臺灣核心實作指引(TW Core IG)
0.3.1 - Ci-Build Trial Use

臺灣核心實作指引(TW Core IG), published by 衛生福利部. This guide is not an authorized publication; it is the continuous build for version 0.3.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cctwFHIRterm/MOHW_TWCoreIG_Build/ and changes regularly. See the Directory of published versions

Resource Profile: TWCoreImagingStudy - Detailed Descriptions

Active as of 2024-11-07

Definitions for the ImagingStudy-twcore resource profile.

Guidance on how to interpret the contents of this table can be found here

0. ImagingStudy
Definition

DICOM影像檢查中產生的內容。每項檢查包含若干系列(series),每一系列只使用一種影像儀器(例如X光、電腦斷層掃描CT、核磁共振MR、超音波等),每個系列由在相同背景下獲得或製作的服務-物件對實例(Service-Object Pair Instances,簡稱SOP實例,包含影像或其他類型的資料)所組成。但一項檢查中可能包括多個使用不同影像儀器的系列。

Short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】
2. ImagingStudy.id
Definition

resource的邏輯ID,在resource的URL中使用。一旦指定,這個值永遠不會改變。

Short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。
Comments

一個resource使用新增操作(create operation)提交給伺服器時,此resource沒有id,它的id在resource被創建後由伺器分配/指定。

4. ImagingStudy.meta
Definition

關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。

Short此ImagingStudy Resource的metadata
6. ImagingStudy.implicitRules
Definition

構建resource時遵循的一系列規則的參照,在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。

Short創建此內容所依據的一組規則
Comments

宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而,現有的健康生態體系高度分裂,還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能,實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時,此URL是對IG的參照,此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。

8. ImagingStudy.language
Definition

編寫此resource的語言

Short用以表述ImagingStudy Resource內容的語言。
Comments

提供語言是為了支援索引和可存取性(通常,文字表述轉語音等服務使用此語言標籤)。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此語言。不應該假定Resource.language自動適用於敘述。如果指定語言,它也應該被指定在html中的div資料項目(關於xml:lang和html lang屬性之間的關係,見HTML5中的規則)。

BindingThe codes SHOULD be taken from CommonLanguages
(preferred to http://hl7.org/fhir/ValueSet/languages)

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 BindingsPurpose
AllLanguagesMax Binding
Example<br/><b>Value</b>:zh-TW
10. ImagingStudy.text
Definition

人可讀的敘述,包含resource的摘要,可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼,但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義有哪些內容應該在敘述中表示,以確保臨床安全。

ShortImagingStudy Resource之內容摘要以供人閱讀
Comments

內嵌(contained)的resource沒有敘述,非內嵌(contained)的resource則 建議應該(SHOULD) 有敘述。有時resource可能只有文字表述,很少或沒有額外的結構化資料(只要滿足所有minOccurs=1的資料項目)。這可能出現在舊系統的資料,當資訊以 「文字表述區塊(text blob) 」的形式被取得,或者文字表述是原始輸入或說明,而編碼資訊稍後再添加。

12. ImagingStudy.identifier
Definition

ImagingStudy的識別碼,如DICOM檢查實例UID (Study Instance UID)和檢查單號(Accession Number)。

Short整項影像檢查的識別碼
Comments

有關DICOM檢查實例UID的編碼,請參閱「影像檢查實作說明(Imaging Study Implementation Notes)」下的討論。檢查單號(Accession Number)應使用ACSN識別碼類型 (Identifier type)。

NoteThis is a business identifier, not a resource identifier (see discussion)
Must Supporttrue
Requirements

如果此 ImagingStudy 中存在一個或多個 series 資料項目,那麼就應該有一個DICOM Study UID識別碼(見DICOM PS 3.3 C.7.2 .

14. ImagingStudy.status
Definition

影像檢查的當前狀態。

Comments

「未知」並不意味著「其他」類型;必須符合已確定的某種狀態。當創建系統不確定當前狀態時,會使用「未知」這一選項。

BindingThe codes SHALL be taken from ImagingStudyStatus
(required to http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1)

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。

16. ImagingStudy.modality
Definition

列出所有系列中用於實際影像獲取的儀器類型,即在DICOM Context Group 29(值集的唯一識別碼為1.2.840.10008.6.1.19)中定義的類型。

Short列出所有系列中用於實際影像獲取的儀器類型
BindingUnless not suitable, these codes SHALL be taken from AcquisitionModality
(extensible to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html)

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。

Must Supporttrue
18. ImagingStudy.subject
Definition

影像檢查的對象,通常是病人。

Short誰或什麼是影像檢查的對象
Comments

影像檢查的對象,若為品質保證的標準對照物(QA幻影)可用 Device 作記錄。若其檢查對象是多隻小動物(如多隻老鼠),則可以將它們作為 Group 來進行記錄。

TypeReference(TW Core Patient, Device, Group)
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
20. ImagingStudy.encounter
Definition

進行此影像檢查的健康照護事件(例如:病人與健康照護服務提供者的互動)。

Short與此影像檢查有關的就醫事件(Encounter)
Comments

病人接受影像檢查時所在的就醫情境。不過,有些相關事件可能在病人就醫前或完成就醫後發生,但這些事件仍與就醫情境有關(例如:病人入院前的檢查)。

TypeReference(TW Core Encounter)
22. ImagingStudy.started
Definition

檢查開始的日期和時間

Short影像檢查何時開始
Must Supporttrue
24. ImagingStudy.basedOn
Definition

導致進行此影像檢查的診斷報告清單

Short要求執行此影像檢查的依據
Requirements

支援分組處置(一項影像檢查支援多個醫令處置,如胸腔/腹部/骨盆CT)。

26. ImagingStudy.referrer
Definition

請求/轉診的醫師

Short轉診醫師
TypeReference(TW Core Practitioner, TW Core PractitionerRole)
28. ImagingStudy.interpreter
Definition

誰閱讀了檢查報告並解讀了影像或其他內容

Short誰解讀了影像
TypeReference(TW Core Practitioner, TW Core PractitionerRole)
30. ImagingStudy.endpoint
Definition

提供影像檢查資料存取的網路服務,包括查詢、觀看或下載影像檢查資料。更多有關如何使用DICOM端點的詳細資訊,請查看實作指引。整體檢查的網絡連接設定(端點)適用於檢查中的每一個影像系列。但如果某個影像系列有自己特定的網路連接設定(稱為系統端點),且這個設定的類型(Endpoint.connectionType)與整體檢查的端點相同,則該系列將依據其自身的設定進行連接。

Short影像檢查存取的端點(endpoint)
Comments

常見的端點類型包括:DICOM WADO-RS,它透過RESTful API以原始或轉換後的格式(如JPG、PNG)來查DICOM影像檔案;DICOM WADO-URI,這也能查詢原始或轉換後的影像,但它是透過HTTP查詢方式實現;DICOM QIDO-RS,它允許使用RESTful查詢方式來獲取DICOM資訊,而無需下載影像檔案本身;還有IHE Invoke Image Display(IID),這是一種標準的網路影像查看器(viewer)啟動方式。

Requirements

說明了如何查看(例如:使用IHE的IID profile)或查詢(例如:使用DICOM的WADO-URI和WADO-RS)影像檢查、其影像系列或單個影像的方法。整體檢查的基礎位置設定(baseLocation)通常適用於檢查中的所有影像系列。但如果某個影像系列有自己的基礎位置設定(稱為系列級baseLocation),且這個設定與整體檢查的設定類型相同,則該系列將按照自己的設定進行操作。

32. ImagingStudy.numberOfSeries
Definition

在醫學影像檢查中,顯示的series數量有時會比Resource實際包含的更多。這可能是由於Resource的限制、安全問題或其他因素所致。如果Resource中包含至少一個series的資料項目,那麼這個series數量就應當被明確標出。

Short影像檢查相關Series的數量
34. ImagingStudy.numberOfInstances
Definition

在醫學影像檢查中,顯示的SOP instances數量有時會比Resource實際包含的更多。這可能是由於instance的限制、安全問題或其他因素所致。如果Resource中包含至少一個instance的資料項目,那麼這個資料項目就應該被包含在內。

Short影像檢查相關Instances的數量
36. ImagingStudy.procedureReference
Definition

此影像檢查是此處置(Procedure)的一部分

Short所執行的處置(Procedure)參照
TypeReference(TW Core Procedure)
38. ImagingStudy.procedureCode
Definition

執行的處置類型代碼

Short執行的處置代碼
BindingUnless not suitable, these codes SHALL be taken from http://www.rsna.org/RadLex_Playbook.aspx
(extensible to http://www.rsna.org/RadLex_Playbook.aspx)

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。

TypeCodeableConcept(TW CodeableConcept)
Must Supporttrue
40. ImagingStudy.procedureCode.coding
Short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。
SlicingThis element introduces a set of slices on ImagingStudy.procedureCode.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • pattern @ $this
  • 42. ImagingStudy.procedureCode.coding:radLex-radiology-lexicon
    Slice NameradLex-radiology-lexicon
    Definition

