<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ImagingSelection" />
  <meta>
    <lastUpdated value="2021-01-02T08:58:31.578+11:00" />
  </meta>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-category">
    <valueString value="Clinical.Diagnostics" />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use" />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0" />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category">
    <valueCode value="patient" />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="ii" />
  </extension>
  <url value="http://hl7.org/fhir/StructureDefinition/ImagingSelection" />
  <version value="4.6.0" />
  <name value="ImagingSelection" />
  <status value="draft" />
  <date value="2021-01-02T08:58:31+11:00" />
  <publisher value="Health Level Seven International (Imaging Integration)" />
  <contact>
    <telecom>
      <system value="url" />
      <value value="http://hl7.org/fhir" />
    </telecom>
  </contact>
  <contact>
    <telecom>
      <system value="url" />
      <value value="http://www.hl7.org/Special/committees/imagemgt/index.cfm" />
    </telecom>
  </contact>
  <description value="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." />
  <fhirVersion value="4.6.0" />
  <mapping>
    <identity value="workflow" />
    <uri value="http://hl7.org/fhir/workflow" />
    <name value="Workflow Pattern" />
  </mapping>
  <mapping>
    <identity value="dicom" />
    <uri value="http://nema.org/dicom" />
    <name value="DICOM Tag Mapping" />
  </mapping>
  <mapping>
    <identity value="w5" />
    <uri value="http://hl7.org/fhir/fivews" />
    <name value="FiveWs Pattern Mapping" />
  </mapping>
  <mapping>
    <identity value="v2" />
    <uri value="http://hl7.org/v2" />
    <name value="HL7 v2 Mapping" />
  </mapping>
  <kind value="resource" />
  <abstract value="false" />
  <type value="ImagingSelection" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
  <derivation value="specialization" />
  <differential>
    <element id="ImagingSelection">
      <extension url="http://hl7.org/fhir/build/StructureDefinition/svg">
        <valueCode value="0,0" />
      </extension>
      <path value="ImagingSelection" />
      <short value="A selection of DICOM SOP instances and/or frames" />
      <definition value="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 value="0" />
      <max value="*" />
      <mapping>
        <identity value="workflow" />
        <map value="Event" />
      </mapping>
      <mapping>
        <identity value="dicom" />
        <map value="Reference DICOM PS 3 Table 10-3b" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="clinical.diagnostics" />
      </mapping>
    </element>
    <element id="ImagingSelection.identifier">
      <path value="ImagingSelection.identifier" />
      <short value="Business Identifier for Imaging Selection" />
      <definition value="A unique identifier assigned to this imaging selection." />
      <comment value="This is a business identifier, not a resource identifier -- see discussion under [Business Identifiers](resource.html#identifiers). " />
      <requirements value="Allows imaging selections to be distinguished and referenced." />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Identifier" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="workflow" />
        <map value="Event.identifier" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.identifier" />
      </mapping>
    </element>
    <element id="ImagingSelection.basedOn">
      <path value="ImagingSelection.basedOn" />
      <short value="Associated request" />
      <definition value="A list of the diagnostic requests that resulted in this imaging selection being performed." />
      <alias value="AccessionNumber" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Appointment" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/AppointmentResponse" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Task" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="workflow" />
        <map value="Event.basedOn" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.cause" />
      </mapping>
      <mapping>
        <identity value="dicom" />
        <map value="Accession Number and Issuer (0080,0050)+(0080,0051)" />
      </mapping>
    </element>
    <element id="ImagingSelection.subject">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint">
        <valueString value="dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.2.2.html" />
      </extension>
      <extension url="http://hl7.org/fhir/build/StructureDefinition/hint">
        <valueString value="dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.2.2.html" />
      </extension>
      <path value="ImagingSelection.subject" />
      <short value="Subject of the selected instances and / or frames" />
      <definition value="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 value="0" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Specimen" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="workflow" />
        <map value="Event.subject" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.subject[x]" />
      </mapping>
      <mapping>
        <identity value="dicom" />
        <map value="(0010/*)" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.subject" />
      </mapping>
    </element>
    <element id="ImagingSelection.issued">
      <path value="ImagingSelection.issued" />
      <short value="Date / Time when the selection of instances was made" />
