臺灣榮總腦中風實作指引（TW VGH Stroke IG）, published by 高雄榮民總醫院 (VGHKS). This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/SitatechCo/TWVGHStroke_IG_Build/ and changes regularly. See the Directory of published versions

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

Resource Profile: 腦中風－影像檢查

此 Profile 說明本 IG 如何進一步定義 FHIR 的 ImagingStudy Resource，以呈現腦中風病人的首次 CT/MRI、EVT 前 CT、CTA、MRI、追蹤 CT/MR，以及 RAPID 影像分析所用的掃描。

每次影像檢查建立一筆，記錄檢查種類與開始時間。首次 CT/MRI、EVT 前 CT、EVT 前 CTA、EVT 前 MRI、追蹤 CT、追蹤 MR 各自建立；只有確認是同一次檢查時，才把日期與時間合在同一筆。來源時間的時區確認前，started 只填日期，時間原值保存在登錄表單（StrokeRegistryResponse）。影像判讀結果（例如 ASPECTS、灌流體積）另以 StrokeImagingResult 記錄。

Usages:

• Use this Profile: 腦中風－個管系統個案資料包, 腦中風－EVT 登錄個案資料包 and 腦中風－RAPID 影像分析資料包
• Refer to this Profile: 腦中風－影像判讀結果
• Examples for this Profile: ImagingStudy/stroke-imagingstudy-ctp-example and ImagingStudy/stroke-imagingstudy-follow-up-mr-example

You can also check for usages in the FHIR IG Statistics

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
ImagingStudy		0..*	TWCoreImagingStudy	在單一檢查中產生的一組影像【一個或多個系列(series)的參照影像】
ImagingStudy.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
ImagingStudy.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
ImagingStudy.identifier	S This element must be supported. Σ This element is included in summaries.	0..*	Identifier	檢查識別碼。[有 DICOM Study Instance UID 或已核定的檢查單號時才填]
ImagingStudy.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	檢查狀態。[已完成檢查填 available] Binding: ImagingStudyStatus (required): 影像檢查的當前狀態；應填入所綁定值集中的其中一個代碼。
ImagingStudy.modality	S This element must be supported. Σ This element is included in summaries.	0..*	Coding	檢查儀器類別。[CT 填 CT，MRI 填 MR] Binding: Acquisition Modality (extensible)
ImagingStudy.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
ImagingStudy.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(腦中風－就醫事件)	就醫事件。[應參照 StrokeEncounter]
ImagingStudy.started	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime	檢查開始日期與時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] Example General: 2011-01-01T11:01:20+03:00
ImagingStudy.started.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ImagingStudy.started.Slices for extension.extension:eventTimeOnly	S This element must be supported.	0..1	time	僅有檢查時間（無日期）。[hh:mm:ss] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only
ImagingStudy.basedOn	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(腦中風－影像檢查醫令)	檢查醫令。[應參照 StrokeServiceRequest]
ImagingStudy.procedureCode	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConceptTW	檢查項目與掃描類型 Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): 此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。
ImagingStudy.procedureCode.Slices for coding	S This element must be supported. Σ This element is included in summaries.	0..*	CodingTW	此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Slice: Unordered, Open by pattern:$this
ImagingStudy.procedureCode.Slices for coding.coding:radLex-radiology-lexicon	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	應填入所綁定值集中的其中一個代碼。 Binding: http://www.rsna.org/RadLex_Playbook.aspx (required)
ImagingStudy.procedureCode.Slices for coding.coding:icd10-pcs-2021	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為臺灣健保署2021年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。
ImagingStudy.procedureCode.Slices for coding.coding:icd10-pcs-2023	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為臺灣健保署2023年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	掃描類型。[填 CTP／CTA／NCCT] Binding: 腦中風－影像分析掃描類型值集 (required) Required Pattern: At least the following
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.id		0..1	string	Unique id for inter-element referencing
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.extension		0..*	Extension	Additional content defined by implementations
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.version		0..1	string	Version of the system - if relevant
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.display		0..1	string	Representation defined by the system
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.userSelected		0..1	boolean	If this coding was chosen directly by the user
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://vgh-stroke-ig.fhir.tw/CodeSystem/rapid-scan-type
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
ImagingStudy.procedureCode.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	檢查名稱
ImagingStudy.reasonCode	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConceptTW	為什麼進行此影像檢查 Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
ImagingStudy.description	S This element must be supported. Σ This element is included in summaries.	0..1	string	檢查說明。[填檢查時點與種類，例如「EVT 前 CTA」]
ImagingStudy.series	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	影像系列。[有 DICOM Series Instance UID 時才填]
ImagingStudy.series.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ImagingStudy.series.uid	S This element must be supported. Σ This element is included in summaries.	1..1	id	DICOM Series Instance UID。[填影像系列的 UID] Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
ImagingStudy.series.modality	S This element must be supported. Σ This element is included in summaries.	1..1	Coding	此系列實例所使用的成像儀器 Binding: Acquisition Modality (extensible)
ImagingStudy.series.instance	S This element must be supported.	0..*	BackboneElement	系列中的一個SOP實例
ImagingStudy.series.instance.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ImagingStudy.series.instance.uid	S This element must be supported.	1..1	id	DICOM SOP實例的UID Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
ImagingStudy.series.instance.sopClass	S This element must be supported.	1..1	Coding	DICOM class 類型 Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ImagingStudy.status	Base	required	ImagingStudyStatus	📍4.0.1	FHIR Std.
ImagingStudy.modality	Base	extensible	Acquisition Modality	📦1.0.0	臺灣核心實作指引 v1.0
ImagingStudy.procedureCode	Base	extensible	http://www.rsna.org/RadLex_Playbook.aspx	Not State	Unknown
ImagingStudy.procedureCode.​coding:radLex-radiology-lexicon	Base	required	http://www.rsna.org/RadLex_Playbook.aspx	Not State	Unknown
ImagingStudy.procedureCode.​coding:icd10-pcs-2021	Base	required	臺灣健保署2021年中文版ICD-10-PCS值集	📦2022-07-29	臺灣核心實作指引 v1.0
ImagingStudy.procedureCode.​coding:icd10-pcs-2023	Base	required	臺灣健保署2023年中文版ICD-10-PCS值集	📦2024-11-18	臺灣核心實作指引 v1.0
ImagingStudy.procedureCode.​coding:rapidScanType	Base	required	腦中風－影像分析掃描類型值集	📦0.1.0	This IG
ImagingStudy.reasonCode	Base	extensible	Procedure Reason Codes	📦4.0.1	FHIR Std.
ImagingStudy.series.​modality	Base	extensible	Acquisition Modality	📦1.0.0	臺灣核心實作指引 v1.0
ImagingStudy.series.​instance.sopClass	Base	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1	Not State	Unknown

