Release 5 FHIR CI-Build

This page is part of the Continuous Integration Build of FHIR Specification (v5.0.0: R5 - STU ). This is the current published version in it's permanent home (it will always (will be available incorrect/inconsistent at this URL). For a full list of available versions, see times).
See the Directory of published versions

Example StructureDefinition/ImagingSelection (XML)

Maturity Level : N/A
Responsible Owner: Imaging Integration Work Group Standards Status : Informative Compartments : Group , Patient

Raw XML ( canonical form + also see XML Format Specification )

Jump past Narrative

StructureDefinition for imagingselection

<?xml version="1.0" encoding="UTF-8"?>
<?xml version="1.0" encoding="UTF-8"?>


<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ImagingSelection"/> 
  <meta> 
    

    <lastUpdated value="2025-11-08T10:07:57.990+00:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:

      <table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:
       top;">
        border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:

        <tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:
         top">
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px">

            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a> 
          </th> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px">

            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a> 
          </th> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            

          <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a> 
          </th> 
          

          <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px; width: 100px">

            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a> 
          </th> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <th class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom:
           3px">

            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a> 
            <span style="float: right">
              <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format">
                <img alt="doco" src="data:(snipped in html view)" style="background-color: inherit"/> 
              </a> 
            </span> 
          </th> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAgDsHd9/w4EQIOamFnaBgAA4M
          MKAACAKwNp30CqZFfFmwAAAABJRU5ErkJggg==)

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAg
          DsHd9/w4EQIOamFnaBgAA4MMKAACAKwNp30CqZFfFmwAAAABJRU5ErkJggg==)">

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Resource"/>  
            ImagingSelection : 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.

            <span title="ImagingSelection : A selection of DICOM SOP instances within a single Study and
             Series. This might include additional specifics such as a set of frames or an image
             region, allowing linkage to an Observation Resource.">ImagingSelection</span> 

            <a name="ImagingSelection"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;
             color: black; background-color: #fff5e6

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;

             color: black; background-color: #e6ffe6; padding-left: 3px; padding-right: 3px;
             border: 1px grey solid; font-weight: bold; color: black; background-color: #e6ffe6" title="Standards Status = Normative">N</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="domainresource.html">DomainResource</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxA selection of DICOM SOP instances and/or frames

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">A selection of DICOM SOP instances
            <br/>              <span style="font-style: italic" title="isl-1">+ Rule: At least one of seriesUid or imageRegion3D SHALL be present</span>             <br/>              <span style="font-style: italic" title="isl-2">+ Rule: seriesUid SHALL only be present if studyUid is present</span>             <br/>              <span style="font-style: italic" title="isl-3">+ Rule: seriesNumber SHALL only be present if seriesUid is present</span>             <br/>              <span style="font-style: italic" title="isl-4">+ Rule: instance SHALL only be present if seriesUid is present</span>             <br/>              <span style="font-style: italic" title="isl-5">+ Rule: imageRegion3D SHALL only be present if frameOfReferenceUid is present</span>             <br/>              <span style="font-style: italic" title="isl-6">+ Rule: imageRegion3D SHALL only be present if instance.imageRegion2D is not present</span>             <br/>              <span style="font-style: italic" title="isl-7">+ Rule: if present, instance.imageRegion2D.coordinate SHALL have a value count

               that is a multiple of 2</span> 
            <br/>              <span style="font-style: italic" title="isl-8">+ Rule: if present, imageRegion3D.coordinate SHALL have a value count that is a

               multiple of 3</span> 
            <br/>              <span style="font-style: italic" title="isl-9">+ Rule: modality SHALL only be present if seriesUid is present</span>             <br/>              <span style="font-style: italic" title="isl-10">+ Rule: only one of instance.frameNumber, instance.referencedContentItemIdentifier,

               instance.segmentNumber, instance.regionOfInterest and instance.waveFormChannel
               SHALL be present</span> 
            <br/>              <span style="font-style: italic" title="isl-11">+ Rule: if present, instance.waveFormChannel SHALL have a value count that is a

               multiple of 2</span> 

            <br/>  
            <br/>  Elements defined in Ancestors: 
            The logical id of the resource, as used in the URL for the resource. Once assigned,

            <a href="resource.html#Resource" title="The logical id of the resource, as used in the URL for the resource. Once assigned,
             this value never changes.">id</a> , 
            The metadata about the resource. This is content that is maintained by the infrastructure.
             Changes to the content might not always be associated with version changes to the

            <a href="resource.html#Resource" title="The metadata about the resource. This is content that is maintained by the infrastructure.
             Changes to the content might not always be associated with version changes to the

             resource.">meta</a> , 
            A reference to a set of rules that were followed when the resource was constructed,
             and which must be understood when processing the content. Often, this is a reference
             to an implementation guide that defines the special rules along with other profiles
             etc., 

            <a href="resource.html#Resource" title="A reference to a set of rules that were followed when the resource was constructed,
             and which must be understood when processing the content. Often, this is a reference
             to an implementation guide that defines the special rules along with other profiles
             etc. For DomainResources, if more than one implicitRules policy applies, additional
             policies may be conveyed using the [additionalImplicitRules](https://build.fhir.org/ig/HL7/fh
            ir-extensions/StructureDefinition-additionalImplicitRules.html) extension.">implicitRules</a> , 

            <a href="resource.html#Resource" title="The base language in which the resource is written.">language</a> , 
            A human-readable narrative that contains a summary of the resource and can be used
             to represent the content of the resource to a human. The narrative need not encode
             all the structured data, but is required to contain sufficient detail to make it
             &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
             may define what content should be represented in the narrative to ensure clinical

            <a href="domainresource.html#DomainResource" title="A human-readable narrative that contains a summary of the resource and can be used
             to represent the content of the resource to a human. The narrative need not encode
             all the structured data, but is required to contain sufficient detail to make it
             &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
             may define what content should be represented in the narrative to ensure clinical

             safety.">text</a> , 
            These resources do not have an independent existence apart from the resource that
             contains them - they cannot be identified independently, nor can they have their
             own independent transaction scope. This is allowed to be a Parameters resource

            <a href="domainresource.html#DomainResource" title="These resources do not have an independent existence apart from the resource that
             contains them - they cannot be identified independently, nor can they have their
             own independent transaction scope. This is allowed to be a Parameters resource

             if and only if it is referenced by a resource that provides context/meaning.">contained</a> , 
            May be used to represent additional information that is not part of the basic definition
             of the resource. To make the use of extensions safe and managable, there is a strict
             set of governance applied to the definition and use of extensions. Though any implementer
             can define an extension, there is a set of requirements that SHALL be met as part

            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
             of the resource. To make the use of extensions safe and managable, there is a strict
             set of governance applied to the definition and use of extensions. Though any implementer
             can define an extension, there is a set of requirements that SHALL be met as part

             of the definition of the extension.">extension</a> , 
            May be used to represent additional information that is not part of the basic definition
             of the resource and that modifies the understanding of the element that contains
             it and/or the understanding of the containing element's descendants. Usually modifier
             elements provide negation or qualification. To make the use of extensions safe
             and managable, there is a strict set of governance applied to the definition and
             use of extensions. Though any implementer is allowed to define an extension, there
             is a set of requirements that SHALL be met as part of the definition of the extension.

            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
             of the resource and that modifies the understanding of the element that contains
             it and/or the understanding of the containing element's descendants. Usually modifier
             elements provide negation or qualification. To make the use of extensions safe
             and managable, there is a strict set of governance applied to the definition and
             use of extensions. Though any implementer is allowed to define an extension, there
             is a set of requirements that SHALL be met as part of the definition of the extension.

             Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or

Modifier extensions SHALL NOT change the meaning of any elements on Resource or

             DomainResource (including cannot change the meaning of modifierExtension itself).">modifierExtension</a> 
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw

          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>  
            

            <span title="ImagingSelection.identifier : Business identifiers assigned to this imaging selection
             by the performer and/or other systems.  These identifiers remain constant as the
             resource is updated and propagates from server to server.">identifier</span> 

            <a name="ImagingSelection.identifier"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#Identifier">Identifier</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4pxBusiness Identifier for Imaging Selection

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Business identifier for imaging selection

            <br/>  
            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            ImagingSelection.status : The current state of the ImagingSelection resource. This
             is not the status of any ImagingStudy, ServiceRequest, or Task resources associated
             with the ImagingSelection.

            <span title="ImagingSelection.status : The current state of the imaging selection. This is distinct
             from the status of any imaging study, service request, or task associated with
             the imaging selection.">status</span> 

            <a name="ImagingSelection.status"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is a modifier element">?!</a> 
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#code">code</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxavailable | entered-in-error | unknown

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">available | entered-in-error | inactive | unknown

            <br/>  Binding: 
            <a href="valueset-imagingselection-status.html">Imaging Selection Status</a>  (
            To be conformant, the concept in this element SHALL be from the specified value

            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value
             set.">Required</a> )
            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw

          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
             
            ImagingSelection.subject : 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.

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>  
            <span title="ImagingSelection.category : Classifies the general purpose of the imaging selection.">category</span> 
            <a name="ImagingSelection.category"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Classifies the imaging selection
            <br/>  Binding:             <a href="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html">KeyObjectSelectionDocumentTitle</a>  (            <a href="terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability

             purposes but are not required to do so to be considered conformant.">Preferred</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="ImagingSelection.modality : The distinct modality for this selected series. This

             MAY be either an acquisition modality (e.g. CT, MR) or a non-acquisition modality
             (e.g. segmentation, presentation state).">modality</span> 
            <a name="ImagingSelection.modality"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">The distinct modality
            <br/>  Binding:             <a href="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html">Modality</a>  (            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value

             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="ImagingSelection.code : Identifies the type of imaging selection.">code</span>             <a name="ImagingSelection.code"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Imaging Selection purpose text or code
            <br/>  Binding:             <a href="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_7010.html">KeyObjectSelectionDocumentTitle</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>              <span title="ImagingSelection.subject : The subject, typically a patient, of the imaging selection.">subject</span> 
            <a name="ImagingSelection.subject"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="references.html#Reference">Reference</a> (
            <a href="patient.html">Patient</a>  | 
            <a href="group.html">Group</a>  | 
            <a href="device.html">Device</a>  | 
             | 
             | 

            <a href="procedure.html">Procedure</a>  | 
            <a href="practitioner.html">Practitioner</a>  | 
            <a href="medication.html">Medication</a>  | 
            <a href="substance.html">Substance</a>  | 
            <a href="specimen.html">Specimen</a> )
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4pxSubject of the selected instances

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Who or what is the subject of the imaging selection

            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
             
            

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  
            <span title="ImagingSelection.issued : Date and time the imaging selection was created.">issued</span> 
            <a name="ImagingSelection.issued"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#instant">instant</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxDate / Time when this imaging selection was created

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">When the imaging selection was created

            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw

          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
             
            

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Element"/>  
            <span title="ImagingSelection.performer : Indicates who or what performed the imaging selection
             and how they were involved.">performer</span> 

            <a name="ImagingSelection.performer"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="types.html#BackBoneElement">BackboneElement</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4pxSelector of the instances (human or machine)

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Who performed imaging selection and what they did

            <br/>  
            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBADwftr/v8GtdbqEAthAtMspJ
          JUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
             
            ImagingSelection.performer.function : Distinguishes the type of involvement of
             the performer.

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>  
            <span title="ImagingSelection.performer.function : Distinguishes the type of involvement of
             the performer in the imaging selection.">function</span> 

            <a name="ImagingSelection.performer.function"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxType of performer

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Type of performance

            <br/>  Binding: 
            <a href="valueset-series-performer-function.html">ImagingStudy series performer function</a>  (
            To be conformant, the concept in this element SHALL be from the specified value
             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate

            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value
             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate

             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw

          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
             
            

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="ImagingSelection.performer.actor : Indicates who or what performed the imaging
             selection.">actor</span> 

            <a name="ImagingSelection.performer.actor"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="references.html#Reference">Reference</a> (
            <a href="practitioner.html">Practitioner</a>  | 
            <a href="practitionerrole.html">PractitionerRole</a>  | 
            <a href="device.html">Device</a>  | 
            <a href="organization.html">Organization</a>  | 
            <a href="careteam.html">CareTeam</a>  | 
            <a href="patient.html">Patient</a>  | 
            <a href="relatedperson.html">RelatedPerson</a>  | 
            <a href="healthcareservice.html">HealthcareService</a> )
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4pxAuthor (human or machine)

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Who performed the imaging selection

            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
             
            ImagingSelection.basedOn : A list of the diagnostic requests that resulted in this
             imaging selection being performed.

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>  
            <span title="ImagingSelection.basedOn : A plan or order that is fulfilled in whole or in part
             by this imaging selection.">basedOn</span> 

            <a name="ImagingSelection.basedOn"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="references.html#Reference">Reference</a> (
            <a href="careplan.html">CarePlan</a>  | 
            <a href="servicerequest.html">ServiceRequest</a>  | 
            <a href="appointment.html">Appointment</a>  | 
             | 

            <a href="task.html">Task</a> )
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxAssociated request

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Fulfills plan or order

            <br/>  
            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw

          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
             
            
            

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="ImagingSelection.derivedFrom : The imaging study from which the imaging selection
             is made.">derivedFrom</span> 
            <a name="ImagingSelection.derivedFrom"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="imagingstudy.html">ImagingStudy</a>  |             <a href="documentreference.html">DocumentReference</a> )
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4pxClassifies the imaging selection
            Binding: 
             (
            Instances are not expected or even encouraged to draw from the specified value
             set.  The value set merely provides examples of the types of concepts intended
             to be included.)