      <definition value="The date and time this imaging selection was created." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="instant" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.recorded" />
      </mapping>
    </element>
    <element id="ImagingSelection.performer">
      <path value="ImagingSelection.performer" />
      <short value="Author (human or machine)" />
      <definition value="Author – human or machine." />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="BackboneElement" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="dicom" />
        <map value="(0008, 1050) | (0008, 1052) | (0008, 1070) | (0008, 1072)" />
      </mapping>
      <mapping>
        <identity value="workflow" />
        <map value="Event.performer.actor" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.actor" />
      </mapping>
    </element>
    <element id="ImagingSelection.performer.function">
      <path value="ImagingSelection.performer.function" />
      <short value="Type of performer" />
      <definition value="Distinguishes the type of involvement of the performer." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="EventPerformerFunction" />
        </extension>
        <strength value="extensible" />
        <description value="The type of involvement of the performer." />
        <valueSet value="http://hl7.org/fhir/ValueSet/series-performer-function" />
      </binding>
      <requirements value="Allows disambiguation of the types and involvement of different performers." />
      <isSummary value="true" />
    </element>
    <element id="ImagingSelection.performer.actor">
      <path value="ImagingSelection.performer.actor" />
      <short value="Author (human or machine)" />
      <definition value="Author – human or machine." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/HealthcareService" />
      </type>
      <isSummary value="true" />
    </element>
    <element id="ImagingSelection.code">
      <path value="ImagingSelection.code" />
      <short value="Imaging Selection description text or code" />
      <definition value="Describes the imaging selection." />
      <comment value="*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 value="Knowing what kind of observation is being made is essential to understanding the observation." />
      <alias value="Description" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <isSummary value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ImagingSelectionCode" />
        </extension>
        <strength value="example" />
        <description value="Key Object Selection Document Title." />
        <valueSet value="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html" />
      </binding>
      <mapping>
        <identity value="dicom" />
        <map value="Concept Name Code Sequence (0040,A043)" />
      </mapping>
    </element>
    <element id="ImagingSelection.studyUid">
      <path value="ImagingSelection.studyUid" />
      <short value="DICOM Study Instance UID" />
      <definition value="The Study Instance UID for the DICOM Study from which the images were selected." />
      <comment value="See [DICOM PS3.3 C.7.2](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html)." />
      <requirements value="DICOM Study Instance UID.       Required unless frameOfReferenceUid and imageRegion are present." />
      <alias value="StudyInstanceUID" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="oid" />
      </type>
      <isSummary value="true" />
      <example>
        <label value="General" />
        <valueId value="urn:oid:1.2.840.113747.20080222.12753225430534207565993148475333748793" />
      </example>
      <mapping>
        <identity value="dicom" />
        <map value="Study Instance UID (0020,000D)" />
      </mapping>
    </element>
    <element id="ImagingSelection.derivedFrom">
      <path value="ImagingSelection.derivedFrom" />
      <short value="The imaging study from which the imaging selection is derived" />
      <definition value="The imaging study from which the imaging selection is made." />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingStudy" />
      </type>
      <isSummary value="true" />
    </element>
    <element id="ImagingSelection.endpoint">
      <path value="ImagingSelection.endpoint" />
      <short value="The network service providing retrieval for the images referenced in the imaging selection" />
      <definition value="The network service providing retrieval access to the selected images, frames, etc. See implementation notes for information about using DICOM endpoints." />
      <comment value="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 value="Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the selected images, frames, etc." />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Endpoint" />
      </type>
      <isSummary value="true" />
    </element>
    <element id="ImagingSelection.seriesUid">
      <path value="ImagingSelection.seriesUid" />
      <short value="DICOM Series Instance UID" />
      <definition value="The Series Instance UID for the DICOM Series from which the images were selected." />
      <comment value="See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.3.html)." />
      <requirements value="DICOM Series Instance UID.       Required unless frameOfReferenceUid and imageRegion are present." />
      <alias value="SeriesInstanceUID" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="oid" />
      </type>
      <example>
        <label value="General" />
        <valueId value="urn:oid:1.2.840.113747.20080222.12753225430534207565993148475333748793.1" />
