HL7 Europe Imaging Study Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/oijauregui/ehdsimaging/tree/master and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON
• TTL

Resource Profile: Radiation Dose Observation

A record for the radiation dose the subject has been exposed to during an imaging procedure. E.g. based on information from https://dicom.nema.org/medical/dicom/current/output/html/part16.html and https://build.fhir.org/ig/HL7/fhir-radiation-dose-summary-ig/index.html

Usages:

• This Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	ObservationEu	Measurements and simple assertions Constraints: obs-6, obs-7
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:dataAbsentReason		0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Business Identifier for observation Slice: Unordered, Open by value:type
identifier:radiation-sr-instance-uid	Σ	0..1	Identifier	Business Identifier for observation
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.eu/fhir/imaging-r4/CodeSystem/codesystem-missing-dicom-terminology
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 00083010
display		1..1	string	Representation defined by the system Fixed Value: Irradiation Event UID
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 basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order Slice: Unordered, Open by type:$this
basedOn:imorderaccession	Σ	0..1	Reference(IM Imaging Order)	Fulfills plan, proposal or order
identifier	Σ	1..1	ImAccessionNumberIdentifier	Logical reference, when literal reference is not known
Slices for partOf	Σ	1..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event Slice: Unordered, Open by profile:$this
partOf:study	Σ	1..1	Reference(IM Imaging Study)	Part of referenced event
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:radiation-dose	Σ	1..1	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://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
subject	Σ	1..1	Reference(Patient (EU base))	Who and/or what the observation is about
effective[x]	Σ	1..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
value[x]	ΣC	1..1	string	Dose Summary text.
device		0..1	Reference(Im Imaging Device)	Irradiating modality
Slices for component	Σ	0..*	BackboneElement	Component results Slice: Unordered, Open by value:code
component:All Slices				Content/Rules for all slices
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.
value[x]	Σ	1..1		Actual component result
valueQuantity			Quantity(QuantityEu)
valueCodeableConcept			CodeableConcept
valueString			string
valueInteger			integer
valueRange			Range(RangeEu)
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
component:doseAreaProductTotal	Σ	0..*	BackboneElement	Component results
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: 113722
display		1..1	string	Representation defined by the system Fixed Value: Dose Area Product Total
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Gray Square Units (required)
component:fluorDoseAreaProductTotal	Σ	0..*	BackboneElement	Component results
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: 113726
display		1..1	string	Representation defined by the system Fixed Value: Fluoro Dose Area Product Total
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Gray Square Units (required)
component:doseAreaProduct	Σ	0..*	BackboneElement	Component results
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: 122130
display		1..1	string	Representation defined by the system Fixed Value: Dose Area Product
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Gray Square Units (required)
component:CTDoseLengthProductTotal	Σ	0..*	BackboneElement	Component results
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: 113813
display		1..1	string	Representation defined by the system Fixed Value: CT Dose Length Product Total
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:DLP	Σ	0..*	BackboneElement	Component results
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: 113838
display		1..1	string	Representation defined by the system Fixed Value: DLP
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:DLPAlertValue	Σ	0..*	BackboneElement	Component results
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: 113903
display		1..1	string	Representation defined by the system Fixed Value: DLP Alert Value
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:AccumulatedDLPForwardEstimate	Σ	0..*	BackboneElement	Component results
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: 113905
display		1..1	string	Representation defined by the system Fixed Value: Accumulated DLP Forward Estimate
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:DLPNotificationValue	Σ	0..*	BackboneElement	Component results
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: 113911
display		1..1	string	Representation defined by the system Fixed Value: DLP Notification Value
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:DLPForwardEstimate	Σ	0..*	BackboneElement	Component results
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: 113913
display		1..1	string	Representation defined by the system Fixed Value: DLP Forward Estimate
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:CRDoseLengthProductSubTotal	Σ	0..*	BackboneElement	Component results
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: 130745
display		1..1	string	Representation defined by the system Fixed Value: CT Dose Length Product Sub-Total
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:CTEffectiveDoseTotal	Σ	0..*	BackboneElement	Component results
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: 113814
display		1..1	string	Representation defined by the system Fixed Value: CT Effective Dose Total
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Effective Dose Units (required)
component:EffectiveDose	Σ	0..*	BackboneElement	Component results
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: 113839
display		1..1	string	Representation defined by the system Fixed Value: Effective Dose
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Effective Dose Units (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.identifier:radiation-sr-instance-uid.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Observation.identifier:radiation-sr-instance-uid.type	extensible	Pattern Value: 00083010("Irradiation Event UID") http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
Observation.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:doseAreaProductTotal.code	example	​Pattern Value: 113722("Dose Area Product Total") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:doseAreaProductTotal.value[x]	required	ImGraySquareUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-gray-square-units From this IG
Observation.component:fluorDoseAreaProductTotal.code	example	​Pattern Value: 113726("Fluoro Dose Area Product Total") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:fluorDoseAreaProductTotal.value[x]	required	ImGraySquareUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-gray-square-units From this IG
Observation.component:doseAreaProduct.code	example	​Pattern Value: 122130("Dose Area Product") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:doseAreaProduct.value[x]	required	ImGraySquareUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-gray-square-units From this IG
Observation.component:CTDoseLengthProductTotal.code	example	​Pattern Value: 113813("CT Dose Length Product Total") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:CTDoseLengthProductTotal.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:DLP.code	example	​Pattern Value: 113838("DLP") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:DLP.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:DLPAlertValue.code	example	​Pattern Value: 113903("DLP Alert Value") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:DLPAlertValue.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:AccumulatedDLPForwardEstimate.code	example	​Pattern Value: 113905("Accumulated DLP Forward Estimate") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:AccumulatedDLPForwardEstimate.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:DLPNotificationValue.code	example	​Pattern Value: 113911("DLP Notification Value") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:DLPNotificationValue.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:DLPForwardEstimate.code	example	​Pattern Value: 113913("DLP Forward Estimate") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:DLPForwardEstimate.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:CRDoseLengthProductSubTotal.code	example	​Pattern Value: 130745("CT Dose Length Product Sub-Total") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:CRDoseLengthProductSubTotal.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:CTEffectiveDoseTotal.code	example	​Pattern Value: 113814("CT Effective Dose Total") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:CTEffectiveDoseTotal.value[x]	required	ImEffectiveDoseUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-effective-dose-units From this IG
Observation.component:EffectiveDose.code	example	​Pattern Value: 113839("Effective Dose") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:EffectiveDose.value[x]	required	ImEffectiveDoseUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-effective-dose-units From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from ObservationEu