    由專門術語系統(terminology system)所定義之代碼的參照。

    Short應填入所綁定值集中的其中一個代碼。
    Comments

    代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

    Control0..1
    BindingThe codes SHALL be taken from http://www.rsna.org/RadLex_Playbook.aspx
    (required to http://www.rsna.org/RadLex_Playbook.aspx)
    Must Supporttrue
    Requirements

    允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

    44. ImagingStudy.procedureCode.coding:icd10-pcs-2021
    Slice Nameicd10-pcs-2021
    Definition

    由專門術語系統(terminology system)所定義之代碼的參照。

    Short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。
    Comments

    代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

    Control0..1
    BindingThe codes SHALL be taken from 臺灣健保署2021年中文版ICD-10-PCS值集
    (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw)

    應填入所綁定值集中的其中一個代碼。

    Must Supporttrue
    Requirements

    允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

    46. ImagingStudy.procedureCode.coding:icd10-pcs-2023
    Slice Nameicd10-pcs-2023
    Definition

    由專門術語系統(terminology system)所定義之代碼的參照。

    Short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。
    Comments

    代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

    Control0..1
    BindingThe codes SHALL be taken from 臺灣健保署2023年中文版ICD-10-PCS值集
    (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw)

    應填入所綁定值集中的其中一個代碼。

    Must Supporttrue
    Requirements

    允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

    48. ImagingStudy.location
    Definition

    進行影像檢查的主要實體地點

    Short影像檢查發生的地點
    Requirements

    將事件與可能保存記錄的地點相關聯,並提供圍繞事件發生的背景資訊(例如:事件是發生在專門的醫療環境內或外)。

    50. ImagingStudy.reasonCode
    Definition

    說明為什麼要求進行影像檢查的臨床情況

    Short為什麼進行此影像檢查
    BindingUnless not suitable, these codes SHALL be taken from ProcedureReasonCodes
    (extensible to http://hl7.org/fhir/ValueSet/procedure-reason)

    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。

    TypeCodeableConcept(TW CodeableConcept)
    Must Supporttrue
    52. ImagingStudy.reasonReference
    Definition

    這表示有另外一個Resource,其存在是進行這項檢查的合理原因。

    Short為什麼進行此影像檢查
    TypeReference(TW Core Condition, TW Core Observation Laboratory Result, Media, TW Core DiagnosticReport, DocumentReference)
    54. ImagingStudy.note
    Definition

    按照建議的DICOM對應關係,這個資料項目是來自影像檢查描述屬性(0008,1030)。有關影像檢查的觀察或發現應該記錄在別的Resource裡,比如說Observation,而不是在這個資料項目。

    Short用戶自定義的評論
    56. ImagingStudy.description
    Definition

    影像管理員(Imaging Manager)對此影像檢查的描述,它是由醫療機構自己生成的,用來描述或分類此影像檢查(元件)的內容。

    Short機構產生的描述
    58. ImagingStudy.series
    Definition

    每項影像檢查有一個或多個系列的影像或其他內容

    Short每項影像檢查有一個或多個系列(series)的實例
    Must Supporttrue
    60. ImagingStudy.series.uid
    Definition

    此系列的DICOM系列實例UID

    Short此系列的DICOM系列實例UID
    Comments

    見DICOM PS3.3 C.7.3

    Must Supporttrue
    Requirements

    此系列的DICOM系列實例UID

    62. ImagingStudy.series.number
    Definition

    此影像檢查中此系列的數字識別碼

    Short此系列的數字識別碼
    64. ImagingStudy.series.modality
    Definition

    此系列序列所使用的成像儀器

    Short此系列實例所使用的成像儀器
    BindingUnless not suitable, these codes SHALL be taken from AcquisitionModality
    (extensible to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html)

    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。

    Must Supporttrue
    66. ImagingStudy.series.description
    Definition

    對此系列的描述

    Short對此系列的一個簡短且易於閱讀的摘要
    68. ImagingStudy.series.numberOfInstances
    Definition

    在醫學影像檢查中,顯示的SOP instances數量有時會比Resource實際包含的更多。這可能是由於instance的限制、安全問題或其他因素所致。如果Resource中包含至少一個instance的資料項目,那麼這個資料項目就應該被包含在內。

    Short此Series相關Instances的數量
    70. ImagingStudy.series.endpoint
    Definition

    提供影像檢查資料存取的網路服務,包括查詢、觀看或下載影像檢查資料。更多有關如何使用DICOM端點的詳細資訊,請查看實作指引。整體檢查的網絡連接設定(端點)適用於檢查中的每一個影像系列。但如果某個影像系列有自己特定的網路連接設定(稱為系統端點),且這個設定的類型(Endpoint.connectionType)與整體檢查的端點相同,則該系列將依據其自身的設定進行連接。

    Short此系列的存取端點
    Comments

    常見的端點類型包括:DICOM WADO-RS,它透過RESTful API以原始或轉換後的格式(如JPG、PNG)來查DICOM影像檔案;DICOM WADO-URI,這也能查詢原始或轉換後的影像,但它是透過HTTP查詢方式實現;DICOM QIDO-RS,它允許使用RESTful查詢方式來獲取DICOM資訊,而無需下載影像檔案本身;還有IHE Invoke Image Display(IID),這是一種標準的網路影像查看器(viewer)啟動方式。

    Requirements

    說明了如何查詢(例如:使用DICOM的WADO-URI和WADO-RS)其影像系列或單個系列的方法。整體檢查的基礎位置設定(baseLocation)通常適用於檢查中的所有影像系列。但如果某個影像系列有自己的基礎位置設定(稱為系列級baseLocation),且這個設定與整體檢查的設定類型相同,則該系列將按照自己的設定進行操作。

    72. ImagingStudy.series.bodySite
    Definition

    所檢查的解剖結構。參見DICOM第16部分附件L(http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html),瞭解DICOM與SNOMED-CT的對應關係。bodySite可指示成像的身體部位的橫向性;如果是這樣,它應與ImagingStudy.series.siderality的任何內容一致。

    Short被檢查的身體部位
    BindingUnless not suitable, these codes SHALL be taken from SNOMEDCTBodyStructures
    (extensible to http://hl7.org/fhir/ValueSet/body-site)

    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。

    74. ImagingStudy.series.laterality
    Definition

    影像檢查中所掃描的身體結構部位。要了解DICOM與SNOMED-CT的對應關係,可以查閱DICOM標準的第16部分附件L。在這裡提到的bodySite可能會表明被掃描的身體部位是左側還是右側;如果有指明側性,那麼這個資訊應該與ImagingStudy.series.laterality中的內容一致。

    Short身體部位的側性
    BindingUnless not suitable, these codes SHALL be taken from Laterality
    (extensible to http://hl7.org/fhir/ValueSet/bodysite-laterality)

    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。

    76. ImagingStudy.series.specimen
    Definition

    要進行影像檢查的檢體,例如:活體組織切片的整片掃描成像的檢體。

    Short要進行影像檢查的檢體
    TypeReference(TW Core Specimen)
    78. ImagingStudy.series.started
    Definition

    此系列開始的日期和時間

    Short此系列何時開始的
    80. ImagingStudy.series.performer
    Definition

    指明誰或什麼執行了這個系列,以及他們是如何參與的。

    Short誰執行了此系列
    Comments

    如果不確定是誰執行了此系列,可以記錄這位執行者所在的機構。有時,病人本人或與病人有關的人士也可能是影像的拍攝者,比如在病人自己拍攝的影像。

    Requirements

    執行者的資訊是記錄在每個系列的層面上,因為在一次檢查中,不同的系列可能會由不同的執行者在不同的時間點使用不同的設備來進行。而且一個系列有可能由多位執行者共同完成。

    82. ImagingStudy.series.performer.function
    Definition

    區分執行者在此系列中的參與類型

    Short執行的類型
    BindingUnless not suitable, these codes SHALL be taken from ImagingStudySeriesPerformerFunction
    (extensible to http://hl7.org/fhir/ValueSet/series-performer-function)

    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。

    TypeCodeableConcept(TW CodeableConcept)
    Requirements

    可以區分不同執行者參與的類型

    84. ImagingStudy.series.performer.actor
    Definition

    表示誰或什麼人執行了該系列

    Short誰執行了此系列
    TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, TW Core CareTeam, TW Core Patient, Device, TW Core RelatedPerson)
    86. ImagingStudy.series.instance
    Definition

    系列中的單一SOP實例,例如:影像或表現狀態。

    Short系列中的一個SOP實例
    Must Supporttrue
    88. ImagingStudy.series.instance.uid
    Definition

    此影像或其他DICOM內容的DICOM SOP實例UID

    ShortDICOM SOP實例的UID
    Comments

    見DICOM PS3.3 C.12.1

    Must Supporttrue
    Requirements

    DICOM SOP實例的UID

    90. ImagingStudy.series.instance.sopClass
    Definition

    DICOM實例類型

    ShortDICOM class 類型
    BindingUnless not suitable, these codes SHALL be taken from http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
    (extensible to http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1)

    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。

    Must Supporttrue
    92. ImagingStudy.series.instance.number
    Definition

    此系列中該實例的序號

    Short此系列中該實例的序號
    94. ImagingStudy.series.instance.title
    Definition

    實例的描述

    Short實例的描述
    Comments

    特別是對於取得後的分析物件,例如:SR、表現狀態、值對應等。

    Guidance on how to interpret the contents of this table can be found here

    0. ImagingStudy
    Definition

    DICOM影像檢查中產生的內容。每項檢查包含若干系列(series),每一系列只使用一種影像儀器(例如X光、電腦斷層掃描CT、核磁共振MR、超音波等),每個系列由在相同背景下獲得或製作的服務-物件對實例(Service-Object Pair Instances,簡稱SOP實例,包含影像或其他類型的資料)所組成。但一項檢查中可能包括多個使用不同影像儀器的系列。


    Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.

