Radiation Dose Summary for Diagnostic Procedures on FHIR
0.1.0 - STU 1 Ballot

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## Resource Profile: Radiopharmaceutical Radiation Dose Summary

Defining URL: | http://hl7.org/fhir/uv/radiation-dose-summary/StructureDefinition/nm-radiation-dose-summary
Version: | 0.1.0
Name: | NMRadiationDoseSummary
Title: | Radiopharmaceutical Radiation Dose Summary
Status: | Draft as of 12/8/21 3:51 PM
Definition: | Defines the Minimal Dose Information related to NM procedures
Publisher: | HL7 Imaging Integration Working Group
Source Resource: | XML / JSON / Turtle

The official URL for this profile is:

    http://hl7.org/fhir/uv/radiation-dose-summary/StructureDefinition/nm-radiation-dose-summary

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Text Summary
- Differential Table
- Snapshot Table
- Snapshot Table (Must Support)
- All

This structure is derived from RadiationDoseSummary

Summary

Mandatory: 6 elements (6 nested mandatory elements)
Must-Support: 5 elements

Slices

This structure defines the following Slices:

- The element Observation.component.value[x] is sliced based on the value of type:$this

This structure is derived from RadiationDoseSummary

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation |  | 0..* | RadiationDoseSummary | Measurements and simple assertions
identifier:radiationSRUID |  | 0..* | Identifier | Identifier related to SOP Instance UID if the resource is generated based on an RDSR
basedOn:serviceRequestRef |  | 0..1 | Reference(ServiceRequest) | Description of the related ServiceRequest
partOf:imagingStudyRef |  | 1..1 | Reference(ImagingStudy) | Related ImagingStudy
subject |  | 1..1 | Reference(Patient) | Irradiated patient
effective[x] |  | 1..1 | dateTime | The administration start date time
component |  | 3..* | BackboneElement | Component results
component:procedureReported |  | 1..1 | BackboneElement | Procedure reported related to Radiopharmaceutical administration
valueCodeableConcept |  | 0..1 | CodeableConcept | Actual component result
coding |  | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 113502
display |  | 1..1 | string | Representation defined by the system Fixed Value: Radiopharmaceutical Administration
component:administeredActivity | S | 1..1 | BackboneElement | The administered activity to the patient
code |  | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 113507
display |  | 1..1 | string | Representation defined by the system Fixed Value: Administered activity
Slices for value[x] |  | 1..1 | Quantity | Actual component result Slice: Unordered, Open by type:$this
valueQuantity |  | 1..1 | Quantity | Actual component result
unit |  | 0..1 | string | Unit representation Required Pattern: MBq
component:radiopharmaceutical | S | 1..1 | BackboneElement | The radiopharmaceutical agent used
code |  | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 349358000
display |  | 1..1 | string | Representation defined by the system Fixed Value: Radiopharmaceuticals
Slices for value[x] |  | 1..1 |  | Actual component result Slice: Unordered, Open by type:$this
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueCodeableConcept |  | 1..1 | CodeableConcept | Actual component result Binding: Radiopharmaceuticals Value Set (extensible)
component:radioisotope | S | 0..1 | BackboneElement | The radioisotope used during the administration
code |  | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 89457008
display |  | 1..1 | string | Representation defined by the system Fixed Value: Radioisotope
Slices for value[x] |  | 1..1 |  | Actual component result Slice: Unordered, Open by type:$this
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueCodeableConcept |  | 1..1 | CodeableConcept | Actual component result Binding: Isotopes Value Set (extensible)
component:radiopharmaceuticalVolume | S | 0..1 | BackboneElement | The volume of the radiopharmaceutical agent administered to the patient
code |  | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 123005
display |  | 1..1 | string | Representation defined by the system Fixed Value: Radiopharmaceutical Volume
Slices for value[x] |  | 1..1 | Quantity | Actual component result Slice: Unordered, Open by type:$this
valueQuantity |  | 1..1 | Quantity | Actual component result
unit |  | 0..1 | string | Unit representation Required Pattern: cm3
component:routeOfAdministration | S | 0..1 | BackboneElement | The route of administration of the radiopharmaceutical agent
code |  | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 410675002
display |  | 1..1 | string | Representation defined by the system Fixed Value: Route of administration
Slices for value[x] |  | 1..1 | CodeableConcept | Actual component result Slice: Unordered, Open by type:$this
valueCodeableConcept |  | 1..1 | CodeableConcept | Actual component result Binding: RouteofAdministration (preferred)
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | I | 0..* | RadiationDoseSummary | Measurements and simple assertions
id | Σ | 0..1 | string | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | Σ | 0..* | Identifier | Business Identifier for observation Slice: Unordered, Open by pattern:type
identifier:radiationSRUID | S Σ | 0..* | Identifier | Identifier related to SOP Instance UID if the resource is generated based on an RDSR
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/radiation-dose-summary/CodeSystem/dicom-identifier-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: sop-instance-uid
