This page is part of the 電子病歷交換單張實作指引(EMR-IG) (v0.2.0: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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Resource Profile: 出院病摘_醫學影像檢查(ImagingStudy)

此Profiles用於描述出院病摘中的醫學影像檢查

Usage:

• Use this Resource Profile: 出院病摘-Bundle
• Refer to this Resource Profile: 出院病摘-報告文件
• Examples for this Resource Profile: ImagingStudy/DMS-Img16

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy		0..*	TWCoreImagingStudy	在單一檢查中產生的一組影像【一個或多個系列(series)的參照影像】 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	0..*	Identifier	整項影像檢查的識別碼 ele-1: All FHIR elements must have a @value or children
status	?!SΣ	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。 ele-1: All FHIR elements must have a @value or children Fixed Value: available
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: Acquisition Modality (extensible) ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Device | Group | 出院病摘-病人基本資料)	醫學影像檢查對象 ele-1: All FHIR elements must have a @value or children
encounter	Σ	0..1	Reference(出院病摘住院基本資料-Encounter)	與此影像檢查有關的就醫事件(Encounter) ele-1: All FHIR elements must have a @value or children
started	SΣ	1..1	dateTime	醫學影像檢查開始時間。[應填入至出院病摘醫療影像檢查Imaging Study] ele-1: All FHIR elements must have a @value or children Example General: 2011-01-01T11:01:20+03:00
procedureCode	S	0..*	CodeableConceptTW	執行的處置代碼 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。 ele-1: All FHIR elements must have a @value or children
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 ele-1: All FHIR elements must have a @value or children
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) ele-1: All FHIR elements must have a @value or children
coding:icd10-pcs-2021	S	0..1	CodingTW	此為臺灣健保署2021年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
coding:icd10-pcs-2023	S	0..1	CodingTW	此為臺灣健保署2023年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
location	SΣ	0..1	Reference(出院病摘-住院基本資料(Location))	影像檢查發生的地點 ele-1: All FHIR elements must have a @value or children
reasonCode	S	0..*	CodeableConceptTW	醫療影像檢查發生的原因描述 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。 ele-1: All FHIR elements must have a @value or children
coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
text	SΣ	1..1	string	醫療影像檢查發生的原因描述。[應填入至出院病摘醫療影像檢查Imaging Study] ele-1: All FHIR elements must have a @value or children
reasonReference	SΣ	0..*	Reference(TW Core Condition | TW Core Observation Laboratory Result | Media | TW Core DiagnosticReport | DocumentReference)	紀錄儲存醫療影像檢查檔案的位置 ele-1: All FHIR elements must have a @value or children
series	SΣ	0..*	BackboneElement	檢查的身體部位 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
uid	SΣ	1..1	id	此系列的DICOM系列實例UID ele-1: All FHIR elements must have a @value or children Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
modality	SΣ	1..1	Coding	醫療影像檢查 Binding: Acquisition Modality (extensible) ele-1: All FHIR elements must have a @value or children
display	SΣ	1..1	string	Representation defined by the system。[應填入至出院病摘醫療影像檢查Imaging Study] ele-1: All FHIR elements must have a @value or children
bodySite	SΣ	0..1	Coding	檢查的身體部位 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。 ele-1: All FHIR elements must have a @value or children
display	SΣ	1..1	string	檢查的身體部位描述。[應填入至出院病摘醫療影像檢查Imaging Study] ele-1: All FHIR elements must have a @value or children
instance	S	0..*	BackboneElement	系列中的一個SOP實例 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
uid	S	1..1	id	DICOM SOP實例的UID ele-1: All FHIR elements must have a @value or children 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。 ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ImagingStudy.status	required	Fixed Value: available http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1 from the FHIR Standard
ImagingStudy.modality	extensible	AcquisitionModality (a valid code from Acquisition Modality) https://twcore.mohw.gov.tw/ig/emr/ValueSet/AcquisitionModality from this IG
ImagingStudy.procedureCode	extensible	http://www.rsna.org/RadLex_Playbook.aspx http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:radLex-radiology-lexicon	required	http://www.rsna.org/RadLex_Playbook.aspx http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:icd10-pcs-2021	required	TW2021ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
ImagingStudy.procedureCode.coding:icd10-pcs-2023	required	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
ImagingStudy.reasonCode	extensible	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ImagingStudy.series.modality	extensible	AcquisitionModality (a valid code from Acquisition Modality) https://twcore.mohw.gov.tw/ig/emr/ValueSet/AcquisitionModality from this IG
ImagingStudy.series.bodySite	extensible	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
ImagingStudy.series.instance.sopClass	extensible	http://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

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ImagingStudy	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImagingStudy	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	error	ImagingStudy	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	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImagingStudy	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from TWCoreImagingStudy

