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

Resource Profile: ImagingStudy

Official URL: https://hapi.fhir.tw/fhir/StructureDefinition/ImagingStudyBase Version: 0.1.0
Active as of 2024-07-29 Computable Name: ImagingStudyBase

此Profile說明本IG如何進一步定義FHIR的ImagingStudy Resource以呈現醫學影像內容

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from TWCoreImagingStudy

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy 0..* TWCoreImagingStudy 影像的定義
... Slices for identifier 2..* Identifier 整項影像檢查的識別碼
Slice: Unordered, Open by pattern:type.coding.code
.... identifier:StudyInstanceUID 1..1 Identifier 此影像的業務用識別碼
..... type
...... coding
....... system 0..1 uri Identity of the terminology system
Required Pattern: https://hapi.fhir.tw/fhir/CodeSystem/ImageIdentifierType
....... code 1..1 code Symbol in syntax defined by the system
Required Pattern: SIUID
....... display 0..1 string Representation defined by the system
Required Pattern: Study instancce UID
...... text 0..1 string Plain text representation of the concept
Required Pattern: DICOM Study Instance UID
..... system S 1..1 uri 機構識別碼（identifier）的命名空間（namespace）
Required Pattern: urn:dicom:uid
..... value S 1..1 string 使用Study Instance UID
.... identifier:AccessionNo 1..1 Identifier 此影像的業務用識別碼。[應填入於醫學影像報告檢查單號Accession No.]
..... type
...... coding
....... system 0..1 uri Identity of the terminology system
Required Pattern: https://hapi.fhir.tw/fhir/CodeSystem/ImageIdentifierType
....... code 1..1 code Symbol in syntax defined by the system
Required Pattern: ACSN
....... display 0..1 string Representation defined by the system
Required Pattern: Accession ID
...... text 0..1 string Plain text representation of the concept
Required Pattern: Accession No 檢查單號
..... system S 1..1 uri 機構識別碼（identifier）的命名空間（namespace）
..... value S 1..1 string 使用 Accession No
... started 1..1 dateTime 檢查日期。[應填入於醫學影像報告實際檢查日期時間Exam Datetime]
... numberOfSeries S 1..1 unsignedInt 此檢查共有幾個系列
... procedureCode 1..1 CodeableConceptTW [應填入於醫學影像報告醫令代碼Order Code]
.... Slices for coding Content/Rules for all slices
..... coding:icd10-pcs-2023-b S 0..1 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。
Binding: 臺灣健保署2023年中文版ICD-10-PCS-B-Imaging值集 (required)
..... coding:icd10-pcs-2023-c S 0..1 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。
Binding: 臺灣健保署2023年中文版ICD-10-PCS-C-Nuclear Medicine 值集 (required)
..... coding:icd10-pcs-2023-d S 0..1 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。
Binding: 臺灣健保署2023年中文版ICD-10-PCS-D-Radiation Therapy值集 (required)
... series 1..1 BackboneElement 每項影像檢查有一個或多個系列(series)的實例
.... description 0..1 string 系列描述。[應填入於醫學影像報告說明Study description]
.... bodySite S 1..1 Coding 此系列造影的檢查部位。[應填入於醫學影像報告檢查部位Physical Examination by Body Areas]

