PackagesCanonicalsLogsProblems
    Packages
    hl7.fhir.eu.imaging-r5@0.1.0-ballot
    http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImRadiationDoseObservation
description: A record for the radiation dose the subject has been exposed to during an imaging procedure.\nE.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
package_name: hl7.fhir.eu.imaging-r5
derivation: constraint
name: ImRadiationDoseObservation
type: Observation
elements:
  derivedFrom:
    index: 15
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: $this, type: profile}
      min: 1
      slices:
        dicomInstance:
          match: {}
          schema:
            type: Reference
            refers: ['http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImSrInstanceImagingSelection']
            _required: true
            index: 16
          min: 1
          max: 1
  value:
    short: Dose Summary text.
    choices: [valueString]
    index: 12
  valueString: {type: string, short: Dose Summary text., choiceOf: value, index: 13}
  component:
    index: 17
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: code, type: value}
      min: null
      slices:
        AccumulatedDLPForwardEstimate:
          match:
            code:
              coding:
              - {code: '113905', system: 'http://dicom.nema.org/resources/ontology/DCM', display: Accumulated DLP Forward Estimate}
          schema:
            array: true
            index: 54
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '113905', system: 'http://dicom.nema.org/resources/ontology/DCM', display: Accumulated DLP Forward Estimate}
                type: CodeableConcept
                index: 55
              value:
                choices: [valueQuantity]
                index: 57
              valueQuantity: {type: Quantity, choiceOf: value, index: 58}
              value[x]:
                extensions:
                  dataAbsentReason: {url: null, index: 59}
                elements:
                  extension:
                    index: 59
                    slicing:
                      slices:
                        dataAbsentReason:
                          match: {}
                          schema: {index: 59}
        doseAreaProduct:
          match:
            code:
              coding:
              - {code: '122130', system: 'http://dicom.nema.org/resources/ontology/DCM', display: Dose Area Product}
          schema:
            array: true
            index: 30
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '122130', system: 'http://dicom.nema.org/resources/ontology/DCM', display: Dose Area Product}
                type: CodeableConcept
                index: 31
              value:
                choices: [valueQuantity]
                index: 33
              valueQuantity: {type: Quantity, choiceOf: value, index: 34}
              value[x]:
                extensions:
                  dataAbsentReason: {url: null, index: 35}
                elements:
                  extension:
                    index: 35
                    slicing:
                      slices:
                        dataAbsentReason:
                          match: {}
                          schema: {index: 35}
        DLPAlertValue:
          match:
            code:
              coding:
              - {code: '113903', system: 'http://dicom.nema.org/resources/ontology/DCM', display: DLP Alert Value}
          schema:
            array: true
            index: 48
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '113903', system: 'http://dicom.nema.org/resources/ontology/DCM', display: DLP Alert Value}
                type: CodeableConcept
                index: 49
              value:
                choices: [valueQuantity]
                index: 51
              valueQuantity: {type: Quantity, choiceOf: value, index: 52}
              value[x]:
                extensions:
                  dataAbsentReason: {url: null, index: 53}
                elements:
                  extension:
                    index: 53
                    slicing:
                      slices:
                        dataAbsentReason:
                          match: {}
                          schema: {index: 53}
        EffectiveDose:
          match:
            code:
              coding:
              - {code: '113839', system: 'http://dicom.nema.org/resources/ontology/DCM', display: Effective Dose}
          schema:
            array: true
            index: 84
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '113839', system: 'http://dicom.nema.org/resources/ontology/DCM', display: Effective Dose}
                type: CodeableConcept
                index: 85
              value:
                choices: [valueQuantity]
                index: 87
              valueQuantity: {type: Quantity, choiceOf: value, index: 88}
              value[x]:
                extensions:
                  dataAbsentReason: {url: null, index: 89}
                elements:
                  extension:
                    index: 89
                    slicing:
                      slices:
                        dataAbsentReason:
                          match: {}
                          schema: {index: 89}
        DLP:
          match:
            code:
              coding:
              - {code: '113838', system: 'http://dicom.nema.org/resources/ontology/DCM', display: DLP}
          schema:
            array: true
            index: 42
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '113838', system: 'http://dicom.nema.org/resources/ontology/DCM', display: DLP}
                type: CodeableConcept
                index: 43
              value:
                choices: [valueQuantity]
                index: 45
              valueQuantity: {type: Quantity, choiceOf: value, index: 46}
              value[x]:
                extensions:
                  dataAbsentReason: {url: null, index: 47}
                elements:
                  extension:
                    index: 47
                    slicing:
                      slices:
                        dataAbsentReason:
                          match: {}
                          schema: {index: 47}
        DLPNotificationValue:
          match:
            code:
              coding:
              - {code: '113911', system: 'http://dicom.nema.org/resources/ontology/DCM', display: DLP Notification Value}
          schema:
            array: true
            index: 60
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '113911', system: 'http://dicom.nema.org/resources/ontology/DCM', display: DLP Notification Value}
                type: CodeableConcept
                index: 61
              value:
                choices: [valueQuantity]
                index: 63
              valueQuantity: {type: Quantity, choiceOf: value, index: 64}
              value[x]:
                extensions:
                  dataAbsentReason: {url: null, index: 65}
                elements:
                  extension:
                    index: 65
                    slicing:
                      slices:
                        dataAbsentReason:
                          match: {}
                          schema: {index: 65}
        CTEffectiveDoseTotal:
          match:
            code:
              coding:
              - {code: '113814', system: 'http://dicom.nema.org/resources/ontology/DCM', display: CT Effective Dose Total}
          schema:
            array: true
            index: 78
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '113814', system: 'http://dicom.nema.org/resources/ontology/DCM', display: CT Effective Dose Total}
                type: CodeableConcept
                index: 79
              value:
                choices: [valueQuantity]
                index: 81
              valueQuantity: {type: Quantity, choiceOf: value, index: 82}
              value[x]:
                extensions:
                  dataAbsentReason: {url: null, index: 83}
                elements:
                  extension:
                    index: 83
                    slicing:
                      slices:
                        dataAbsentReason:
                          match: {}
                          schema: {index: 83}
        doseAreaProductTotal:
          match:
            code:
              coding:
              - {code: '113722', system: 'http://dicom.nema.org/resources/ontology/DCM', display: Dose Area Product Total}
          schema:
            array: true
            index: 18
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '113722', system: 'http://dicom.nema.org/resources/ontology/DCM', display: Dose Area Product Total}
                type: CodeableConcept
                index: 19
              value:
                choices: [valueQuantity]
                index: 21
              valueQuantity: {type: Quantity, choiceOf: value, index: 22}
              value[x]:
                extensions:
                  dataAbsentReason: {url: null, index: 23}
                elements:
                  extension:
                    index: 23
                    slicing:
                      slices:
                        dataAbsentReason:
                          match: {}
                          schema: {index: 23}
        CRDoseLengthProductSubTotal:
          match:
            code:
              coding:
              - {code: '130745', system: 'http://dicom.nema.org/resources/ontology/DCM', display: CT Dose Length Product Sub-Total}
          schema:
            array: true
            index: 72
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '130745', system: 'http://dicom.nema.org/resources/ontology/DCM', display: CT Dose Length Product Sub-Total}
                type: CodeableConcept
                index: 73
              value:
                choices: [valueQuantity]
                index: 75
              valueQuantity: {type: Quantity, choiceOf: value, index: 76}
              value[x]:
                extensions:
                  dataAbsentReason: {url: null, index: 77}
                elements:
                  extension:
                    index: 77
                    slicing:
                      slices:
                        dataAbsentReason:
                          match: {}
                          schema: {index: 77}
        DLPForwardEstimate:
          match:
            code:
              coding:
              - {code: '113913', system: 'http://dicom.nema.org/resources/ontology/DCM', display: DLP Forward Estimate}
          schema:
            array: true
            index: 66
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '113913', system: 'http://dicom.nema.org/resources/ontology/DCM', display: DLP Forward Estimate}
                type: CodeableConcept
                index: 67
              value:
                choices: [valueQuantity]