display |  | 1..1 | string | Representation defined by the system Fixed Value: SOP Instance UID
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | Σ | 0..1 | uri | The namespace for the identifier value Required Pattern: urn:dicom:uid
value | Σ | 1..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
Slices for basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order Slice: Unordered, Open by type:reference
basedOn:serviceRequestRef | S Σ | 0..1 | Reference(ServiceRequest) | Description of the related ServiceRequest
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ I | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | The accession number related to the performed study
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ACSN
display |  | 1..1 | string | Representation defined by the system Fixed Value: Accession ID
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
Slices for partOf | Σ | 1..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event Slice: Unordered, Open by type:reference
partOf:imagingStudyRef | S Σ | 1..1 | Reference(ImagingStudy) | Related ImagingStudy
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ I | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Identifier related to Study Instance UID
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/radiation-dose-summary/CodeSystem/dicom-identifier-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: study-instance-uid
display |  | 1..1 | string | Representation defined by the system Fixed Value: Study Instance UID
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | Σ | 0..1 | uri | The namespace for the identifier value Required Pattern: urn:dicom:uid
value | Σ | 1..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code | S Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 73569-6
display |  | 1..1 | string | Representation defined by the system Fixed Value: Radiation exposure and protection information [Description] Document Diagnostic imaging
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(Patient) | Irradiated patient
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made
effective[x] | S Σ | 1..1 | dateTime | The administration start date time
issued | Σ | 0..1 | instant | Date/Time this version was made available
Slices for performer | S Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation Slice: Unordered, Closed by type:reference
performer:irradiationAutorizingPerson | S Σ | 1..1 | Reference(Practitioner) | Related irradiation authorizing person
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note |  | 0..* | Annotation | Comments about the observation
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method |  | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations.
device | S | 0..1 | Reference(Modality Device) | Irradiating modality
referenceRange | I | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
low | I | 0..1 | SimpleQuantity | Low Range, if relevant
high | I | 0..1 | SimpleQuantity | High Range, if relevant
type |  | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo |  | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age |  | 0..1 | Range | Applicable age range, if relevant
text |  | 0..1 | string | Text based reference range in an observation
Slices for hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group Slice: Unordered, Open by profile:$this.resolve()
hasMember:irradiationEvent | S Σ | 0..* | Reference(Irradiation Event Summary) | Related irradiation events.
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from
Slices for component | S Σ | 3..* | BackboneElement | Component results Slice: Unordered, Open by pattern:code
component:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Radiation Dose Summary component type (extensible)
value[x] | Σ | 0..1 |  | Actual component result
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | I | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
component:procedureReported | S Σ | 1..1 | BackboneElement | Procedure reported related to Radiopharmaceutical administration
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 121058
display |  | 1..1 | string | Representation defined by the system Fixed Value: Procedure reported
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
Slices for value[x] | Σ | 0..1 | CodeableConcept | Actual component result Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept | Σ | 0..1 | CodeableConcept | Actual component result Binding: Procedure Reported Type Value Set (required)
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 113502
display |  | 1..1 | string | Representation defined by the system Fixed Value: Radiopharmaceutical Administration
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
dataAbsentReason | I | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
component:administeredActivity | S Σ | 1..1 | BackboneElement | The administered activity to the patient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Radiation Dose Summary component type (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 113507
display |  | 1..1 | string | Representation defined by the system Fixed Value: Administered activity
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
Slices for value[x] | Σ | 1..1 | Quantity | Actual component result Slice: Unordered, Closed by type:$this
value[x]:valueQuantity | Σ | 1..1 | Quantity | Actual component result
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
value | Σ | 0..1 | decimal | Numerical value (with implicit precision)
