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

臺灣核心實作指引(TW Core IG), published by 衛生福利部. This guide is not an authorized publication; it is the continuous build for version 0.3.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cctwFHIRterm/MOHW_TWCoreIG_Build/ and changes regularly. See the Directory of published versions

Resource Profile: TW Core ImagingStudy

Official URL: https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/ImagingStudy-twcore Version: 0.3.2
Active as of 2024-12-20 Computable Name: TWCoreImagingStudy

此臺灣核心-影像檢查(TW Core ImagingStudy) Profile說明本IG如何進一步定義FHIR的ImagingStudy Resource以呈現影像檢查的詳細資料。

Resource ImagingStudy - 內容

在DICOM影像檢查(study)中,我們會產生一至多個系列(series)的影像或資料。每一個「series」包含一組特定的影像或資料,這些都是在相同的條件下收集的,都專屬於一種造影儀器,比如X光、CT、MR或超音波。這就意味著在一次影像檢查中,我們可以從多種不同的造影儀器取得資訊,每種儀器提供的影像或資料組成一個series。因此,一次影像檢查可能包含多個serie,每個series展示了從一種特定儀器得到的視角或資訊,共同構成了對病人狀態的全面了解。

每個series由多個SOP實例(Service-Object Pair instances)」組成,這些SOP實例共同描述了某一部分的檢查或治療過程。它是DICOM標準中最基本的資料單元。每個SOP實例代表一個具體的影像或資料項目,例如一張CT掃描影像或一個檢查報告。它們是在某個特定series下被創建和管理的,每個實例都有唯一的標識符(Unique Identifiers,UID)以便於存取和參照。

因此,SOP實例與其所屬的series之間是隸屬關係,即一組SOP實例屬於特定的series,這些series再進一步組成整個影像檢查的完整畫面。透過這樣的結構,DICOM確保醫療影像資料的有序性及易於管理的特性。

範圍與使用

ImagingStudy是一種用來提供DICOM影像檢查相關資訊的工具,它包含了檢查中的每一組系列(series)和影像物件。這個工具還告訴我們怎麼去取得這些資料,不管是以原本的DICOM格式,還是轉換成其他格式,比如JPEG圖片。簡而言之,ImagingStudy幫助我們獲取和了解一次完整影像檢查的所有細節,讓這些資訊變得可用。

這個resource就像是一本字典,幫助我們理解DICOM影像檢查中的資料項目與DICOM屬性之間的關聯。每一個DICOM屬性都有一個特殊的標籤,這個標籤用一串特定的數字和字母來表示,比如(0008,103E)。如果你想知道每一個屬性代表什麼,以及它的數據類型是什麼,你可以在DICOM第6部分資料字典中找到答案。更詳細地關於這些屬性如何在影像資訊中被使用的說明,可以在DICOM第3部分資訊物件定義裡找到。 想像我們有一個DICOM屬性叫做「影像標題」,在DICOM中,它有一個特定的標籤(0008,103E),它可以存放的資料類型是文字。這個「影像標題」屬性是如何被使用的呢?在一次DICOM影像檢查中,每一個影像都可以有一個標題,用來描述該影像的內容或者是拍攝的具體情況。比如一個胸部X光的影像標題可能是「胸部正位」。這個標題幫助醫生快速了解影像的關鍵信息,而不需要打開影像就能得知一些基本情況。 而一些在DICOM查詢中特別用到的屬性,像是「影像檢查中的實例數量」,則在DICOM第4部分附錄C中有說明。

ImagingStudy的作用是讓我們能夠方便地獲取DICOM影像檢查中重要的資訊,這種情況只適用於非常簡單的案例,它並不能完全取代所有的DICOM查詢功能,比如QIDO-RS。QIDO-RS(Query based on ID for DICOM Objects by RESTful Services)是一種基於RESTful服務的DICOM標準查詢協議,它讓我們能夠透過網路,以一種簡單且標準化的方式,查詢DICOM伺服器上存儲的影像檢查資料。要注意的是:DICOM的影像或資料並不直接儲存在ImagingStudy resource裡,如果需要存取這些影像或資料,還是要透過DICOM WADO-RS服務器或其他的存儲方式。

簡單來說,一個ImagingStudy會對應到一次DICOM影像檢查,可能只包含該檢查的一部分資料。有時,多個ImagingStudy可能會參照同一次DICOM影像檢查,或者是該檢查的不同部分。

界限與關聯

TW Core IG繼承FHIR R4版,ImagingStudy用於DICOM影像及相關資訊的管理。對於非DICOM的影像、影片或音檔,則使用Media resource來追踪、Binaryresource可用於儲存任意內容、DocumentReference允許對具有相關metadata的臨床「文件(document)」進行索引和查詢。

FHIR R4版中ImagingStudy resource被ChargeItemClinicalImpressionDiagnosticReportObservation參照。

未來若有FHIR版本異動規畫的實作者可能須留意,FHIR R5版中已無Media resource,對於有相關metadata的非DICOM影像、影片及音檔使用DocumentReferenceresource、使用Binaryresource於儲存任意內容、並使用ImagingSelection resource來存儲特定一組DICOM影像、影格或其他DICOM實例的參照。

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from ImagingStudy

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy 0..* ImagingStudy 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】
... id 0..1 id 不重複的ID用以識別儲存在特定FHIR Server中的ImagingStudy紀錄,通常又稱為邏輯性ID。
... meta 0..1 Meta 此ImagingStudy Resource的metadata
... implicitRules 0..1 uri 創建此內容所依據的一組規則
... text 0..1 Narrative ImagingStudy Resource之內容摘要以供人閱讀
... identifier S 0..* Identifier 整項影像檢查的識別碼
... status 1..1 code registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required): 影像檢查的當前狀態;應填入所綁定值集中的其中一個代碼。