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	ImagingStudy	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ImagingStudy	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	ImagingStudy	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	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	ImagingStudy	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()

This structure is derived from TWCoreImagingStudy

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ImagingStudy			TWCoreImagingStudy
ImagingStudy.identifier		0..*	Identifier	檢查識別碼。[有 DICOM Study Instance UID 或已核定的檢查單號時才填]
ImagingStudy.status	S This element must be supported.	1..1	code	檢查狀態。[已完成檢查填 available]
ImagingStudy.modality		0..*	Coding	檢查儀器類別。[CT 填 CT，MRI 填 MR]
ImagingStudy.subject		1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
ImagingStudy.encounter	S This element must be supported.	0..1	Reference(腦中風－就醫事件)	就醫事件。[應參照 StrokeEncounter]
ImagingStudy.started		0..1	dateTime	檢查開始日期與時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區]
ImagingStudy.started.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ImagingStudy.started.Slices for extension.extension:eventTimeOnly	S This element must be supported.	0..1	time	僅有檢查時間（無日期）。[hh:mm:ss] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only
ImagingStudy.basedOn	S This element must be supported.	0..*	Reference(腦中風－影像檢查醫令)	檢查醫令。[應參照 StrokeServiceRequest]
ImagingStudy.procedureCode		0..*	CodeableConceptTW	檢查項目與掃描類型
ImagingStudy.procedureCode.Slices for coding				Content/Rules for all slices
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType	S This element must be supported.	0..1	Coding	掃描類型。[填 CTP／CTA／NCCT] Binding: 腦中風－影像分析掃描類型值集 (required) Required Pattern: At least the following
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.system		1..1	uri	Identity of the terminology system Fixed Value: http://vgh-stroke-ig.fhir.tw/CodeSystem/rapid-scan-type
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.code		1..1	code	Symbol in syntax defined by the system
ImagingStudy.procedureCode.text		0..1	string	檢查名稱
ImagingStudy.description	S This element must be supported.	0..1	string	檢查說明。[填檢查時點與種類，例如「EVT 前 CTA」]
ImagingStudy.series		0..*	BackboneElement	影像系列。[有 DICOM Series Instance UID 時才填]
ImagingStudy.series.uid		1..1	id	DICOM Series Instance UID。[填影像系列的 UID]
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
ImagingStudy.procedureCode.​coding:rapidScanType	Base	required	腦中風－影像分析掃描類型值集	📦0.1.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ImagingStudy		0..*	TWCoreImagingStudy	在單一檢查中產生的一組影像【一個或多個系列(series)的參照影像】
ImagingStudy.id	Σ This element is included in summaries.	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的ImagingStudy紀錄，通常又稱為邏輯性ID。
ImagingStudy.meta	Σ This element is included in summaries.	0..1	Meta	此ImagingStudy Resource的metadata
ImagingStudy.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
ImagingStudy.language		0..1	code	用以表述ImagingStudy Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
ImagingStudy.text		0..1	Narrative	ImagingStudy Resource之內容摘要以供人閱讀 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ImagingStudy.contained		0..*	Resource	Contained, inline Resources
ImagingStudy.extension		0..*	Extension	Additional content defined by implementations
ImagingStudy.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
ImagingStudy.identifier	S This element must be supported. Σ This element is included in summaries.	0..*	Identifier	檢查識別碼。[有 DICOM Study Instance UID 或已核定的檢查單號時才填]
ImagingStudy.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	檢查狀態。[已完成檢查填 available] Binding: ImagingStudyStatus (required): 影像檢查的當前狀態；應填入所綁定值集中的其中一個代碼。
ImagingStudy.modality	S This element must be supported. Σ This element is included in summaries.	0..*	Coding	檢查儀器類別。[CT 填 CT，MRI 填 MR] Binding: Acquisition Modality (extensible)
ImagingStudy.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
ImagingStudy.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(腦中風－就醫事件)	就醫事件。[應參照 StrokeEncounter]
ImagingStudy.started	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime	檢查開始日期與時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] Example General: 2011-01-01T11:01:20+03:00
