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
Active as of 2024-07-29 |
Mappings for the IMAGE logical model.
IMAGE | ||
IMAGE | n/a | |
id | n/a | |
extension | n/a |
IMAGE | ||
IMAGE | Patient, Organization, Practitioner, Encounter, Condition, ImagingStudy, Observation, DiagnosticReport | |
hospitaltype | ||
id | 醫事機構代碼:Organization.identifier.value 使用 Organization.identifier.type 識別類型 | |
name | 院所名稱:Organization.name | |
order | ||
code | 檢查健保醫令代碼:ImagingStudy.procedureCode.coding.code, 檢查健保醫令代碼:Observation.code.coding.code | |
description | 醫令名稱:ImagingStudy.procedureCode.coding.display, 醫令名稱:Observation.code.coding.display | |
examinationStatus | ||
physicalExamination | 檢查部位:ImagingStudy.series.bodySite | |
description | 檢查部位說明:ImagingStudy.series.description | |
numberOfInstances | 醫療影像張數:ImagingStudy.numberOfInstances | |
accessionNo | 檢查單號:ImagingStudy.identifier, 檢查單號:Observation.identifier, 檢查單號:DiagnosticReport.identifier | |
patientInformation | ||
idNumber | 身分證:Patient.identifier.value 使用 Patient.identifier.type 識別類型 | |
chartNO | 病歷號:Patient.identifier.value 使用 Patient.identifier.type 識別類型 | |
name | 病人性名:Patient.name | |
administrativeSex | 病人性別:Patient.gender | |
birthDate | 病人出生日期:Patient.birthDate | |
medicalOrder | ||
orderDatetime | 醫囑時間,醫囑日期(分):Encounter.period | |
orderPhysician | 醫囑醫師姓名:Practitioner.name, 醫囑醫師:Encounter.participant.individual | |
historyOfPresentIllness | 病史,病人病史,內容可以包含主訴、適應症等:Condition.code | |
diagnosisICDcode | 疾病診斷代碼:DiagnosticReport.code | |
picture | 圖片:ImagingStudy | |
recordTotal | 報告結果(Finding):Observation.valueString 如果可編碼請使用 Observation.component, 報告結果(interpretation/impression):DiagnosticReport.conclusion | |
radiologyStudyRecommendation | 醫師總結隻建議:Observation.note | |
verificationTime | 確認報告時間:Observation.effective[x], 確認報告時間:DiagnosticReport.effective[x] | |
verificationPhysician | 報告醫師姓名:Practitioner.name |