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	ObservationEu	Measurements and simple assertions
Slices for identifier		0..*	Identifier	Business Identifier for observation Slice: Unordered, Open by value:type
identifier:radiation-sr-instance-uid		0..1	Identifier	Business Identifier for observation
type		1..1	CodeableConcept	Description of identifier 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://hl7.eu/fhir/imaging-r4/CodeSystem/codesystem-missing-dicom-terminology
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 00083010
display		1..1	string	Representation defined by the system Fixed Value: Irradiation Event UID
Slices for basedOn		0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order Slice: Unordered, Open by type:$this
basedOn:imorderaccession		0..1	Reference(IM Imaging Order)	Fulfills plan, proposal or order
identifier		1..1	ImAccessionNumberIdentifier	Logical reference, when literal reference is not known
Slices for partOf		1..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event Slice: Unordered, Open by profile:$this
partOf:study		1..1	Reference(IM Imaging Study)	Part of referenced event
code
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:radiation-dose		1..1	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://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		1..1	Reference(Patient (EU base))	Who and/or what the observation is about
value[x]		1..1	string	Dose Summary text.
device		0..1	Reference(Im Imaging Device)	Irradiating modality
Slices for component		0..*	BackboneElement	Component results Slice: Unordered, Open by value:code
component:doseAreaProductTotal		0..*	BackboneElement	Component results
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: 113722
display		1..1	string	Representation defined by the system Fixed Value: Dose Area Product Total
value[x]		1..1	QuantityEu	Actual component result Binding: Gray Square Units (required)
component:fluorDoseAreaProductTotal		0..*	BackboneElement	Component results
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: 113726
display		1..1	string	Representation defined by the system Fixed Value: Fluoro Dose Area Product Total
value[x]		1..1	QuantityEu	Actual component result Binding: Gray Square Units (required)
component:doseAreaProduct		0..*	BackboneElement	Component results
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: 122130
display		1..1	string	Representation defined by the system Fixed Value: Dose Area Product
value[x]		1..1	QuantityEu	Actual component result Binding: Gray Square Units (required)
component:CTDoseLengthProductTotal		0..*	BackboneElement	Component results
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: 113813
display		1..1	string	Representation defined by the system Fixed Value: CT Dose Length Product Total
value[x]		1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:DLP		0..*	BackboneElement	Component results
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: 113838
display		1..1	string	Representation defined by the system Fixed Value: DLP
value[x]		1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:DLPAlertValue		0..*	BackboneElement	Component results
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: 113903
display		1..1	string	Representation defined by the system Fixed Value: DLP Alert Value
value[x]		1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:AccumulatedDLPForwardEstimate		0..*	BackboneElement	Component results
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: 113905
display		1..1	string	Representation defined by the system Fixed Value: Accumulated DLP Forward Estimate
value[x]		1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:DLPNotificationValue		0..*	BackboneElement	Component results
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: 113911
display		1..1	string	Representation defined by the system Fixed Value: DLP Notification Value
value[x]		1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:DLPForwardEstimate		0..*	BackboneElement	Component results
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: 113913
display		1..1	string	Representation defined by the system Fixed Value: DLP Forward Estimate
value[x]		1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:CRDoseLengthProductSubTotal		0..*	BackboneElement	Component results
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: 130745
display		1..1	string	Representation defined by the system Fixed Value: CT Dose Length Product Sub-Total
value[x]		1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:CTEffectiveDoseTotal		0..*	BackboneElement	Component results
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: 113814
display		1..1	string	Representation defined by the system Fixed Value: CT Effective Dose Total
value[x]		1..1	QuantityEu	Actual component result Binding: Effective Dose Units (required)
component:EffectiveDose		0..*	BackboneElement	Component results
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: 113839
display		1..1	string	Representation defined by the system Fixed Value: Effective Dose
value[x]		1..1	QuantityEu	Actual component result Binding: Effective Dose Units (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.component:doseAreaProductTotal.value[x]	required	ImGraySquareUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-gray-square-units From this IG
Observation.component:fluorDoseAreaProductTotal.value[x]	required	ImGraySquareUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-gray-square-units From this IG
Observation.component:doseAreaProduct.value[x]	required	ImGraySquareUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-gray-square-units From this IG
Observation.component:CTDoseLengthProductTotal.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:DLP.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:DLPAlertValue.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:AccumulatedDLPForwardEstimate.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:DLPNotificationValue.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:DLPForwardEstimate.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:CRDoseLengthProductSubTotal.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:CTEffectiveDoseTotal.value[x]	required	ImEffectiveDoseUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-effective-dose-units From this IG
Observation.component:EffectiveDose.value[x]	required	ImEffectiveDoseUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-effective-dose-units From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	ObservationEu	Measurements and simple assertions Constraints: obs-6, obs-7
id	Σ	0..1	id	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): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:dataAbsentReason		0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Business Identifier for observation Slice: Unordered, Open by value:type
identifier:radiation-sr-instance-uid	Σ	0..1	Identifier	Business Identifier for observation