ImagingStudy.started.id		0..1	string	xml:id (or equivalent in JSON)
ImagingStudy.started.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ImagingStudy.started.Slices for extension.extension:eventTimeOnly	S This element must be supported.	0..1	time	僅有檢查時間（無日期）。[hh:mm:ss] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only
ImagingStudy.started.value		0..1	dateTime	Primitive value for dateTime
ImagingStudy.basedOn	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(腦中風－影像檢查醫令)	檢查醫令。[應參照 StrokeServiceRequest]
ImagingStudy.referrer	Σ This element is included in summaries.	0..1	Reference(TW Core Practitioner | TW Core PractitionerRole)	轉診醫師
ImagingStudy.interpreter	Σ This element is included in summaries.	0..*	Reference(TW Core Practitioner | TW Core PractitionerRole)	誰解讀了影像
ImagingStudy.endpoint	Σ This element is included in summaries.	0..*	Reference(Endpoint)	影像檢查存取的端點(endpoint)
ImagingStudy.numberOfSeries	Σ This element is included in summaries.	0..1	unsignedInt	影像檢查相關Series的數量
ImagingStudy.numberOfInstances	Σ This element is included in summaries.	0..1	unsignedInt	影像檢查相關Instances的數量
ImagingStudy.procedureReference	Σ This element is included in summaries.	0..1	Reference(TW Core Procedure)	所執行的處置(Procedure)參照
ImagingStudy.procedureCode	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConceptTW	檢查項目與掃描類型 Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): 此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。
ImagingStudy.procedureCode.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
ImagingStudy.procedureCode.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
ImagingStudy.procedureCode.Slices for coding	S This element must be supported. Σ This element is included in summaries.	0..*	CodingTW	此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Slice: Unordered, Open by pattern:$this
ImagingStudy.procedureCode.Slices for coding.coding:radLex-radiology-lexicon	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	應填入所綁定值集中的其中一個代碼。 Binding: http://www.rsna.org/RadLex_Playbook.aspx (required)
ImagingStudy.procedureCode.Slices for coding.coding:icd10-pcs-2021	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為臺灣健保署2021年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。
ImagingStudy.procedureCode.Slices for coding.coding:icd10-pcs-2023	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為臺灣健保署2023年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	掃描類型。[填 CTP／CTA／NCCT] Binding: 腦中風－影像分析掃描類型值集 (required) Required Pattern: At least the following
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.id		0..1	string	Unique id for inter-element referencing
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://vgh-stroke-ig.fhir.tw/CodeSystem/rapid-scan-type
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
ImagingStudy.procedureCode.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	檢查名稱
ImagingStudy.location	Σ This element is included in summaries.	0..1	Reference(TW Core Location)	影像檢查發生的地點
ImagingStudy.reasonCode	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConceptTW	為什麼進行此影像檢查 Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
ImagingStudy.reasonReference	Σ This element is included in summaries.	0..*	Reference(TW Core Condition | TW Core Observation Laboratory Result | Media | TW Core DiagnosticReport | DocumentReference)	為什麼進行此影像檢查
ImagingStudy.note	Σ This element is included in summaries.	0..*	Annotation	用戶自定義的評論
ImagingStudy.description	S This element must be supported. Σ This element is included in summaries.	0..1	string	檢查說明。[填檢查時點與種類，例如「EVT 前 CTA」]
ImagingStudy.series	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	影像系列。[有 DICOM Series Instance UID 時才填]
ImagingStudy.series.id		0..1	string	Unique id for inter-element referencing
ImagingStudy.series.extension		0..*	Extension	Additional content defined by implementations
ImagingStudy.series.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ImagingStudy.series.uid	S This element must be supported. Σ This element is included in summaries.	1..1	id	DICOM Series Instance UID。[填影像系列的 UID] Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