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">The imaging study from which the imaging selection is derived

            <br/>  
          </td> 
        </tr> 
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="ImagingSelection.studyUid : The Study Instance UID for the DICOM Study from which

             the images were selected.">studyUid</span> 
            <a name="ImagingSelection.studyUid"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#id">id</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">DICOM Study Instance UID

            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
             
            
            

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="ImagingSelection.seriesUid : The DICOM Series Instance UID of the selected series.">seriesUid</span> 
            <a name="ImagingSelection.seriesUid"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#id">id</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxImaging Selection purpose text or code
            Binding: 
             (
            Instances are not expected or even encouraged to draw from the specified value
             set.  The value set merely provides examples of the types of concepts intended
             to be included.)

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">DICOM Series Instance UID

            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw

          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  
            ImagingSelection.studyUid : The Study Instance UID for the DICOM Study from which
             the images were selected.
            

            <span title="ImagingSelection.seriesNumber : The numeric identifier of the selected series in
             the study.">seriesNumber</span> 
            <a name="ImagingSelection.seriesNumber"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#unsignedInt">unsignedInt</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4pxDICOM Study Instance UID

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Numeric identifier of the selected series

            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
             
            ImagingSelection.derivedFrom : The imaging study from which the imaging selection
             is made.
            

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="ImagingSelection.frameOfReferenceUid : Identifier used to group composite instances
             that have the same coordinate system that conveys spatial and/or temporal information.">frameOfReferenceUid</span> 
            <a name="ImagingSelection.frameOfReferenceUid"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            (
             | 
            )

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#id">id</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxThe imaging study from which the imaging selection is derived
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">The Frame of Reference UID for the selected images

            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw

          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>  
            ImagingSelection.endpoint : The network service providing retrieval access to the
             selected images, frames, etc. See implementation notes for information about using
             DICOM endpoints.
            

            <span title="ImagingSelection.bodySite : The anatomic structures selected. 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. The bodySite MAY include the laterality of body
             part imaged.">bodySite</span> 
            <a name="ImagingSelection.bodySite"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
            (
            )

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#CodeableReference">CodeableReference</a> (            <a href="bodystructure.html">BodyStructure</a> )
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4pxThe network service providing retrieval for the images referenced in the imaging
             selection

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Selected anatomic structure
            <br/>  Binding:             <a href="valueset-body-site.html" title="Codes describing anatomical locations. MAY include laterality.">SNOMED CT Body Structures</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )

            <br/>  
            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
             
            ImagingSelection.seriesUid : The Series Instance UID for the DICOM Series from
             which the images were selected.
            

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="ImagingSelection.focus : The actual focus of an imaging selection when it is another
             imaging selection resource and not the patient of record.">focus</span> 
            <a name="ImagingSelection.focus"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="imagingselection.html">ImagingSelection</a> )
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxDICOM Series Instance UID

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Related resources that are the focus for the imaging selection
            <br/>  
            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw

          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
             
            ImagingSelection.seriesNumber : The Series Number for the DICOM Series from which
             the images were selected.
            

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>  
            <span title="ImagingSelection.endpoint : The network services providing access to the selected
             images, frames, etc. See implementation notes for information about using DICOM
             endpoints.">endpoint</span> 
            <a name="ImagingSelection.endpoint"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="endpoint.html">Endpoint</a> )
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4pxDICOM Series Number

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">The network services providing access for the subset of the study
            <br/>  
            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
             
            ImagingSelection.frameOfReferenceUid : The Frame of Reference UID identifying the
             coordinate system that conveys spatial and/or temporal information for the selected
             images or frames.
            

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Element"/>  
            <span title="ImagingSelection.instance : Each imaging selection includes one or more selected
             DICOM SOP instances.">instance</span> 
            <a name="ImagingSelection.instance"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxThe Frame of Reference UID for the selected images

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">The selected instances
            <br/>  
            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
             
            ImagingSelection.bodySite : 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.
            

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  
            <span title="ImagingSelection.instance.uid : The SOP Instance UID for the selected DICOM this
             image or other DICOM content.">uid</span> 
            <a name="ImagingSelection.instance.uid"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
            (
            )

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#id">id</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4pxBody part examined
            Binding: 
             (
            Instances are not expected or even encouraged to draw from the specified value
             set.  The value set merely provides examples of the types of concepts intended
             to be included.)

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">DICOM SOP Instance UID

            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
             
            ImagingSelection.focus : The actual focus of an observation when it is not the
             patient of record representing something or someone associated with the patient
             such as a spouse, parent, fetus, or donor. For example, fetus observations in a
             mother's record.  The focus of an observation could also be an existing condition,
              an intervention, the subject's diet,  another observation of the subject,  or
             a body structure such as tumor or implanted device.   An example use case would
             be using the Observation resource to capture whether the mother is trained to change
             her child's tracheostomy tube. In this example, the child is the patient of record
             and the mother is the focus.
            

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="ImagingSelection.instance.number : TThe number of the instance assigned by the
             creator of the series. MAY or MAY NOT correspond to intended display order.">number</span> 
            <a name="ImagingSelection.instance.number"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null; padding-left: 3px; padding-right:

             3px; color: black; null" title="This element is included in summaries">Σ</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            (
            )

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#unsignedInt">unsignedInt</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxRelated resource that is the focus for the imaging selection
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">The number of this instance in the series

            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAg
          DsHd9/w4EQIOamFnaBgAA4MMKAACAKwNp30CqZFfFmwAAAABJRU5ErkJggg==)

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
             
            ImagingSelection.instance : Each imaging selection includes one or more selected
             DICOM SOP instances.
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
            

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  
            <span title="ImagingSelection.instance.sopClass : DICOM instance type.">sopClass</span> 
            <a name="ImagingSelection.instance.sopClass"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#oid">oid</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4pxThe selected instances
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">DICOM class type

            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAwEsez6+89AqKGGJj7JzVWS+m
          m3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            
            

            <span title="ImagingSelection.instance.frameNumber : A list of frame numbers selected from a
             multiframe SOP Instance (See [DICOM PS 3.3 Table 10.3](https://dicom.nema.org/medical/dicom/c
            urrent/output/chtml/part03/sect_10.3.html#table_10-3)).">frameNumber</span> 
            <a name="ImagingSelection.instance.frameNumber"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#positiveInt">positiveInt</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxDICOM SOP Instance UID

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Selected frames
            <br/>  
            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw
          Esez6+89AqKGGJj7JzVWS+mm3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  
            
            

            <span title="ImagingSelection.instance.referencedContentItemIdentifier : A list of Referenced
             Content Item Identifier values selected from a DICOM SR or other structured document
             SOP Instance (See [DICOM PS 3.3 C.17.3.2.5](https://dicom.nema.org/medical/dicom/current/outp
            ut/chtml/part03/sect_C.17.3.2.5.html)).">referencedContentItemIdentifier</span> 
            <a name="ImagingSelection.instance.referencedContentItemIdentifier"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#positiveInt">positiveInt</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4pxDICOM Instance Number

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Selected content items
            <br/>  
            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAwEsez6+89AqKGGJj7JzVWS+m
          m3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
             
            
            

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="ImagingSelection.instance.segmentNumber : A list of segment numbers selected from
             a segmentation SOP Instance (See [DICOM PS 3.3 Table C.8.20-4](https://dicom.nema.org/medical
            /dicom/current/output/chtml/part03/sect_C.8.20.4.html#table_C.8.20-4)).">segmentNumber</span> 
            <a name="ImagingSelection.instance.segmentNumber"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxDICOM SOP Class UID
            Binding: 
             (
            To be conformant, the concept in this element SHALL be from the specified value
             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.)

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#positiveInt">positiveInt</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Selected segments
            <br/>  
            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw
          Esez6+89AqKGGJj7JzVWS+mm3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  
            ImagingSelection.instance.subset : Selected subset of the SOP Instance. The content
             and format of the subset item is determined by the SOP Class of the selected instance.
       May be one of:
       - A list of frame numbers selected from a multiframe SOP Instance.
       - A list of Content Item Observation UID values selected from a DICOM SR
             or other structured document SOP Instance.
       - A list of segment numbers selected from a segmentation SOP Instance.
       - A list of Region of Interest (ROI) numbers selected from a radiotherapy
             structure set SOP Instance.
            

            <span title="ImagingSelection.instance.regionOfInterest : A list of Region of Interest (ROI)
             numbers selected from a radiotherapy structure set SOP Instance (See [DICOM PS
             3.3 C.8.8.5](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.8.8.5.ht
            ml)).">regionOfInterest</span> 
            <a name="ImagingSelection.instance.regionOfInterest"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4pxThe selected subset of the SOP Instance

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#positiveInt">positiveInt</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Selected regions of interest

            <br/>  
            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAwEsez6+89AqKGGJj7JzVWS+m
          m3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
             
            ImagingSelection.instance.imageRegion2D : Each imaging selection instance or frame
             list might includes an image region, specified by a region type and a set of 2D
             coordinates.
       If the parent imagingSelection.instance contains a subset element of type
             frame, the image region applies to all frames in the subset list.

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="ImagingSelection.instance.waveFormChannel : A list of channels in a Waveform selected
             from an instance of a waveform SOP Class.
Each channel is specified as a pair of values where the first value is the Multiplex
             Group Number, and the second value is the Channel Number within the multiplex group
             (See [DICOM PS 3.3 C.18.5.1.1](https://dicom.nema.org/medical/dicom/current/output/chtml/part
            03/sect_C.18.5.html#sect_C.18.5.1.1)).">waveFormChannel</span> 
            <a name="ImagingSelection.instance.waveFormChannel"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#positiveInt">positiveInt</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Selected waveform channel
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Element"/>              <span title="ImagingSelection.instance.imageRegion2D : Specifies an image region, defined by

             a region type and a set of 2D coordinates in pixel space.">imageRegion2D</span> 

            <a name="ImagingSelection.instance.imageRegion2D"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="types.html#BackBoneElement">BackboneElement</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxA specific 2D region in a DICOM image / frame

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">A 2D region in an image

            <br/>  
            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LsQkAIBR
          Dwb9r9p9BrbUSUZsLXPMglaReGmtz23H6BwAA/lkCAADALR1gq0BWueJ34gAAAABJRU5ErkJggg==)

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3NoQ0AIBR
          Dwb9r958B0KAgAcw1OfNMK0ntGGtze+n3PwAAcG4JAAAAt3RWK0BWYk6o4QAAAABJRU5ErkJggg==)">

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
             
            ImagingSelection.instance.imageRegion2D.regionType : Specifies the type of image
             region.

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="ImagingSelection.instance.imageRegion2D.regionType : The type of image region.">regionType</span> 
            <a name="ImagingSelection.instance.imageRegion2D.regionType"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#code">code</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4pxpoint | polyline | interpolated | circle | ellipse

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">point | polyline | multipoint | circle | ellipse

            <br/>  Binding: 
             (
            To be conformant, the concept in this element SHALL be from the specified value

            <a href="valueset-imagingselection-2dgraphictype.html">Imaging Selection 2D Graphic Type</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value
             set.">Required</a> )
            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAwEsez6+89AqKGGJj7JzVWS+m
          m3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
             
            ImagingSelection.instance.imageRegion2D.coordinate : The coordinates describing
             the image region. Encoded as a set of (column, row) pairs that denote positions
             in the selected image / frames specified with sub-pixel resolution.
       The origin at the TLHC of the TLHC pixel is 0.0\0.0, the BRHC of the TLHC
             pixel is 1.0\1.0, and the BRHC of the BRHC pixel is the number of columns\rows
             in the image / frames. The values must be within the range 0\0 to the number of
             columns\rows in the image / frames.

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  
            <span title="ImagingSelection.instance.imageRegion2D.coordinate : The coordinates defining the
             image region. Encoded as a set of (column, row) pairs that denote positions in
             the selected image / frames specified with sub-pixel resolution.
The origin at the TLHC of the TLHC pixel is 0.0\0.0, the BRHC of the TLHC pixel
             is 1.0\1.0, and the BRHC of the BRHC pixel is the number of columns\rows in the
             image / frames. The values SHALL be within the range 0\0 to the number of columns\rows
             in the image / frames.">coordinate</span> 

            <a name="ImagingSelection.instance.imageRegion2D.coordinate"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#decimal">decimal</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxSpecifies the coordinates that define the image region

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">The coordinates that define the image region

            <br/>  This repeating element order: The values are an ordered set of (x, y) coordinates.
            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAg

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAg

          DsHd9/w4EQIOamFnaBgAA4MMKAACAKwNp30CqZFfFmwAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            
             
            ImagingSelection.instance.imageRegion3D : Each imaging selection might includes
             a 3D image region, specified by a region type and a set of 3D coordinates.
            

