{
  "resourceType" : "CodeSystem",
  "id" : "annotation-method",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem annotation-method</b></p><a name=\"annotation-method\"> </a><a name=\"hcannotation-method\"> </a><p>This case-sensitive code system <code>https://annotatemd.com/fhir/ig/CodeSystem/annotation-method</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">expert-annotation<a name=\"annotation-method-expert-annotation\"> </a></td><td>Expert Manual Annotation</td><td>Full annotation by specialist (dermatologist, dermatopathologist)</td></tr><tr><td style=\"white-space:nowrap\">clinician-point-of-care<a name=\"annotation-method-clinician-point-of-care\"> </a></td><td>Clinician Point-of-Care Assessment</td><td>Classification by treating clinician without AI assistance</td></tr><tr><td style=\"white-space:nowrap\">ai-assisted-confirmed<a name=\"annotation-method-ai-assisted-confirmed\"> </a></td><td>AI-Assisted, Clinician Confirmed</td><td>Clinician accepted AI prediction without modification</td></tr><tr><td style=\"white-space:nowrap\">ai-assisted-corrected<a name=\"annotation-method-ai-assisted-corrected\"> </a></td><td>AI-Assisted, Clinician Corrected</td><td>Clinician modified AI prediction before accepting</td></tr><tr><td style=\"white-space:nowrap\">ai-inference<a name=\"annotation-method-ai-inference\"> </a></td><td>AI Model Inference</td><td>Automated prediction by AI model without human review</td></tr></table></div>"
  },
  "url" : "https://annotatemd.com/fhir/ig/CodeSystem/annotation-method",
  "version" : "0.1.0",
  "name" : "AnnotationMethod",
  "title" : "Annotation Method",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-04-04T01:37:20+00:00",
  "publisher" : "Annotate MD",
  "contact" : [{
    "name" : "Annotate MD",
    "telecom" : [{
      "system" : "url",
      "value" : "https://annotatemd.com"
    },
    {
      "system" : "email",
      "value" : "fhir@annotatemd.com"
    }]
  }],
  "description" : "Method by which a dermatology annotation was produced. Aligns with HL7 AI Transparency on FHIR by distinguishing human, AI-assisted, and pure AI annotation.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001",
      "display" : "World"
    }]
  }],
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 5,
  "concept" : [{
    "code" : "expert-annotation",
    "display" : "Expert Manual Annotation",
    "definition" : "Full annotation by specialist (dermatologist, dermatopathologist)"
  },
  {
    "code" : "clinician-point-of-care",
    "display" : "Clinician Point-of-Care Assessment",
    "definition" : "Classification by treating clinician without AI assistance"
  },
  {
    "code" : "ai-assisted-confirmed",
    "display" : "AI-Assisted, Clinician Confirmed",
    "definition" : "Clinician accepted AI prediction without modification"
  },
  {
    "code" : "ai-assisted-corrected",
    "display" : "AI-Assisted, Clinician Corrected",
    "definition" : "Clinician modified AI prediction before accepting"
  },
  {
    "code" : "ai-inference",
    "display" : "AI Model Inference",
    "definition" : "Automated prediction by AI model without human review"
  }]
}