                index: 69
              valueQuantity: {type: Quantity, choiceOf: value, index: 70}
              value[x]:
                extensions:
                  dataAbsentReason: {url: null, index: 71}
                elements:
                  extension:
                    index: 71
                    slicing:
                      slices:
                        dataAbsentReason:
                          match: {}
                          schema: {index: 71}
        CTDoseLengthProductTotal:
          match:
            code:
              coding:
              - {code: '113813', system: 'http://dicom.nema.org/resources/ontology/DCM', display: CT Dose Length Product Total}
          schema:
            array: true
            index: 36
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '113813', system: 'http://dicom.nema.org/resources/ontology/DCM', display: CT Dose Length Product Total}
                type: CodeableConcept
                index: 37
              value:
                choices: [valueQuantity]
                index: 39
              valueQuantity: {type: Quantity, choiceOf: value, index: 40}
              value[x]:
                extensions:
                  dataAbsentReason: {url: null, index: 41}
                elements:
                  extension:
                    index: 41
                    slicing:
                      slices:
                        dataAbsentReason:
                          match: {}
                          schema: {index: 41}
        fluorDoseAreaProductTotal:
          match:
            code:
              coding:
              - {code: '113726', system: 'http://dicom.nema.org/resources/ontology/DCM', display: Fluoro Dose Area Product Total}
          schema:
            array: true
            index: 24
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '113726', system: 'http://dicom.nema.org/resources/ontology/DCM', display: Fluoro Dose Area Product Total}
                type: CodeableConcept
                index: 25
              value:
                choices: [valueQuantity]
                index: 27
              valueQuantity: {type: Quantity, choiceOf: value, index: 28}
              value[x]:
                extensions:
                  dataAbsentReason: {url: null, index: 29}
                elements:
                  extension:
                    index: 29
                    slicing:
                      slices:
                        dataAbsentReason:
                          match: {}
                          schema: {index: 29}
  code:
    elements:
      coding:
        index: 8
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: $this, type: value}
          min: 1
          slices:
            radiation-dose:
              match: {code: 73569-6, system: 'http://loinc.org', display: 'Radiation exposure and protection information [Description] Document Diagnostic imaging'}
              schema:
                pattern:
                  type: Coding
                  value: {code: 73569-6, system: 'http://loinc.org', display: 'Radiation exposure and protection information [Description] Document Diagnostic imaging'}
                _required: true
                type: Coding
                index: 9
              min: 1
              max: 1
    required: [coding]
  identifier:
    index: 0
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: type, type: value}
      min: null
      slices:
        radiation-sr-instance-uid:
          match:
            type:
              coding:
              - {code: '00083010', system: 'http://hl7.eu/fhir/imaging-r5/CodeSystem/codesystem-missing-dicom-terminology', display: Irradiation Event UID}
          schema:
            index: 1
            elements:
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '00083010', system: 'http://hl7.eu/fhir/imaging-r5/CodeSystem/codesystem-missing-dicom-terminology', display: Irradiation Event UID}
                type: CodeableConcept
                index: 2
            required: [type]
  device:
    type: Reference
    short: Irradiating modality
    refers: ['http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImImagingDevice']
    index: 14
  basedOn:
    index: 3
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: $this, type: type}
      min: null
      slices:
        imorderaccession:
          match: {}
          schema:
            type: Reference
            refers: ['http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImOrder']
            index: 4
            elements:
              identifier: {type: Identifier, index: 5}
            required: [identifier]
  partOf:
    index: 6
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: $this, type: profile}
      min: 1
      slices:
        study:
          match: {}
          schema:
            type: Reference
            refers: ['http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImImagingStudy']
            _required: true
            index: 7
          min: 1
          max: 1
  subject:
    type: Reference
    refers: ['http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu']
    index: 10
package_version: 0.1.0-ballot
class: profile
kind: resource
url: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImRadiationDoseObservation
base: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ObservationEu
version: 0.1.0-ballot
required: [derivedFrom, partOf, subject]