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 Imaging Integration Working Group. This is not an authorized publication; it is the continuous build for version 0.1.0). 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/dicom-sr/StructureDefinition/derived-imaging-measurement | Version: 0.1.0 | |||
| Draft as of 2023-06-13 | Computable Name: DerivedImagingMeasurementProfile | |||
DICOM SR Derived 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 pattern: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: 126011 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Derived Imaging Measurement | |
| code | S | 1..1 | CodeableConcept | Type of observation (code / type) |
 subject | S | 1..1 | Reference(Patient) | Who and/or what the observation is about |
| 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 |
| device | S | 0..1 | Reference(Device - DICOM SR TID 4019 Algorithm Identification Mapping) | Algorithm Identification |
| referenceRange | S | 0..* | BackboneElement | Provides guide for interpretation |
| Slices for derivedFrom | 1..* | Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy) | Related resource from which the observation is made Slice: Unordered, Open by type:reference | |
| derivedFrom:imagingMeasurementGroupRef | S | 1..* | Reference(Observation - DICOM SR Imaging Measurement Group Mapping) | Source Imaging Measurement Groups |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | Observation | This is an abstract profile. Measurements and simple assertions |
 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 pattern: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: 126011 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Derived Imaging Measurement | |
| 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 |
| 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 |
| device | S | 0..1 | Reference(Device - DICOM SR TID 4019 Algorithm Identification Mapping) | Algorithm Identification |
| referenceRange | SC | 0..* | BackboneElement | Provides guide for interpretation |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Slices for derivedFrom | Σ | 1..* | Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy) | Related resource from which the observation is made Slice: Unordered, Open by type:reference |
| derivedFrom:imagingMeasurementGroupRef | SΣ | 1..* | Reference(Observation - DICOM SR Imaging Measurement Group Mapping) | Source Imaging Measurement Groups |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.identifier:observationUID.use | required | IdentifierUse |
| Observation.identifier:observationUID.type | extensible | Pattern: observation-uid("Observation UID") |
| Observation.basedOn:serviceRequestRef.identifier.use | required | IdentifierUse |
| Observation.basedOn:serviceRequestRef.identifier.type | extensible | Pattern: ACSN("Accession ID") |
| Observation.partOf:imagingStudyRef.identifier.use | required | IdentifierUse |
| Observation.partOf:imagingStudyRef.identifier.type | extensible | Pattern: study-instance-uid("Study Instance UID") |
| Observation.status | required | ObservationStatus |
| Observation.category | preferred | Pattern: 126011("Derived Imaging Measurement") |
| Observation.code | example | LOINCCodes (a valid code from LOINC) |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | Observation | This is an abstract profile. Measurements and simple assertions |
| 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 pattern: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] | ΣTU | 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 | TU | 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: 126011 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Derived Imaging Measurement | |
| 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 |
| focus | ΣTU | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record |
| 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 | 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 | CTU | 0..1 | Reference(BodyStructure) | Observed body structure |
| method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |
| specimen | C | 0..1 | Reference(Specimen | Group) | Specimen used for this observation |
| device | S | 0..1 | Reference(Device - DICOM SR TID 4019 Algorithm Identification Mapping) | Algorithm Identification |
| referenceRange | SC | 0..* | BackboneElement | Provides guide for interpretation |
| 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 | TU | 0..1 | CodeableConcept | Normal value, if relevant Binding: ObservationReferenceRangeNormalValueCodes (extensible): Codes identifying the normal value of the observation. |
| type | TU | 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 |
| Slices for derivedFrom | Σ | 1..* | Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy) | Related resource from which the observation is made Slice: Unordered, Open by type:reference |
| derivedFrom:imagingMeasurementGroupRef | SΣ | 1..* | Reference(Observation - DICOM SR Imaging Measurement Group Mapping) | Source Imaging Measurement Groups |
| 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 |
| Observation.language | required | AllLanguages |
| Observation.identifier:observationUID.use | required | IdentifierUse |
| Observation.identifier:observationUID.type | extensible | Pattern: observation-uid("Observation UID") |
| Observation.basedOn:serviceRequestRef.type | extensible | ResourceType |
| Observation.basedOn:serviceRequestRef.identifier.use | required | IdentifierUse |
| Observation.basedOn:serviceRequestRef.identifier.type | extensible | Pattern: ACSN("Accession ID") |
| Observation.triggeredBy.type | required | TriggeredBytype |
| Observation.partOf:imagingStudyRef.type | extensible | ResourceType |
| Observation.partOf:imagingStudyRef.identifier.use | required | IdentifierUse |
| Observation.partOf:imagingStudyRef.identifier.type | extensible | Pattern: study-instance-uid("Study Instance UID") |
| Observation.status | required | ObservationStatus |
| Observation.category | preferred | Pattern: 126011("Derived Imaging Measurement") |
| Observation.code | example | LOINCCodes (a valid code from LOINC) |
| Observation.dataAbsentReason | extensible | DataAbsentReason |
| Observation.interpretation | extensible | ObservationInterpretationCodes |
| Observation.bodySite | example | SNOMEDCTBodyStructures |
| Observation.method | example | ObservationMethods |
| Observation.referenceRange.normalValue | extensible | ObservationReferenceRangeNormalValueCodes |
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes |
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) |
| Observation.component.dataAbsentReason | extensible | DataAbsentReason |
| Observation.component.interpretation | extensible | ObservationInterpretationCodes |