... modality S 0..* Coding 列出所有系列中用於實際影像獲取的儀器類型
Binding: AcquisitionModality (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

... subject S 1..1 Reference(TW Core Patient | Device | Group) 誰或什麼是影像檢查的對象
... encounter 0..1 Reference(TW Core Encounter) 與此影像檢查有關的就醫事件(Encounter)
... started S 0..1 dateTime 影像檢查何時開始
... basedOn 0..* Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) 要求執行此影像檢查的依據
... referrer 0..1 Reference(TW Core Practitioner | TW Core PractitionerRole) 轉診醫師
... interpreter 0..* Reference(TW Core Practitioner | TW Core PractitionerRole) 誰解讀了影像
... endpoint 0..* Reference(Endpoint) 影像檢查存取的端點(endpoint)
... numberOfSeries 0..1 unsignedInt 影像檢查相關Series的數量
... numberOfInstances 0..1 unsignedInt 影像檢查相關Instances的數量
... procedureReference 0..1 Reference(TW Core Procedure) 所執行的處置(Procedure)參照
... procedureCode S 0..* CodeableConceptTW 執行的處置代碼
Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): 此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。

.... Slices for coding 0..* CodingTW 此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。
Slice: Unordered, Open by pattern:$this
..... coding:radLex-radiology-lexicon S 0..1 CodingTW 應填入所綁定值集中的其中一個代碼。
Binding: http://www.rsna.org/RadLex_Playbook.aspx (required)
..... coding:icd10-pcs-2021 S 0..1 CodingTW 此為臺灣健保署2021年中文版ICD-10-PCS,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。

..... coding:icd10-pcs-2023 S 0..1 CodingTW 此為臺灣健保署2023年中文版ICD-10-PCS,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。

... location 0..1 Reference(TW Core Location) 影像檢查發生的地點
... reasonCode S 0..* CodeableConceptTW 為什麼進行此影像檢查
Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

... reasonReference 0..* Reference(TW Core Condition | TW Core Observation Laboratory Result | Media | TW Core DiagnosticReport | DocumentReference) 為什麼進行此影像檢查
... note 0..* Annotation 用戶自定義的評論
... description 0..1 string 機構產生的描述
... series S 0..* BackboneElement 每項影像檢查有一個或多個系列(series)的實例
.... uid S 1..1 id 此系列的DICOM系列實例UID
.... number 0..1 unsignedInt 此系列的數字識別碼
.... modality S 1..1 Coding 此系列實例所使用的成像儀器
Binding: AcquisitionModality (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

.... description 0..1 string 對此系列的一個簡短且易於閱讀的摘要
.... numberOfInstances 0..1 unsignedInt 此Series相關Instances的數量
.... endpoint 0..* Reference(Endpoint) 此系列的存取端點
.... bodySite 0..1 Coding 被檢查的身體部位
Binding: SNOMEDCTBodyStructures (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

.... laterality 0..1 Coding 身體部位的側性
Binding: Laterality (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

.... specimen 0..* Reference(TW Core Specimen) 要進行影像檢查的檢體
.... started 0..1 dateTime 此系列何時開始的
.... performer 0..* BackboneElement 誰執行了此系列
..... function 0..1 CodeableConceptTW 執行的類型
Binding: ImagingStudySeriesPerformerFunction (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

..... actor 1..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core CareTeam | TW Core Patient | Device | TW Core RelatedPerson) 誰執行了此系列
.... instance S 0..* BackboneElement 系列中的一個SOP實例
..... uid S 1..1 id DICOM SOP實例的UID
..... sopClass S 1..1 Coding DICOM class 類型
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

..... number 0..1 unsignedInt 此系列中該實例的序號
..... title 0..1 string 實例的描述

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ImagingStudy.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
ImagingStudy.statusrequiredImagingStudyStatus
http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1
from the FHIR Standard
ImagingStudy.modalityextensibleAcquisitionModality
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
ImagingStudy.procedureCodeextensiblehttp://www.rsna.org/RadLex_Playbook.aspx
http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:radLex-radiology-lexiconrequiredhttp://www.rsna.org/RadLex_Playbook.aspx
http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:icd10-pcs-2021requiredTW2021ICD10PCS (a valid code from 臺灣健保署2021年中文版ICD-10-PCS)
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
from this IG
ImagingStudy.procedureCode.coding:icd10-pcs-2023requiredTW2023ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
from this IG
ImagingStudy.reasonCodeextensibleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
ImagingStudy.series.modalityextensibleAcquisitionModality
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
ImagingStudy.series.bodySiteextensibleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
ImagingStudy.series.lateralityextensibleLaterality
http://hl7.org/fhir/ValueSet/bodysite-laterality
from the FHIR Standard
ImagingStudy.series.performer.functionextensibleImagingStudySeriesPerformerFunction
http://hl7.org/fhir/ValueSet/series-performer-function
from the FHIR Standard
ImagingStudy.series.instance.sopClassextensiblehttp://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy 0..* ImagingStudy 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】
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... id Σ 0..1 id 不重複的ID用以識別儲存在特定FHIR Server中的ImagingStudy紀錄,通常又稱為邏輯性ID。
... meta Σ 0..1 Meta 此ImagingStudy Resource的metadata
ele-1: All FHIR elements must have a @value or children
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
ele-1: All FHIR elements must have a @value or children
... text 0..1 Narrative ImagingStudy Resource之內容摘要以供人閱讀
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... identifier SΣ 0..* Identifier 整項影像檢查的識別碼
ele-1: All FHIR elements must have a @value or children
... status ?!Σ 1..1 code registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required): 影像檢查的當前狀態;應填入所綁定值集中的其中一個代碼。


