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
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。
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。
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。
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ChargeItem、ClinicalImpression、DiagnosticReport和Observation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:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from ImagingStudy
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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 | |||||
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。
Example Value: zh-TW | |||||
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 | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
ImagingStudy.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
ImagingStudy.status | required | ImagingStudyStatushttp://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1 from the FHIR Standard | ||||
ImagingStudy.modality | extensible | AcquisitionModalityhttp://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html | ||||
ImagingStudy.procedureCode | extensible | http://www.rsna.org/RadLex_Playbook.aspxhttp://www.rsna.org/RadLex_Playbook.aspx | ||||
ImagingStudy.procedureCode.coding:radLex-radiology-lexicon | required | http://www.rsna.org/RadLex_Playbook.aspxhttp://www.rsna.org/RadLex_Playbook.aspx | ||||
ImagingStudy.procedureCode.coding:icd10-pcs-2021 | required | TW2021ICD10PCS (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-2023 | required | TW2023ICD10PCShttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw from this IG | ||||
ImagingStudy.reasonCode | extensible | ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard | ||||
ImagingStudy.series.modality | extensible | AcquisitionModalityhttp://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html | ||||
ImagingStudy.series.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
ImagingStudy.series.laterality | extensible | Lateralityhttp://hl7.org/fhir/ValueSet/bodysite-laterality from the FHIR Standard | ||||
ImagingStudy.series.performer.function | extensible | ImagingStudySeriesPerformerFunctionhttp://hl7.org/fhir/ValueSet/series-performer-function from the FHIR Standard | ||||
ImagingStudy.series.instance.sopClass | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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 | ||||
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。
ele-1: All FHIR elements must have a @value or children Example Value: zh-TW | |||||
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 | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
ImagingStudy.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
ImagingStudy.status | required | ImagingStudyStatushttp://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1 from the FHIR Standard | ||||
ImagingStudy.modality | extensible | AcquisitionModalityhttp://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html | ||||
ImagingStudy.procedureCode | extensible | http://www.rsna.org/RadLex_Playbook.aspxhttp://www.rsna.org/RadLex_Playbook.aspx | ||||
ImagingStudy.procedureCode.coding:radLex-radiology-lexicon | required | http://www.rsna.org/RadLex_Playbook.aspxhttp://www.rsna.org/RadLex_Playbook.aspx | ||||
ImagingStudy.procedureCode.coding:icd10-pcs-2021 | required | TW2021ICD10PCS (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-2023 | required | TW2023ICD10PCShttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw from this IG | ||||
ImagingStudy.reasonCode | extensible | ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard | ||||
ImagingStudy.series.modality | extensible | AcquisitionModalityhttp://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html | ||||
ImagingStudy.series.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
ImagingStudy.series.laterality | extensible | Lateralityhttp://hl7.org/fhir/ValueSet/bodysite-laterality from the FHIR Standard | ||||
ImagingStudy.series.performer.function | extensible | ImagingStudySeriesPerformerFunctionhttp://hl7.org/fhir/ValueSet/series-performer-function from the FHIR Standard | ||||
ImagingStudy.series.instance.sopClass | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | ImagingStudy | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | ImagingStudy | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | ImagingStudy | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | ImagingStudy | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | ImagingStudy | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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。
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 | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
ImagingStudy.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
ImagingStudy.status | required | ImagingStudyStatushttp://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1 from the FHIR Standard | ||||
ImagingStudy.modality | extensible | AcquisitionModalityhttp://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html | ||||
ImagingStudy.procedureCode | extensible | http://www.rsna.org/RadLex_Playbook.aspxhttp://www.rsna.org/RadLex_Playbook.aspx | ||||
ImagingStudy.procedureCode.coding:radLex-radiology-lexicon | required | http://www.rsna.org/RadLex_Playbook.aspxhttp://www.rsna.org/RadLex_Playbook.aspx | ||||
ImagingStudy.procedureCode.coding:icd10-pcs-2021 | required | TW2021ICD10PCS (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-2023 | required | TW2023ICD10PCShttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw from this IG | ||||
ImagingStudy.reasonCode | extensible | ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard | ||||
ImagingStudy.series.modality | extensible | AcquisitionModalityhttp://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html | ||||
ImagingStudy.series.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
ImagingStudy.series.laterality | extensible | Lateralityhttp://hl7.org/fhir/ValueSet/bodysite-laterality from the FHIR Standard | ||||
ImagingStudy.series.performer.function | extensible | ImagingStudySeriesPerformerFunctionhttp://hl7.org/fhir/ValueSet/series-performer-function from the FHIR Standard | ||||
ImagingStudy.series.instance.sopClass | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | ImagingStudy | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | ImagingStudy | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | ImagingStudy | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | ImagingStudy | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | ImagingStudy | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from ImagingStudy
Summary