ImagingStudy.series.number	Σ This element is included in summaries.	0..1	unsignedInt	此系列的數字識別碼 Example General: 3
ImagingStudy.series.modality	S This element must be supported. Σ This element is included in summaries.	1..1	Coding	此系列實例所使用的成像儀器 Binding: Acquisition Modality (extensible)
ImagingStudy.series.description	Σ This element is included in summaries.	0..1	string	對此系列的一個簡短且易於閱讀的摘要 Example General: CT Surview 180
ImagingStudy.series.numberOfInstances	Σ This element is included in summaries.	0..1	unsignedInt	此Series相關Instances的數量
ImagingStudy.series.endpoint	Σ This element is included in summaries.	0..*	Reference(Endpoint)	此系列的存取端點
ImagingStudy.series.bodySite	Σ This element is included in summaries.	0..1	Coding	被檢查的身體部位 Binding: SNOMEDCTBodyStructures (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
ImagingStudy.series.laterality	Σ This element is included in summaries.	0..1	Coding	身體部位的側性 Binding: Laterality (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
ImagingStudy.series.specimen	Σ This element is included in summaries.	0..*	Reference(TW Core Specimen)	要進行影像檢查的檢體
ImagingStudy.series.started	Σ This element is included in summaries.	0..1	dateTime	此系列何時開始的
ImagingStudy.series.performer	Σ This element is included in summaries.	0..*	BackboneElement	誰執行了此系列
ImagingStudy.series.performer.id		0..1	string	Unique id for inter-element referencing
ImagingStudy.series.performer.extension		0..*	Extension	Additional content defined by implementations
ImagingStudy.series.performer.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ImagingStudy.series.performer.function	Σ This element is included in summaries.	0..1	CodeableConceptTW	執行的類型 Binding: ImagingStudySeriesPerformerFunction (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
ImagingStudy.series.performer.actor	Σ This element is included in summaries.	1..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core CareTeam | TW Core Patient | Device | TW Core RelatedPerson)	誰執行了此系列
ImagingStudy.series.instance	S This element must be supported.	0..*	BackboneElement	系列中的一個SOP實例
ImagingStudy.series.instance.id		0..1	string	Unique id for inter-element referencing
ImagingStudy.series.instance.extension		0..*	Extension	Additional content defined by implementations
ImagingStudy.series.instance.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ImagingStudy.series.instance.uid	S This element must be supported.	1..1	id	DICOM SOP實例的UID Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
ImagingStudy.series.instance.sopClass	S This element must be supported.	1..1	Coding	DICOM class 類型 Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
ImagingStudy.series.instance.number		0..1	unsignedInt	此系列中該實例的序號 Example General: 1
ImagingStudy.series.instance.title		0..1	string	實例的描述
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ImagingStudy.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
ImagingStudy.status	Base	required	ImagingStudyStatus	📍4.0.1	FHIR Std.
ImagingStudy.modality	Base	extensible	Acquisition Modality	📦1.0.0	臺灣核心實作指引 v1.0
ImagingStudy.procedureCode	Base	extensible	http://www.rsna.org/RadLex_Playbook.aspx	Not State	Unknown
ImagingStudy.procedureCode.​coding:radLex-radiology-lexicon	Base	required	http://www.rsna.org/RadLex_Playbook.aspx	Not State	Unknown
ImagingStudy.procedureCode.​coding:icd10-pcs-2021	Base	required	臺灣健保署2021年中文版ICD-10-PCS值集	📦2022-07-29	臺灣核心實作指引 v1.0
ImagingStudy.procedureCode.​coding:icd10-pcs-2023	Base	required	臺灣健保署2023年中文版ICD-10-PCS值集	📦2024-11-18	臺灣核心實作指引 v1.0
ImagingStudy.procedureCode.​coding:rapidScanType	Base	required	腦中風－影像分析掃描類型值集	📦0.1.0	This IG
ImagingStudy.reasonCode	Base	extensible	Procedure Reason Codes	📦4.0.1	FHIR Std.
ImagingStudy.series.​modality	Base	extensible	Acquisition Modality	📦1.0.0	臺灣核心實作指引 v1.0
ImagingStudy.series.​bodySite	Base	extensible	SNOMED CT Body Structures	📦4.0.1	FHIR Std.
ImagingStudy.series.​laterality	Base	extensible	Laterality	📦4.0.1	FHIR Std.
ImagingStudy.series.​performer.function	Base	extensible	ImagingStudy series performer function	📦4.0.1	FHIR Std.
ImagingStudy.series.​instance.sopClass	Base	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1	Not State	Unknown

