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

## : ExampleMelanomaAnnotation - JSON Representation

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    {
      "resourceType" : "Observation",
      "id" : "ExampleMelanomaAnnotation",
      "meta" : {
        "profile" : [
          🔗 "https://annotatemd.com/fhir/ig/StructureDefinition/dermatology-image-annotation"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation ExampleMelanomaAnnotation</b></p><a name=\"ExampleMelanomaAnnotation\"> </a><a name=\"hcExampleMelanomaAnnotation\"> </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>: 2026-03-27 14:30:00+0000</p><p><b>issued</b>: 2026-03-27 15:45:00+0000</p><p><b>performer</b>: <a href=\"Practitioner-example-dermatologist.html\">Practitioner Robert Johnson </a></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation A}\">Abnormal</span></p><p><b>note</b>: </p><blockquote><div><p>Irregularly bordered lesion with satellite lesions noted superiorly. ABCDE criteria: Asymmetry present, Border irregular, Color variegated, Diameter &gt;6mm.</p>\n</div></blockquote><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 40983000}\">Upper arm structure</span></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><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 confidence-score}\">Confidence Score</span></p><p><b>value</b>: 0.92 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 qa-review-status}\">QA Review Status</span></p><p><b>value</b>: <span title=\"Codes:{https://annotatemd.com/fhir/ig/CodeSystem/qa-status approved}\">QA Approved</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://annotatemd.com/fhir/ig/CodeSystem/annotation-type inter-annotator-agreement}\">Inter-Annotator Agreement</span></p><p><b>value</b>: 0.87 kappa<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code1 = '1')</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"
      },
      "effectiveDateTime" : "2026-03-27T14:30:00Z",
      "issued" : "2026-03-27T15:45:00Z",
      "performer" : [
        {
          🔗 "reference" : "Practitioner/example-dermatologist"
        }
      ],
      "interpretation" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
              "code" : "A",
              "display" : "Abnormal"
            }
          ]
        }
      ],
      "note" : [
        {
          "text" : "Irregularly bordered lesion with satellite lesions noted superiorly. ABCDE criteria: Asymmetry present, Border irregular, Color variegated, Diameter >6mm."
        }
      ],
      "bodySite" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "40983000",
            "display" : "Upper arm structure"
          }
        ]
      },
      "method" : {
        "coding" : [
          {
            "system" : "https://annotatemd.com/fhir/ig/CodeSystem/annotation-method",
            "code" : "expert-annotation",
            "display" : "Expert Manual Annotation"
          }
        ]
      },
      "derivedFrom" : [
        {
          🔗 "reference" : "DocumentReference/example-clinical-photo"
        }
      ],
      "component" : [
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "106076001",
                "display" : "Skin finding"
              }
            ]
          },
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "372244006",
                "display" : "Malignant melanoma"
              }
            ]
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "https://annotatemd.com/fhir/ig/CodeSystem/annotation-type",
                "code" : "confidence-score"
              }
            ]
          },
          "valueQuantity" : {
            "value" : 0.92,
            "unit" : "score",
            "system" : "http://unitsofmeasure.org",
            "code" : "1"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "https://annotatemd.com/fhir/ig/CodeSystem/annotation-type",
                "code" : "qa-review-status"
              }
            ]
          },
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://annotatemd.com/fhir/ig/CodeSystem/qa-status",
                "code" : "approved",
                "display" : "QA Approved"
              }
            ]
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "https://annotatemd.com/fhir/ig/CodeSystem/annotation-type",
                "code" : "inter-annotator-agreement"
              }
            ]
          },
          "valueQuantity" : {
            "value" : 0.87,
            "unit" : "kappa",
            "system" : "http://unitsofmeasure.org",
            "code" : "1"
          }
        }
      ]
    }