id		0..1	string	Unique id for inter-element referencing
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.eu/fhir/imaging-r4/CodeSystem/codesystem-missing-dicom-terminology
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 00083010
display		1..1	string	Representation defined by the system Fixed Value: Irradiation Event 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 Example General: http://www.acme.com/identifiers/patient
value	Σ	0..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:$this
basedOn:imorderaccession	Σ	0..1	Reference(IM Imaging Order)	Fulfills plan, proposal or order
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	ImAccessionNumberIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
Slices for partOf	Σ	1..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event Slice: Unordered, Open by profile:$this
partOf:study	Σ	1..1	Reference(IM Imaging Study)	Part of referenced event
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	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:radiation-dose	Σ	1..1	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://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	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Patient (EU base))	Who and/or what the observation is about
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]	Σ	1..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
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
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
reference	ΣC	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	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
value[x]	ΣC	1..1	string	Dose Summary text.
dataAbsentReason	C	0..1	CodeableConcept	Why the 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.
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.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Im Imaging Device)	Irradiating modality
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
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	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	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
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
Slices for component	Σ	0..*	BackboneElement	Component results Slice: Unordered, Open by value: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: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	1..1		Actual component result
valueQuantity			Quantity(QuantityEu)
valueCodeableConcept			CodeableConcept
valueString			string
valueInteger			integer
valueRange			Range(RangeEu)
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	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:doseAreaProductTotal	Σ	0..*	BackboneElement	Component results
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: 113722
display		1..1	string	Representation defined by the system Fixed Value: Dose Area Product Total
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Gray Square Units (required)
dataAbsentReason	C	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:fluorDoseAreaProductTotal	Σ	0..*	BackboneElement	Component results
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: 113726
display		1..1	string	Representation defined by the system Fixed Value: Fluoro Dose Area Product Total
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Gray Square Units (required)
dataAbsentReason	C	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:doseAreaProduct	Σ	0..*	BackboneElement	Component results
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: 122130
display		1..1	string	Representation defined by the system Fixed Value: Dose Area Product
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Gray Square Units (required)
dataAbsentReason	C	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:CTDoseLengthProductTotal	Σ	0..*	BackboneElement	Component results
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: 113813
display		1..1	string	Representation defined by the system Fixed Value: CT Dose Length Product Total
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
dataAbsentReason	C	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:DLP	Σ	0..*	BackboneElement	Component results
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: 113838
display		1..1	string	Representation defined by the system Fixed Value: DLP
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
dataAbsentReason	C	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:DLPAlertValue	Σ	0..*	BackboneElement	Component results
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: 113903
display		1..1	string	Representation defined by the system Fixed Value: DLP Alert Value
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
dataAbsentReason	C	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:AccumulatedDLPForwardEstimate	Σ	0..*	BackboneElement	Component results
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: 113905
display		1..1	string	Representation defined by the system Fixed Value: Accumulated DLP Forward Estimate
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
dataAbsentReason	C	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:DLPNotificationValue	Σ	0..*	BackboneElement	Component results
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: 113911
display		1..1	string	Representation defined by the system Fixed Value: DLP Notification Value
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
dataAbsentReason	C	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:DLPForwardEstimate	Σ	0..*	BackboneElement	Component results
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: 113913
display		1..1	string	Representation defined by the system Fixed Value: DLP Forward Estimate
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
dataAbsentReason	C	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:CRDoseLengthProductSubTotal	Σ	0..*	BackboneElement	Component results
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: 130745
display		1..1	string	Representation defined by the system Fixed Value: CT Dose Length Product Sub-Total
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
dataAbsentReason	C	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:CTEffectiveDoseTotal	Σ	0..*	BackboneElement	Component results
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: 113814
display		1..1	string	Representation defined by the system Fixed Value: CT Effective Dose Total
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Effective Dose Units (required)
dataAbsentReason	C	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:EffectiveDose	Σ	0..*	BackboneElement	Component results
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: 113839
display		1..1	string	Representation defined by the system Fixed Value: Effective Dose
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Effective Dose Units (required)
dataAbsentReason	C	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

