醫療影像及報告實作指引
0.1.0 - DSTU0 ci-build
醫療影像及報告實作指引 - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
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"title" : "醫療影像及報告",
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_TWCorePatient\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient TWCorePatient</b></p><a name=\"TWCorePatient\"> </a><a name=\"hcTWCorePatient\"> </a><a name=\"hcTWCorePatient-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">胖吉 綠 (official) Male, DoB: 1987-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code\u00a0(use:\u00a0official,\u00a0))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 0912345678</li><li>台北市北投區明德路365號(home)</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Nominated Contact: Emergency Contact\">Emergency Contact:</td><td colspan=\"3\"><ul><li>大吉 綠 (Official) (Male)</li><li>台北市北投區明德路365號(home)</li><li>ph: 0987654321</li></ul></td></tr></table></div>"
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_TWCoreEncounter\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter TWCoreEncounter</b></p><a name=\"TWCoreEncounter\"> </a><a name=\"hcTWCoreEncounter\"> </a><a name=\"hcTWCoreEncounter-en-US\"> </a><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-PRENC\">ActCode</a> PRENC: pre-admission</p><p><b>subject</b>: <a href=\"Patient-TWCorePatient.html\">胖吉 綠 (official) Male, DoB: 1987-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code\u00a0(use:\u00a0official,\u00a0))</a></p><h3>Participants</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Period</b></td><td><b>Individual</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationType PPRF}\">primary performer</span></td><td>2022-08-01 17:00:14-0500 --> 2022-08-01 18:00:14-0500</td><td><a href=\"Practitioner-TWCorePractitioner.html\">Practitioner 大吉 連 (official)</a></td></tr></table><p><b>period</b>: 2022-08-01 17:00:14-0500 --> 2022-08-01 18:00:14-0500</p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 93880001}\">Primary malignant neoplasm of lung (disorder)</span></p></div>"
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{
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🔗 "https://hapi.fhir.tw/fhir/StructureDefinition/TWCoreCondition"
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_TWCoreCondition\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition TWCoreCondition</b></p><a name=\"TWCoreCondition\"> </a><a name=\"hcTWCoreCondition\"> </a><a name=\"hcTWCoreCondition-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2021-tw A15.0}\">肺結核</span></p><p><b>subject</b>: <a href=\"Patient-TWCorePatient.html\">胖吉 綠 (official) Male, DoB: 1987-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code\u00a0(use:\u00a0official,\u00a0))</a></p><p><b>asserter</b>: <a href=\"Practitioner-TWCorePractitioner.html\">Practitioner 大吉 連 (official)</a></p></div>"
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ImagingStudy_ImagingStudyBase\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ImagingStudy ImagingStudyBase</b></p><a name=\"ImagingStudyBase\"> </a><a name=\"hcImagingStudyBase\"> </a><a name=\"hcImagingStudyBase-en-US\"> </a><p><b>identifier</b>: Study instancce UID/urn:oid:2.25.284733062255854756631429402605810248731\u00a0(use:\u00a0official,\u00a0), Accession ID/2ffe0c20-50d8-49df-85f6-6452d1d201b9\u00a0(use:\u00a0official,\u00a0)</p><p><b>status</b>: Available</p><p><b>subject</b>: <a href=\"Patient-TWCorePatient.html\">胖吉 綠 (official) Male, DoB: 1987-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code\u00a0(use:\u00a0official,\u00a0))</a></p><p><b>started</b>: 2024-01-01 11:01:20+0300</p><p><b>endpoint</b>: <a href=\"Endpoint-MitwEndpoint.html\">Endpoint: status = active; connectionType = DICOM WADO-RS (Endpoint Connection Type#dicom-wado-rs); payloadType = ; payloadMimeType = application/dicom; address = http://localhost:8081/dicom-web</a></p><p><b>numberOfSeries</b>: 1</p><p><b>numberOfInstances</b>: 1</p><p><b>procedureCode</b>: <span title=\"Codes:{https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2021-tw BW40ZZZ}\">腹部超音波</span></p><blockquote><p><b>series</b></p><p><b>uid</b>: 2.25.88017001449189502323411118737039844242</p><p><b>modality</b>: <a href=\"http://dicom.nema.org/resources/ontology/DCM#DCM-US\">DICOM Controlled Terminology Definitions</a> US: Ultrasound</p><p><b>numberOfInstances</b>: 1</p><p><b>bodySite</b>: <a href=\"http://snomed.info/id/251007\">SNOMED CT (all versions)</a> 251007: Pectoral region</p><h3>Instances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Uid</b></td><td><b>SopClass</b></td></tr><tr><td style=\"display: none\">*</td><td>2.25.284548087604447302186649612333159050027</td><td>unknown urn:oid:1.2.840.10008.5.1.4.1.1.3.1: urn:oid:1.2.840.10008.5.1.4.1.1.3.1</td></tr></table></blockquote></div>"
