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Packagehl7.fhir.uv.xver-r5.r4
Resource TypeConceptMap
IdConceptMap-R5-ImagingSelection-element-map-to-R4.json
FHIR VersionR4
Sourcehttp://hl7.org/fhir/uv/xver-r5.r4/0.1.0/ConceptMap-R5-ImagingSelection-element-map-to-R4.html
URLhttp://hl7.org/fhir/uv/xver/ConceptMap/R5-ImagingSelection-element-map-to-R4
Version0.1.0
Statusactive
Date2026-03-17T16:04:45.8918163-05:00
NameR5ImagingSelectionElementMapToR4
TitleCross-version mapping for FHIR R5 ImagingSelection to FHIR R4 Basic
Realmuv
Authorityhl7
DescriptionThis ConceptMap represents cross-version mappings for elements from a FHIR R5 ImagingSelection to FHIR R4.

Resources that use this resource

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Resources that this resource uses

StructureDefinition
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ImagingSelection.basedOnR5: Associated request (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ImagingSelection.bodySiteR5: Body part examined (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ImagingSelection.categoryR5: Classifies the imaging selection (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ImagingSelection.codeR5: Imaging Selection purpose text or code (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ImagingSelection.derivedFromR5: The imaging study from which the imaging selection is derived (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ImagingSelection.endpointR5: The network service providing retrieval for the images referenced in the imaging selection (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ImagingSelection.focusR5: Related resource that is the focus for the imaging selection (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ImagingSelection.frameOfReferenceUidR5: The Frame of Reference UID for the selected images (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ImagingSelection.instanceR5: The selected instances (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ImagingSelection.issuedR5: Date / Time when this imaging selection was created (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ImagingSelection.performerR5: Selector of the instances (human or machine) (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ImagingSelection.seriesNumberR5: DICOM Series Number (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ImagingSelection.seriesUidR5: DICOM Series Instance UID (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ImagingSelection.statusR5: available | entered-in-error | unknown (new)
hl7.fhir.uv.xver-r5.r4#0.1.0extension-ImagingSelection.studyUidR5: DICOM Study Instance UID (new)

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ConceptMap R5-ImagingSelection-element-map-to-R4

Mapping from http://hl7.org/fhir/5.0 to http://hl7.org/fhir/4.0


Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/ImagingSelection|5.0.0 to Basicversion: 4.0.1)

Source CodeRelationshipTarget CodeComment
ImagingSelection.meta (meta)is equivalent toBasic.metaElement matches Basic element path `Basic.meta` (`Resource.meta`), use that element instead. Element `ImagingSelection.meta` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.meta` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ImagingSelection.implicitRules (implicitRules)is equivalent toBasic.implicitRulesElement matches Basic element path `Basic.implicitRules` (`Resource.implicitRules`), use that element instead. Element `ImagingSelection.implicitRules` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.implicitRules` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). 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.
ImagingSelection.language (language)is equivalent toBasic.languageElement matches Basic element path `Basic.language` (`Resource.language`), use that element instead. Element `ImagingSelection.language` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.language` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). 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).
ImagingSelection.text (text)is equivalent toBasic.textElement matches Basic element path `Basic.text` (`DomainResource.text`), use that element instead. Element `ImagingSelection.text` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.text` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). 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 "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
ImagingSelection.contained (contained)is equivalent toBasic.containedElement matches Basic element path `Basic.contained` (`DomainResource.contained`), use that element instead. Element `ImagingSelection.contained` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.contained` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). 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.
ImagingSelection.identifier (identifier)is equivalent toBasic.identifierElement matches Basic element path `Basic.identifier` (`Basic.identifier`), use that element instead. Element `ImagingSelection.identifier` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.identifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This is a business identifier, not a resource identifier -- see discussion under [Business Identifiers](https://hl7.org/fhir/resource.htm#identifiers).
ImagingSelection.subject (subject)is equivalent toBasic.subjectElement matches Basic element path `Basic.subject` (`Basic.subject`), use that element instead. Element `ImagingSelection.subject` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.subject` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/ImagingSelection|5.0.0 to R5: available | entered-in-error | unknown (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ImagingSelection.status (status)maps to wider conceptExtension (R5: available | entered-in-error | unknown (new))Element `ImagingSelection.status` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.status` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.

Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/ImagingSelection|5.0.0 to R5: Date / Time when this imaging selection was created (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ImagingSelection.issued (issued)maps to wider conceptExtension (R5: Date / Time when this imaging selection was created (new))Element `ImagingSelection.issued` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.issued` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/ImagingSelection|5.0.0 to R5: Selector of the instances (human or machine) (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ImagingSelection.performer (performer)maps to wider conceptExtension (R5: Selector of the instances (human or machine) (new))Element `ImagingSelection.performer` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.performer` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ImagingSelection.performer.function (function)maps to wider conceptExtension.extension:function (R5: Type of performer (new))Element `ImagingSelection.performer.function` is part of an existing definition because parent element `ImagingSelection.performer` requires a cross-version extension. Element `ImagingSelection.performer.function` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.performer.function` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ImagingSelection.performer.actor (actor)maps to wider conceptExtension.extension:actor (R5: Author (human or machine) (new))Element `ImagingSelection.performer.actor` is part of an existing definition because parent element `ImagingSelection.performer` requires a cross-version extension. Element `ImagingSelection.performer.actor` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.performer.actor` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/ImagingSelection|5.0.0 to R5: Associated request (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ImagingSelection.basedOn (basedOn)maps to wider conceptExtension (R5: Associated request (new))Element `ImagingSelection.basedOn` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.basedOn` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/ImagingSelection|5.0.0 to R5: Classifies the imaging selection (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ImagingSelection.category (category)maps to wider conceptExtension (R5: Classifies the imaging selection (new))Element `ImagingSelection.category` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.category` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/ImagingSelection|5.0.0 to R5: Imaging Selection purpose text or code (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ImagingSelection.code (code)maps to wider conceptExtension (R5: Imaging Selection purpose text or code (new))Element `ImagingSelection.code` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.code` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). *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.

Group 8 Mapping from http://hl7.org/fhir/StructureDefinition/ImagingSelection|5.0.0 to R5: DICOM Study Instance UID (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ImagingSelection.studyUid (studyUid)maps to wider conceptExtension (R5: DICOM Study Instance UID (new))Element `ImagingSelection.studyUid` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.studyUid` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). See [DICOM PS3.3 C.7.2](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html).

Group 9 Mapping from http://hl7.org/fhir/StructureDefinition/ImagingSelection|5.0.0 to R5: The imaging study from which the imaging selection is derived (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ImagingSelection.derivedFrom (derivedFrom)maps to wider conceptExtension (R5: The imaging study from which the imaging selection is derived (new))Element `ImagingSelection.derivedFrom` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.derivedFrom` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Group 10 Mapping from http://hl7.org/fhir/StructureDefinition/ImagingSelection|5.0.0 to R5: The network service providing retrieval for the images referenced in the imaging selection (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ImagingSelection.endpoint (endpoint)maps to wider conceptExtension (R5: The network service providing retrieval for the images referenced in the imaging selection (new))Element `ImagingSelection.endpoint` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.endpoint` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). 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.

Group 11 Mapping from http://hl7.org/fhir/StructureDefinition/ImagingSelection|5.0.0 to R5: DICOM Series Instance UID (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ImagingSelection.seriesUid (seriesUid)maps to wider conceptExtension (R5: DICOM Series Instance UID (new))Element `ImagingSelection.seriesUid` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.seriesUid` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.3.html).

Group 12 Mapping from http://hl7.org/fhir/StructureDefinition/ImagingSelection|5.0.0 to R5: DICOM Series Number (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ImagingSelection.seriesNumber (seriesNumber)maps to wider conceptExtension (R5: DICOM Series Number (new))Element `ImagingSelection.seriesNumber` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.seriesNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.3.html).

Group 13 Mapping from http://hl7.org/fhir/StructureDefinition/ImagingSelection|5.0.0 to R5: The Frame of Reference UID for the selected images (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ImagingSelection.frameOfReferenceUid (frameOfReferenceUid)maps to wider conceptExtension (R5: The Frame of Reference UID for the selected images (new))Element `ImagingSelection.frameOfReferenceUid` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.frameOfReferenceUid` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). See [DICOM PS3.3 C.7.4.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.4.html).

Group 14 Mapping from http://hl7.org/fhir/StructureDefinition/ImagingSelection|5.0.0 to R5: Body part examined (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ImagingSelection.bodySite (bodySite)maps to wider conceptExtension (R5: Body part examined (new))Element `ImagingSelection.bodySite` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.bodySite` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Group 15 Mapping from http://hl7.org/fhir/StructureDefinition/ImagingSelection|5.0.0 to R5: Related resource that is the focus for the imaging selection (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ImagingSelection.focus (focus)maps to wider conceptExtension (R5: Related resource that is the focus for the imaging selection (new))Element `ImagingSelection.focus` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.focus` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). 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.

Group 16 Mapping from http://hl7.org/fhir/StructureDefinition/ImagingSelection|5.0.0 to R5: The selected instances (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ImagingSelection.instance (instance)maps to wider conceptExtension (R5: The selected instances (new))Element `ImagingSelection.instance` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.instance` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ImagingSelection.instance.uid (uid)maps to wider conceptExtension.extension:uid (R5: DICOM SOP Instance UID (new))Element `ImagingSelection.instance.uid` is part of an existing definition because parent element `ImagingSelection.instance` requires a cross-version extension. Element `ImagingSelection.instance.uid` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.instance.uid` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html).
ImagingSelection.instance.number (number)maps to wider conceptExtension.extension:number (R5: DICOM Instance Number (new))Element `ImagingSelection.instance.number` is part of an existing definition because parent element `ImagingSelection.instance` requires a cross-version extension. Element `ImagingSelection.instance.number` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.instance.number` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). See [DICOM PS3.3 C.7.6.1](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.6.html#sect_C.7.6.1). Note: A multiframe instance has a single instance number with each frame identified by a frame number.
ImagingSelection.instance.sopClass (sopClass)maps to wider conceptExtension.extension:sopClass (R5: DICOM SOP Class UID (new))Element `ImagingSelection.instance.sopClass` is part of an existing definition because parent element `ImagingSelection.instance` requires a cross-version extension. Element `ImagingSelection.instance.sopClass` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.instance.sopClass` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). See [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html).
ImagingSelection.instance.subset (subset)maps to wider conceptExtension.extension:subset (R5: The selected subset of the SOP Instance (new))Element `ImagingSelection.instance.subset` is part of an existing definition because parent element `ImagingSelection.instance` requires a cross-version extension. Element `ImagingSelection.instance.subset` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.instance.subset` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ImagingSelection.instance.imageRegion2D (imageRegion2D)maps to wider conceptExtension.extension:imageRegion2D (R5: A specific 2D region in a DICOM image / frame (new))Element `ImagingSelection.instance.imageRegion2D` is part of an existing definition because parent element `ImagingSelection.instance` requires a cross-version extension. Element `ImagingSelection.instance.imageRegion2D` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.instance.imageRegion2D` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ImagingSelection.instance.imageRegion2D.regionType (regionType)maps to wider conceptExtension.extension:imageRegion2D.extension:regionType (R5: point | polyline | interpolated | circle | ellipse (new))Element `ImagingSelection.instance.imageRegion2D.regionType` is part of an existing definition because parent element `ImagingSelection.instance.imageRegion2D` requires a cross-version extension. Element `ImagingSelection.instance.imageRegion2D.regionType` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.instance.imageRegion2D.regionType` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). 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).
ImagingSelection.instance.imageRegion2D.coordinate (coordinate)maps to wider conceptExtension.extension:imageRegion2D.extension:coordinate (R5: Specifies the coordinates that define the image region (new))Element `ImagingSelection.instance.imageRegion2D.coordinate` is part of an existing definition because parent element `ImagingSelection.instance.imageRegion2D` requires a cross-version extension. Element `ImagingSelection.instance.imageRegion2D.coordinate` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.instance.imageRegion2D.coordinate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). For a description of how 2D coordinates are encoded, see [DICOM PS3.3 C.18.6](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.18.6.html).
ImagingSelection.instance.imageRegion3D (imageRegion3D)maps to wider conceptExtension.extension:imageRegion3D (R5: A specific 3D region in a DICOM frame of reference (new))Element `ImagingSelection.instance.imageRegion3D` is part of an existing definition because parent element `ImagingSelection.instance` requires a cross-version extension. Element `ImagingSelection.instance.imageRegion3D` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.instance.imageRegion3D` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
ImagingSelection.instance.imageRegion3D.regionType (regionType)maps to wider conceptExtension.extension:imageRegion3D.extension:regionType (R5: point | multipoint | polyline | polygon | ellipse | ellipsoid (new))Element `ImagingSelection.instance.imageRegion3D.regionType` is part of an existing definition because parent element `ImagingSelection.instance.imageRegion3D` requires a cross-version extension. Element `ImagingSelection.instance.imageRegion3D.regionType` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.instance.imageRegion3D.regionType` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). 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).
ImagingSelection.instance.imageRegion3D.coordinate (coordinate)maps to wider conceptExtension.extension:imageRegion3D.extension:coordinate (R5: Specifies the coordinates that define the image region (new))Element `ImagingSelection.instance.imageRegion3D.coordinate` is part of an existing definition because parent element `ImagingSelection.instance.imageRegion3D` requires a cross-version extension. Element `ImagingSelection.instance.imageRegion3D.coordinate` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped. Element `ImagingSelection.instance.imageRegion3D.coordinate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). For a description of how 3D coordinates are encoded, see [DICOM PS3.3 C.18.9](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.18.9.html).