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ImagingStudy.procedureCode.coding:icd10-pcs-2023-brequiredICD10PCSB (a valid code from 臺灣2023年中文版ICD-10-PCS-B-Imaging)
https://hapi.fhir.tw/fhir/ValueSet/icd-10-pcs-2023-tw-b
from this IG
ImagingStudy.procedureCode.coding:icd10-pcs-2023-crequiredICD10PCSC (a valid code from 臺灣2023年中文版ICD-10-PCS-C-NuclearMedicine)
https://hapi.fhir.tw/fhir/ValueSet/icd-10-pcs-2023-tw-c
from this IG
ImagingStudy.procedureCode.coding:icd10-pcs-2023-drequiredICD10PCSD (a valid code from 臺灣2023年中文版ICD-10-PCS-D-RadiationTherapy)
https://hapi.fhir.tw/fhir/ValueSet/icd-10-pcs-2023-tw-d
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy 0..* TWCoreImagingStudy 影像的定義
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... modifierExtension ?! 0..* Extension 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
... Slices for identifier SΣ 2..* Identifier 整項影像檢查的識別碼
Slice: Unordered, Open by pattern:type.coding.code
.... identifier:StudyInstanceUID SΣ 1..1 Identifier 此影像的業務用識別碼
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system SΣ 1..1 uri 機構識別碼（identifier）的命名空間（namespace）
Required Pattern: urn:dicom:uid
..... value SΣ 1..1 string 使用Study Instance UID
Example General: 123456
.... identifier:AccessionNo SΣ 1..1 Identifier 此影像的業務用識別碼。[應填入於醫學影像報告檢查單號Accession No.]
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system SΣ 1..1 uri 機構識別碼（identifier）的命名空間（namespace）
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string 使用 Accession No
Example General: 123456
... 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
... started SΣ 1..1 dateTime 檢查日期。[應填入於醫學影像報告實際檢查日期時間Exam Datetime]
Example General: 2011-01-01T11:01:20+03:00
... numberOfSeries SΣ 1..1 unsignedInt 此檢查共有幾個系列
... numberOfInstances SΣ 1..1 unsignedInt 此檢查共有多少張影像。[應填入於醫學影像報告醫療影像張數Negative Events]
... procedureCode S 1..1 CodeableConceptTW [應填入於醫學影像報告醫令代碼Order Code]
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 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 應填入所綁定值集中的其中一個代碼。
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required)
..... coding:icd10-pcs-2023-b S 0..1 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。
Binding: 臺灣健保署2023年中文版ICD-10-PCS-B-Imaging值集 (required)
..... coding:icd10-pcs-2023-c S 0..1 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。
Binding: 臺灣健保署2023年中文版ICD-10-PCS-C-Nuclear Medicine 值集 (required)
..... coding:icd10-pcs-2023-d S 0..1 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。
Binding: 臺灣健保署2023年中文版ICD-10-PCS-D-Radiation Therapy值集 (required)
.... text SΣ 0..1 string 概念的文字表示法
... 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。


... series SΣ 1..1 BackboneElement 每項影像檢查有一個或多個系列(series)的實例
.... 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
.... 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 系列描述。[應填入於醫學影像報告說明Study description]
Example General: CT Surview 180
.... bodySite SΣ 1..1 Coding 此系列造影的檢查部位。[應填入於醫學影像報告檢查部位Physical Examination by Body Areas]
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。

.... instance S 0..* BackboneElement 系列中的一個SOP實例
..... 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。


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ImagingStudy.identifier:StudyInstanceUID.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ImagingStudy.identifier:AccessionNo.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
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.procedureCodeextensiblehttp://www.rsna.org/RadLex_Playbook.aspx
http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:radLex-radiology-lexiconrequiredhttp://www.rsna.org/RadLex_Playbook.aspx
http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:icd10-pcs-2021requiredTW2021ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
ImagingStudy.procedureCode.coding:icd10-pcs-2023-brequiredICD10PCSB (a valid code from 臺灣2023年中文版ICD-10-PCS-B-Imaging)
https://hapi.fhir.tw/fhir/ValueSet/icd-10-pcs-2023-tw-b
from this IG
ImagingStudy.procedureCode.coding:icd10-pcs-2023-crequiredICD10PCSC (a valid code from 臺灣2023年中文版ICD-10-PCS-C-NuclearMedicine)
https://hapi.fhir.tw/fhir/ValueSet/icd-10-pcs-2023-tw-c
from this IG
ImagingStudy.procedureCode.coding:icd10-pcs-2023-drequiredICD10PCSD (a valid code from 臺灣2023年中文版ICD-10-PCS-D-RadiationTherapy)
https://hapi.fhir.tw/fhir/ValueSet/icd-10-pcs-2023-tw-d
from this IG
ImagingStudy.reasonCodeextensibleProcedureReasonCodes
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.bodySiteextensibleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
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

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()
NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy 0..* TWCoreImagingStudy 影像的定義
... 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。