    Short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】A set of images produced in single study (one or more series of references images)
    Control0..*
    Is Modifierfalse
    Summaryfalse
    Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
    dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
    dom-6: A resource should have narrative for robust management (text.`div`.exists())
    2. ImagingStudy.id
    Definition

    resource的邏輯ID,在resource的URL中使用。一旦指定,這個值永遠不會改變。


    The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

    Short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。Logical id of this artifact
    Comments

    一個resource使用新增操作(create operation)提交給伺服器時,此resource沒有id,它的id在resource被創建後由伺器分配/指定。


    The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

    Control0..1
    Typeidstring
    Is Modifierfalse
    Summarytrue
    4. ImagingStudy.meta
    Definition

    關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。


    The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

    Short此ImagingStudy Resource的metadataMetadata about the resource
    Control0..1
    TypeMeta
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    6. ImagingStudy.implicitRules
    Definition

    構建resource時遵循的一系列規則的參照,在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。


    A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

    Short創建此內容所依據的一組規則A set of rules under which this content was created
    Comments

    宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而,現有的健康生態體系高度分裂,還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能,實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時,此URL是對IG的參照,此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。


    Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

    Control0..1
    Typeuri
    Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    8. ImagingStudy.language
    Definition

    編寫此resource的語言


    The base language in which the resource is written.

    Short用以表述ImagingStudy Resource內容的語言。Language of the resource content
    Comments

    提供語言是為了支援索引和可存取性(通常,文字表述轉語音等服務使用此語言標籤)。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此語言。不應該假定Resource.language自動適用於敘述。如果指定語言,它也應該被指定在html中的div資料項目(關於xml:lang和html lang屬性之間的關係,見HTML5中的規則)。


    Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

    Control0..1
    BindingThe codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages
    (preferred to http://hl7.org/fhir/ValueSet/languages)

    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。


    A human language.

    Additional BindingsPurpose
    AllLanguagesMax Binding
    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Example<br/><b>Value</b>:zh-TW
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    10. ImagingStudy.text
    Definition

    人可讀的敘述,包含resource的摘要,可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼,但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義有哪些內容應該在敘述中表示,以確保臨床安全。


    A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

    ShortImagingStudy Resource之內容摘要以供人閱讀Text summary of the resource, for human interpretation
    Comments

    內嵌(contained)的resource沒有敘述,非內嵌(contained)的resource則 建議應該(SHOULD) 有敘述。有時resource可能只有文字表述,很少或沒有額外的結構化資料(只要滿足所有minOccurs=1的資料項目)。這可能出現在舊系統的資料,當資訊以 「文字表述區塊(text blob) 」的形式被取得,或者文字表述是原始輸入或說明,而編碼資訊稍後再添加。


    Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

    Control0..1
    TypeNarrative
    Is Modifierfalse
    Summaryfalse
    Alternate Namesnarrative, html, xhtml, display
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    12. ImagingStudy.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Summaryfalse
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    14. ImagingStudy.identifier
    Definition

    ImagingStudy的識別碼,如DICOM檢查實例UID (Study Instance UID)和檢查單號(Accession Number)。


    Identifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number.

    Short整項影像檢查的識別碼Identifiers for the whole study
    Comments

    有關DICOM檢查實例UID的編碼,請參閱「影像檢查實作說明(Imaging Study Implementation Notes)」下的討論。檢查單號(Accession Number)應使用ACSN識別碼類型 (Identifier type)。


    See discussion under Imaging Study Implementation Notes for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type.

    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..*
    TypeIdentifier
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

    如果此 ImagingStudy 中存在一個或多個 series 資料項目,那麼就應該有一個DICOM Study UID識別碼(見DICOM PS 3.3 C.7.2 .


    If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier (see DICOM PS 3.3 C.7.2.

    Alternate NamesStudyInstanceUID, AccessionNumber
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. ImagingStudy.status
    Definition

    影像檢查的當前狀態。


    The current state of the ImagingStudy.

    Shortregistered | available | cancelled | entered-in-error | unknown
    Comments

    「未知」並不意味著「其他」類型;必須符合已確定的某種狀態。當創建系統不確定當前狀態時,會使用「未知」這一選項。


    Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.

    Control1..1
    BindingThe codes SHALL be taken from ImagingStudyStatushttp://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1
    (required to http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1)

    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。


    The status of the ImagingStudy.

    Typecode
    Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    18. ImagingStudy.modality
    Definition

    列出所有系列中用於實際影像獲取的儀器類型,即在DICOM Context Group 29(值集的唯一識別碼為1.2.840.10008.6.1.19)中定義的類型。


    A list of all the series.modality values that are actual acquisition modalities, i.e. those in the DICOM Context Group 29 (value set OID 1.2.840.10008.6.1.19).

    Short列出所有系列中用於實際影像獲取的儀器類型All series modality if actual acquisition modalities
    Control0..*
    BindingUnless not suitable, these codes SHALL be taken from AcquisitionModalityhttp://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
    (extensible to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html)

    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。


    Type of acquired data in the instance.

    TypeCoding
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Alternate NamesModalitiesInStudy
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. ImagingStudy.subject
    Definition

    影像檢查的對象,通常是病人。


    The subject, typically a patient, of the imaging study.

    Short誰或什麼是影像檢查的對象Who or what is the subject of the study
    Comments

    影像檢查的對象,若為品質保證的標準對照物(QA幻影)可用 Device 作記錄。若其檢查對象是多隻小動物(如多隻老鼠),則可以將它們作為 Group 來進行記錄。


    QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group.

    Control1..1
    TypeReference(TW Core Patient, Device, Group, Patient)
    Is Modifierfalse
    Must Supporttrue
    Must Support TypesNo must-support rules about the choice of types/profiles
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. ImagingStudy.encounter
    Definition

    進行此影像檢查的健康照護事件(例如:病人與健康照護服務提供者的互動)。


    The healthcare event (e.g. a patient and healthcare provider interaction) during which this ImagingStudy is made.

    Short與此影像檢查有關的就醫事件(Encounter)Encounter with which this imaging study is associated
    Comments

    病人接受影像檢查時所在的就醫情境。不過,有些相關事件可能在病人就醫前或完成就醫後發生,但這些事件仍與就醫情境有關(例如:病人入院前的檢查)。


    This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission test).

    Control0..1
    TypeReference(TW Core Encounter, Encounter)
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. ImagingStudy.started
    Definition

    檢查開始的日期和時間


    Date and time the study started.

    Short影像檢查何時開始When the study was started
    Control0..1
    TypedateTime
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Alternate NamesStudyDate, StudyTime
    Example<br/><b>General</b>:2011-01-01T11:01:20+03:00
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    26. ImagingStudy.basedOn
    Definition

    導致進行此影像檢查的診斷報告清單


    A list of the diagnostic requests that resulted in this imaging study being performed.

    Short要求執行此影像檢查的依據Request fulfilled
    Control0..*
    TypeReference(CarePlan, ServiceRequest, Appointment, AppointmentResponse, Task)
    Is Modifierfalse
    Summarytrue
    Requirements

    支援分組處置(一項影像檢查支援多個醫令處置,如胸腔/腹部/骨盆CT)。


    To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT).

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    28. ImagingStudy.referrer
    Definition

    請求/轉診的醫師


    The requesting/referring physician.

    Short轉診醫師Referring physician
    Control0..1
    TypeReference(TW Core Practitioner, TW Core PractitionerRole, Practitioner, PractitionerRole)
    Is Modifierfalse
    Summarytrue
    Alternate NamesReferringPhysiciansName
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    30. ImagingStudy.interpreter
    Definition

    誰閱讀了檢查報告並解讀了影像或其他內容


    Who read the study and interpreted the images or other content.

