DICOM SR to FHIR Resource Mapping IG, published by HL7 International / Imaging Integration. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/dicom-sr/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON
• TTL

Resource Profile: Observation - DICOM SR Imaging Measurement Group Mapping ( Abstract Experimental )

DICOM SR TID Imaging Measurement Group Mapping to Observation

Usage:

• Refer to this Resource Profile: Observation - DICOM SR Derived Imaging Measurement Mapping to Observation

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	This is an abstract profile. Measurements and simple assertions
Slices for identifier		0..*	Identifier	Business Identifier for observation Slice: Unordered, Open by value:type
identifier:observationUID	S	0..*	Identifier	The unique identifier for the measurement group.
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/dicom-sr/CodeSystem/dicom-identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: observation-uid
display		1..1	string	Representation defined by the system Fixed Value: Observation UID
system		0..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
value		1..1	string	The value that is unique
Slices for basedOn		0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order Slice: Unordered, Open by type:reference
basedOn:serviceRequestRef	S	0..1	Reference(ServiceRequest)	Description of the related ServiceRequest
identifier		0..1	Identifier	The accession number related to the performed study
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ACSN
display		1..1	string	Representation defined by the system Fixed Value: Accession ID
value		1..1	string	The value that is unique
Slices for partOf		1..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy)	Part of referenced event Slice: Unordered, Open by type:reference
partOf:imagingStudyRef	S	1..1	Reference(ImagingStudy)	Related ImagingStudy
identifier		0..1	Identifier	Identifier related to Study Instance UID
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/dicom-sr/CodeSystem/dicom-identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: study-instance-uid
display		1..1	string	Representation defined by the system Fixed Value: Study Instance UID
system		0..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
value		1..1	string	The value that is unique
category	S	0..*	CodeableConcept	Classification of type of observation Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 125007
display		1..1	string	Representation defined by the system Fixed Value: Measurement Group
code	S	1..1	CodeableConcept	Type of observation (code / type)
subject	S	1..1	Reference(Patient)	Who and/or what the observation is about
Slices for focus		0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record Slice: Unordered, Open by value:type
focus:trackingUidBodyStructure	S	0..*	Reference(BodyStructure)	What the observation is about, when it is not about the subject of record
identifier		0..1	Identifier	A unique identifier used for tracking a finding or feature, potentially across multiple reporting objects, over time
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/dicom-sr/CodeSystem/dicom-identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: tracking-uid
display		1..1	string	Representation defined by the system Fixed Value: Tracking UID
system		0..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
value		1..1	string	The value that is unique
focus:imageRegion2d	S	0..*	Reference(Imaging Selection - DICOM SR 2D Image Region Mapping)	2D Image Region
focus:imageRegion3d	S	0..*	Reference(Imaging Selection - DICOM SR Image 3D Region Mapping)	3D Image Region
focus:referencedSegment	S	0..*	Reference(Imaging Selection - DICOM SR Referenced Segment Mapping)	Referenced Segment
focus:referencedSegmentationFrame	S	0..*	Reference(Imaging Selection - DICOM SR Referenced Segmentation Frame Mapping)	Referenced Segmentation Frame
focus:sourceImageForSegmentation	S	0..*	Reference(Imaging Selection - DICOM SR Source Image For Segmentation Mapping)	Source Image for Segmentation
focus:sourceSeriesForSegmentation	S	0..*	Reference(Imaging Selection - DICOM SR Source Series For Segmentation Mapping)	Source Series for Segmentation
focus:regionInSpace	S	0..*	Reference(Imaging Selection - DICOM SR Region In Space)	RegionInSpace
focus:volumeSurface	S	0..*	Reference(Imaging Selection - DICOM SR Image Volume Surface Mapping)	Volume Surface
focus:realWorldValueMap	S	0..*	Reference(Imaging Selection - DICOM SR Real World Value Map)	Real World Value Map
focus:illustrationOfRoi	S	0..*	Reference(Imaging Selection - DICOM SR Illustration Of ROI Mapping)	Illustration of ROI
focus:visualExplanation	S	0..*	Reference(Imaging Selection - DICOM SR Visual Explanation Mapping)	VisualExplanation
issued	S	1..1	instant	Observation Date Time
value[x]	S	0..1	CodeableConcept	Observation finding
interpretation	S	0..*	CodeableConcept	High, low, normal, etc
device	S	1..1	Reference(Device - DICOM SR TID 4019 Algorithm Identification Mapping | Device - DICOM General Equipment)	Algorithm Identification or General Equipment Device
Slices for hasMember		0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group Slice: Unordered, Open by value:type
hasMember:imagingMeasurement	S	0..*	Reference(Observation - DICOM SR Imaging Measurement Mapping to Observation | Observation - DICOM SR Imaging Qualitative Evaluation Mapping to Observation)	Related resource that belongs to the Observation group
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	This is an abstract profile. Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). obs-8: bodyStructure SHALL only be present if Observation.bodySite is not present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Business Identifier for observation Slice: Unordered, Open by value:type
identifier:observationUID	SΣ	0..*	Identifier	The unique identifier for the measurement group.
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/dicom-sr/CodeSystem/dicom-identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: observation-uid
display		1..1	string	Representation defined by the system Fixed Value: Observation UID
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
value	ΣC	1..1	string	The value that is unique Example General: 123456
Slices for basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order Slice: Unordered, Open by type:reference
basedOn:serviceRequestRef	SΣ	0..1	Reference(ServiceRequest)	Description of the related ServiceRequest
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	ΣC	0..1	Identifier	The accession number related to the performed study
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ACSN
display		1..1	string	Representation defined by the system Fixed Value: Accession ID
value	ΣC	1..1	string	The value that is unique Example General: 123456
