Dermatology Image Annotation FHIR Implementation Guide
0.1.0 - ci-build

Dermatology Image Annotation FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## : Annotation Type - JSON Representation

Active as of 2026-04-04

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    {
      "resourceType" : "CodeSystem",
      "id" : "annotation-type",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem annotation-type</b></p><a name=\"annotation-type\"> </a><a name=\"hcannotation-type\"> </a><p>This case-sensitive code system <code>https://annotatemd.com/fhir/ig/CodeSystem/annotation-type</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\">lesion-classification<a name=\"annotation-type-lesion-classification\"> </a></td><td>Lesion Classification</td><td>Classification of a skin lesion by diagnosis</td></tr><tr><td style=\"white-space:nowrap\">segmentation<a name=\"annotation-type-segmentation\"> </a></td><td>Segmentation</td><td>Pixel-level delineation of lesion boundaries</td></tr><tr><td style=\"white-space:nowrap\">full-annotation<a name=\"annotation-type-full-annotation\"> </a></td><td>Full Annotation</td><td>Classification + segmentation + clinical attributes</td></tr><tr><td style=\"white-space:nowrap\">quick-classify<a name=\"annotation-type-quick-classify\"> </a></td><td>Quick Classify</td><td>Rapid clinician-driven or AI-assisted classification</td></tr><tr><td style=\"white-space:nowrap\">dermatology-annotation<a name=\"annotation-type-dermatology-annotation\"> </a></td><td>Dermatology Annotation</td><td>Observation category code for dermatology image annotation</td></tr><tr><td style=\"white-space:nowrap\">confidence-score<a name=\"annotation-type-confidence-score\"> </a></td><td>Confidence Score</td><td>Annotator self-reported confidence in classification (0-1)</td></tr><tr><td style=\"white-space:nowrap\">segmentation-mask<a name=\"annotation-type-segmentation-mask\"> </a></td><td>Segmentation Mask</td><td>Pixel-level segmentation mask image</td></tr><tr><td style=\"white-space:nowrap\">bounding-boxes<a name=\"annotation-type-bounding-boxes\"> </a></td><td>Bounding Boxes</td><td>Bounding box coordinates for lesion location</td></tr><tr><td style=\"white-space:nowrap\">qa-review-status<a name=\"annotation-type-qa-review-status\"> </a></td><td>QA Review Status</td><td>Quality assurance review status</td></tr><tr><td style=\"white-space:nowrap\">inter-annotator-agreement<a name=\"annotation-type-inter-annotator-agreement\"> </a></td><td>Inter-Annotator Agreement</td><td>Cohen's kappa or similar inter-annotator agreement score</td></tr><tr><td style=\"white-space:nowrap\">prediction-confidence<a name=\"annotation-type-prediction-confidence\"> </a></td><td>Prediction Confidence</td><td>AI model prediction confidence score (0-1)</td></tr><tr><td style=\"white-space:nowrap\">heatmap<a name=\"annotation-type-heatmap\"> </a></td><td>Heatmap</td><td>Gradient visualization of AI model attention</td></tr><tr><td style=\"white-space:nowrap\">inference-time-ms<a name=\"annotation-type-inference-time-ms\"> </a></td><td>Inference Time</td><td>AI model inference time in milliseconds</td></tr><tr><td style=\"white-space:nowrap\">change-detected<a name=\"annotation-type-change-detected\"> </a></td><td>Change Detected</td><td>Whether classification changed between time points</td></tr><tr><td style=\"white-space:nowrap\">change-type<a name=\"annotation-type-change-type\"> </a></td><td>Change Type</td><td>Type of change between temporal annotations</td></tr><tr><td style=\"white-space:nowrap\">earliest-date<a name=\"annotation-type-earliest-date\"> </a></td><td>Earliest Annotation Date</td><td>Date of first annotation in temporal series</td></tr><tr><td style=\"white-space:nowrap\">latest-date<a name=\"annotation-type-latest-date\"> </a></td><td>Latest Annotation Date</td><td>Date of most recent annotation in temporal series</td></tr></table></div>"
      },
      "url" : "https://annotatemd.com/fhir/ig/CodeSystem/annotation-type",
      "version" : "0.1.0",
      "name" : "AnnotationType",
      "title" : "Annotation Type",
      "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" : "Types of dermatology image annotation and component codes for annotation Observation profiles",
      "jurisdiction" : [
        {
          "coding" : [
            {
              "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
              "code" : "001",
              "display" : "World"
            }
          ]
        }
      ],
      "caseSensitive" : true,
      "content" : "complete",
      "count" : 17,
      "concept" : [
        {
          "code" : "lesion-classification",
          "display" : "Lesion Classification",
          "definition" : "Classification of a skin lesion by diagnosis"
        },
        {
          "code" : "segmentation",
          "display" : "Segmentation",
          "definition" : "Pixel-level delineation of lesion boundaries"
        },
        {
          "code" : "full-annotation",
          "display" : "Full Annotation",
          "definition" : "Classification + segmentation + clinical attributes"
        },
        {
          "code" : "quick-classify",
          "display" : "Quick Classify",
          "definition" : "Rapid clinician-driven or AI-assisted classification"
        },
        {
          "code" : "dermatology-annotation",
          "display" : "Dermatology Annotation",
          "definition" : "Observation category code for dermatology image annotation"
        },
        {
          "code" : "confidence-score",
          "display" : "Confidence Score",
          "definition" : "Annotator self-reported confidence in classification (0-1)"
        },
        {
          "code" : "segmentation-mask",
          "display" : "Segmentation Mask",
          "definition" : "Pixel-level segmentation mask image"
        },
        {
          "code" : "bounding-boxes",
          "display" : "Bounding Boxes",
          "definition" : "Bounding box coordinates for lesion location"
        },
        {
          "code" : "qa-review-status",
          "display" : "QA Review Status",
          "definition" : "Quality assurance review status"
        },
        {
          "code" : "inter-annotator-agreement",
          "display" : "Inter-Annotator Agreement",
          "definition" : "Cohen's kappa or similar inter-annotator agreement score"
        },
        {
          "code" : "prediction-confidence",
          "display" : "Prediction Confidence",
          "definition" : "AI model prediction confidence score (0-1)"
        },
        {
          "code" : "heatmap",
          "display" : "Heatmap",
          "definition" : "Gradient visualization of AI model attention"
        },
        {
          "code" : "inference-time-ms",
          "display" : "Inference Time",
          "definition" : "AI model inference time in milliseconds"
        },
        {
          "code" : "change-detected",
          "display" : "Change Detected",
          "definition" : "Whether classification changed between time points"
        },
        {
          "code" : "change-type",
          "display" : "Change Type",
          "definition" : "Type of change between temporal annotations"
        },
        {
          "code" : "earliest-date",
          "display" : "Earliest Annotation Date",
          "definition" : "Date of first annotation in temporal series"
        },
        {
          "code" : "latest-date",
          "display" : "Latest Annotation Date",
          "definition" : "Date of most recent annotation in temporal series"
        }
      ]
    }