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

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

Resource Profile: TWCoreMedia - Detailed Descriptions

Active as of 2024-11-07

Definitions for the Media-twcore resource profile.

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

0. Media
Definition

健康照護中獲取或使用的影像、影片或音檔,實際內容可能置於行內或透過直接參照提供。

Short健康照護中獲取或使用的影像、影片或音檔,實際內容可能置於行內或透過直接參照提供。
2. Media.id
Definition

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

Short不重複的ID用以識別儲存在特定FHIR Server中的Media紀錄,通常又稱為邏輯性ID。
Comments

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

4. Media.meta
Definition

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

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

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

Short創建此內容所依據的一組規則
Comments

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

8. Media.language
Definition

編寫此resource的語言

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

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

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

人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。

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

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

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

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

12. Media.identifier
Definition

影像相關的識別碼,可能包括影像本身的識別碼,以及用於其收集上下文(例如:系列識別碼)和其他工作流程識別碼,例如存取號等。

Short影像的識別碼
Comments

識別碼的標籤和使用可以用來確定它是什麼類型的識別碼

NoteThis is a business identifier, not a resource identifier (see discussion)
14. Media.basedOn
Definition

由創建此多媒體文件而完全或部分完成的程序。例如,如果多媒體文件是一張X光影像,那麼這個程序可能是一次X光檢查。

Short導致產生此多媒體的程序
Requirements

此功能可追蹤事件的授權情況,並追蹤建議或推薦是否已執行。

16. Media.partOf
Definition

這個特定事件是更大事件的一部分,或者是一個步驟。

Short參照事件的一部分
Comments

不應該使用此屬性將事件與一次就診關聯 - 請使用 Media.encounter 來完成這個目的。

[對於事件 resource,所允許的參照resources可能會根據需要進行調整。]

Requirements

舉例來說,藥物管理可以是某個程序的一部分,而這個程序則可能是某個觀察過程的一部分等等。

18. Media.status
Definition

多媒體的目前狀態

Comments

可以在[[event.html#statemachine | 事件模式]]文件中找到一個標準的狀態轉換圖。

「未知」不代表「其他」狀態 - 必須使用其中一個已定義的狀態,「未知」用於表示不確定當前狀態。

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

代表事件生命週期階段的代碼;應填入所綁定值集中的其中一個代碼

20. Media.type
Definition

一個代碼,用於分類多媒體是否為影像、影片或音檔或其他多媒體類別。

Short將多媒體分類為影像、影片或音檔
BindingUnless not suitable, these codes SHALL be taken from MediaType
(extensible to http://hl7.org/fhir/ValueSet/media-type)

應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

TypeCodeableConcept(TW CodeableConcept)
Requirements

用於篩選取得和顯示的檢驗檢查結果

22. Media.modality
Definition

在醫學影像領域中,描述多媒體類型(即影像)的細節時重要的幾個方面。通常,這包括影像是如何被獲取的,比如使用了什麼設備或技術。如果這些影像是從DICOM系統中獲得的,並且被存儲在一種稱為「Media resource」的格式中,那麼這個過程中用到的特定技術或設備類型被稱為「儀器(modality)」。儀器是指影像如何被產生,比如CT掃描、MRI掃描或X光等。

Short取得影像的設備/過程
BindingFor example codes, see MediaModality
(example to http://hl7.org/fhir/ValueSet/media-modality)

可參考MediaModality代碼表,但此代碼表只是針對這個欄位的一個可能值的示例,不預期也不鼓勵使用者一定要使用此代碼表的代碼。

TypeCodeableConcept(TW CodeableConcept)
24. Media.view
Definition

影像視圖的名稱,例如:側位或前後部位(AP)。

Short影像視圖,從不同的角度拍攝醫學影像,例如:側位(Lateral,從旁邊看)或前後部位(Antero-posterior,從前面或後面看)
BindingUnless not suitable, these codes SHALL be taken from MediaCollectionView/Projection
(extensible to http://hl7.org/fhir/ValueSet/media-view)

應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

TypeCodeableConcept(TW CodeableConcept)
26. Media.subject
Definition

多媒體紀錄的對象是誰或什麼?