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.identifier:radiation-sr-instance-uid.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Observation.identifier:radiation-sr-instance-uid.type	extensible	Pattern Value: 00083010("Irradiation Event UID") http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Observation.basedOn:imorderaccession.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods From the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning From the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:doseAreaProductTotal.code	example	​Pattern Value: 113722("Dose Area Product Total") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:doseAreaProductTotal.value[x]	required	ImGraySquareUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-gray-square-units From this IG
Observation.component:doseAreaProductTotal.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:doseAreaProductTotal.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:fluorDoseAreaProductTotal.code	example	​Pattern Value: 113726("Fluoro Dose Area Product Total") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:fluorDoseAreaProductTotal.value[x]	required	ImGraySquareUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-gray-square-units From this IG
Observation.component:fluorDoseAreaProductTotal.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:fluorDoseAreaProductTotal.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:doseAreaProduct.code	example	​Pattern Value: 122130("Dose Area Product") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:doseAreaProduct.value[x]	required	ImGraySquareUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-gray-square-units From this IG
Observation.component:doseAreaProduct.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:doseAreaProduct.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:CTDoseLengthProductTotal.code	example	​Pattern Value: 113813("CT Dose Length Product Total") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:CTDoseLengthProductTotal.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:CTDoseLengthProductTotal.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:CTDoseLengthProductTotal.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:DLP.code	example	​Pattern Value: 113838("DLP") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:DLP.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:DLP.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:DLP.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:DLPAlertValue.code	example	​Pattern Value: 113903("DLP Alert Value") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:DLPAlertValue.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:DLPAlertValue.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:DLPAlertValue.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:AccumulatedDLPForwardEstimate.code	example	​Pattern Value: 113905("Accumulated DLP Forward Estimate") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:AccumulatedDLPForwardEstimate.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:AccumulatedDLPForwardEstimate.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:AccumulatedDLPForwardEstimate.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:DLPNotificationValue.code	example	​Pattern Value: 113911("DLP Notification Value") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:DLPNotificationValue.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:DLPNotificationValue.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:DLPNotificationValue.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:DLPForwardEstimate.code	example	​Pattern Value: 113913("DLP Forward Estimate") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:DLPForwardEstimate.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:DLPForwardEstimate.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:DLPForwardEstimate.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:CRDoseLengthProductSubTotal.code	example	​Pattern Value: 130745("CT Dose Length Product Sub-Total") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:CRDoseLengthProductSubTotal.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:CRDoseLengthProductSubTotal.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:CRDoseLengthProductSubTotal.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:CTEffectiveDoseTotal.code	example	​Pattern Value: 113814("CT Effective Dose Total") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:CTEffectiveDoseTotal.value[x]	required	ImEffectiveDoseUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-effective-dose-units From this IG
Observation.component:CTEffectiveDoseTotal.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:CTEffectiveDoseTotal.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:EffectiveDose.code	example	​Pattern Value: 113839("Effective Dose") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:EffectiveDose.value[x]	required	ImEffectiveDoseUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-effective-dose-units From this IG
Observation.component:EffectiveDose.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:EffectiveDose.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from ObservationEu

