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

Resource Profile: CT Radiation Dose Summary

Defining URL:http://hl7.org/fhir/uv/radiation-dose-summary/StructureDefinition/ct-radiation-dose-summary
Version:0.1.0
Name:CTRadiationDoseSummary
Title:CT Radiation Dose Summary
Status:Draft as of 12/8/21 3:51 PM
Definition:

Defines the Minimal Dose Information related to CT irradiation events

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-radiation-dose-summary

Formal Views of Profile Content

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

This structure is derived from RadiationDoseSummary

Summary

Mandatory: 4 elements
Must-Support: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Observation.hasMember is sliced based on the value of profile:$this.resolve()
  • The element Observation.component.value[x] is sliced based on the value of type:$this

This structure is derived from RadiationDoseSummary

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*RadiationDoseSummaryMeasurements and simple assertions
... identifier:radiationSRUID 0..*IdentifierIdentifier related to SOP Instance UID if the resource is generated based on an RDSR
... basedOn:serviceRequestRef 0..1Reference(ServiceRequest)Description of the related ServiceRequest
... partOf:imagingStudyRef 1..1Reference(ImagingStudy)Related ImagingStudy
... effective[x] 1..1dateTimeComing from EV (113809, DCM, Start of X-Ray Irradiation) from TID-10011
... performer:irradiationAutorizingPerson 1..1Reference(Practitioner)Related irradiation authorizing person
... device 1..1Reference(Modality Device)The irradiating device
... Slices for hasMember 0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
Slice: Unordered, Open by profile:$this.resolve()
.... hasMember:irradiationEvent 0..*Reference(CT Irradiation Event Summary)Related irradiation events.
... component 2..*BackboneElementComponent results
... component:procedureReported 1..1BackboneElementRelated Reported Procedure.
.... valueCodeableConcept 0..1CodeableConceptActual component result
..... coding 0..*CodingCode defined by a terminology system
Required Pattern: At least the following
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 77477000
...... display1..1stringRepresentation defined by the system
Fixed Value: Computerized tomography
... component:cTDoseLengthProductTotal S1..1BackboneElementDescribes the EV(113813, DCM, CT Dose Length Product Total) element from TID-10012
.... code 1..1CodeableConceptType of component observation (code / type)
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 113813
...... display1..1stringRepresentation defined by the system
Fixed Value: CT Dose Length Product Total
.... Slices for value[x] 1..1QuantityActual component result
Slice: Unordered, Open by type:$this
.... valueQuantity 1..1QuantityActual component result
..... unit 0..1stringUnit representation
Required Pattern: mGy.cm

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*RadiationDoseSummaryMeasurements and simple assertions
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier Σ0..*IdentifierBusiness Identifier for observation
Slice: Unordered, Open by pattern:type
.... identifier:radiationSRUID SΣ0..*IdentifierIdentifier related to SOP Instance UID if the resource is generated based on an RDSR
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ1..1CodeableConceptDescription 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
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/radiation-dose-summary/CodeSystem/dicom-identifier-type
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: sop-instance-uid
....... display1..1stringRepresentation defined by the system
Fixed Value: SOP Instance UID
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... system Σ0..1uriThe namespace for the identifier value
Required Pattern: urn:dicom:uid
..... value Σ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... Slices for basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
Slice: Unordered, Open by type:reference
.... basedOn:serviceRequestRef SΣ0..1Reference(ServiceRequest)Description of the related ServiceRequest
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
..... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ0..1IdentifierThe accession number related to the performed study
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

...... type Σ1..1CodeableConceptDescription 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
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
........ id0..1stringUnique id for inter-element referencing
........ extension0..*ExtensionAdditional content defined by implementations
........ system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
........ version0..1stringVersion of the system - if relevant
........ code1..1codeSymbol in syntax defined by the system
Fixed Value: ACSN
........ display1..1stringRepresentation defined by the system
Fixed Value: Accession ID
........ userSelected0..1booleanIf this coding was chosen directly by the user
....... text0..1stringPlain text representation of the concept
...... system Σ0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
...... value Σ1..1stringThe value that is unique
Example General: 123456
...... period Σ0..1PeriodTime period when id is/was valid for use
...... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
..... display Σ0..1stringText alternative for the resource
... Slices for partOf Σ1..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
Slice: Unordered, Open by type:reference
.... partOf:imagingStudyRef SΣ1..1Reference(ImagingStudy)Related ImagingStudy
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
..... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ0..1IdentifierIdentifier related to Study Instance UID
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