Slices for partOf	Σ	1..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy)	Part of referenced event Slice: Unordered, Open by type:reference
partOf:imagingStudyRef	SΣ	1..1	Reference(ImagingStudy)	Related ImagingStudy
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	ΣC	0..1	Identifier	Identifier related to Study Instance UID
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/dicom-sr/CodeSystem/dicom-identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: study-instance-uid
display		1..1	string	Representation defined by the system Fixed Value: Study Instance UID
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
value	ΣC	1..1	string	The value that is unique Example General: 123456
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category	S	0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 125007
display		1..1	string	Representation defined by the system Fixed Value: Measurement Group
code	SΣC	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
subject	SΣ	1..1	Reference(Patient)	Who and/or what the observation is about
Slices for focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record Slice: Unordered, Open by value:type
focus:trackingUidBodyStructure	SΣ	0..*	Reference(BodyStructure)	What the observation is about, when it is not about the subject of record
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	ΣC	0..1	Identifier	A unique identifier used for tracking a finding or feature, potentially across multiple reporting objects, over time
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/dicom-sr/CodeSystem/dicom-identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: tracking-uid
display		1..1	string	Representation defined by the system Fixed Value: Tracking UID
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
value	ΣC	1..1	string	The value that is unique Example General: 123456
focus:imageRegion2d	SΣ	0..*	Reference(Imaging Selection - DICOM SR 2D Image Region Mapping)	2D Image Region
focus:imageRegion3d	SΣ	0..*	Reference(Imaging Selection - DICOM SR Image 3D Region Mapping)	3D Image Region
focus:referencedSegment	SΣ	0..*	Reference(Imaging Selection - DICOM SR Referenced Segment Mapping)	Referenced Segment
focus:referencedSegmentationFrame	SΣ	0..*	Reference(Imaging Selection - DICOM SR Referenced Segmentation Frame Mapping)	Referenced Segmentation Frame
focus:sourceImageForSegmentation	SΣ	0..*	Reference(Imaging Selection - DICOM SR Source Image For Segmentation Mapping)	Source Image for Segmentation
focus:sourceSeriesForSegmentation	SΣ	0..*	Reference(Imaging Selection - DICOM SR Source Series For Segmentation Mapping)	Source Series for Segmentation
focus:regionInSpace	SΣ	0..*	Reference(Imaging Selection - DICOM SR Region In Space)	RegionInSpace
focus:volumeSurface	SΣ	0..*	Reference(Imaging Selection - DICOM SR Image Volume Surface Mapping)	Volume Surface
focus:realWorldValueMap	SΣ	0..*	Reference(Imaging Selection - DICOM SR Real World Value Map)	Real World Value Map
focus:illustrationOfRoi	SΣ	0..*	Reference(Imaging Selection - DICOM SR Illustration Of ROI Mapping)	Illustration of ROI
focus:visualExplanation	SΣ	0..*	Reference(Imaging Selection - DICOM SR Visual Explanation Mapping)	VisualExplanation
issued	SΣ	1..1	instant	Observation Date Time
value[x]	SΣC	0..1	CodeableConcept	Observation finding
interpretation	S	0..*	CodeableConcept	High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
device	S	1..1	Reference(Device - DICOM SR TID 4019 Algorithm Identification Mapping | Device - DICOM General Equipment)	Algorithm Identification or General Equipment Device
Slices for hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group Slice: Unordered, Open by value:type
hasMember:imagingMeasurement	SΣ	0..*	Reference(Observation - DICOM SR Imaging Measurement Mapping to Observation | Observation - DICOM SR Imaging Qualitative Evaluation Mapping to Observation)	Related resource that belongs to the Observation group
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.identifier:observationUID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Observation.identifier:observationUID.type	extensible	Pattern: observation-uid("Observation UID") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.basedOn:serviceRequestRef.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Observation.basedOn:serviceRequestRef.identifier.type	extensible	Pattern: ACSN("Accession ID") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.partOf:imagingStudyRef.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Observation.partOf:imagingStudyRef.identifier.type	extensible	Pattern: study-instance-uid("Study Instance UID") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|5.0.0 from the FHIR Standard
Observation.category	preferred	Pattern: 125007("Measurement Group") http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.focus:trackingUidBodyStructure.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Observation.focus:trackingUidBodyStructure.identifier.type	extensible	Pattern: tracking-uid("Tracking UID") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	This is an abstract profile. Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). obs-8: bodyStructure SHALL only be present if Observation.bodySite is not present
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Business Identifier for observation Slice: Unordered, Open by value:type
identifier:observationUID	SΣ	0..*	Identifier	The unique identifier for the measurement group.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/dicom-sr/CodeSystem/dicom-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: observation-uid
display		1..1	string	Representation defined by the system Fixed Value: Observation UID
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
value	ΣC	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiates[x]	Σ	0..1	canonical(ObservationDefinition), Reference(ObservationDefinition)	Instantiates FHIR ObservationDefinition
Slices for basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order Slice: Unordered, Open by type:reference
basedOn:serviceRequestRef	SΣ	0..1	Reference(ServiceRequest)	Description of the related ServiceRequest
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	The accession number related to the performed study
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ACSN
display		1..1	string	Representation defined by the system Fixed Value: Accession ID
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	ΣC	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Text alternative for the resource
triggeredBy		0..*	BackboneElement	Triggering observation(s)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
observation	Σ	1..1	Reference(Observation)	Triggering observation
type	Σ	1..1	code	reflex | repeat | re-run Binding: TriggeredBytype (required): The type of TriggeredBy Observation.
reason		0..1	string	Reason that the observation was triggered
Slices for partOf	Σ	1..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy)	Part of referenced event Slice: Unordered, Open by type:reference
partOf:imagingStudyRef	SΣ	1..1	Reference(ImagingStudy)	Related ImagingStudy
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Identifier related to Study Instance UID
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/dicom-sr/CodeSystem/dicom-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: study-instance-uid
display		1..1	string	Representation defined by the system Fixed Value: Study Instance UID
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
value	ΣC	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Text alternative for the resource
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category	S	0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 125007
display		1..1	string	Representation defined by the system Fixed Value: Measurement Group
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SΣC	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
subject	SΣ	1..1	Reference(Patient)	Who and/or what the observation is about
Slices for focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record Slice: Unordered, Open by value:type
focus:trackingUidBodyStructure	SΣ	0..*	Reference(BodyStructure)	What the observation is about, when it is not about the subject of record
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	A unique identifier used for tracking a finding or feature, potentially across multiple reporting objects, over time
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/dicom-sr/CodeSystem/dicom-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: tracking-uid
display		1..1	string	Representation defined by the system Fixed Value: Tracking UID
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
value	ΣC	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Text alternative for the resource
focus:imageRegion2d	SΣ	0..*	Reference(Imaging Selection - DICOM SR 2D Image Region Mapping)	2D Image Region
focus:imageRegion3d	SΣ	0..*	Reference(Imaging Selection - DICOM SR Image 3D Region Mapping)	3D Image Region
focus:referencedSegment	SΣ	0..*	Reference(Imaging Selection - DICOM SR Referenced Segment Mapping)	Referenced Segment
focus:referencedSegmentationFrame	SΣ	0..*	Reference(Imaging Selection - DICOM SR Referenced Segmentation Frame Mapping)	Referenced Segmentation Frame
focus:sourceImageForSegmentation	SΣ	0..*	Reference(Imaging Selection - DICOM SR Source Image For Segmentation Mapping)	Source Image for Segmentation
focus:sourceSeriesForSegmentation	SΣ	0..*	Reference(Imaging Selection - DICOM SR Source Series For Segmentation Mapping)	Source Series for Segmentation
focus:regionInSpace	SΣ	0..*	Reference(Imaging Selection - DICOM SR Region In Space)	RegionInSpace
focus:volumeSurface	SΣ	0..*	Reference(Imaging Selection - DICOM SR Image Volume Surface Mapping)	Volume Surface
focus:realWorldValueMap	SΣ	0..*	Reference(Imaging Selection - DICOM SR Real World Value Map)	Real World Value Map
focus:illustrationOfRoi	SΣ	0..*	Reference(Imaging Selection - DICOM SR Illustration Of ROI Mapping)	Illustration of ROI
focus:visualExplanation	SΣ	0..*	Reference(Imaging Selection - DICOM SR Visual Explanation Mapping)	VisualExplanation
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	Σ	0..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	SΣ	1..1	instant	Observation Date Time
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
value[x]	SΣC	0..1	CodeableConcept	Observation finding
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite	C	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
bodyStructure	C	0..1	Reference(BodyStructure)	Observed body structure
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen	C	0..1	Reference(Specimen | Group)	Specimen used for this observation obs-9: If Observation.specimen is a reference to Group, the group can only have specimens
device	S	1..1	Reference(Device - DICOM SR TID 4019 Algorithm Identification Mapping | Device - DICOM General Equipment)	Algorithm Identification or General Equipment Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
normalValue		0..1	CodeableConcept	Normal value, if relevant Binding: ObservationReferenceRangeNormalValueCodes (extensible): Codes identifying the normal value of the observation.
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text	C	0..1	markdown	Text based reference range in an observation
Slices for hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group Slice: Unordered, Open by value:type
hasMember:imagingMeasurement	SΣ	0..*	Reference(Observation - DICOM SR Imaging Measurement Mapping to Observation | Observation - DICOM SR Imaging Qualitative Evaluation Mapping to Observation)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy)	Related resource from which the observation is made
component	ΣC	0..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
dataAbsentReason		0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
Observation.identifier:observationUID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Observation.identifier:observationUID.type	extensible	Pattern: observation-uid("Observation UID") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.basedOn:serviceRequestRef.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.basedOn:serviceRequestRef.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Observation.basedOn:serviceRequestRef.identifier.type	extensible	Pattern: ACSN("Accession ID") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.triggeredBy.type	required	TriggeredBytype http://hl7.org/fhir/ValueSet/observation-triggeredbytype|5.0.0 from the FHIR Standard
Observation.partOf:imagingStudyRef.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.partOf:imagingStudyRef.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Observation.partOf:imagingStudyRef.identifier.type	extensible	Pattern: study-instance-uid("Study Instance UID") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|5.0.0 from the FHIR Standard
Observation.category	preferred	Pattern: 125007("Measurement Group") http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.focus:trackingUidBodyStructure.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.focus:trackingUidBodyStructure.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Observation.focus:trackingUidBodyStructure.identifier.type	extensible	Pattern: tracking-uid("Tracking UID") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.normalValue	extensible	ObservationReferenceRangeNormalValueCodes http://hl7.org/fhir/ValueSet/observation-referencerange-normalvalue from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

This structure is derived from Observation

Summary

Mandatory: 5 elements (8 nested mandatory elements)
Must-Support: 23 elements

Structures

This structure refers to these other structures:

• Imaging Selection - DICOM SR 2D Image Region Mapping (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/image-region-2d)
• Imaging Selection - DICOM SR Image 3D Region Mapping (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/image-region-3d)
• Imaging Selection - DICOM SR Referenced Segment Mapping (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/referenced-segment)
• Imaging Selection - DICOM SR Referenced Segmentation Frame Mapping (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/referenced-segmentation-frame)
• Imaging Selection - DICOM SR Source Image For Segmentation Mapping (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/source-image-for-segmentation)
• Imaging Selection - DICOM SR Source Series For Segmentation Mapping (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/source-series-for-segmentation)
• Imaging Selection - DICOM SR Region In Space (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/region-in-space)
• Imaging Selection - DICOM SR Image Volume Surface Mapping (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/volume-surface)
• Imaging Selection - DICOM SR Real World Value Map (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/real-world-value-map)
• Imaging Selection - DICOM SR Illustration Of ROI Mapping (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/illustration-of-roi)
• Imaging Selection - DICOM SR Visual Explanation Mapping (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/visual-explanation)
• Device - DICOM SR TID 4019 Algorithm Identification Mapping (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/algorithm-identification)
• Device - DICOM General Equipment (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/dicom-general-equipment)
• Observation - DICOM SR Imaging Measurement Mapping to Observation (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/imaging-measurement)
• Observation - DICOM SR Imaging Qualitative Evaluation Mapping to Observation (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/imaging-qualitative-evaluation)

Slices

This structure defines the following Slices:

• The element Observation.identifier is sliced based on the value of value:type
• The element Observation.basedOn is sliced based on the value of type:reference
• The element Observation.partOf is sliced based on the value of type:reference
• The element Observation.focus is sliced based on the value of value:type
• The element Observation.hasMember is sliced based on the value of value:type

Differential View

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	This is an abstract profile. Measurements and simple assertions
Slices for identifier		0..*	Identifier	Business Identifier for observation Slice: Unordered, Open by value:type
identifier:observationUID	S	0..*	Identifier	The unique identifier for the measurement group.
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/dicom-sr/CodeSystem/dicom-identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: observation-uid
display		1..1	string	Representation defined by the system Fixed Value: Observation UID
system		0..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
value		1..1	string	The value that is unique
Slices for basedOn		0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order Slice: Unordered, Open by type:reference
basedOn:serviceRequestRef	S	0..1	Reference(ServiceRequest)	Description of the related ServiceRequest
identifier		0..1	Identifier	The accession number related to the performed study
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ACSN
display		1..1	string	Representation defined by the system Fixed Value: Accession ID
value		1..1	string	The value that is unique
Slices for partOf		1..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy)	Part of referenced event Slice: Unordered, Open by type:reference
partOf:imagingStudyRef	S	1..1	Reference(ImagingStudy)	Related ImagingStudy
identifier		0..1	Identifier	Identifier related to Study Instance UID
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/dicom-sr/CodeSystem/dicom-identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: study-instance-uid
display		1..1	string	Representation defined by the system Fixed Value: Study Instance UID
system		0..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
value		1..1	string	The value that is unique
category	S	0..*	CodeableConcept	Classification of type of observation Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 125007
display		1..1	string	Representation defined by the system Fixed Value: Measurement Group
code	S	1..1	CodeableConcept	Type of observation (code / type)
subject	S	1..1	Reference(Patient)	Who and/or what the observation is about
Slices for focus		0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record Slice: Unordered, Open by value:type
focus:trackingUidBodyStructure	S	0..*	Reference(BodyStructure)	What the observation is about, when it is not about the subject of record
identifier		0..1	Identifier	A unique identifier used for tracking a finding or feature, potentially across multiple reporting objects, over time
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/dicom-sr/CodeSystem/dicom-identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: tracking-uid
display		1..1	string	Representation defined by the system Fixed Value: Tracking UID
system		0..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
value		1..1	string	The value that is unique
focus:imageRegion2d	S	0..*	Reference(Imaging Selection - DICOM SR 2D Image Region Mapping)	2D Image Region
focus:imageRegion3d	S	0..*	Reference(Imaging Selection - DICOM SR Image 3D Region Mapping)	3D Image Region
focus:referencedSegment	S	0..*	Reference(Imaging Selection - DICOM SR Referenced Segment Mapping)	Referenced Segment
focus:referencedSegmentationFrame	S	0..*	Reference(Imaging Selection - DICOM SR Referenced Segmentation Frame Mapping)	Referenced Segmentation Frame
focus:sourceImageForSegmentation	S	0..*	Reference(Imaging Selection - DICOM SR Source Image For Segmentation Mapping)	Source Image for Segmentation
focus:sourceSeriesForSegmentation	S	0..*	Reference(Imaging Selection - DICOM SR Source Series For Segmentation Mapping)	Source Series for Segmentation
focus:regionInSpace	S	0..*	Reference(Imaging Selection - DICOM SR Region In Space)	RegionInSpace
focus:volumeSurface	S	0..*	Reference(Imaging Selection - DICOM SR Image Volume Surface Mapping)	Volume Surface
focus:realWorldValueMap	S	0..*	Reference(Imaging Selection - DICOM SR Real World Value Map)	Real World Value Map
focus:illustrationOfRoi	S	0..*	Reference(Imaging Selection - DICOM SR Illustration Of ROI Mapping)	Illustration of ROI
focus:visualExplanation	S	0..*	Reference(Imaging Selection - DICOM SR Visual Explanation Mapping)	VisualExplanation
issued	S	1..1	instant	Observation Date Time
value[x]	S	0..1	CodeableConcept	Observation finding
interpretation	S	0..*	CodeableConcept	High, low, normal, etc
device	S	1..1	Reference(Device - DICOM SR TID 4019 Algorithm Identification Mapping | Device - DICOM General Equipment)	Algorithm Identification or General Equipment Device
Slices for hasMember		0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group Slice: Unordered, Open by value:type
hasMember:imagingMeasurement	S	0..*	Reference(Observation - DICOM SR Imaging Measurement Mapping to Observation | Observation - DICOM SR Imaging Qualitative Evaluation Mapping to Observation)	Related resource that belongs to the Observation group
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	This is an abstract profile. Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). obs-8: bodyStructure SHALL only be present if Observation.bodySite is not present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Business Identifier for observation Slice: Unordered, Open by value:type
identifier:observationUID	SΣ	0..*	Identifier	The unique identifier for the measurement group.
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/dicom-sr/CodeSystem/dicom-identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: observation-uid
display		1..1	string	Representation defined by the system Fixed Value: Observation UID
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
value	ΣC	1..1	string	The value that is unique Example General: 123456
Slices for basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order Slice: Unordered, Open by type:reference
basedOn:serviceRequestRef	SΣ	0..1	Reference(ServiceRequest)	Description of the related ServiceRequest
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	ΣC	0..1	Identifier	The accession number related to the performed study
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ACSN
display		1..1	string	Representation defined by the system Fixed Value: Accession ID
value	ΣC	1..1	string	The value that is unique Example General: 123456
Slices for partOf	Σ	1..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy)	Part of referenced event Slice: Unordered, Open by type:reference
partOf:imagingStudyRef	SΣ	1..1	Reference(ImagingStudy)	Related ImagingStudy
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	ΣC	0..1	Identifier	Identifier related to Study Instance UID
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/dicom-sr/CodeSystem/dicom-identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: study-instance-uid
display		1..1	string	Representation defined by the system Fixed Value: Study Instance UID
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
value	ΣC	1..1	string	The value that is unique Example General: 123456
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category	S	0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 125007
display		1..1	string	Representation defined by the system Fixed Value: Measurement Group
code	SΣC	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
subject	SΣ	1..1	Reference(Patient)	Who and/or what the observation is about
Slices for focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record Slice: Unordered, Open by value:type
focus:trackingUidBodyStructure	SΣ	0..*	Reference(BodyStructure)	What the observation is about, when it is not about the subject of record
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	ΣC	0..1	Identifier	A unique identifier used for tracking a finding or feature, potentially across multiple reporting objects, over time
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/dicom-sr/CodeSystem/dicom-identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: tracking-uid
display		1..1	string	Representation defined by the system Fixed Value: Tracking UID
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
value	ΣC	1..1	string	The value that is unique Example General: 123456
focus:imageRegion2d	SΣ	0..*	Reference(Imaging Selection - DICOM SR 2D Image Region Mapping)	2D Image Region
focus:imageRegion3d	SΣ	0..*	Reference(Imaging Selection - DICOM SR Image 3D Region Mapping)	3D Image Region
focus:referencedSegment	SΣ	0..*	Reference(Imaging Selection - DICOM SR Referenced Segment Mapping)	Referenced Segment
focus:referencedSegmentationFrame	SΣ	0..*	Reference(Imaging Selection - DICOM SR Referenced Segmentation Frame Mapping)	Referenced Segmentation Frame
focus:sourceImageForSegmentation	SΣ	0..*	Reference(Imaging Selection - DICOM SR Source Image For Segmentation Mapping)	Source Image for Segmentation
focus:sourceSeriesForSegmentation	SΣ	0..*	Reference(Imaging Selection - DICOM SR Source Series For Segmentation Mapping)	Source Series for Segmentation
focus:regionInSpace	SΣ	0..*	Reference(Imaging Selection - DICOM SR Region In Space)	RegionInSpace
focus:volumeSurface	SΣ	0..*	Reference(Imaging Selection - DICOM SR Image Volume Surface Mapping)	Volume Surface
focus:realWorldValueMap	SΣ	0..*	Reference(Imaging Selection - DICOM SR Real World Value Map)	Real World Value Map
focus:illustrationOfRoi	SΣ	0..*	Reference(Imaging Selection - DICOM SR Illustration Of ROI Mapping)	Illustration of ROI
focus:visualExplanation	SΣ	0..*	Reference(Imaging Selection - DICOM SR Visual Explanation Mapping)	VisualExplanation
issued	SΣ	1..1	instant	Observation Date Time
value[x]	SΣC	0..1	CodeableConcept	Observation finding
interpretation	S	0..*	CodeableConcept	High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
device	S	1..1	Reference(Device - DICOM SR TID 4019 Algorithm Identification Mapping | Device - DICOM General Equipment)	Algorithm Identification or General Equipment Device
Slices for hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group Slice: Unordered, Open by value:type
hasMember:imagingMeasurement	SΣ	0..*	Reference(Observation - DICOM SR Imaging Measurement Mapping to Observation | Observation - DICOM SR Imaging Qualitative Evaluation Mapping to Observation)	Related resource that belongs to the Observation group
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.identifier:observationUID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Observation.identifier:observationUID.type	extensible	Pattern: observation-uid("Observation UID") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.basedOn:serviceRequestRef.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Observation.basedOn:serviceRequestRef.identifier.type	extensible	Pattern: ACSN("Accession ID") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.partOf:imagingStudyRef.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Observation.partOf:imagingStudyRef.identifier.type	extensible	Pattern: study-instance-uid("Study Instance UID") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|5.0.0 from the FHIR Standard
Observation.category	preferred	Pattern: 125007("Measurement Group") http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.focus:trackingUidBodyStructure.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Observation.focus:trackingUidBodyStructure.identifier.type	extensible	Pattern: tracking-uid("Tracking UID") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	This is an abstract profile. Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). obs-8: bodyStructure SHALL only be present if Observation.bodySite is not present
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Business Identifier for observation Slice: Unordered, Open by value:type
identifier:observationUID	SΣ	0..*	Identifier	The unique identifier for the measurement group.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/dicom-sr/CodeSystem/dicom-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: observation-uid
display		1..1	string	Representation defined by the system Fixed Value: Observation UID
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
value	ΣC	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiates[x]	Σ	0..1	canonical(ObservationDefinition), Reference(ObservationDefinition)	Instantiates FHIR ObservationDefinition
Slices for basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order Slice: Unordered, Open by type:reference
basedOn:serviceRequestRef	SΣ	0..1	Reference(ServiceRequest)	Description of the related ServiceRequest
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	The accession number related to the performed study
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ACSN
display		1..1	string	Representation defined by the system Fixed Value: Accession ID
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	ΣC	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Text alternative for the resource
triggeredBy		0..*	BackboneElement	Triggering observation(s)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
observation	Σ	1..1	Reference(Observation)	Triggering observation
type	Σ	1..1	code	reflex | repeat | re-run Binding: TriggeredBytype (required): The type of TriggeredBy Observation.
reason		0..1	string	Reason that the observation was triggered
Slices for partOf	Σ	1..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy)	Part of referenced event Slice: Unordered, Open by type:reference
partOf:imagingStudyRef	SΣ	1..1	Reference(ImagingStudy)	Related ImagingStudy
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Identifier related to Study Instance UID
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/dicom-sr/CodeSystem/dicom-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: study-instance-uid
display		1..1	string	Representation defined by the system Fixed Value: Study Instance UID
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
value	ΣC	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Text alternative for the resource
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category	S	0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 125007
display		1..1	string	Representation defined by the system Fixed Value: Measurement Group
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SΣC	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
subject	SΣ	1..1	Reference(Patient)	Who and/or what the observation is about
Slices for focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record Slice: Unordered, Open by value:type
focus:trackingUidBodyStructure	SΣ	0..*	Reference(BodyStructure)	What the observation is about, when it is not about the subject of record
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	A unique identifier used for tracking a finding or feature, potentially across multiple reporting objects, over time
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/dicom-sr/CodeSystem/dicom-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: tracking-uid
display		1..1	string	Representation defined by the system Fixed Value: Tracking UID
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
value	ΣC	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Text alternative for the resource
focus:imageRegion2d	SΣ	0..*	Reference(Imaging Selection - DICOM SR 2D Image Region Mapping)	2D Image Region
focus:imageRegion3d	SΣ	0..*	Reference(Imaging Selection - DICOM SR Image 3D Region Mapping)	3D Image Region
focus:referencedSegment	SΣ	0..*	Reference(Imaging Selection - DICOM SR Referenced Segment Mapping)	Referenced Segment
focus:referencedSegmentationFrame	SΣ	0..*	Reference(Imaging Selection - DICOM SR Referenced Segmentation Frame Mapping)	Referenced Segmentation Frame
focus:sourceImageForSegmentation	SΣ	0..*	Reference(Imaging Selection - DICOM SR Source Image For Segmentation Mapping)	Source Image for Segmentation
focus:sourceSeriesForSegmentation	SΣ	0..*	Reference(Imaging Selection - DICOM SR Source Series For Segmentation Mapping)	Source Series for Segmentation
focus:regionInSpace	SΣ	0..*	Reference(Imaging Selection - DICOM SR Region In Space)	RegionInSpace
focus:volumeSurface	SΣ	0..*	Reference(Imaging Selection - DICOM SR Image Volume Surface Mapping)	Volume Surface
focus:realWorldValueMap	SΣ	0..*	Reference(Imaging Selection - DICOM SR Real World Value Map)	Real World Value Map
focus:illustrationOfRoi	SΣ	0..*	Reference(Imaging Selection - DICOM SR Illustration Of ROI Mapping)	Illustration of ROI
focus:visualExplanation	SΣ	0..*	Reference(Imaging Selection - DICOM SR Visual Explanation Mapping)	VisualExplanation
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	Σ	0..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	SΣ	1..1	instant	Observation Date Time
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
value[x]	SΣC	0..1	CodeableConcept	Observation finding
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite	C	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
bodyStructure	C	0..1	Reference(BodyStructure)	Observed body structure
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen	C	0..1	Reference(Specimen | Group)	Specimen used for this observation obs-9: If Observation.specimen is a reference to Group, the group can only have specimens
device	S	1..1	Reference(Device - DICOM SR TID 4019 Algorithm Identification Mapping | Device - DICOM General Equipment)	Algorithm Identification or General Equipment Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
normalValue		0..1	CodeableConcept	Normal value, if relevant Binding: ObservationReferenceRangeNormalValueCodes (extensible): Codes identifying the normal value of the observation.
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text	C	0..1	markdown	Text based reference range in an observation
Slices for hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group Slice: Unordered, Open by value:type
hasMember:imagingMeasurement	SΣ	0..*	Reference(Observation - DICOM SR Imaging Measurement Mapping to Observation | Observation - DICOM SR Imaging Qualitative Evaluation Mapping to Observation)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy)	Related resource from which the observation is made
component	ΣC	0..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
valueAttachment			Attachment
valueReference			Reference(MolecularSequence)
dataAbsentReason		0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
Observation.identifier:observationUID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Observation.identifier:observationUID.type	extensible	Pattern: observation-uid("Observation UID") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.basedOn:serviceRequestRef.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.basedOn:serviceRequestRef.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Observation.basedOn:serviceRequestRef.identifier.type	extensible	Pattern: ACSN("Accession ID") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.triggeredBy.type	required	TriggeredBytype http://hl7.org/fhir/ValueSet/observation-triggeredbytype|5.0.0 from the FHIR Standard
Observation.partOf:imagingStudyRef.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.partOf:imagingStudyRef.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Observation.partOf:imagingStudyRef.identifier.type	extensible	Pattern: study-instance-uid("Study Instance UID") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|5.0.0 from the FHIR Standard
Observation.category	preferred	Pattern: 125007("Measurement Group") http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.focus:trackingUidBodyStructure.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Observation.focus:trackingUidBodyStructure.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Observation.focus:trackingUidBodyStructure.identifier.type	extensible	Pattern: tracking-uid("Tracking UID") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.normalValue	extensible	ObservationReferenceRangeNormalValueCodes http://hl7.org/fhir/ValueSet/observation-referencerange-normalvalue from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