Summary

Mandatory: 6 elements(2 nested mandatory elements)

Structures

This structure refers to these other structures:

• IM Imaging Order (http://hl7.eu/fhir/imaging-r4/StructureDefinition/ImOrder)
• Imaging Accession Number Identifier (http://hl7.eu/fhir/imaging-r4/StructureDefinition/im-accession-number-identifier)
• IM Imaging Study (http://hl7.eu/fhir/imaging-r4/StructureDefinition/ImImagingStudy)
• Patient (EU base) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu)
• Im Imaging Device (http://hl7.eu/fhir/imaging-r4/StructureDefinition/ImImagingDevice)
• EU Quantity (http://hl7.eu/fhir/imaging-r4/StructureDefinition/quantity-eu)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.identifier
• The element 1 is sliced based on the value of Observation.basedOn
• The element 1 is sliced based on the value of Observation.partOf
• The element 1 is sliced based on the value of Observation.code.coding
• The element 1 is sliced based on the value of Observation.component

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	ObservationEu	Measurements and simple assertions Constraints: obs-6, obs-7
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:dataAbsentReason		0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Business Identifier for observation Slice: Unordered, Open by value:type
identifier:radiation-sr-instance-uid	Σ	0..1	Identifier	Business Identifier for observation
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.eu/fhir/imaging-r4/CodeSystem/codesystem-missing-dicom-terminology
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 00083010
display		1..1	string	Representation defined by the system Fixed Value: Irradiation Event UID
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 basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order Slice: Unordered, Open by type:$this
basedOn:imorderaccession	Σ	0..1	Reference(IM Imaging Order)	Fulfills plan, proposal or order
identifier	Σ	1..1	ImAccessionNumberIdentifier	Logical reference, when literal reference is not known
Slices for partOf	Σ	1..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event Slice: Unordered, Open by profile:$this
partOf:study	Σ	1..1	Reference(IM Imaging Study)	Part of referenced event
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:radiation-dose	Σ	1..1	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://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
subject	Σ	1..1	Reference(Patient (EU base))	Who and/or what the observation is about
effective[x]	Σ	1..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
value[x]	ΣC	1..1	string	Dose Summary text.
device		0..1	Reference(Im Imaging Device)	Irradiating modality
Slices for component	Σ	0..*	BackboneElement	Component results Slice: Unordered, Open by value:code
component:All Slices				Content/Rules for all slices
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.
value[x]	Σ	1..1		Actual component result
valueQuantity			Quantity(QuantityEu)
valueCodeableConcept			CodeableConcept
valueString			string
valueInteger			integer
valueRange			Range(RangeEu)
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
component:doseAreaProductTotal	Σ	0..*	BackboneElement	Component results
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: 113722
display		1..1	string	Representation defined by the system Fixed Value: Dose Area Product Total
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Gray Square Units (required)
component:fluorDoseAreaProductTotal	Σ	0..*	BackboneElement	Component results
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: 113726
display		1..1	string	Representation defined by the system Fixed Value: Fluoro Dose Area Product Total
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Gray Square Units (required)
component:doseAreaProduct	Σ	0..*	BackboneElement	Component results
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: 122130
display		1..1	string	Representation defined by the system Fixed Value: Dose Area Product
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Gray Square Units (required)
component:CTDoseLengthProductTotal	Σ	0..*	BackboneElement	Component results
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: 113813
display		1..1	string	Representation defined by the system Fixed Value: CT Dose Length Product Total
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:DLP	Σ	0..*	BackboneElement	Component results
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: 113838
display		1..1	string	Representation defined by the system Fixed Value: DLP
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:DLPAlertValue	Σ	0..*	BackboneElement	Component results
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: 113903
display		1..1	string	Representation defined by the system Fixed Value: DLP Alert Value
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:AccumulatedDLPForwardEstimate	Σ	0..*	BackboneElement	Component results
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: 113905
display		1..1	string	Representation defined by the system Fixed Value: Accumulated DLP Forward Estimate
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:DLPNotificationValue	Σ	0..*	BackboneElement	Component results
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: 113911
display		1..1	string	Representation defined by the system Fixed Value: DLP Notification Value
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:DLPForwardEstimate	Σ	0..*	BackboneElement	Component results
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: 113913
display		1..1	string	Representation defined by the system Fixed Value: DLP Forward Estimate
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:CRDoseLengthProductSubTotal	Σ	0..*	BackboneElement	Component results
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: 130745
display		1..1	string	Representation defined by the system Fixed Value: CT Dose Length Product Sub-Total
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:CTEffectiveDoseTotal	Σ	0..*	BackboneElement	Component results
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: 113814
display		1..1	string	Representation defined by the system Fixed Value: CT Effective Dose Total
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Effective Dose Units (required)
component:EffectiveDose	Σ	0..*	BackboneElement	Component results
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: 113839
display		1..1	string	Representation defined by the system Fixed Value: Effective Dose
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Effective Dose Units (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.identifier:radiation-sr-instance-uid.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Observation.identifier:radiation-sr-instance-uid.type	extensible	Pattern Value: 00083010("Irradiation Event UID") http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
Observation.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:doseAreaProductTotal.code	example	​Pattern Value: 113722("Dose Area Product Total") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:doseAreaProductTotal.value[x]	required	ImGraySquareUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-gray-square-units From this IG
Observation.component:fluorDoseAreaProductTotal.code	example	​Pattern Value: 113726("Fluoro Dose Area Product Total") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:fluorDoseAreaProductTotal.value[x]	required	ImGraySquareUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-gray-square-units From this IG
Observation.component:doseAreaProduct.code	example	​Pattern Value: 122130("Dose Area Product") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:doseAreaProduct.value[x]	required	ImGraySquareUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-gray-square-units From this IG
Observation.component:CTDoseLengthProductTotal.code	example	​Pattern Value: 113813("CT Dose Length Product Total") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:CTDoseLengthProductTotal.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:DLP.code	example	​Pattern Value: 113838("DLP") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:DLP.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:DLPAlertValue.code	example	​Pattern Value: 113903("DLP Alert Value") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:DLPAlertValue.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:AccumulatedDLPForwardEstimate.code	example	​Pattern Value: 113905("Accumulated DLP Forward Estimate") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:AccumulatedDLPForwardEstimate.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:DLPNotificationValue.code	example	​Pattern Value: 113911("DLP Notification Value") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:DLPNotificationValue.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:DLPForwardEstimate.code	example	​Pattern Value: 113913("DLP Forward Estimate") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:DLPForwardEstimate.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:CRDoseLengthProductSubTotal.code	example	​Pattern Value: 130745("CT Dose Length Product Sub-Total") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:CRDoseLengthProductSubTotal.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:CTEffectiveDoseTotal.code	example	​Pattern Value: 113814("CT Effective Dose Total") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:CTEffectiveDoseTotal.value[x]	required	ImEffectiveDoseUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-effective-dose-units From this IG
Observation.component:EffectiveDose.code	example	​Pattern Value: 113839("Effective Dose") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:EffectiveDose.value[x]	required	ImEffectiveDoseUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-effective-dose-units From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Differential View