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | Σ | 0..1 | string | Unit representation Required Pattern: MBq
system | Σ I | 0..1 | uri | System that defines coded unit form
code | Σ | 0..1 | code | Coded form of the unit
dataAbsentReason | I | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
component:radiopharmaceutical | S Σ | 1..1 | BackboneElement | The radiopharmaceutical agent used
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Radiation Dose Summary component type (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 349358000
display |  | 1..1 | string | Representation defined by the system Fixed Value: Radiopharmaceuticals
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
Slices for value[x] | Σ | 1..1 | CodeableConcept | Actual component result Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept | Σ | 1..1 | CodeableConcept | Actual component result Binding: Radiopharmaceuticals Value Set (extensible)
dataAbsentReason | I | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
component:radioisotope | S Σ | 0..1 | BackboneElement | The radioisotope used during the administration
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Radiation Dose Summary component type (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 89457008
display |  | 1..1 | string | Representation defined by the system Fixed Value: Radioisotope
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
Slices for value[x] | Σ | 1..1 | CodeableConcept | Actual component result Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept | Σ | 1..1 | CodeableConcept | Actual component result Binding: Isotopes Value Set (extensible)
dataAbsentReason | I | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
component:radiopharmaceuticalVolume | S Σ | 0..1 | BackboneElement | The volume of the radiopharmaceutical agent administered to the patient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Radiation Dose Summary component type (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 123005
display |  | 1..1 | string | Representation defined by the system Fixed Value: Radiopharmaceutical Volume
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
Slices for value[x] | Σ | 1..1 | Quantity | Actual component result Slice: Unordered, Closed by type:$this
value[x]:valueQuantity | Σ | 1..1 | Quantity | Actual component result
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
value | Σ | 0..1 | decimal | Numerical value (with implicit precision)
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | Σ | 0..1 | string | Unit representation Required Pattern: cm3
system | Σ I | 0..1 | uri | System that defines coded unit form
code | Σ | 0..1 | code | Coded form of the unit
dataAbsentReason | I | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
component:routeOfAdministration | S Σ | 0..1 | BackboneElement | The route of administration of the radiopharmaceutical agent
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Radiation Dose Summary component type (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 410675002
display |  | 1..1 | string | Representation defined by the system Fixed Value: Route of administration
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
Slices for value[x] | Σ | 1..1 | CodeableConcept | Actual component result Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept | Σ | 1..1 | CodeableConcept | Actual component result Binding: RouteofAdministration (preferred)
dataAbsentReason | I | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | I | 0..* | RadiationDoseSummary | Measurements and simple assertions
identifier:radiationSRUID | Σ | 0..* | Identifier | Identifier related to SOP Instance UID if the resource is generated based on an RDSR
basedOn:serviceRequestRef | Σ | 0..1 | Reference(ServiceRequest) | Description of the related ServiceRequest
partOf:imagingStudyRef | Σ | 1..1 | Reference(ImagingStudy) | Related ImagingStudy
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 73569-6
display |  | 1..1 | string | Representation defined by the system Fixed Value: Radiation exposure and protection information [Description] Document Diagnostic imaging
subject | Σ | 1..1 | Reference(Patient) | Irradiated patient
effective[x] | Σ | 1..1 | dateTime | The administration start date time
Slices for performer | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation Slice: Unordered, Closed by type:reference
performer:irradiationAutorizingPerson | Σ | 1..1 | Reference(Practitioner) | Related irradiation authorizing person
device |  | 0..1 | Reference(Modality Device) | Irradiating modality
hasMember:irradiationEvent | Σ | 0..* | Reference(Irradiation Event Summary) | Related irradiation events.
Slices for component | Σ | 3..* | BackboneElement | Component results Slice: Unordered, Open by pattern:code
component:procedureReported | Σ | 1..1 | BackboneElement | Procedure reported related to Radiopharmaceutical administration
component:administeredActivity | Σ | 1..1 | BackboneElement | The administered activity to the patient
component:radiopharmaceutical | Σ | 1..1 | BackboneElement | The radiopharmaceutical agent used
component:radioisotope | Σ | 0..1 | BackboneElement | The radioisotope used during the administration
component:radiopharmaceuticalVolume | Σ | 0..1 | BackboneElement | The volume of the radiopharmaceutical agent administered to the patient
component:routeOfAdministration | Σ | 0..1 | BackboneElement | The route of administration of the radiopharmaceutical agent
Documentation for this format

