DICOM SR to FHIR Resource Mapping IG
0.1.0 - ci-build
DICOM SR to FHIR Resource Mapping IG
0.1.0 - ci-build
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
| Official URL: http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/imaging-measurement | Version: 0.1.0 | |||
| Draft as of 2024-04-02 | Computable Name: ImagingMeasurementProfile | |||
DICOM SR Imaging Measurement Mapping to Observation
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
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 | |
| issued | S | 1..1 | instant | Observation Date Time |
| Slices for value[x] | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period, Attachment, Reference(MolecularSequence) | Actual result Slice: Unordered, Open by type:$this | |
 value[x]:valueQuantity | S | 0..1 | Quantity | Actual result |
| interpretation | S | 0..* | CodeableConcept | High, low, normal, etc |
| bodyStructure | S | 0..1 | Reference(Body Structure - DICOM SR Finding Site Mapping) | Observed body structure |
| method | S | 0..1 | CodeableConcept | How it was done |
| device | S | 1..1 | Reference(Device - DICOM SR TID 4019 Algorithm Identification Mapping | Device - DICOM General Equipment) | Algorithm Identification or General Equipment Device |
| referenceRange | S | 0..* | BackboneElement | Provides guide for interpretation |
| 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 |
| issued | SΣ | 1..1 | instant | Observation Date Time |
| Slices for value[x] | ΣC | 0..1 | Actual result Slice: Unordered, Open by type:$this | |
 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) | |||
| value[x]:valueQuantity | SΣC | 0..1 | Quantity | Actual result |
| interpretation | S | 0..* | CodeableConcept | High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. |
| bodyStructure | SC | 0..1 | Reference(Body Structure - DICOM SR Finding Site Mapping) | Observed body structure |
| method | S | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. |
| device | S | 1..1 | Reference(Device - DICOM SR TID 4019 Algorithm Identification Mapping | Device - DICOM General Equipment) | Algorithm Identification or General Equipment Device |
| referenceRange | SC | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Observation.identifier:observationUID.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0from the FHIR Standard | |
| Observation.identifier:observationUID.type | extensible | Pattern: observation-uid("Observation UID")http://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | |
| Observation.basedOn:serviceRequestRef.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0from the FHIR Standard | |
| Observation.basedOn:serviceRequestRef.identifier.type | extensible | Pattern: ACSN("Accession ID")http://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | |
| Observation.partOf:imagingStudyRef.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0from the FHIR Standard | |
| Observation.partOf:imagingStudyRef.identifier.type | extensible | Pattern: study-instance-uid("Study Instance UID")http://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|5.0.0from the FHIR Standard | |
| Observation.category | preferred | Pattern: 125007("Measurement Group")http://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| Observation.focus:trackingUidBodyStructure.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0from the FHIR Standard | |
| Observation.focus:trackingUidBodyStructure.identifier.type | extensible | Pattern: tracking-uid("Tracking UID")http://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | |
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | |
| Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom 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
| |||||
| 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 | ||||
| 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 | ||||
| Slices for value[x] | ΣC | 0..1 | Actual result Slice: Unordered, Open by type:$this | |||||
| 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) | |||||||
| value[x]:valueQuantity | SΣC | 0..1 | Quantity | Actual result | ||||
| 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 | SC | 0..1 | Reference(Body Structure - DICOM SR Finding Site Mapping) | Observed body structure | ||||
| method | S | 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 | SC | 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 | ||||
| hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | 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 | ||||||||
| Path | Conformance | ValueSet / Code | URI |
| Observation.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0from the FHIR Standard | |
| Observation.identifier:observationUID.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0from the FHIR Standard | |
| Observation.identifier:observationUID.type | extensible | Pattern: observation-uid("Observation UID")http://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | |
| Observation.basedOn:serviceRequestRef.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | |
| Observation.basedOn:serviceRequestRef.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0from the FHIR Standard | |
| Observation.basedOn:serviceRequestRef.identifier.type | extensible | Pattern: ACSN("Accession ID")http://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | |
| Observation.triggeredBy.type | required | TriggeredBytypehttp://hl7.org/fhir/ValueSet/observation-triggeredbytype|5.0.0from the FHIR Standard | |
| Observation.partOf:imagingStudyRef.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | |
| Observation.partOf:imagingStudyRef.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0from the FHIR Standard | |
| Observation.partOf:imagingStudyRef.identifier.type | extensible | Pattern: study-instance-uid("Study Instance UID")http://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|5.0.0from the FHIR Standard | |
| Observation.category | preferred | Pattern: 125007("Measurement Group")http://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| Observation.focus:trackingUidBodyStructure.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | |
| Observation.focus:trackingUidBodyStructure.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0from the FHIR Standard | |
| Observation.focus:trackingUidBodyStructure.identifier.type | extensible | Pattern: tracking-uid("Tracking UID")http://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | |
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | |
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | |
| Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | |
| Observation.referenceRange.normalValue | extensible | ObservationReferenceRangeNormalValueCodeshttp://hl7.org/fhir/ValueSet/observation-referencerange-normalvaluefrom the FHIR Standard | |
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | |
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
This structure is derived from Observation
