Release 5 Draft Ballot

This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions

Imaging Integration Work GroupMaturity Level: 0 Trial UseSecurity Category: Patient Compartments: Patient

Detailed Descriptions for the elements in the ImagingSelection resource.

ImagingSelection
Element IdImagingSelection
Definition

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.

Cardinality0..*
TypeDomainResource
Summaryfalse
ImagingSelection.identifier
Element IdImagingSelection.identifier
Definition

A unique identifier assigned to this imaging selection.

NoteThis is a business identifier, not a resource identifier (see discussion)
Cardinality0..*
TypeIdentifier
Requirements

Allows imaging selections to be distinguished and referenced.

Summarytrue
Comments

This is a business identifier, not a resource identifier -- see discussion under Business Identifiers.

ImagingSelection.subject
Element IdImagingSelection.subject
Definition

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.

Cardinality0..1
TypeReference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance | Specimen)
PatternsReference(Patient,Group,Device,Location,Organization,Procedure,Practitioner,Medication,Substance,Specimen): No common pattern
Summarytrue
ImagingSelection.issued
Element IdImagingSelection.issued
Definition

The date and time this imaging selection was created.

Cardinality0..1
Typeinstant
Summarytrue
ImagingSelection.performer
Element IdImagingSelection.performer
Definition

Author – human or machine.

Cardinality0..*
Summarytrue
ImagingSelection.performer.function
Element IdImagingSelection.performer.function
Definition

Distinguishes the type of involvement of the performer.

Cardinality0..1
Terminology BindingImagingStudy series performer function (Extensible)
TypeCodeableConcept
Requirements

Allows disambiguation of the types and involvement of different performers.

Summarytrue
ImagingSelection.performer.actor
Element IdImagingSelection.performer.actor
Definition

Author – human or machine.

Cardinality0..1
TypeReference(Practitioner | PractitionerRole | Device | Organization | CareTeam | Patient | RelatedPerson | HealthcareService)
PatternsReference(Practitioner,PractitionerRole,Device,Organization,CareTeam,Patient,RelatedPerson,HealthcareService): Common patterns = Participant
Summarytrue
ImagingSelection.basedOn
Element IdImagingSelection.basedOn
Definition

A list of the diagnostic requests that resulted in this imaging selection being performed.

Cardinality0..*
TypeReference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)
PatternsReference(CarePlan,ServiceRequest,Appointment,AppointmentResponse,Task): No common pattern
Alternate NamesAccessionNumber
Summarytrue
ImagingSelection.category
Element IdImagingSelection.category
Definition

Classifies the imaging selection.

Cardinality0..*
Terminology BindingImagingSelectionCategory:
TypeCodeableConcept
Requirements

Used for filtering what imaging selections are retrieved and displayed.

Summarytrue
ImagingSelection.code
Element IdImagingSelection.code
Definition

Describes the imaging selection.

Cardinality1..1
Terminology BindingImagingSelectionCode :
TypeCodeableConcept
Requirements

Knowing what kind of observation is being made is essential to understanding the observation.

Alternate NamesDescription
Summarytrue
Comments

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.

ImagingSelection.studyUid
Element IdImagingSelection.studyUid
Definition

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

Cardinality0..1
Typeoid
Requirements

DICOM Study Instance UID. Required unless frameOfReferenceUid and imageRegion are present.

Alternate NamesStudyInstanceUID
Summarytrue
Comments

See DICOM PS3.3 C.7.2 .

ImagingSelection.derivedFrom
Element IdImagingSelection.derivedFrom
Definition

The imaging study from which the imaging selection is made.

Cardinality0..*
TypeReference(ImagingStudy)
Summarytrue
ImagingSelection.endpoint
Element IdImagingSelection.endpoint
Definition

The network service providing retrieval access to the selected images, frames, etc. See implementation notes for information about using DICOM endpoints.

Cardinality0..*
TypeReference(Endpoint)
Requirements

Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the selected images, frames, etc.

Summarytrue
Comments

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.

ImagingSelection.seriesUid
Element IdImagingSelection.seriesUid
Definition

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

Cardinality0..1
Typeoid
Requirements

DICOM Series Instance UID. Required unless frameOfReferenceUid and imageRegion are present.

Alternate NamesSeriesInstanceUID
Summarytrue
Comments

See DICOM PS3.3 C.7.3 .

ImagingSelection.frameOfReferenceUid
Element IdImagingSelection.frameOfReferenceUid
Definition

The Frame of Reference UID identifying the coordinate system that conveys spatial and/or temporal information for the selected images or frames.

Cardinality0..1
Typeoid
Requirements

DICOM Frame of Reference UID. Required if studyInstanceUid and seriesInstanceUid are not present.

Alternate NamesFrameOfReferenceUID
Summarytrue
Comments

See DICOM PS3.3 C.7.4.1 .

ImagingSelection.bodySite
Element IdImagingSelection.bodySite
Definition

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.