ele-1: All FHIR elements must have a @value or children
... modality SΣ 0..* Coding 列出所有系列中用於實際影像獲取的儀器類型
Binding: AcquisitionModality (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
... subject SΣ 1..1 Reference(TW Core Patient | Device | Group) 誰或什麼是影像檢查的對象
ele-1: All FHIR elements must have a @value or children
... encounter Σ 0..1 Reference(TW Core Encounter) 與此影像檢查有關的就醫事件(Encounter)
ele-1: All FHIR elements must have a @value or children
... started SΣ 0..1 dateTime 影像檢查何時開始
ele-1: All FHIR elements must have a @value or children
Example General: 2011-01-01T11:01:20+03:00
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) 要求執行此影像檢查的依據
ele-1: All FHIR elements must have a @value or children
... referrer Σ 0..1 Reference(TW Core Practitioner | TW Core PractitionerRole) 轉診醫師
ele-1: All FHIR elements must have a @value or children
... interpreter Σ 0..* Reference(TW Core Practitioner | TW Core PractitionerRole) 誰解讀了影像
ele-1: All FHIR elements must have a @value or children
... endpoint Σ 0..* Reference(Endpoint) 影像檢查存取的端點(endpoint)
ele-1: All FHIR elements must have a @value or children
... numberOfSeries Σ 0..1 unsignedInt 影像檢查相關Series的數量
ele-1: All FHIR elements must have a @value or children
... numberOfInstances Σ 0..1 unsignedInt 影像檢查相關Instances的數量
ele-1: All FHIR elements must have a @value or children
... procedureReference Σ 0..1 Reference(TW Core Procedure) 所執行的處置(Procedure)參照
ele-1: All FHIR elements must have a @value or children
... procedureCode S 0..* CodeableConceptTW 執行的處置代碼
Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): 此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。


ele-1: All FHIR elements must have a @value or children
.... Slices for coding S 0..* CodingTW 此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。
Slice: Unordered, Open by pattern:$this
ele-1: All FHIR elements must have a @value or children
..... coding:radLex-radiology-lexicon S 0..1 CodingTW 應填入所綁定值集中的其中一個代碼。
Binding: http://www.rsna.org/RadLex_Playbook.aspx (required)
ele-1: All FHIR elements must have a @value or children
..... coding:icd10-pcs-2021 S 0..1 CodingTW 此為臺灣健保署2021年中文版ICD-10-PCS,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。


ele-1: All FHIR elements must have a @value or children
..... coding:icd10-pcs-2023 S 0..1 CodingTW 此為臺灣健保署2023年中文版ICD-10-PCS,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。


ele-1: All FHIR elements must have a @value or children
.... text SΣ 0..1 string 概念的文字表示法
ele-1: All FHIR elements must have a @value or children
... location Σ 0..1 Reference(TW Core Location) 影像檢查發生的地點
ele-1: All FHIR elements must have a @value or children
... reasonCode S 0..* CodeableConceptTW 為什麼進行此影像檢查
Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
... reasonReference Σ 0..* Reference(TW Core Condition | TW Core Observation Laboratory Result | Media | TW Core DiagnosticReport | DocumentReference) 為什麼進行此影像檢查
ele-1: All FHIR elements must have a @value or children
... note Σ 0..* Annotation 用戶自定義的評論
ele-1: All FHIR elements must have a @value or children
... description Σ 0..1 string 機構產生的描述
ele-1: All FHIR elements must have a @value or children
... series SΣ 0..* BackboneElement 每項影像檢查有一個或多個系列(series)的實例
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... uid SΣ 1..1 id 此系列的DICOM系列實例UID
ele-1: All FHIR elements must have a @value or children
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
.... number Σ 0..1 unsignedInt 此系列的數字識別碼
ele-1: All FHIR elements must have a @value or children
Example General: 3
.... modality SΣ 1..1 Coding 此系列實例所使用的成像儀器
Binding: AcquisitionModality (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
.... description Σ 0..1 string 對此系列的一個簡短且易於閱讀的摘要
ele-1: All FHIR elements must have a @value or children
Example General: CT Surview 180
.... numberOfInstances Σ 0..1 unsignedInt 此Series相關Instances的數量
ele-1: All FHIR elements must have a @value or children
.... endpoint Σ 0..* Reference(Endpoint) 此系列的存取端點
ele-1: All FHIR elements must have a @value or children
.... bodySite Σ 0..1 Coding 被檢查的身體部位
Binding: SNOMEDCTBodyStructures (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
.... laterality Σ 0..1 Coding 身體部位的側性
Binding: Laterality (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
.... specimen Σ 0..* Reference(TW Core Specimen) 要進行影像檢查的檢體
ele-1: All FHIR elements must have a @value or children
.... started Σ 0..1 dateTime 此系列何時開始的
ele-1: All FHIR elements must have a @value or children
.... performer Σ 0..* BackboneElement 誰執行了此系列
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... function 0..1 CodeableConceptTW 執行的類型
Binding: ImagingStudySeriesPerformerFunction (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
..... actor Σ 1..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core CareTeam | TW Core Patient | Device | TW Core RelatedPerson) 誰執行了此系列
ele-1: All FHIR elements must have a @value or children
.... instance S 0..* BackboneElement 系列中的一個SOP實例
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... uid S 1..1 id DICOM SOP實例的UID
ele-1: All FHIR elements must have a @value or children
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
..... sopClass S 1..1 Coding DICOM class 類型
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
..... number 0..1 unsignedInt 此系列中該實例的序號
ele-1: All FHIR elements must have a @value or children
Example General: 1
..... title 0..1 string 實例的描述
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ImagingStudy.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
ImagingStudy.statusrequiredImagingStudyStatus
http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1
from the FHIR Standard
ImagingStudy.modalityextensibleAcquisitionModality
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
ImagingStudy.procedureCodeextensiblehttp://www.rsna.org/RadLex_Playbook.aspx
http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:radLex-radiology-lexiconrequiredhttp://www.rsna.org/RadLex_Playbook.aspx
http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:icd10-pcs-2021requiredTW2021ICD10PCS (a valid code from 臺灣健保署2021年中文版ICD-10-PCS)
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
from this IG
ImagingStudy.procedureCode.coding:icd10-pcs-2023requiredTW2023ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
from this IG
ImagingStudy.reasonCodeextensibleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
ImagingStudy.series.modalityextensibleAcquisitionModality
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
ImagingStudy.series.bodySiteextensibleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
ImagingStudy.series.lateralityextensibleLaterality
http://hl7.org/fhir/ValueSet/bodysite-laterality
from the FHIR Standard
ImagingStudy.series.performer.functionextensibleImagingStudySeriesPerformerFunction
http://hl7.org/fhir/ValueSet/series-performer-function
from the FHIR Standard
ImagingStudy.series.instance.sopClassextensiblehttp://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorImagingStudyIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImagingStudyIf 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-4errorImagingStudyIf 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-5errorImagingStudyIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceImagingStudyA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy 0..* ImagingStudy 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】
... id Σ 0..1 id 不重複的ID用以識別儲存在特定FHIR Server中的ImagingStudy紀錄,通常又稱為邏輯性ID。
... meta Σ 0..1 Meta 此ImagingStudy Resource的metadata
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... language 0..1 code 用以表述ImagingStudy Resource內容的語言。
Binding: CommonLanguages (preferred): 人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。