    Short誰解讀了影像Who interpreted images
    Control0..*
    TypeReference(TW Core Practitioner, TW Core PractitionerRole, Practitioner, PractitionerRole)
    Is Modifierfalse
    Summarytrue
    Alternate NamesName of Physician(s) Reading Study
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    32. ImagingStudy.endpoint
    Definition

    提供影像檢查資料存取的網路服務,包括查詢、觀看或下載影像檢查資料。更多有關如何使用DICOM端點的詳細資訊,請查看實作指引。整體檢查的網絡連接設定(端點)適用於檢查中的每一個影像系列。但如果某個影像系列有自己特定的網路連接設定(稱為系統端點),且這個設定的類型(Endpoint.connectionType)與整體檢查的端點相同,則該系列將依據其自身的設定進行連接。


    The network service providing access (e.g., query, view, or retrieval) for the study. See implementation notes for information about using DICOM endpoints. A study-level endpoint applies to each series in the study, unless overridden by a series-level endpoint with the same Endpoint.connectionType.

    Short影像檢查存取的端點(endpoint)Study access endpoint
    Comments

    常見的端點類型包括:DICOM WADO-RS,它透過RESTful API以原始或轉換後的格式(如JPG、PNG)來查DICOM影像檔案;DICOM WADO-URI,這也能查詢原始或轉換後的影像,但它是透過HTTP查詢方式實現;DICOM QIDO-RS,它允許使用RESTful查詢方式來獲取DICOM資訊,而無需下載影像檔案本身;還有IHE Invoke Image Display(IID),這是一種標準的網路影像查看器(viewer)啟動方式。


    Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG), formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances; or IHE Invoke Image Display (IID), which provides standard invocation of an imaging web viewer.

    Control0..*
    TypeReference(Endpoint)
    Is Modifierfalse
    Summarytrue
    Requirements

    說明了如何查看(例如:使用IHE的IID profile)或查詢(例如:使用DICOM的WADO-URI和WADO-RS)影像檢查、其影像系列或單個影像的方法。整體檢查的基礎位置設定(baseLocation)通常適用於檢查中的所有影像系列。但如果某個影像系列有自己的基礎位置設定(稱為系列級baseLocation),且這個設定與整體檢查的設定類型相同,則該系列將按照自己的設定進行操作。


    Access methods for viewing (e.g., IHE’s IID profile) or retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the study or the study’s series or instances. The study-level baseLocation applies to each series in the study, unless overridden in series by a series-level baseLocation of the same type.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    34. ImagingStudy.numberOfSeries
    Definition

    在醫學影像檢查中,顯示的series數量有時會比Resource實際包含的更多。這可能是由於Resource的限制、安全問題或其他因素所致。如果Resource中包含至少一個series的資料項目,那麼這個series數量就應當被明確標出。


    Number of Series in the Study. This value given may be larger than the number of series elements this Resource contains due to resource availability, security, or other factors. This element should be present if any series elements are present.

    Short影像檢查相關Series的數量Number of Study Related Series
    Control0..1
    TypeunsignedInt
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Alternate NamesNumberOfStudyRelatedSeries
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    36. ImagingStudy.numberOfInstances
    Definition

    在醫學影像檢查中,顯示的SOP instances數量有時會比Resource實際包含的更多。這可能是由於instance的限制、安全問題或其他因素所致。如果Resource中包含至少一個instance的資料項目,那麼這個資料項目就應該被包含在內。


    Number of SOP Instances in Study. This value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present.

    Short影像檢查相關Instances的數量Number of Study Related Instances
    Control0..1
    TypeunsignedInt
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Alternate NamesNumberOfStudyRelatedInstances
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    38. ImagingStudy.procedureReference
    Definition

    此影像檢查是此處置(Procedure)的一部分


    The procedure which this ImagingStudy was part of.

    Short所執行的處置(Procedure)參照The performed Procedure reference
    Control0..1
    TypeReference(TW Core Procedure, Procedure)
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    40. ImagingStudy.procedureCode
    Definition

    執行的處置類型代碼


    The code for the performed procedure type.

    Short執行的處置代碼The performed procedure code
    Comments

    Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

    Control0..*
    This element is affected by the following invariants: ele-1
    BindingUnless not suitable, these codes SHALL be taken from http://www.rsna.org/RadLex_Playbook.aspx
    (extensible to http://www.rsna.org/RadLex_Playbook.aspx)

    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。


    The performed procedure type.

    TypeCodeableConcept(TW CodeableConcept)
    Is Modifierfalse
    Must Supporttrue
    Alternate NamesProcedureCodeSequence
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    42. ImagingStudy.procedureCode.coding
    Definition

    由專門術語系統(terminology system)所定義之代碼的參照


    A reference to a code defined by a terminology system.

    Short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。Code defined by a terminology system
    Comments

    代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeCoding(TW Coding)
    Is Modifierfalse
    Must Supporttrue
    Requirements

    允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


    Allows for alternative encodings within a code system, and translations to other code systems.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on ImagingStudy.procedureCode.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • pattern @ $this
    • 44. ImagingStudy.procedureCode.coding:radLex-radiology-lexicon
      Slice NameradLex-radiology-lexicon
      Definition

      由專門術語系統(terminology system)所定義之代碼的參照。


      A reference to a code defined by a terminology system.

      Short應填入所綁定值集中的其中一個代碼。Code defined by a terminology system
      Comments

      代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

      Control0..1*
      This element is affected by the following invariants: ele-1
      BindingThe codes SHALL be taken from For codes, see http://www.rsna.org/RadLex_Playbook.aspx
      (required to http://www.rsna.org/RadLex_Playbook.aspx)
      TypeCoding(TW Coding)
      Is Modifierfalse
      Must Supporttrue
      Requirements

      允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


      Allows for alternative encodings within a code system, and translations to other code systems.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      46. ImagingStudy.procedureCode.coding:icd10-pcs-2021
      Slice Nameicd10-pcs-2021
      Definition

      由專門術語系統(terminology system)所定義之代碼的參照。


      A reference to a code defined by a terminology system.

      Short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。Code defined by a terminology system
      Comments

      代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

      Control0..1*
      This element is affected by the following invariants: ele-1
      BindingThe codes SHALL be taken from For codes, see 臺灣健保署2021年中文版ICD-10-PCS值集
      (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw)

      應填入所綁定值集中的其中一個代碼。

      TypeCoding(TW Coding)
      Is Modifierfalse
      Must Supporttrue
      Requirements

      允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


      Allows for alternative encodings within a code system, and translations to other code systems.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      48. ImagingStudy.procedureCode.coding:icd10-pcs-2023
      Slice Nameicd10-pcs-2023
      Definition

      由專門術語系統(terminology system)所定義之代碼的參照。


      A reference to a code defined by a terminology system.

      Short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。Code defined by a terminology system
      Comments

      代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

      Control0..1*
      This element is affected by the following invariants: ele-1
      BindingThe codes SHALL be taken from For codes, see 臺灣健保署2023年中文版ICD-10-PCS值集
      (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw)

      應填入所綁定值集中的其中一個代碼。

      TypeCoding(TW Coding)
      Is Modifierfalse
      Must Supporttrue
      Requirements

      允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


      Allows for alternative encodings within a code system, and translations to other code systems.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      50. ImagingStudy.procedureCode.text
      Definition

      輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。


      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

      Short概念的文字表示法Plain text representation of the concept
      Comments

      很多時候,此文字表述與其中一個代碼的顯示名稱相同。


      Very often the text is the same as a displayName of one of the codings.

      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Requirements

      專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。


      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      52. ImagingStudy.location
      Definition

      進行影像檢查的主要實體地點


      The principal physical location where the ImagingStudy was performed.

      Short影像檢查發生的地點Where ImagingStudy occurred
      Control0..1
      TypeReference(Location)
      Is Modifierfalse
      Summarytrue
      Requirements

      將事件與可能保存記錄的地點相關聯,並提供圍繞事件發生的背景資訊(例如:事件是發生在專門的醫療環境內或外)。


      Ties the event to where the records are likely kept and provides context around the event occurrence (e.g. if it occurred inside or outside a dedicated healthcare setting).

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      54. ImagingStudy.reasonCode
      Definition

      說明為什麼要求進行影像檢查的臨床情況


      Description of clinical condition indicating why the ImagingStudy was requested.

      Short為什麼進行此影像檢查Why the study was requested
      Comments

      Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

      Control0..*
      This element is affected by the following invariants: ele-1
      BindingUnless not suitable, these codes SHALL be taken from For example codes, see ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reason
      (extensible to http://hl7.org/fhir/ValueSet/procedure-reason)

      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。


      The reason for the study.

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Must Supporttrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      56. ImagingStudy.reasonReference
      Definition

      這表示有另外一個Resource,其存在是進行這項檢查的合理原因。


      Indicates another resource whose existence justifies this Study.