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Element"/>  
            <span title="ImagingSelection.imageRegion3D : Specifies a 3D image region, defined by a region
             type and a set of 3D coordinates.">imageRegion3D</span> 
            <a name="ImagingSelection.imageRegion3D"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="types.html#BackBoneElement">BackboneElement</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4pxA specific 3D region in a DICOM frame of reference

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">A 3D region in a DICOM frame of reference

            <br/>  
            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoQ0AMAwEsez6+8/QBqe4IJJPMrlKUp
          t0Zz4AAGCHZwAAAPxyAWqFQIAoZQ9kAAAAAElFTkSuQmCC)
            

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw
          Esez6+89AqKGGJj7JzVWS+mm3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)">

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
             
            ImagingSelection.instance.imageRegion3D.regionType : Specifies the type of image
             region.
            

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  
            <span title="ImagingSelection.imageRegion3D.regionType : Specifies the type of image region.">regionType</span> 
            <a name="ImagingSelection.imageRegion3D.regionType"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#code">code</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxpoint | multipoint | polyline | polygon | ellipse | ellipsoid

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">point | multipoint | polyline | polygon | ellipse | ellipsoid

            <br/>  Binding: 
             (
            To be conformant, the concept in this element SHALL be from the specified value

            <a href="valueset-imagingselection-3dgraphictype.html">Imaging Selection 3D Graphic Type</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value
             set.">Required</a> )
            <br/>  
          </td> 
        </tr> 
        border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw
          Esez6+89AqKGGJj7JzVWSmmS3zgcAAPxxDQAAgFcadQVAgPvMVYYAAAAASUVORK5CYII=)
            

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAg
          DsHd9/w4EQIOamFnaBgAA4MMKAACAKwNp30CqZFfFmwAAAABJRU5ErkJggg==)">

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/> 
             
            ImagingSelection.instance.imageRegion3D.coordinate : The coordinates describing
             the image region. Encoded as an ordered set of (x,y,z) triplets (in mm and may
             be negative) that define a region of interest in the patient-relative Reference
             Coordinate System defined by ImagingSelection.frameOfReferenceUid element.
            

            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="ImagingSelection.imageRegion3D.coordinate : The coordinates defining the image
             region. Encoded as an ordered set of (x,y,z) triplets (in mm and MAY be negative)
             that define a region of interest in the patient-relative Reference Coordinate System
             defined by ImagingSelection.frameOfReferenceUid element.">coordinate</span> 
            <a name="ImagingSelection.imageRegion3D.coordinate"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px;
             border: 1px maroon solid; font-weight: bold; color: #301212; background-color:
             #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">1..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;

           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#decimal">decimal</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4pxSpecifies the coordinates that define the image region

          <td class="hierarchy" style="vertical-align: top; text-align : var(--ig-left,left); background-color: white;
           border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px">Specifies the coordinates that define the image region

            <br/>  This repeating element order: The values are an ordered set of (x, y, z) coordinates.
            <br/>  
          </td> 
        </tr> 
        <tr> 
          <td class="hierarchy" colspan="5">
            <br/>  
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format">
              <img alt="doco" src="data:(snipped in html view)" style="background-color: inherit"/>  Documentation for this format
            </a> 
          </td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  
    
  

  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    

    <valueCode value="normative"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="ii"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    

    <valueInteger value="6"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category">
    <valueCode value="patient"/> 
  </extension> 
  
    
  

  <url value="http://hl7.org/fhir/StructureDefinition/ImagingSelection"/> 
  

  <version value="6.0.0-ballot3"/> 
  <name value="ImagingSelection"/> 
  

  <status value="active"/> 
  <experimental value="false"/> 
  
  

  <date value="2025-11-08T10:07:57+00:00"/> 
  <publisher value="HL7 International / Imaging Integration"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      

      <value value="http://www.hl7.org/Special/committees/fiwg"/> 
    </telecom> 
  </contact> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      

      <value value="http://www.hl7.org/Special/committees/imagemgt"/> 
    </telecom> 
  </contact> 
  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.

  <description value="A selection of DICOM SOP instances within a single Study and Series. This might
   include additional specifics such as a set of frames or an image region, allowing
   linkage to an Observation Resource."/> 

  <jurisdiction> 
    <coding> 
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> 
      <code value="001"/> 
      <display value="World"/> 
    </coding> 
  </jurisdiction> 
  

  <fhirVersion value="6.0.0-ballot3"/> 
  <mapping> 
    <identity value="workflow"/> 
    <uri value="http://hl7.org/fhir/workflow"/> 
    <name value="Workflow Pattern"/> 
  </mapping> 
  <mapping> 
    <identity value="w5"/> 
    <uri value="http://hl7.org/fhir/fivews"/> 
    <name value="FiveWs Pattern Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="dicom"/> 
    

    <uri value="https://dicomstandard.org/current"/> 
    <name value="DICOM Tag Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="rim"/> 
    <uri value="http://hl7.org/v3"/> 
    <name value="RIM Mapping"/> 
  </mapping> 
  <kind value="resource"/> 
  <abstract value="false"/> 
  <type value="ImagingSelection"/> 
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
  <derivation value="specialization"/> 
  <snapshot> 
    <element id="ImagingSelection">
      <path value="ImagingSelection"/> 
      
      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.

      <short value="A selection of DICOM SOP instances"/> 
      <definition value="A selection of DICOM SOP instances within a single Study and Series. This might
       include additional specifics such as a set of frames or an image region, allowing
       linkage to an Observation Resource."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ImagingSelection"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <constraint> 
        <key value="dom-2"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> 
        <expression value="contained.contained.empty()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-3"/> 
        <severity value="error"/> 
        If the resource is contained in another resource, it SHALL be referred to from

        <human value="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().ofTy
        pe(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('unmat

        <expression value="contained.where((('#'+id.trace('id') in %resource.descendants().select(reference
         | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmat

        ched', id).empty()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-4"/> 
        <severity value="error"/> 
        If a resource is contained in another resource, it SHALL NOT have a meta.versionId

        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId
         or a meta.lastUpdated"/> 
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-5"/> 
        <severity value="error"/> 
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> 
        <expression value="contained.meta.security.empty()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          When a resource has no narrative, only systems that fully understand the data can
           display the resource to a human safely. Including a human readable representation
           in the resource makes for a much more robust eco-system and cheaper handling of
           resources by intermediary systems. Some ecosystems restrict distribution of resources
           to only those systems that do fully understand the resources, and as a consequence
           implementers may believe that the narrative is superfluous. However experience

          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can
           display the resource to a human safely. Including a human readable representation
           in the resource makes for a much more robust eco-system and cheaper handling of
           resources by intermediary systems. Some ecosystems restrict distribution of resources
           to only those systems that do fully understand the resources, and as a consequence
           implementers may believe that the narrative is superfluous. However experience

           shows that such eco-systems often open up to new participants over time."/> 
        </extension> 
        <key value="dom-6"/> 
        <severity value="warning"/> 
        <human value="A resource should have narrative for robust management"/> 
        <expression value="text.`div`.exists()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="isl-1"/> 
        <severity value="error"/> 
        <human value="At least one of seriesUid or imageRegion3D SHALL be present"/> 
        <expression value="seriesUid.exists() or imageRegion3D.exists()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImagingSelection"/> 
      </constraint> 
      <constraint> 
        <key value="isl-2"/> 
        <severity value="error"/> 
        <human value="seriesUid SHALL only be present if studyUid is present"/> 
        <expression value="seriesUid.exists() implies studyUid.exists()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImagingSelection"/> 
      </constraint> 
      <constraint> 
        <key value="isl-3"/> 
        <severity value="error"/> 
        <human value="seriesNumber SHALL only be present if seriesUid is present"/> 
        <expression value="seriesNumber.exists() implies seriesUid.exists()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImagingSelection"/> 
      </constraint> 
      <constraint> 
        <key value="isl-4"/> 
        <severity value="error"/> 
        <human value="instance SHALL only be present if seriesUid is present"/> 
        <expression value="instance.exists() implies seriesUid.exists()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImagingSelection"/> 
      </constraint> 
      <constraint> 
        <key value="isl-5"/> 
        <severity value="error"/> 
        <human value="imageRegion3D SHALL only be present if frameOfReferenceUid is present"/> 
        <expression value="imageRegion3D.exists() implies frameOfReferenceUid.exists()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImagingSelection"/> 
      </constraint> 
      <constraint> 
        <key value="isl-6"/> 
        <severity value="error"/> 
        <human value="imageRegion3D SHALL only be present if instance.imageRegion2D is not present"/> 
        <expression value="imageRegion3D.exists() implies instance.imageRegion2D.empty()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImagingSelection"/> 
      </constraint> 
      <constraint> 
        <key value="isl-7"/> 
        <severity value="error"/> 
        <human value="if present, instance.imageRegion2D.coordinate SHALL have a value count that is
         a multiple of 2"/> 
        <expression value="instance.imageRegion2D.coordinate.exists() implies instance.imageRegion2D.coordinate.count()

         mod 2 = 0"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImagingSelection"/>       </constraint>       <constraint>         <key value="isl-8"/>         <severity value="error"/>         <human value="if present, imageRegion3D.coordinate SHALL have a value count that is a multiple

         of 3"/> 
        <expression value="imageRegion3D.coordinate.exists() implies imageRegion3D.coordinate.count() mod

         3 = 0"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImagingSelection"/>       </constraint>       <constraint>         <key value="isl-9"/>         <severity value="error"/>         <human value="modality SHALL only be present if seriesUid is present"/>         <expression value="modality.exists() implies seriesUid.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/ImagingSelection"/>       </constraint>       <constraint>         <key value="isl-10"/>         <severity value="error"/>         <human value="only one of instance.frameNumber, instance.referencedContentItemIdentifier, instance.segmentN

        umber, instance.regionOfInterest and instance.waveFormChannel SHALL be present"/> 
        <expression value="(instance.frameNumber.exists() implies (instance.referencedContentItemIdentifier.exists()

         or instance.segmentNumber.exists() or instance.regionOfInterest.exists() or instance.waveForm
        Channel.exists()).not()) and (instance.referencedContentItemIdentifier.exists()
         implies (instance.frameNumber.exists() or instance.segmentNumber.exists() or instance.regionO
        fInterest.exists() or instance.waveFormChannel.exists()).not()) and (instance.segmentNumber.ex
        ists() implies (instance.frameNumber.exists() or instance.referencedContentItemIdentifier.exis
        ts() or instance.regionOfInterest.exists() or instance.waveFormChannel.exists()).not())
         and (instance.regionOfInterest.exists() implies (instance.frameNumber.exists()
         or instance.referencedContentItemIdentifier.exists() or instance.segmentNumber.exists()
         or instance.waveFormChannel.exists()).not()) and (instance.waveFormChannel.exists()
         implies (instance.frameNumber.exists() or instance.referencedContentItemIdentifier.exists()
         or instance.segmentNumber.exists() or instance.regionOfInterest.exists()).not())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImagingSelection"/>       </constraint>       <constraint>         <key value="isl-11"/>         <severity value="error"/>         <human value="if present, instance.waveFormChannel SHALL have a value count that is a multiple

         of 2"/> 
        <expression value="instance.waveFormChannel.exists() implies instance.waveFormChannel.count() mod

         2 = 0"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImagingSelection"/>       </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Entity, Role, or Act"/> 
      </mapping> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="clinical.diagnostics"/> 
      </mapping> 
      <mapping> 
        <identity value="dicom"/> 
        

        <map value="DICOM Tag Mapping"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.id">
      <path value="ImagingSelection.id"/> 
      <short value="Logical id of this artifact"/> 
      The logical id of the resource, as used in the URL for the resource. Once assigned,

      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned,
       this value never changes."/> 
      Within the context of the FHIR RESTful interactions, the resource has an id except
       for cases like the create and conditional update. Otherwise, the use of the resouce

      <comment value="Within the context of the FHIR RESTful interactions, the resource has an id except
       for cases like the create and conditional update. Otherwise, the use of the resouce

       id depends on the given use case."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

      <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          

          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImagingSelection.meta">
      <path value="ImagingSelection.meta"/> 
      <short value="Metadata about the resource"/> 
      The metadata about the resource. This is content that is maintained by the infrastructure.
       Changes to the content might not always be associated with version changes to the

      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure.
       Changes to the content might not always be associated with version changes to the

       resource."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.meta"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Meta"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImagingSelection.implicitRules">
      <path value="ImagingSelection.implicitRules"/> 
      <short value="A set of rules under which this content was created"/> 
      A reference to a set of rules that were followed when the resource was constructed,
       and which must be understood when processing the content. Often, this is a reference
       to an implementation guide that defines the special rules along with other profiles
       etc.
      Asserting this rule set restricts the content to be only understood by a limited
       set of trading partners. This inherently limits the usefulness of the data in the
       long term. However, the existing health eco-system is highly fractured, and not
       yet ready to define, collect, and exchange data in a generally computable sense.
       Wherever possible, implementers and/or specification writers should avoid using
       this element. Often, when used, the URL is a reference to an implementation guide
       that defines these special rules as part of its narrative along with other profiles,

      <definition value="A reference to a set of rules that were followed when the resource was constructed,
       and which must be understood when processing the content. Often, this is a reference
       to an implementation guide that defines the special rules along with other profiles
       etc. For DomainResources, if more than one implicitRules policy applies, additional
       policies may be conveyed using the [additionalImplicitRules](https://build.fhir.org/ig/HL7/fh
      ir-extensions/StructureDefinition-additionalImplicitRules.html) extension."/> 
      <comment value="Asserting this rule set restricts the content to be only understood by a limited

       set of trading partners. This inherently limits the usefulness of the data in the
       long term. However, the existing health eco-system is highly fractured, and not
       yet ready to define, collect, and exchange data in a generally computable sense.
       Wherever possible, implementers and/or specification writers should avoid using
       this element. Often, when used, the URL is a reference to an implementation guide
       that defines these special rules as part of its narrative along with other profiles,

       value sets, etc."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.implicitRules"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      This element is labeled as a modifier because the implicit rules may provide additional

