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
Active as of 2024-11-11 |
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)。 | ||||
Binding | The 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。
| ||||
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。 | ||||
Short | ImagingStudy 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)。 | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Must Support | true | ||||
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。 | ||||
Binding | The 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 | ||||
Binding | Unless 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 Support | true | ||||
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。 | ||||
Type | Reference(TW Core Patient, Device, Group) | ||||
Must Support | true | ||||
Must Support Types | No 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)。 | ||||
Type | Reference(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 Support | true | ||||
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 | ||||
Type | Reference(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 | ||||
Type | Reference(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 | ||||
Type | Reference(TW Core Procedure) | ||||
38. ImagingStudy.procedureCode | |||||
Definition | 執行的處置類型代碼 | ||||
Short | 執行的處置代碼 | ||||
Binding | Unless 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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Must Support | true | ||||
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。 | ||||
Slicing | This element introduces a set of slices on ImagingStudy.procedureCode.coding . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
42. ImagingStudy.procedureCode.coding:radLex-radiology-lexicon | |||||
Slice Name | radLex-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。 | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from http://www.rsna.org/RadLex_Playbook.aspx (required to http://www.rsna.org/RadLex_Playbook.aspx ) | ||||
Must Support | true | ||||
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 Name | icd10-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。 | ||||
Control | 0..1 | ||||
Binding | The 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 Support | true | ||||
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 Name | icd10-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。 | ||||
Control | 0..1 | ||||
Binding | The 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 Support | true | ||||
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 | ||||
Binding | Unless 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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Must Support | true | ||||
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 | ||||
Type | Reference(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 Support | true | ||||
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 | |||||
Must Support | true | ||||
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 | ||||
Binding | Unless 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 Support | true | ||||
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 | ||||
Binding | Unless 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 | ||||
Binding | Unless 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 | ||||
Type | Reference(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 | ||||
Binding | Unless 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。 | ||||
Type | CodeableConcept(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 | ||||
Type | Reference(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 Support | true | ||||
88. ImagingStudy.series.instance.uid | |||||
Definition | 此影像或其他DICOM內容的DICOM SOP實例UID | ||||
Short | DICOM SOP實例的UID | ||||
Comments | |||||
Must Support | true | ||||
Requirements | DICOM SOP實例的UID | ||||
90. ImagingStudy.series.instance.sopClass | |||||
Definition | DICOM實例類型 | ||||
Short | DICOM class 類型 | ||||
Binding | Unless 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 Support | true | ||||
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) | ||||
Control | 0..* | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | dom-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. | ||||
Control | 0..1 | ||||
Type | idstring | ||||
Is Modifier | false | ||||
Summary | true | ||||
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 | ||||
Control | 0..1 | ||||
Type | Meta | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-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. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | true 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 Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-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). | ||||
Control | 0..1 | ||||
Binding | The 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.
| ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Example | <br/><b>Value</b>:zh-TW | ||||
Invariants | ele-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. | ||||
Short | ImagingStudy 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. | ||||
Control | 0..1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | narrative, html, xhtml, display | ||||
Invariants | ele-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). | ||||
Short | Extensions 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Summary | false | ||||
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 Names | extensions, user content | ||||
Invariants | ele-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. | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
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 Names | StudyInstanceUID, AccessionNumber | ||||
Invariants | ele-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. | ||||
Short | registered | 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. | ||||
Control | 1..1 | ||||
Binding | The 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. | ||||
Type | code | ||||
Is Modifier | true 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 Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Binding | Unless 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. | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Alternate Names | ModalitiesInStudy | ||||
Invariants | ele-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. | ||||
Control | 1..1 | ||||
Type | Reference(TW Core Patient, Device, Group, Patient) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | true | ||||
Invariants | ele-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). | ||||
Control | 0..1 | ||||
Type | Reference(TW Core Encounter, Encounter) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Alternate Names | StudyDate, StudyTime | ||||
Example | <br/><b>General</b>:2011-01-01T11:01:20+03:00 | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Type | Reference(CarePlan, ServiceRequest, Appointment, AppointmentResponse, Task) | ||||
Is Modifier | false | ||||
Summary | true | ||||
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). | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | Reference(TW Core Practitioner, TW Core PractitionerRole, Practitioner, PractitionerRole) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | ReferringPhysiciansName | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Type | Reference(TW Core Practitioner, TW Core PractitionerRole, Practitioner, PractitionerRole) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | Name of Physician(s) Reading Study | ||||
Invariants | ele-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. | ||||
Control | 0..* | ||||
Type | Reference(Endpoint) | ||||
Is Modifier | false | ||||
Summary | true | ||||
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. | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | unsignedInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Alternate Names | NumberOfStudyRelatedSeries | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | unsignedInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Alternate Names | NumberOfStudyRelatedInstances | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | Reference(TW Core Procedure, Procedure) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-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. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | Unless 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. | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Alternate Names | ProcedureCodeSequence | ||||
Invariants | ele-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. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
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. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
Slicing | This element introduces a set of slices on ImagingStudy.procedureCode.coding . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
44. ImagingStudy.procedureCode.coding:radLex-radiology-lexicon | |||||
Slice Name | radLex-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. | ||||
Control | 0..1* This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from For codes, see http://www.rsna.org/RadLex_Playbook.aspx (required to http://www.rsna.org/RadLex_Playbook.aspx ) | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
