Visit the FHIR website
Search FHIR Cục Công nghệ thông tin - Bộ Y tế

Bản hướng dẫn thực thi (IG) dành cho các hệ thống thông tin Y tế tại Việt Nam
1.0.0 - CI Build

Bản hướng dẫn thực thi (IG) dành cho các hệ thống thông tin Y tế tại Việt Nam, published by Cục Công nghệ thông tin - Bộ Y tế. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7vn/vn-core-ig/ and changes regularly. See the Directory of published versions

Resource Profile: VNCoreImagingStudy

Thông tin về các file chẩn đoán hình ảnh (X-Quang, chụp CT,…) - được lưu trữ dưới định dạng DICOM

Đường dẫn URL chính thức của Profile này: 

http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-imaging-study

Nội dung Profile

Thông tin bổ sung cho các thông tin hiển thị (Nội dung mô tả, Differential Table, Snapshot Table, ...).

Profile này được dựa trên Resource ImagingStudyUvIps

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImagingStudy ImagingStudyUvIps
... subject 1..1 Reference(Patient (IPS) | Patient Profile - VN Core R4) Who or what is the subject of the study
... encounter 0..1 Reference(Encounter | Encounter Profile - VN Core R4) Encounter with which this imaging study is associated
... basedOn 0..* Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task | ServiceRequest profile - VN Core R4) Request fulfilled
... interpreter 0..* Reference(Practitioner | PractitionerRole | Practitioner Profile - VN Core R4) Who interpreted images
... numberOfSeries S 0..1 unsignedInt Number of Study Related Series
... numberOfInstances S 0..1 unsignedInt Number of Study Related Instances
... procedureReference 0..1 Reference(Procedure | Procedure Profile - VN Core R4) The performed Procedure reference
... location 0..1 Reference(Location | Location Profile - VN Core R4) Where ImagingStudy occurred
... reasonReference 0..* Reference(Condition | Observation | Media | DiagnosticReport | DocumentReference | Condition - Encounter Diagnosis- VN Core R4) Why was study performed

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImagingStudy S 0..* ImagingStudyUvIps A set of images produced in single study (one or more series of references images)
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... 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 Identifiers for the whole study
... status ?!Σ 1..1 code registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
... modality Σ 0..* Coding All series modality if actual acquisition modalities
Binding: AcquisitionModality . (extensible): Type of acquired data in the instance.
... subject SΣ 1..1 Reference(Patient (IPS) | Patient Profile - VN Core R4) Who or what is the subject of the study
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter | Encounter Profile - VN Core R4) Encounter with which this imaging study is associated
... started SΣ 0..1 dateTime When the study was started
Example General: 2011-01-01T08:01:20+00:00
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task | ServiceRequest profile - VN Core R4) Request fulfilled
... referrer Σ 0..1 Reference(Practitioner | PractitionerRole | Practitioner Profile - VN Core R4) Referring physician
... interpreter Σ 0..* Reference(Practitioner | PractitionerRole | Practitioner Profile - VN Core R4) Who interpreted images
... endpoint Σ 0..* Reference(Endpoint) Study access endpoint
... numberOfSeries SΣ 0..1 unsignedInt Number of Study Related Series
... numberOfInstances SΣ 0..1 unsignedInt Number of Study Related Instances
... procedureReference Σ 0..1 Reference(Procedure | Procedure Profile - VN Core R4) The performed Procedure reference
... procedureCode S 0..* CodeableConceptIPS Concept - reference to a terminology or just text
Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
... location Σ 0..1 Reference(Location | Location Profile - VN Core R4) Where ImagingStudy occurred
... reasonCode S 0..* CodeableConceptIPS Concept - reference to a terminology or just text
Binding: ProcedureReasonCodes (example): The reason for the study.
... reasonReference Σ 0..* Reference(Condition | Observation | Media | DiagnosticReport | DocumentReference | Condition - Encounter Diagnosis- VN Core R4) Why was study performed
... note Σ 0..* Annotation User-defined comments
... description Σ 0..1 string Institution-generated description
... series SΣ 0..* BackboneElement Each study has one or more series of instances
.... 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 DICOM Series Instance UID for the series
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
.... number Σ 0..1 unsignedInt Numeric identifier of this series
Example General: 3
.... modality SΣ 1..1 Coding The modality of the instances in the series
Binding: AcquisitionModality . (extensible): Type of acquired data in the instance.
.... description Σ 0..1 string A short human readable summary of the series
Example General: CT Surview 180
.... numberOfInstances Σ 0..1 unsignedInt Number of Series Related Instances
.... endpoint Σ 0..* Reference(Endpoint) Series access endpoint
.... bodySite Σ 0..1 Coding Body part examined
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... laterality Σ 0..1 Coding Body part laterality
Binding: Laterality (example): Codes describing body site laterality (left, right, etc.).
.... specimen Σ 0..* Reference(Specimen) Specimen imaged
.... started Σ 0..1 dateTime When the series started
.... performer Σ 0..* BackboneElement Who performed the series
..... 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 Σ 0..1 CodeableConcept Type of performance
Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
..... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) Who performed the series
.... instance S 0..* BackboneElement A single SOP instance from the series
..... 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 Instance UID
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
..... sopClass S 1..1 Coding DICOM class type
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance.
..... number 0..1 unsignedInt The number of this instance in the series
Example General: 1
..... title 0..1 string Description of instance