This structure is derived from ObservationEu

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	ObservationEu	Measurements and simple assertions
Slices for identifier		0..*	Identifier	Business Identifier for observation Slice: Unordered, Open by value:type
identifier:radiation-sr-instance-uid		0..1	Identifier	Business Identifier for observation
type		1..1	CodeableConcept	Description of identifier 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://hl7.eu/fhir/imaging-r4/CodeSystem/codesystem-missing-dicom-terminology
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 00083010
display		1..1	string	Representation defined by the system Fixed Value: Irradiation Event UID
Slices for basedOn		0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order Slice: Unordered, Open by type:$this
basedOn:imorderaccession		0..1	Reference(IM Imaging Order)	Fulfills plan, proposal or order
identifier		1..1	ImAccessionNumberIdentifier	Logical reference, when literal reference is not known
Slices for partOf		1..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event Slice: Unordered, Open by profile:$this
partOf:study		1..1	Reference(IM Imaging Study)	Part of referenced event
code
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:radiation-dose		1..1	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://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		1..1	Reference(Patient (EU base))	Who and/or what the observation is about
value[x]		1..1	string	Dose Summary text.
device		0..1	Reference(Im Imaging Device)	Irradiating modality
Slices for component		0..*	BackboneElement	Component results Slice: Unordered, Open by value:code
component:doseAreaProductTotal		0..*	BackboneElement	Component results
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: 113722
display		1..1	string	Representation defined by the system Fixed Value: Dose Area Product Total
value[x]		1..1	QuantityEu	Actual component result Binding: Gray Square Units (required)
component:fluorDoseAreaProductTotal		0..*	BackboneElement	Component results
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: 113726
display		1..1	string	Representation defined by the system Fixed Value: Fluoro Dose Area Product Total
value[x]		1..1	QuantityEu	Actual component result Binding: Gray Square Units (required)
component:doseAreaProduct		0..*	BackboneElement	Component results
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: 122130
display		1..1	string	Representation defined by the system Fixed Value: Dose Area Product
value[x]		1..1	QuantityEu	Actual component result Binding: Gray Square Units (required)
component:CTDoseLengthProductTotal		0..*	BackboneElement	Component results
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: 113813
display		1..1	string	Representation defined by the system Fixed Value: CT Dose Length Product Total
value[x]		1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:DLP		0..*	BackboneElement	Component results
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: 113838
display		1..1	string	Representation defined by the system Fixed Value: DLP
value[x]		1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:DLPAlertValue		0..*	BackboneElement	Component results
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: 113903
display		1..1	string	Representation defined by the system Fixed Value: DLP Alert Value
value[x]		1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:AccumulatedDLPForwardEstimate		0..*	BackboneElement	Component results
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: 113905
display		1..1	string	Representation defined by the system Fixed Value: Accumulated DLP Forward Estimate
value[x]		1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:DLPNotificationValue		0..*	BackboneElement	Component results
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: 113911
display		1..1	string	Representation defined by the system Fixed Value: DLP Notification Value
value[x]		1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:DLPForwardEstimate		0..*	BackboneElement	Component results
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: 113913
display		1..1	string	Representation defined by the system Fixed Value: DLP Forward Estimate
value[x]		1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:CRDoseLengthProductSubTotal		0..*	BackboneElement	Component results
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: 130745
display		1..1	string	Representation defined by the system Fixed Value: CT Dose Length Product Sub-Total
value[x]		1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
component:CTEffectiveDoseTotal		0..*	BackboneElement	Component results
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: 113814
display		1..1	string	Representation defined by the system Fixed Value: CT Effective Dose Total
value[x]		1..1	QuantityEu	Actual component result Binding: Effective Dose Units (required)
component:EffectiveDose		0..*	BackboneElement	Component results
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: 113839
display		1..1	string	Representation defined by the system Fixed Value: Effective Dose
value[x]		1..1	QuantityEu	Actual component result Binding: Effective Dose Units (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.component:doseAreaProductTotal.value[x]	required	ImGraySquareUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-gray-square-units From this IG
Observation.component:fluorDoseAreaProductTotal.value[x]	required	ImGraySquareUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-gray-square-units From this IG
Observation.component:doseAreaProduct.value[x]	required	ImGraySquareUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-gray-square-units From this IG
Observation.component:CTDoseLengthProductTotal.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:DLP.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:DLPAlertValue.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:AccumulatedDLPForwardEstimate.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:DLPNotificationValue.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:DLPForwardEstimate.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:CRDoseLengthProductSubTotal.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:CTEffectiveDoseTotal.value[x]	required	ImEffectiveDoseUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-effective-dose-units From this IG
Observation.component:EffectiveDose.value[x]	required	ImEffectiveDoseUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-effective-dose-units From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	ObservationEu	Measurements and simple assertions Constraints: obs-6, obs-7
id	Σ	0..1	id	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): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:dataAbsentReason		0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Business Identifier for observation Slice: Unordered, Open by value:type
identifier:radiation-sr-instance-uid	Σ	0..1	Identifier	Business Identifier for observation
