{ "resourceType": "StructureDefinition", "id": "ImagingSelection", "meta": { "lastUpdated": "2021-01-01T21:58:31.578+00:00" }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-category", "valueString": "Clinical.Diagnostics" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "trial-use" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger": 0 }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category", "valueCode": "patient" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode": "ii" } ], "url": "http://hl7.org/fhir/StructureDefinition/ImagingSelection", "version": "4.6.0", "name": "ImagingSelection", "status": "draft", "date": "2021-01-01T21:58:31+00:00", "publisher": "Health Level Seven International (Imaging Integration)", "contact": [ { "telecom": [ { "system": "url", "value": "http://hl7.org/fhir" } ] }, { "telecom": [ { "system": "url", "value": "http://www.hl7.org/Special/committees/imagemgt/index.cfm" } ] } ], "description": "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": "4.6.0", "mapping": [ { "identity": "workflow", "uri": "http://hl7.org/fhir/workflow", "name": "Workflow Pattern" }, { "identity": "dicom", "uri": "http://nema.org/dicom", "name": "DICOM Tag Mapping" }, { "identity": "w5", "uri": "http://hl7.org/fhir/fivews", "name": "FiveWs Pattern Mapping" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" } ], "kind": "resource", "abstract": false, "type": "ImagingSelection", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DomainResource", "derivation": "specialization", "differential": { "element": [ { "id": "ImagingSelection", "extension": [ { "url": "http://hl7.org/fhir/build/StructureDefinition/svg", "valueCode": "0,0" } ], "path": "ImagingSelection", "short": "A selection of DICOM SOP instances and/or frames", "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.", "min": 0, "max": "*", "mapping": [ { "identity": "workflow", "map": "Event" }, { "identity": "dicom", "map": "Reference DICOM PS 3 Table 10-3b" }, { "identity": "w5", "map": "clinical.diagnostics" } ] }, { "id": "ImagingSelection.identifier", "path": "ImagingSelection.identifier", "short": "Business Identifier for Imaging Selection", "definition": "A unique identifier assigned to this imaging selection.", "comment": "This is a business identifier, not a resource identifier -- see discussion under [Business Identifiers](resource.html#identifiers).", "requirements": "Allows imaging selections to be distinguished and referenced.", "min": 0, "max": "*", "type": [ { "code": "Identifier" } ], "isSummary": true, "mapping": [ { "identity": "workflow", "map": "Event.identifier" }, { "identity": "w5", "map": "FiveWs.identifier" } ] }, { "id": "ImagingSelection.basedOn", "path": "ImagingSelection.basedOn", "short": "Associated request", "definition": "A list of the diagnostic requests that resulted in this imaging selection being performed.", "alias": [ "AccessionNumber" ], "min": 0, "max": "*", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/CarePlan", "http://hl7.org/fhir/StructureDefinition/ServiceRequest", "http://hl7.org/fhir/StructureDefinition/Appointment", "http://hl7.org/fhir/StructureDefinition/AppointmentResponse", "http://hl7.org/fhir/StructureDefinition/Task" ] } ], "isSummary": true, "mapping": [ { "identity": "workflow", "map": "Event.basedOn" }, { "identity": "w5", "map": "FiveWs.cause" }, { "identity": "dicom", "map": "Accession Number and Issuer (0080,0050)+(0080,0051)" } ] }, { "id": "ImagingSelection.subject", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint", "valueString": "dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.2.2.html" }, { "url": "http://hl7.org/fhir/build/StructureDefinition/hint", "valueString": "dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.2.2.html" } ], "path": "ImagingSelection.subject", "short": "Subject of the selected instances and / or frames", "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.", "min": 0, "max": "1", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Group", "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/Location", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Procedure", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/Medication", "http://hl7.org/fhir/StructureDefinition/Substance", "http://hl7.org/fhir/StructureDefinition/Specimen" ] } ], "isSummary": true, "mapping": [ { "identity": "workflow", "map": "Event.subject" }, { "identity": "w5", "map": "FiveWs.subject[x]" }, { "identity": "dicom", "map": "(0010/*)" }, { "identity": "w5", "map": "FiveWs.subject" } ] }, { "id": "ImagingSelection.issued", "path": "ImagingSelection.issued", "short": "Date / Time when the selection of instances was made", "definition": "The date and time this imaging selection was created.", "min": 0, "max": "1", "type": [ { "code": "instant" } ], "isSummary": true, "mapping": [ { "identity": "w5", "map": "FiveWs.recorded" } ] }, { "id": "ImagingSelection.performer", "path": "ImagingSelection.performer", "short": "Author (human or machine)", "definition": "Author – human or machine.", "min": 0, "max": "*", "type": [ { "code": "BackboneElement" } ], "isSummary": true, "mapping": [ { "identity": "dicom", "map": "(0008, 1050) | (0008, 1052) | (0008, 1070) | (0008, 1072)" }, { "identity": "workflow", "map": "Event.performer.actor" }, { "identity": "w5", "map": "FiveWs.actor" } ] }, { "id": "ImagingSelection.performer.function", "path": "ImagingSelection.performer.function", "short": "Type of performer", "definition": "Distinguishes the type of involvement of the performer.", "requirements": "Allows disambiguation of the types and involvement of different performers.", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "EventPerformerFunction" } ], "strength": "extensible", "description": "The type of involvement of the performer.", "valueSet": "http://hl7.org/fhir/ValueSet/series-performer-function" } }, { "id": "ImagingSelection.performer.actor", "path": "ImagingSelection.performer.actor", "short": "Author (human or machine)", "definition": "Author – human or machine.", "min": 0, "max": "1", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/CareTeam", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/HealthcareService" ] } ], "isSummary": true }, { "id": "ImagingSelection.code", "path": "ImagingSelection.code", "short": "Imaging Selection description text or code", "definition": "Describes the imaging selection.", "comment": "*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": "Knowing what kind of observation is being made is essential to understanding the observation.", "alias": [ "Description" ], "min": 1, "max": "1", "type": [ { "code": "CodeableConcept" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ImagingSelectionCode" } ], "strength": "example", "description": "Key Object Selection Document Title.", "valueSet": "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html" }, "mapping": [ { "identity": "dicom", "map": "Concept Name Code Sequence (0040,A043)" } ] }, { "id": "ImagingSelection.studyUid", "path": "ImagingSelection.studyUid", "short": "DICOM Study Instance UID", "definition": "The Study Instance UID for the DICOM Study from which the images were selected.", "comment": "See [DICOM PS3.3 C.7.2](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html).", "requirements": "DICOM Study Instance UID. Required unless frameOfReferenceUid and imageRegion are present.", "alias": [ "StudyInstanceUID" ], "min": 0, "max": "1", "type": [ { "code": "oid" } ], "example": [ { "label": "General", "valueId": "urn:oid:1.2.840.113747.20080222.12753225430534207565993148475333748793" } ], "isSummary": true, "mapping": [ { "identity": "dicom", "map": "Study Instance UID (0020,000D)" } ] }, { "id": "ImagingSelection.derivedFrom", "path": "ImagingSelection.derivedFrom", "short": "The imaging study from which the imaging selection is derived", "definition": "The imaging study from which the imaging selection is made.", "min": 0, "max": "*", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/ImagingStudy" ] } ], "isSummary": true }, { "id": "ImagingSelection.endpoint", "path": "ImagingSelection.endpoint", "short": "The network service providing retrieval for the images referenced in the imaging selection", "definition": "The network service providing retrieval access to the selected images, frames, etc. See implementation notes for information about using DICOM endpoints.", "comment": "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": "Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the selected images, frames, etc.", "min": 0, "max": "*", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Endpoint" ] } ], "isSummary": true }, { "id": "ImagingSelection.seriesUid", "path": "ImagingSelection.seriesUid", "short": "DICOM Series Instance UID", "definition": "The