This structure is derived from RadiationDoseSummary

Summary

Mandatory: 6 elements (6 nested mandatory elements)
Must-Support: 5 elements

Slices

This structure defines the following Slices:

- The element Observation.component.value[x] is sliced based on the value of type:$this

Differential View

This structure is derived from RadiationDoseSummary

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation |  | 0..* | RadiationDoseSummary | Measurements and simple assertions
identifier:radiationSRUID |  | 0..* | Identifier | Identifier related to SOP Instance UID if the resource is generated based on an RDSR
basedOn:serviceRequestRef |  | 0..1 | Reference(ServiceRequest) | Description of the related ServiceRequest
partOf:imagingStudyRef |  | 1..1 | Reference(ImagingStudy) | Related ImagingStudy
subject |  | 1..1 | Reference(Patient) | Irradiated patient
effective[x] |  | 1..1 | dateTime | The administration start date time
component |  | 3..* | BackboneElement | Component results
component:procedureReported |  | 1..1 | BackboneElement | Procedure reported related to Radiopharmaceutical administration
valueCodeableConcept |  | 0..1 | CodeableConcept | Actual component result
coding |  | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 113502
display |  | 1..1 | string | Representation defined by the system Fixed Value: Radiopharmaceutical Administration
component:administeredActivity | S | 1..1 | BackboneElement | The administered activity to the patient
code |  | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 113507
display |  | 1..1 | string | Representation defined by the system Fixed Value: Administered activity
Slices for value[x] |  | 1..1 | Quantity | Actual component result Slice: Unordered, Open by type:$this
valueQuantity |  | 1..1 | Quantity | Actual component result
unit |  | 0..1 | string | Unit representation Required Pattern: MBq
component:radiopharmaceutical | S | 1..1 | BackboneElement | The radiopharmaceutical agent used
code |  | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 349358000
display |  | 1..1 | string | Representation defined by the system Fixed Value: Radiopharmaceuticals
Slices for value[x] |  | 1..1 |  | Actual component result Slice: Unordered, Open by type:$this
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueCodeableConcept |  | 1..1 | CodeableConcept | Actual component result Binding: Radiopharmaceuticals Value Set (extensible)
component:radioisotope | S | 0..1 | BackboneElement | The radioisotope used during the administration
code |  | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 89457008
display |  | 1..1 | string | Representation defined by the system Fixed Value: Radioisotope
Slices for value[x] |  | 1..1 |  | Actual component result Slice: Unordered, Open by type:$this
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueCodeableConcept |  | 1..1 | CodeableConcept | Actual component result Binding: Isotopes Value Set (extensible)
component:radiopharmaceuticalVolume | S | 0..1 | BackboneElement | The volume of the radiopharmaceutical agent administered to the patient
code |  | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 123005
display |  | 1..1 | string | Representation defined by the system Fixed Value: Radiopharmaceutical Volume
Slices for value[x] |  | 1..1 | Quantity | Actual component result Slice: Unordered, Open by type:$this
valueQuantity |  | 1..1 | Quantity | Actual component result
unit |  | 0..1 | string | Unit representation Required Pattern: cm3
component:routeOfAdministration | S | 0..1 | BackboneElement | The route of administration of the radiopharmaceutical agent
code |  | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 410675002
display |  | 1..1 | string | Representation defined by the system Fixed Value: Route of administration
Slices for value[x] |  | 1..1 | CodeableConcept | Actual component result Slice: Unordered, Open by type:$this
valueCodeableConcept |  | 1..1 | CodeableConcept | Actual component result Binding: RouteofAdministration (preferred)
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | I | 0..* | RadiationDoseSummary | Measurements and simple assertions
id | Σ | 0..1 | string | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | Σ | 0..* | Identifier | Business Identifier for observation Slice: Unordered, Open by pattern:type
identifier:radiationSRUID | S Σ | 0..* | Identifier | Identifier related to SOP Instance UID if the resource is generated based on an RDSR
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/radiation-dose-summary/CodeSystem/dicom-identifier-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: sop-instance-uid