Short多媒體紀錄的對象是誰或什麼?
TypeReference(TW Core Patient, TW Core Practitioner, TW Core PractitionerRole, Group, Device, TW Core Specimen, TW Core Location)
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
28. Media.encounter
Definition

此多媒體是在什麼樣的就醫過程中產生或被使用的。例如:有一次具體的就診活動(比如病人因為某種疼痛去看醫生),在這次就醫中產生了這份X光影像,從而為這份影像提供了相關的就醫背景或情境。

Short與此Media相關的就醫事件(Encounter)
Comments

這通常會是多媒體產生時所在的就醫情境

TypeReference(TW Core Encounter)
Requirements

將多媒體與 「就醫」背景連結起來

30. Media.created[x]
Definition

多媒體收集的日期和時間

ShortMedia被收集的時間
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
32. Media.issued
Definition

當一份多媒體資料(比如影像、文件等)經過專業人士的審查之後,確定無誤或達到一定標準,便會選擇一個時間點,把這份經過審查的多媒體版本提供給其他醫療專業人員或相關人士使用。這個「日期和時間」就是指這份多媒體資料被正式認可並開放給相關人士使用的具體時刻。

Short此版本提供的日期/時間
Comments

它可能與resource本身的最後更新時間相同。但對於那些確實需要對某些更新進行審查和驗證的Observations,如果更新是非臨床顯著的,則不需要對新版本進行再次審查和驗證,因此它也可能與resource本身的最後更新時間不同。

34. Media.operator
Definition

負責收集影像的人

Short產生影像的人
TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, TW Core CareTeam, TW Core Patient, Device, TW Core RelatedPerson)
36. Media.reasonCode
Definition

以編碼或文字形式描述了事件發生的原因

Short為什麼會進行這個事件?
Comments

文字形式的原因可以使用reasonCode.text來取得

BindingUnless not suitable, these codes SHALL be taken from ProcedureReasonCodes
(extensible to http://hl7.org/fhir/ValueSet/procedure-reason)

應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

TypeCodeableConcept(TW CodeableConcept)
38. Media.bodySite
Definition

表示在受檢者身上進行檢查的部位(即目標部位)

Short接受檢驗檢查的身體部位
Comments

只有在Observation.code中發現的代碼中沒有隱含的情況下才使用。在許多系統中,這可能被表示為一個相關的觀察,而不是一個內聯元件。如果用例要求將BodySite作為一個單獨的resource來處理(例如,單獨識別和跟蹤),那麼就使用標準擴展 bodySite。

BindingUnless not suitable, these codes SHALL be taken from SNOMEDCTBodyStructures
(extensible to http://hl7.org/fhir/ValueSet/body-site)

應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

TypeCodeableConcept(TW CodeableConcept)
40. Media.deviceName
Definition

用來進行錄製的設備名稱/製造商

Short設備/製造商的名稱
42. Media.device
Definition

用來收集多媒體的設備

Short影像、影片、音檔的補捉設備。
Comments

如果需要對設備進行進一步的類型化,應該使用擴展。用於支援收集多媒體的次要設備可以使用擴展或通過Observation.related資料項目表示。

44. Media.height
Definition

以像素為單位的影像高度(影像/影像)。

Short以像素為單位的影像高度(影像/影像)
46. Media.width
Definition

以像素為單位的影像寬度(影像/影像)。

Short以像素為單位的影像寬度(影像/影像)
48. Media.frames
Definition

這段話講述的是在某些情況下,一份影像或文件可能包含多個獨立的影像影格(frame),而這些影格是組成整個文件的部分。例如:在醫療影像、動畫GIF圖像或多頁傳真文件中,可能會有多影格影像。如果一份文件或影像實際上包含多於一個的影像影格,那麼它需要標記一個具體的數值來表示這些影格的數量。這樣做的目的是為了讓使用這份文件或影像的軟體知道,它需要使用一種能夠顯示或處理多個影像影格的特殊工具或功能,稱為渲染小部件(rendering widget)。簡單來說,如果一個文件包含多個影像影格,那麼需要透過特定的方式告知相關的軟體,以便正確顯示或處理這些影格。

Short> 1 的影格(影像)。
Comments

如果沒有提供幀的數量,該值可能是未知的。除非明確說明,否則應用程式不應假定只有一個框架。

50. Media.duration
Definition

錄製的持續時間,以秒為單位 - 對於音檔/影片。

Short以秒為單位的長度(音檔/影片)。
Comments

如果記錄被暫停,持續時間可能與發生時間不同。

52. Media.content
Definition

多媒體的實際內容 -內置或直接參照多媒體原始檔案。

Short實際的多媒體 - 參照或資料。
Comments

推薦的內容類別型:image/jpeg, image/png, image/tiff, video/mpeg, audio/mp4, application/dicom。Application/dicom可以包含傳輸語法作為一個參數。對於涵蓋一段時期的多媒體(視頻/聲音),content.creationTime是結束時間。創建時間用於跟蹤、組織版本和查詢。

54. Media.note
Definition

執行者、對象或其他參與者對Media的意見

Short對此Media的意見
Comments

不能用於觀察、結論等。而是使用基於多媒體/影像研究resource的觀察。

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

0. Media
Definition

健康照護中獲取或使用的影像、影片或音檔,實際內容可能置於行內或透過直接參照提供。


A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference.

Short健康照護中獲取或使用的影像、影片或音檔,實際內容可能置於行內或透過直接參照提供。A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Media.id
Definition

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


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

Short不重複的ID用以識別儲存在特定FHIR Server中的Media紀錄,通常又稱為邏輯性ID。Logical id of this artifact
Comments

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


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

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

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


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

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

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


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

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

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


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

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

編寫此resource的語言


The base language in which the resource is written.

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

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


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

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

人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。


A human language.

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

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


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

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

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


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

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

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

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

ShortExtensions that cannot be ignored
Comments

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

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

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

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

影像相關的識別碼,可能包括影像本身的識別碼,以及用於其收集上下文(例如:系列識別碼)和其他工作流程識別碼,例如存取號等。


Identifiers associated with the image - these may include identifiers for the image itself, identifiers for the context of its collection (e.g. series ids) and context ids such as accession numbers or other workflow identifiers.

Short影像的識別碼Identifier(s) for the image
Comments

識別碼的標籤和使用可以用來確定它是什麼類型的識別碼


The identifier label and use can be used to determine what kind of identifier it is.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Media.basedOn
Definition

由創建此多媒體文件而完全或部分完成的程序。例如,如果多媒體文件是一張X光影像,那麼這個程序可能是一次X光檢查。


A procedure that is fulfilled in whole or in part by the creation of this media.

Short導致產生此多媒體的程序Procedure that caused this media to be created
Control0..*
TypeReference(ServiceRequest, CarePlan)
Is Modifierfalse
Summarytrue
Requirements

此功能可追蹤事件的授權情況,並追蹤建議或推薦是否已執行。


Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.

Alternate Namesfulfills
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Media.partOf
Definition

這個特定事件是更大事件的一部分,或者是一個步驟。


A larger event of which this particular event is a component or step.

Short參照事件的一部分Part of referenced event
Comments

不應該使用此屬性將事件與一次就診關聯 - 請使用 Media.encounter 來完成這個目的。

[對於事件 resource,所允許的參照resources可能會根據需要進行調整。]


Not to be used to link an event to an Encounter - use Media.encounter for that.

[The allowed reference resources may be adjusted as appropriate for the event resource].