Must-Support: 15 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from ImagingStudy
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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 | |||||
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。
Example Value: zh-TW | |||||
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 | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
ImagingStudy.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
ImagingStudy.status | required | ImagingStudyStatushttp://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1 from the FHIR Standard | ||||
ImagingStudy.modality | extensible | AcquisitionModalityhttp://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html | ||||
ImagingStudy.procedureCode | extensible | http://www.rsna.org/RadLex_Playbook.aspxhttp://www.rsna.org/RadLex_Playbook.aspx | ||||
ImagingStudy.procedureCode.coding:radLex-radiology-lexicon | required | http://www.rsna.org/RadLex_Playbook.aspxhttp://www.rsna.org/RadLex_Playbook.aspx | ||||
ImagingStudy.procedureCode.coding:icd10-pcs-2021 | required | TW2021ICD10PCS (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-2023 | required | TW2023ICD10PCShttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw from this IG | ||||
ImagingStudy.reasonCode | extensible | ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard | ||||
ImagingStudy.series.modality | extensible | AcquisitionModalityhttp://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html | ||||
ImagingStudy.series.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
ImagingStudy.series.laterality | extensible | Lateralityhttp://hl7.org/fhir/ValueSet/bodysite-laterality from the FHIR Standard | ||||
ImagingStudy.series.performer.function | extensible | ImagingStudySeriesPerformerFunctionhttp://hl7.org/fhir/ValueSet/series-performer-function from the FHIR Standard | ||||
ImagingStudy.series.instance.sopClass | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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 | ||||
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。
ele-1: All FHIR elements must have a @value or children Example Value: zh-TW | |||||
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 | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
ImagingStudy.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
ImagingStudy.status | required | ImagingStudyStatushttp://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1 from the FHIR Standard | ||||
ImagingStudy.modality | extensible | AcquisitionModalityhttp://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html | ||||
ImagingStudy.procedureCode | extensible | http://www.rsna.org/RadLex_Playbook.aspxhttp://www.rsna.org/RadLex_Playbook.aspx | ||||
ImagingStudy.procedureCode.coding:radLex-radiology-lexicon | required | http://www.rsna.org/RadLex_Playbook.aspxhttp://www.rsna.org/RadLex_Playbook.aspx | ||||
ImagingStudy.procedureCode.coding:icd10-pcs-2021 | required | TW2021ICD10PCS (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-2023 | required | TW2023ICD10PCShttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw from this IG | ||||
ImagingStudy.reasonCode | extensible | ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard | ||||
ImagingStudy.series.modality | extensible | AcquisitionModalityhttp://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html | ||||
ImagingStudy.series.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
ImagingStudy.series.laterality | extensible | Lateralityhttp://hl7.org/fhir/ValueSet/bodysite-laterality from the FHIR Standard | ||||
ImagingStudy.series.performer.function | extensible | ImagingStudySeriesPerformerFunctionhttp://hl7.org/fhir/ValueSet/series-performer-function from the FHIR Standard | ||||
ImagingStudy.series.instance.sopClass | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | ImagingStudy | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | ImagingStudy | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | ImagingStudy | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | ImagingStudy | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | ImagingStudy | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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。
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 | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
ImagingStudy.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
ImagingStudy.status | required | ImagingStudyStatushttp://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1 from the FHIR Standard | ||||
ImagingStudy.modality | extensible | AcquisitionModalityhttp://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html | ||||
ImagingStudy.procedureCode | extensible | http://www.rsna.org/RadLex_Playbook.aspxhttp://www.rsna.org/RadLex_Playbook.aspx | ||||
ImagingStudy.procedureCode.coding:radLex-radiology-lexicon | required | http://www.rsna.org/RadLex_Playbook.aspxhttp://www.rsna.org/RadLex_Playbook.aspx | ||||
ImagingStudy.procedureCode.coding:icd10-pcs-2021 | required | TW2021ICD10PCS (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-2023 | required | TW2023ICD10PCShttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw from this IG | ||||
ImagingStudy.reasonCode | extensible | ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard | ||||
ImagingStudy.series.modality | extensible | AcquisitionModalityhttp://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html | ||||
ImagingStudy.series.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
ImagingStudy.series.laterality | extensible | Lateralityhttp://hl7.org/fhir/ValueSet/bodysite-laterality from the FHIR Standard | ||||
ImagingStudy.series.performer.function | extensible | ImagingStudySeriesPerformerFunctionhttp://hl7.org/fhir/ValueSet/series-performer-function from the FHIR Standard | ||||
ImagingStudy.series.instance.sopClass | extensible | http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | ImagingStudy | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | ImagingStudy | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | ImagingStudy | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | ImagingStudy | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | ImagingStudy | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from ImagingStudy
Summary
Must-Support: 15 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
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(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
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
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
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
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