display |  | 1..1 | string | Representation defined by the system Fixed Value: SOP Instance UID
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | Σ | 0..1 | uri | The namespace for the identifier value Required Pattern: urn:dicom:uid
value | Σ | 1..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
Slices for basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order Slice: Unordered, Open by type:reference
basedOn:serviceRequestRef | S Σ | 0..1 | Reference(ServiceRequest) | Description of the related ServiceRequest
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ I | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | The accession number related to the performed study
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ACSN
display |  | 1..1 | string | Representation defined by the system Fixed Value: Accession ID
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
Slices for partOf | Σ | 1..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event Slice: Unordered, Open by type:reference
partOf:imagingStudyRef | S Σ | 1..1 | Reference(ImagingStudy) | Related ImagingStudy
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ I | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Identifier related to Study Instance UID
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/radiation-dose-summary/CodeSystem/dicom-identifier-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: study-instance-uid
display |  | 1..1 | string | Representation defined by the system Fixed Value: Study Instance UID
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | Σ | 0..1 | uri | The namespace for the identifier value Required Pattern: urn:dicom:uid
value | Σ | 1..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code | S Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 73569-6
display |  | 1..1 | string | Representation defined by the system Fixed Value: Radiation exposure and protection information [Description] Document Diagnostic imaging
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(Patient) | Irradiated patient
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made
effective[x] | S Σ | 1..1 | dateTime | The administration start date time
issued | Σ | 0..1 | instant | Date/Time this version was made available
Slices for performer | S Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation Slice: Unordered, Closed by type:reference
performer:irradiationAutorizingPerson | S Σ | 1..1 | Reference(Practitioner) | Related irradiation authorizing person
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note |  | 0..* | Annotation | Comments about the observation
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method |  | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations.
device | S | 0..1 | Reference(Modality Device) | Irradiating modality
referenceRange | I | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
low | I | 0..1 | SimpleQuantity | Low Range, if relevant
high | I | 0..1 | SimpleQuantity | High Range, if relevant
type |  | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo |  | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age |  | 0..1 | Range | Applicable age range, if relevant
text |  | 0..1 | string | Text based reference range in an observation
Slices for hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group Slice: Unordered, Open by profile:$this.resolve()
hasMember:irradiationEvent | S Σ | 0..* | Reference(Irradiation Event Summary) | Related irradiation events.
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from
Slices for component | S Σ | 3..* | BackboneElement | Component results Slice: Unordered, Open by pattern:code
component:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Radiation Dose Summary component type (extensible)
value[x] | Σ | 0..1 |  | Actual component result
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | I | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
component:procedureReported | S Σ | 1..1 | BackboneElement | Procedure reported related to Radiopharmaceutical administration
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 121058
display |  | 1..1 | string | Representation defined by the system Fixed Value: Procedure reported
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
Slices for value[x] | Σ | 0..1 | CodeableConcept | Actual component result Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept | Σ | 0..1 | CodeableConcept | Actual component result Binding: Procedure Reported Type Value Set (required)