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

舉例來說,藥物管理可以是某個程序的一部分,而這個程序則可能是某個觀察過程的一部分等等。


E.g. Drug administration as part of a procedure, procedure as part of observation, etc.

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

多媒體的目前狀態


The current state of the {{title}}.

Shortpreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Comments

可以在[[event.html#statemachine | 事件模式]]文件中找到一個標準的狀態轉換圖。

「未知」不代表「其他」狀態 - 必須使用其中一個已定義的狀態,「未知」用於表示不確定當前狀態。


A nominal state-transition diagram can be found in the [[event.html#statemachine | Event pattern]] documentation

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

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

代表事件生命週期階段的代碼;應填入所綁定值集中的其中一個代碼


Codes identifying the lifecycle stage of an event.

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

一個代碼,用於分類多媒體是否為影像、影片或音檔或其他多媒體類別。


A code that classifies whether the media is an image, video or audio recording or some other media category.

Short將多媒體分類為影像、影片或音檔Classification of media as image, video, or audio
Comments

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

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

應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


Codes for high level media categories.

TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Requirements

用於篩選取得和顯示的檢驗檢查結果


Used for filtering what observations are retrieved and displayed.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Media.modality
Definition

在醫學影像領域中,描述多媒體類型(即影像)的細節時重要的幾個方面。通常,這包括影像是如何被獲取的,比如使用了什麼設備或技術。如果這些影像是從DICOM系統中獲得的,並且被存儲在一種稱為「Media resource」的格式中,那麼這個過程中用到的特定技術或設備類型被稱為「儀器(modality)」。儀器是指影像如何被產生,比如CT掃描、MRI掃描或X光等。


Details of the type of the media - usually, how it was acquired (what type of device). If images sourced from a DICOM system, are wrapped in a Media resource, then this is the modality.

Short取得影像的設備/過程The type of acquisition equipment/process
Comments

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

Control0..1
This element is affected by the following invariants: ele-1
BindingFor example codes, see MediaModalityhttp://hl7.org/fhir/ValueSet/media-modality
(example to http://hl7.org/fhir/ValueSet/media-modality)

可參考MediaModality代碼表,但此代碼表只是針對這個欄位的一個可能值的示例,不預期也不鼓勵使用者一定要使用此代碼表的代碼。


Detailed information about the type of the image - its kind, purpose, or the kind of equipment used to generate it.

TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Media.view
Definition

影像視圖的名稱,例如:側位或前後部位(AP)。


The name of the imaging view e.g. Lateral or Antero-posterior (AP).

Short影像視圖,從不同的角度拍攝醫學影像,例如:側位(Lateral,從旁邊看)或前後部位(Antero-posterior,從前面或後面看)Imaging view, e.g. Lateral or Antero-posterior
Comments

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

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

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。


Imaging view (projection) used when collecting an image.

TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Media.subject
Definition

多媒體紀錄的對象是誰或什麼?


Who/What this Media is a record of.

Short多媒體紀錄的對象是誰或什麼?Who/What this Media is a record of
Control0..1
TypeReference(TW Core Patient, TW Core Practitioner, TW Core PractitionerRole, Group, Device, TW Core Specimen, TW Core Location, Patient, Practitioner, PractitionerRole, Specimen, Location)
Is Modifierfalse
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Media.encounter
Definition

此多媒體是在什麼樣的就醫過程中產生或被使用的。例如:有一次具體的就診活動(比如病人因為某種疼痛去看醫生),在這次就醫中產生了這份X光影像,從而為這份影像提供了相關的就醫背景或情境。


The encounter that establishes the context for this media.

Short與此Media相關的就醫事件(Encounter)Encounter associated with media
Comments

這通常會是多媒體產生時所在的就醫情境


This will typically be the encounter the media occurred within.

Control0..1
TypeReference(TW Core Encounter, Encounter)
Is Modifierfalse
Summarytrue
Requirements

將多媒體與 「就醫」背景連結起來


Links the Media to the Encounter context.