id		0..1	string	Unique id for inter-element referencing
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.eu/fhir/imaging-r4/CodeSystem/codesystem-missing-dicom-terminology
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 00083010
display		1..1	string	Representation defined by the system Fixed Value: Irradiation Event 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 Example General: http://www.acme.com/identifiers/patient
value	Σ	0..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:$this
basedOn:imorderaccession	Σ	0..1	Reference(IM Imaging Order)	Fulfills plan, proposal or order
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	ImAccessionNumberIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
Slices for partOf	Σ	1..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event Slice: Unordered, Open by profile:$this
partOf:study	Σ	1..1	Reference(IM Imaging Study)	Part of referenced event
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	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:radiation-dose	Σ	1..1	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://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	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Patient (EU base))	Who and/or what the observation is about
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]	Σ	1..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
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
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
reference	ΣC	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	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
value[x]	ΣC	1..1	string	Dose Summary text.
dataAbsentReason	C	0..1	CodeableConcept	Why the 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.
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.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Im Imaging Device)	Irradiating modality
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
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	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	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
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
Slices for component	Σ	0..*	BackboneElement	Component results Slice: Unordered, Open by value: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: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	1..1		Actual component result
valueQuantity			Quantity(QuantityEu)
valueCodeableConcept			CodeableConcept
valueString			string
valueInteger			integer
valueRange			Range(RangeEu)
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	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:doseAreaProductTotal	Σ	0..*	BackboneElement	Component results
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: 113722
display		1..1	string	Representation defined by the system Fixed Value: Dose Area Product Total
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Gray Square Units (required)
dataAbsentReason	C	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:fluorDoseAreaProductTotal	Σ	0..*	BackboneElement	Component results
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: 113726
display		1..1	string	Representation defined by the system Fixed Value: Fluoro Dose Area Product Total
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Gray Square Units (required)
dataAbsentReason	C	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:doseAreaProduct	Σ	0..*	BackboneElement	Component results
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: 122130
display		1..1	string	Representation defined by the system Fixed Value: Dose Area Product
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Gray Square Units (required)
dataAbsentReason	C	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:CTDoseLengthProductTotal	Σ	0..*	BackboneElement	Component results
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: 113813
display		1..1	string	Representation defined by the system Fixed Value: CT Dose Length Product Total
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
dataAbsentReason	C	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:DLP	Σ	0..*	BackboneElement	Component results
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: 113838
display		1..1	string	Representation defined by the system Fixed Value: DLP
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
dataAbsentReason	C	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:DLPAlertValue	Σ	0..*	BackboneElement	Component results
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: 113903
display		1..1	string	Representation defined by the system Fixed Value: DLP Alert Value
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
dataAbsentReason	C	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:AccumulatedDLPForwardEstimate	Σ	0..*	BackboneElement	Component results
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: 113905
display		1..1	string	Representation defined by the system Fixed Value: Accumulated DLP Forward Estimate
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
dataAbsentReason	C	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:DLPNotificationValue	Σ	0..*	BackboneElement	Component results
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: 113911
display		1..1	string	Representation defined by the system Fixed Value: DLP Notification Value
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
dataAbsentReason	C	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:DLPForwardEstimate	Σ	0..*	BackboneElement	Component results
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: 113913
display		1..1	string	Representation defined by the system Fixed Value: DLP Forward Estimate
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
dataAbsentReason	C	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:CRDoseLengthProductSubTotal	Σ	0..*	BackboneElement	Component results
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: 130745
display		1..1	string	Representation defined by the system Fixed Value: CT Dose Length Product Sub-Total
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Dose Length Units (required)
dataAbsentReason	C	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:CTEffectiveDoseTotal	Σ	0..*	BackboneElement	Component results
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: 113814
display		1..1	string	Representation defined by the system Fixed Value: CT Effective Dose Total
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Effective Dose Units (required)
dataAbsentReason	C	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:EffectiveDose	Σ	0..*	BackboneElement	Component results
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: 113839
display		1..1	string	Representation defined by the system Fixed Value: Effective Dose
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	Σ	1..1	QuantityEu	Actual component result Binding: Effective Dose Units (required)
dataAbsentReason	C	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