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. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
46. ImagingStudy.procedureCode.coding:icd10-pcs-2021 | |||||
Slice Name | icd10-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. | ||||
Control | 0..1* This element is affected by the following invariants: ele-1 | ||||
Binding | The 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。 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
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. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
48. ImagingStudy.procedureCode.coding:icd10-pcs-2023 | |||||
Slice Name | icd10-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. | ||||
Control | 0..1* This element is affected by the following invariants: ele-1 | ||||
Binding | The 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。 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
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. | ||||
Invariants | ele-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. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
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. | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | Reference(Location) | ||||
Is Modifier | false | ||||
Summary | true | ||||
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). | ||||
Invariants | ele-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. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | Unless 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. | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Type | Reference(TW Core Condition, TW Core Observation Laboratory Result, Media, TW Core DiagnosticReport, DocumentReference, Condition, Observation, DiagnosticReport) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Type | Annotation | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Alternate Names | StudyDescription | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-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). | ||||
Short | Extensions 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
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 Names | extensions, user content, modifiers | ||||
Invariants | ele-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 |
See DICOM PS3.3 C.7.3. | ||||
Control | 1..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 此系列的DICOM系列實例UID DICOM Series Instance UID. | ||||
Alternate Names | SeriesInstanceUID | ||||
Example | <br/><b>General</b>:2.16.124.113543.6003.2588828330.45298.17418.2723805630 | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | unsignedInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Alternate Names | SeriesNumber | ||||
Example | <br/><b>General</b>:3 | ||||
Invariants | ele-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 | ||||
Control | 1..1 | ||||
Binding | Unless 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. | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Alternate Names | Modality | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Alternate Names | SeriesDescription | ||||
Example | <br/><b>General</b>:CT Surview 180 | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | unsignedInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Alternate Names | NumberOfSeriesRelatedInstances | ||||
Invariants | ele-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. | ||||
Control | 0..* | ||||
Type | Reference(Endpoint) | ||||
Is Modifier | false | ||||
Summary | true | ||||
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. | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Binding | Unless 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. | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | BodyPartExamined | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Binding | Unless 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.). | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Type | Reference(TW Core Specimen, Specimen) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-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. | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | true | ||||
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 Names | PerformingPhysicianName, OperatorName | ||||
Invariants | ele-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). | ||||
Short | Extensions 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
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 Names | extensions, user content, modifiers | ||||
Invariants | ele-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. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | Unless 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. | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
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. | ||||
Invariants | ele-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 | ||||
Control | 1..1 | ||||
Type | Reference(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 Modifier | false | ||||
Summary | true | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-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). | ||||
Short | Extensions 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
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 Names | extensions, user content, modifiers | ||||
Invariants | ele-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. | ||||
Short | DICOM SOP實例的UIDDICOM SOP Instance UID | ||||
Comments |
See DICOM PS3.3 C.12.1. | ||||
Control | 1..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | false | ||||
Requirements | DICOM SOP實例的UID DICOM SOP Instance UID. | ||||
Alternate Names | SOPInstanceUID | ||||
Example | <br/><b>General</b>:2.16.124.113543.6003.189642796.63084.16748.2599092903 | ||||
Invariants | ele-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. | ||||
Short | DICOM class 類型DICOM class type | ||||
Control | 1..1 | ||||
Binding | Unless 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. | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Alternate Names | SOPClassUID | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | unsignedInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Alternate Names | InstanceNumber | ||||
Example | <br/><b>General</b>:1 | ||||
Invariants | ele-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. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-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】 | ||||
Control | 0..* | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | dom-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。 | ||||
Control | 0..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
Summary | true | ||||
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 | ||||
Control | 0..1 | ||||
Type | Meta | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-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。 | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | true 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 Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-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)。 | ||||
Control | 0..1 | ||||
Binding | The 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。
| ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Example | <br/><b>Value</b>:zh-TW | ||||
Invariants | ele-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。 | ||||
Short | ImagingStudy 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。 | ||||
Control | 0..1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | narrative, html, xhtml, display | ||||
Invariants | ele-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. | ||||
Short | Contained, 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. | ||||
Control | 0..* | ||||
Type | Resource | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | inline 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. | ||||
Short | Additional 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-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). | ||||
Short | Extensions 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Summary | false | ||||
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 Names | extensions, user content | ||||
Invariants | ele-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)。 | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
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 Names | StudyInstanceUID, AccessionNumber | ||||
Invariants | ele-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。 | ||||
Short | registered | 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。 | ||||
Control | 1..1 | ||||
Binding | The 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。 | ||||
Type | code | ||||
Is Modifier | true 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 Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Binding | Unless 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。 | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Alternate Names | ModalitiesInStudy | ||||
Invariants | ele-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。 | ||||
Control | 1..1 | ||||
Type | Reference(TW Core Patient, Device, Group) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | true | ||||
Invariants | ele-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)。 | ||||
Control | 0..1 | ||||