Additional BindingsPurpose
AllLanguages Max Binding

Example Value: zh-TW
... text 0..1 Narrative ImagingStudy Resource之內容摘要以供人閱讀
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier 整項影像檢查的識別碼
... status ?!Σ 1..1 code registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required): 影像檢查的當前狀態;應填入所綁定值集中的其中一個代碼。

... modality SΣ 0..* Coding 列出所有系列中用於實際影像獲取的儀器類型
Binding: AcquisitionModality (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


... subject SΣ 1..1 Reference(TW Core Patient | Device | Group) 誰或什麼是影像檢查的對象
... encounter Σ 0..1 Reference(TW Core Encounter) 與此影像檢查有關的就醫事件(Encounter)
... started SΣ 0..1 dateTime 影像檢查何時開始
Example General: 2011-01-01T11:01:20+03:00
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) 要求執行此影像檢查的依據
... referrer Σ 0..1 Reference(TW Core Practitioner | TW Core PractitionerRole) 轉診醫師
... interpreter Σ 0..* Reference(TW Core Practitioner | TW Core PractitionerRole) 誰解讀了影像
... endpoint Σ 0..* Reference(Endpoint) 影像檢查存取的端點(endpoint)
... numberOfSeries Σ 0..1 unsignedInt 影像檢查相關Series的數量
... numberOfInstances Σ 0..1 unsignedInt 影像檢查相關Instances的數量
... procedureReference Σ 0..1 Reference(TW Core Procedure) 所執行的處置(Procedure)參照
... procedureCode S 0..* CodeableConceptTW 執行的處置代碼
Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): 此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。


.... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... Slices for coding S 0..* CodingTW 此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。
Slice: Unordered, Open by pattern:$this
..... coding:radLex-radiology-lexicon S 0..1 CodingTW 應填入所綁定值集中的其中一個代碼。
Binding: http://www.rsna.org/RadLex_Playbook.aspx (required)
..... coding:icd10-pcs-2021 S 0..1 CodingTW 此為臺灣健保署2021年中文版ICD-10-PCS,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。


..... coding:icd10-pcs-2023 S 0..1 CodingTW 此為臺灣健保署2023年中文版ICD-10-PCS,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。


.... text SΣ 0..1 string 概念的文字表示法
... location Σ 0..1 Reference(TW Core Location) 影像檢查發生的地點
... reasonCode S 0..* CodeableConceptTW 為什麼進行此影像檢查
Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


... reasonReference Σ 0..* Reference(TW Core Condition | TW Core Observation Laboratory Result | Media | TW Core DiagnosticReport | DocumentReference) 為什麼進行此影像檢查
... note Σ 0..* Annotation 用戶自定義的評論
... description Σ 0..1 string 機構產生的描述
... series SΣ 0..* BackboneElement 每項影像檢查有一個或多個系列(series)的實例
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... uid SΣ 1..1 id 此系列的DICOM系列實例UID
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
.... number Σ 0..1 unsignedInt 此系列的數字識別碼
Example General: 3
.... modality SΣ 1..1 Coding 此系列實例所使用的成像儀器
Binding: AcquisitionModality (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

.... description Σ 0..1 string 對此系列的一個簡短且易於閱讀的摘要
Example General: CT Surview 180
.... numberOfInstances Σ 0..1 unsignedInt 此Series相關Instances的數量
.... endpoint Σ 0..* Reference(Endpoint) 此系列的存取端點
.... bodySite Σ 0..1 Coding 被檢查的身體部位
Binding: SNOMEDCTBodyStructures (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

.... laterality Σ 0..1 Coding 身體部位的側性
Binding: Laterality (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

.... specimen Σ 0..* Reference(TW Core Specimen) 要進行影像檢查的檢體
.... started Σ 0..1 dateTime 此系列何時開始的
.... performer Σ 0..* BackboneElement 誰執行了此系列
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function 0..1 CodeableConceptTW 執行的類型
Binding: ImagingStudySeriesPerformerFunction (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

..... actor Σ 1..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core CareTeam | TW Core Patient | Device | TW Core RelatedPerson) 誰執行了此系列
.... instance S 0..* BackboneElement 系列中的一個SOP實例
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... uid S 1..1 id DICOM SOP實例的UID
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
..... sopClass S 1..1 Coding DICOM class 類型
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