This structure is derived from Observation

Summary

Mandatory: 5 elements (8 nested mandatory elements)
Must-Support: 23 elements

Structures

This structure refers to these other structures:

• Imaging Selection - DICOM SR 2D Image Region Mapping (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/image-region-2d)
• Imaging Selection - DICOM SR Image 3D Region Mapping (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/image-region-3d)
• Imaging Selection - DICOM SR Referenced Segment Mapping (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/referenced-segment)
• Imaging Selection - DICOM SR Referenced Segmentation Frame Mapping (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/referenced-segmentation-frame)
• Imaging Selection - DICOM SR Source Image For Segmentation Mapping (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/source-image-for-segmentation)
• Imaging Selection - DICOM SR Source Series For Segmentation Mapping (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/source-series-for-segmentation)
• Imaging Selection - DICOM SR Region In Space (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/region-in-space)
• Imaging Selection - DICOM SR Image Volume Surface Mapping (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/volume-surface)
• Imaging Selection - DICOM SR Real World Value Map (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/real-world-value-map)
• Imaging Selection - DICOM SR Illustration Of ROI Mapping (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/illustration-of-roi)
• Imaging Selection - DICOM SR Visual Explanation Mapping (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/visual-explanation)
• Device - DICOM SR TID 4019 Algorithm Identification Mapping (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/algorithm-identification)
• Device - DICOM General Equipment (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/dicom-general-equipment)
• Observation - DICOM SR Imaging Measurement Mapping to Observation (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/imaging-measurement)
• Observation - DICOM SR Imaging Qualitative Evaluation Mapping to Observation (http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/imaging-qualitative-evaluation)

Slices

This structure defines the following Slices:

• The element Observation.identifier is sliced based on the value of value:type
• The element Observation.basedOn is sliced based on the value of type:reference
• The element Observation.partOf is sliced based on the value of type:reference
• The element Observation.focus is sliced based on the value of value:type
• The element Observation.hasMember is sliced based on the value of value:type