Radiation Dose Summary for Diagnostic Procedures on FHIR
0.1.0 - STU 1 Ballot
Radiation Dose Summary for Diagnostic Procedures on FHIR
0.1.0 - STU 1 Ballot
This page is part of the Radiation Dose Summary for Diagnostic Procedures on FHIR (v0.1.0: STU 1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions 
| Defining URL: | http://hl7.org/fhir/uv/radiation-dose-summary/StructureDefinition/ct-irradiation-event-summary |
| Version: | 0.1.0 |
| Name: | CTIrradiationEventSummary |
| Title: | CT Irradiation Event Summary |
| Status: | Draft as of 12/8/21 3:51 PM |
| Definition: | Defines the Minimal Dose Information related to CT procedures |
| Publisher: | HL7 Imaging Integration Working Group |
| Source Resource: | XML / JSON / Turtle |
The official URL for this profile is:
http://hl7.org/fhir/uv/radiation-dose-summary/StructureDefinition/ct-irradiation-event-summary
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from IrradiationEventSummary
Summary
Mandatory: 1 element (4 nested mandatory elements)
Must-Support: 4 elements
Prohibited: 1 element
Slices
This structure defines the following Slices:
This structure is derived from IrradiationEventSummary
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | 0..* | IrradiationEventSummary | Measurements and simple assertions | |
  identifier:irradiationEventUID | 1..1 | Identifier | Identifier describing the Irradiation Event UID | |
 subject | 1..1 | Reference(Patient) | Who and/or what the observation is about | |
| effective[x] | 1..1 | dateTime | Describes the EV(111526, DCM, DateTime Started) element from TID-10013 | |
| value[x] | 0..0 | |||
| bodySite | S | 1..1 | CodeableConcept | The bodySite describes the related target region irradiated by this irradiation event Binding: CT,MRandPETAnatomyImaged (extensible) |
  Slices for component | 1..* | BackboneElement | Component results Slice: Unordered, Open by pattern:code | |
  component:meanCTDIvol | S | 0..1 | BackboneElement | Describes the EV(113830, DCM, Mean CTDIvol) element from TID-10013 |
  code | 1..1 | CodeableConcept | Type of component observation (code / type) 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: 113830 | |
 display | 1..1 | string | Representation defined by the system Fixed Value: Mean CTDIvol | |
  value[x] | 1..1 | Quantity | Actual component result | |
| unit | 0..1 | string | Unit representation Required Pattern: mGy | |
| component:dlp | S | 0..1 | BackboneElement | Describes the EV(113838, DCM, DLP) element from TID-10013 |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) 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: 113838 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: DLP | |
| value[x] | 1..1 | Quantity | Actual component result | |
| unit | 0..1 | string | Unit representation Required Pattern: mGy.cm | |
 component:ctdiPhantomType | S | 0..1 | BackboneElement | Describes the EV(113835, DCM, CTDIw Phantom Type) element from TID-10013 |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) 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: 113835 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: CTDIw Phantom Type | |
 Slices for value[x] | 1..1 | CodeableConcept | Actual component result Slice: Unordered, Open by type:$this | |
 valueCodeableConcept | 1..1 | CodeableConcept | Actual component result Binding: PhantomDevices (extensible) | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | I | 0..* | IrradiationEventSummary | Measurements and simple assertions |
 id | Σ | 0..1 | string | 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) Max Binding: AllLanguages: 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 | ?! | 0..* | Extension | Extensions that cannot be ignored |
 Slices for identifier | Σ | 1..* | Identifier | Business Identifier for observation Slice: Unordered, Open by pattern:type |
 identifier:irradiationEventUID | SΣ | 1..1 | Identifier | Identifier describing the Irradiation Event UID |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for 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: irradiation-event-uid | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Irradiation Event 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) |
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order |
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event |
| 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. |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| coding | Σ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following |
| 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: 113852 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Irradiation Event | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | Σ | 0..1 | string | Plain text representation of the concept |
| subject | SΣ | 1..1 | Reference(Patient) | Who and/or what the observation is about |
| focus | Σ | 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] | SΣ | 1..1 | dateTime | Describes the EV(111526, DCM, DateTime Started) element from TID-10013 |
| issued | Σ | 0..1 | instant | Date/Time this version was made available |
| performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation |
| dataAbsentReason | I | 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 | S | 1..1 | CodeableConcept | The bodySite describes the related target region irradiated by this irradiation event Binding: CT,MRandPETAnatomyImaged (extensible) |
| method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |
| specimen | 0..1 | Reference(Specimen) | Specimen used for this observation | |
| device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |
| referenceRange | I | 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 | I | 0..1 | SimpleQuantity | Low Range, if relevant |
| high | I | 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 |
| Slices for component | SΣ | 1..* | BackboneElement | Component results Slice: Unordered, Open by pattern:code |
| component:All Slices | Content/Rules for all slices | |||
 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: Irradiation Event 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 | I | 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 | |
| component:meanCTDIvol | SΣ | 0..1 | BackboneElement | Describes the EV(113830, DCM, Mean CTDIvol) element from TID-10013 |
| 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: Irradiation Event component type (extensible) 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: 113830 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Mean CTDIvol | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | 0..1 | string | Plain text representation of the concept | |
| value[x] | Σ | 1..1 | Quantity | Actual component result |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| value | Σ | 0..1 | decimal | Numerical value (with implicit precision) |
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| unit | Σ | 0..1 | string | Unit representation Required Pattern: mGy |
| system | ΣI | 0..1 | uri | System that defines coded unit form |
| code | Σ | 0..1 | code | Coded form of the unit |
| dataAbsentReason | I | 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 | |
| component:dlp | SΣ | 0..1 | BackboneElement | Describes the EV(113838, DCM, DLP) element from TID-10013 |
| 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: Irradiation Event component type (extensible) 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: 113838 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: DLP | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | 0..1 | string | Plain text representation of the concept | |
| value[x] | Σ | 1..1 | Quantity | Actual component result |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| value | Σ | 0..1 | decimal | Numerical value (with implicit precision) |
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| unit | Σ | 0..1 | string | Unit representation Required Pattern: mGy.cm |
| system | ΣI | 0..1 | uri | System that defines coded unit form |
| code | Σ | 0..1 | code | Coded form of the unit |
| dataAbsentReason | I | 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 | |
| component:ctdiPhantomType | SΣ | 0..1 | BackboneElement | Describes the EV(113835, DCM, CTDIw Phantom Type) element from TID-10013 |
| 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: Irradiation Event component type (extensible) 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: 113835 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: CTDIw Phantom Type | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | 0..1 | string | Plain text representation of the concept | |
| Slices for value[x] | Σ | 1..1 | CodeableConcept | Actual component result Slice: Unordered, Closed by type:$this |
| value[x]:valueCodeableConcept | Σ | 1..1 | CodeableConcept | Actual component result Binding: PhantomDevices (extensible) |
| dataAbsentReason | I | 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 | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | I | 0..* | IrradiationEventSummary | Measurements and simple assertions |
| identifier:irradiationEventUID | Σ | 1..1 | Identifier | Identifier describing the Irradiation Event UID |
| code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| subject | Σ | 1..1 | Reference(Patient) | Who and/or what the observation is about |
| effective[x] | Σ | 1..1 | dateTime | Describes the EV(111526, DCM, DateTime Started) element from TID-10013 |
| bodySite | 1..1 | CodeableConcept | The bodySite describes the related target region irradiated by this irradiation event Binding: CT,MRandPETAnatomyImaged (extensible) | |
| Slices for component | Σ | 1..* | BackboneElement | Component results Slice: Unordered, Open by pattern:code |
| component:meanCTDIvol | Σ | 0..1 | BackboneElement | Describes the EV(113830, DCM, Mean CTDIvol) element from TID-10013 |
| component:dlp | Σ | 0..1 | BackboneElement | Describes the EV(113838, DCM, DLP) element from TID-10013 |
| component:ctdiPhantomType | Σ | 0..1 | BackboneElement | Describes the EV(113835, DCM, CTDIw Phantom Type) element from TID-10013 |
| Documentation for this format | ||||
This structure is derived from IrradiationEventSummary
Summary
Mandatory: 1 element (4 nested mandatory elements)
Must-Support: 4 elements
Prohibited: 1 element
Slices
This structure defines the following Slices:
Differential View
This structure is derived from IrradiationEventSummary
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | 0..* | IrradiationEventSummary | Measurements and simple assertions | |
| identifier:irradiationEventUID | 1..1 | Identifier | Identifier describing the Irradiation Event UID | |
| subject | 1..1 | Reference(Patient) | Who and/or what the observation is about | |
| effective[x] | 1..1 | dateTime | Describes the EV(111526, DCM, DateTime Started) element from TID-10013 | |
| value[x] | 0..0 | |||
| bodySite | S | 1..1 | CodeableConcept | The bodySite describes the related target region irradiated by this irradiation event Binding: CT,MRandPETAnatomyImaged (extensible) |
| Slices for component | 1..* | BackboneElement | Component results Slice: Unordered, Open by pattern:code | |
| component:meanCTDIvol | S | 0..1 | BackboneElement | Describes the EV(113830, DCM, Mean CTDIvol) element from TID-10013 |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) 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: 113830 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Mean CTDIvol | |
| value[x] | 1..1 | Quantity | Actual component result | |
| unit | 0..1 | string | Unit representation Required Pattern: mGy | |
| component:dlp | S | 0..1 | BackboneElement | Describes the EV(113838, DCM, DLP) element from TID-10013 |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) 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: 113838 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: DLP | |
| value[x] | 1..1 | Quantity | Actual component result | |
| unit | 0..1 | string | Unit representation Required Pattern: mGy.cm | |
| component:ctdiPhantomType | S | 0..1 | BackboneElement | Describes the EV(113835, DCM, CTDIw Phantom Type) element from TID-10013 |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) 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: 113835 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: CTDIw Phantom Type | |
| Slices for value[x] | 1..1 | CodeableConcept | Actual component result Slice: Unordered, Open by type:$this | |
| valueCodeableConcept | 1..1 | CodeableConcept | Actual component result Binding: PhantomDevices (extensible) | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | I | 0..* | IrradiationEventSummary | Measurements and simple assertions |
| id | Σ | 0..1 | string | 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) Max Binding: AllLanguages: 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 | ?! | 0..* | Extension | Extensions that cannot be ignored |
| Slices for identifier | Σ | 1..* | Identifier | Business Identifier for observation Slice: Unordered, Open by pattern:type |
| identifier:irradiationEventUID | SΣ | 1..1 | Identifier | Identifier describing the Irradiation Event UID |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for 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: irradiation-event-uid | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Irradiation Event 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) |
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order |
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event |
| 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. |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| coding | Σ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following |
| 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: 113852 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Irradiation Event | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | Σ | 0..1 | string | Plain text representation of the concept |
| subject | SΣ | 1..1 | Reference(Patient) | Who and/or what the observation is about |
| focus | Σ | 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] | SΣ | 1..1 | dateTime | Describes the EV(111526, DCM, DateTime Started) element from TID-10013 |
| issued | Σ | 0..1 | instant | Date/Time this version was made available |
| performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation |
| dataAbsentReason | I | 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 | S | 1..1 | CodeableConcept | The bodySite describes the related target region irradiated by this irradiation event Binding: CT,MRandPETAnatomyImaged (extensible) |
| method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |
| specimen | 0..1 | Reference(Specimen) | Specimen used for this observation | |
| device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |
| referenceRange | I | 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 | I | 0..1 | SimpleQuantity | Low Range, if relevant |
| high | I | 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 |
| Slices for component | SΣ | 1..* | BackboneElement | Component results Slice: Unordered, Open by pattern:code |
| component:All Slices | Content/Rules for all slices | |||
| 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: Irradiation Event 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 | I | 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 | |
| component:meanCTDIvol | SΣ | 0..1 | BackboneElement | Describes the EV(113830, DCM, Mean CTDIvol) element from TID-10013 |
| 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: Irradiation Event component type (extensible) 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: 113830 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Mean CTDIvol | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | 0..1 | string | Plain text representation of the concept | |
| value[x] | Σ | 1..1 | Quantity | Actual component result |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| value | Σ | 0..1 | decimal | Numerical value (with implicit precision) |
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| unit | Σ | 0..1 | string | Unit representation Required Pattern: mGy |
| system | ΣI | 0..1 | uri | System that defines coded unit form |
| code | Σ | 0..1 | code | Coded form of the unit |
| dataAbsentReason | I | 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 | |
| component:dlp | SΣ | 0..1 | BackboneElement | Describes the EV(113838, DCM, DLP) element from TID-10013 |
| 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: Irradiation Event component type (extensible) 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: 113838 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: DLP | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | 0..1 | string | Plain text representation of the concept | |
| value[x] | Σ | 1..1 | Quantity | Actual component result |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| value | Σ | 0..1 | decimal | Numerical value (with implicit precision) |
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| unit | Σ | 0..1 | string | Unit representation Required Pattern: mGy.cm |
| system | ΣI | 0..1 | uri | System that defines coded unit form |
| code | Σ | 0..1 | code | Coded form of the unit |
| dataAbsentReason | I | 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 | |
| component:ctdiPhantomType | SΣ | 0..1 | BackboneElement | Describes the EV(113835, DCM, CTDIw Phantom Type) element from TID-10013 |
| 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: Irradiation Event component type (extensible) 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: 113835 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: CTDIw Phantom Type | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | 0..1 | string | Plain text representation of the concept | |
| Slices for value[x] | Σ | 1..1 | CodeableConcept | Actual component result Slice: Unordered, Closed by type:$this |
| value[x]:valueCodeableConcept | Σ | 1..1 | CodeableConcept | Actual component result Binding: PhantomDevices (extensible) |
| dataAbsentReason | I | 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 | ||||
Other representations of profile: CSV, Excel, Schematron
| Path | Conformance | ValueSet / Code |
| Observation.language | preferred | CommonLanguages Max Binding: AllLanguages |
| Observation.identifier:irradiationEventUID.use | required | IdentifierUse |
| Observation.identifier:irradiationEventUID.type | extensible | Pattern: irradiation-event-uid("Irradiation Event UID") |
| Observation.status | required | ObservationStatus |
| Observation.category | preferred | ObservationCategoryCodes |
| Observation.code | example | LOINCCodes |
| Observation.dataAbsentReason | extensible | DataAbsentReason |
| Observation.interpretation | extensible | ObservationInterpretationCodes |
| Observation.bodySite | extensible | CT,MRandPETAnatomyImaged |
| Observation.method | example | ObservationMethods |
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes |
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes |
| Observation.component.code | extensible | ComponentIrradiationEventVS |
| Observation.component.dataAbsentReason | extensible | DataAbsentReason |
| Observation.component.interpretation | extensible | ObservationInterpretationCodes |
| Observation.component:meanCTDIvol.code | extensible | Pattern: 113830("Mean CTDIvol") |
| Observation.component:meanCTDIvol.value[x].comparator | required | QuantityComparator |
| Observation.component:meanCTDIvol.dataAbsentReason | extensible | DataAbsentReason |
| Observation.component:meanCTDIvol.interpretation | extensible | ObservationInterpretationCodes |
| Observation.component:dlp.code | extensible | Pattern: 113838("DLP") |
| Observation.component:dlp.value[x].comparator | required | QuantityComparator |
| Observation.component:dlp.dataAbsentReason | extensible | DataAbsentReason |
| Observation.component:dlp.interpretation | extensible | ObservationInterpretationCodes |
| Observation.component:ctdiPhantomType.code | extensible | Pattern: 113835("CTDIw Phantom Type") |
| Observation.component:ctdiPhantomType.value[x]:valueCodeableConcept | extensible | PhantomDevices |
| Observation.component:ctdiPhantomType.dataAbsentReason | extensible | DataAbsentReason |
| Observation.component:ctdiPhantomType.interpretation | extensible | ObservationInterpretationCodes |
| Id | Path | Details | Requirements |
| obs-3 | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() |
IG © 2020+ HL7 Imaging Integration Working Group. Package hl7.fhir.uv.radiation-dose-summary#0.1.0 based on FHIR 4.0.1. Generated 2021-12-08
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