Type | Reference(TW Core Encounter) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Alternate Names | StudyDate, StudyTime | ||||
Example | <br/><b>General</b>:2011-01-01T11:01:20+03:00 | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Type | Reference(CarePlan, ServiceRequest, Appointment, AppointmentResponse, Task) | ||||
Is Modifier | false | ||||
Summary | true | ||||
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)。 | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | Reference(TW Core Practitioner, TW Core PractitionerRole) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | ReferringPhysiciansName | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Type | Reference(TW Core Practitioner, TW Core PractitionerRole) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | Name of Physician(s) Reading Study | ||||
Invariants | ele-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。 | ||||
Control | 0..* | ||||
Type | Reference(Endpoint) | ||||
Is Modifier | false | ||||
Summary | true | ||||
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。 | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | unsignedInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Alternate Names | NumberOfStudyRelatedSeries | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | unsignedInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Alternate Names | NumberOfStudyRelatedInstances | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | Reference(TW Core Procedure) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-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. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | Unless 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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Alternate Names | ProcedureCodeSequence | ||||
Invariants | ele-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。 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
48. ImagingStudy.procedureCode.extension | |||||
Definition | 擴充的資料項目 | ||||
Short | 擴充的資料項目 | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-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() ) | ||||
Slicing | This element introduces a set of slices on ImagingStudy.procedureCode.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
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。 | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on ImagingStudy.procedureCode.coding . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
52. ImagingStudy.procedureCode.coding:radLex-radiology-lexicon | |||||
Slice Name | radLex-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。 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from http://www.rsna.org/RadLex_Playbook.aspx (required to http://www.rsna.org/RadLex_Playbook.aspx ) | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
54. ImagingStudy.procedureCode.coding:icd10-pcs-2021 | |||||
Slice Name | icd10-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。 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The 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。 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
56. ImagingStudy.procedureCode.coding:icd10-pcs-2023 | |||||
Slice Name | icd10-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。 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The 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。 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 | ||||
Invariants | ele-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。 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
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。 | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | Reference(Location) | ||||
Is Modifier | false | ||||
Summary | true | ||||
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)。 | ||||
Invariants | ele-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. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | Unless 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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Type | Reference(TW Core Condition, TW Core Observation Laboratory Result, Media, TW Core DiagnosticReport, DocumentReference) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Type | Annotation | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Alternate Names | StudyDescription | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-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. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
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. | ||||
Short | Additional 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-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). | ||||
Short | Extensions 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
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 Names | extensions, user content, modifiers | ||||
Invariants | ele-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 | |||||
Control | 1..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 此系列的DICOM系列實例UID | ||||
Alternate Names | SeriesInstanceUID | ||||
Example | <br/><b>General</b>:2.16.124.113543.6003.2588828330.45298.17418.2723805630 | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | unsignedInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Alternate Names | SeriesNumber | ||||
Example | <br/><b>General</b>:3 | ||||
Invariants | ele-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 | ||||
Control | 1..1 | ||||
Binding | Unless 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。 | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Alternate Names | Modality | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Alternate Names | SeriesDescription | ||||
Example | <br/><b>General</b>:CT Surview 180 | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | unsignedInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Alternate Names | NumberOfSeriesRelatedInstances | ||||
Invariants | ele-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。 | ||||
Control | 0..* | ||||
Type | Reference(Endpoint) | ||||
Is Modifier | false | ||||
Summary | true | ||||
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。 | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Binding | Unless 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。 | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | BodyPartExamined | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Binding | Unless 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。 | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Type | Reference(TW Core Specimen) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-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。 | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | true | ||||
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 Names | PerformingPhysicianName, OperatorName | ||||
Invariants | ele-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. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
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. | ||||
Short | Additional 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-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). | ||||
Short | Extensions 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
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 Names | extensions, user content, modifiers | ||||
Invariants | ele-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. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | Unless 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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Requirements | 可以區分不同執行者參與的類型 | ||||
Invariants | ele-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 | ||||
Control | 1..1 | ||||
Type | Reference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, TW Core CareTeam, TW Core Patient, Device, TW Core RelatedPerson) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-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. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
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. | ||||
Short | Additional 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-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). | ||||
Short | Extensions 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
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 Names | extensions, user content, modifiers | ||||
Invariants | ele-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 | ||||
Short | DICOM SOP實例的UID | ||||
Comments | |||||
Control | 1..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | false | ||||
Requirements | DICOM SOP實例的UID | ||||
Alternate Names | SOPInstanceUID | ||||
Example | <br/><b>General</b>:2.16.124.113543.6003.189642796.63084.16748.2599092903 | ||||
Invariants | ele-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 | ||||
Short | DICOM class 類型 | ||||
Control | 1..1 | ||||
Binding | Unless 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。 | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Alternate Names | SOPClassUID | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | unsignedInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Alternate Names | InstanceNumber | ||||
Example | <br/><b>General</b>:1 | ||||
Invariants | ele-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。 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |