臺灣健保事前審查實作指引, published by 衛生福利部中央健康保險署. This guide is not an authorized publication; it is the continuous build for version 1.2.8 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TWNHIFHIR/pas/ and changes regularly. See the Directory of published versions

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Resource Profile: DICOM影像-ImagingStudy TWPAS

此DICOM影像-ImagingStudy TWPAS Profile說明本IG如何進一步定義臺灣核心-影像檢查(TW Core ImagingStudy) Profile以呈現事前審查中疾病資訊之影像報告的影像檢查的身體部位及DICOM影像

Usages:

• Use this Profile: 免疫製劑事前審查-Bundle Immunologic Aagent TWPAS and 癌藥事前審查-Bundle TWPAS
• Refer to this Profile: 影像報告-DiagnosticReport Image TWPAS
• Examples for this Profile: ImagingStudy/imaStu-min
• CapabilityStatements using this Profile: 臺灣事前審查-用戶端(TWPAS Client) and 臺灣事前審查-伺服端(TWPAS Server)

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.meta	Σ This element is included in summaries.	1..1	Meta	此ImagingStudy Resource的metadata
ImagingStudy.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/ImagingStudy-twpas
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.Slices for identifier	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	整項影像檢查的識別碼 Slice: Unordered, Closed by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ImagingStudy.Slices for identifier.identifier:study-uid	S This element must be supported. Σ This element is included in summaries.	1..1	Identifier	整項影像檢查的識別碼。上傳至健保署時，必要填寫 DICOM 檢查實例 UID (Study Instance UID)
ImagingStudy.Slices for identifier.identifier:study-uid.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
ImagingStudy.Slices for identifier.identifier:study-uid.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
ImagingStudy.Slices for identifier.identifier:study-uid.value	S This element must be supported. Σ This element is included in summaries. C	1..1	string	The value that is unique Constraints: StudyUID Example General: 123456 Example General: urn:oid:2.16.886.2102.54.4546465747.465465465 Example General: urn:oid:2.16.886.2102.54.4546465747.0.46546546
ImagingStudy.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	registered | available | cancelled | entered-in-error | unknown 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	列出所有系列中用於實際影像獲取的儀器類型 Binding: DICOM-AcquisitionModality值集 (extensible)
ImagingStudy.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	誰或什麼是影像檢查的對象
ImagingStudy.started	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime	影像檢查何時開始 Example General: 2011-01-01T11:01:20+03:00
ImagingStudy.procedureCode	S This element must be supported.	0..*	CodeableConceptTW	執行的處置代碼 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.	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.	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.	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.	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.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字表示法
ImagingStudy.reasonCode	S This element must be supported.	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.series	S This element must be supported. Σ This element is included in summaries.	1..*	BackboneElement	每項影像檢查有一個或多個系列(series)的實例
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	此系列的DICOM系列實例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: DICOM-AcquisitionModality值集 (extensible)
ImagingStudy.series.bodySite	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	影像檢查的身體部位 Binding: SNOMEDCT-健保事前審查-身體部位值集 (required)