..... number 0..1 unsignedInt 此系列中該實例的序號
Example General: 1
..... title 0..1 string 實例的描述

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ImagingStudy.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
ImagingStudy.statusrequiredImagingStudyStatus
http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1
from the FHIR Standard
ImagingStudy.modalityextensibleAcquisitionModality
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
ImagingStudy.procedureCodeextensiblehttp://www.rsna.org/RadLex_Playbook.aspx
http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:radLex-radiology-lexiconrequiredhttp://www.rsna.org/RadLex_Playbook.aspx
http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:icd10-pcs-2021requiredTW2021ICD10PCS (a valid code from 臺灣健保署2021年中文版ICD-10-PCS)
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
from this IG
ImagingStudy.procedureCode.coding:icd10-pcs-2023requiredTW2023ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
from this IG
ImagingStudy.reasonCodeextensibleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
ImagingStudy.series.modalityextensibleAcquisitionModality
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
ImagingStudy.series.bodySiteextensibleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
ImagingStudy.series.lateralityextensibleLaterality
http://hl7.org/fhir/ValueSet/bodysite-laterality
from the FHIR Standard
ImagingStudy.series.performer.functionextensibleImagingStudySeriesPerformerFunction
http://hl7.org/fhir/ValueSet/series-performer-function
from the FHIR Standard
ImagingStudy.series.instance.sopClassextensiblehttp://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorImagingStudyIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImagingStudyIf 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-4errorImagingStudyIf 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-5errorImagingStudyIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceImagingStudyA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from ImagingStudy

Summary

Must-Support: 15 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of ImagingStudy.procedureCode.coding

Differential View

This structure is derived from ImagingStudy

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy 0..* ImagingStudy 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】
... id 0..1 id 不重複的ID用以識別儲存在特定FHIR Server中的ImagingStudy紀錄,通常又稱為邏輯性ID。
... meta 0..1 Meta 此ImagingStudy Resource的metadata
... implicitRules 0..1 uri 創建此內容所依據的一組規則
... text 0..1 Narrative ImagingStudy Resource之內容摘要以供人閱讀
... identifier S 0..* Identifier 整項影像檢查的識別碼
... status 1..1 code registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required): 影像檢查的當前狀態;應填入所綁定值集中的其中一個代碼。

... modality S 0..* Coding 列出所有系列中用於實際影像獲取的儀器類型
Binding: AcquisitionModality (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

... subject S 1..1 Reference(TW Core Patient | Device | Group) 誰或什麼是影像檢查的對象
... encounter 0..1 Reference(TW Core Encounter) 與此影像檢查有關的就醫事件(Encounter)
... started S 0..1 dateTime 影像檢查何時開始
... basedOn 0..* Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) 要求執行此影像檢查的依據
... referrer 0..1 Reference(TW Core Practitioner | TW Core PractitionerRole) 轉診醫師
... interpreter 0..* Reference(TW Core Practitioner | TW Core PractitionerRole) 誰解讀了影像
... endpoint 0..* Reference(Endpoint) 影像檢查存取的端點(endpoint)
... numberOfSeries 0..1 unsignedInt 影像檢查相關Series的數量
... numberOfInstances 0..1 unsignedInt 影像檢查相關Instances的數量
... procedureReference 0..1 Reference(TW Core Procedure) 所執行的處置(Procedure)參照
... procedureCode S 0..* CodeableConceptTW 執行的處置代碼
Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): 此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。

.... Slices for coding 0..* CodingTW 此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。
Slice: Unordered, Open by pattern:$this
..... coding:radLex-radiology-lexicon S 0..1 CodingTW 應填入所綁定值集中的其中一個代碼。
Binding: http://www.rsna.org/RadLex_Playbook.aspx (required)
..... coding:icd10-pcs-2021 S 0..1 CodingTW 此為臺灣健保署2021年中文版ICD-10-PCS,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。

..... coding:icd10-pcs-2023 S 0..1 CodingTW 此為臺灣健保署2023年中文版ICD-10-PCS,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。

... location 0..1 Reference(TW Core Location) 影像檢查發生的地點
... reasonCode S 0..* CodeableConceptTW 為什麼進行此影像檢查
Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

... reasonReference 0..* Reference(TW Core Condition | TW Core Observation Laboratory Result | Media | TW Core DiagnosticReport | DocumentReference) 為什麼進行此影像檢查
... note 0..* Annotation 用戶自定義的評論
... description 0..1 string 機構產生的描述
... series S 0..* BackboneElement 每項影像檢查有一個或多個系列(series)的實例
.... uid S 1..1 id 此系列的DICOM系列實例UID
.... number 0..1 unsignedInt 此系列的數字識別碼
.... modality S 1..1 Coding 此系列實例所使用的成像儀器
Binding: AcquisitionModality (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

.... description 0..1 string 對此系列的一個簡短且易於閱讀的摘要
.... numberOfInstances 0..1 unsignedInt 此Series相關Instances的數量
.... endpoint 0..* Reference(Endpoint) 此系列的存取端點
.... bodySite 0..1 Coding 被檢查的身體部位
Binding: SNOMEDCTBodyStructures (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

.... laterality 0..1 Coding 身體部位的側性
Binding: Laterality (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

.... specimen 0..* Reference(TW Core Specimen) 要進行影像檢查的檢體
.... started 0..1 dateTime 此系列何時開始的
.... performer 0..* BackboneElement 誰執行了此系列
..... function 0..1 CodeableConceptTW 執行的類型
Binding: ImagingStudySeriesPerformerFunction (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

..... actor 1..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core CareTeam | TW Core Patient | Device | TW Core RelatedPerson) 誰執行了此系列
.... instance S 0..* BackboneElement 系列中的一個SOP實例
..... uid S 1..1 id DICOM SOP實例的UID
..... sopClass S 1..1 Coding DICOM class 類型
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