Cardinality0..1
Terminology BindingSNOMED CT Body Structures (Example)
TypeCodeableReference(BodyStructure)
Alternate NamesBodyPartExamined
Summarytrue
ImagingSelection.instance
Element IdImagingSelection.instance
Definition

Each imaging selection includes one or more selected DICOM SOP instances.

Cardinality0..*
Requirements

Required if the the selection does not include all instances in the specified series.

Summarytrue
ImagingSelection.instance.uid
Element IdImagingSelection.instance.uid
Definition

The SOP Instance UID for the selected DICOM instance.

Cardinality1..1
Typeoid
Requirements

DICOM SOP Instance UID.

Alternate NamesSOPInstanceUID
Summarytrue
Comments

See DICOM PS3.3 C.12.1 .

ImagingSelection.instance.sopClass
Element IdImagingSelection.instance.sopClass
Definition

The SOP Class UID for the selected DICOM instance.

Cardinality0..1
Terminology BindingsopClass :
TypeCoding
Requirements

DICOM SOP Class UID.

Alternate NamesSOPClassUID
Summaryfalse
Comments

See DICOM PS3.3 C.12.1 .

ImagingSelection.instance.frameList
Element IdImagingSelection.instance.frameList
Definition

The set of frames within a multi-frame SOP Instance that are included in the imaging selection. Encoded as a comma separated list of one or more non duplicate frame numbers. If this is absent, all frames within the referenced SOP Instance are included in the selection.

Cardinality0..1
Typestring
Requirements

Required if not the selected instance is multi-frame and not all frames are included in the selection.

Alternate NamesReferencedFrameNumber
Summaryfalse
Comments

See DICOM PS3.3 10.3 .

ImagingSelection.instance.observationUid
Element IdImagingSelection.instance.observationUid
Definition

The unique identifier for the observation Content Item (and its subsidiary Content Items, if any) that are included in the imaging selection.

Cardinality0..*
Typeoid
Requirements

DICOM Observation UID.

Alternate NamesObservationUID
Summaryfalse
Comments

See DICOM PS3.3 C.12.1 .

ImagingSelection.instance.segmentList
Element IdImagingSelection.instance.segmentList
Definition

The set of segments within a segmentation SOP Instance that are included in the imaging selection. Encoded as a comma separated list of one or more non duplicate segment numbers. If this is absent, all segments within the referenced segmentation SOP Instance are included in the selection.

Cardinality0..1
Typestring
Requirements

Required if not the selected instance is segmentation and not all segments are included in the selection.

Alternate NamesReferencedSegmentNumber
Summaryfalse
Comments

See DICOM PS3.3 10.3 .

ImagingSelection.instance.roiList
Element IdImagingSelection.instance.roiList
Definition

The set of regions of interest (ROI) within a radiotherapy structure set instance that are included in the imaging selection. Encoded as a comma separated list of one or more non duplicate ROI numbers. If this is absent, all ROIs within the referenced radiotherapy structure set SOP Instance are included in the selection.

Cardinality0..1
Typestring
Requirements

Required if not the selected instance is a radiotherapy structure set and not all ROIs are included in the selection.

Alternate NamesROINumber
Summaryfalse
Comments

See DICOM PS3.3 C.8.8.5 .

ImagingSelection.imageRegion
Element IdImagingSelection.imageRegion
Definition

Each imaging selection might includes one or more image regions. Image regions are specified by a region type and a set of 2D or 3D coordinates.

Cardinality0..1
Requirements

Required if studyInstanceUid and seriesInstanceUid are not present. A single imaging selection shall not include both 2D and 3D coordinates.

Summaryfalse
ImagingSelection.imageRegion.regionType
Element IdImagingSelection.imageRegion.regionType
Definition

Specifies the type of image region.

Cardinality1..1
Terminology BindingImagingSelectionGraphicType (Required)
Typecode
Alternate NamesGraphicType
Summaryfalse
Comments

See DICOM PS3.3 C.18.9.1.2 .

ImagingSelection.imageRegion.coordinateType
Element IdImagingSelection.imageRegion.coordinateType
Definition

Specifies the type of coordinate system that define the image region.

Cardinality1..1
Terminology BindingImagingSelectionCoordinateType (Required)
Typecode
Summaryfalse
ImagingSelection.imageRegion.coordinate
Element IdImagingSelection.imageRegion.coordinate
Definition

The coordinates describing the image region. If coordinateType is 2D this specifies sequence of (x,y) coordinates in the coordinate system of the image specified by the instance.uid element that contains this image region. If coordinateType is 3D this specifies sequence of (x,y,z) coordinates in the coordinate system specified by the frameOfReferenceUid element.

Cardinality1..*
Typedecimal
Alternate NamesGraphicData
Summaryfalse
Comments

For a description of how 2D coordinates are encoded, see DICOM PS3.3 C.18.6 . For a description of how 3D coordinates are encoded, see DICOM PS3.3 C.18.9 .