Series Instance UID for the DICOM Series from which the images were selected.", "comment": "See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.3.html).", "requirements": "DICOM Series Instance UID. Required unless frameOfReferenceUid and imageRegion are present.", "alias": [ "SeriesInstanceUID" ], "min": 0, "max": "1", "type": [ { "code": "oid" } ], "example": [ { "label": "General", "valueId": "urn:oid:1.2.840.113747.20080222.12753225430534207565993148475333748793.1" } ], "isSummary": true, "mapping": [ { "identity": "dicom", "map": "Series Instance UID (0020,000E)" } ] }, { "id": "ImagingSelection.frameOfReferenceUid", "path": "ImagingSelection.frameOfReferenceUid", "short": "The Frame of Reference UID for the selected images", "definition": "The Frame of Reference UID identifying the coordinate system that conveys spatial and/or temporal information for the selected images or frames.", "comment": "See [DICOM PS3.3 C.7.4.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.4.html).", "requirements": "DICOM Frame of Reference UID. Required if studyInstanceUid and seriesInstanceUid are not present.", "alias": [ "FrameOfReferenceUID" ], "min": 0, "max": "1", "type": [ { "code": "oid" } ], "example": [ { "label": "General", "valueId": "urn:oid:1.2.840.113747.20080222.12753225430534207565993148475333748793.2" } ], "isSummary": true, "mapping": [ { "identity": "dicom", "map": "Frame of Reference UID (0020,0052)" } ] }, { "id": "ImagingSelection.bodySite", "path": "ImagingSelection.bodySite", "short": "Body part examined", "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.", "alias": [ "BodyPartExamined" ], "min": 0, "max": "1", "type": [ { "code": "Coding" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "BodySite" }, { "url": "http://hl7.org/fhir/build/StructureDefinition/definition", "valueString": "Codes describing anatomical locations. May include laterality." } ], "strength": "example", "description": "SNOMED CT Body site concepts", "valueSet": "http://hl7.org/fhir/ValueSet/body-site" }, "mapping": [ { "identity": "dicom", "map": "Body Part Examined (0018,0015)" } ] }, { "id": "ImagingSelection.instance", "path": "ImagingSelection.instance", "short": "The selected instances", "definition": "Each imaging selection includes one or more selected DICOM SOP instances.", "requirements": "Required if the the selection does not include all instances in the specified series.", "min": 0, "max": "*", "type": [ { "code": "BackboneElement" } ], "isSummary": true }, { "id": "ImagingSelection.instance.uid", "path": "ImagingSelection.instance.uid", "short": "DICOM SOP Instance UID", "definition": "The SOP Instance UID for the selected DICOM instance.", "comment": "See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html).", "requirements": "DICOM SOP Instance UID.", "alias": [ "SOPInstanceUID" ], "min": 1, "max": "1", "type": [ { "code": "oid" } ], "example": [ { "label": "General", "valueId": "urn:oid:1.2.840.113747.20080222.12753225430534207565993148475333748793.1.1" } ], "isSummary": true, "mapping": [ { "identity": "dicom", "map": "SOP Instance UID (0008,0018)" } ] }, { "id": "ImagingSelection.instance.sopClass", "path": "ImagingSelection.instance.sopClass", "short": "DICOM SOP Class UID", "definition": "The SOP Class UID for the selected DICOM instance.", "comment": "See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html).", "requirements": "DICOM SOP Class UID.", "alias": [ "SOPClassUID" ], "min": 0, "max": "1", "type": [ { "code": "Coding" } ], "example": [ { "label": "General", "valueId": "1.2.840.10008.5.1.4.1.1.2" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "sopClass" }, { "url": "http://hl7.org/fhir/build/StructureDefinition/copyright", "valueString": "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" } ], "strength": "extensible", "description": "DICOM SOP Classes.", "valueSet": "http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1" }, "mapping": [ { "identity": "dicom", "map": "SOP Class UID (0008,0016)" } ] }, { "id": "ImagingSelection.instance.frameList", "path": "ImagingSelection.instance.frameList", "short": "List of selected frames encoded as a comma separated list of one or more non duplicate frame numbers", "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.", "comment": "See [DICOM PS3.3 10.