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	ImagingStudy	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ImagingStudy	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	ImagingStudy	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	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	ImagingStudy	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()

This structure is derived from TWCoreImagingStudy

Summary

Mandatory: 0 element(2 nested mandatory elements)
Must-Support: 6 elements

Structures

This structure refers to these other structures:

• 腦中風－病人基本資料 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient)
• 腦中風－就醫事件 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter)
• 腦中風－影像檢查醫令 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeServiceRequest)

Extensions

This structure refers to these extensions:

• http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ImagingStudy		0..*	TWCoreImagingStudy	在單一檢查中產生的一組影像【一個或多個系列(series)的參照影像】
ImagingStudy.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
ImagingStudy.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
ImagingStudy.identifier	S This element must be supported. Σ This element is included in summaries.	0..*	Identifier	檢查識別碼。[有 DICOM Study Instance UID 或已核定的檢查單號時才填]
ImagingStudy.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	檢查狀態。[已完成檢查填 available] Binding: ImagingStudyStatus (required): 影像檢查的當前狀態；應填入所綁定值集中的其中一個代碼。
ImagingStudy.modality	S This element must be supported. Σ This element is included in summaries.	0..*	Coding	檢查儀器類別。[CT 填 CT，MRI 填 MR] Binding: Acquisition Modality (extensible)
ImagingStudy.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
ImagingStudy.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(腦中風－就醫事件)	就醫事件。[應參照 StrokeEncounter]
ImagingStudy.started	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime	檢查開始日期與時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] Example General: 2011-01-01T11:01:20+03:00
ImagingStudy.started.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ImagingStudy.started.Slices for extension.extension:eventTimeOnly	S This element must be supported.	0..1	time	僅有檢查時間（無日期）。[hh:mm:ss] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only
ImagingStudy.basedOn	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(腦中風－影像檢查醫令)	檢查醫令。[應參照 StrokeServiceRequest]
ImagingStudy.procedureCode	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConceptTW	檢查項目與掃描類型 Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): 此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。
ImagingStudy.procedureCode.Slices for coding	S This element must be supported. Σ This element is included in summaries.	0..*	CodingTW	此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Slice: Unordered, Open by pattern:$this
ImagingStudy.procedureCode.Slices for coding.coding:radLex-radiology-lexicon	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	應填入所綁定值集中的其中一個代碼。 Binding: http://www.rsna.org/RadLex_Playbook.aspx (required)
ImagingStudy.procedureCode.Slices for coding.coding:icd10-pcs-2021	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為臺灣健保署2021年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。
ImagingStudy.procedureCode.Slices for coding.coding:icd10-pcs-2023	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為臺灣健保署2023年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	掃描類型。[填 CTP／CTA／NCCT] Binding: 腦中風－影像分析掃描類型值集 (required) Required Pattern: At least the following
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.id		0..1	string	Unique id for inter-element referencing
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.extension		0..*	Extension	Additional content defined by implementations
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.version		0..1	string	Version of the system - if relevant
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.display		0..1	string	Representation defined by the system
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.userSelected		0..1	boolean	If this coding was chosen directly by the user
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://vgh-stroke-ig.fhir.tw/CodeSystem/rapid-scan-type
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
ImagingStudy.procedureCode.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	檢查名稱
ImagingStudy.reasonCode	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConceptTW	為什麼進行此影像檢查 Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
ImagingStudy.description	S This element must be supported. Σ This element is included in summaries.	0..1	string	檢查說明。[填檢查時點與種類，例如「EVT 前 CTA」]
ImagingStudy.series	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	影像系列。[有 DICOM Series Instance UID 時才填]
ImagingStudy.series.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ImagingStudy.series.uid	S This element must be supported. Σ This element is included in summaries.	1..1	id	DICOM Series Instance UID。[填影像系列的 UID] Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
ImagingStudy.series.modality	S This element must be supported. Σ This element is included in summaries.	1..1	Coding	此系列實例所使用的成像儀器 Binding: Acquisition Modality (extensible)
ImagingStudy.series.instance	S This element must be supported.	0..*	BackboneElement	系列中的一個SOP實例
ImagingStudy.series.instance.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ImagingStudy.series.instance.uid	S This element must be supported.	1..1	id	DICOM SOP實例的UID Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
ImagingStudy.series.instance.sopClass	S This element must be supported.	1..1	Coding	DICOM class 類型 Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ImagingStudy.status	Base	required	ImagingStudyStatus	📍4.0.1	FHIR Std.
ImagingStudy.modality	Base	extensible	Acquisition Modality	📦1.0.0	臺灣核心實作指引 v1.0
ImagingStudy.procedureCode	Base	extensible	http://www.rsna.org/RadLex_Playbook.aspx	Not State	Unknown
ImagingStudy.procedureCode.​coding:radLex-radiology-lexicon	Base	required	http://www.rsna.org/RadLex_Playbook.aspx	Not State	Unknown
ImagingStudy.procedureCode.​coding:icd10-pcs-2021	Base	required	臺灣健保署2021年中文版ICD-10-PCS值集	📦2022-07-29	臺灣核心實作指引 v1.0
ImagingStudy.procedureCode.​coding:icd10-pcs-2023	Base	required	臺灣健保署2023年中文版ICD-10-PCS值集	📦2024-11-18	臺灣核心實作指引 v1.0
ImagingStudy.procedureCode.​coding:rapidScanType	Base	required	腦中風－影像分析掃描類型值集	📦0.1.0	This IG
ImagingStudy.reasonCode	Base	extensible	Procedure Reason Codes	📦4.0.1	FHIR Std.
ImagingStudy.series.​modality	Base	extensible	Acquisition Modality	📦1.0.0	臺灣核心實作指引 v1.0
ImagingStudy.series.​instance.sopClass	Base	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1	Not State	Unknown