      <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional
       knowledge about the resource that modifies its meaning or interpretation"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImagingSelection.language">
      <path value="ImagingSelection.language"/> 
      <short value="Language of the resource content"/> 
      <definition value="The base language in which the resource is written."/> 
      Language is provided to support indexing and accessibility (typically, services
       such as text to speech use the language tag). The html language tag in the narrative
       applies  to the narrative. The language tag on the resource may be used to specify
       the language of other presentations generated from the data in the resource. Not
       all the content has to be in the base language. The Resource.language should not
       be assumed to apply to the narrative automatically. If a language is specified,
       it should it also be specified on the div element in the html (see rules in HTML5

      <comment value="Language is provided to support indexing and accessibility (typically, services
       such as text to speech use the language tag). The html language tag in the narrative
       applies  to the narrative. The language tag on the resource may be used to specify
       the language of other presentations generated from the data in the resource. Not
       all the content has to be in the base language. The Resource.language should not
       be assumed to apply to the narrative automatically. If a language is specified,
       it should it also be specified on the div element in the html (see rules in HTML5

       for information about the relationship between xml:lang and the html lang attribute)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.language"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="required"/> 
        <description value="IETF language tag for a human language"/> 
        

        <valueSet value="http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3"/> 
        <additional> 
          <purpose value="starter"/> 
          <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> 
        </additional> 
      </binding> 
    </element> 
    <element id="ImagingSelection.text">
      <path value="ImagingSelection.text"/> 
      <short value="Text summary of the resource, for human interpretation"/> 
      A human-readable narrative that contains a summary of the resource and can be used
       to represent the content of the resource to a human. The narrative need not encode
       all the structured data, but is required to contain sufficient detail to make it
       &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
       may define what content should be represented in the narrative to ensure clinical

      <definition value="A human-readable narrative that contains a summary of the resource and can be used
       to represent the content of the resource to a human. The narrative need not encode
       all the structured data, but is required to contain sufficient detail to make it
       &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
       may define what content should be represented in the narrative to ensure clinical

       safety."/> 
      Contained resources do not have a narrative. Resources that are not contained SHOULD
       have a narrative. In some cases, a resource may only have text with little or no
       additional discrete data (as long as all minOccurs=1 elements are satisfied). 
       This may be necessary for data from legacy systems where information is captured
       as a &quot;text blob&quot; or where text is additionally entered raw or narrated

      <comment value="Contained resources do not have a narrative. Resources that are not contained SHOULD
       have a narrative. In some cases, a resource may only have text with little or no
       additional discrete data (as long as all minOccurs=1 elements are satisfied). 
       This may be necessary for data from legacy systems where information is captured
       as a &quot;text blob&quot; or where text is additionally entered raw or narrated

       and encoded information is added later."/> 
      <alias value="narrative"/> 
      <alias value="html"/> 
      <alias value="xhtml"/> 
      <alias value="display"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DomainResource.text"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Narrative"/> 
      </type> 
      <condition value="dom-6"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Act.text?"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.contained">
      <path value="ImagingSelection.contained"/> 
      <short value="Contained, inline Resources"/> 
      These resources do not have an independent existence apart from the resource that
       contains them - they cannot be identified independently, nor can they have their
       own independent transaction scope. This is allowed to be a Parameters resource

      <definition value="These resources do not have an independent existence apart from the resource that
       contains them - they cannot be identified independently, nor can they have their
       own independent transaction scope. This is allowed to be a Parameters resource

       if and only if it is referenced by a resource that provides context/meaning."/> 
      This should never be done when the content can be identified properly, as once
       identification is lost, it is extremely difficult (and context dependent) to restore
       it again. Contained resources may have profiles and tags in their meta elements,
       but SHALL NOT have security labels.

      <comment value="This should never be done when the content can be identified properly, as once
       identification is lost, it is extremely difficult (and context dependent) to restore
       it again. Contained resources may have profiles and tags in their meta elements,
       but SHALL NOT have security labels. Contained resources may be a resource type
       defined in the FHIR specification, or an [additional resource](resource.html#additional)."/> 

      <alias value="inline resources"/> 
      <alias value="anonymous resources"/> 
      <alias value="contained resources"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.contained"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Resource"/> 
      </type> 
      <condition value="dom-2"/> 
      <condition value="dom-4"/> 
      <condition value="dom-3"/> 
      <condition value="dom-5"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.extension">
      <path value="ImagingSelection.extension"/> 
      <short value="Additional content defined by implementations"/> 
      May be used to represent additional information that is not part of the basic definition
       of the resource. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part

      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part

       of the definition of the extension."/> 
      There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification

      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification

       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      
        
        
        
        
        
      

      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.modifierExtension">
      <path value="ImagingSelection.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      May be used to represent additional information that is not part of the basic definition
       of the resource and that modifies the understanding of the element that contains
       it and/or the understanding of the containing element's descendants. Usually modifier
       elements provide negation or qualification. To make the use of extensions safe
       and managable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there
       is a set of requirements that SHALL be met as part of the definition of the extension.

      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource and that modifies the understanding of the element that contains
       it and/or the understanding of the containing element's descendants. Usually modifier
       elements provide negation or qualification. To make the use of extensions safe
       and managable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there
       is a set of requirements that SHALL be met as part of the definition of the extension.

       Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or

Modifier extensions SHALL NOT change the meaning of any elements on Resource or

       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification

      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification

       to retain a core level of simplicity for everyone."/> 
      Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition

      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition

       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      
        
        
        
        
        
      

      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the

      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       resource that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.identifier">
      <path value="ImagingSelection.identifier"/> 
      
      
      This is a business identifier, not a resource identifier -- see discussion under
       [Business Identifiers](resource.html#identifiers). 
      

      <short value="Business identifier for imaging selection"/> 
      <definition value="Business identifiers assigned to this imaging selection by the performer and/or
       other systems.  These identifiers remain constant as the resource is updated and
       propagates from server to server."/> 
      <comment value="Note: This is a business identifier, not a resource identifier (see [discussion](resource.htm

      l#identifiers)).  It is best practice for the identifier to only appear on a single
       resource instance, however business practices MAY occasionally dictate that multiple
       resource instances with the same identifier can exist - possibly even with different
       resource types.  For example, multiple Patient and a Person resource instance might
       share the same social insurance number."/> 
      <requirements value="Allows identification of the imaging selection as it is known by various participating

       systems and in a way that remains consistent across servers."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ImagingSelection.identifier"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <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.status">
      <path value="ImagingSelection.status"/> 
      
      The current state of the ImagingSelection resource. This is not the status of any
       ImagingStudy, ServiceRequest, or Task resources associated with the ImagingSelection.
      Unknown does not represent &quot;other&quot; - one of the defined statuses must
       apply.  Unknown is used when the authoring system is not sure what the current

      <short value="available | entered-in-error | inactive | unknown"/> 
      <definition value="The current state of the imaging selection. This is distinct from the status of
       any imaging study, service request, or task associated with the imaging selection."/> 
      <comment value="Unknown does not represent &quot;other&quot; - one of the defined statuses must

       apply.  Unknown is used when the authoring system is not sure what the current

       status is."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ImagingSelection.status"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      This element is labeled as a modifier because it is a status element that contains
       status entered-in-error which means that the resource should not be treated as

      <isModifierReason value="This element is labeled as a modifier because it is a status element that contains
       status entered-in-error which means that the resource SHOULD NOT be treated as

       valid"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ImagingSelectionStatus"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The status of the ImagingSelection."/> 
        

        <valueSet value="http://hl7.org/fhir/ValueSet/imagingselection-status|6.0.0-ballot3"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.status"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.category">
      <path value="ImagingSelection.category"/> 
      <short value="Classifies the imaging selection"/> 
      <definition value="Classifies the general purpose of the imaging selection."/> 
      <requirements value="Used for filtering what imaging selections are retrieved and displayed."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ImagingSelection.category"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ImagingSelectionCode"/> 
        </extension> 
        <strength value="preferred"/> 
        <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="workflow"/> 
        <map value="Event.category"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.modality">
      <path value="ImagingSelection.modality"/> 
      <short value="The distinct modality"/> 
      <definition value="The distinct modality for this selected series. This MAY be either an acquisition
       modality (e.g. CT, MR) or a non-acquisition modality (e.g. segmentation, presentation
       state)."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="ImagingSelection.modality"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <condition value="isl-9"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ImagingSelectionModality"/>         </extension>         <strength value="extensible"/>         <description value="Type of acquired data in the instance."/>         <valueSet value="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html"/>       </binding>       <mapping>         <identity value="dicom"/>         <map value="Modality (0008,0060)"/>       </mapping>     </element>     <element id="ImagingSelection.code">      <path value="ImagingSelection.code"/>       <short value="Imaging Selection purpose text or code"/>       <definition value="Identifies the type of imaging selection."/>       <requirements value="Identifies the type of content and the structure of the imaging selection."/>       <alias value="Description"/>       <min value="1"/>       <max value="1"/>       <base>         <path value="ImagingSelection.code"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <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="workflow"/>         <map value="Event.code"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.what[x]"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Concept Name Code Sequence (0040,A043)"/>       </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> 
      <path value="ImagingSelection.subject"/> 
      
      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.

      <short value="Who or what is the subject of the imaging selection"/> 
      <definition value="The subject, typically a patient, of the imaging selection."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImagingSelection.subject"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <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/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> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.subject"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        

        <map value="FiveWs.subject"/> 
      </mapping> 
      <mapping> 
        <identity value="dicom"/> 
        

        <map value="Patient ID (0010,0020) and Issuer of Patient ID (0010,0021) and / or Issuer of
         Patient ID Qualifiers Sequence (0010,0024) and / or Patient Name (0010,0010)"/> 

      </mapping> 
    </element> 
    <element id="ImagingSelection.issued">
      <path value="ImagingSelection.issued"/> 
      
      

      <short value="When the imaging selection was created"/> 
      <definition value="Date and time the imaging selection was created."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImagingSelection.issued"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="instant"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.recorded"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.performer">
      <path value="ImagingSelection.performer"/> 
      
      

      <short value="Who performed imaging selection and what they did"/> 
      <definition value="Indicates who or what performed the imaging selection and how they were involved."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ImagingSelection.performer"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        

        <human value="All FHIR elements must have a @value or children or both"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        

        <map value="Event.performer"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.actor"/> 
      </mapping> 
      <mapping> 
        <identity value="dicom"/> 
        

        <map value="One or more of: Performing Physician's Name (0008,1050) and Performing Physician
         Identification Sequence (0008,1052); Operators' Name (0008,1070) and Operator Identification
         Sequence (0008,1072); Manufacturer (0008,0070) and Manufacturer's Model Name (0008,1090);
         or Institution Name (0008,0080)"/> 

      </mapping> 
    </element> 
    <element id="ImagingSelection.performer.id">
      <path value="ImagingSelection.performer.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      Unique id for the element within a resource (for internal references). This may

      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

      <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <condition value="ele-1"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.performer.extension">
      <path value="ImagingSelection.performer.extension"/> 
      <short value="Additional content defined by implementations"/> 
      May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part

      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part

       of the definition of the extension."/> 
      There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification

      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification

       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      
        
        
        
        
        
      

      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.performer.modifierExtension">
      <path value="ImagingSelection.performer.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.

      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.

       Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or

Modifier extensions SHALL NOT change the meaning of any elements on Resource or

       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification

      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification

       to retain a core level of simplicity for everyone."/> 
      Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition

      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition

       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      
        
        
        
        
        
      

      <isModifier value="true"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the

      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.performer.function">
      <path value="ImagingSelection.performer.function"/> 
      
      
      

      <short value="Type of performance"/> 
      <definition value="Distinguishes the type of involvement of the performer in the imaging selection."/> 
      <requirements value="Allows disambiguation of the types of involvement of different performers."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImagingSelection.performer.function"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <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> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.performer.function"/> 
      </mapping> 
      <mapping> 
        <identity value="dicom"/> 
        <map value="PRF (Performing Physician's Name); SPRF (Operator's Name); DEV (Manufacturer /
         Manufacturer's Model Name); or LOC (Institution Name)"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.performer.actor">
      <path value="ImagingSelection.performer.actor"/> 
      
      
      

      <short value="Who performed the imaging selection"/> 
      <definition value="Indicates who or what performed the imaging selection."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ImagingSelection.performer.actor"/> 
        

        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <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> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.performer.actor"/> 
      </mapping> 
      <mapping> 
        <identity value="dicom"/> 
        <map value="Practitioner (Performing Physician's Name); Practitioner (Operator's Name); Device
         (Manufacturer / Manufacturer's Model Name); or Organization (Institution Name)"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.basedOn">
      <path value="ImagingSelection.basedOn"/> 
      
      A list of the diagnostic requests that resulted in this imaging selection being
       performed.