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"system" : "urn:dicom:uid",
"value" : "urn:oid:2.25.284733062255854756631429402605810248731"
},
{
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{
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"code" : "ACSN",
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},
"system" : "http://www.moi.gov.tw/",
"value" : "2ffe0c20-50d8-49df-85f6-6452d1d201b9"
}
],
"status" : "available",
"subject" : {
🔗 "reference" : "Patient/TWCorePatient"
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"started" : "2024-01-01T11:01:20+03:00",
"endpoint" : [
{
🔗 "reference" : "Endpoint/MitwEndpoint"
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{
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"modality" : {
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"code" : "US"
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"numberOfInstances" : 1,
"bodySite" : {
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"code" : "251007",
"display" : "Pectoral region"
},
"instance" : [
{
"uid" : "2.25.284548087604447302186649612333159050027",
"sopClass" : {
"system" : "urn:ietf:rfc:3986",
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}
]
}
},
{
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"resource" : {
"resourceType" : "Media",
"id" : "MediaBase",
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🔗 "https://hapi.fhir.tw/fhir/StructureDefinition/MediaBase"
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"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Media_MediaBase\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Media MediaBase</b></p><a name=\"MediaBase\"> </a><a name=\"hcMediaBase\"> </a><a name=\"hcMediaBase-en-US\"> </a><p><b>status</b>: Completed</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/media-type image}\">Image</span></p><p><b>view</b>: <span title=\"Codes:{http://snomed.info/sct 272483007}\">True projection</span></p><p><b>subject</b>: <a href=\"Patient-TWCorePatient.html\">胖吉 綠 (official) Male, DoB: 1987-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code\u00a0(use:\u00a0official,\u00a0))</a></p><p><b>created</b>: 2022-12-22 15:30:00+0000</p><p><b>issued</b>: 2022-12-22 16:00:00+0000</p><p><b>operator</b>: <a href=\"Practitioner-TWCorePractitioner.html\">Practitioner 大吉 連 (official)</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 357009}\">Closed fracture trapezoid</span></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 1927002}\">Entire left elbow region</span></p><p><b>deviceName</b>: ntegris BH3000</p><p><b>height</b>: 512</p><p><b>width</b>: 512</p><h3>Contents</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ContentType</b></td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td>image/png</td><td><a href=\"http://example.nondicom.url\">http://example.nondicom.url</a></td></tr></table></div>"
},
"status" : "completed",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/media-type",
"code" : "image",
"display" : "Image"
}
]
},
"view" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "272483007",
"display" : "True projection"
}
]
},
"subject" : {
🔗 "reference" : "Patient/TWCorePatient"
},
"createdDateTime" : "2022-12-22T15:30:00Z",
"issued" : "2022-12-22T16:00:00Z",
"operator" : {
🔗 "reference" : "Practitioner/TWCorePractitioner"
},
"reasonCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "357009",
"display" : "Closed fracture trapezoid"
}
]
}
],
"bodySite" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1927002",
"display" : "Entire left elbow region"
}
]
},
"deviceName" : "ntegris BH3000",
"height" : 512,
"width" : 512,
"content" : {
"contentType" : "image/png",
"url" : "http://example.nondicom.url"
}
}
},
{
"fullUrl" : "https://hapi.fhir.tw/fhir/Endpoint/MitwEndpoint",
"resource" : {
"resourceType" : "Endpoint",
"id" : "MitwEndpoint",
"meta" : {
"profile" : [
🔗 "https://hapi.fhir.tw/fhir/StructureDefinition/MitwEndpoint"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Endpoint_MitwEndpoint\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Endpoint MitwEndpoint</b></p><a name=\"MitwEndpoint\"> </a><a name=\"hcMitwEndpoint\"> </a><a name=\"hcMitwEndpoint-en-US\"> </a><p><b>status</b>: Active</p><p><b>connectionType</b>: <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-endpoint-connection-type.html#endpoint-connection-type-dicom-wado-rs\">Endpoint Connection Type</a> dicom-wado-rs: DICOM WADO-RS</p><p><b>payloadType</b>: <span title=\"Codes:\">DICOM</span></p><p><b>payloadMimeType</b>: application/dicom</p><p><b>address</b>: <a href=\"http://localhost:8081/dicom-web\">http://localhost:8081/dicom-web</a></p></div>"
},
"status" : "active",
"connectionType" : {
"system" : "http://terminology.hl7.org/CodeSystem/endpoint-connection-type",
"code" : "dicom-wado-rs"
},
"payloadType" : [
{
