# Annotation Type - Dermatology Image Annotation FHIR Implementation Guide v0.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Annotation Type**

## CodeSystem: Annotation Type 

| | |
| :--- | :--- |
| *Official URL*:https://annotatemd.com/fhir/ig/CodeSystem/annotation-type | *Version*:0.1.0 |
| Active as of 2026-04-04 | *Computable Name*:AnnotationType |

 
Types of dermatology image annotation and component codes for annotation Observation profiles 

 This Code system is referenced in the content logical definition of the following value sets: 

* This CodeSystem is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)



## Resource Content

```json
{
  "resourceType" : "CodeSystem",
  "id" : "annotation-type",
  "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"
  }]
}

```