      <short value="Fulfills plan or order"/> 
      <definition value="A plan or order that is fulfilled in whole or in part by this imaging selection."/> 
      <requirements value="Allows tracing of authorization for the imaging selection and tracking whether
       proposals/recommendations were acted upon. If the imaging selection is associated
       with an Accession Number, this field SHOULD include a reference to that value in
       the form: identifier.value = (Accession Number Value) identifier.type = ACSN. A
       reference value pointing to a ServiceRequest resource is allowed but is not required."/> 

      <alias value="AccessionNumber"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ImagingSelection.basedOn"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <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/Task"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <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 (0080,0050) and Issuer of Accession Number Sequence (0080,0051)"/> 
      </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"/> 
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
      
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      *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.
      Knowing what kind of observation is being made is essential to understanding the
       observation.
      
      

      <max value="1"/> 
      <base> 
        
        

        <path value="ImagingSelection.derivedFrom"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        

        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      
        
          
        
        
        
        
      
      
        
        
      

    </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."/> 
      See [DICOM PS3.3 C.7.2](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_

      <comment value="See [DICOM PS3.3 C.7.2](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_
      C.7.2.html)."/> 
      DICOM Study Instance UID.
       Required unless frameOfReferenceUid and imageRegion are present and instance
       is not present.

      <alias value="StudyInstanceUID"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImagingSelection.studyUid"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="id"/> 
      </type> 
      <example> 
        <label value="General"/> 
        <valueId value="1.2.840.113747.20080222.12753225430534207565993148475333748793"/> 
      </example> 
      <condition value="isl-2"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="dicom"/> 
        <map value="Study Instance UID (0020,000D)"/> 
      </mapping> 
    </element> 
    
      
      
      
      
      
      
        
        
        
      
      
        
        
        
      
      
        
        
        
        
        
      
      
      
      
    
    
      
      The network service providing retrieval for the images referenced in the imaging
       selection
      The network service providing retrieval access to the selected images, frames,
       etc. See implementation notes for information about using DICOM endpoints.
      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.
      Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the selected
       images, frames, etc.
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
      
      
      
      
    

    <element id="ImagingSelection.seriesUid">
      <path value="ImagingSelection.seriesUid"/> 
      <short value="DICOM Series Instance UID"/> 
      
      See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_

      <definition value="The DICOM Series Instance UID of the selected series."/> 
      <comment value="See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_
      C.7.3.html)."/> 
      DICOM Series Instance UID.
       Required unless frameOfReferenceUid and imageRegion are present and instance
       is not present.

      <requirements value="Must correspond to a Series that is part of the DICOM study identified by the `studyUid`
       element."/> 

      <alias value="SeriesInstanceUID"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImagingSelection.seriesUid"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="id"/> 
      </type> 
      <example> 
        <label value="General"/> 
        <valueId value="1.2.840.113747.20080222.12753225430534207565993148475333748793.1"/> 
      </example> 
      <condition value="isl-1"/> 
      <condition value="isl-2"/> 
      <condition value="isl-3"/> 
      <condition value="isl-4"/> 
      <condition value="isl-9"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="dicom"/> 
        <map value="Series Instance UID (0020,000E)"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.seriesNumber">
      <path value="ImagingSelection.seriesNumber"/> 
      
      
      See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_

      <short value="Numeric identifier of the selected series"/> 
      <definition value="The numeric identifier of the selected series in the study."/> 
      <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="Must correspond to the series identified by the `seriesUid` element."/> 
      <alias value="SeriesNumber"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImagingSelection.seriesNumber"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="unsignedInt"/> 
      </type> 
      <condition value="isl-3"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="dicom"/> 
        <map value="Series Number (0020,0011)"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.frameOfReferenceUid">
      <path value="ImagingSelection.frameOfReferenceUid"/> 
      <short value="The Frame of Reference UID for the selected images"/> 
      The Frame of Reference UID identifying the coordinate system that conveys spatial
       and/or temporal information for the selected images or frames.
      See [DICOM PS3.3 C.7.4.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sec

      <definition value="Identifier used to group composite instances that have the same coordinate system
       that conveys spatial and/or temporal information."/> 
      <comment value="See [DICOM PS3.3 C.7.4.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sec
      t_C.7.4.html)."/> 
      DICOM Frame of Reference UID.
                            Required if studyInstanceUid and seriesInstanceUid
       are not present.

      <alias value="FrameOfReferenceUID"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImagingSelection.frameOfReferenceUid"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="id"/> 
      </type> 
      <example> 
        <label value="General"/> 
        <valueId value="1.2.840.113747.20080222.12753225430534207565993148475333748793.2"/> 
      </example> 
      <condition value="isl-5"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="dicom"/> 
        <map value="Frame of Reference UID (0020,0052)"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.bodySite">
      <path value="ImagingSelection.bodySite"/> 
      
      The anatomic structures examined. See DICOM Part 16 Annex L (http://dicom.nema.org/medical/di
      com/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings.

      <short value="Selected anatomic structure"/> 
      <definition value="The anatomic structures selected. See [DICOM Part 16 Annex L](http://dicom.nema.org/medical/d
      icom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings.
       The bodySite MAY include the laterality of body part imaged."/> 

      <alias value="BodyPartExamined"/> 
      <alias value="AnatomicRegionSequence"/> 
      <min value="0"/> 
      

      <max value="*"/> 
      <base> 
        <path value="ImagingSelection.bodySite"/> 
        <min value="0"/> 
        

        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableReference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/BodyStructure"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/binding-definition">
          

          <valueMarkdown value="Codes describing anatomical locations. MAY include laterality."/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BodySite"/> 
        </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) or Anatomic Region Sequence (0008,2218) and Laterality
         (0020,0060)"/> 

      </mapping> 
    </element> 
    <element id="ImagingSelection.focus">
      <path value="ImagingSelection.focus"/> 
      
      The actual focus of an observation when it is not the patient of record representing
       something or someone associated with the patient such as a spouse, parent, fetus,
       or donor. For example, fetus observations in a mother's record.  The focus of an
       observation could also be an existing condition,  an intervention, the subject's
       diet,  another observation of the subject,  or a body structure such as tumor or
       implanted device.   An example use case would be using the Observation resource
       to capture whether the mother is trained to change her child's tracheostomy tube.
       In this example, the child is the patient of record and the mother is the focus.
      An imaging selection may reference a DICOM resource that itself references other

      <short value="Related resources that are the focus for the imaging selection"/> 
      <definition value="The actual focus of an imaging selection when it is another imaging selection resource
       and not the patient of record."/> 
      <comment value="An imaging selection MAY reference a DICOM resource that itself references other
       DICOM resources.
       e.g. a presentation state references a set of source images or frames."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ImagingSelection.focus"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingSelection"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImagingSelection.endpoint">
      <path value="ImagingSelection.endpoint"/> 
      <short value="The network services providing access for the subset of the study"/> 
      <definition value="The network services providing access to the selected images, frames, etc. See
       implementation notes for information about using DICOM endpoints."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="ImagingSelection.endpoint"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Endpoint"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </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="If this element is not present and ImagingSelection.seriesUid is present, all instances
       in the specified series are included in the selection."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ImagingSelection.instance"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <condition value="isl-6"/> 
      <condition value="isl-4"/> 
      <condition value="isl-7"/> 
      <condition value="isl-10"/> 
      <condition value="isl-11"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        

        <human value="All FHIR elements must have a @value or children or both"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImagingSelection.instance.id">
      <path value="ImagingSelection.instance.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      Unique id for the element within a resource (for internal references). This may

      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

      <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <condition value="ele-1"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.instance.extension">
      <path value="ImagingSelection.instance.extension"/> 
      <short value="Additional content defined by implementations"/> 
      May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part

      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part

       of the definition of the extension."/> 
      There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification

      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification

       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      
        
        
        
        
        
      

      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.instance.modifierExtension">
      <path value="ImagingSelection.instance.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.

      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.

       Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or

Modifier extensions SHALL NOT change the meaning of any elements on Resource or

       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification

      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification

       to retain a core level of simplicity for everyone."/> 
      Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition

      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition

       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      
        
        
        
        
        
      

      <isModifier value="true"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the

      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.instance.uid">
      <path value="ImagingSelection.instance.uid"/> 
      <short value="DICOM SOP Instance UID"/> 
      
      See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect

      <definition value="The SOP Instance UID for the selected DICOM this image or other DICOM content."/> 
      <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.
Must correspond to a SOP Instance that is part of the DICOM series identified by
       the `seriesUID` element."/> 

      <alias value="SOPInstanceUID"/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ImagingSelection.instance.uid"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="id"/> 
      </type> 
      <example> 
        <label value="General"/> 
        <valueId value="1.2.840.113747.20080222.12753225430534207568475333748793.1.1"/> 
      </example> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="dicom"/> 
        <map value="SOP Instance UID (0008,0018)"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.instance.number">
      <path value="ImagingSelection.instance.number"/> 
      
      
      See [DICOM PS3.3 C.7.6.1](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/se

      <short value="The number of this instance in the series"/> 
      <definition value="TThe number of the instance assigned by the creator of the series. MAY or MAY NOT
       correspond to intended display order."/> 
      <comment value="See [DICOM PS3.3 C.7.6.1](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/se
      ct_C.7.6.html#sect_C.7.6.1).
       Note: A multiframe instance has a single instance number with each frame

       Note: A multiframe instance has a single instance number with each frame

       identified by a frame number."/> 
      

      <requirements value="DICOM Instance Number.
Must correspond to the SOP Instance identified by the `uid` element."/> 

      <alias value="InstanceNumber"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImagingSelection.instance.number"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="unsignedInt"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="dicom"/> 
        <map value="Instance Number (0020,0011)"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.instance.sopClass">
      <path value="ImagingSelection.instance.sopClass"/> 
      
      
      See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect

      <short value="DICOM class type"/> 
      <definition value="DICOM instance type."/> 
      <comment value="See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect
      _C.12.html)."/> 
      

      <alias value="SOPClassUID"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ImagingSelection.instance.sopClass"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        

        <code value="oid"/> 
      </type> 
      <example> 
        <label value="General"/> 
        

        <valueOid value="urn:oid:1.2.840.10008.5.1.4.1.1.2"/> 
      </example> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      
        
          
        
        
        
        
      

      <mapping> 
        <identity value="dicom"/> 
        <map value="SOP Class UID (0008,0016)"/> 
      </mapping> 
    </element> 
    
      
      
      Selected subset of the SOP Instance. The content and format of the subset item
       is determined by the SOP Class of the selected instance.
       May be one of:
       - A list of frame numbers selected from a multiframe SOP Instance.
       - A list of Content Item Observation UID values selected from a DICOM SR
       or other structured document SOP Instance.
       - A list of segment numbers selected from a segmentation SOP Instance.
       - A list of Region of Interest (ROI) numbers selected from a radiotherapy
       structure set SOP Instance.

    <element id="ImagingSelection.instance.frameNumber">
      <path value="ImagingSelection.instance.frameNumber"/> 
      <short value="Selected frames"/> 
      <definition value="A list of frame numbers selected from a multiframe SOP Instance (See [DICOM PS
       3.3 Table 10.3](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_10.3.ht
      ml#table_10-3))."/> 
      <requirements value="Only allowed if the value of `instance.sopClass` corresponds to a multiframe SOP

       Class."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        

        <path value="ImagingSelection.instance.frameNumber"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        

        <code value="positiveInt"/> 
      </type> 
      
        
        
      

      <condition value="isl-10"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImagingSelection.instance.referencedContentItemIdentifier">
      <path value="ImagingSelection.instance.referencedContentItemIdentifier"/> 
      <short value="Selected content items"/> 
      <definition value="A list of Referenced Content Item Identifier values selected from a DICOM SR or
       other structured document SOP Instance (See [DICOM PS 3.3 C.17.3.2.5](https://dicom.nema.org/
      medical/dicom/current/output/chtml/part03/sect_C.17.3.2.5.html))."/> 
      <requirements value="Only allowed if the value of `instance.sopClass` corresponds to a DICOM SR or other

       structured document SOP Class."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="ImagingSelection.instance.referencedContentItemIdentifier"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="positiveInt"/>       </type>       <condition value="isl-10"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="ImagingSelection.instance.segmentNumber">      <path value="ImagingSelection.instance.segmentNumber"/>       <short value="Selected segments"/>       <definition value="A list of segment numbers selected from a segmentation SOP Instance (See [DICOM

       PS 3.3 Table C.8.20-4](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_
      C.8.20.4.html#table_C.8.20-4))."/> 
      <requirements value="Only allowed if the value of `instance.sopClass` corresponds to a segmentation

       SOP Class."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="ImagingSelection.instance.segmentNumber"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="positiveInt"/>       </type>       <condition value="isl-10"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="ImagingSelection.instance.regionOfInterest">      <path value="ImagingSelection.instance.regionOfInterest"/>       <short value="Selected regions of interest"/>       <definition value="A list of Region of Interest (ROI) numbers selected from a radiotherapy structure

       set SOP Instance (See [DICOM PS 3.3 C.8.8.5](https://dicom.nema.org/medical/dicom/current/out
      put/chtml/part03/sect_C.8.8.5.html))."/> 
      <requirements value="Only allowed if the value of `instance.sopClass` corresponds to a radiotherapy

       structure set SOP Class."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="ImagingSelection.instance.regionOfInterest"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="positiveInt"/>       </type>       <condition value="isl-10"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="ImagingSelection.instance.waveFormChannel">      <path value="ImagingSelection.instance.waveFormChannel"/>       <short value="Selected waveform channel"/>       <definition value="A list of channels in a Waveform selected from an instance of a waveform SOP Class.
Each channel is specified as a pair of values where the first value is the Multiplex
       Group Number, and the second value is the Channel Number within the multiplex group
       (See [DICOM PS 3.3 C.18.5.1.1](https://dicom.nema.org/medical/dicom/current/output/chtml/part
      03/sect_C.18.5.html#sect_C.18.5.1.1))."/> 
      <requirements value="Only allowed if the value of `instance.sopClass` corresponds to a waveform  structure

       set SOP Class."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="ImagingSelection.instance.waveFormChannel"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="positiveInt"/>       </type>       <condition value="isl-10"/>       <condition value="isl-11"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImagingSelection.instance.imageRegion2D">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="ImageRegion2D"/> 
      </extension> 
      <path value="ImagingSelection.instance.imageRegion2D"/> 
      
      Each imaging selection instance or frame list might includes an image region, specified
       by a region type and a set of 2D coordinates.
       If the parent imagingSelection.instance contains a subset element of type
       frame, the image region applies to all frames in the subset list.
      