      </example>
      <mapping>
        <identity value="dicom" />
        <map value="Series Instance UID (0020,000E)" />
      </mapping>
      <isSummary value="true" />
    </element>
    <element id="ImagingSelection.frameOfReferenceUid">
      <path value="ImagingSelection.frameOfReferenceUid" />
      <short value="The Frame of Reference UID for the selected images" />
      <definition value="The Frame of Reference UID identifying the coordinate system that conveys spatial and/or temporal information for the selected images or frames." />
      <comment value="See [DICOM PS3.3 C.7.4.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.4.html)." />
      <requirements value="DICOM Frame of Reference UID.                            Required if studyInstanceUid and seriesInstanceUid are not present." />
      <alias value="FrameOfReferenceUID" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="oid" />
      </type>
      <example>
        <label value="General" />
        <valueId value="urn:oid:1.2.840.113747.20080222.12753225430534207565993148475333748793.2" />
      </example>
      <mapping>
        <identity value="dicom" />
        <map value="Frame of Reference UID (0020,0052)" />
      </mapping>
      <isSummary value="true" />
    </element>
    <element id="ImagingSelection.bodySite">
      <path value="ImagingSelection.bodySite" />
      <short value="Body part examined" />
      <definition value="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 value="BodyPartExamined" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Coding" />
      </type>
      <isSummary value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BodySite" />
        </extension>
        <extension url="http://hl7.org/fhir/build/StructureDefinition/definition">
          <valueString value="Codes describing anatomical locations. May include laterality." />
        </extension>
        <strength value="example" />
        <description value="SNOMED CT Body site concepts" />
        <valueSet value="http://hl7.org/fhir/ValueSet/body-site" />
      </binding>
      <mapping>
        <identity value="dicom" />
        <map value="Body Part Examined (0018,0015)" />
      </mapping>
    </element>
    <element id="ImagingSelection.instance">
      <path value="ImagingSelection.instance" />
      <short value="The selected instances" />
      <definition value="Each imaging selection includes one or more selected DICOM SOP instances." />
      <requirements value="Required if the the selection does not include all instances in the specified series." />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="BackboneElement" />
      </type>
      <isSummary value="true" />
    </element>
    <element id="ImagingSelection.instance.uid">
      <path value="ImagingSelection.instance.uid" />
      <short value="DICOM SOP Instance UID" />
      <definition value="The SOP Instance UID for the selected DICOM instance." />
      <comment value="See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html)." />
      <requirements value="DICOM SOP Instance UID." />
      <alias value="SOPInstanceUID" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="oid" />
      </type>
      <isSummary value="true" />
      <example>
        <label value="General" />
        <valueId value="urn:oid:1.2.840.113747.20080222.12753225430534207565993148475333748793.1.1" />
      </example>
      <mapping>
        <identity value="dicom" />
        <map value="SOP Instance UID (0008,0018)" />
      </mapping>
    </element>
    <element id="ImagingSelection.instance.sopClass">
      <path value="ImagingSelection.instance.sopClass" />
      <short value="DICOM SOP Class UID" />
      <definition value="The SOP Class UID for the selected DICOM instance." />
      <comment value="See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html)." />
      <requirements value="DICOM SOP Class UID." />
      <alias value="SOPClassUID" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Coding" />
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="sopClass" />
        </extension>
        <extension url="http://hl7.org/fhir/build/StructureDefinition/copyright">
          <valueString value="These codes are excerpted from Digital Imaging and Communications in Medicine (DICOM) Standard, Part 16: Content Mapping Resource, Copyright 2011 by the National Electrical Manufacturers Association" />
        </extension>
        <strength value="extensible" />
        <description value="DICOM SOP Classes." />
        <valueSet value="http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1" />
      </binding>
      <example>
        <label value="General" />
        <valueId value="1.2.840.10008.5.1.4.1.1.2" />
      </example>
      <mapping>
        <identity value="dicom" />
        <map value="SOP Class UID (0008,0016)" />
      </mapping>
    </element>
    <element id="ImagingSelection.instance.frameList">
      <path value="ImagingSelection.instance.frameList" />
      <short value="List of selected frames encoded as a comma separated list of one or more non duplicate frame numbers" />
      <definition value="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." />
      <comment value="See [DICOM PS3.3 10.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_10.3.html)." />
      <requirements value="Required if not the selected instance is multi-frame and not all frames are included in the selection." />
      <alias value="ReferencedFrameNumber" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
