Dermatology Image Annotation FHIR Implementation Guide
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: ExampleAnnotationSeries - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "ExampleAnnotationSeries",
  "meta" : {
    "profile" : [
      🔗 "https://annotatemd.com/fhir/ig/StructureDefinition/annotation-series"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation ExampleAnnotationSeries</b></p><a name=\"ExampleAnnotationSeries\"> </a><a name=\"hcExampleAnnotationSeries\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-annotation-series.html\">Annotation Series</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category imaging}\">Imaging</span>, <span title=\"Codes:{https://annotatemd.com/fhir/ig/CodeSystem/annotation-type dermatology-annotation}\">Dermatology Annotation</span></p><p><b>code</b>: <span title=\"Codes:{https://annotatemd.com/fhir/ig/CodeSystem/annotation-type lesion-classification}\">Lesion Classification</span></p><p><b>subject</b>: <a href=\"Patient-example-patient.html\">Jane Smith  Female, DoB: 1975-06-15</a></p><p><b>hasMember</b>: </p><ul><li><a href=\"Observation-ExampleMelanomaAnnotation.html\">Observation Lesion Classification</a></li><li><a href=\"Observation-ExampleAIAssistedConfirmed.html\">Observation Quick Classify</a></li></ul><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://annotatemd.com/fhir/ig/CodeSystem/annotation-type change-detected}\">Change Detected</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://annotatemd.com/fhir/ig/CodeSystem/annotation-type earliest-date}\">Earliest Annotation Date</span></p><p><b>value</b>: 2026-03-27 14:30:00+0000</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://annotatemd.com/fhir/ig/CodeSystem/annotation-type latest-date}\">Latest Annotation Date</span></p><p><b>value</b>: 2026-03-27 14:31:00+0000</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://annotatemd.com/fhir/ig/CodeSystem/annotation-type change-type}\">Change Type</span></p><p><b>value</b>: <span title=\"Codes:{https://annotatemd.com/fhir/ig/CodeSystem/change-type unchanged}\">Unchanged</span></p></blockquote></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "imaging"
        }
      ]
    },
    {
      "coding" : [
        {
          "system" : "https://annotatemd.com/fhir/ig/CodeSystem/annotation-type",
          "code" : "dermatology-annotation"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "https://annotatemd.com/fhir/ig/CodeSystem/annotation-type",
        "code" : "lesion-classification",
        "display" : "Lesion Classification"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/example-patient"
  },
  "hasMember" : [
    {
      🔗 "reference" : "Observation/ExampleMelanomaAnnotation"
    },
    {
      🔗 "reference" : "Observation/ExampleAIAssistedConfirmed"
    }
  ],
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "https://annotatemd.com/fhir/ig/CodeSystem/annotation-type",
            "code" : "change-detected"
          }
        ]
      },
      "valueBoolean" : false
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "https://annotatemd.com/fhir/ig/CodeSystem/annotation-type",
            "code" : "earliest-date"
          }
        ]
      },
      "valueDateTime" : "2026-03-27T14:30:00Z"
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "https://annotatemd.com/fhir/ig/CodeSystem/annotation-type",
            "code" : "latest-date"
          }
        ]
      },
      "valueDateTime" : "2026-03-27T14:31:00Z"
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "https://annotatemd.com/fhir/ig/CodeSystem/annotation-type",
            "code" : "change-type"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://annotatemd.com/fhir/ig/CodeSystem/change-type",
            "code" : "unchanged",
            "display" : "Unchanged"
          }
        ]
      }
    }
  ]
}