Source1

{
  "resourceType": "ConceptMap",
  "id": "R5-ImagingSelection-element-map-to-R4",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fhir"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ConceptMap/R5-ImagingSelection-element-map-to-R4",
  "version": "0.1.0",
  "name": "R5ImagingSelectionElementMapToR4",
  "title": "Cross-version mapping for FHIR R5 ImagingSelection to FHIR R4 Basic",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:04:45.8918163-05:00",
  "contact": [
    {
      "name": "FHIR Infrastructure",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description": "This ConceptMap represents cross-version mappings for elements from a FHIR R5 ImagingSelection to FHIR R4.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "sourceCanonical": "http://hl7.org/fhir/5.0",
  "targetUri": "http://hl7.org/fhir/4.0",
  "group": [
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/StructureDefinition/Basic",
      "targetVersion": "4.0.1",
      "element": [
        {
          "code": "ImagingSelection.meta",
          "display": "meta",
          "target": [
            {
              "code": "Basic.meta",
              "display": "Basic.meta",
              "equivalence": "equivalent",
              "comment": "Element matches Basic element path `Basic.meta` (`Resource.meta`), use that element instead.\nElement `ImagingSelection.meta` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.meta` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ImagingSelection.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "code": "Basic.implicitRules",
              "display": "Basic.implicitRules",
              "equivalence": "equivalent",
              "comment": "Element matches Basic element path `Basic.implicitRules` (`Resource.implicitRules`), use that element instead.\nElement `ImagingSelection.implicitRules` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.implicitRules` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAsserting 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."
            }
          ]
        },
        {
          "code": "ImagingSelection.language",
          "display": "language",
          "target": [
            {
              "code": "Basic.language",
              "display": "Basic.language",
              "equivalence": "equivalent",
              "comment": "Element matches Basic element path `Basic.language` (`Resource.language`), use that element instead.\nElement `ImagingSelection.language` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.language` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nLanguage 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)."
            }
          ]
        },
        {
          "code": "ImagingSelection.text",
          "display": "text",
          "target": [
            {
              "code": "Basic.text",
              "display": "Basic.text",
              "equivalence": "equivalent",
              "comment": "Element matches Basic element path `Basic.text` (`DomainResource.text`), use that element instead.\nElement `ImagingSelection.text` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.text` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nContained 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 \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later."
            }
          ]
        },
        {
          "code": "ImagingSelection.contained",
          "display": "contained",
          "target": [
            {
              "code": "Basic.contained",
              "display": "Basic.contained",
              "equivalence": "equivalent",
              "comment": "Element matches Basic element path `Basic.contained` (`DomainResource.contained`), use that element instead.\nElement `ImagingSelection.contained` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.contained` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThis 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."
            }
          ]
        },
        {
          "code": "ImagingSelection.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "Basic.identifier",
              "display": "Basic.identifier",
              "equivalence": "equivalent",
              "comment": "Element matches Basic element path `Basic.identifier` (`Basic.identifier`), use that element instead.\nElement `ImagingSelection.identifier` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.identifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThis is a business identifier, not a resource identifier -- see discussion under [Business Identifiers](https://hl7.org/fhir/resource.htm#identifiers)."
            }
          ]
        },
        {
          "code": "ImagingSelection.subject",
          "display": "subject",
          "target": [
            {
              "code": "Basic.subject",
              "display": "Basic.subject",
              "equivalence": "equivalent",
              "comment": "Element matches Basic element path `Basic.subject` (`Basic.subject`), use that element instead.\nElement `ImagingSelection.subject` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.subject` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.status",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ImagingSelection.status",
          "display": "status",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.status` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.status` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nUnknown does not represent \"other\" - one of the defined statuses must apply.  Unknown is used when the authoring system is not sure what the current status is."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.issued",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ImagingSelection.issued",
          "display": "issued",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.issued` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.issued` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.performer",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ImagingSelection.performer",
          "display": "performer",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.performer` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.performer` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ImagingSelection.performer.function",