      <short value="A 2D region in an image"/> 
      <definition value="Specifies an image region, defined by a region type and a set of 2D coordinates
       in pixel space."/> 
      <requirements value="SHALL NOT be present if the parent imagingSelection.instance is not an image. If

       the parent imagingSelection.instance contains a subset element of type frame, the
       image region applies to all frames in the subset list."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ImagingSelection.instance.imageRegion2D"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <condition value="isl-6"/> 
      <condition value="isl-7"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        

        <human value="All FHIR elements must have a @value or children or both"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImagingSelection.instance.imageRegion2D.id">
      <path value="ImagingSelection.instance.imageRegion2D.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      Unique id for the element within a resource (for internal references). This may

      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

      <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <condition value="ele-1"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.instance.imageRegion2D.extension">
      <path value="ImagingSelection.instance.imageRegion2D.extension"/> 
      <short value="Additional content defined by implementations"/> 
      May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part

      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part

       of the definition of the extension."/> 
      There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification

      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification

       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      
        
        
        
        
        
      

      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.instance.imageRegion2D.modifierExtension">
      <path value="ImagingSelection.instance.imageRegion2D.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.

      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.

       Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or

Modifier extensions SHALL NOT change the meaning of any elements on Resource or

       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification

      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification

       to retain a core level of simplicity for everyone."/> 
      Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition

      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition

       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      
        
        
        
        
        
      

      <isModifier value="true"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the

      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.instance.imageRegion2D.regionType">
      <path value="ImagingSelection.instance.imageRegion2D.regionType"/> 
      
      
      See [DICOM PS3.3 C.10.5.1.2](https://dicom.nema.org/medical/dicom/current/output/chtml/part03

      <short value="point | polyline | multipoint | circle | ellipse"/> 
      <definition value="The type of image region."/> 
      <comment value="See [DICOM PS3.3 C.10.5.1.2](https://dicom.nema.org/medical/dicom/current/output/chtml/part03
      /sect_C.10.5.html#sect_C.10.5.1.2)."/> 
      <alias value="GraphicType"/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ImagingSelection.instance.imageRegion2D.regionType"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ImagingSelection2DGraphicType"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The type of image region."/> 
        

        <valueSet value="http://hl7.org/fhir/ValueSet/imagingselection-2dgraphictype|6.0.0-ballot3"/> 
      </binding> 
      <mapping> 
        <identity value="dicom"/> 
        <map value="Graphic Type (0070,0023)"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.instance.imageRegion2D.coordinate">
      <path value="ImagingSelection.instance.imageRegion2D.coordinate"/> 
      
      The coordinates describing the image region. Encoded as a set of (column, row)
       pairs that denote positions in the selected image / frames specified with sub-pixel
       resolution.
       The origin at the TLHC of the TLHC pixel is 0.0\0.0, the BRHC of the TLHC
       pixel is 1.0\1.0, and the BRHC of the BRHC pixel is the number of columns\rows
       in the image / frames. The values must be within the range 0\0 to the number of
       columns\rows in the image / frames.
      For a description of how 2D coordinates are encoded, see [DICOM PS3.3 C.18.6](http://dicom.ne
      ma.org/medical/dicom/current/output/chtml/part03/sect_C.18.6.html).
      

      <short value="The coordinates that define the image region"/> 
      <definition value="The coordinates defining the image region. Encoded as a set of (column, row) pairs
       that denote positions in the selected image / frames specified with sub-pixel resolution.
The origin at the TLHC of the TLHC pixel is 0.0\0.0, the BRHC of the TLHC pixel
       is 1.0\1.0, and the BRHC of the BRHC pixel is the number of columns\rows in the
       image / frames. The values SHALL be within the range 0\0 to the number of columns\rows
       in the image / frames."/> 
      <comment value="For a description of how 2D coordinates are encoded, see [DICOM PS 3.3 C.18.6](http://dicom.n

      ema.org/medical/dicom/current/output/chtml/part03/sect_C.18.6.html)."/> 
      <requirements value="The number of values SHALL be a multiple of two."/> 
      <alias value="GraphicData"/> 
      <min value="1"/> 
      <max value="*"/> 
      <base> 
        <path value="ImagingSelection.instance.imageRegion2D.coordinate"/> 
        <min value="1"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="decimal"/> 
      </type> 
      <orderMeaning value="The values are an ordered set of (x, y) coordinates."/> 
      <condition value="isl-7"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="dicom"/> 
        <map value="Graphic Data (0070,0022)"/> 
      </mapping> 
    </element> 
    

    <element id="ImagingSelection.imageRegion3D">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="ImageRegion3D"/> 
      </extension> 
      
      
      Each imaging selection might includes a 3D image region, specified by a region
       type and a set of 3D coordinates.
      

      <path value="ImagingSelection.imageRegion3D"/> 
      <short value="A 3D region in a DICOM frame of reference"/> 
      <definition value="Specifies a 3D image region, defined by a region type and a set of 3D coordinates."/> 
      <requirements value="The referenced 3D image region must be in the coordinate system identified by the
       `frameOfReferenceUid` element"/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        

        <path value="ImagingSelection.imageRegion3D"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <condition value="isl-1"/> 
      <condition value="isl-5"/> 
      <condition value="isl-6"/> 
      <condition value="isl-8"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        

        <human value="All FHIR elements must have a @value or children or both"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    
      

    <element id="ImagingSelection.imageRegion3D.id">
      <path value="ImagingSelection.imageRegion3D.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      Unique id for the element within a resource (for internal references). This may

      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

      <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <condition value="ele-1"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    
      

    <element id="ImagingSelection.imageRegion3D.extension">
      <path value="ImagingSelection.imageRegion3D.extension"/> 
      <short value="Additional content defined by implementations"/> 
      May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part

      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part

       of the definition of the extension."/> 
      There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification

      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification

       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      
        
        
        
        
        
      

      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    
      

    <element id="ImagingSelection.imageRegion3D.modifierExtension">
      <path value="ImagingSelection.imageRegion3D.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.

      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.

       Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or

Modifier extensions SHALL NOT change the meaning of any elements on Resource or

       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification

      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification

       to retain a core level of simplicity for everyone."/> 
      Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition

      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition

       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      
        
        
        
        
        
      

      <isModifier value="true"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the

      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    
      

    <element id="ImagingSelection.imageRegion3D.regionType">
      <path value="ImagingSelection.imageRegion3D.regionType"/> 
      <short value="point | multipoint | polyline | polygon | ellipse | ellipsoid"/> 
      <definition value="Specifies the type of image region."/> 
      See [DICOM PS3.3 C.18.9.1.2](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/

      <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"/> 
      <base> 
        

        <path value="ImagingSelection.imageRegion3D.regionType"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ImagingSelection3DGraphicType"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The type of image region."/> 
        

        <valueSet value="http://hl7.org/fhir/ValueSet/imagingselection-3dgraphictype|6.0.0-ballot3"/> 
      </binding> 
      <mapping> 
        <identity value="dicom"/> 
        <map value="Graphic Type (0070,0023)"/> 
      </mapping> 
    </element> 
    
      

    <element id="ImagingSelection.imageRegion3D.coordinate">
      <path value="ImagingSelection.imageRegion3D.coordinate"/> 
      <short value="Specifies the coordinates that define the image region"/> 
      The coordinates describing the image region. Encoded as an ordered set of (x,y,z)
       triplets (in mm and may be negative) that define a region of interest in the patient-relative

      <definition value="The coordinates defining the image region. Encoded as an ordered set of (x,y,z)
       triplets (in mm and MAY be negative) that define a region of interest in the patient-relative

       Reference Coordinate System defined by ImagingSelection.frameOfReferenceUid element."/> 
      For a description of how 3D coordinates are encoded, see [DICOM PS3.3 C.18.9](http://dicom.ne

      <comment value="For a description of how 3D coordinates are encoded, see [DICOM PS3.3 C.18.9](http://dicom.ne
      ma.org/medical/dicom/current/output/chtml/part03/sect_C.18.9.html)."/> 
      

      <requirements value="The number of values SHALL be a multiple of three."/> 
      <alias value="GraphicData"/> 
      <min value="1"/> 
      <max value="*"/> 
      <base> 
        

        <path value="ImagingSelection.imageRegion3D.coordinate"/> 
        <min value="1"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="decimal"/> 
      </type> 
      <orderMeaning value="The values are an ordered set of (x, y, z) coordinates."/> 
      <condition value="isl-8"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="dicom"/> 
        <map value="Graphic Data (0070,0022)"/> 
      </mapping> 
    </element> 
  </snapshot> 
  <differential> 
    <element id="ImagingSelection">
      <path value="ImagingSelection"/> 
      
      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.

      <short value="A selection of DICOM SOP instances"/> 
      <definition value="A selection of DICOM SOP instances within a single Study and Series. This might
       include additional specifics such as a set of frames or an image region, allowing
       linkage to an Observation Resource."/> 

      <min value="0"/> 
      <max value="*"/> 
      <constraint> 
        <key value="isl-8"/> 
        <severity value="error"/> 
        <human value="if present, imageRegion3D.coordinate SHALL have a value count that is a multiple
         of 3"/> 
        <expression value="imageRegion3D.coordinate.exists() implies imageRegion3D.coordinate.count() mod

         3 = 0"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImagingSelection"/>       </constraint>       <constraint>         <key value="isl-7"/>         <severity value="error"/>         <human value="if present, instance.imageRegion2D.coordinate SHALL have a value count that is

         a multiple of 2"/> 
        <expression value="instance.imageRegion2D.coordinate.exists() implies instance.imageRegion2D.coordinate.count()

         mod 2 = 0"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImagingSelection"/>       </constraint>       <constraint>         <key value="isl-9"/>         <severity value="error"/>         <human value="modality SHALL only be present if seriesUid is present"/>         <expression value="modality.exists() implies seriesUid.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/ImagingSelection"/>       </constraint>       <constraint>         <key value="isl-4"/>         <severity value="error"/>         <human value="instance SHALL only be present if seriesUid is present"/>         <expression value="instance.exists() implies seriesUid.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/ImagingSelection"/>       </constraint>       <constraint>         <key value="isl-3"/>         <severity value="error"/>         <human value="seriesNumber SHALL only be present if seriesUid is present"/>         <expression value="seriesNumber.exists() implies seriesUid.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/ImagingSelection"/>       </constraint>       <constraint>         <key value="isl-6"/>         <severity value="error"/>         <human value="imageRegion3D SHALL only be present if instance.imageRegion2D is not present"/>         <expression value="imageRegion3D.exists() implies instance.imageRegion2D.empty()"/>         <source value="http://hl7.org/fhir/StructureDefinition/ImagingSelection"/>       </constraint>       <constraint>         <key value="isl-5"/>         <severity value="error"/>         <human value="imageRegion3D SHALL only be present if frameOfReferenceUid is present"/>         <expression value="imageRegion3D.exists() implies frameOfReferenceUid.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/ImagingSelection"/>       </constraint>       <constraint>         <key value="isl-11"/>         <severity value="error"/>         <human value="if present, instance.waveFormChannel SHALL have a value count that is a multiple

         of 2"/> 
        <expression value="instance.waveFormChannel.exists() implies instance.waveFormChannel.count() mod

         2 = 0"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImagingSelection"/>       </constraint>       <constraint>         <key value="isl-10"/>         <severity value="error"/>         <human value="only one of instance.frameNumber, instance.referencedContentItemIdentifier, instance.segmentN

        umber, instance.regionOfInterest and instance.waveFormChannel SHALL be present"/> 
        <expression value="(instance.frameNumber.exists() implies (instance.referencedContentItemIdentifier.exists()

         or instance.segmentNumber.exists() or instance.regionOfInterest.exists() or instance.waveForm
        Channel.exists()).not()) and (instance.referencedContentItemIdentifier.exists()
         implies (instance.frameNumber.exists() or instance.segmentNumber.exists() or instance.regionO
        fInterest.exists() or instance.waveFormChannel.exists()).not()) and (instance.segmentNumber.ex
        ists() implies (instance.frameNumber.exists() or instance.referencedContentItemIdentifier.exis
        ts() or instance.regionOfInterest.exists() or instance.waveFormChannel.exists()).not())
         and (instance.regionOfInterest.exists() implies (instance.frameNumber.exists()
         or instance.referencedContentItemIdentifier.exists() or instance.segmentNumber.exists()
         or instance.waveFormChannel.exists()).not()) and (instance.waveFormChannel.exists()
         implies (instance.frameNumber.exists() or instance.referencedContentItemIdentifier.exists()
         or instance.segmentNumber.exists() or instance.regionOfInterest.exists()).not())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ImagingSelection"/>       </constraint>       <constraint>         <key value="isl-2"/>         <severity value="error"/>         <human value="seriesUid SHALL only be present if studyUid is present"/>         <expression value="seriesUid.exists() implies studyUid.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/ImagingSelection"/>       </constraint>       <constraint>         <key value="isl-1"/>         <severity value="error"/>         <human value="At least one of seriesUid or imageRegion3D SHALL be present"/>         <expression value="seriesUid.exists() or imageRegion3D.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/ImagingSelection"/>       </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="clinical.diagnostics"/> 
      </mapping> 
      <mapping> 
        <identity value="dicom"/> 
        

        <map value="DICOM Tag Mapping"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.identifier">
      <path value="ImagingSelection.identifier"/> 
      
      
      This is a business identifier, not a resource identifier -- see discussion under
       [Business Identifiers](resource.html#identifiers). 
      