Additional BindingsPurpose
AllLanguages Max Binding

Example Value: zh-TW
... text 0..1 Narrative ImagingStudy Resource之內容摘要以供人閱讀
... contained 0..* Resource 內嵌的（contained）、行內的Resources
... extension 0..* Extension 擴充的資料項目
... modifierExtension ?! 0..* Extension 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
... Slices for identifier SΣ 2..* Identifier 整項影像檢查的識別碼
Slice: Unordered, Open by pattern:type.coding.code
.... identifier:StudyInstanceUID SΣ 1..1 Identifier 此影像的業務用識別碼
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
Required Pattern: https://hapi.fhir.tw/fhir/CodeSystem/ImageIdentifierType
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: SIUID
....... display Σ 0..1 string Representation defined by the system
Required Pattern: Study instancce UID
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: DICOM Study Instance UID
..... system SΣ 1..1 uri 機構識別碼（identifier）的命名空間（namespace）
Required Pattern: urn:dicom:uid
..... value SΣ 1..1 string 使用Study Instance UID
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:AccessionNo SΣ 1..1 Identifier 此影像的業務用識別碼。[應填入於醫學影像報告檢查單號Accession No.]
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
Required Pattern: https://hapi.fhir.tw/fhir/CodeSystem/ImageIdentifierType
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: ACSN
....... display Σ 0..1 string Representation defined by the system
Required Pattern: Accession ID
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Accession No 檢查單號
..... system SΣ 1..1 uri 機構識別碼（identifier）的命名空間（namespace）
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string 使用 Accession No
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... 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 1..1 dateTime 檢查日期。[應填入於醫學影像報告實際檢查日期時間Exam Datetime]
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 SΣ 1..1 unsignedInt 此檢查共有幾個系列
... numberOfInstances SΣ 1..1 unsignedInt 此檢查共有多少張影像。[應填入於醫學影像報告醫療影像張數Negative Events]
... procedureReference Σ 0..1 Reference(TW Core Procedure) 所執行的處置(Procedure)參照
... procedureCode S 1..1 CodeableConceptTW [應填入於醫學影像報告醫令代碼Order Code]
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 應填入所綁定值集中的其中一個代碼。
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required)
..... coding:icd10-pcs-2023-b S 0..1 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。
Binding: 臺灣健保署2023年中文版ICD-10-PCS-B-Imaging值集 (required)
..... coding:icd10-pcs-2023-c S 0..1 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。
Binding: 臺灣健保署2023年中文版ICD-10-PCS-C-Nuclear Medicine 值集 (required)
..... coding:icd10-pcs-2023-d S 0..1 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。
Binding: 臺灣健保署2023年中文版ICD-10-PCS-D-Radiation Therapy值集 (required)
.... text SΣ 0..1 string 概念的文字表示法
... location Σ 0..1 Reference(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 1..1 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 系列描述。[應填入於醫學影像報告說明Study description]
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 SΣ 1..1 Coding 此系列造影的檢查部位。[應填入於醫學影像報告檢查部位Physical Examination by Body Areas]
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 | CareTeam | TW Core Patient | Device | 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ImagingStudy.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
ImagingStudy.identifier:StudyInstanceUID.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ImagingStudy.identifier:StudyInstanceUID.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ImagingStudy.identifier:AccessionNo.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ImagingStudy.identifier:AccessionNo.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
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.procedureCodeextensiblehttp://www.rsna.org/RadLex_Playbook.aspx
http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:radLex-radiology-lexiconrequiredhttp://www.rsna.org/RadLex_Playbook.aspx
http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:icd10-pcs-2021requiredTW2021ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
ImagingStudy.procedureCode.coding:icd10-pcs-2023-brequiredICD10PCSB (a valid code from 臺灣2023年中文版ICD-10-PCS-B-Imaging)
https://hapi.fhir.tw/fhir/ValueSet/icd-10-pcs-2023-tw-b
from this IG
ImagingStudy.procedureCode.coding:icd10-pcs-2023-crequiredICD10PCSC (a valid code from 臺灣2023年中文版ICD-10-PCS-C-NuclearMedicine)
https://hapi.fhir.tw/fhir/ValueSet/icd-10-pcs-2023-tw-c
from this IG
ImagingStudy.procedureCode.coding:icd10-pcs-2023-drequiredICD10PCSD (a valid code from 臺灣2023年中文版ICD-10-PCS-D-RadiationTherapy)
https://hapi.fhir.tw/fhir/ValueSet/icd-10-pcs-2023-tw-d
from this IG
ImagingStudy.reasonCodeextensibleProcedureReasonCodes
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.bodySiteextensibleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
ImagingStudy.series.lateralityextensibleLaterality
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

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()