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影像。1.填寫DICOM欄位至ImagingStudy: Study Instance UID, Series Instance UID, SOP Instance, Modality, SOP Class UID。2.其餘資訊需額外填寫，包含: Status，影像檢查的身體部位 (SNOMED CT)、Procedure Code等。3.上傳影像需打包成DICOMDIR且壓縮成DCF。 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.identifier:study-uid.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
ImagingStudy.status	Base	required	ImagingStudyStatus	📍4.0.1	FHIR Std.
ImagingStudy.modality	Base	extensible	DICOM-AcquisitionModality值集	📦2022.4.20221006	This IG
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 v0.3
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 v0.3
ImagingStudy.reasonCode	Base	extensible	Procedure Reason Codes	📦4.0.1	FHIR Std.
ImagingStudy.series.​modality	Base	extensible	DICOM-AcquisitionModality值集	📦2022.4.20221006	This IG
ImagingStudy.series.​bodySite	Base	required	SNOMEDCT-健保事前審查-身體部位值集	📦1.2.8	This IG
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
StudyUID	error	ImagingStudy.identifier:study-uid.value	以`urn:oid:`開頭，後接一串由數字`0`-`9`及`.`組成的字串。第一個數字須為個位數，每個數字不得為`0`開頭（除非為單一的`0`），整體(不含`urn:oid:`)長度不得超過64 bytes。	value.matches('^urn:oid:(0|[1-9])(.(0|[1-9][0-9]*)){0,63}$')
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.meta		1..1	Meta	此ImagingStudy Resource的metadata
ImagingStudy.meta.profile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/ImagingStudy-twpas
ImagingStudy.Slices for identifier		1..*	Identifier	整項影像檢查的識別碼 Slice: Unordered, Closed by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ImagingStudy.Slices for identifier.identifier:study-uid	S This element must be supported.	1..1	Identifier	整項影像檢查的識別碼。上傳至健保署時，必要填寫 DICOM 檢查實例 UID (Study Instance UID)
ImagingStudy.Slices for identifier.identifier:study-uid.system	S This element must be supported.	1..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
ImagingStudy.Slices for identifier.identifier:study-uid.value	S This element must be supported. C	1..1	string	The value that is unique Constraints: StudyUID Example General: urn:oid:2.16.886.2102.54.4546465747.465465465 Example General: urn:oid:2.16.886.2102.54.4546465747.0.46546546
ImagingStudy.modality		0..*	Coding	列出所有系列中用於實際影像獲取的儀器類型 Binding: DICOM-AcquisitionModality值集 (extensible)
ImagingStudy.subject		1..1	Reference(病人資訊-Patient TWPAS)	誰或什麼是影像檢查的對象
ImagingStudy.series		1..*	BackboneElement	每項影像檢查有一個或多個系列(series)的實例
ImagingStudy.series.modality		1..1	Coding	此系列實例所使用的成像儀器 Binding: DICOM-AcquisitionModality值集 (extensible)
ImagingStudy.series.bodySite	S This element must be supported.	0..1	Coding	影像檢查的身體部位 Binding: SNOMEDCT-健保事前審查-身體部位值集 (required)
ImagingStudy.series.instance
ImagingStudy.series.instance.uid		1..1	id	DICOM影像。1.填寫DICOM欄位至ImagingStudy: Study Instance UID, Series Instance UID, SOP Instance, Modality, SOP Class UID。2.其餘資訊需額外填寫，包含: Status，影像檢查的身體部位 (SNOMED CT)、Procedure Code等。3.上傳影像需打包成DICOMDIR且壓縮成DCF。
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
ImagingStudy.modality	Base	extensible	DICOM-AcquisitionModality值集	📦2022.4.20221006	This IG
ImagingStudy.series.​modality	Base	extensible	DICOM-AcquisitionModality值集	📦2022.4.20221006	This IG
ImagingStudy.series.​bodySite	Base	required	SNOMEDCT-健保事前審查-身體部位值集	📦1.2.8	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
StudyUID	error	ImagingStudy.identifier:study-uid.value	以`urn:oid:`開頭，後接一串由數字`0`-`9`及`.`組成的字串。第一個數字須為個位數，每個數字不得為`0`開頭（除非為單一的`0`），整體(不含`urn:oid:`)長度不得超過64 bytes。	value.matches('^urn:oid:(0|[1-9])(.(0|[1-9][0-9]*)){0,63}$')

