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

## : ExampleAIPrediction - XML Representation

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    <Observation xmlns="http://hl7.org/fhir">
      <id value="ExampleAIPrediction"/>
      <meta>
        <profile
                 value="https://annotatemd.com/fhir/ig/StructureDefinition/ai-prediction"/>
        <security>
          <system
                  value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"/>
          <code value="AIAST"/>
          <display value="artificial intelligence asserted"/>
        </security>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation ExampleAIPrediction</b></p><a name="ExampleAIPrediction"> </a><a name="hcExampleAIPrediction"> </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-ai-prediction.html">AI Prediction</a></p><p style="margin-bottom: 0px">Security Label: artificial intelligence asserted (Details: ObservationValue code AIAST = 'artificial intelligence asserted')</p></div><p><b>status</b>: Preliminary</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>: 2026-03-27 14:29:00+0000</p><p><b>method</b>: <span title="Codes:{https://annotatemd.com/fhir/ig/CodeSystem/annotation-method ai-inference}">AI Model Inference</span></p><p><b>device</b>: <a href="Device-example-derm-ai-model.html">Device: manufacturer = Annotate MD</a></p><p><b>derivedFrom</b>: <a href="DocumentReference-example-clinical-photo.html">DocumentReference: status = current; type = Photographic image</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 106076001}">Skin finding</span></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 372244006}">Malignant melanoma</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://annotatemd.com/fhir/ig/CodeSystem/annotation-type prediction-confidence}">Prediction Confidence</span></p><p><b>value</b>: 0.89 score<span style="background: LightGoldenRodYellow"> (Details: UCUM  code1 = '1')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://annotatemd.com/fhir/ig/CodeSystem/annotation-type inference-time-ms}">Inference Time</span></p><p><b>value</b>: 245 milliseconds<span style="background: LightGoldenRodYellow"> (Details: UCUM  codems = 'ms')</span></p></blockquote></div>
      </text>
      <status value="preliminary"/>
      <category>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/observation-category"/>
          <code value="imaging"/>
        </coding>
      </category>
      <category>
        <coding>
          <system
                  value="https://annotatemd.com/fhir/ig/CodeSystem/annotation-type"/>
          <code value="dermatology-annotation"/>
        </coding>
      </category>
      <code>
        <coding>
          <system
                  value="https://annotatemd.com/fhir/ig/CodeSystem/annotation-type"/>
          <code value="lesion-classification"/>
          <display value="Lesion Classification"/>
        </coding>
      </code>
      <subject>🔗
        <reference value="Patient/example-patient"/>
      </subject>
      <effectiveDateTime value="2026-03-27T14:29:00Z"/>
      <method>
        <coding>
          <system
                  value="https://annotatemd.com/fhir/ig/CodeSystem/annotation-method"/>
          <code value="ai-inference"/>
          <display value="AI Model Inference"/>
        </coding>
      </method>
      <device>🔗
        <reference value="Device/example-derm-ai-model"/>
      </device>
      <derivedFrom>🔗
        <reference value="DocumentReference/example-clinical-photo"/>
      </derivedFrom>
      <component>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="106076001"/>
            <display value="Skin finding"/>
          </coding>
        </code>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="372244006"/>
            <display value="Malignant melanoma"/>
          </coding>
        </valueCodeableConcept>
      </component>
      <component>
        <code>
          <coding>
            <system
                    value="https://annotatemd.com/fhir/ig/CodeSystem/annotation-type"/>
            <code value="prediction-confidence"/>
          </coding>
        </code>
        <valueQuantity>
          <value value="0.89"/>
          <unit value="score"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="1"/>
        </valueQuantity>
      </component>
      <component>
        <code>
          <coding>
            <system
                    value="https://annotatemd.com/fhir/ig/CodeSystem/annotation-type"/>
            <code value="inference-time-ms"/>
          </coding>
        </code>
        <valueQuantity>
          <value value="245"/>
          <unit value="milliseconds"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="ms"/>
        </valueQuantity>
      </component>
    </Observation>