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.identifier:radiation-sr-instance-uid.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Observation.identifier:radiation-sr-instance-uid.type	extensible	Pattern Value: 00083010("Irradiation Event UID") http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Observation.basedOn:imorderaccession.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods From the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning From the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:doseAreaProductTotal.code	example	​Pattern Value: 113722("Dose Area Product Total") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:doseAreaProductTotal.value[x]	required	ImGraySquareUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-gray-square-units From this IG
Observation.component:doseAreaProductTotal.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:doseAreaProductTotal.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:fluorDoseAreaProductTotal.code	example	​Pattern Value: 113726("Fluoro Dose Area Product Total") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:fluorDoseAreaProductTotal.value[x]	required	ImGraySquareUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-gray-square-units From this IG
Observation.component:fluorDoseAreaProductTotal.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:fluorDoseAreaProductTotal.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:doseAreaProduct.code	example	​Pattern Value: 122130("Dose Area Product") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:doseAreaProduct.value[x]	required	ImGraySquareUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-gray-square-units From this IG
Observation.component:doseAreaProduct.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:doseAreaProduct.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:CTDoseLengthProductTotal.code	example	​Pattern Value: 113813("CT Dose Length Product Total") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:CTDoseLengthProductTotal.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:CTDoseLengthProductTotal.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:CTDoseLengthProductTotal.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:DLP.code	example	​Pattern Value: 113838("DLP") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:DLP.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:DLP.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:DLP.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:DLPAlertValue.code	example	​Pattern Value: 113903("DLP Alert Value") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:DLPAlertValue.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:DLPAlertValue.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:DLPAlertValue.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:AccumulatedDLPForwardEstimate.code	example	​Pattern Value: 113905("Accumulated DLP Forward Estimate") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:AccumulatedDLPForwardEstimate.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:AccumulatedDLPForwardEstimate.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:AccumulatedDLPForwardEstimate.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:DLPNotificationValue.code	example	​Pattern Value: 113911("DLP Notification Value") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:DLPNotificationValue.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:DLPNotificationValue.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:DLPNotificationValue.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:DLPForwardEstimate.code	example	​Pattern Value: 113913("DLP Forward Estimate") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:DLPForwardEstimate.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:DLPForwardEstimate.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:DLPForwardEstimate.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:CRDoseLengthProductSubTotal.code	example	​Pattern Value: 130745("CT Dose Length Product Sub-Total") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:CRDoseLengthProductSubTotal.value[x]	required	ImDoseLengthUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-dose-length-units From this IG
Observation.component:CRDoseLengthProductSubTotal.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:CRDoseLengthProductSubTotal.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:CTEffectiveDoseTotal.code	example	​Pattern Value: 113814("CT Effective Dose Total") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:CTEffectiveDoseTotal.value[x]	required	ImEffectiveDoseUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-effective-dose-units From this IG
Observation.component:CTEffectiveDoseTotal.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:CTEffectiveDoseTotal.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.component:EffectiveDose.code	example	​Pattern Value: 113839("Effective Dose") http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component:EffectiveDose.value[x]	required	ImEffectiveDoseUnits http://hl7.eu/fhir/imaging-r4/ValueSet/im-effective-dose-units From this IG
Observation.component:EffectiveDose.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component:EffectiveDose.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from ObservationEu

Summary

Mandatory: 6 elements(2 nested mandatory elements)

Structures

This structure refers to these other structures:

• IM Imaging Order (http://hl7.eu/fhir/imaging-r4/StructureDefinition/ImOrder)
• Imaging Accession Number Identifier (http://hl7.eu/fhir/imaging-r4/StructureDefinition/im-accession-number-identifier)
• IM Imaging Study (http://hl7.eu/fhir/imaging-r4/StructureDefinition/ImImagingStudy)
• Patient (EU base) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu)
• Im Imaging Device (http://hl7.eu/fhir/imaging-r4/StructureDefinition/ImImagingDevice)
• EU Quantity (http://hl7.eu/fhir/imaging-r4/StructureDefinition/quantity-eu)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.identifier
• The element 1 is sliced based on the value of Observation.basedOn
• The element 1 is sliced based on the value of Observation.partOf
• The element 1 is sliced based on the value of Observation.code.coding
• The element 1 is sliced based on the value of Observation.component

Maturity: 1