Dermatology Image Annotation FHIR Implementation Guide
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: Dermatology annotation with available-at extension - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ObsWithAvailableAt"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://annotatemd.com/fhir/ig/StructureDefinition/dermatology-image-annotation"^^xsd:anyURI ;
fhir:l <https://annotatemd.com/fhir/ig/StructureDefinition/dermatology-image-annotation>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation ObsWithAvailableAt</b></p><a name=\"ObsWithAvailableAt\"> </a><a name=\"hcObsWithAvailableAt\"> </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-dermatology-image-annotation.html\">Dermatology Image Annotation</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>effective</b>: 2026-04-30 15:00:00+0000</p><p><b>performer</b>: <a href=\"Practitioner-example-dermatologist.html\">Practitioner Robert Johnson </a></p><p><b>method</b>: <span title=\"Codes:{https://annotatemd.com/fhir/ig/CodeSystem/annotation-method expert-annotation}\">Expert Manual Annotation</span></p><p><b>derivedFrom</b>: <a href=\"DocumentReference-example-clinical-photo.html\">DocumentReference: status = current; type = Photographic image</a></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 106076001}\">Skin finding</span></td><td><span title=\"Codes:{http://snomed.info/sct 398943008}\">Congenital melanocytic nevus of skin</span></td></tr></table></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>       ] ;
fhir:code [ fhir:v "imaging" ]     ] )
  ] [
    ( fhir:coding [
fhir:system [
fhir:v "https://annotatemd.com/fhir/ig/CodeSystem/annotation-type"^^xsd:anyURI ;
fhir:l <https://annotatemd.com/fhir/ig/CodeSystem/annotation-type>       ] ;
fhir:code [ fhir:v "dermatology-annotation" ]     ] )
  ] ) ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [
fhir:v "https://annotatemd.com/fhir/ig/CodeSystem/annotation-type"^^xsd:anyURI ;
fhir:l <https://annotatemd.com/fhir/ig/CodeSystem/annotation-type>       ] ;
fhir:code [ fhir:v "lesion-classification" ] ;
fhir:display [ fhir:v "Lesion Classification" ]     ] )
  ] ; # 
  fhir:subject [
fhir:l fhir:Patient/example-patient ;
fhir:reference [ fhir:v "Patient/example-patient" ]
  ] ; # 
  fhir:effective [
a fhir:DateTime ;
fhir:v "2026-04-30T15:00:00Z"^^xsd:dateTime ;
    ( fhir:extension [
fhir:url [
fhir:v "https://annotatemd.com/fhir/ig/StructureDefinition/label-available-at"^^xsd:anyURI ;
fhir:l <https://annotatemd.com/fhir/ig/StructureDefinition/label-available-at>       ] ;
fhir:value [
a fhir:DateTime ;
fhir:v "2026-04-30T15:15:00Z"^^xsd:dateTime       ]     ] )
  ] ; # 
  fhir:performer ( [
fhir:l fhir:Practitioner/example-dermatologist ;
fhir:reference [ fhir:v "Practitioner/example-dermatologist" ]
  ] ) ; # 
  fhir:method [
    ( fhir:coding [
fhir:system [
fhir:v "https://annotatemd.com/fhir/ig/CodeSystem/annotation-method"^^xsd:anyURI ;
fhir:l <https://annotatemd.com/fhir/ig/CodeSystem/annotation-method>       ] ;
fhir:code [ fhir:v "expert-annotation" ] ;
fhir:display [ fhir:v "Expert Manual Annotation" ]     ] )
  ] ; # 
  fhir:derivedFrom ( [
fhir:l fhir:DocumentReference/example-clinical-photo ;
fhir:reference [ fhir:v "DocumentReference/example-clinical-photo" ]
  ] ) ; # 
  fhir:component ( [
fhir:code [
      ( fhir:coding [
a sct:106076001 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>         ] ;
fhir:code [ fhir:v "106076001" ] ;
fhir:display [ fhir:v "Skin finding" ]       ] )     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:398943008 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>         ] ;
fhir:code [ fhir:v "398943008" ] ;
fhir:display [ fhir:v "Congenital melanocytic nevus of skin" ]       ] )     ]
  ] ) . #