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	ImagingStudy	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ImagingStudy	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	ImagingStudy	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	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	ImagingStudy	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()

Differential View

This structure is derived from TWCoreImagingStudy

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ImagingStudy			TWCoreImagingStudy
ImagingStudy.identifier		0..*	Identifier	檢查識別碼。[有 DICOM Study Instance UID 或已核定的檢查單號時才填]
ImagingStudy.status	S This element must be supported.	1..1	code	檢查狀態。[已完成檢查填 available]
ImagingStudy.modality		0..*	Coding	檢查儀器類別。[CT 填 CT，MRI 填 MR]
ImagingStudy.subject		1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
ImagingStudy.encounter	S This element must be supported.	0..1	Reference(腦中風－就醫事件)	就醫事件。[應參照 StrokeEncounter]
ImagingStudy.started		0..1	dateTime	檢查開始日期與時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區]
ImagingStudy.started.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ImagingStudy.started.Slices for extension.extension:eventTimeOnly	S This element must be supported.	0..1	time	僅有檢查時間（無日期）。[hh:mm:ss] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only
ImagingStudy.basedOn	S This element must be supported.	0..*	Reference(腦中風－影像檢查醫令)	檢查醫令。[應參照 StrokeServiceRequest]
ImagingStudy.procedureCode		0..*	CodeableConceptTW	檢查項目與掃描類型
ImagingStudy.procedureCode.Slices for coding				Content/Rules for all slices
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType	S This element must be supported.	0..1	Coding	掃描類型。[填 CTP／CTA／NCCT] Binding: 腦中風－影像分析掃描類型值集 (required) Required Pattern: At least the following
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.system		1..1	uri	Identity of the terminology system Fixed Value: http://vgh-stroke-ig.fhir.tw/CodeSystem/rapid-scan-type
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.code		1..1	code	Symbol in syntax defined by the system
ImagingStudy.procedureCode.text		0..1	string	檢查名稱
ImagingStudy.description	S This element must be supported.	0..1	string	檢查說明。[填檢查時點與種類，例如「EVT 前 CTA」]
ImagingStudy.series		0..*	BackboneElement	影像系列。[有 DICOM Series Instance UID 時才填]
ImagingStudy.series.uid		1..1	id	DICOM Series Instance UID。[填影像系列的 UID]
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
ImagingStudy.procedureCode.​coding:rapidScanType	Base	required	腦中風－影像分析掃描類型值集	📦0.1.0	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ImagingStudy		0..*	TWCoreImagingStudy	在單一檢查中產生的一組影像【一個或多個系列(series)的參照影像】
ImagingStudy.id	Σ This element is included in summaries.	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的ImagingStudy紀錄，通常又稱為邏輯性ID。
ImagingStudy.meta	Σ This element is included in summaries.	0..1	Meta	此ImagingStudy Resource的metadata
ImagingStudy.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
ImagingStudy.language		0..1	code	用以表述ImagingStudy Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
ImagingStudy.text		0..1	Narrative	ImagingStudy Resource之內容摘要以供人閱讀 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
ImagingStudy.contained		0..*	Resource	Contained, inline Resources
ImagingStudy.extension		0..*	Extension	Additional content defined by implementations
ImagingStudy.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
ImagingStudy.identifier	S This element must be supported. Σ This element is included in summaries.	0..*	Identifier	檢查識別碼。[有 DICOM Study Instance UID 或已核定的檢查單號時才填]
ImagingStudy.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	檢查狀態。[已完成檢查填 available] Binding: ImagingStudyStatus (required): 影像檢查的當前狀態；應填入所綁定值集中的其中一個代碼。
ImagingStudy.modality	S This element must be supported. Σ This element is included in summaries.	0..*	Coding	檢查儀器類別。[CT 填 CT，MRI 填 MR] Binding: Acquisition Modality (extensible)
ImagingStudy.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
ImagingStudy.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(腦中風－就醫事件)	就醫事件。[應參照 StrokeEncounter]
ImagingStudy.started	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime	檢查開始日期與時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] Example General: 2011-01-01T11:01:20+03:00
ImagingStudy.started.id		0..1	string	xml:id (or equivalent in JSON)
ImagingStudy.started.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ImagingStudy.started.Slices for extension.extension:eventTimeOnly	S This element must be supported.	0..1	time	僅有檢查時間（無日期）。[hh:mm:ss] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only