doco Documentation for this format

Differential View

Profile này được dựa trên Resource ImagingStudyUvIps

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImagingStudy ImagingStudyUvIps
... subject 1..1 Reference(Patient (IPS) | Patient Profile - VN Core R4) Who or what is the subject of the study
... encounter 0..1 Reference(Encounter | Encounter Profile - VN Core R4) Encounter with which this imaging study is associated
... basedOn 0..* Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task | ServiceRequest profile - VN Core R4) Request fulfilled
... interpreter 0..* Reference(Practitioner | PractitionerRole | Practitioner Profile - VN Core R4) Who interpreted images
... numberOfSeries S 0..1 unsignedInt Number of Study Related Series
... numberOfInstances S 0..1 unsignedInt Number of Study Related Instances
... procedureReference 0..1 Reference(Procedure | Procedure Profile - VN Core R4) The performed Procedure reference
... location 0..1 Reference(Location | Location Profile - VN Core R4) Where ImagingStudy occurred
... reasonReference 0..* Reference(Condition | Observation | Media | DiagnosticReport | DocumentReference | Condition - Encounter Diagnosis- VN Core R4) Why was study performed

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ImagingStudy S 0..* ImagingStudyUvIps A set of images produced in single study (one or more series of references images)
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... 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 Identifiers for the whole study
... status ?!Σ 1..1 code registered | available | cancelled | entered-in-error | unknown
Binding: ImagingStudyStatus (required): The status of the ImagingStudy.
... modality Σ 0..* Coding All series modality if actual acquisition modalities
Binding: AcquisitionModality . (extensible): Type of acquired data in the instance.
... subject SΣ 1..1 Reference(Patient (IPS) | Patient Profile - VN Core R4) Who or what is the subject of the study
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter | Encounter Profile - VN Core R4) Encounter with which this imaging study is associated
... started SΣ 0..1 dateTime When the study was started
Example General: 2011-01-01T08:01:20+00:00
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task | ServiceRequest profile - VN Core R4) Request fulfilled
... referrer Σ 0..1 Reference(Practitioner | PractitionerRole | Practitioner Profile - VN Core R4) Referring physician
... interpreter Σ 0..* Reference(Practitioner | PractitionerRole | Practitioner Profile - VN Core R4) Who interpreted images
... endpoint Σ 0..* Reference(Endpoint) Study access endpoint
... numberOfSeries SΣ 0..1 unsignedInt Number of Study Related Series
... numberOfInstances SΣ 0..1 unsignedInt Number of Study Related Instances
... procedureReference Σ 0..1 Reference(Procedure | Procedure Profile - VN Core R4) The performed Procedure reference
... procedureCode S 0..* CodeableConceptIPS Concept - reference to a terminology or just text
Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): The performed procedure type.
... location Σ 0..1 Reference(Location | Location Profile - VN Core R4) Where ImagingStudy occurred
... reasonCode S 0..* CodeableConceptIPS Concept - reference to a terminology or just text
Binding: ProcedureReasonCodes (example): The reason for the study.
... reasonReference Σ 0..* Reference(Condition | Observation | Media | DiagnosticReport | DocumentReference | Condition - Encounter Diagnosis- VN Core R4) Why was study performed
... note Σ 0..* Annotation User-defined comments
... description Σ 0..1 string Institution-generated description
... series SΣ 0..* BackboneElement Each study has one or more series of instances
.... 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 DICOM Series Instance UID for the series
Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
.... number Σ 0..1 unsignedInt Numeric identifier of this series
Example General: 3
.... modality SΣ 1..1 Coding The modality of the instances in the series
Binding: AcquisitionModality . (extensible): Type of acquired data in the instance.
.... description Σ 0..1 string A short human readable summary of the series
Example General: CT Surview 180
.... numberOfInstances Σ 0..1 unsignedInt Number of Series Related Instances
.... endpoint Σ 0..* Reference(Endpoint) Series access endpoint
.... bodySite Σ 0..1 Coding Body part examined
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... laterality Σ 0..1 Coding Body part laterality
Binding: Laterality (example): Codes describing body site laterality (left, right, etc.).
.... specimen Σ 0..* Reference(Specimen) Specimen imaged
.... started Σ 0..1 dateTime When the series started
.... performer Σ 0..* BackboneElement Who performed the series
..... 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 Σ 0..1 CodeableConcept Type of performance
Binding: ImagingStudySeriesPerformerFunction (extensible): The type of involvement of the performer.
..... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) Who performed the series
.... instance S 0..* BackboneElement A single SOP instance from the series
..... 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 Instance UID
Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
..... sopClass S 1..1 Coding DICOM class type
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): The sopClass for the instance.
..... number 0..1 unsignedInt The number of this instance in the series
Example General: 1
..... title 0..1 string Description of instance

doco Documentation for this format

 

Hình thức mô tả khác: Schematron

Thông tin bổ sung

Terminology Bindings

Terminology Bindings

PathConformanceValueSetURI
ImagingStudy.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
ImagingStudy.statusrequiredImagingStudyStatus
http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1
From the FHIR Standard
ImagingStudy.modalityextensibleAcquisitionModality .
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
ImagingStudy.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
ImagingStudy.procedureCodeextensiblehttp://www.rsna.org/RadLex_Playbook.aspx
http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
From the FHIR Standard
ImagingStudy.series.modalityextensibleAcquisitionModality .
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
ImagingStudy.series.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
From the FHIR Standard
ImagingStudy.series.lateralityexampleLaterality
http://hl7.org/fhir/ValueSet/bodysite-laterality
From the FHIR Standard
ImagingStudy.series.performer.functionextensibleImagingStudySeriesPerformerFunction
http://hl7.org/fhir/ValueSet/series-performer-function
From the FHIR Standard
ImagingStudy.series.instance.sopClassextensiblehttp://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Constraints

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorImagingStudyIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorImagingStudyIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorImagingStudyIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorImagingStudyIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceImagingStudyA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()