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

## Example Observation: ExampleMelanomaAnnotation

Profile: Dermatology Image Annotation

status: Final

category: Imaging, Dermatology Annotation

code: Lesion Classification

subject: Jane Smith Female, DoB: 1975-06-15

effective: 2026-03-27 14:30:00+0000

issued: 2026-03-27 15:45:00+0000

performer: Practitioner Robert Johnson

interpretation: Abnormal

note:

> Irregularly bordered lesion with satellite lesions noted superiorly. ABCDE criteria: Asymmetry present, Border irregular, Color variegated, Diameter >6mm.

bodySite: Upper arm structure

method: Expert Manual Annotation

derivedFrom: DocumentReference: status = current; type = Photographic image

> component

> code: Skin finding

> value: Malignant melanoma

> component

> code: Confidence Score

> value: 0.92 score (Details: UCUM code1 = '1')

> component

> code: QA Review Status

> value: QA Approved

> component

> code: Inter-Annotator Agreement

> value: 0.87 kappa (Details: UCUM code1 = '1')