...... type Σ1..1CodeableConceptDescription 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
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
........ id0..1stringUnique id for inter-element referencing
........ extension0..*ExtensionAdditional content defined by implementations
........ system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/radiation-dose-summary/CodeSystem/dicom-identifier-type
........ version0..1stringVersion of the system - if relevant
........ code1..1codeSymbol in syntax defined by the system
Fixed Value: study-instance-uid
........ display1..1stringRepresentation defined by the system
Fixed Value: Study Instance UID
........ userSelected0..1booleanIf this coding was chosen directly by the user
....... text0..1stringPlain text representation of the concept
...... system Σ0..1uriThe namespace for the identifier value
Required Pattern: urn:dicom:uid
...... value Σ1..1stringThe value that is unique
Example General: 123456
...... period Σ0..1PeriodTime period when id is/was valid for use
...... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
..... display Σ0..1stringText alternative for the resource
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category 0..*CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


... code SΣ1..1CodeableConceptType of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 73569-6
..... display1..1stringRepresentation defined by the system
Fixed Value: Radiation exposure and protection information [Description] Document Diagnostic imaging
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(Patient)Irradiated patient
... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] SΣ1..1dateTimeComing from EV (113809, DCM, Start of X-Ray Irradiation) from TID-10011
... issued Σ0..1instantDate/Time this version was made available
... Slices for performer SΣ1..1Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
Slice: Unordered, Closed by type:reference
.... performer:irradiationAutorizingPerson SΣ1..1Reference(Practitioner)Related irradiation authorizing person
... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


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

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

... device S1..1Reference(Modality Device)The irradiating device
... referenceRange I0..*BackboneElementProvides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low I0..1SimpleQuantityLow Range, if relevant
.... high I0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... Slices for hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
Slice: Unordered, Open by profile:$this.resolve()
.... hasMember:irradiationEvent SΣ0..*Reference(CT Irradiation Event Summary)Related irradiation events.
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
... Slices for component SΣ2..*BackboneElementComponent results
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: Radiation Dose Summary component type (extensible)
..... value[x] Σ0..1Actual component result
...... valueQuantityQuantity
...... valueCodeableConceptCodeableConcept
...... valueStringstring
...... valueBooleanboolean
...... valueIntegerinteger
...... valueRangeRange
...... valueRatioRatio
...... valueSampledDataSampledData
...... valueTimetime
...... valueDateTimedateTime
...... valuePeriodPeriod
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
.... component:procedureReported SΣ1..1BackboneElementRelated Reported Procedure.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121058
....... display1..1stringRepresentation defined by the system
Fixed Value: Procedure reported
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... Slices for value[x] Σ0..1CodeableConceptActual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueCodeableConcept Σ0..1CodeableConceptActual component result
Binding: Procedure Reported Type Value Set (required)
....... id 0..1stringUnique id for inter-element referencing
....... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... coding Σ0..*CodingCode defined by a terminology system

Required Pattern: At least the following
........ id0..1stringUnique id for inter-element referencing
........ extension0..*ExtensionAdditional content defined by implementations
........ system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
........ version0..1stringVersion of the system - if relevant
........ code1..1codeSymbol in syntax defined by the system
Fixed Value: 77477000
........ display1..1stringRepresentation defined by the system
Fixed Value: Computerized tomography
........ userSelected0..1booleanIf this coding was chosen directly by the user
....... text Σ0..1stringPlain text representation of the concept
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
.... component:cTDoseLengthProductTotal SΣ1..1BackboneElementDescribes the EV(113813, DCM, CT Dose Length Product Total) element from TID-10012
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: Radiation Dose Summary component type (extensible)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 113813
....... display1..1stringRepresentation defined by the system
Fixed Value: CT Dose Length Product Total
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... Slices for value[x] Σ1..1QuantityActual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ1..1QuantityActual component result
....... id 0..1stringUnique id for inter-element referencing
....... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... value Σ0..1decimalNumerical value (with implicit precision)
....... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