      <mapping>
        <identity value="dicom" />
        <map value="Referenced Frame Number (0008,1160)" />
      </mapping>
    </element>
    <element id="ImagingSelection.instance.observationUid">
      <path value="ImagingSelection.instance.observationUid" />
      <short value="Selected observations in a DICOM SR" />
      <definition value="The unique identifier for the observation Content Item (and its subsidiary Content Items, if any) that are included in the imaging selection." />
      <comment value="See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html)." />
      <requirements value="DICOM Observation UID." />
      <alias value="ObservationUID" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="oid" />
      </type>
      <example>
        <label value="General" />
        <valueId value="urn:oid:1.2.840.113747.20080222.12753225430534207565993148475333748793.1.1.2" />
      </example>
      <mapping>
        <identity value="dicom" />
        <map value="Observation UID (0040,A171)" />
      </mapping>
    </element>
    <element id="ImagingSelection.instance.segmentList">
      <path value="ImagingSelection.instance.segmentList" />
      <short value="List of selected segments encoded as a comma separated list of one or more non duplicate segnent numbers" />
      <definition value="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." />
      <comment value="See [DICOM PS3.3 10.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_10.3.html)." />
      <requirements value="Required if not the selected instance is segmentation and not all segments are included in the selection." />
      <alias value="ReferencedSegmentNumber" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
      <mapping>
        <identity value="dicom" />
        <map value="Referenced Segment Number (0062,000B)" />
      </mapping>
    </element>
    <element id="ImagingSelection.instance.roiList">
      <path value="ImagingSelection.instance.roiList" />
      <short value="List of selected regions of interest (ROI) encoded as a comma separated list of one or more non duplicate ROI numbers" />
      <definition value="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." />
      <comment value="See [DICOM PS3.3 C.8.8.5](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.8.8.5.html)." />
      <requirements value="Required if not the selected instance is a radiotherapy structure set and not all ROIs are included in the selection." />
      <alias value="ROINumber" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
      <mapping>
        <identity value="dicom" />
        <map value="ROI Number (3006,0022)" />
      </mapping>
    </element>
    <element id="ImagingSelection.imageRegion">
      <path value="ImagingSelection.imageRegion" />
      <short value="A specific region in a DICOM image / frame" />
      <definition value="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." />
      <requirements value="Required if studyInstanceUid and seriesInstanceUid are not present.       A single imaging selection shall not include both 2D and 3D coordinates." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="BackboneElement" />
      </type>
    </element>
    <element id="ImagingSelection.imageRegion.regionType">
      <path value="ImagingSelection.imageRegion.regionType" />
      <short value="POINT | MULTIPOINT | POLYLINE | POLYGON | ELLIPSE | ELLIPSOID" />
      <definition value="Specifies the type of image region." />
      <comment value="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 value="GraphicType" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="code" />
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ImagingSelectionGraphicType" />
        </extension>
        <strength value="required" />
        <description value="The type of image region." />
        <valueSet value="http://hl7.org/fhir/ValueSet/imagingselection-graphictype" />
      </binding>
      <mapping>
        <identity value="dicom" />
        <map value="Graphic Type (0070,0023)" />
      </mapping>
    </element>
    <element id="ImagingSelection.imageRegion.coordinateType">
      <path value="ImagingSelection.imageRegion.coordinateType" />
      <short value="2d | 3d" />
      <definition value="Specifies the type of coordinate system that define the image region." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="code" />
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ImagingSelectionCoordinateType" />
        </extension>
        <strength value="required" />
        <description value="The type of coordinates describing an image region." />
        <valueSet value="http://hl7.org/fhir/ValueSet/imagingselection-coordinatetype" />
      </binding>
    </element>
    <element id="ImagingSelection.imageRegion.coordinates">
      <path value="ImagingSelection.imageRegion.coordinates" />
      <short value="Specifies the type of coordinates that define the image region 2d | 3d" />
      <definition value="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." />
      <min value="1" />
      <max value="*" />
      <type>
        <code value="decimal" />
      </type>
      <alias value="GraphicData" />
      <comment value="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).       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)." />
      <mapping>
        <identity value="dicom" />
        <map value="Graphic Data (0070,0022)" />
      </mapping>
    </element>
  </differential>
</StructureDefinition>