Alternate Namescontext
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Media.created[x]
Definition

多媒體收集的日期和時間


The date and time(s) at which the media was collected.

ShortMedia被收集的時間When Media was collected
Control0..1
TypeChoice of: dateTime, Period
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Alternate Namestiming
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Media.issued
Definition

當一份多媒體資料(比如影像、文件等)經過專業人士的審查之後,確定無誤或達到一定標準,便會選擇一個時間點,把這份經過審查的多媒體版本提供給其他醫療專業人員或相關人士使用。這個「日期和時間」就是指這份多媒體資料被正式認可並開放給相關人士使用的具體時刻。


The date and time this version of the media was made available to providers, typically after having been reviewed.

Short此版本提供的日期/時間Date/Time this version was made available
Comments

它可能與resource本身的最後更新時間相同。但對於那些確實需要對某些更新進行審查和驗證的Observations,如果更新是非臨床顯著的,則不需要對新版本進行再次審查和驗證,因此它也可能與resource本身的最後更新時間不同。


It may be the same as the lastUpdated time of the resource itself. For Observations that do require review and verification for certain updates, it might not be the same as the lastUpdated time of the resource itself due to a non-clinically significant update that does not require the new version to be reviewed and verified again.

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

負責收集影像的人


The person who administered the collection of the image.

Short產生影像的人The person who generated the image
Control0..1
TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, TW Core CareTeam, TW Core Patient, Device, TW Core RelatedPerson, Practitioner, PractitionerRole, Organization, CareTeam, Patient, RelatedPerson)
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. Media.reasonCode
Definition

以編碼或文字形式描述了事件發生的原因


Describes why the event occurred in coded or textual form.

Short為什麼會進行這個事件?Why was event performed?
Comments

文字形式的原因可以使用reasonCode.text來取得


Textual reasons can be captured using reasonCode.text.

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

應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


The reason for the media.

TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. Media.bodySite
Definition

表示在受檢者身上進行檢查的部位(即目標部位)


Indicates the site on the subject's body where the observation was made (i.e. the target site).

Short接受檢驗檢查的身體部位Observed body part
Comments

只有在Observation.code中發現的代碼中沒有隱含的情況下才使用。在許多系統中,這可能被表示為一個相關的觀察,而不是一個內聯元件。如果用例要求將BodySite作為一個單獨的resource來處理(例如,單獨識別和跟蹤),那麼就使用標準擴展 bodySite。


Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component.

If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension bodySite.

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

應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


Codes describing anatomical locations. May include laterality.

TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. Media.deviceName
Definition

用來進行錄製的設備名稱/製造商


The name of the device / manufacturer of the device that was used to make the recording.

Short設備/製造商的名稱Name of the device/manufacturer
Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. Media.device
Definition

用來收集多媒體的設備


The device used to collect the media.

Short影像、影片、音檔的補捉設備。Observing Device
Comments

如果需要對設備進行進一步的類型化,應該使用擴展。用於支援收集多媒體的次要設備可以使用擴展或通過Observation.related資料項目表示。


An extension should be used if further typing of the device is needed. Secondary devices used to support collecting a media can be represented using either extension or through the Observation.related element.

Control0..1
TypeReference(Device, DeviceMetric, Device)
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. Media.height
Definition

以像素為單位的影像高度(影像/影像)。


Height of the image in pixels (photo/video).

Short以像素為單位的影像高度(影像/影像)Height of the image in pixels (photo/video)
Control0..1
TypepositiveInt
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. Media.width
Definition

以像素為單位的影像寬度(影像/影像)。


Width of the image in pixels (photo/video).