This structure is derived from Observation
Summary
Mandatory: 6 elements (6 nested mandatory elements)
Must-Support: 11 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 pattern: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: 126011 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Derived Imaging Measurement | |
| code | S | 1..1 | CodeableConcept | Type of observation (code / type) |
| subject | S | 1..1 | Reference(Patient) | Who and/or what the observation is about |
| 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 |
| device | S | 0..1 | Reference(Device - DICOM SR TID 4019 Algorithm Identification Mapping) | Algorithm Identification |
| referenceRange | S | 0..* | BackboneElement | Provides guide for interpretation |
| Slices for derivedFrom | 1..* | Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy) | Related resource from which the observation is made Slice: Unordered, Open by type:reference | |
| derivedFrom:imagingMeasurementGroupRef | S | 1..* | Reference(Observation - DICOM SR Imaging Measurement Group Mapping) | Source Imaging Measurement Groups |
| 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 |
| 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 pattern: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: 126011 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Derived Imaging Measurement | |
| 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 |
| 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 |
| device | S | 0..1 | Reference(Device - DICOM SR TID 4019 Algorithm Identification Mapping) | Algorithm Identification |
| referenceRange | SC | 0..* | BackboneElement | Provides guide for interpretation |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Slices for derivedFrom | Σ | 1..* | Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy) | Related resource from which the observation is made Slice: Unordered, Open by type:reference |
| derivedFrom:imagingMeasurementGroupRef | SΣ | 1..* | Reference(Observation - DICOM SR Imaging Measurement Group Mapping) | Source Imaging Measurement Groups |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.identifier:observationUID.use | required | IdentifierUse |
| Observation.identifier:observationUID.type | extensible | Pattern: observation-uid("Observation UID") |
| Observation.basedOn:serviceRequestRef.identifier.use | required | IdentifierUse |
| Observation.basedOn:serviceRequestRef.identifier.type | extensible | Pattern: ACSN("Accession ID") |
| Observation.partOf:imagingStudyRef.identifier.use | required | IdentifierUse |
| Observation.partOf:imagingStudyRef.identifier.type | extensible | Pattern: study-instance-uid("Study Instance UID") |
| Observation.status | required | ObservationStatus |
| Observation.category | preferred | Pattern: 126011("Derived Imaging Measurement") |
| Observation.code | example | LOINCCodes (a valid code from LOINC) |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | Observation | This is an abstract profile. Measurements and simple assertions |
| 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 pattern: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] | ΣTU | 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 | TU | 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: 126011 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Derived Imaging Measurement | |
| 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 |
| focus | ΣTU | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record |
| 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 | 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 | CTU | 0..1 | Reference(BodyStructure) | Observed body structure |
| method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |
| specimen | C | 0..1 | Reference(Specimen | Group) | Specimen used for this observation |
| device | S | 0..1 | Reference(Device - DICOM SR TID 4019 Algorithm Identification Mapping) | Algorithm Identification |
| referenceRange | SC | 0..* | BackboneElement | Provides guide for interpretation |
| 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 | TU | 0..1 | CodeableConcept | Normal value, if relevant Binding: ObservationReferenceRangeNormalValueCodes (extensible): Codes identifying the normal value of the observation. |
| type | TU | 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 |
| Slices for derivedFrom | Σ | 1..* | Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation | MolecularSequence | GenomicStudy) | Related resource from which the observation is made Slice: Unordered, Open by type:reference |
| derivedFrom:imagingMeasurementGroupRef | SΣ | 1..* | Reference(Observation - DICOM SR Imaging Measurement Group Mapping) | Source Imaging Measurement Groups |
| 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 |
| Observation.language | required | AllLanguages |
| Observation.identifier:observationUID.use | required | IdentifierUse |
| Observation.identifier:observationUID.type | extensible | Pattern: observation-uid("Observation UID") |
| Observation.basedOn:serviceRequestRef.type | extensible | ResourceType |
| Observation.basedOn:serviceRequestRef.identifier.use | required | IdentifierUse |
| Observation.basedOn:serviceRequestRef.identifier.type | extensible | Pattern: ACSN("Accession ID") |
| Observation.triggeredBy.type | required | TriggeredBytype |
| Observation.partOf:imagingStudyRef.type | extensible | ResourceType |
| Observation.partOf:imagingStudyRef.identifier.use | required | IdentifierUse |
| Observation.partOf:imagingStudyRef.identifier.type | extensible | Pattern: study-instance-uid("Study Instance UID") |
| Observation.status | required | ObservationStatus |
| Observation.category | preferred | Pattern: 126011("Derived Imaging Measurement") |
| Observation.code | example | LOINCCodes (a valid code from LOINC) |
| Observation.dataAbsentReason | extensible | DataAbsentReason |
| Observation.interpretation | extensible | ObservationInterpretationCodes |
| Observation.bodySite | example | SNOMEDCTBodyStructures |
| Observation.method | example | ObservationMethods |
| Observation.referenceRange.normalValue | extensible | ObservationReferenceRangeNormalValueCodes |
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes |
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) |
| Observation.component.dataAbsentReason | extensible | DataAbsentReason |
| Observation.component.interpretation | extensible | ObservationInterpretationCodes |
This structure is derived from Observation
Summary
Mandatory: 6 elements (6 nested mandatory elements)
Must-Support: 11 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2021+ HL7 Imaging Integration Working Group. Package hl7.fhir.uv.dicom-sr#0.1.0 based on FHIR 5.0.0. Generated 2023-06-13
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