 from the FHIR Standard
ImagingSelection.category	example	KeyObjectSelectionDocumentTitle http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html
ImagingSelection.category:phase	example	KeyObjectSelectionDocumentTitle http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html
ImagingSelection.code	example	KeyObjectSelectionDocumentTitle http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html

Constraints

Id	Grade	Path(s)	Details	Requirements
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 ImImagingSelection

Name	Flags	Card.	Type	Description & Constraints
ImagingSelection			ImImagingSelection
Slices for category		1..*	CodeableConcept	Classifies the imaging selection Slice: Unordered, Open by value:""coding""
category:phase	S	1..1	CodeableConcept	Classifies the imaging selection
coding	S	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 128954007
display		1..1	string	Representation defined by the system Fixed Value: Procedure phase
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ImagingSelection		0..*	ImImagingSelection	A selection of DICOM SOP instances and/or frames
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	SΣ	0..*	Coding	Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	S	0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for Imaging Selection
status	?!SΣ	1..1	code	available | entered-in-error | unknown Binding: ImagingSelectionStatus (required): The status of the ImagingSelection.
subject	SOΣ	1..1	Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance | Specimen)	Subject of the selected instances Obligations Actor SHALL:populate-if-known IM Producer
issued	Σ	0..1	instant	Date / Time when this imaging selection was created
performer	Σ	0..*	BackboneElement	Selector of the instances (human or machine)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performer Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
actor	Σ	0..1	Reference(Practitioner | PractitionerRole | Device | Organization | CareTeam | Patient | RelatedPerson | HealthcareService)	Author (human or machine)
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)	Associated request
Slices for category	SΣ	1..*	CodeableConcept	Classifies the imaging selection Slice: Unordered, Open by value:""coding"" Binding: KeyObjectSelectionDocumentTitle (example): Key Object Selection Document Title.
category:phase	SΣ	1..1	CodeableConcept	Classifies the imaging selection Binding: KeyObjectSelectionDocumentTitle (example): Key Object Selection Document Title.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 128954007
display		1..1	string	Representation defined by the system Fixed Value: Procedure phase
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Imaging Selection purpose text or code Binding: KeyObjectSelectionDocumentTitle (example): Key Object Selection Document Title.
studyUid	Σ	0..1	id	DICOM Study Instance UID Example General: 1.2.840.113747.20080222.12753225430534207565993148475333748793
derivedFrom	Σ	0..*	Reference(ImagingStudy | DocumentReference)	The imaging study from which the imaging selection is derived
endpoint	Σ	0..*	Reference(Endpoint)	The network service providing retrieval for the images referenced in the imaging selection
seriesUid	Σ	0..1	id	DICOM Series Instance UID Example General: 1.2.840.113747.20080222.12753225430534207565993148475333748793.1
seriesNumber	Σ	0..1	unsignedInt	DICOM Series Number
frameOfReferenceUid	Σ	0..1	id	The Frame of Reference UID for the selected images Example General: 1.2.840.113747.20080222.12753225430534207565993148475333748793.2
bodySite	Σ	0..1	CodeableReference(BodyStructure)	Body part examined Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
focus	Σ	0..*	Reference(ImagingSelection)	Related resource that is the focus for the imaging selection
instance	Σ	0..*	BackboneElement	The selected instances
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
uid	Σ	1..1	id	DICOM SOP Instance UID Example General: 1.2.840.113747.20080222.12753225430534207568475333748793.1.1
number	Σ	0..1	unsignedInt	DICOM Instance Number
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
subset		0..*	string	The selected subset of the SOP Instance Example General: 6
imageRegion2D		0..*	BackboneElement	A specific 2D region in a DICOM image / frame
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
regionType		1..1	code	point | polyline | interpolated | circle | ellipse Binding: ImagingSelection2DGraphicType (required): The type of image region.
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.
imageRegion3D		0..*	BackboneElement	A specific 3D region in a DICOM frame of reference
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
regionType		1..1	code	point | multipoint | polyline | polygon | ellipse | ellipsoid Binding: ImagingSelection3DGraphicType (required): The type of image region.
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	Conformance	ValueSet	URI
ImagingSelection.meta.security	extensible	AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
ImagingSelection.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
ImagingSelection.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
ImagingSelection.status	required	ImagingSelectionStatus http://hl7.org/fhir/ValueSet/imagingselection-status|5.0.0 from the FHIR Standard
ImagingSelection.performer.function	extensible	ImagingStudySeriesPerformerFunction http://hl7.org/fhir/ValueSet/series-performer-function from the FHIR Standard
ImagingSelection.category	example	KeyObjectSelectionDocumentTitle http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html
ImagingSelection.category:phase	example	KeyObjectSelectionDocumentTitle http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html
ImagingSelection.code	example	KeyObjectSelectionDocumentTitle http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html
ImagingSelection.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
ImagingSelection.instance.sopClass	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
ImagingSelection.instance.imageRegion2D.regionType	required	ImagingSelection2DGraphicType http://hl7.org/fhir/ValueSet/imagingselection-2dgraphictype|5.0.0 from the FHIR Standard
ImagingSelection.instance.imageRegion3D.regionType	required	ImagingSelection3DGraphicType http://hl7.org/fhir/ValueSet/imagingselection-3dgraphictype|5.0.0 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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 ImImagingSelection

Summary

Mandatory: 3 elements
Must-Support: 2 elements

Slices

This structure defines the following Slices:

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

Maturity: 1

Other representations of profile: CSV, Excel, Schematron