Short以像素為單位的影像寬度(影像/影像)Width of the image in pixels (photo/video)
Control0..1
TypepositiveInt
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. Media.frames
Definition

這段話講述的是在某些情況下,一份影像或文件可能包含多個獨立的影像影格(frame),而這些影格是組成整個文件的部分。例如:在醫療影像、動畫GIF圖像或多頁傳真文件中,可能會有多影格影像。如果一份文件或影像實際上包含多於一個的影像影格,那麼它需要標記一個具體的數值來表示這些影格的數量。這樣做的目的是為了讓使用這份文件或影像的軟體知道,它需要使用一種能夠顯示或處理多個影像影格的特殊工具或功能,稱為渲染小部件(rendering widget)。簡單來說,如果一個文件包含多個影像影格,那麼需要透過特定的方式告知相關的軟體,以便正確顯示或處理這些影格。


The number of frames in a photo. This is used with a multi-page fax, or an imaging acquisition context that takes multiple slices in a single image, or an animated gif. If there is more than one frame, this SHALL have a value in order to alert interface software that a multi-frame capable rendering widget is required.

Short> 1 的影格(影像)。Number of frames if > 1 (photo)
Comments

如果沒有提供幀的數量,該值可能是未知的。除非明確說明,否則應用程式不應假定只有一個框架。


if the number of frames is not supplied, the value may be unknown. Applications should not assume that there is only one frame unless it is explicitly stated.

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

錄製的持續時間,以秒為單位 - 對於音檔/影片。


The duration of the recording in seconds - for audio and video.

Short以秒為單位的長度(音檔/影片)。Length in seconds (audio / video)
Comments

如果記錄被暫停,持續時間可能與發生時間不同。


The duration might differ from occurrencePeriod if recording was paused.

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

多媒體的實際內容 -內置或直接參照多媒體原始檔案。


The actual content of the media - inline or by direct reference to the media source file.

Short實際的多媒體 - 參照或資料。Actual Media - reference or data
Comments

推薦的內容類別型:image/jpeg, image/png, image/tiff, video/mpeg, audio/mp4, application/dicom。Application/dicom可以包含傳輸語法作為一個參數。對於涵蓋一段時期的多媒體(視頻/聲音),content.creationTime是結束時間。創建時間用於跟蹤、組織版本和查詢。


Recommended content types: image/jpeg, image/png, image/tiff, video/mpeg, audio/mp4, application/dicom. Application/dicom can contain the transfer syntax as a parameter. For media that covers a period of time (video/sound), the content.creationTime is the end time. Creation time is used for tracking, organizing versions and searching.

Control1..1
TypeAttachment
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. Media.note
Definition

執行者、對象或其他參與者對Media的意見


Comments made about the media by the performer, subject or other participants.

Short對此Media的意見Comments made about the media
Comments

不能用於觀察、結論等。而是使用基於多媒體/影像研究resource的觀察。


Not to be used for observations, conclusions, etc. Instead use an Observation based on the Media/ImagingStudy resource.

Control0..*
TypeAnnotation
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

0. Media
Definition

健康照護中獲取或使用的影像、影片或音檔,實際內容可能置於行內或透過直接參照提供。

Short健康照護中獲取或使用的影像、影片或音檔,實際內容可能置於行內或透過直接參照提供。
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Media.id
Definition

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

Short不重複的ID用以識別儲存在特定FHIR Server中的Media紀錄,通常又稱為邏輯性ID。
Comments

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

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

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

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

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

Short創建此內容所依據的一組規則
Comments

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

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

編寫此resource的語言

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

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

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

人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。

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

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

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

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

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

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

ShortContained, inline Resources
Comments

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

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

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

ShortAdditional content defined by implementations
Comments

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

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

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

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

ShortExtensions that cannot be ignored
Comments

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

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

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

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

影像相關的識別碼,可能包括影像本身的識別碼,以及用於其收集上下文(例如:系列識別碼)和其他工作流程識別碼,例如存取號等。

Short影像的識別碼
Comments

識別碼的標籤和使用可以用來確定它是什麼類型的識別碼

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Media.basedOn
Definition

由創建此多媒體文件而完全或部分完成的程序。例如,如果多媒體文件是一張X光影像,那麼這個程序可能是一次X光檢查。

Short導致產生此多媒體的程序
Control0..*
TypeReference(ServiceRequest, CarePlan)
Is Modifierfalse
Summarytrue
Requirements

