Radiation Dose Summary for Diagnostic Procedures on FHIR
0.1.0 - ci-build International flag

Radiation Dose Summary for Diagnostic Procedures on FHIR, published by HL7 International / Imaging Integration. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-radiation-dose-summary-ig/ and changes regularly. See the Directory of published versions

Resource Profile: Radiation Dose Summary ( Experimental )

Official URL: http://hl7.org/fhir/uv/radiation-dose-summary/StructureDefinition/radiation-dose-summary Version: 0.1.0
Draft as of 2024-07-10 Computable Name: RadiationDoseSummary

General Structure describing a summary of an irradiation act

Radiation Dose Summary profile defines an overview of an irradiation act, which can be a irradiating imaging study or a radiopharmaceutical administration. When the Radiation Dose Summary is related to a study, it provides a summary of the irradiation events that occurred within the same procedure and equipment. The Radiation Dose Summary profile has no aim to aggregate radiation exposure over time, or make cumulative calculations over multiple performed procedures. Here is an example of querying a FHIR server hosting Radiation Dose Summary resources:

GET /fhir/Observation?code=73569-6&patient=8&date=gt2020-01-01

For other examples, please refer to the section Radiation Dose Summary Consumer search query samples paragraph, from Test and Conformance page.

Radiation Dose Summary resource can be mapped to the defined CDA section Radiation Exposure and Protection Information from DICOM PS3.20: Imaging Reports using HL7 Clinical Document Architecture.

Usage:

Formal Views of Profile Content

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

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* Observation Measurements and simple assertions
... Slices for identifier 0..* Identifier Business Identifier for observation
Slice: Unordered, Open by pattern:type
.... identifier:radiationSRUID S 0..* Identifier Identifier related to SOP Instance UID if the resource is generated based on an RDSR
..... 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/radiation-dose-summary/CodeSystem/dicom-identifier-type
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: sop-instance-uid
....... display 1..1 string Representation defined by the system
Fixed Value: SOP 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
... 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) 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/radiation-dose-summary/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
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 73569-6
..... display 1..1 string Representation defined by the system
Fixed Value: Radiation exposure and protection information [Description] Document Diagnostic imaging
... subject S 1..1 Reference(Patient) Irradiated patient
... focus S 1..1 Reference(ImagingStudy) The observation has a focus on the performed exam.
... effective[x] S 1..1 dateTime Irradiation Start Date Time
... Slices for performer S 1..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Slice: Unordered, Closed by type:reference
.... performer:irradiationAutorizingPerson S 1..1 Reference(Practitioner) Related irradiation authorizing person
... value[x] S 1..1 string Dose Summary text.
... dataAbsentReason 0..0
... specimen 0..0
... device S 0..1 Reference(Modality Device) Irradiating modality
... component
.... code 1..1 CodeableConcept Type of component observation (code / type)
Binding: Radiation Dose Summary component type (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.component.codeextensibleComponentRadiationDoseSummaryVS
http://hl7.org/fhir/uv/radiation-dose-summary/ValueSet/component-radiation-dose-summary-vs
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 0..* Identifier Business Identifier for observation
Slice: Unordered, Open by pattern:type
.... identifier:radiationSRUID SΣ 0..* Identifier Identifier related to SOP Instance UID if the resource is generated based on an RDSR
..... 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: Identifier Type Codes (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/radiation-dose-summary/CodeSystem/dicom-identifier-type
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: sop-instance-uid
....... display 1..1 string Representation defined by the system
Fixed Value: SOP Instance UID
..... system Σ 0..1 uri The namespace for the identifier value
Required Pattern: urn:dicom:uid
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... basedOn:serviceRequestRef SΣ 0..1 Reference(ServiceRequest) Description of the related ServiceRequest
..... identifier Σ 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: Identifier Type Codes (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 Σ 1..1 string The value that is unique
Example General: 123456
... Slices for partOf Σ 1..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
Slice: Unordered, Open by type:reference
.... partOf:imagingStudyRef SΣ 1..1 Reference(ImagingStudy) Related ImagingStudy
..... identifier Σ 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: Identifier Type Codes (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/radiation-dose-summary/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 Σ 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.

... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


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://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 73569-6
..... display 1..1 string Representation defined by the system
Fixed Value: Radiation exposure and protection information [Description] Document Diagnostic imaging
... subject SΣ 1..1 Reference(Patient) Irradiated patient
... focus SΣ 1..1 Reference(ImagingStudy) The observation has a focus on the performed exam.
... effective[x] SΣ 1..1 dateTime Irradiation Start Date Time
... Slices for performer SΣ 1..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Slice: Unordered, Closed by type:reference
.... performer:irradiationAutorizingPerson SΣ 1..1 Reference(Practitioner) Related irradiation authorizing person
... value[x] SΣC 1..1 string Dose Summary text.
... device S 0..1 Reference(Modality Device) Irradiating modality

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.identifier:radiationSRUID.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.identifier:radiationSRUID.typeextensiblePattern: sop-instance-uid("SOP Instance UID")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Observation.basedOn:serviceRequestRef.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.basedOn:serviceRequestRef.identifier.typeextensiblePattern: ACSN("Accession ID")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Observation.partOf:imagingStudyRef.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.partOf:imagingStudyRef.identifier.typeextensiblePattern: study-instance-uid("Study Instance UID")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.codeexamplePattern: LOINC Code 73569-6("Radiation exposure and protection information [Description] Document Diagnostic imaging")
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be 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: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... 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 ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 0..* Identifier Business Identifier for observation
Slice: Unordered, Open by pattern:type
.... identifier:radiationSRUID SΣ 0..* Identifier Identifier related to SOP Instance UID if the resource is generated based on an RDSR
..... id 0..1 string 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: Identifier Type Codes (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/radiation-dose-summary/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: sop-instance-uid
....... display 1..1 string Representation defined by the system
Fixed Value: SOP 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 Σ 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)
... 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 string 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")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ 0..1 Identifier The accession number related to the performed study
...... id 0..1 string 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: Identifier Type Codes (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 Σ 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 Σ 0..1 string Text alternative for the resource
... Slices for partOf Σ 1..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
Slice: Unordered, Open by type:reference
.... partOf:imagingStudyRef SΣ 1..1 Reference(ImagingStudy) Related ImagingStudy
..... id 0..1 string 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")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ 0..1 Identifier Identifier related to Study Instance UID
...... id 0..1 string 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: Identifier Type Codes (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/radiation-dose-summary/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 Σ 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 Σ 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 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


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://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 73569-6
..... display 1..1 string Representation defined by the system
Fixed Value: Radiation exposure and protection information [Description] Document Diagnostic imaging
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient) Irradiated patient
... focus SΣ 1..1 Reference(ImagingStudy) The observation has a focus on the performed exam.
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] SΣ 1..1 dateTime Irradiation Start Date Time
... issued Σ 0..1 instant Date/Time this version was made available
... Slices for performer SΣ 1..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Slice: Unordered, Closed by type:reference
.... performer:irradiationAutorizingPerson SΣ 1..1 Reference(Practitioner) Related irradiation authorizing person
... value[x] SΣC 1..1 string Dose Summary text.
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.

... device S 0..1 Reference(Modality Device) Irradiating modality
... 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
.... 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 0..1 string 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 | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... component Σ 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 Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: Radiation Dose Summary component type (extensible)
.... 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
.... dataAbsentReason C 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.identifier:radiationSRUID.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.identifier:radiationSRUID.typeextensiblePattern: sop-instance-uid("SOP Instance UID")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Observation.basedOn:serviceRequestRef.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Observation.basedOn:serviceRequestRef.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.basedOn:serviceRequestRef.identifier.typeextensiblePattern: ACSN("Accession ID")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Observation.partOf:imagingStudyRef.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Observation.partOf:imagingStudyRef.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.partOf:imagingStudyRef.identifier.typeextensiblePattern: study-instance-uid("Study Instance UID")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexamplePattern: LOINC Code 73569-6("Radiation exposure and protection information [Description] Document Diagnostic imaging")
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeextensibleComponentRadiationDoseSummaryVS
http://hl7.org/fhir/uv/radiation-dose-summary/ValueSet/component-radiation-dose-summary-vs
from this IG
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