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 113502
display |  | 1..1 | string | Representation defined by the system Fixed Value: Radiopharmaceutical Administration
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
dataAbsentReason | I | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
component:administeredActivity | S Σ | 1..1 | BackboneElement | The administered activity to the patient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Radiation Dose Summary component type (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 113507
display |  | 1..1 | string | Representation defined by the system Fixed Value: Administered activity
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
Slices for value[x] | Σ | 1..1 | Quantity | Actual component result Slice: Unordered, Closed by type:$this
value[x]:valueQuantity | Σ | 1..1 | Quantity | Actual component result
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
value | Σ | 0..1 | decimal | Numerical value (with implicit precision)
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | Σ | 0..1 | string | Unit representation Required Pattern: MBq
system | Σ I | 0..1 | uri | System that defines coded unit form
code | Σ | 0..1 | code | Coded form of the unit
dataAbsentReason | I | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
component:radiopharmaceutical | S Σ | 1..1 | BackboneElement | The radiopharmaceutical agent used
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Radiation Dose Summary component type (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 349358000
display |  | 1..1 | string | Representation defined by the system Fixed Value: Radiopharmaceuticals
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
Slices for value[x] | Σ | 1..1 | CodeableConcept | Actual component result Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept | Σ | 1..1 | CodeableConcept | Actual component result Binding: Radiopharmaceuticals Value Set (extensible)
dataAbsentReason | I | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
component:radioisotope | S Σ | 0..1 | BackboneElement | The radioisotope used during the administration
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Radiation Dose Summary component type (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 89457008
display |  | 1..1 | string | Representation defined by the system Fixed Value: Radioisotope
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
Slices for value[x] | Σ | 1..1 | CodeableConcept | Actual component result Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept | Σ | 1..1 | CodeableConcept | Actual component result Binding: Isotopes Value Set (extensible)
dataAbsentReason | I | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
component:radiopharmaceuticalVolume | S Σ | 0..1 | BackboneElement | The volume of the radiopharmaceutical agent administered to the patient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Radiation Dose Summary component type (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 123005
display |  | 1..1 | string | Representation defined by the system Fixed Value: Radiopharmaceutical Volume
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
Slices for value[x] | Σ | 1..1 | Quantity | Actual component result Slice: Unordered, Closed by type:$this
value[x]:valueQuantity | Σ | 1..1 | Quantity | Actual component result
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
value | Σ | 0..1 | decimal | Numerical value (with implicit precision)
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | Σ | 0..1 | string | Unit representation Required Pattern: cm3
system | Σ I | 0..1 | uri | System that defines coded unit form
code | Σ | 0..1 | code | Coded form of the unit
dataAbsentReason | I | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
component:routeOfAdministration | S Σ | 0..1 | BackboneElement | The route of administration of the radiopharmaceutical agent
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Radiation Dose Summary component type (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 410675002
display |  | 1..1 | string | Representation defined by the system Fixed Value: Route of administration
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
Slices for value[x] | Σ | 1..1 | CodeableConcept | Actual component result Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept | Σ | 1..1 | CodeableConcept | Actual component result Binding: RouteofAdministration (preferred)
dataAbsentReason | I | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
Documentation for this format