"text" : "DICOM"
}
],
"payloadMimeType" : [
"application/dicom"
],
"address" : "http://localhost:8081/dicom-web"
}
},
{
"fullUrl" : "https://hapi.fhir.tw/fhir/Observation/ObservationImagingResult",
"resource" : {
"resourceType" : "Observation",
"id" : "ObservationImagingResult",
"meta" : {
"profile" : [
🔗 "https://hapi.fhir.tw/fhir/StructureDefinition/Observation-Imaging-Result"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ObservationImagingResult\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ObservationImagingResult</b></p><a name=\"ObservationImagingResult\"> </a><a name=\"hcObservationImagingResult\"> </a><a name=\"hcObservationImagingResult-en-US\"> </a><p><b>identifier</b>: Accession ID/2ffe0c20-50d8-49df-85f6-6452d1d201b9\u00a0(use:\u00a0official,\u00a0)</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category imaging}\">Imaging</span></p><p><b>code</b>: <span title=\"Codes:{https://hapi.fhir.tw/fhir/CodeSystem/icd-10-pcs-2023-tw-b B00B0ZZ}\">脊髓一般放射線攝影，使用高滲透壓顯影劑</span></p><p><b>subject</b>: <a href=\"Patient-TWCorePatient.html\">胖吉 綠 (official) Male, DoB: 1987-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code\u00a0(use:\u00a0official,\u00a0))</a></p><p><b>effective</b>: 2023-08-01 17:00:14-0500</p><p><b>performer</b>: <a href=\"Practitioner-TWCorePractitioner.html\">Practitioner 大吉 連 (official)</a></p><p><b>value</b>: LUNGS AND PLEURA: Clear lungs. Normal pulmonary vascularity. No pleural effusion. No pneumothorax.</p></div>"
},
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "https://hapi.fhir.tw/fhir/CodeSystem/ImageIdentifierType",
"code" : "ACSN",
"display" : "Accession ID"
}
]
},
"system" : "http://www.moi.gov.tw/",
"value" : "2ffe0c20-50d8-49df-85f6-6452d1d201b9"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "imaging",
"display" : "Imaging"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "https://hapi.fhir.tw/fhir/CodeSystem/icd-10-pcs-2023-tw-b",
"code" : "B00B0ZZ",
"display" : "脊髓一般放射線攝影，使用高滲透壓顯影劑"
}
]
},
"subject" : {
🔗 "reference" : "Patient/TWCorePatient"
},
"effectiveDateTime" : "2023-08-01T17:00:14-05:00",
"performer" : [
{
🔗 "reference" : "Practitioner/TWCorePractitioner"
}
],
"valueString" : "LUNGS AND PLEURA: Clear lungs. Normal pulmonary vascularity. No pleural effusion. No pneumothorax."
}
},
{
"fullUrl" : "https://hapi.fhir.tw/fhir/DiagnosticReport/ImageDiagnosticReport",
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "ImageDiagnosticReport",
"meta" : {
"profile" : [
🔗 "https://hapi.fhir.tw/fhir/StructureDefinition/DiagnosticReport-Image"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2><span title=\"Codes: {https://fhir.tw/fhir/ig/lungcancer/CodeSystem/ICD-10-procedurecode BW24ZZZ}\">Computerized Tomography (CT Scan) of Chest and Abdomen</span> (<span title=\"Codes: {http://loinc.org LP29684-5}\">Radiology</span>)</h2><table class=\"grid\"><tr><td>Subject</td><td><b>胖吉 綠 (OFFICIAL)</b> male, DoB: 1987-01-01 ( Social Beneficiary Identifier: A123456789)</td></tr><tr><td>Reported</td><td>2022-08-30 10:35:32+0800</td></tr><tr><td>Identifier:</td><td>Medical record number: 01260526</td></tr></table><p><b>ImagingStudy Finding :</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>When For</b></td></tr><tr><td><a href=\"Observation-ObservationImagingResult.html\"><span title=\"Codes: {https://fhir.tw/fhir/ig/lungcancer/CodeSystem/ICD-10-procedurecode BW24ZZZ}\">Computerized Tomography (CT Scan) of Chest and Abdomen</span></a></td><td>LUNGS AND PLEURA: Clear lungs. Normal pulmonary vascularity. No pleural effusion. No pneumothorax.</td><td>2022-08-30</td></tr></table><p><b>ImagingStudy Impression :</b></p><p>No acute abnormality</p><p><b>Coded Conclusions :</b></p><ul><li><span title=\"Codes: {http://snomed.info/sct 3368006}\">Dull chest pain</span></li></ul></div>"
},
"identifier" : [
{
"system" : "https://www.vghtpe.gov.tw/",
"value" : "123456"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LP29684-5",
"display" : "Radiology"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "https://hapi.fhir.tw/fhir/CodeSystem/icd-10-pcs-2023-tw-b",
"code" : "B00B0ZZ",
"display" : "脊髓一般放射線攝影，使用高滲透壓顯影劑"
}
]
},
"subject" : {
🔗 "reference" : "Patient/TWCorePatient"
},
"encounter" : {
🔗 "reference" : "Encounter/TWCoreEncounter"
},
"effectiveDateTime" : "2023-08-01T17:00:14-05:00",
"issued" : "2022-08-30T14:35:32.631Z",
"performer" : [
{
🔗 "reference" : "Practitioner/TWCorePractitioner"
}
],
"resultsInterpreter" : [
{
🔗 "reference" : "Practitioner/TWCorePractitioner"
}
],
"result" : [
{
🔗 "reference" : "Observation/ObservationImagingResult"
}
],
"imagingStudy" : [
{
🔗 "reference" : "ImagingStudy/ImagingStudyBase"
}
],
"conclusion" : "No acute abnormality",
"conclusionCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "3368006",
"display" : "Dull chest pain"
}
]
}
]
}
}
]
}