This structure is derived from Observation

Summary

Mandatory: 8 elements(6 nested mandatory elements)
Must-Support: 11 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.identifier
  • The element 1 is sliced based on the value of Observation.basedOn
  • The element 1 is sliced based on the value of Observation.partOf
  • The element 1 is sliced based on the value of Observation.performer (Closed)

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* Observation Measurements and simple assertions
... Slices for identifier 0..* Identifier Business Identifier for observation
Slice: Unordered, Open by pattern:type
.... identifier:radiationSRUID S 0..* Identifier Identifier related to SOP Instance UID if the resource is generated based on an RDSR
..... 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/radiation-dose-summary/CodeSystem/dicom-identifier-type
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: sop-instance-uid
....... display 1..1 string Representation defined by the system
Fixed Value: SOP 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
... 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) 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/radiation-dose-summary/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
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 73569-6
..... display 1..1 string Representation defined by the system
Fixed Value: Radiation exposure and protection information [Description] Document Diagnostic imaging
... subject S 1..1 Reference(Patient) Irradiated patient
... focus S 1..1 Reference(ImagingStudy) The observation has a focus on the performed exam.
... effective[x] S 1..1 dateTime Irradiation Start Date Time
... Slices for performer S 1..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Slice: Unordered, Closed by type:reference
.... performer:irradiationAutorizingPerson S 1..1 Reference(Practitioner) Related irradiation authorizing person
... value[x] S 1..1 string Dose Summary text.
... dataAbsentReason 0..0
... specimen 0..0
... device S 0..1 Reference(Modality Device) Irradiating modality
... component
.... code 1..1 CodeableConcept Type of component observation (code / type)
Binding: Radiation Dose Summary component type (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.component.codeextensibleComponentRadiationDoseSummaryVS
http://hl7.org/fhir/uv/radiation-dose-summary/ValueSet/component-radiation-dose-summary-vs
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 0..* Identifier Business Identifier for observation
Slice: Unordered, Open by pattern:type
.... identifier:radiationSRUID SΣ 0..* Identifier Identifier related to SOP Instance UID if the resource is generated based on an RDSR
..... 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: Identifier Type Codes (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/radiation-dose-summary/CodeSystem/dicom-identifier-type
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: sop-instance-uid
....... display 1..1 string Representation defined by the system
Fixed Value: SOP Instance UID
..... system Σ 0..1 uri The namespace for the identifier value
Required Pattern: urn:dicom:uid
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... basedOn:serviceRequestRef SΣ 0..1 Reference(ServiceRequest) Description of the related ServiceRequest
..... identifier Σ 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: Identifier Type Codes (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 Σ 1..1 string The value that is unique
Example General: 123456
... Slices for partOf Σ 1..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
Slice: Unordered, Open by type:reference
.... partOf:imagingStudyRef SΣ 1..1 Reference(ImagingStudy) Related ImagingStudy
..... identifier Σ 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: Identifier Type Codes (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/radiation-dose-summary/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 Σ 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.

... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


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://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 73569-6
..... display 1..1 string Representation defined by the system
Fixed Value: Radiation exposure and protection information [Description] Document Diagnostic imaging
... subject SΣ 1..1 Reference(Patient) Irradiated patient
... focus SΣ 1..1 Reference(ImagingStudy) The observation has a focus on the performed exam.
... effective[x] SΣ 1..1 dateTime Irradiation Start Date Time
... Slices for performer SΣ 1..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Slice: Unordered, Closed by type:reference
.... performer:irradiationAutorizingPerson SΣ 1..1 Reference(Practitioner) Related irradiation authorizing person
... value[x] SΣC 1..1 string Dose Summary text.
... device S 0..1 Reference(Modality Device) Irradiating modality