This structure is derived from TWCoreImagingStudy

Summary

Mandatory: 12 elements(2 nested mandatory elements)
Must-Support: 10 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of ImagingStudy.identifier

Differential View

This structure is derived from TWCoreImagingStudy

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy 0..* TWCoreImagingStudy 影像的定義
... Slices for identifier 2..* Identifier 整項影像檢查的識別碼
Slice: Unordered, Open by pattern:type.coding.code
.... identifier:StudyInstanceUID 1..1 Identifier 此影像的業務用識別碼
..... type
...... coding
....... system 0..1 uri Identity of the terminology system
Required Pattern: https://hapi.fhir.tw/fhir/CodeSystem/ImageIdentifierType
....... code 1..1 code Symbol in syntax defined by the system
Required Pattern: SIUID
....... display 0..1 string Representation defined by the system
Required Pattern: Study instancce UID
...... text 0..1 string Plain text representation of the concept
Required Pattern: DICOM Study Instance UID
..... system S 1..1 uri 機構識別碼（identifier）的命名空間（namespace）
Required Pattern: urn:dicom:uid
..... value S 1..1 string 使用Study Instance UID
.... identifier:AccessionNo 1..1 Identifier 此影像的業務用識別碼。[應填入於醫學影像報告檢查單號Accession No.]
..... type
...... coding
....... system 0..1 uri Identity of the terminology system
Required Pattern: https://hapi.fhir.tw/fhir/CodeSystem/ImageIdentifierType
....... code 1..1 code Symbol in syntax defined by the system
Required Pattern: ACSN
....... display 0..1 string Representation defined by the system
Required Pattern: Accession ID
...... text 0..1 string Plain text representation of the concept
Required Pattern: Accession No 檢查單號
..... system S 1..1 uri 機構識別碼（identifier）的命名空間（namespace）
..... value S 1..1 string 使用 Accession No
... started 1..1 dateTime 檢查日期。[應填入於醫學影像報告實際檢查日期時間Exam Datetime]
... numberOfSeries S 1..1 unsignedInt 此檢查共有幾個系列
... procedureCode 1..1 CodeableConceptTW [應填入於醫學影像報告醫令代碼Order Code]
.... Slices for coding Content/Rules for all slices
..... coding:icd10-pcs-2023-b S 0..1 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。
Binding: 臺灣健保署2023年中文版ICD-10-PCS-B-Imaging值集 (required)
..... coding:icd10-pcs-2023-c S 0..1 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。
Binding: 臺灣健保署2023年中文版ICD-10-PCS-C-Nuclear Medicine 值集 (required)
..... coding:icd10-pcs-2023-d S 0..1 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。
Binding: 臺灣健保署2023年中文版ICD-10-PCS-D-Radiation Therapy值集 (required)
... series 1..1 BackboneElement 每項影像檢查有一個或多個系列(series)的實例
.... description 0..1 string 系列描述。[應填入於醫學影像報告說明Study description]
.... bodySite S 1..1 Coding 此系列造影的檢查部位。[應填入於醫學影像報告檢查部位Physical Examination by Body Areas]