          "display": "function",
          "target": [
            {
              "code": "Extension.extension:function",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.performer.function` is part of an existing definition because parent element `ImagingSelection.performer` requires a cross-version extension.\nElement `ImagingSelection.performer.function` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.performer.function` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ImagingSelection.performer.actor",
          "display": "actor",
          "target": [
            {
              "code": "Extension.extension:actor",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.performer.actor` is part of an existing definition because parent element `ImagingSelection.performer` requires a cross-version extension.\nElement `ImagingSelection.performer.actor` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.performer.actor` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.basedOn",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ImagingSelection.basedOn",
          "display": "basedOn",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.basedOn` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.basedOn` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.category",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ImagingSelection.category",
          "display": "category",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.category` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.category` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.code",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ImagingSelection.code",
          "display": "code",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.code` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.code` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\n*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."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.studyUid",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ImagingSelection.studyUid",
          "display": "studyUid",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.studyUid` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.studyUid` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nSee [DICOM PS3.3 C.7.2](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.derivedFrom",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ImagingSelection.derivedFrom",
          "display": "derivedFrom",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.derivedFrom` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.derivedFrom` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.endpoint",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ImagingSelection.endpoint",
          "display": "endpoint",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.endpoint` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.endpoint` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nTypical 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."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.seriesUid",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ImagingSelection.seriesUid",
          "display": "seriesUid",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.seriesUid` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.seriesUid` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nSee [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.3.html)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.seriesNumber",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ImagingSelection.seriesNumber",
          "display": "seriesNumber",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.seriesNumber` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.seriesNumber` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nSee [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.3.html)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.frameOfReferenceUid",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ImagingSelection.frameOfReferenceUid",
          "display": "frameOfReferenceUid",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.frameOfReferenceUid` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.frameOfReferenceUid` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nSee [DICOM PS3.3 C.7.4.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.4.html)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.bodySite",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ImagingSelection.bodySite",
          "display": "bodySite",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.bodySite` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.bodySite` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.focus",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ImagingSelection.focus",
          "display": "focus",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.focus` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.focus` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nAn imaging selection may reference a DICOM resource that itself references other DICOM resources.\n       e.g. a presentation state references a set of source images or frames."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/ImagingSelection",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImagingSelection.instance",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "ImagingSelection.instance",
          "display": "instance",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.instance` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.instance` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ImagingSelection.instance.uid",
          "display": "uid",
          "target": [
            {
              "code": "Extension.extension:uid",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.instance.uid` is part of an existing definition because parent element `ImagingSelection.instance` requires a cross-version extension.\nElement `ImagingSelection.instance.uid` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.instance.uid` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nSee [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html)."
            }
          ]
        },
        {
          "code": "ImagingSelection.instance.number",