      <short value="Business identifier for imaging selection"/> 
      <definition value="Business identifiers assigned to this imaging selection by the performer and/or
       other systems.  These identifiers remain constant as the resource is updated and
       propagates from server to server."/> 
      <comment value="Note: This is a business identifier, not a resource identifier (see [discussion](resource.htm

      l#identifiers)).  It is best practice for the identifier to only appear on a single
       resource instance, however business practices MAY occasionally dictate that multiple
       resource instances with the same identifier can exist - possibly even with different
       resource types.  For example, multiple Patient and a Person resource instance might
       share the same social insurance number."/> 
      <requirements value="Allows identification of the imaging selection as it is known by various participating

       systems and in a way that remains consistent across servers."/> 

      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <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.status">
      <path value="ImagingSelection.status"/> 
      
      The current state of the ImagingSelection resource. This is not the status of any
       ImagingStudy, ServiceRequest, or Task resources associated with the ImagingSelection.
      Unknown does not represent &quot;other&quot; - one of the defined statuses must
       apply.  Unknown is used when the authoring system is not sure what the current

      <short value="available | entered-in-error | inactive | unknown"/> 
      <definition value="The current state of the imaging selection. This is distinct from the status of
       any imaging study, service request, or task associated with the imaging selection."/> 
      <comment value="Unknown does not represent &quot;other&quot; - one of the defined statuses must

       apply.  Unknown is used when the authoring system is not sure what the current

       status is."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      This element is labeled as a modifier because it is a status element that contains
       status entered-in-error which means that the resource should not be treated as

      <isModifierReason value="This element is labeled as a modifier because it is a status element that contains
       status entered-in-error which means that the resource SHOULD NOT be treated as

       valid"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ImagingSelectionStatus"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The status of the ImagingSelection."/> 
        

        <valueSet value="http://hl7.org/fhir/ValueSet/imagingselection-status|6.0.0-ballot3"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.status"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.category">
      <path value="ImagingSelection.category"/> 
      <short value="Classifies the imaging selection"/> 
      <definition value="Classifies the general purpose of the imaging selection."/> 
      <requirements value="Used for filtering what imaging selections are retrieved and displayed."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ImagingSelectionCode"/> 
        </extension> 
        <strength value="preferred"/> 
        <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="workflow"/> 
        <map value="Event.category"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.modality">
      <path value="ImagingSelection.modality"/> 
      <short value="The distinct modality"/> 
      <definition value="The distinct modality for this selected series. This MAY be either an acquisition
       modality (e.g. CT, MR) or a non-acquisition modality (e.g. segmentation, presentation
       state)."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <condition value="isl-9"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="ImagingSelectionModality"/>         </extension>         <strength value="extensible"/>         <description value="Type of acquired data in the instance."/>         <valueSet value="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html"/>       </binding>       <mapping>         <identity value="dicom"/>         <map value="Modality (0008,0060)"/>       </mapping>     </element>     <element id="ImagingSelection.code">      <path value="ImagingSelection.code"/>       <short value="Imaging Selection purpose text or code"/>       <definition value="Identifies the type of imaging selection."/>       <requirements value="Identifies the type of content and the structure of the imaging selection."/>       <alias value="Description"/>       <min value="1"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <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="workflow"/>         <map value="Event.code"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.what[x]"/>       </mapping>       <mapping>         <identity value="dicom"/>         <map value="Concept Name Code Sequence (0040,A043)"/>       </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> 
      <path value="ImagingSelection.subject"/> 
      
      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.

      <short value="Who or what is the subject of the imaging selection"/> 
      <definition value="The subject, typically a patient, of the imaging selection."/> 
      <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/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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.subject"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        

        <map value="FiveWs.subject"/> 
      </mapping> 
      <mapping> 
        <identity value="dicom"/> 
        

        <map value="Patient ID (0010,0020) and Issuer of Patient ID (0010,0021) and / or Issuer of
         Patient ID Qualifiers Sequence (0010,0024) and / or Patient Name (0010,0010)"/> 

      </mapping> 
    </element> 
    <element id="ImagingSelection.issued">
      <path value="ImagingSelection.issued"/> 
      
      

      <short value="When the imaging selection was created"/> 
      <definition value="Date and time the imaging selection was created."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="instant"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.recorded"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.performer">
      <path value="ImagingSelection.performer"/> 
      
      

      <short value="Who performed imaging selection and what they did"/> 
      <definition value="Indicates who or what performed the imaging selection and how they were involved."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        

        <map value="Event.performer"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.actor"/> 
      </mapping> 
      <mapping> 
        <identity value="dicom"/> 
        

        <map value="One or more of: Performing Physician's Name (0008,1050) and Performing Physician
         Identification Sequence (0008,1052); Operators' Name (0008,1070) and Operator Identification
         Sequence (0008,1072); Manufacturer (0008,0070) and Manufacturer's Model Name (0008,1090);
         or Institution Name (0008,0080)"/> 

      </mapping> 
    </element> 
    <element id="ImagingSelection.performer.function">
      <path value="ImagingSelection.performer.function"/> 
      
      
      

      <short value="Type of performance"/> 
      <definition value="Distinguishes the type of involvement of the performer in the imaging selection."/> 
      <requirements value="Allows disambiguation of the types of involvement of different performers."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <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> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.performer.function"/> 
      </mapping> 
      <mapping> 
        <identity value="dicom"/> 
        <map value="PRF (Performing Physician's Name); SPRF (Operator's Name); DEV (Manufacturer /
         Manufacturer's Model Name); or LOC (Institution Name)"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.performer.actor">
      <path value="ImagingSelection.performer.actor"/> 
      
      
      

      <short value="Who performed the imaging selection"/> 
      <definition value="Indicates who or what performed the imaging selection."/> 
      <min value="1"/> 
      <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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.performer.actor"/> 
      </mapping> 
      <mapping> 
        <identity value="dicom"/> 
        <map value="Practitioner (Performing Physician's Name); Practitioner (Operator's Name); Device
         (Manufacturer / Manufacturer's Model Name); or Organization (Institution Name)"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.basedOn">
      <path value="ImagingSelection.basedOn"/> 
      
      A list of the diagnostic requests that resulted in this imaging selection being
       performed.

      <short value="Fulfills plan or order"/> 
      <definition value="A plan or order that is fulfilled in whole or in part by this imaging selection."/> 
      <requirements value="Allows tracing of authorization for the imaging selection and tracking whether
       proposals/recommendations were acted upon. If the imaging selection is associated
       with an Accession Number, this field SHOULD include a reference to that value in
       the form: identifier.value = (Accession Number Value) identifier.type = ACSN. A
       reference value pointing to a ServiceRequest resource is allowed but is not required."/> 

      <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/Task"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <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 (0080,0050) and Issuer of Accession Number Sequence (0080,0051)"/> 
      </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"/> 
      
      
        
      
      
      
      
      
        
          
        
        
        
        
      
    
    
      
      
      
      *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.
      Knowing what kind of observation is being made is essential to understanding the
       observation.
      
      

      <max value="1"/> 
      <type> 
        

        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      
        
          
        
        
        
        
      
      
        
        
      

    </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."/> 
      See [DICOM PS3.3 C.7.2](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_

      <comment value="See [DICOM PS3.3 C.7.2](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_
      C.7.2.html)."/> 
      DICOM Study Instance UID.
       Required unless frameOfReferenceUid and imageRegion are present and instance
       is not present.

      <alias value="StudyInstanceUID"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="id"/> 
      </type> 
      <example> 
        <label value="General"/> 
        <valueId value="1.2.840.113747.20080222.12753225430534207565993148475333748793"/> 
      </example> 
      <condition value="isl-2"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="dicom"/> 
        <map value="Study Instance UID (0020,000D)"/> 
      </mapping> 
    </element> 
    
      
      
      
      
      
      
        
        
        
      
      
      
      
    
    
      
      The network service providing retrieval for the images referenced in the imaging
       selection
      The network service providing retrieval access to the selected images, frames,
       etc. See implementation notes for information about using DICOM endpoints.
      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.
      Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the selected
       images, frames, etc.
      
      
      
        
        
      
      
      
      
    

    <element id="ImagingSelection.seriesUid">
      <path value="ImagingSelection.seriesUid"/> 
      <short value="DICOM Series Instance UID"/> 
      
      See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_

      <definition value="The DICOM Series Instance UID of the selected series."/> 
      <comment value="See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_
      C.7.3.html)."/> 
      DICOM Series Instance UID.
       Required unless frameOfReferenceUid and imageRegion are present and instance
       is not present.

      <requirements value="Must correspond to a Series that is part of the DICOM study identified by the `studyUid`
       element."/> 

      <alias value="SeriesInstanceUID"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="id"/> 
      </type> 
      <example> 
        <label value="General"/> 
        <valueId value="1.2.840.113747.20080222.12753225430534207565993148475333748793.1"/> 
      </example> 
      <condition value="isl-1"/> 
      <condition value="isl-2"/> 
      <condition value="isl-3"/> 
      <condition value="isl-4"/> 
      <condition value="isl-9"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="dicom"/> 
        <map value="Series Instance UID (0020,000E)"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.seriesNumber">
      <path value="ImagingSelection.seriesNumber"/> 
      
      
      See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_

      <short value="Numeric identifier of the selected series"/> 
      <definition value="The numeric identifier of the selected series in the study."/> 
      <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="Must correspond to the series identified by the `seriesUid` element."/> 
      <alias value="SeriesNumber"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="unsignedInt"/> 
      </type> 
      <condition value="isl-3"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="dicom"/> 
        <map value="Series Number (0020,0011)"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.frameOfReferenceUid">
      <path value="ImagingSelection.frameOfReferenceUid"/> 
      <short value="The Frame of Reference UID for the selected images"/> 
      The Frame of Reference UID identifying the coordinate system that conveys spatial
       and/or temporal information for the selected images or frames.
      See [DICOM PS3.3 C.7.4.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sec

      <definition value="Identifier used to group composite instances that have the same coordinate system
       that conveys spatial and/or temporal information."/> 
      <comment value="See [DICOM PS3.3 C.7.4.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sec
      t_C.7.4.html)."/> 
      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="id"/> 
      </type> 
      <example> 
        <label value="General"/> 
        <valueId value="1.2.840.113747.20080222.12753225430534207565993148475333748793.2"/> 
      </example> 
      <condition value="isl-5"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="dicom"/> 
        <map value="Frame of Reference UID (0020,0052)"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.bodySite">
      <path value="ImagingSelection.bodySite"/> 
      
      The anatomic structures examined. See DICOM Part 16 Annex L (http://dicom.nema.org/medical/di
      com/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings.