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_10.3.html).", "requirements": "Required if not the selected instance is multi-frame and not all frames are included in the selection.", "alias": [ "ReferencedFrameNumber" ], "min": 0, "max": "1", "type": [ { "code": "string" } ], "mapping": [ { "identity": "dicom", "map": "Referenced Frame Number (0008,1160)" } ] }, { "id": "ImagingSelection.instance.observationUid", "path": "ImagingSelection.instance.observationUid", "short": "Selected observations in a DICOM SR", "definition": "The unique identifier for the observation Content Item (and its subsidiary Content Items, if any) that are included in the imaging selection.", "comment": "See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html).", "requirements": "DICOM Observation UID.", "alias": [ "ObservationUID" ], "min": 0, "max": "*", "type": [ { "code": "oid" } ], "example": [ { "label": "General", "valueId": "urn:oid:1.2.840.113747.20080222.12753225430534207565993148475333748793.1.1.2" } ], "mapping": [ { "identity": "dicom", "map": "Observation UID (0040,A171)" } ] }, { "id": "ImagingSelection.instance.segmentList", "path": "ImagingSelection.instance.segmentList", "short": "List of selected segments encoded as a comma separated list of one or more non duplicate segnent numbers", "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.", "comment": "See [DICOM PS3.3 10.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_10.3.html).", "requirements": "Required if not the selected instance is segmentation and not all segments are included in the selection.", "alias": [ "ReferencedSegmentNumber" ], "min": 0, "max": "1", "type": [ { "code": "string" } ], "mapping": [ { "identity": "dicom", "map": "Referenced Segment Number (0062,000B)" } ] }, { "id": "ImagingSelection.instance.roiList", "path": "ImagingSelection.instance.roiList", "short": "List of selected regions of interest (ROI) encoded as a comma separated list of one or more non duplicate ROI numbers", "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.", "comment": "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": "Required if not the selected instance is a radiotherapy structure set and not all ROIs are included in the selection.", "alias": [ "ROINumber" ], "min": 0, "max": "1", "type": [ { "code": "string" } ], "mapping": [ { "identity": "dicom", "map": "ROI Number (3006,0022)" } ] }, { "id": "ImagingSelection.imageRegion", "path": "ImagingSelection.imageRegion", "short": "A specific region in a DICOM image / frame", "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.", "requirements": "Required if studyInstanceUid and seriesInstanceUid are not present. A single imaging selection shall not include both 2D and 3D coordinates.", "min": 0, "max": "1", "type": [ { "code": "BackboneElement" } ] }, { "id": "ImagingSelection.imageRegion.regionType", "path": "ImagingSelection.imageRegion.regionType", "short": "POINT | MULTIPOINT | POLYLINE | POLYGON | ELLIPSE | ELLIPSOID", "definition": "Specifies the type of image region.", "comment": "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": [ "GraphicType" ], "min": 1, "max": "1", "type": [ { "code": "code" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ImagingSelectionGraphicType" } ], "strength": "required", "description": "The type of image region.", "valueSet": "http://hl7.org/fhir/ValueSet/imagingselection-graphictype" }, "mapping": [ { "identity": "dicom", "map": "Graphic Type (0070,0023)" } ] }, { "id": "ImagingSelection.imageRegion.coordinateType", "path": "ImagingSelection.imageRegion.coordinateType", "short": "2d | 3d", "definition": "Specifies the type of coordinate system that define the image region.", "min": 1, "max": "1", "type": [ { "code": "code" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ImagingSelectionCoordinateType" } ], "strength": "required", "description": "The type of coordinates describing an image region.", "valueSet": "http://hl7.org/fhir/ValueSet/imagingselection-coordinatetype" } }, { "id": "ImagingSelection.imageRegion.coordinates", "path": "ImagingSelection.imageRegion.coordinates", "short": "Specifies the type of coordinates that define the image region 2d | 3d", "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.", "comment": "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).", "alias": [ "GraphicData" ], "min": 1, "max": "*", "type": [ { "code": "decimal" } ], "mapping": [ { "identity": "dicom", "map": "Graphic Data (0070,0022)" } ] } ] } }