          "display": "number",
          "target": [
            {
              "code": "Extension.extension:number",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.instance.number` is part of an existing definition because parent element `ImagingSelection.instance` requires a cross-version extension.\nElement `ImagingSelection.instance.number` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.instance.number` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nSee [DICOM PS3.3 C.7.6.1](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.6.html#sect_C.7.6.1).\n       Note: A multiframe instance has a single instance number with each frame identified by a frame number."
            }
          ]
        },
        {
          "code": "ImagingSelection.instance.sopClass",
          "display": "sopClass",
          "target": [
            {
              "code": "Extension.extension:sopClass",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.instance.sopClass` is part of an existing definition because parent element `ImagingSelection.instance` requires a cross-version extension.\nElement `ImagingSelection.instance.sopClass` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.instance.sopClass` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nSee [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html)."
            }
          ]
        },
        {
          "code": "ImagingSelection.instance.subset",
          "display": "subset",
          "target": [
            {
              "code": "Extension.extension:subset",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.instance.subset` is part of an existing definition because parent element `ImagingSelection.instance` requires a cross-version extension.\nElement `ImagingSelection.instance.subset` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.instance.subset` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ImagingSelection.instance.imageRegion2D",
          "display": "imageRegion2D",
          "target": [
            {
              "code": "Extension.extension:imageRegion2D",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.instance.imageRegion2D` is part of an existing definition because parent element `ImagingSelection.instance` requires a cross-version extension.\nElement `ImagingSelection.instance.imageRegion2D` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.instance.imageRegion2D` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ImagingSelection.instance.imageRegion2D.regionType",
          "display": "regionType",
          "target": [
            {
              "code": "Extension.extension:imageRegion2D.extension:regionType",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.instance.imageRegion2D.regionType` is part of an existing definition because parent element `ImagingSelection.instance.imageRegion2D` requires a cross-version extension.\nElement `ImagingSelection.instance.imageRegion2D.regionType` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.instance.imageRegion2D.regionType` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nSee [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)."
            }
          ]
        },
        {
          "code": "ImagingSelection.instance.imageRegion2D.coordinate",
          "display": "coordinate",
          "target": [
            {
              "code": "Extension.extension:imageRegion2D.extension:coordinate",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.instance.imageRegion2D.coordinate` is part of an existing definition because parent element `ImagingSelection.instance.imageRegion2D` requires a cross-version extension.\nElement `ImagingSelection.instance.imageRegion2D.coordinate` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.instance.imageRegion2D.coordinate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nFor a description of how 2D coordinates are encoded, see [DICOM PS3.3 C.18.6](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.18.6.html)."
            }
          ]
        },
        {
          "code": "ImagingSelection.instance.imageRegion3D",
          "display": "imageRegion3D",
          "target": [
            {
              "code": "Extension.extension:imageRegion3D",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.instance.imageRegion3D` is part of an existing definition because parent element `ImagingSelection.instance` requires a cross-version extension.\nElement `ImagingSelection.instance.imageRegion3D` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.instance.imageRegion3D` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."
            }
          ]
        },
        {
          "code": "ImagingSelection.instance.imageRegion3D.regionType",
          "display": "regionType",
          "target": [
            {
              "code": "Extension.extension:imageRegion3D.extension:regionType",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.instance.imageRegion3D.regionType` is part of an existing definition because parent element `ImagingSelection.instance.imageRegion3D` requires a cross-version extension.\nElement `ImagingSelection.instance.imageRegion3D.regionType` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.instance.imageRegion3D.regionType` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nSee [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)."
            }
          ]
        },
        {
          "code": "ImagingSelection.instance.imageRegion3D.coordinate",
          "display": "coordinate",
          "target": [
            {
              "code": "Extension.extension:imageRegion3D.extension:coordinate",
              "equivalence": "wider",
              "comment": "Element `ImagingSelection.instance.imageRegion3D.coordinate` is part of an existing definition because parent element `ImagingSelection.instance.imageRegion3D` requires a cross-version extension.\nElement `ImagingSelection.instance.imageRegion3D.coordinate` is not mapped to FHIR R4, since FHIR R5 `ImagingSelection` is not mapped.\nElement `ImagingSelection.instance.imageRegion3D.coordinate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nFor a description of how 3D coordinates are encoded, see [DICOM PS3.3 C.18.9](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.18.9.html)."
            }
          ]
        }
      ]
    }
  ]
}