      <short value="Selected anatomic structure"/> 
      <definition value="The anatomic structures selected. See [DICOM Part 16 Annex L](http://dicom.nema.org/medical/d
      icom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings.
       The bodySite MAY include the laterality of body part imaged."/> 

      <alias value="BodyPartExamined"/> 
      <alias value="AnatomicRegionSequence"/> 
      <min value="0"/> 
      

      <max value="*"/> 
      <type> 
        <code value="CodeableReference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/BodyStructure"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/binding-definition">
          

          <valueMarkdown value="Codes describing anatomical locations. MAY include laterality."/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BodySite"/> 
        </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) or Anatomic Region Sequence (0008,2218) and Laterality
         (0020,0060)"/> 

      </mapping> 
    </element> 
    <element id="ImagingSelection.focus">
      <path value="ImagingSelection.focus"/> 
      
      The actual focus of an observation when it is not the patient of record representing
       something or someone associated with the patient such as a spouse, parent, fetus,
       or donor. For example, fetus observations in a mother's record.  The focus of an
       observation could also be an existing condition,  an intervention, the subject's
       diet,  another observation of the subject,  or a body structure such as tumor or
       implanted device.   An example use case would be using the Observation resource
       to capture whether the mother is trained to change her child's tracheostomy tube.
       In this example, the child is the patient of record and the mother is the focus.
      An imaging selection may reference a DICOM resource that itself references other

      <short value="Related resources that are the focus for the imaging selection"/> 
      <definition value="The actual focus of an imaging selection when it is another imaging selection resource
       and not the patient of record."/> 
      <comment value="An imaging selection MAY reference a DICOM resource that itself references other
       DICOM resources.
       e.g. a presentation state references a set of source images or frames."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingSelection"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImagingSelection.endpoint">
      <path value="ImagingSelection.endpoint"/> 
      <short value="The network services providing access for the subset of the study"/> 
      <definition value="The network services providing access to the selected images, frames, etc. See
       implementation notes for information about using DICOM endpoints."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Endpoint"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </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="If this element is not present and ImagingSelection.seriesUid is present, all instances
       in the specified series are included in the selection."/> 

      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <condition value="isl-6"/> 
      <condition value="isl-4"/> 
      <condition value="isl-7"/> 
      <condition value="isl-10"/> 
      <condition value="isl-11"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ImagingSelection.instance.uid">
      <path value="ImagingSelection.instance.uid"/> 
      <short value="DICOM SOP Instance UID"/> 
      
      See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect

      <definition value="The SOP Instance UID for the selected DICOM this image or other DICOM content."/> 
      <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.
Must correspond to a SOP Instance that is part of the DICOM series identified by
       the `seriesUID` element."/> 

      <alias value="SOPInstanceUID"/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="id"/> 
      </type> 
      <example> 
        <label value="General"/> 
        <valueId value="1.2.840.113747.20080222.12753225430534207568475333748793.1.1"/> 
      </example> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="dicom"/> 
        <map value="SOP Instance UID (0008,0018)"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.instance.number">
      <path value="ImagingSelection.instance.number"/> 
      
      
      See [DICOM PS3.3 C.7.6.1](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/se

      <short value="The number of this instance in the series"/> 
      <definition value="TThe number of the instance assigned by the creator of the series. MAY or MAY NOT
       correspond to intended display order."/> 
      <comment value="See [DICOM PS3.3 C.7.6.1](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/se
      ct_C.7.6.html#sect_C.7.6.1).
       Note: A multiframe instance has a single instance number with each frame

       Note: A multiframe instance has a single instance number with each frame

       identified by a frame number."/> 
      

      <requirements value="DICOM Instance Number.
Must correspond to the SOP Instance identified by the `uid` element."/> 

      <alias value="InstanceNumber"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="unsignedInt"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="dicom"/> 
        <map value="Instance Number (0020,0011)"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.instance.sopClass">
      <path value="ImagingSelection.instance.sopClass"/> 
      
      
      See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect

      <short value="DICOM class type"/> 
      <definition value="DICOM instance type."/> 
      <comment value="See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect
      _C.12.html)."/> 
      

      <alias value="SOPClassUID"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        

        <code value="oid"/> 
      </type> 
      <example> 
        <label value="General"/> 
        

        <valueOid value="urn:oid:1.2.840.10008.5.1.4.1.1.2"/> 
      </example> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      
        
          
        
        
        
        
      

      <mapping> 
        <identity value="dicom"/> 
        <map value="SOP Class UID (0008,0016)"/> 
      </mapping> 
    </element> 
    
      
      
      Selected subset of the SOP Instance. The content and format of the subset item
       is determined by the SOP Class of the selected instance.
       May be one of:
       - A list of frame numbers selected from a multiframe SOP Instance.
       - A list of Content Item Observation UID values selected from a DICOM SR
       or other structured document SOP Instance.
       - A list of segment numbers selected from a segmentation SOP Instance.
       - A list of Region of Interest (ROI) numbers selected from a radiotherapy
       structure set SOP Instance.

    <element id="ImagingSelection.instance.frameNumber">
      <path value="ImagingSelection.instance.frameNumber"/> 
      <short value="Selected frames"/> 
      <definition value="A list of frame numbers selected from a multiframe SOP Instance (See [DICOM PS
       3.3 Table 10.3](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_10.3.ht
      ml#table_10-3))."/> 
      <requirements value="Only allowed if the value of `instance.sopClass` corresponds to a multiframe SOP

       Class."/> 

      <min value="0"/> 
      <max value="*"/> 
      <type> 
        

        <code value="positiveInt"/> 
      </type> 
      
        
        
      

      <condition value="isl-10"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImagingSelection.instance.referencedContentItemIdentifier">
      <path value="ImagingSelection.instance.referencedContentItemIdentifier"/> 
      <short value="Selected content items"/> 
      <definition value="A list of Referenced Content Item Identifier values selected from a DICOM SR or
       other structured document SOP Instance (See [DICOM PS 3.3 C.17.3.2.5](https://dicom.nema.org/
      medical/dicom/current/output/chtml/part03/sect_C.17.3.2.5.html))."/> 
      <requirements value="Only allowed if the value of `instance.sopClass` corresponds to a DICOM SR or other

       structured document SOP Class."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="positiveInt"/>       </type>       <condition value="isl-10"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="ImagingSelection.instance.segmentNumber">      <path value="ImagingSelection.instance.segmentNumber"/>       <short value="Selected segments"/>       <definition value="A list of segment numbers selected from a segmentation SOP Instance (See [DICOM

       PS 3.3 Table C.8.20-4](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_
      C.8.20.4.html#table_C.8.20-4))."/> 
      <requirements value="Only allowed if the value of `instance.sopClass` corresponds to a segmentation

       SOP Class."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="positiveInt"/>       </type>       <condition value="isl-10"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="ImagingSelection.instance.regionOfInterest">      <path value="ImagingSelection.instance.regionOfInterest"/>       <short value="Selected regions of interest"/>       <definition value="A list of Region of Interest (ROI) numbers selected from a radiotherapy structure

       set SOP Instance (See [DICOM PS 3.3 C.8.8.5](https://dicom.nema.org/medical/dicom/current/out
      put/chtml/part03/sect_C.8.8.5.html))."/> 
      <requirements value="Only allowed if the value of `instance.sopClass` corresponds to a radiotherapy

       structure set SOP Class."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="positiveInt"/>       </type>       <condition value="isl-10"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>     </element>     <element id="ImagingSelection.instance.waveFormChannel">      <path value="ImagingSelection.instance.waveFormChannel"/>       <short value="Selected waveform channel"/>       <definition value="A list of channels in a Waveform selected from an instance of a waveform SOP Class.
Each channel is specified as a pair of values where the first value is the Multiplex
       Group Number, and the second value is the Channel Number within the multiplex group
       (See [DICOM PS 3.3 C.18.5.1.1](https://dicom.nema.org/medical/dicom/current/output/chtml/part
      03/sect_C.18.5.html#sect_C.18.5.1.1))."/> 
      <requirements value="Only allowed if the value of `instance.sopClass` corresponds to a waveform  structure

       set SOP Class."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="positiveInt"/>       </type>       <condition value="isl-10"/>       <condition value="isl-11"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImagingSelection.instance.imageRegion2D">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="ImageRegion2D"/> 
      </extension> 
      <path value="ImagingSelection.instance.imageRegion2D"/> 
      
      Each imaging selection instance or frame list might includes an image region, specified
       by a region type and a set of 2D coordinates.
       If the parent imagingSelection.instance contains a subset element of type
       frame, the image region applies to all frames in the subset list.
      

      <short value="A 2D region in an image"/> 
      <definition value="Specifies an image region, defined by a region type and a set of 2D coordinates
       in pixel space."/> 
      <requirements value="SHALL NOT be present if the parent imagingSelection.instance is not an image. If

       the parent imagingSelection.instance contains a subset element of type frame, the
       image region applies to all frames in the subset list."/> 

      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <condition value="isl-6"/> 
      <condition value="isl-7"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="ImagingSelection.instance.imageRegion2D.regionType">
      <path value="ImagingSelection.instance.imageRegion2D.regionType"/> 
      
      
      See [DICOM PS3.3 C.10.5.1.2](https://dicom.nema.org/medical/dicom/current/output/chtml/part03

      <short value="point | polyline | multipoint | circle | ellipse"/> 
      <definition value="The type of image region."/> 
      <comment value="See [DICOM PS3.3 C.10.5.1.2](https://dicom.nema.org/medical/dicom/current/output/chtml/part03
      /sect_C.10.5.html#sect_C.10.5.1.2)."/> 
      <alias value="GraphicType"/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ImagingSelection2DGraphicType"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The type of image region."/> 
        

        <valueSet value="http://hl7.org/fhir/ValueSet/imagingselection-2dgraphictype|6.0.0-ballot3"/> 
      </binding> 
      <mapping> 
        <identity value="dicom"/> 
        <map value="Graphic Type (0070,0023)"/> 
      </mapping> 
    </element> 
    <element id="ImagingSelection.instance.imageRegion2D.coordinate">
      <path value="ImagingSelection.instance.imageRegion2D.coordinate"/> 
      
      The coordinates describing the image region. Encoded as a set of (column, row)
       pairs that denote positions in the selected image / frames specified with sub-pixel
       resolution.
       The origin at the TLHC of the TLHC pixel is 0.0\0.0, the BRHC of the TLHC
       pixel is 1.0\1.0, and the BRHC of the BRHC pixel is the number of columns\rows
       in the image / frames. The values must be within the range 0\0 to the number of
       columns\rows in the image / frames.
      For a description of how 2D coordinates are encoded, see [DICOM PS3.3 C.18.6](http://dicom.ne
      ma.org/medical/dicom/current/output/chtml/part03/sect_C.18.6.html).
      

      <short value="The coordinates that define the image region"/> 
      <definition value="The coordinates defining the image region. Encoded as a set of (column, row) pairs
       that denote positions in the selected image / frames specified with sub-pixel resolution.
The origin at the TLHC of the TLHC pixel is 0.0\0.0, the BRHC of the TLHC pixel
       is 1.0\1.0, and the BRHC of the BRHC pixel is the number of columns\rows in the
       image / frames. The values SHALL be within the range 0\0 to the number of columns\rows
       in the image / frames."/> 
      <comment value="For a description of how 2D coordinates are encoded, see [DICOM PS 3.3 C.18.6](http://dicom.n

      ema.org/medical/dicom/current/output/chtml/part03/sect_C.18.6.html)."/> 
      <requirements value="The number of values SHALL be a multiple of two."/> 
      <alias value="GraphicData"/> 
      <min value="1"/> 
      <max value="*"/> 
      <type> 
        <code value="decimal"/> 
      </type> 
      <orderMeaning value="The values are an ordered set of (x, y) coordinates."/> 
      <condition value="isl-7"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="dicom"/> 
        <map value="Graphic Data (0070,0022)"/> 
      </mapping> 
    </element> 
    

    <element id="ImagingSelection.imageRegion3D">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="ImageRegion3D"/> 
      </extension> 
      
      
      Each imaging selection might includes a 3D image region, specified by a region
       type and a set of 3D coordinates.
      

      <path value="ImagingSelection.imageRegion3D"/> 
      <short value="A 3D region in a DICOM frame of reference"/> 
      <definition value="Specifies a 3D image region, defined by a region type and a set of 3D coordinates."/> 
      <requirements value="The referenced 3D image region must be in the coordinate system identified by the
       `frameOfReferenceUid` element"/> 

      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <condition value="isl-1"/> 
      <condition value="isl-5"/> 
      <condition value="isl-6"/> 
      <condition value="isl-8"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    
      

    <element id="ImagingSelection.imageRegion3D.regionType">
      <path value="ImagingSelection.imageRegion3D.regionType"/> 
      <short value="point | multipoint | polyline | polygon | ellipse | ellipsoid"/> 
      <definition value="Specifies the type of image region."/> 
      See [DICOM PS3.3 C.18.9.1.2](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/

      <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> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ImagingSelection3DGraphicType"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The type of image region."/> 
        

        <valueSet value="http://hl7.org/fhir/ValueSet/imagingselection-3dgraphictype|6.0.0-ballot3"/> 
      </binding> 
      <mapping> 
        <identity value="dicom"/> 
        <map value="Graphic Type (0070,0023)"/> 
      </mapping> 
    </element> 
    
      

    <element id="ImagingSelection.imageRegion3D.coordinate">
      <path value="ImagingSelection.imageRegion3D.coordinate"/> 
      <short value="Specifies the coordinates that define the image region"/> 
      The coordinates describing the image region. Encoded as an ordered set of (x,y,z)
       triplets (in mm and may be negative) that define a region of interest in the patient-relative

      <definition value="The coordinates defining the image region. Encoded as an ordered set of (x,y,z)
       triplets (in mm and MAY be negative) that define a region of interest in the patient-relative

       Reference Coordinate System defined by ImagingSelection.frameOfReferenceUid element."/> 
      For a description of how 3D coordinates are encoded, see [DICOM PS3.3 C.18.9](http://dicom.ne

      <comment value="For a description of how 3D coordinates are encoded, see [DICOM PS3.3 C.18.9](http://dicom.ne
      ma.org/medical/dicom/current/output/chtml/part03/sect_C.18.9.html)."/> 
      

      <requirements value="The number of values SHALL be a multiple of three."/> 
      <alias value="GraphicData"/> 
      <min value="1"/> 
      <max value="*"/> 
      <type> 
        <code value="decimal"/> 
      </type> 
      <orderMeaning value="The values are an ordered set of (x, y, z) coordinates."/> 
      <condition value="isl-8"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="dicom"/> 
        <map value="Graphic Data (0070,0022)"/> 
      </mapping> 
    </element> 
  </differential> 


</

StructureDefinition

>



Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.