Summary
Mandatory: 5 elements (8 nested mandatory elements)
Must-Support: 14 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
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 | |
| issued | S | 1..1 | instant | Observation Date Time |
| Slices for value[x] | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period, Attachment, Reference(MolecularSequence) | Actual result Slice: Unordered, Open by type:$this | |
| value[x]:valueQuantity | S | 0..1 | Quantity | Actual result |
| interpretation | S | 0..* | CodeableConcept | High, low, normal, etc |
| bodyStructure | S | 0..1 | Reference(Body Structure - DICOM SR Finding Site Mapping) | Observed body structure |
| method | S | 0..1 | CodeableConcept | How it was done |
| device | S | 1..1 | Reference(Device - DICOM SR TID 4019 Algorithm Identification Mapping | Device - DICOM General Equipment) | Algorithm Identification or General Equipment Device |
| referenceRange | S | 0..* | BackboneElement | Provides guide for interpretation |
| 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 |
| issued | SΣ | 1..1 | instant | Observation Date Time |
| Slices for value[x] | ΣC | 0..1 | Actual result Slice: Unordered, Open by type:$this | |
| 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) | |||
| value[x]:valueQuantity | SΣC | 0..1 | Quantity | Actual result |
| interpretation | S | 0..* | CodeableConcept | High, low, normal, etc Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. |
| bodyStructure | SC | 0..1 | Reference(Body Structure - DICOM SR Finding Site Mapping) | Observed body structure |
| method | S | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. |
| device | S | 1..1 | Reference(Device - DICOM SR TID 4019 Algorithm Identification Mapping | Device - DICOM General Equipment) | Algorithm Identification or General Equipment Device |
| referenceRange | SC | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Observation.identifier:observationUID.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0from the FHIR Standard | |
| Observation.identifier:observationUID.type | extensible | Pattern: observation-uid("Observation UID")http://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | |
| Observation.basedOn:serviceRequestRef.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0from the FHIR Standard | |
| Observation.basedOn:serviceRequestRef.identifier.type | extensible | Pattern: ACSN("Accession ID")http://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | |
| Observation.partOf:imagingStudyRef.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0from the FHIR Standard | |
| Observation.partOf:imagingStudyRef.identifier.type | extensible | Pattern: study-instance-uid("Study Instance UID")http://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|5.0.0from the FHIR Standard | |
| Observation.category | preferred | Pattern: 125007("Measurement Group")http://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| Observation.focus:trackingUidBodyStructure.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0from the FHIR Standard | |
| Observation.focus:trackingUidBodyStructure.identifier.type | extensible | Pattern: tracking-uid("Tracking UID")http://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | |
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | |
| Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom 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
| |||||
| 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 | ||||
| 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 | ||||
| Slices for value[x] | ΣC | 0..1 | Actual result Slice: Unordered, Open by type:$this | |||||
| 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) | |||||||
| value[x]:valueQuantity | SΣC | 0..1 | Quantity | Actual result | ||||
| 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 | SC | 0..1 | Reference(Body Structure - DICOM SR Finding Site Mapping) | Observed body structure | ||||
| method | S | 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 | SC | 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 | ||||
| hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | 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 | ||||||||
| Path | Conformance | ValueSet / Code | URI |
| Observation.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0from the FHIR Standard | |
| Observation.identifier:observationUID.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0from the FHIR Standard | |
| Observation.identifier:observationUID.type | extensible | Pattern: observation-uid("Observation UID")http://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | |
| Observation.basedOn:serviceRequestRef.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | |
| Observation.basedOn:serviceRequestRef.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0from the FHIR Standard | |
| Observation.basedOn:serviceRequestRef.identifier.type | extensible | Pattern: ACSN("Accession ID")http://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | |
| Observation.triggeredBy.type | required | TriggeredBytypehttp://hl7.org/fhir/ValueSet/observation-triggeredbytype|5.0.0from the FHIR Standard | |
| Observation.partOf:imagingStudyRef.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | |
| Observation.partOf:imagingStudyRef.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0from the FHIR Standard | |
| Observation.partOf:imagingStudyRef.identifier.type | extensible | Pattern: study-instance-uid("Study Instance UID")http://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|5.0.0from the FHIR Standard | |
| Observation.category | preferred | Pattern: 125007("Measurement Group")http://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| Observation.focus:trackingUidBodyStructure.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | |
| Observation.focus:trackingUidBodyStructure.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0from the FHIR Standard | |
| Observation.focus:trackingUidBodyStructure.identifier.type | extensible | Pattern: tracking-uid("Tracking UID")http://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | |
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | |
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | |
| Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | |
| Observation.referenceRange.normalValue | extensible | ObservationReferenceRangeNormalValueCodeshttp://hl7.org/fhir/ValueSet/observation-referencerange-normalvaluefrom the FHIR Standard | |
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | |
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
This structure is derived from Observation
Summary
Mandatory: 5 elements (8 nested mandatory elements)
Must-Support: 14 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2024+ HL7 International / Imaging Integration. Package hl7.fhir.uv.dicom-sr#0.1.0 based on FHIR 5.0.0. Generated 2024-04-02
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