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ImagingStudy.procedureCode.coding:icd10-pcs-2023-brequiredICD10PCSB (a valid code from 臺灣2023年中文版ICD-10-PCS-B-Imaging)
https://hapi.fhir.tw/fhir/ValueSet/icd-10-pcs-2023-tw-b
from this IG
ImagingStudy.procedureCode.coding:icd10-pcs-2023-crequiredICD10PCSC (a valid code from 臺灣2023年中文版ICD-10-PCS-C-NuclearMedicine)
https://hapi.fhir.tw/fhir/ValueSet/icd-10-pcs-2023-tw-c
from this IG
ImagingStudy.procedureCode.coding:icd10-pcs-2023-drequiredICD10PCSD (a valid code from 臺灣2023年中文版ICD-10-PCS-D-RadiationTherapy)
https://hapi.fhir.tw/fhir/ValueSet/icd-10-pcs-2023-tw-d
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy 0..* TWCoreImagingStudy 影像的定義
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... modifierExtension ?! 0..* Extension 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
... Slices for identifier SΣ 2..* Identifier 整項影像檢查的識別碼
Slice: Unordered, Open by pattern:type.coding.code
.... identifier:StudyInstanceUID SΣ 1..1 Identifier 此影像的業務用識別碼
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system SΣ 1..1 uri 機構識別碼（identifier）的命名空間（namespace）
Required Pattern: urn:dicom:uid
..... value SΣ 1..1 string 使用Study Instance UID
Example General: 123456
.... identifier:AccessionNo SΣ 1..1 Identifier 此影像的業務用識別碼。[應填入於醫學影像報告檢查單號Accession No.]
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system SΣ 1..1 uri 機構識別碼（identifier）的命名空間（namespace）
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string 使用 Accession No
Example General: 123456
... 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
... started SΣ 1..1 dateTime 檢查日期。[應填入於醫學影像報告實際檢查日期時間Exam Datetime]
Example General: 2011-01-01T11:01:20+03:00
... numberOfSeries SΣ 1..1 unsignedInt 此檢查共有幾個系列
... numberOfInstances SΣ 1..1 unsignedInt 此檢查共有多少張影像。[應填入於醫學影像報告醫療影像張數Negative Events]
... procedureCode S 1..1 CodeableConceptTW [應填入於醫學影像報告醫令代碼Order Code]
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 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 應填入所綁定值集中的其中一個代碼。
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required)
..... coding:icd10-pcs-2023-b S 0..1 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。
Binding: 臺灣健保署2023年中文版ICD-10-PCS-B-Imaging值集 (required)
..... coding:icd10-pcs-2023-c S 0..1 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。
Binding: 臺灣健保署2023年中文版ICD-10-PCS-C-Nuclear Medicine 值集 (required)
..... coding:icd10-pcs-2023-d S 0..1 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。
Binding: 臺灣健保署2023年中文版ICD-10-PCS-D-Radiation Therapy值集 (required)
.... text SΣ 0..1 string 概念的文字表示法
... 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。


... series SΣ 1..1 BackboneElement 每項影像檢查有一個或多個系列(series)的實例
.... 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
.... 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 系列描述。[應填入於醫學影像報告說明Study description]
Example General: CT Surview 180
.... bodySite SΣ 1..1 Coding 此系列造影的檢查部位。[應填入於醫學影像報告檢查部位Physical Examination by Body Areas]
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。

.... instance S 0..* BackboneElement 系列中的一個SOP實例
..... 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。


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ImagingStudy.identifier:StudyInstanceUID.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ImagingStudy.identifier:AccessionNo.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
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.procedureCodeextensiblehttp://www.rsna.org/RadLex_Playbook.aspx
http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:radLex-radiology-lexiconrequiredhttp://www.rsna.org/RadLex_Playbook.aspx
http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:icd10-pcs-2021requiredTW2021ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
ImagingStudy.procedureCode.coding:icd10-pcs-2023-brequiredICD10PCSB (a valid code from 臺灣2023年中文版ICD-10-PCS-B-Imaging)
https://hapi.fhir.tw/fhir/ValueSet/icd-10-pcs-2023-tw-b
from this IG
ImagingStudy.procedureCode.coding:icd10-pcs-2023-crequiredICD10PCSC (a valid code from 臺灣2023年中文版ICD-10-PCS-C-NuclearMedicine)
https://hapi.fhir.tw/fhir/ValueSet/icd-10-pcs-2023-tw-c
from this IG
ImagingStudy.procedureCode.coding:icd10-pcs-2023-drequiredICD10PCSD (a valid code from 臺灣2023年中文版ICD-10-PCS-D-RadiationTherapy)
https://hapi.fhir.tw/fhir/ValueSet/icd-10-pcs-2023-tw-d
from this IG
ImagingStudy.reasonCodeextensibleProcedureReasonCodes
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.bodySiteextensibleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
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

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()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ImagingStudy 0..* TWCoreImagingStudy 影像的定義
... 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。