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.	1..1	Meta	此ImagingStudy Resource的metadata
ImagingStudy.meta.id		0..1	string	Unique id for inter-element referencing
ImagingStudy.meta.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
ImagingStudy.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
ImagingStudy.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
ImagingStudy.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
ImagingStudy.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/ImagingStudy-twpas
ImagingStudy.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
ImagingStudy.meta.tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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.Slices for identifier	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	整項影像檢查的識別碼 Slice: Unordered, Closed by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ImagingStudy.Slices for identifier.identifier:study-uid	S This element must be supported. Σ This element is included in summaries.	1..1	Identifier	整項影像檢查的識別碼。上傳至健保署時，必要填寫 DICOM 檢查實例 UID (Study Instance UID)
ImagingStudy.Slices for identifier.identifier:study-uid.id		0..1	string	Unique id for inter-element referencing
ImagingStudy.Slices for identifier.identifier:study-uid.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
ImagingStudy.Slices for identifier.identifier:study-uid.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
ImagingStudy.Slices for identifier.identifier:study-uid.type	Σ This element is included in summaries.	0..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.
ImagingStudy.Slices for identifier.identifier:study-uid.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
ImagingStudy.Slices for identifier.identifier:study-uid.value	S This element must be supported. Σ This element is included in summaries. C	1..1	string	The value that is unique Constraints: StudyUID Example General: 123456 Example General: urn:oid:2.16.886.2102.54.4546465747.465465465 Example General: urn:oid:2.16.886.2102.54.4546465747.0.46546546
ImagingStudy.Slices for identifier.identifier:study-uid.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
ImagingStudy.Slices for identifier.identifier:study-uid.assigner	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
ImagingStudy.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	registered | available | cancelled | entered-in-error | unknown 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	列出所有系列中用於實際影像獲取的儀器類型 Binding: DICOM-AcquisitionModality值集 (extensible)
ImagingStudy.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	誰或什麼是影像檢查的對象
ImagingStudy.encounter	Σ This element is included in summaries.	0..1	Reference(TW Core Encounter)	與此影像檢查有關的就醫事件(Encounter)
ImagingStudy.started	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime	影像檢查何時開始 Example General: 2011-01-01T11:01:20+03:00
ImagingStudy.basedOn	Σ This element is included in summaries.	0..*	Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)	要求執行此影像檢查的依據
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.	0..*	CodeableConceptTW	執行的處置代碼 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.	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.	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.	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.	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.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字表示法
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.	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	Σ This element is included in summaries.	0..1	string	機構產生的描述
ImagingStudy.series	S This element must be supported. Σ This element is included in summaries.	1..*	BackboneElement	每項影像檢查有一個或多個系列(series)的實例
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	此系列的DICOM系列實例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: DICOM-AcquisitionModality值集 (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	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	影像檢查的身體部位 Binding: SNOMEDCT-健保事前審查-身體部位值集 (required)
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		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影像。1.填寫DICOM欄位至ImagingStudy: Study Instance UID, Series Instance UID, SOP Instance, Modality, SOP Class UID。2.其餘資訊需額外填寫，包含: Status，影像檢查的身體部位 (SNOMED CT)、Procedure Code等。3.上傳影像需打包成DICOMDIR且壓縮成DCF。 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.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
ImagingStudy.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
ImagingStudy.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
ImagingStudy.identifier:study-uid.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
ImagingStudy.identifier:study-uid.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
ImagingStudy.status	Base	required	ImagingStudyStatus	📍4.0.1	FHIR Std.
ImagingStudy.modality	Base	extensible	DICOM-AcquisitionModality值集	📦2022.4.20221006	This IG
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 v0.3
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 v0.3
ImagingStudy.reasonCode	Base	extensible	Procedure Reason Codes	📦4.0.1	FHIR Std.
ImagingStudy.series.​modality	Base	extensible	DICOM-AcquisitionModality值集	📦2022.4.20221006	This IG
ImagingStudy.series.​bodySite	Base	required	SNOMEDCT-健保事前審查-身體部位值集	📦1.2.8	This IG
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
StudyUID	error	ImagingStudy.identifier:study-uid.value	以`urn:oid:`開頭，後接一串由數字`0`-`9`及`.`組成的字串。第一個數字須為個位數，每個數字不得為`0`開頭（除非為單一的`0`），整體(不含`urn:oid:`)長度不得超過64 bytes。	value.matches('^urn:oid:(0|[1-9])(.(0|[1-9][0-9]*)){0,63}$')
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: 7 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ImagingStudy.identifier (Closed)