此功能可追蹤事件的授權情況,並追蹤建議或推薦是否已執行。

Alternate Namesfulfills
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Media.partOf
Definition

這個特定事件是更大事件的一部分,或者是一個步驟。

Short參照事件的一部分
Comments

不應該使用此屬性將事件與一次就診關聯 - 請使用 Media.encounter 來完成這個目的。

[對於事件 resource,所允許的參照resources可能會根據需要進行調整。]

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

舉例來說,藥物管理可以是某個程序的一部分,而這個程序則可能是某個觀察過程的一部分等等。

Alternate Namescontainer
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Media.status
Definition

多媒體的目前狀態

Shortpreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Comments

可以在[[event.html#statemachine | 事件模式]]文件中找到一個標準的狀態轉換圖。

「未知」不代表「其他」狀態 - 必須使用其中一個已定義的狀態,「未知」用於表示不確定當前狀態。

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

代表事件生命週期階段的代碼;應填入所綁定值集中的其中一個代碼

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

一個代碼,用於分類多媒體是否為影像、影片或音檔或其他多媒體類別。

Short將多媒體分類為影像、影片或音檔
Comments

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

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

應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Requirements

用於篩選取得和顯示的檢驗檢查結果

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

在醫學影像領域中,描述多媒體類型(即影像)的細節時重要的幾個方面。通常,這包括影像是如何被獲取的,比如使用了什麼設備或技術。如果這些影像是從DICOM系統中獲得的,並且被存儲在一種稱為「Media resource」的格式中,那麼這個過程中用到的特定技術或設備類型被稱為「儀器(modality)」。儀器是指影像如何被產生,比如CT掃描、MRI掃描或X光等。

Short取得影像的設備/過程
Comments

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

Control0..1
This element is affected by the following invariants: ele-1
BindingFor example codes, see MediaModality
(example to http://hl7.org/fhir/ValueSet/media-modality)

可參考MediaModality代碼表,但此代碼表只是針對這個欄位的一個可能值的示例,不預期也不鼓勵使用者一定要使用此代碼表的代碼。

TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Media.view
Definition

影像視圖的名稱,例如:側位或前後部位(AP)。

Short影像視圖,從不同的角度拍攝醫學影像,例如:側位(Lateral,從旁邊看)或前後部位(Antero-posterior,從前面或後面看)
Comments

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

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

應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Media.subject
Definition

多媒體紀錄的對象是誰或什麼?

Short多媒體紀錄的對象是誰或什麼?
Control0..1
TypeReference(TW Core Patient, TW Core Practitioner, TW Core PractitionerRole, Group, Device, TW Core Specimen, TW Core Location)
Is Modifierfalse
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Media.encounter
Definition

此多媒體是在什麼樣的就醫過程中產生或被使用的。例如:有一次具體的就診活動(比如病人因為某種疼痛去看醫生),在這次就醫中產生了這份X光影像,從而為這份影像提供了相關的就醫背景或情境。

Short與此Media相關的就醫事件(Encounter)
Comments

這通常會是多媒體產生時所在的就醫情境

Control0..1
TypeReference(TW Core Encounter)
Is Modifierfalse
Summarytrue
Requirements

將多媒體與 「就醫」背景連結起來

Alternate Namescontext
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Media.created[x]
Definition

多媒體收集的日期和時間

ShortMedia被收集的時間
Control0..1
TypeChoice of: dateTime, Period
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Alternate Namestiming
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. Media.issued
Definition

當一份多媒體資料(比如影像、文件等)經過專業人士的審查之後,確定無誤或達到一定標準,便會選擇一個時間點,把這份經過審查的多媒體版本提供給其他醫療專業人員或相關人士使用。這個「日期和時間」就是指這份多媒體資料被正式認可並開放給相關人士使用的具體時刻。

