DICOM® SR to FHIR Resource Mapping IG
1.0.0 - STU1 Ballot
DICOM® SR to FHIR Resource Mapping IG
1.0.0 - STU1 Ballot
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 1.0.0 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-qualitative-evaluation | Version: 1.0.0 | |||
| Active as of 2024-09-23 | Computable Name: ImagingQualitativeEvaluation | |||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.39.42.14 | ||||
DICOM® SR Imaging Qualitative Evaluation Mapping to Observation
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from ImagingObservationProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation |
0..* | ImagingObservationProfile | Measurements and simple assertions | |
  Slices for identifier |
Content/Rules for all slices | |||
   identifier:observationUID |
0..* | Identifier | The unique identifier for the observation. | |
 category |
1..* | 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://terminology.hl7.org/CodeSystem/umls | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: C0034375 | |
 display |
1..1 | string | Representation defined by the system Fixed Value: Qualitative Evaluations | |
| code |
1..1 | CodeableConcept | Type of observation (code / type) | |
| subject |
1..1 | Reference(Patient) | Who and/or what the observation is about | |
| issued |
1..1 | instant | Observation Date Time | |
| Slices for value[x] |
1..1 | CodeableConcept | Actual result Slice: Unordered, Open by type:$this | |
| value[x]:valueCodeableConcept |
S | 1..1 | CodeableConcept | Actual result |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
C | 0..* | ImagingObservationProfile | 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 observation. |
 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 | |
 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 |
| 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 |
| status |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
| category |
S | 1..* | 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://terminology.hl7.org/CodeSystem/umls | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: C0034375 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Qualitative Evaluations | |
| 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 profile:resolve() |
 focus:trackingIdentifiers |
SΣ | 0..* | Reference(Body Structure - DICOM SR Observation Tracking Identifier Mapping) | What the observation is about, when it is not about the subject of record |
| 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: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 |
| Slices for value[x] |
ΣC | 1..1 | CodeableConcept | Actual result Slice: Unordered, Closed by type:$this |
| value[x]:valueCodeableConcept |
SΣC | 1..1 | CodeableConcept | 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 |
| device |
S | 1..1 | Reference(Device - DICOM SR Algorithm Identification Mapping | Device - DICOM General Equipment Mapping | Device - DICOM Participant Device Mapping) | A reference to the device that generates the measurements or the device settings for the device |
| 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.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|5.0.0from the FHIR Standard | |
| Observation.category | preferred | Pattern: C0034375("Qualitative Evaluations")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.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | ImagingObservationProfile | 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 observation. | ||||
| 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://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: 110180 | |||||
| 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 | 1..* | 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://terminology.hl7.org/CodeSystem/umls | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: C0034375 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Qualitative Evaluations | |||||
| 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 profile:resolve() | ||||
| focus:trackingIdentifiers |
SΣ | 0..* | Reference(Body Structure - DICOM SR Observation Tracking Identifier Mapping) | What the observation is about, when it is not about the subject of record | ||||
| 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: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 | ||||
| Slices for value[x] |
ΣC | 1..1 | CodeableConcept | Actual result Slice: Unordered, Closed by type:$this | ||||
| value[x]:valueCodeableConcept |
SΣC | 1..1 | CodeableConcept | 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 |
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 Algorithm Identification Mapping | Device - DICOM General Equipment Mapping | Device - DICOM Participant Device Mapping) | A reference to the device that generates the measurements or the device settings for the 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 | ||||
| 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: 110180("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: C0034375("Qualitative Evaluations")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.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 ImagingObservationProfile
Summary
Mandatory: 3 elements
Must-Support: 1 element
Slices
This structure defines the following Slices:
Differential View
This structure is derived from ImagingObservationProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
0..* | ImagingObservationProfile | Measurements and simple assertions | |
| Slices for identifier |
Content/Rules for all slices | |||
| identifier:observationUID |
0..* | Identifier | The unique identifier for the observation. | |
| category |
1..* | 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://terminology.hl7.org/CodeSystem/umls | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: C0034375 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Qualitative Evaluations | |
| code |
1..1 | CodeableConcept | Type of observation (code / type) | |
| subject |
1..1 | Reference(Patient) | Who and/or what the observation is about | |
| issued |
1..1 | instant | Observation Date Time | |
| Slices for value[x] |
1..1 | CodeableConcept | Actual result Slice: Unordered, Open by type:$this | |
| value[x]:valueCodeableConcept |
S | 1..1 | CodeableConcept | Actual result |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
C | 0..* | ImagingObservationProfile | 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 observation. |
| 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 | |
| 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 |
| 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 |
| status |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
| category |
S | 1..* | 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://terminology.hl7.org/CodeSystem/umls | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: C0034375 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Qualitative Evaluations | |
| 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 profile:resolve() |
| focus:trackingIdentifiers |
SΣ | 0..* | Reference(Body Structure - DICOM SR Observation Tracking Identifier Mapping) | What the observation is about, when it is not about the subject of record |
| 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: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 |
| Slices for value[x] |
ΣC | 1..1 | CodeableConcept | Actual result Slice: Unordered, Closed by type:$this |
| value[x]:valueCodeableConcept |
SΣC | 1..1 | CodeableConcept | 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 |
| device |
S | 1..1 | Reference(Device - DICOM SR Algorithm Identification Mapping | Device - DICOM General Equipment Mapping | Device - DICOM Participant Device Mapping) | A reference to the device that generates the measurements or the device settings for the device |
| 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.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|5.0.0from the FHIR Standard | |
| Observation.category | preferred | Pattern: C0034375("Qualitative Evaluations")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.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | ImagingObservationProfile | 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 observation. | ||||
| 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://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: 110180 | |||||
| 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 | 1..* | 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://terminology.hl7.org/CodeSystem/umls | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: C0034375 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Qualitative Evaluations | |||||
| 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 profile:resolve() | ||||
| focus:trackingIdentifiers |
SΣ | 0..* | Reference(Body Structure - DICOM SR Observation Tracking Identifier Mapping) | What the observation is about, when it is not about the subject of record | ||||
| 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: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 | ||||
| Slices for value[x] |
ΣC | 1..1 | CodeableConcept | Actual result Slice: Unordered, Closed by type:$this | ||||
| value[x]:valueCodeableConcept |
SΣC | 1..1 | CodeableConcept | 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 |
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 Algorithm Identification Mapping | Device - DICOM General Equipment Mapping | Device - DICOM Participant Device Mapping) | A reference to the device that generates the measurements or the device settings for the 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 | ||||
| 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: 110180("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: C0034375("Qualitative Evaluations")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.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 ImagingObservationProfile
Summary
Mandatory: 3 elements
Must-Support: 1 element
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#1.0.0 based on FHIR 5.0.0. Generated 2024-09-23
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change