..... number 0..1 unsignedInt 此系列中該實例的序號
..... title 0..1 string 實例的描述

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ImagingStudy.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
ImagingStudy.statusrequiredImagingStudyStatus
http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1
from the FHIR Standard
ImagingStudy.modalityextensibleAcquisitionModality
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
ImagingStudy.procedureCodeextensiblehttp://www.rsna.org/RadLex_Playbook.aspx
http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:radLex-radiology-lexiconrequiredhttp://www.rsna.org/RadLex_Playbook.aspx
http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:icd10-pcs-2021requiredTW2021ICD10PCS (a valid code from 臺灣健保署2021年中文版ICD-10-PCS)
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
from this IG
ImagingStudy.procedureCode.coding:icd10-pcs-2023requiredTW2023ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
from this IG
ImagingStudy.reasonCodeextensibleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
ImagingStudy.series.modalityextensibleAcquisitionModality
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
ImagingStudy.series.bodySiteextensibleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
ImagingStudy.series.lateralityextensibleLaterality
http://hl7.org/fhir/ValueSet/bodysite-laterality
from the FHIR Standard
ImagingStudy.series.performer.functionextensibleImagingStudySeriesPerformerFunction
http://hl7.org/fhir/ValueSet/series-performer-function
from the FHIR Standard
ImagingStudy.series.instance.sopClassextensiblehttp://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy 0..* ImagingStudy 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】
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... id Σ 0..1 id 不重複的ID用以識別儲存在特定FHIR Server中的ImagingStudy紀錄,通常又稱為邏輯性ID。
... meta Σ 0..1 Meta 此ImagingStudy Resource的metadata
ele-1: All FHIR elements must have a @value or children
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
ele-1: All FHIR elements must have a @value or children
... text 0..1 Narrative ImagingStudy Resource之內容摘要以供人閱讀
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... identifier SΣ 0..* Identifier 整項影像檢查的識別碼
ele-1: All FHIR elements must have a @value or children
... status ?!Σ 1..1 code registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required): 影像檢查的當前狀態;應填入所綁定值集中的其中一個代碼。


ele-1: All FHIR elements must have a @value or children
... modality SΣ 0..* Coding 列出所有系列中用於實際影像獲取的儀器類型
Binding: AcquisitionModality (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
... subject SΣ 1..1 Reference(TW Core Patient | Device | Group) 誰或什麼是影像檢查的對象
ele-1: All FHIR elements must have a @value or children
... encounter Σ 0..1 Reference(TW Core Encounter) 與此影像檢查有關的就醫事件(Encounter)
ele-1: All FHIR elements must have a @value or children
... started SΣ 0..1 dateTime 影像檢查何時開始
ele-1: All FHIR elements must have a @value or children
Example General: 2011-01-01T11:01:20+03:00
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) 要求執行此影像檢查的依據
ele-1: All FHIR elements must have a @value or children
... referrer Σ 0..1 Reference(TW Core Practitioner | TW Core PractitionerRole) 轉診醫師
ele-1: All FHIR elements must have a @value or children
... interpreter Σ 0..* Reference(TW Core Practitioner | TW Core PractitionerRole) 誰解讀了影像
ele-1: All FHIR elements must have a @value or children
... endpoint Σ 0..* Reference(Endpoint) 影像檢查存取的端點(endpoint)
ele-1: All FHIR elements must have a @value or children
... numberOfSeries Σ 0..1 unsignedInt 影像檢查相關Series的數量
ele-1: All FHIR elements must have a @value or children
... numberOfInstances Σ 0..1 unsignedInt 影像檢查相關Instances的數量
ele-1: All FHIR elements must have a @value or children
... procedureReference Σ 0..1 Reference(TW Core Procedure) 所執行的處置(Procedure)參照
ele-1: All FHIR elements must have a @value or children
... procedureCode S 0..* CodeableConceptTW 執行的處置代碼
Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): 此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。


ele-1: All FHIR elements must have a @value or children
.... Slices for coding S 0..* CodingTW 此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。
Slice: Unordered, Open by pattern:$this
ele-1: All FHIR elements must have a @value or children
..... coding:radLex-radiology-lexicon S 0..1 CodingTW 應填入所綁定值集中的其中一個代碼。
Binding: http://www.rsna.org/RadLex_Playbook.aspx (required)
ele-1: All FHIR elements must have a @value or children
..... coding:icd10-pcs-2021 S 0..1 CodingTW 此為臺灣健保署2021年中文版ICD-10-PCS,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。


ele-1: All FHIR elements must have a @value or children
..... coding:icd10-pcs-2023 S 0..1 CodingTW 此為臺灣健保署2023年中文版ICD-10-PCS,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。