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.meta	Σ This element is included in summaries.	1..1	Meta	此ImagingStudy Resource的metadata
ImagingStudy.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/ImagingStudy-twpas
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.Slices for identifier	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	整項影像檢查的識別碼 Slice: Unordered, Closed by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ImagingStudy.Slices for identifier.identifier:study-uid	S This element must be supported. Σ This element is included in summaries.	1..1	Identifier	整項影像檢查的識別碼。上傳至健保署時，必要填寫 DICOM 檢查實例 UID (Study Instance UID)
ImagingStudy.Slices for identifier.identifier:study-uid.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
ImagingStudy.Slices for identifier.identifier:study-uid.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
ImagingStudy.Slices for identifier.identifier:study-uid.value	S This element must be supported. Σ This element is included in summaries. C	1..1	string	The value that is unique Constraints: StudyUID Example General: 123456 Example General: urn:oid:2.16.886.2102.54.4546465747.465465465 Example General: urn:oid:2.16.886.2102.54.4546465747.0.46546546
ImagingStudy.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	registered | available | cancelled | entered-in-error | unknown 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	列出所有系列中用於實際影像獲取的儀器類型 Binding: DICOM-AcquisitionModality值集 (extensible)
ImagingStudy.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	誰或什麼是影像檢查的對象
ImagingStudy.started	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime	影像檢查何時開始 Example General: 2011-01-01T11:01:20+03:00
ImagingStudy.procedureCode	S This element must be supported.	0..*	CodeableConceptTW	執行的處置代碼 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.	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.	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.	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.	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.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字表示法
ImagingStudy.reasonCode	S This element must be supported.	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.series	S This element must be supported. Σ This element is included in summaries.	1..*	BackboneElement	每項影像檢查有一個或多個系列(series)的實例
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	此系列的DICOM系列實例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: DICOM-AcquisitionModality值集 (extensible)
ImagingStudy.series.bodySite	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	影像檢查的身體部位 Binding: SNOMEDCT-健保事前審查-身體部位值集 (required)
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影像。1.填寫DICOM欄位至ImagingStudy: Study Instance UID, Series Instance UID, SOP Instance, Modality, SOP Class UID。2.其餘資訊需額外填寫，包含: Status，影像檢查的身體部位 (SNOMED CT)、Procedure Code等。3.上傳影像需打包成DICOMDIR且壓縮成DCF。 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.identifier:study-uid.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
ImagingStudy.status	Base	required	ImagingStudyStatus	📍4.0.1	FHIR Std.
ImagingStudy.modality	Base	extensible	DICOM-AcquisitionModality值集	📦2022.4.20221006	This IG
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 v0.3
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 v0.3
ImagingStudy.reasonCode	Base	extensible	Procedure Reason Codes	📦4.0.1	FHIR Std.
ImagingStudy.series.​modality	Base	extensible	DICOM-AcquisitionModality值集	📦2022.4.20221006	This IG
ImagingStudy.series.​bodySite	Base	required	SNOMEDCT-健保事前審查-身體部位值集	📦1.2.8	This IG
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
StudyUID	error	ImagingStudy.identifier:study-uid.value	以`urn:oid:`開頭，後接一串由數字`0`-`9`及`.`組成的字串。第一個數字須為個位數，每個數字不得為`0`開頭（除非為單一的`0`），整體(不含`urn:oid:`)長度不得超過64 bytes。	value.matches('^urn:oid:(0|[1-9])(.(0|[1-9][0-9]*)){0,63}$')
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.meta		1..1	Meta	此ImagingStudy Resource的metadata
ImagingStudy.meta.profile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/ImagingStudy-twpas
ImagingStudy.Slices for identifier		1..*	Identifier	整項影像檢查的識別碼 Slice: Unordered, Closed by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ImagingStudy.Slices for identifier.identifier:study-uid	S This element must be supported.	1..1	Identifier	整項影像檢查的識別碼。上傳至健保署時，必要填寫 DICOM 檢查實例 UID (Study Instance UID)
ImagingStudy.Slices for identifier.identifier:study-uid.system	S This element must be supported.	1..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
ImagingStudy.Slices for identifier.identifier:study-uid.value	S This element must be supported. C	1..1	string	The value that is unique Constraints: StudyUID Example General: urn:oid:2.16.886.2102.54.4546465747.465465465 Example General: urn:oid:2.16.886.2102.54.4546465747.0.46546546
ImagingStudy.modality		0..*	Coding	列出所有系列中用於實際影像獲取的儀器類型 Binding: DICOM-AcquisitionModality值集 (extensible)
ImagingStudy.subject		1..1	Reference(病人資訊-Patient TWPAS)	誰或什麼是影像檢查的對象
ImagingStudy.series		1..*	BackboneElement	每項影像檢查有一個或多個系列(series)的實例
ImagingStudy.series.modality		1..1	Coding	此系列實例所使用的成像儀器 Binding: DICOM-AcquisitionModality值集 (extensible)
ImagingStudy.series.bodySite	S This element must be supported.	0..1	Coding	影像檢查的身體部位 Binding: SNOMEDCT-健保事前審查-身體部位值集 (required)
ImagingStudy.series.instance
ImagingStudy.series.instance.uid		1..1	id	DICOM影像。1.填寫DICOM欄位至ImagingStudy: Study Instance UID, Series Instance UID, SOP Instance, Modality, SOP Class UID。2.其餘資訊需額外填寫，包含: Status，影像檢查的身體部位 (SNOMED CT)、Procedure Code等。3.上傳影像需打包成DICOMDIR且壓縮成DCF。
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
ImagingStudy.modality	Base	extensible	DICOM-AcquisitionModality值集	📦2022.4.20221006	This IG
ImagingStudy.series.​modality	Base	extensible	DICOM-AcquisitionModality值集	📦2022.4.20221006	This IG
ImagingStudy.series.​bodySite	Base	required	SNOMEDCT-健保事前審查-身體部位值集	📦1.2.8	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
StudyUID	error	ImagingStudy.identifier:study-uid.value	以`urn:oid:`開頭，後接一串由數字`0`-`9`及`.`組成的字串。第一個數字須為個位數，每個數字不得為`0`開頭（除非為單一的`0`），整體(不含`urn:oid:`)長度不得超過64 bytes。	value.matches('^urn:oid:(0|[1-9])(.(0|[1-9][0-9]*)){0,63}$')

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.	1..1	Meta	此ImagingStudy Resource的metadata
ImagingStudy.meta.id		0..1	string	Unique id for inter-element referencing
ImagingStudy.meta.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
ImagingStudy.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
ImagingStudy.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
ImagingStudy.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
ImagingStudy.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/ImagingStudy-twpas
ImagingStudy.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
ImagingStudy.meta.tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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.Slices for identifier	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	整項影像檢查的識別碼 Slice: Unordered, Closed by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
ImagingStudy.Slices for identifier.identifier:study-uid	S This element must be supported. Σ This element is included in summaries.	1..1	Identifier	整項影像檢查的識別碼。上傳至健保署時，必要填寫 DICOM 檢查實例 UID (Study Instance UID)
ImagingStudy.Slices for identifier.identifier:study-uid.id		0..1	string	Unique id for inter-element referencing
ImagingStudy.Slices for identifier.identifier:study-uid.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
ImagingStudy.Slices for identifier.identifier:study-uid.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
ImagingStudy.Slices for identifier.identifier:study-uid.type	Σ This element is included in summaries.	0..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.
ImagingStudy.Slices for identifier.identifier:study-uid.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
ImagingStudy.Slices for identifier.identifier:study-uid.value	S This element must be supported. Σ This element is included in summaries. C	1..1	string	The value that is unique Constraints: StudyUID Example General: 123456 Example General: urn:oid:2.16.886.2102.54.4546465747.465465465 Example General: urn:oid:2.16.886.2102.54.4546465747.0.46546546
ImagingStudy.Slices for identifier.identifier:study-uid.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
ImagingStudy.Slices for identifier.identifier:study-uid.assigner	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
ImagingStudy.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	registered | available | cancelled | entered-in-error | unknown 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	列出所有系列中用於實際影像獲取的儀器類型 Binding: DICOM-AcquisitionModality值集 (extensible)
ImagingStudy.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	誰或什麼是影像檢查的對象
ImagingStudy.encounter	Σ This element is included in summaries.	0..1	Reference(TW Core Encounter)	與此影像檢查有關的就醫事件(Encounter)
ImagingStudy.started	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime	影像檢查何時開始 Example General: 2011-01-01T11:01:20+03:00
ImagingStudy.basedOn	Σ This element is included in summaries.	0..*	Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)	要求執行此影像檢查的依據
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.	0..*	CodeableConceptTW	執行的處置代碼 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.	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.	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.	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.	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.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字表示法
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.	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	Σ This element is included in summaries.	0..1	string	機構產生的描述
ImagingStudy.series	S This element must be supported. Σ This element is included in summaries.	1..*	BackboneElement	每項影像檢查有一個或多個系列(series)的實例
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	此系列的DICOM系列實例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: DICOM-AcquisitionModality值集 (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	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	影像檢查的身體部位 Binding: SNOMEDCT-健保事前審查-身體部位值集 (required)
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		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影像。1.填寫DICOM欄位至ImagingStudy: Study Instance UID, Series Instance UID, SOP Instance, Modality, SOP Class UID。2.其餘資訊需額外填寫，包含: Status，影像檢查的身體部位 (SNOMED CT)、Procedure Code等。3.上傳影像需打包成DICOMDIR且壓縮成DCF。 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.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
ImagingStudy.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
ImagingStudy.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
ImagingStudy.identifier:study-uid.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
ImagingStudy.identifier:study-uid.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
ImagingStudy.status	Base	required	ImagingStudyStatus	📍4.0.1	FHIR Std.
ImagingStudy.modality	Base	extensible	DICOM-AcquisitionModality值集	📦2022.4.20221006	This IG
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 v0.3
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 v0.3
ImagingStudy.reasonCode	Base	extensible	Procedure Reason Codes	📦4.0.1	FHIR Std.
ImagingStudy.series.​modality	Base	extensible	DICOM-AcquisitionModality值集	📦2022.4.20221006	This IG
ImagingStudy.series.​bodySite	Base	required	SNOMEDCT-健保事前審查-身體部位值集	📦1.2.8	This IG
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
StudyUID	error	ImagingStudy.identifier:study-uid.value	以`urn:oid:`開頭，後接一串由數字`0`-`9`及`.`組成的字串。第一個數字須為個位數，每個數字不得為`0`開頭（除非為單一的`0`），整體(不含`urn:oid:`)長度不得超過64 bytes。	value.matches('^urn:oid:(0|[1-9])(.(0|[1-9][0-9]*)){0,63}$')
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: 7 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ImagingStudy.identifier (Closed)

Other representations of profile: CSV, Excel, Schematron