      Short為什麼進行此影像檢查Why was study performed
      Control0..*
      TypeReference(TW Core Condition, TW Core Observation Laboratory Result, Media, TW Core DiagnosticReport, DocumentReference, Condition, Observation, DiagnosticReport)
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      58. ImagingStudy.note
      Definition

      按照建議的DICOM對應關係,這個資料項目是來自影像檢查描述屬性(0008,1030)。有關影像檢查的觀察或發現應該記錄在別的Resource裡,比如說Observation,而不是在這個資料項目。


      Per the recommended DICOM mapping, this element is derived from the Study Description attribute (0008,1030). Observations or findings about the imaging study should be recorded in another resource, e.g. Observation, and not in this element.

      Short用戶自定義的評論User-defined comments
      Control0..*
      TypeAnnotation
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      60. ImagingStudy.description
      Definition

      影像管理員(Imaging Manager)對此影像檢查的描述,它是由醫療機構自己生成的,用來描述或分類此影像檢查(元件)的內容。


      The Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed.

      Short機構產生的描述Institution-generated description
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Alternate NamesStudyDescription
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      62. ImagingStudy.series
      Definition

      每項影像檢查有一個或多個系列的影像或其他內容


      Each study has one or more series of images or other content.

      Short每項影像檢查有一個或多個系列(series)的實例Each study has one or more series of instances
      Control0..*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      64. ImagingStudy.series.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      66. ImagingStudy.series.uid
      Definition

      此系列的DICOM系列實例UID


      The DICOM Series Instance UID for the series.

      Short此系列的DICOM系列實例UIDDICOM Series Instance UID for the series
      Comments

      見DICOM PS3.3 C.7.3


      Control1..1
      Typeid
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Requirements

      此系列的DICOM系列實例UID


      DICOM Series Instance UID.

      Alternate NamesSeriesInstanceUID
      Example<br/><b>General</b>:2.16.124.113543.6003.2588828330.45298.17418.2723805630
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      68. ImagingStudy.series.number
      Definition

      此影像檢查中此系列的數字識別碼


      The numeric identifier of this series in the study.

      Short此系列的數字識別碼Numeric identifier of this series
      Control0..1
      TypeunsignedInt
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Alternate NamesSeriesNumber
      Example<br/><b>General</b>:3
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      70. ImagingStudy.series.modality
      Definition

      此系列序列所使用的成像儀器


      The modality of this series sequence.

      Short此系列實例所使用的成像儀器The modality of the instances in the series
      Control1..1
      BindingUnless not suitable, these codes SHALL be taken from AcquisitionModalityhttp://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
      (extensible to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html)

      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。


      Type of acquired data in the instance.

      TypeCoding
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Alternate NamesModality
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      72. ImagingStudy.series.description
      Definition

      對此系列的描述


      A description of the series.

      Short對此系列的一個簡短且易於閱讀的摘要A short human readable summary of the series
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Alternate NamesSeriesDescription
      Example<br/><b>General</b>:CT Surview 180
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      74. ImagingStudy.series.numberOfInstances
      Definition

      在醫學影像檢查中,顯示的SOP instances數量有時會比Resource實際包含的更多。這可能是由於instance的限制、安全問題或其他因素所致。如果Resource中包含至少一個instance的資料項目,那麼這個資料項目就應該被包含在內。


      Number of SOP Instances in the Study. The value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present.

      Short此Series相關Instances的數量Number of Series Related Instances
      Control0..1
      TypeunsignedInt
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Alternate NamesNumberOfSeriesRelatedInstances
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      76. ImagingStudy.series.endpoint
      Definition

      提供影像檢查資料存取的網路服務,包括查詢、觀看或下載影像檢查資料。更多有關如何使用DICOM端點的詳細資訊,請查看實作指引。整體檢查的網絡連接設定(端點)適用於檢查中的每一個影像系列。但如果某個影像系列有自己特定的網路連接設定(稱為系統端點),且這個設定的類型(Endpoint.connectionType)與整體檢查的端點相同,則該系列將依據其自身的設定進行連接。


      The network service providing access (e.g., query, view, or retrieval) for this series. See implementation notes for information about using DICOM endpoints. A series-level endpoint, if present, has precedence over a study-level endpoint with the same Endpoint.connectionType.

      Short此系列的存取端點Series access endpoint
      Comments

      常見的端點類型包括:DICOM WADO-RS,它透過RESTful API以原始或轉換後的格式(如JPG、PNG)來查DICOM影像檔案;DICOM WADO-URI,這也能查詢原始或轉換後的影像,但它是透過HTTP查詢方式實現;DICOM QIDO-RS,它允許使用RESTful查詢方式來獲取DICOM資訊,而無需下載影像檔案本身;還有IHE Invoke Image Display(IID),這是一種標準的網路影像查看器(viewer)啟動方式。


      Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG) formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; and DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances.

      Control0..*
      TypeReference(Endpoint)
      Is Modifierfalse
      Summarytrue
      Requirements

      說明了如何查詢(例如:使用DICOM的WADO-URI和WADO-RS)其影像系列或單個系列的方法。整體檢查的基礎位置設定(baseLocation)通常適用於檢查中的所有影像系列。但如果某個影像系列有自己的基礎位置設定(稱為系列級baseLocation),且這個設定與整體檢查的設定類型相同,則該系列將按照自己的設定進行操作。


      Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the series or the series’ instances. A baseLocation specified at the series level has precedence over a baseLocation of the same type specified at the study level.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      78. ImagingStudy.series.bodySite
      Definition

      所檢查的解剖結構。參見DICOM第16部分附件L(http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html),瞭解DICOM與SNOMED-CT的對應關係。bodySite可指示成像的身體部位的橫向性;如果是這樣,它應與ImagingStudy.series.siderality的任何內容一致。


      The anatomic structures examined. See DICOM Part 16 Annex L (http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings. The bodySite may indicate the laterality of body part imaged; if so, it shall be consistent with any content of ImagingStudy.series.laterality.

      Short被檢查的身體部位Body part examined
      Control0..1
      BindingUnless not suitable, these codes SHALL be taken from For example codes, see SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site
      (extensible to http://hl7.org/fhir/ValueSet/body-site)

      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。


      Codes describing anatomical locations. May include laterality.

      TypeCoding
      Is Modifierfalse
      Summarytrue
      Alternate NamesBodyPartExamined
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      80. ImagingStudy.series.laterality
      Definition

      影像檢查中所掃描的身體結構部位。要了解DICOM與SNOMED-CT的對應關係,可以查閱DICOM標準的第16部分附件L。在這裡提到的bodySite可能會表明被掃描的身體部位是左側還是右側;如果有指明側性,那麼這個資訊應該與ImagingStudy.series.laterality中的內容一致。


      The laterality of the (possibly paired) anatomic structures examined. E.g., the left knee, both lungs, or unpaired abdomen. If present, shall be consistent with any laterality information indicated in ImagingStudy.series.bodySite.

      Short身體部位的側性Body part laterality
      Control0..1
      BindingUnless not suitable, these codes SHALL be taken from For example codes, see Lateralityhttp://hl7.org/fhir/ValueSet/bodysite-laterality
      (extensible to http://hl7.org/fhir/ValueSet/bodysite-laterality)

      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。


      Codes describing body site laterality (left, right, etc.).

      TypeCoding
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      82. ImagingStudy.series.specimen
      Definition

      要進行影像檢查的檢體,例如:活體組織切片的整片掃描成像的檢體。


      The specimen imaged, e.g., for whole slide imaging of a biopsy.

      Short要進行影像檢查的檢體Specimen imaged
      Control0..*
      TypeReference(TW Core Specimen, Specimen)
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      84. ImagingStudy.series.started
      Definition

      此系列開始的日期和時間


      The date and time the series was started.

      Short此系列何時開始的When the series started
      Control0..1
      TypedateTime
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      86. ImagingStudy.series.performer
      Definition

      指明誰或什麼執行了這個系列,以及他們是如何參與的。


      Indicates who or what performed the series and how they were involved.

      Short誰執行了此系列Who performed the series
      Comments

      如果不確定是誰執行了此系列,可以記錄這位執行者所在的機構。有時,病人本人或與病人有關的人士也可能是影像的拍攝者,比如在病人自己拍攝的影像。


      If the person who performed the series is not known, their Organization may be recorded. A patient, or related person, may be the performer, e.g. for patient-captured images.

      Control0..*
      TypeBackboneElement
      Is Modifierfalse
      Summarytrue
      Requirements

      執行者的資訊是記錄在每個系列的層面上,因為在一次檢查中,不同的系列可能會由不同的執行者在不同的時間點使用不同的設備來進行。而且一個系列有可能由多位執行者共同完成。


      The performer is recorded at the series level, since each series in a study may be performed by a different performer, at different times, and using different devices. A series may be performed by multiple performers.

      Alternate NamesPerformingPhysicianName, OperatorName
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      88. ImagingStudy.series.performer.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      90. ImagingStudy.series.performer.function
      Definition

      區分執行者在此系列中的參與類型


      Distinguishes the type of involvement of the performer in the series.

      Short執行的類型Type of performance
      Comments

      Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

      Control0..1
      This element is affected by the following invariants: ele-1
      BindingUnless not suitable, these codes SHALL be taken from ImagingStudySeriesPerformerFunctionhttp://hl7.org/fhir/ValueSet/series-performer-function
      (extensible to http://hl7.org/fhir/ValueSet/series-performer-function)

      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。


      The type of involvement of the performer.

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Requirements

      可以區分不同執行者參與的類型


      Allows disambiguation of the types of involvement of different performers.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      92. ImagingStudy.series.performer.actor
      Definition

      表示誰或什麼人執行了該系列


      Indicates who or what performed the series.

      Short誰執行了此系列Who performed the series
      Control1..1
      TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, TW Core CareTeam, TW Core Patient, Device, TW Core RelatedPerson, Practitioner, PractitionerRole, Organization, CareTeam, Patient, RelatedPerson)
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      94. ImagingStudy.series.instance
      Definition

      系列中的單一SOP實例,例如:影像或表現狀態。


      A single SOP instance within the series, e.g. an image, or presentation state.

      Short系列中的一個SOP實例A single SOP instance from the series
      Control0..*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      96. ImagingStudy.series.instance.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      98. ImagingStudy.series.instance.uid
      Definition

      此影像或其他DICOM內容的DICOM SOP實例UID


      The DICOM SOP Instance UID for this image or other DICOM content.

      ShortDICOM SOP實例的UIDDICOM SOP Instance UID
      Comments

      見DICOM PS3.3 C.12.1


      Control1..1
      Typeid
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      DICOM SOP實例的UID


      DICOM SOP Instance UID.

      Alternate NamesSOPInstanceUID
      Example<br/><b>General</b>:2.16.124.113543.6003.189642796.63084.16748.2599092903
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      100. ImagingStudy.series.instance.sopClass
      Definition

      DICOM實例類型


      DICOM instance type.

      ShortDICOM class 類型DICOM class type
      Control1..1
      BindingUnless not suitable, these codes SHALL be taken from http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
      (extensible to http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1)

      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。


      The sopClass for the instance.

      TypeCoding
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Alternate NamesSOPClassUID
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      102. ImagingStudy.series.instance.number
      Definition

      此系列中該實例的序號


      The number of instance in the series.

      Short此系列中該實例的序號The number of this instance in the series
      Control0..1
      TypeunsignedInt
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Alternate NamesInstanceNumber
      Example<br/><b>General</b>:1
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      104. ImagingStudy.series.instance.title
      Definition

      實例的描述


      The description of the instance.

      Short實例的描述Description of instance
      Comments

      特別是對於取得後的分析物件,例如:SR、表現狀態、值對應等。


      Particularly for post-acquisition analytic objects, such as SR, presentation states, value mapping, etc.

      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

      Guidance on how to interpret the contents of this table can be found here

      0. ImagingStudy
      Definition

      DICOM影像檢查中產生的內容。每項檢查包含若干系列(series),每一系列只使用一種影像儀器(例如X光、電腦斷層掃描CT、核磁共振MR、超音波等),每個系列由在相同背景下獲得或製作的服務-物件對實例(Service-Object Pair Instances,簡稱SOP實例,包含影像或其他類型的資料)所組成。但一項檢查中可能包括多個使用不同影像儀器的系列。

      Short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】
      Control0..*
      Is Modifierfalse
      Summaryfalse
      Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
      dom-6: A resource should have narrative for robust management (text.`div`.exists())
      2. ImagingStudy.id
      Definition

      resource的邏輯ID,在resource的URL中使用。一旦指定,這個值永遠不會改變。

      Short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。
      Comments

      一個resource使用新增操作(create operation)提交給伺服器時,此resource沒有id,它的id在resource被創建後由伺器分配/指定。

      Control0..1
      Typeid
      Is Modifierfalse
      Summarytrue
      4. ImagingStudy.meta
      Definition

      關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。

      Short此ImagingStudy Resource的metadata
      Control0..1
      TypeMeta
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      6. ImagingStudy.implicitRules
      Definition

      構建resource時遵循的一系列規則的參照,在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。

      Short創建此內容所依據的一組規則
      Comments

      宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而,現有的健康生態體系高度分裂,還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能,實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時,此URL是對IG的參照,此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。

      Control0..1
      Typeuri
      Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      8. ImagingStudy.language
      Definition

      編寫此resource的語言

      Short用以表述ImagingStudy Resource內容的語言。
      Comments

      提供語言是為了支援索引和可存取性(通常,文字表述轉語音等服務使用此語言標籤)。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此語言。不應該假定Resource.language自動適用於敘述。如果指定語言,它也應該被指定在html中的div資料項目(關於xml:lang和html lang屬性之間的關係,見HTML5中的規則)。

      Control0..1
      BindingThe codes SHOULD be taken from CommonLanguages
      (preferred to http://hl7.org/fhir/ValueSet/languages)

      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 BindingsPurpose
      AllLanguagesMax Binding
      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Example<br/><b>Value</b>:zh-TW
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      10. ImagingStudy.text
      Definition

      人可讀的敘述,包含resource的摘要,可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼,但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義有哪些內容應該在敘述中表示,以確保臨床安全。

      ShortImagingStudy Resource之內容摘要以供人閱讀
      Comments

      內嵌(contained)的resource沒有敘述,非內嵌(contained)的resource則 建議應該(SHOULD) 有敘述。有時resource可能只有文字表述,很少或沒有額外的結構化資料(只要滿足所有minOccurs=1的資料項目)。這可能出現在舊系統的資料,當資訊以 「文字表述區塊(text blob) 」的形式被取得,或者文字表述是原始輸入或說明,而編碼資訊稍後再添加。

      Control0..1
      TypeNarrative
      Is Modifierfalse
      Summaryfalse
      Alternate Namesnarrative, html, xhtml, display
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      12. ImagingStudy.contained
      Definition

      These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

      ShortContained, inline Resources
      Comments

      This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

      Control0..*
      TypeResource
      Is Modifierfalse
      Summaryfalse
      Alternate Namesinline resources, anonymous resources, contained resources
      14. ImagingStudy.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      16. ImagingStudy.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
      Summaryfalse
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      18. ImagingStudy.identifier
      Definition

      ImagingStudy的識別碼,如DICOM檢查實例UID (Study Instance UID)和檢查單號(Accession Number)。

      Short整項影像檢查的識別碼
      Comments

      有關DICOM檢查實例UID的編碼,請參閱「影像檢查實作說明(Imaging Study Implementation Notes)」下的討論。檢查單號(Accession Number)應使用ACSN識別碼類型 (Identifier type)。

      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..*
      TypeIdentifier
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Requirements

      如果此 ImagingStudy 中存在一個或多個 series 資料項目,那麼就應該有一個DICOM Study UID識別碼(見DICOM PS 3.3 C.7.2 .

      Alternate NamesStudyInstanceUID, AccessionNumber
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      20. ImagingStudy.status
      Definition

      影像檢查的當前狀態。

      Shortregistered | available | cancelled | entered-in-error | unknown
      Comments

      「未知」並不意味著「其他」類型;必須符合已確定的某種狀態。當創建系統不確定當前狀態時,會使用「未知」這一選項。

      Control1..1
      BindingThe codes SHALL be taken from ImagingStudyStatus
      (required to http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1)

      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。

      Typecode
      Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      22. ImagingStudy.modality
      Definition

      列出所有系列中用於實際影像獲取的儀器類型,即在DICOM Context Group 29(值集的唯一識別碼為1.2.840.10008.6.1.19)中定義的類型。

      Short列出所有系列中用於實際影像獲取的儀器類型
      Control0..*
      BindingUnless not suitable, these codes SHALL be taken from AcquisitionModality
      (extensible to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html)

      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。

      TypeCoding
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Alternate NamesModalitiesInStudy
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      24. ImagingStudy.subject
      Definition

      影像檢查的對象,通常是病人。

      Short誰或什麼是影像檢查的對象
      Comments

      影像檢查的對象,若為品質保證的標準對照物(QA幻影)可用 Device 作記錄。若其檢查對象是多隻小動物(如多隻老鼠),則可以將它們作為 Group 來進行記錄。

      Control1..1
      TypeReference(TW Core Patient, Device, Group)
      Is Modifierfalse
      Must Supporttrue
      Must Support TypesNo must-support rules about the choice of types/profiles
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      26. ImagingStudy.encounter
      Definition

      進行此影像檢查的健康照護事件(例如:病人與健康照護服務提供者的互動)。

      Short與此影像檢查有關的就醫事件(Encounter)
      Comments

      病人接受影像檢查時所在的就醫情境。不過,有些相關事件可能在病人就醫前或完成就醫後發生,但這些事件仍與就醫情境有關(例如:病人入院前的檢查)。

      Control0..1
      TypeReference(TW Core Encounter)
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      28. ImagingStudy.started
      Definition

      檢查開始的日期和時間

      Short影像檢查何時開始
      Control0..1
      TypedateTime
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Alternate NamesStudyDate, StudyTime
      Example<br/><b>General</b>:2011-01-01T11:01:20+03:00
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      30. ImagingStudy.basedOn
      Definition

      導致進行此影像檢查的診斷報告清單

      Short要求執行此影像檢查的依據
      Control0..*
      TypeReference(CarePlan, ServiceRequest, Appointment, AppointmentResponse, Task)
      Is Modifierfalse
      Summarytrue
      Requirements

      支援分組處置(一項影像檢查支援多個醫令處置,如胸腔/腹部/骨盆CT)。

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      32. ImagingStudy.referrer
      Definition

      請求/轉診的醫師

      Short轉診醫師
      Control0..1
      TypeReference(TW Core Practitioner, TW Core PractitionerRole)
      Is Modifierfalse
      Summarytrue
      Alternate NamesReferringPhysiciansName
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      34. ImagingStudy.interpreter
      Definition

      誰閱讀了檢查報告並解讀了影像或其他內容

      Short誰解讀了影像
      Control0..*
      TypeReference(TW Core Practitioner, TW Core PractitionerRole)
      Is Modifierfalse
      Summarytrue
      Alternate NamesName of Physician(s) Reading Study
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      36. ImagingStudy.endpoint
      Definition

      提供影像檢查資料存取的網路服務,包括查詢、觀看或下載影像檢查資料。更多有關如何使用DICOM端點的詳細資訊,請查看實作指引。整體檢查的網絡連接設定(端點)適用於檢查中的每一個影像系列。但如果某個影像系列有自己特定的網路連接設定(稱為系統端點),且這個設定的類型(Endpoint.connectionType)與整體檢查的端點相同,則該系列將依據其自身的設定進行連接。

      Short影像檢查存取的端點(endpoint)
      Comments

      常見的端點類型包括:DICOM WADO-RS,它透過RESTful API以原始或轉換後的格式(如JPG、PNG)來查DICOM影像檔案;DICOM WADO-URI,這也能查詢原始或轉換後的影像,但它是透過HTTP查詢方式實現;DICOM QIDO-RS,它允許使用RESTful查詢方式來獲取DICOM資訊,而無需下載影像檔案本身;還有IHE Invoke Image Display(IID),這是一種標準的網路影像查看器(viewer)啟動方式。

      Control0..*
      TypeReference(Endpoint)
      Is Modifierfalse
      Summarytrue
      Requirements

      說明了如何查看(例如:使用IHE的IID profile)或查詢(例如:使用DICOM的WADO-URI和WADO-RS)影像檢查、其影像系列或單個影像的方法。整體檢查的基礎位置設定(baseLocation)通常適用於檢查中的所有影像系列。但如果某個影像系列有自己的基礎位置設定(稱為系列級baseLocation),且這個設定與整體檢查的設定類型相同,則該系列將按照自己的設定進行操作。

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      38. ImagingStudy.numberOfSeries
      Definition

      在醫學影像檢查中,顯示的series數量有時會比Resource實際包含的更多。這可能是由於Resource的限制、安全問題或其他因素所致。如果Resource中包含至少一個series的資料項目,那麼這個series數量就應當被明確標出。

      Short影像檢查相關Series的數量
      Control0..1
      TypeunsignedInt
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Alternate NamesNumberOfStudyRelatedSeries
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      40. ImagingStudy.numberOfInstances
      Definition

      在醫學影像檢查中,顯示的SOP instances數量有時會比Resource實際包含的更多。這可能是由於instance的限制、安全問題或其他因素所致。如果Resource中包含至少一個instance的資料項目,那麼這個資料項目就應該被包含在內。

      Short影像檢查相關Instances的數量
      Control0..1
      TypeunsignedInt
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Alternate NamesNumberOfStudyRelatedInstances
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      42. ImagingStudy.procedureReference
      Definition

      此影像檢查是此處置(Procedure)的一部分

      Short所執行的處置(Procedure)參照
      Control0..1
      TypeReference(TW Core Procedure)
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      44. ImagingStudy.procedureCode
      Definition

      執行的處置類型代碼

      Short執行的處置代碼
      Comments

      Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

      Control0..*
      This element is affected by the following invariants: ele-1
      BindingUnless not suitable, these codes SHALL be taken from http://www.rsna.org/RadLex_Playbook.aspx
      (extensible to http://www.rsna.org/RadLex_Playbook.aspx)

      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。

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Must Supporttrue
      Alternate NamesProcedureCodeSequence
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      46. ImagingStudy.procedureCode.id
      Definition

      resource中資料項目的唯一ID(用於內部參照)。這可以是任何不含空格的字串。

      Short唯一可識別ID,以供資料項目間相互參照。
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      48. ImagingStudy.procedureCode.extension
      Definition

      擴充的資料項目

      Short擴充的資料項目
      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on ImagingStudy.procedureCode.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 50. ImagingStudy.procedureCode.coding
        Definition

        由專門術語系統(terminology system)所定義之代碼的參照

        Short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。
        Comments

        代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

        Control0..*
        This element is affected by the following invariants: ele-1
        TypeCoding(TW Coding)
        Is Modifierfalse
        Must Supporttrue
        Requirements

        允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on ImagingStudy.procedureCode.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • pattern @ $this
        • 52. ImagingStudy.procedureCode.coding:radLex-radiology-lexicon
          Slice NameradLex-radiology-lexicon
          Definition

          由專門術語系統(terminology system)所定義之代碼的參照。

          Short應填入所綁定值集中的其中一個代碼。
          Comments

          代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

          Control0..1
          This element is affected by the following invariants: ele-1
          BindingThe codes SHALL be taken from http://www.rsna.org/RadLex_Playbook.aspx
          (required to http://www.rsna.org/RadLex_Playbook.aspx)
          TypeCoding(TW Coding)
          Is Modifierfalse
          Must Supporttrue
          Requirements

          允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          54. ImagingStudy.procedureCode.coding:icd10-pcs-2021
          Slice Nameicd10-pcs-2021
          Definition

          由專門術語系統(terminology system)所定義之代碼的參照。

          Short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。
          Comments

          代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

          Control0..1
          This element is affected by the following invariants: ele-1
          BindingThe codes SHALL be taken from 臺灣健保署2021年中文版ICD-10-PCS值集
          (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw)

          應填入所綁定值集中的其中一個代碼。

          TypeCoding(TW Coding)
          Is Modifierfalse
          Must Supporttrue
          Requirements

          允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          56. ImagingStudy.procedureCode.coding:icd10-pcs-2023
          Slice Nameicd10-pcs-2023
          Definition

          由專門術語系統(terminology system)所定義之代碼的參照。

          Short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。
          Comments

          代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

          Control0..1
          This element is affected by the following invariants: ele-1
          BindingThe codes SHALL be taken from 臺灣健保署2023年中文版ICD-10-PCS值集
          (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw)

          應填入所綁定值集中的其中一個代碼。

          TypeCoding(TW Coding)
          Is Modifierfalse
          Must Supporttrue
          Requirements

          允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          58. ImagingStudy.procedureCode.text
          Definition

          輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。

          Short概念的文字表示法
          Comments

          很多時候,此文字表述與其中一個代碼的顯示名稱相同。

          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          60. ImagingStudy.location
          Definition

          進行影像檢查的主要實體地點

          Short影像檢查發生的地點
          Control0..1
          TypeReference(Location)
          Is Modifierfalse
          Summarytrue
          Requirements

          將事件與可能保存記錄的地點相關聯,並提供圍繞事件發生的背景資訊(例如:事件是發生在專門的醫療環境內或外)。

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          62. ImagingStudy.reasonCode
          Definition

          說明為什麼要求進行影像檢查的臨床情況

          Short為什麼進行此影像檢查
          Comments

          Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

          Control0..*
          This element is affected by the following invariants: ele-1
          BindingUnless not suitable, these codes SHALL be taken from ProcedureReasonCodes
          (extensible to http://hl7.org/fhir/ValueSet/procedure-reason)

          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。

          TypeCodeableConcept(TW CodeableConcept)
          Is Modifierfalse
          Must Supporttrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          64. ImagingStudy.reasonReference
          Definition

          這表示有另外一個Resource,其存在是進行這項檢查的合理原因。

          Short為什麼進行此影像檢查
          Control0..*
          TypeReference(TW Core Condition, TW Core Observation Laboratory Result, Media, TW Core DiagnosticReport, DocumentReference)
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          66. ImagingStudy.note
          Definition

          按照建議的DICOM對應關係,這個資料項目是來自影像檢查描述屬性(0008,1030)。有關影像檢查的觀察或發現應該記錄在別的Resource裡,比如說Observation,而不是在這個資料項目。

          Short用戶自定義的評論
          Control0..*
          TypeAnnotation
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          68. ImagingStudy.description
          Definition

          影像管理員(Imaging Manager)對此影像檢查的描述,它是由醫療機構自己生成的,用來描述或分類此影像檢查(元件)的內容。

          Short機構產生的描述
          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Alternate NamesStudyDescription
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          70. ImagingStudy.series
          Definition

          每項影像檢查有一個或多個系列的影像或其他內容

          Short每項影像檢查有一個或多個系列(series)的實例
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          72. ImagingStudy.series.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          74. ImagingStudy.series.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          76. ImagingStudy.series.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          78. ImagingStudy.series.uid
          Definition

          此系列的DICOM系列實例UID

          Short此系列的DICOM系列實例UID
          Comments

          見DICOM PS3.3 C.7.3

          Control1..1
          Typeid
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          此系列的DICOM系列實例UID

          Alternate NamesSeriesInstanceUID
          Example<br/><b>General</b>:2.16.124.113543.6003.2588828330.45298.17418.2723805630
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          80. ImagingStudy.series.number
          Definition

          此影像檢查中此系列的數字識別碼

          Short此系列的數字識別碼
          Control0..1
          TypeunsignedInt
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Alternate NamesSeriesNumber
          Example<br/><b>General</b>:3
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          82. ImagingStudy.series.modality
          Definition

          此系列序列所使用的成像儀器

          Short此系列實例所使用的成像儀器
          Control1..1
          BindingUnless not suitable, these codes SHALL be taken from AcquisitionModality
          (extensible to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html)

          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。

          TypeCoding
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Alternate NamesModality
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          84. ImagingStudy.series.description
          Definition

          對此系列的描述

          Short對此系列的一個簡短且易於閱讀的摘要
          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Alternate NamesSeriesDescription
          Example<br/><b>General</b>:CT Surview 180
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          86. ImagingStudy.series.numberOfInstances
          Definition

          在醫學影像檢查中,顯示的SOP instances數量有時會比Resource實際包含的更多。這可能是由於instance的限制、安全問題或其他因素所致。如果Resource中包含至少一個instance的資料項目,那麼這個資料項目就應該被包含在內。

          Short此Series相關Instances的數量
          Control0..1
          TypeunsignedInt
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Alternate NamesNumberOfSeriesRelatedInstances
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          88. ImagingStudy.series.endpoint
          Definition

          提供影像檢查資料存取的網路服務,包括查詢、觀看或下載影像檢查資料。更多有關如何使用DICOM端點的詳細資訊,請查看實作指引。整體檢查的網絡連接設定(端點)適用於檢查中的每一個影像系列。但如果某個影像系列有自己特定的網路連接設定(稱為系統端點),且這個設定的類型(Endpoint.connectionType)與整體檢查的端點相同,則該系列將依據其自身的設定進行連接。

          Short此系列的存取端點
          Comments

          常見的端點類型包括:DICOM WADO-RS,它透過RESTful API以原始或轉換後的格式(如JPG、PNG)來查DICOM影像檔案;DICOM WADO-URI,這也能查詢原始或轉換後的影像,但它是透過HTTP查詢方式實現;DICOM QIDO-RS,它允許使用RESTful查詢方式來獲取DICOM資訊,而無需下載影像檔案本身;還有IHE Invoke Image Display(IID),這是一種標準的網路影像查看器(viewer)啟動方式。

          Control0..*
          TypeReference(Endpoint)
          Is Modifierfalse
          Summarytrue
          Requirements

          說明了如何查詢(例如:使用DICOM的WADO-URI和WADO-RS)其影像系列或單個系列的方法。整體檢查的基礎位置設定(baseLocation)通常適用於檢查中的所有影像系列。但如果某個影像系列有自己的基礎位置設定(稱為系列級baseLocation),且這個設定與整體檢查的設定類型相同,則該系列將按照自己的設定進行操作。

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          90. ImagingStudy.series.bodySite
          Definition

          所檢查的解剖結構。參見DICOM第16部分附件L(http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html),瞭解DICOM與SNOMED-CT的對應關係。bodySite可指示成像的身體部位的橫向性;如果是這樣,它應與ImagingStudy.series.siderality的任何內容一致。

          Short被檢查的身體部位
          Control0..1
          BindingUnless not suitable, these codes SHALL be taken from SNOMEDCTBodyStructures
          (extensible to http://hl7.org/fhir/ValueSet/body-site)

          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。

          TypeCoding
          Is Modifierfalse
          Summarytrue
          Alternate NamesBodyPartExamined
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          92. ImagingStudy.series.laterality
          Definition

          影像檢查中所掃描的身體結構部位。要了解DICOM與SNOMED-CT的對應關係,可以查閱DICOM標準的第16部分附件L。在這裡提到的bodySite可能會表明被掃描的身體部位是左側還是右側;如果有指明側性,那麼這個資訊應該與ImagingStudy.series.laterality中的內容一致。

          Short身體部位的側性
          Control0..1
          BindingUnless not suitable, these codes SHALL be taken from Laterality
          (extensible to http://hl7.org/fhir/ValueSet/bodysite-laterality)

          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。

          TypeCoding
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          94. ImagingStudy.series.specimen
          Definition

          要進行影像檢查的檢體,例如:活體組織切片的整片掃描成像的檢體。

          Short要進行影像檢查的檢體
          Control0..*
          TypeReference(TW Core Specimen)
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          96. ImagingStudy.series.started
          Definition

          此系列開始的日期和時間

          Short此系列何時開始的
          Control0..1
          TypedateTime
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          98. ImagingStudy.series.performer
          Definition

          指明誰或什麼執行了這個系列,以及他們是如何參與的。

          Short誰執行了此系列
          Comments

          如果不確定是誰執行了此系列,可以記錄這位執行者所在的機構。有時,病人本人或與病人有關的人士也可能是影像的拍攝者,比如在病人自己拍攝的影像。

          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Requirements

          執行者的資訊是記錄在每個系列的層面上,因為在一次檢查中,不同的系列可能會由不同的執行者在不同的時間點使用不同的設備來進行。而且一個系列有可能由多位執行者共同完成。

          Alternate NamesPerformingPhysicianName, OperatorName
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          100. ImagingStudy.series.performer.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          102. ImagingStudy.series.performer.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          104. ImagingStudy.series.performer.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          106. ImagingStudy.series.performer.function
          Definition

          區分執行者在此系列中的參與類型

          Short執行的類型
          Comments

          Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

          Control0..1
          This element is affected by the following invariants: ele-1
          BindingUnless not suitable, these codes SHALL be taken from ImagingStudySeriesPerformerFunction
          (extensible to http://hl7.org/fhir/ValueSet/series-performer-function)

          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。

          TypeCodeableConcept(TW CodeableConcept)
          Is Modifierfalse
          Requirements

          可以區分不同執行者參與的類型

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          108. ImagingStudy.series.performer.actor
          Definition

          表示誰或什麼人執行了該系列

          Short誰執行了此系列
          Control1..1
          TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, TW Core CareTeam, TW Core Patient, Device, TW Core RelatedPerson)
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          110. ImagingStudy.series.instance
          Definition

          系列中的單一SOP實例,例如:影像或表現狀態。

          Short系列中的一個SOP實例
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          112. ImagingStudy.series.instance.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          114. ImagingStudy.series.instance.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          116. ImagingStudy.series.instance.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          118. ImagingStudy.series.instance.uid
          Definition

          此影像或其他DICOM內容的DICOM SOP實例UID

          ShortDICOM SOP實例的UID
          Comments

          見DICOM PS3.3 C.12.1

          Control1..1
          Typeid
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summaryfalse
          Requirements

          DICOM SOP實例的UID

          Alternate NamesSOPInstanceUID
          Example<br/><b>General</b>:2.16.124.113543.6003.189642796.63084.16748.2599092903
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          120. ImagingStudy.series.instance.sopClass
          Definition

          DICOM實例類型

          ShortDICOM class 類型
          Control1..1
          BindingUnless not suitable, these codes SHALL be taken from http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
          (extensible to http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1)

          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。

          TypeCoding
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Alternate NamesSOPClassUID
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          122. ImagingStudy.series.instance.number
          Definition

          此系列中該實例的序號

          Short此系列中該實例的序號
          Control0..1
          TypeunsignedInt
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Alternate NamesInstanceNumber
          Example<br/><b>General</b>:1
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          124. ImagingStudy.series.instance.title
          Definition

          實例的描述

          Short實例的描述
          Comments

          特別是對於取得後的分析物件,例如:SR、表現狀態、值對應等。

          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))