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.identifier:radiationSRUID.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.identifier:radiationSRUID.typeextensiblePattern: sop-instance-uid("SOP Instance UID")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Observation.basedOn:serviceRequestRef.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.basedOn:serviceRequestRef.identifier.typeextensiblePattern: ACSN("Accession ID")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Observation.partOf:imagingStudyRef.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.partOf:imagingStudyRef.identifier.typeextensiblePattern: study-instance-uid("Study Instance UID")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.codeexamplePattern: LOINC Code 73569-6("Radiation exposure and protection information [Description] Document Diagnostic imaging")
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Measurements and simple assertions
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be 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: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... 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 ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 0..* Identifier Business Identifier for observation
Slice: Unordered, Open by pattern:type
.... identifier:radiationSRUID SΣ 0..* Identifier Identifier related to SOP Instance UID if the resource is generated based on an RDSR
..... id 0..1 string 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: Identifier Type Codes (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/radiation-dose-summary/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: sop-instance-uid
....... display 1..1 string Representation defined by the system
Fixed Value: SOP 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 Σ 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)
... 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 string 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")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ 0..1 Identifier The accession number related to the performed study
...... id 0..1 string 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: Identifier Type Codes (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 Σ 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 Σ 0..1 string Text alternative for the resource
... Slices for partOf Σ 1..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
Slice: Unordered, Open by type:reference
.... partOf:imagingStudyRef SΣ 1..1 Reference(ImagingStudy) Related ImagingStudy
..... id 0..1 string 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")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ 0..1 Identifier Identifier related to Study Instance UID
...... id 0..1 string 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: Identifier Type Codes (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/radiation-dose-summary/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 Σ 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 Σ 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 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


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://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 73569-6
..... display 1..1 string Representation defined by the system
Fixed Value: Radiation exposure and protection information [Description] Document Diagnostic imaging
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient) Irradiated patient
... focus SΣ 1..1 Reference(ImagingStudy) The observation has a focus on the performed exam.
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] SΣ 1..1 dateTime Irradiation Start Date Time
... issued Σ 0..1 instant Date/Time this version was made available
... Slices for performer SΣ 1..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Slice: Unordered, Closed by type:reference
.... performer:irradiationAutorizingPerson SΣ 1..1 Reference(Practitioner) Related irradiation authorizing person
... value[x] SΣC 1..1 string Dose Summary text.
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.

... device S 0..1 Reference(Modality Device) Irradiating modality
... 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
.... 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 0..1 string 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 | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... component Σ 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 Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: Radiation Dose Summary component type (extensible)
.... 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
.... dataAbsentReason C 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.identifier:radiationSRUID.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.identifier:radiationSRUID.typeextensiblePattern: sop-instance-uid("SOP Instance UID")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Observation.basedOn:serviceRequestRef.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Observation.basedOn:serviceRequestRef.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.basedOn:serviceRequestRef.identifier.typeextensiblePattern: ACSN("Accession ID")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Observation.partOf:imagingStudyRef.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Observation.partOf:imagingStudyRef.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.partOf:imagingStudyRef.identifier.typeextensiblePattern: study-instance-uid("Study Instance UID")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexamplePattern: LOINC Code 73569-6("Radiation exposure and protection information [Description] Document Diagnostic imaging")
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeextensibleComponentRadiationDoseSummaryVS
http://hl7.org/fhir/uv/radiation-dose-summary/ValueSet/component-radiation-dose-summary-vs
from this IG
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

This structure is derived from Observation

Summary

Mandatory: 8 elements(6 nested mandatory elements)
Must-Support: 11 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.identifier
  • The element 1 is sliced based on the value of Observation.basedOn
  • The element 1 is sliced based on the value of Observation.partOf
  • The element 1 is sliced based on the value of Observation.performer (Closed)

 

Other representations of profile: CSV, Excel, Schematron