ele-1: All FHIR elements must have a @value or children
.... text SΣ 0..1 string 概念的文字表示法
ele-1: All FHIR elements must have a @value or children
... location Σ 0..1 Reference(TW Core Location) 影像檢查發生的地點
ele-1: All FHIR elements must have a @value or children
... reasonCode S 0..* CodeableConceptTW 為什麼進行此影像檢查
Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
... reasonReference Σ 0..* Reference(TW Core Condition | TW Core Observation Laboratory Result | Media | TW Core DiagnosticReport | DocumentReference) 為什麼進行此影像檢查
ele-1: All FHIR elements must have a @value or children
... note Σ 0..* Annotation 用戶自定義的評論
ele-1: All FHIR elements must have a @value or children
... description Σ 0..1 string 機構產生的描述
ele-1: All FHIR elements must have a @value or children
... series SΣ 0..* BackboneElement 每項影像檢查有一個或多個系列(series)的實例
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... uid SΣ 1..1 id 此系列的DICOM系列實例UID
ele-1: All FHIR elements must have a @value or children
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
.... number Σ 0..1 unsignedInt 此系列的數字識別碼
ele-1: All FHIR elements must have a @value or children
Example General: 3
.... modality SΣ 1..1 Coding 此系列實例所使用的成像儀器
Binding: AcquisitionModality (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
.... description Σ 0..1 string 對此系列的一個簡短且易於閱讀的摘要
ele-1: All FHIR elements must have a @value or children
Example General: CT Surview 180
.... numberOfInstances Σ 0..1 unsignedInt 此Series相關Instances的數量
ele-1: All FHIR elements must have a @value or children
.... endpoint Σ 0..* Reference(Endpoint) 此系列的存取端點
ele-1: All FHIR elements must have a @value or children
.... bodySite Σ 0..1 Coding 被檢查的身體部位
Binding: SNOMEDCTBodyStructures (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
.... laterality Σ 0..1 Coding 身體部位的側性
Binding: Laterality (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
.... specimen Σ 0..* Reference(TW Core Specimen) 要進行影像檢查的檢體
ele-1: All FHIR elements must have a @value or children
.... started Σ 0..1 dateTime 此系列何時開始的
ele-1: All FHIR elements must have a @value or children
.... performer Σ 0..* BackboneElement 誰執行了此系列
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... function 0..1 CodeableConceptTW 執行的類型
Binding: ImagingStudySeriesPerformerFunction (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
..... actor Σ 1..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core CareTeam | TW Core Patient | Device | TW Core RelatedPerson) 誰執行了此系列
ele-1: All FHIR elements must have a @value or children
.... instance S 0..* BackboneElement 系列中的一個SOP實例
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... uid S 1..1 id DICOM SOP實例的UID
ele-1: All FHIR elements must have a @value or children
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
..... sopClass S 1..1 Coding DICOM class 類型
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
..... number 0..1 unsignedInt 此系列中該實例的序號
ele-1: All FHIR elements must have a @value or children
Example General: 1
..... title 0..1 string 實例的描述
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ImagingStudy.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
ImagingStudy.statusrequiredImagingStudyStatus
http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1
from the FHIR Standard
ImagingStudy.modalityextensibleAcquisitionModality
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
ImagingStudy.procedureCodeextensiblehttp://www.rsna.org/RadLex_Playbook.aspx
http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:radLex-radiology-lexiconrequiredhttp://www.rsna.org/RadLex_Playbook.aspx
http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:icd10-pcs-2021requiredTW2021ICD10PCS (a valid code from 臺灣健保署2021年中文版ICD-10-PCS)
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
from this IG
ImagingStudy.procedureCode.coding:icd10-pcs-2023requiredTW2023ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
from this IG
ImagingStudy.reasonCodeextensibleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
ImagingStudy.series.modalityextensibleAcquisitionModality
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
ImagingStudy.series.bodySiteextensibleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
ImagingStudy.series.lateralityextensibleLaterality
http://hl7.org/fhir/ValueSet/bodysite-laterality
from the FHIR Standard
ImagingStudy.series.performer.functionextensibleImagingStudySeriesPerformerFunction
http://hl7.org/fhir/ValueSet/series-performer-function
from the FHIR Standard
ImagingStudy.series.instance.sopClassextensiblehttp://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorImagingStudyIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImagingStudyIf 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-4errorImagingStudyIf 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-5errorImagingStudyIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceImagingStudyA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy 0..* ImagingStudy 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】
... id Σ 0..1 id 不重複的ID用以識別儲存在特定FHIR Server中的ImagingStudy紀錄,通常又稱為邏輯性ID。
... meta Σ 0..1 Meta 此ImagingStudy Resource的metadata
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... language 0..1 code 用以表述ImagingStudy Resource內容的語言。
Binding: CommonLanguages (preferred): 人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。

Additional BindingsPurpose
AllLanguages Max Binding

Example Value: zh-TW
... text 0..1 Narrative ImagingStudy Resource之內容摘要以供人閱讀
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier 整項影像檢查的識別碼
... status ?!Σ 1..1 code registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required): 影像檢查的當前狀態;應填入所綁定值集中的其中一個代碼。

... modality SΣ 0..* Coding 列出所有系列中用於實際影像獲取的儀器類型
Binding: AcquisitionModality (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


... subject SΣ 1..1 Reference(TW Core Patient | Device | Group) 誰或什麼是影像檢查的對象
... encounter Σ 0..1 Reference(TW Core Encounter) 與此影像檢查有關的就醫事件(Encounter)
... started SΣ 0..1 dateTime 影像檢查何時開始
Example General: 2011-01-01T11:01:20+03:00
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task) 要求執行此影像檢查的依據
... referrer Σ 0..1 Reference(TW Core Practitioner | TW Core PractitionerRole) 轉診醫師
... interpreter Σ 0..* Reference(TW Core Practitioner | TW Core PractitionerRole) 誰解讀了影像
... endpoint Σ 0..* Reference(Endpoint) 影像檢查存取的端點(endpoint)
... numberOfSeries Σ 0..1 unsignedInt 影像檢查相關Series的數量
... numberOfInstances Σ 0..1 unsignedInt 影像檢查相關Instances的數量
... procedureReference Σ 0..1 Reference(TW Core Procedure) 所執行的處置(Procedure)參照
... procedureCode S 0..* CodeableConceptTW 執行的處置代碼
Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): 此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。


.... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... Slices for coding S 0..* CodingTW 此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。
Slice: Unordered, Open by pattern:$this
..... coding:radLex-radiology-lexicon S 0..1 CodingTW 應填入所綁定值集中的其中一個代碼。
Binding: http://www.rsna.org/RadLex_Playbook.aspx (required)
..... coding:icd10-pcs-2021 S 0..1 CodingTW 此為臺灣健保署2021年中文版ICD-10-PCS,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。