....... unit Σ0..1stringUnit representation
Required Pattern: mGy.cm
....... system ΣI0..1uriSystem that defines coded unit form
....... code Σ0..1codeCoded form of the unit
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, 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
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*RadiationDoseSummaryMeasurements and simple assertions
... identifier:radiationSRUID Σ0..*IdentifierIdentifier related to SOP Instance UID if the resource is generated based on an RDSR
... basedOn:serviceRequestRef Σ0..1Reference(ServiceRequest)Description of the related ServiceRequest
... partOf:imagingStudyRef Σ1..1Reference(ImagingStudy)Related ImagingStudy
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 73569-6
..... display1..1stringRepresentation defined by the system
Fixed Value: Radiation exposure and protection information [Description] Document Diagnostic imaging
... subject Σ1..1Reference(Patient)Irradiated patient
... effective[x] Σ1..1dateTimeComing from EV (113809, DCM, Start of X-Ray Irradiation) from TID-10011
... Slices for performer Σ1..1Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
Slice: Unordered, Closed by type:reference
.... performer:irradiationAutorizingPerson Σ1..1Reference(Practitioner)Related irradiation authorizing person
... device 1..1Reference(Modality Device)The irradiating device
... hasMember:irradiationEvent Σ0..*Reference(CT Irradiation Event Summary)Related irradiation events.
... Slices for component Σ2..*BackboneElementComponent results
Slice: Unordered, Open by pattern:code
.... component:procedureReported Σ1..1BackboneElementRelated Reported Procedure.
.... component:cTDoseLengthProductTotal Σ1..1BackboneElementDescribes the EV(113813, DCM, CT Dose Length Product Total) element from TID-10012

doco Documentation for this format

This structure is derived from RadiationDoseSummary

Summary

Mandatory: 4 elements
Must-Support: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Observation.hasMember is sliced based on the value of profile:$this.resolve()
  • The element Observation.component.value[x] is sliced based on the value of type:$this

Differential View

This structure is derived from RadiationDoseSummary

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*RadiationDoseSummaryMeasurements and simple assertions
... identifier:radiationSRUID 0..*IdentifierIdentifier related to SOP Instance UID if the resource is generated based on an RDSR
... basedOn:serviceRequestRef 0..1Reference(ServiceRequest)Description of the related ServiceRequest
... partOf:imagingStudyRef 1..1Reference(ImagingStudy)Related ImagingStudy
... effective[x] 1..1dateTimeComing from EV (113809, DCM, Start of X-Ray Irradiation) from TID-10011
... performer:irradiationAutorizingPerson 1..1Reference(Practitioner)Related irradiation authorizing person
... device 1..1Reference(Modality Device)The irradiating device
... Slices for hasMember 0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
Slice: Unordered, Open by profile:$this.resolve()
.... hasMember:irradiationEvent 0..*Reference(CT Irradiation Event Summary)Related irradiation events.
... component 2..*BackboneElementComponent results
... component:procedureReported 1..1BackboneElementRelated Reported Procedure.
.... valueCodeableConcept 0..1CodeableConceptActual component result
..... coding 0..*CodingCode defined by a terminology system
Required Pattern: At least the following
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 77477000
...... display1..1stringRepresentation defined by the system
Fixed Value: Computerized tomography
... component:cTDoseLengthProductTotal S1..1BackboneElementDescribes the EV(113813, DCM, CT Dose Length Product Total) element from TID-10012
.... code 1..1CodeableConceptType of component observation (code / type)
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 113813
...... display1..1stringRepresentation defined by the system
Fixed Value: CT Dose Length Product Total
.... Slices for value[x] 1..1QuantityActual component result
Slice: Unordered, Open by type:$this
.... valueQuantity 1..1QuantityActual component result
..... unit 0..1stringUnit representation
Required Pattern: mGy.cm

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*RadiationDoseSummaryMeasurements and simple assertions
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier Σ0..*IdentifierBusiness Identifier for observation
Slice: Unordered, Open by pattern:type
.... identifier:radiationSRUID SΣ0..*IdentifierIdentifier related to SOP Instance UID if the resource is generated based on an RDSR
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ1..1CodeableConceptDescription 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
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/radiation-dose-summary/CodeSystem/dicom-identifier-type
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: sop-instance-uid
....... display1..1stringRepresentation defined by the system
Fixed Value: SOP Instance UID
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... system Σ0..1uriThe namespace for the identifier value
Required Pattern: urn:dicom:uid
..... value Σ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... Slices for basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
Slice: Unordered, Open by type:reference
.... basedOn:serviceRequestRef SΣ0..1Reference(ServiceRequest)Description of the related ServiceRequest
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
..... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ0..1IdentifierThe accession number related to the performed study
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

...... type Σ1..1CodeableConceptDescription 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
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
........ id0..1stringUnique id for inter-element referencing
........ extension0..*ExtensionAdditional content defined by implementations
........ system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
........ version0..1stringVersion of the system - if relevant
........ code1..1codeSymbol in syntax defined by the system
Fixed Value: ACSN
........ display1..1stringRepresentation defined by the system
Fixed Value: Accession ID
........ userSelected0..1booleanIf this coding was chosen directly by the user
....... text0..1stringPlain text representation of the concept
...... system Σ0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
...... value Σ1..1stringThe value that is unique
Example General: 123456
...... period Σ0..1PeriodTime period when id is/was valid for use
...... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
..... display Σ0..1stringText alternative for the resource
... Slices for partOf Σ1..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
Slice: Unordered, Open by type:reference
.... partOf:imagingStudyRef SΣ1..1Reference(ImagingStudy)Related ImagingStudy
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
..... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ0..1IdentifierIdentifier related to Study Instance UID
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

...... type Σ1..1CodeableConceptDescription 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
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
........ id0..1stringUnique id for inter-element referencing
........ extension0..*ExtensionAdditional content defined by implementations
........ system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/uv/radiation-dose-summary/CodeSystem/dicom-identifier-type
........ version0..1stringVersion of the system - if relevant
........ code1..1codeSymbol in syntax defined by the system
Fixed Value: study-instance-uid
........ display1..1stringRepresentation defined by the system
Fixed Value: Study Instance UID
........ userSelected0..1booleanIf this coding was chosen directly by the user
....... text0..1stringPlain text representation of the concept
...... system Σ0..1uriThe namespace for the identifier value
Required Pattern: urn:dicom:uid
...... value Σ1..1stringThe value that is unique
Example General: 123456
...... period Σ0..1PeriodTime period when id is/was valid for use
...... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
..... display Σ0..1stringText alternative for the resource
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category 0..*CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


... code SΣ1..1CodeableConceptType of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 73569-6
..... display1..1stringRepresentation defined by the system
Fixed Value: Radiation exposure and protection information [Description] Document Diagnostic imaging
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(Patient)Irradiated patient
... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] SΣ1..1dateTimeComing from EV (113809, DCM, Start of X-Ray Irradiation) from TID-10011
... issued Σ0..1instantDate/Time this version was made available
... Slices for performer SΣ1..1Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
Slice: Unordered, Closed by type:reference
.... performer:irradiationAutorizingPerson SΣ1..1Reference(Practitioner)Related irradiation authorizing person
... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


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

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

... device S1..1Reference(Modality Device)The irradiating device
... referenceRange I0..*BackboneElementProvides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low I0..1SimpleQuantityLow Range, if relevant
.... high I0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... Slices for hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
Slice: Unordered, Open by profile:$this.resolve()
.... hasMember:irradiationEvent SΣ0..*Reference(CT Irradiation Event Summary)Related irradiation events.
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
... Slices for component SΣ2..*BackboneElementComponent results
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: Radiation Dose Summary component type (extensible)
..... value[x] Σ0..1Actual component result
...... valueQuantityQuantity
...... valueCodeableConceptCodeableConcept
...... valueStringstring
...... valueBooleanboolean
...... valueIntegerinteger
...... valueRangeRange
...... valueRatioRatio
...... valueSampledDataSampledData
...... valueTimetime
...... valueDateTimedateTime
...... valuePeriodPeriod
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
.... component:procedureReported SΣ1..1BackboneElementRelated Reported Procedure.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 121058
....... display1..1stringRepresentation defined by the system
Fixed Value: Procedure reported
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... Slices for value[x] Σ0..1CodeableConceptActual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueCodeableConcept Σ0..1CodeableConceptActual component result
Binding: Procedure Reported Type Value Set (required)
....... id 0..1stringUnique id for inter-element referencing
....... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... coding Σ0..*CodingCode defined by a terminology system

Required Pattern: At least the following
........ id0..1stringUnique id for inter-element referencing
........ extension0..*ExtensionAdditional content defined by implementations
........ system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
........ version0..1stringVersion of the system - if relevant
........ code1..1codeSymbol in syntax defined by the system
Fixed Value: 77477000
........ display1..1stringRepresentation defined by the system
Fixed Value: Computerized tomography
........ userSelected0..1booleanIf this coding was chosen directly by the user
....... text Σ0..1stringPlain text representation of the concept
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
.... component:cTDoseLengthProductTotal SΣ1..1BackboneElementDescribes the EV(113813, DCM, CT Dose Length Product Total) element from TID-10012
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: Radiation Dose Summary component type (extensible)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 113813
....... display1..1stringRepresentation defined by the system
Fixed Value: CT Dose Length Product Total
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... Slices for value[x] Σ1..1QuantityActual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ1..1QuantityActual component result
....... id 0..1stringUnique id for inter-element referencing
....... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... value Σ0..1decimalNumerical value (with implicit precision)
....... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

....... unit Σ0..1stringUnit representation
Required Pattern: mGy.cm
....... system ΣI0..1uriSystem that defines coded unit form
....... code Σ0..1codeCoded form of the unit
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, 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

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / Code
Observation.languagepreferredCommonLanguages
Max Binding: AllLanguages
Observation.identifier:radiationSRUID.userequiredIdentifierUse
Observation.identifier:radiationSRUID.typeextensiblePattern: sop-instance-uid("SOP Instance UID")
Observation.basedOn:serviceRequestRef.typeextensibleResourceType
Observation.basedOn:serviceRequestRef.identifier.userequiredIdentifierUse
Observation.basedOn:serviceRequestRef.identifier.typeextensiblePattern: ACSN("Accession ID")
Observation.partOf:imagingStudyRef.typeextensibleResourceType
Observation.partOf:imagingStudyRef.identifier.userequiredIdentifierUse
Observation.partOf:imagingStudyRef.identifier.typeextensiblePattern: study-instance-uid("Study Instance UID")
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.codeexamplePattern: LOINC code 73569-6("Radiation exposure and protection information [Description] Document Diagnostic imaging")
Observation.interpretationextensibleObservationInterpretationCodes
Observation.bodySiteexampleSNOMEDCTBodyStructures
Observation.methodexampleObservationMethods
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
Observation.component.codeextensibleComponentRadiationDoseSummaryVS
Observation.component.dataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationextensibleObservationInterpretationCodes
Observation.component:procedureReported.codeexamplePattern: 121058("Procedure reported")
Observation.component:procedureReported.value[x]:valueCodeableConceptrequiredProcedureReportedTypeVS
Observation.component:procedureReported.dataAbsentReasonextensibleDataAbsentReason
Observation.component:procedureReported.interpretationextensibleObservationInterpretationCodes
Observation.component:cTDoseLengthProductTotal.codeextensiblePattern: 113813("CT Dose Length Product Total")
Observation.component:cTDoseLengthProductTotal.value[x]:valueQuantity.comparatorrequiredQuantityComparator
Observation.component:cTDoseLengthProductTotal.dataAbsentReasonextensibleDataAbsentReason
Observation.component:cTDoseLengthProductTotal.interpretationextensibleObservationInterpretationCodes

Constraints

IdPathDetailsRequirements
obs-3Observation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()