Short此版本提供的日期/時間
Comments

它可能與resource本身的最後更新時間相同。但對於那些確實需要對某些更新進行審查和驗證的Observations,如果更新是非臨床顯著的,則不需要對新版本進行再次審查和驗證,因此它也可能與resource本身的最後更新時間不同。

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

負責收集影像的人

Short產生影像的人
Control0..1
TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, TW Core CareTeam, TW Core Patient, Device, TW Core RelatedPerson)
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. Media.reasonCode
Definition

以編碼或文字形式描述了事件發生的原因

Short為什麼會進行這個事件?
Comments

文字形式的原因可以使用reasonCode.text來取得

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

應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. Media.bodySite
Definition

表示在受檢者身上進行檢查的部位(即目標部位)

Short接受檢驗檢查的身體部位
Comments

只有在Observation.code中發現的代碼中沒有隱含的情況下才使用。在許多系統中,這可能被表示為一個相關的觀察,而不是一個內聯元件。如果用例要求將BodySite作為一個單獨的resource來處理(例如,單獨識別和跟蹤),那麼就使用標準擴展 bodySite。

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

應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. Media.deviceName
Definition

用來進行錄製的設備名稱/製造商

Short設備/製造商的名稱
Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. Media.device
Definition

用來收集多媒體的設備

Short影像、影片、音檔的補捉設備。
Comments

如果需要對設備進行進一步的類型化,應該使用擴展。用於支援收集多媒體的次要設備可以使用擴展或通過Observation.related資料項目表示。

Control0..1
TypeReference(Device, DeviceMetric, Device)
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. Media.height
Definition

以像素為單位的影像高度(影像/影像)。

Short以像素為單位的影像高度(影像/影像)
Control0..1
TypepositiveInt
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. Media.width
Definition

以像素為單位的影像寬度(影像/影像)。

Short以像素為單位的影像寬度(影像/影像)
Control0..1
TypepositiveInt
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. Media.frames
Definition

這段話講述的是在某些情況下,一份影像或文件可能包含多個獨立的影像影格(frame),而這些影格是組成整個文件的部分。例如:在醫療影像、動畫GIF圖像或多頁傳真文件中,可能會有多影格影像。如果一份文件或影像實際上包含多於一個的影像影格,那麼它需要標記一個具體的數值來表示這些影格的數量。這樣做的目的是為了讓使用這份文件或影像的軟體知道,它需要使用一種能夠顯示或處理多個影像影格的特殊工具或功能,稱為渲染小部件(rendering widget)。簡單來說,如果一個文件包含多個影像影格,那麼需要透過特定的方式告知相關的軟體,以便正確顯示或處理這些影格。

Short> 1 的影格(影像)。
Comments

如果沒有提供幀的數量,該值可能是未知的。除非明確說明,否則應用程式不應假定只有一個框架。

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

錄製的持續時間,以秒為單位 - 對於音檔/影片。

Short以秒為單位的長度(音檔/影片)。
Comments

如果記錄被暫停,持續時間可能與發生時間不同。

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

多媒體的實際內容 -內置或直接參照多媒體原始檔案。

Short實際的多媒體 - 參照或資料。
Comments

推薦的內容類別型:image/jpeg, image/png, image/tiff, video/mpeg, audio/mp4, application/dicom。Application/dicom可以包含傳輸語法作為一個參數。對於涵蓋一段時期的多媒體(視頻/聲音),content.creationTime是結束時間。創建時間用於跟蹤、組織版本和查詢。

Control1..1
TypeAttachment
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. Media.note
Definition

執行者、對象或其他參與者對Media的意見

Short對此Media的意見
Comments

不能用於觀察、結論等。而是使用基於多媒體/影像研究resource的觀察。

Control0..*
TypeAnnotation
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))