..... coding:icd10-pcs-2023 S 0..1 CodingTW 此為臺灣健保署2023年中文版ICD-10-PCS,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。


.... text SΣ 0..1 string 概念的文字表示法
... location Σ 0..1 Reference(TW Core Location) 影像檢查發生的地點
... reasonCode S 0..* CodeableConceptTW 為什麼進行此影像檢查
Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


... reasonReference Σ 0..* Reference(TW Core Condition | TW Core Observation Laboratory Result | Media | TW Core DiagnosticReport | DocumentReference) 為什麼進行此影像檢查
... note Σ 0..* Annotation 用戶自定義的評論
... description Σ 0..1 string 機構產生的描述
... series SΣ 0..* BackboneElement 每項影像檢查有一個或多個系列(series)的實例
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... uid SΣ 1..1 id 此系列的DICOM系列實例UID
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
.... number Σ 0..1 unsignedInt 此系列的數字識別碼
Example General: 3
.... modality SΣ 1..1 Coding 此系列實例所使用的成像儀器
Binding: AcquisitionModality (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

.... description Σ 0..1 string 對此系列的一個簡短且易於閱讀的摘要
Example General: CT Surview 180
.... numberOfInstances Σ 0..1 unsignedInt 此Series相關Instances的數量
.... endpoint Σ 0..* Reference(Endpoint) 此系列的存取端點
.... bodySite Σ 0..1 Coding 被檢查的身體部位
Binding: SNOMEDCTBodyStructures (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

.... laterality Σ 0..1 Coding 身體部位的側性
Binding: Laterality (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

.... specimen Σ 0..* Reference(TW Core Specimen) 要進行影像檢查的檢體
.... started Σ 0..1 dateTime 此系列何時開始的
.... performer Σ 0..* BackboneElement 誰執行了此系列
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function 0..1 CodeableConceptTW 執行的類型
Binding: ImagingStudySeriesPerformerFunction (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

..... actor Σ 1..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core CareTeam | TW Core Patient | Device | TW Core RelatedPerson) 誰執行了此系列
.... instance S 0..* BackboneElement 系列中的一個SOP實例
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... uid S 1..1 id DICOM SOP實例的UID
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
..... sopClass S 1..1 Coding DICOM class 類型
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

..... number 0..1 unsignedInt 此系列中該實例的序號
Example General: 1
..... title 0..1 string 實例的描述

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ImagingStudy.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
ImagingStudy.statusrequiredImagingStudyStatus
http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1
from the FHIR Standard
ImagingStudy.modalityextensibleAcquisitionModality
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
ImagingStudy.procedureCodeextensiblehttp://www.rsna.org/RadLex_Playbook.aspx
http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:radLex-radiology-lexiconrequiredhttp://www.rsna.org/RadLex_Playbook.aspx
http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:icd10-pcs-2021requiredTW2021ICD10PCS (a valid code from 臺灣健保署2021年中文版ICD-10-PCS)
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
from this IG
ImagingStudy.procedureCode.coding:icd10-pcs-2023requiredTW2023ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
from this IG
ImagingStudy.reasonCodeextensibleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
ImagingStudy.series.modalityextensibleAcquisitionModality
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
ImagingStudy.series.bodySiteextensibleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
ImagingStudy.series.lateralityextensibleLaterality
http://hl7.org/fhir/ValueSet/bodysite-laterality
from the FHIR Standard
ImagingStudy.series.performer.functionextensibleImagingStudySeriesPerformerFunction
http://hl7.org/fhir/ValueSet/series-performer-function
from the FHIR Standard
ImagingStudy.series.instance.sopClassextensiblehttp://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorImagingStudyIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImagingStudyIf 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-4errorImagingStudyIf 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-5errorImagingStudyIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceImagingStudyA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from ImagingStudy

Summary

Must-Support: 15 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of ImagingStudy.procedureCode.coding

 

Other representations of profile: CSV, Excel, Schematron

Notes:

以下概述了此Profile所需的RESTful FHIR互動功能。有關TW Core IG支援的RESTful互動功能的完整清單,請參閱TW Core Server能力聲明

建議應該支援以下查詢參數:

  1. 建議應該(SHOULD) 支援透過查詢參數 _id 查詢所有ImagingStudy:
    (如何透過token查詢)
    GET [base]/ImagingStudy?_id=[id]
    GET [base]/ImagingStudy/[id]

    例子:
    (1) GET [base]/ImagingStudy?_id=img-example
    (2) GET [base]/ImagingStudy/img-example

  2. 建議應該(SHOULD) 支援透過查詢參數 status 查詢所有ImagingStudy:
    (如何透過token查詢)
    GET [base]/ImagingStudy?status=[code]

    例子:
    (1) GET [base]/ImagingStudy?status=available

  3. 建議應該(SHOULD) 支援透過查詢參數 subject 查詢所有ImagingStudy:
    (如何透過reference查詢)
    GET [base]/ImagingStudy?subject={Type/}[id]

    例子::
    (1) GET [base]/ImagingStudy?subject=Patient/pat-example

  4. 建議應該(SHOULD) 支援透過查詢參數 encounter 查詢所有ImagingStudy:
    (如何透過reference查詢)
    GET [base]/ImagingStudy?encounter={Type/}[id]

    例子::
    (1) GET [base]/ImagingStudy?encounter=Encounter/enc-example

  5. 建議應該(SHOULD) 支援透過查詢參數 started 查詢所有ImagingStudy:
    (如何透過date查詢)
    GET [base]/ImagingStudy?started={gt|lt|ge|le}[date]

    例子:
    (1) GET [base]/ImagingStudy?started=gt2022-08-01