ImagingStudy.started.value		0..1	dateTime	Primitive value for dateTime
ImagingStudy.basedOn	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(腦中風－影像檢查醫令)	檢查醫令。[應參照 StrokeServiceRequest]
ImagingStudy.referrer	Σ This element is included in summaries.	0..1	Reference(TW Core Practitioner | TW Core PractitionerRole)	轉診醫師
ImagingStudy.interpreter	Σ This element is included in summaries.	0..*	Reference(TW Core Practitioner | TW Core PractitionerRole)	誰解讀了影像
ImagingStudy.endpoint	Σ This element is included in summaries.	0..*	Reference(Endpoint)	影像檢查存取的端點(endpoint)
ImagingStudy.numberOfSeries	Σ This element is included in summaries.	0..1	unsignedInt	影像檢查相關Series的數量
ImagingStudy.numberOfInstances	Σ This element is included in summaries.	0..1	unsignedInt	影像檢查相關Instances的數量
ImagingStudy.procedureReference	Σ This element is included in summaries.	0..1	Reference(TW Core Procedure)	所執行的處置(Procedure)參照
ImagingStudy.procedureCode	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConceptTW	檢查項目與掃描類型 Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): 此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。
ImagingStudy.procedureCode.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
ImagingStudy.procedureCode.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
ImagingStudy.procedureCode.Slices for coding	S This element must be supported. Σ This element is included in summaries.	0..*	CodingTW	此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Slice: Unordered, Open by pattern:$this
ImagingStudy.procedureCode.Slices for coding.coding:radLex-radiology-lexicon	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	應填入所綁定值集中的其中一個代碼。 Binding: http://www.rsna.org/RadLex_Playbook.aspx (required)
ImagingStudy.procedureCode.Slices for coding.coding:icd10-pcs-2021	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為臺灣健保署2021年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。
ImagingStudy.procedureCode.Slices for coding.coding:icd10-pcs-2023	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為臺灣健保署2023年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	掃描類型。[填 CTP／CTA／NCCT] Binding: 腦中風－影像分析掃描類型值集 (required) Required Pattern: At least the following
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.id		0..1	string	Unique id for inter-element referencing
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://vgh-stroke-ig.fhir.tw/CodeSystem/rapid-scan-type
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
ImagingStudy.procedureCode.Slices for coding.coding:rapidScanType.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
ImagingStudy.procedureCode.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	檢查名稱
ImagingStudy.location	Σ This element is included in summaries.	0..1	Reference(TW Core Location)	影像檢查發生的地點
ImagingStudy.reasonCode	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConceptTW	為什麼進行此影像檢查 Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
ImagingStudy.reasonReference	Σ This element is included in summaries.	0..*	Reference(TW Core Condition | TW Core Observation Laboratory Result | Media | TW Core DiagnosticReport | DocumentReference)	為什麼進行此影像檢查
ImagingStudy.note	Σ This element is included in summaries.	0..*	Annotation	用戶自定義的評論
ImagingStudy.description	S This element must be supported. Σ This element is included in summaries.	0..1	string	檢查說明。[填檢查時點與種類，例如「EVT 前 CTA」]
ImagingStudy.series	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	影像系列。[有 DICOM Series Instance UID 時才填]
ImagingStudy.series.id		0..1	string	Unique id for inter-element referencing
ImagingStudy.series.extension		0..*	Extension	Additional content defined by implementations
ImagingStudy.series.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ImagingStudy.series.uid	S This element must be supported. Σ This element is included in summaries.	1..1	id	DICOM Series Instance UID。[填影像系列的 UID] Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
ImagingStudy.series.number	Σ This element is included in summaries.	0..1	unsignedInt	此系列的數字識別碼 Example General: 3
ImagingStudy.series.modality	S This element must be supported. Σ This element is included in summaries.	1..1	Coding	此系列實例所使用的成像儀器 Binding: Acquisition Modality (extensible)
ImagingStudy.series.description	Σ This element is included in summaries.	0..1	string	對此系列的一個簡短且易於閱讀的摘要 Example General: CT Surview 180
ImagingStudy.series.numberOfInstances	Σ This element is included in summaries.	0..1	unsignedInt	此Series相關Instances的數量
ImagingStudy.series.endpoint	Σ This element is included in summaries.	0..*	Reference(Endpoint)	此系列的存取端點
ImagingStudy.series.bodySite	Σ This element is included in summaries.	0..1	Coding	被檢查的身體部位 Binding: SNOMEDCTBodyStructures (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
ImagingStudy.series.laterality	Σ This element is included in summaries.	0..1	Coding	身體部位的側性 Binding: Laterality (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
ImagingStudy.series.specimen	Σ This element is included in summaries.	0..*	Reference(TW Core Specimen)	要進行影像檢查的檢體
ImagingStudy.series.started	Σ This element is included in summaries.	0..1	dateTime	此系列何時開始的
ImagingStudy.series.performer	Σ This element is included in summaries.	0..*	BackboneElement	誰執行了此系列
ImagingStudy.series.performer.id		0..1	string	Unique id for inter-element referencing
ImagingStudy.series.performer.extension		0..*	Extension	Additional content defined by implementations
ImagingStudy.series.performer.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ImagingStudy.series.performer.function	Σ This element is included in summaries.	0..1	CodeableConceptTW	執行的類型 Binding: ImagingStudySeriesPerformerFunction (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
ImagingStudy.series.performer.actor	Σ This element is included in summaries.	1..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core CareTeam | TW Core Patient | Device | TW Core RelatedPerson)	誰執行了此系列
ImagingStudy.series.instance	S This element must be supported.	0..*	BackboneElement	系列中的一個SOP實例
ImagingStudy.series.instance.id		0..1	string	Unique id for inter-element referencing
ImagingStudy.series.instance.extension		0..*	Extension	Additional content defined by implementations
ImagingStudy.series.instance.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
ImagingStudy.series.instance.uid	S This element must be supported.	1..1	id	DICOM SOP實例的UID Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
ImagingStudy.series.instance.sopClass	S This element must be supported.	1..1	Coding	DICOM class 類型 Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
ImagingStudy.series.instance.number		0..1	unsignedInt	此系列中該實例的序號 Example General: 1
ImagingStudy.series.instance.title		0..1	string	實例的描述
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ImagingStudy.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
ImagingStudy.status	Base	required	ImagingStudyStatus	📍4.0.1	FHIR Std.
ImagingStudy.modality	Base	extensible	Acquisition Modality	📦1.0.0	臺灣核心實作指引 v1.0
ImagingStudy.procedureCode	Base	extensible	http://www.rsna.org/RadLex_Playbook.aspx	Not State	Unknown
ImagingStudy.procedureCode.​coding:radLex-radiology-lexicon	Base	required	http://www.rsna.org/RadLex_Playbook.aspx	Not State	Unknown
ImagingStudy.procedureCode.​coding:icd10-pcs-2021	Base	required	臺灣健保署2021年中文版ICD-10-PCS值集	📦2022-07-29	臺灣核心實作指引 v1.0
ImagingStudy.procedureCode.​coding:icd10-pcs-2023	Base	required	臺灣健保署2023年中文版ICD-10-PCS值集	📦2024-11-18	臺灣核心實作指引 v1.0
ImagingStudy.procedureCode.​coding:rapidScanType	Base	required	腦中風－影像分析掃描類型值集	📦0.1.0	This IG
ImagingStudy.reasonCode	Base	extensible	Procedure Reason Codes	📦4.0.1	FHIR Std.
ImagingStudy.series.​modality	Base	extensible	Acquisition Modality	📦1.0.0	臺灣核心實作指引 v1.0
ImagingStudy.series.​bodySite	Base	extensible	SNOMED CT Body Structures	📦4.0.1	FHIR Std.
ImagingStudy.series.​laterality	Base	extensible	Laterality	📦4.0.1	FHIR Std.
ImagingStudy.series.​performer.function	Base	extensible	ImagingStudy series performer function	📦4.0.1	FHIR Std.
ImagingStudy.series.​instance.sopClass	Base	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1	Not State	Unknown

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	ImagingStudy	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ImagingStudy	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	ImagingStudy	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	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	ImagingStudy	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()

This structure is derived from TWCoreImagingStudy

Summary

Mandatory: 0 element(2 nested mandatory elements)
Must-Support: 6 elements

Structures

This structure refers to these other structures:

• 腦中風－病人基本資料 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient)
• 腦中風－就醫事件 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter)
• 腦中風－影像檢查醫令 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeServiceRequest)

Extensions

This structure refers to these extensions:

• http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only

Other representations of profile: CSV, Excel, Schematron