Additional BindingsPurpose
AllLanguages Max Binding

Example Value: zh-TW
... text 0..1 Narrative ImagingStudy Resource之內容摘要以供人閱讀
... contained 0..* Resource 內嵌的（contained）、行內的Resources
... extension 0..* Extension 擴充的資料項目
... modifierExtension ?! 0..* Extension 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
... Slices for identifier SΣ 2..* Identifier 整項影像檢查的識別碼
Slice: Unordered, Open by pattern:type.coding.code
.... identifier:StudyInstanceUID SΣ 1..1 Identifier 此影像的業務用識別碼
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
Required Pattern: https://hapi.fhir.tw/fhir/CodeSystem/ImageIdentifierType
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: SIUID
....... display Σ 0..1 string Representation defined by the system
Required Pattern: Study instancce UID
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: DICOM Study Instance UID
..... system SΣ 1..1 uri 機構識別碼（identifier）的命名空間（namespace）
Required Pattern: urn:dicom:uid
..... value SΣ 1..1 string 使用Study Instance UID
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:AccessionNo SΣ 1..1 Identifier 此影像的業務用識別碼。[應填入於醫學影像報告檢查單號Accession No.]
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
Required Pattern: https://hapi.fhir.tw/fhir/CodeSystem/ImageIdentifierType
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: ACSN
....... display Σ 0..1 string Representation defined by the system
Required Pattern: Accession ID
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Accession No 檢查單號
..... system SΣ 1..1 uri 機構識別碼（identifier）的命名空間（namespace）
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string 使用 Accession No
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... 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 1..1 dateTime 檢查日期。[應填入於醫學影像報告實際檢查日期時間Exam Datetime]
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 SΣ 1..1 unsignedInt 此檢查共有幾個系列
... numberOfInstances SΣ 1..1 unsignedInt 此檢查共有多少張影像。[應填入於醫學影像報告醫療影像張數Negative Events]
... procedureReference Σ 0..1 Reference(TW Core Procedure) 所執行的處置(Procedure)參照
... procedureCode S 1..1 CodeableConceptTW [應填入於醫學影像報告醫令代碼Order Code]
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 應填入所綁定值集中的其中一個代碼。
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required)
..... coding:icd10-pcs-2023-b S 0..1 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。
Binding: 臺灣健保署2023年中文版ICD-10-PCS-B-Imaging值集 (required)
..... coding:icd10-pcs-2023-c S 0..1 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。
Binding: 臺灣健保署2023年中文版ICD-10-PCS-C-Nuclear Medicine 值集 (required)
..... coding:icd10-pcs-2023-d S 0..1 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。
Binding: 臺灣健保署2023年中文版ICD-10-PCS-D-Radiation Therapy值集 (required)
.... text SΣ 0..1 string 概念的文字表示法
... location Σ 0..1 Reference(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 1..1 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 系列描述。[應填入於醫學影像報告說明Study description]
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 SΣ 1..1 Coding 此系列造影的檢查部位。[應填入於醫學影像報告檢查部位Physical Examination by Body Areas]
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 | CareTeam | TW Core Patient | Device | 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ImagingStudy.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
ImagingStudy.identifier:StudyInstanceUID.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ImagingStudy.identifier:StudyInstanceUID.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ImagingStudy.identifier:AccessionNo.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ImagingStudy.identifier:AccessionNo.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
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.procedureCodeextensiblehttp://www.rsna.org/RadLex_Playbook.aspx
http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:radLex-radiology-lexiconrequiredhttp://www.rsna.org/RadLex_Playbook.aspx
http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:icd10-pcs-2021requiredTW2021ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
ImagingStudy.procedureCode.coding:icd10-pcs-2023-brequiredICD10PCSB (a valid code from 臺灣2023年中文版ICD-10-PCS-B-Imaging)
https://hapi.fhir.tw/fhir/ValueSet/icd-10-pcs-2023-tw-b
from this IG
ImagingStudy.procedureCode.coding:icd10-pcs-2023-crequiredICD10PCSC (a valid code from 臺灣2023年中文版ICD-10-PCS-C-NuclearMedicine)
https://hapi.fhir.tw/fhir/ValueSet/icd-10-pcs-2023-tw-c
from this IG
ImagingStudy.procedureCode.coding:icd10-pcs-2023-drequiredICD10PCSD (a valid code from 臺灣2023年中文版ICD-10-PCS-D-RadiationTherapy)
https://hapi.fhir.tw/fhir/ValueSet/icd-10-pcs-2023-tw-d
from this IG
ImagingStudy.reasonCodeextensibleProcedureReasonCodes
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.bodySiteextensibleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
ImagingStudy.series.lateralityextensibleLaterality
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

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()

This structure is derived from TWCoreImagingStudy

Summary

Mandatory: 12 elements(2 nested mandatory elements)
Must-Support: 10 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of ImagingStudy.identifier

 

Other representations of profile: CSV, Excel, Schematron