Other representations of profile: CSV, Excel, Schematron

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Observation.language | preferred | CommonLanguages Max Binding: AllLanguages
Observation.identifier:radiationSRUID.use | required | IdentifierUse
Observation.identifier:radiationSRUID.type | extensible | Pattern: sop-instance-uid("SOP Instance UID")
Observation.basedOn:serviceRequestRef.type | extensible | ResourceType
Observation.basedOn:serviceRequestRef.identifier.use | required | IdentifierUse
Observation.basedOn:serviceRequestRef.identifier.type | extensible | Pattern: ACSN("Accession ID")
Observation.partOf:imagingStudyRef.type | extensible | ResourceType
Observation.partOf:imagingStudyRef.identifier.use | required | IdentifierUse
Observation.partOf:imagingStudyRef.identifier.type | extensible | Pattern: study-instance-uid("Study Instance UID")
Observation.status | required | ObservationStatus
Observation.category | preferred | ObservationCategoryCodes
Observation.code | example | Pattern: LOINC code 73569-6("Radiation exposure and protection information [Description] Document Diagnostic imaging")
Observation.interpretation | extensible | ObservationInterpretationCodes
Observation.bodySite | example | SNOMEDCTBodyStructures
Observation.method | example | ObservationMethods
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes
Observation.component.code | extensible | ComponentRadiationDoseSummaryVS
Observation.component.dataAbsentReason | extensible | DataAbsentReason
Observation.component.interpretation | extensible | ObservationInterpretationCodes
Observation.component:procedureReported.code | example | Pattern: 121058("Procedure reported")
Observation.component:procedureReported.value[x]:valueCodeableConcept | required | ProcedureReportedTypeVS
Observation.component:procedureReported.dataAbsentReason | extensible | DataAbsentReason
Observation.component:procedureReported.interpretation | extensible | ObservationInterpretationCodes
Observation.component:administeredActivity.code | extensible | Pattern: 113507("Administered activity")
Observation.component:administeredActivity.value[x]:valueQuantity.comparator | required | QuantityComparator
Observation.component:administeredActivity.dataAbsentReason | extensible | DataAbsentReason
Observation.component:administeredActivity.interpretation | extensible | ObservationInterpretationCodes
Observation.component:radiopharmaceutical.code | extensible | Pattern: SNOMED CT code 349358000("Radiopharmaceuticals")
Observation.component:radiopharmaceutical.value[x]:valueCodeableConcept | extensible | RadiopharmaceuticalAgentVS
Observation.component:radiopharmaceutical.dataAbsentReason | extensible | DataAbsentReason
Observation.component:radiopharmaceutical.interpretation | extensible | ObservationInterpretationCodes
Observation.component:radioisotope.code | extensible | Pattern: SNOMED CT code 89457008("Radioisotope")
Observation.component:radioisotope.value[x]:valueCodeableConcept | extensible | IsotopesVS
Observation.component:radioisotope.dataAbsentReason | extensible | DataAbsentReason
Observation.component:radioisotope.interpretation | extensible | ObservationInterpretationCodes
Observation.component:radiopharmaceuticalVolume.code | extensible | Pattern: 123005("Radiopharmaceutical Volume")
Observation.component:radiopharmaceuticalVolume.value[x]:valueQuantity.comparator | required | QuantityComparator
Observation.component:radiopharmaceuticalVolume.dataAbsentReason | extensible | DataAbsentReason
Observation.component:radiopharmaceuticalVolume.interpretation | extensible | ObservationInterpretationCodes
Observation.component:routeOfAdministration.code | extensible | Pattern: SNOMED CT code 410675002("Route of administration")
Observation.component:routeOfAdministration.value[x]:valueCodeableConcept | preferred | RouteofAdministration
Observation.component:routeOfAdministration.dataAbsentReason | extensible | DataAbsentReason
Observation.component:routeOfAdministration.interpretation | extensible | ObservationInterpretationCodes

#### Constraints

Id | Path | Details | Requirements
obs-3 | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() |