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy		0..*	TWCoreImagingStudy	在單一檢查中產生的一組影像【一個或多個系列(series)的參照影像】
status	S	1..1	code	registered | available | cancelled | entered-in-error | unknown Fixed Value: available
modality		0..*	Coding	列出所有系列中用於實際影像獲取的儀器類型 Binding: Acquisition Modality (extensible)
subject		1..1	Reference(Device | Group | 出院病摘-病人基本資料)	醫學影像檢查對象
encounter		0..1	Reference(出院病摘住院基本資料-Encounter)	與此影像檢查有關的就醫事件(Encounter)
started		1..1	dateTime	醫學影像檢查開始時間。[應填入至出院病摘醫療影像檢查Imaging Study]
location	S	0..1	Reference(出院病摘-住院基本資料(Location))	影像檢查發生的地點
reasonCode		0..*	CodeableConceptTW	醫療影像檢查發生的原因描述
text		1..1	string	醫療影像檢查發生的原因描述。[應填入至出院病摘醫療影像檢查Imaging Study]
reasonReference	S	0..*	Reference(TW Core Condition | TW Core Observation Laboratory Result | Media | TW Core DiagnosticReport | DocumentReference)	紀錄儲存醫療影像檢查檔案的位置
series		0..*	BackboneElement	檢查的身體部位
modality		1..1	Coding	醫療影像檢查 Binding: Acquisition Modality (extensible)
display	S	1..1	string	Representation defined by the system。[應填入至出院病摘醫療影像檢查Imaging Study]
bodySite	S	0..1	Coding	檢查的身體部位
display	S	1..1	string	檢查的身體部位描述。[應填入至出院病摘醫療影像檢查Imaging Study]
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ImagingStudy.modality	extensible	AcquisitionModality (a valid code from Acquisition Modality) https://twcore.mohw.gov.tw/ig/emr/ValueSet/AcquisitionModality from this IG
ImagingStudy.series.modality	extensible	AcquisitionModality (a valid code from Acquisition Modality) https://twcore.mohw.gov.tw/ig/emr/ValueSet/AcquisitionModality from this IG

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy		0..*	TWCoreImagingStudy	在單一檢查中產生的一組影像【一個或多個系列(series)的參照影像】
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 Bindings Purpose 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	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	整項影像檢查的識別碼
status	?!SΣ	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。 Fixed Value: available
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: Acquisition Modality (extensible)
subject	SΣ	1..1	Reference(Device | Group | 出院病摘-病人基本資料)	醫學影像檢查對象
encounter	Σ	0..1	Reference(出院病摘住院基本資料-Encounter)	與此影像檢查有關的就醫事件(Encounter)
started	SΣ	1..1	dateTime	醫學影像檢查開始時間。[應填入至出院病摘醫療影像檢查Imaging Study] 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	Σ	0..1	unsignedInt	影像檢查相關Series的數量
numberOfInstances	Σ	0..1	unsignedInt	影像檢查相關Instances的數量
procedureReference	Σ	0..1	Reference(TW Core Procedure)	所執行的處置(Procedure)參照
procedureCode	S	0..*	CodeableConceptTW	執行的處置代碼 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	此為臺灣健保署2021年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。
coding:icd10-pcs-2023	S	0..1	CodingTW	此為臺灣健保署2023年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。
text	SΣ	0..1	string	概念的文字表示法
location	SΣ	0..1	Reference(出院病摘-住院基本資料(Location))	影像檢查發生的地點
reasonCode	S	0..*	CodeableConceptTW	醫療影像檢查發生的原因描述 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。
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
coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
text	SΣ	1..1	string	醫療影像檢查發生的原因描述。[應填入至出院病摘醫療影像檢查Imaging Study]
reasonReference	SΣ	0..*	Reference(TW Core Condition | TW Core Observation Laboratory Result | Media | TW Core DiagnosticReport | DocumentReference)	紀錄儲存醫療影像檢查檔案的位置
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	0..*	BackboneElement	檢查的身體部位
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	醫療影像檢查 Binding: Acquisition Modality (extensible)
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
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system。[應填入至出院病摘醫療影像檢查Imaging Study]
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
description	Σ	0..1	string	對此系列的一個簡短且易於閱讀的摘要 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	0..1	Coding	檢查的身體部位 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。
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
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	檢查的身體部位描述。[應填入至出院病摘醫療影像檢查Imaging Study]
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
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 | TW Core CareTeam | TW Core Patient | Device | TW Core 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ImagingStudy.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ImagingStudy.status	required	Fixed Value: available http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1 from the FHIR Standard
ImagingStudy.modality	extensible	AcquisitionModality (a valid code from Acquisition Modality) https://twcore.mohw.gov.tw/ig/emr/ValueSet/AcquisitionModality from this IG
ImagingStudy.procedureCode	extensible	http://www.rsna.org/RadLex_Playbook.aspx http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:radLex-radiology-lexicon	required	http://www.rsna.org/RadLex_Playbook.aspx http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:icd10-pcs-2021	required	TW2021ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
ImagingStudy.procedureCode.coding:icd10-pcs-2023	required	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
ImagingStudy.reasonCode	extensible	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ImagingStudy.series.modality	extensible	AcquisitionModality (a valid code from Acquisition Modality) https://twcore.mohw.gov.tw/ig/emr/ValueSet/AcquisitionModality from this IG
ImagingStudy.series.bodySite	extensible	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
ImagingStudy.series.laterality	extensible	Laterality http://hl7.org/fhir/ValueSet/bodysite-laterality from the FHIR Standard
ImagingStudy.series.performer.function	extensible	ImagingStudySeriesPerformerFunction http://hl7.org/fhir/ValueSet/series-performer-function from the FHIR Standard
ImagingStudy.series.instance.sopClass	extensible	http://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

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ImagingStudy	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImagingStudy	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	error	ImagingStudy	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	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImagingStudy	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from TWCoreImagingStudy

Summary

Mandatory: 1 element(3 nested mandatory elements)
Must-Support: 6 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

• 出院病摘-病人基本資料 (https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PatientDMS)
• 出院病摘住院基本資料-Encounter (https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/EncounterDMS)
• 出院病摘-住院基本資料(Location) (https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/LocationDMS)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy		0..*	TWCoreImagingStudy	在單一檢查中產生的一組影像【一個或多個系列(series)的參照影像】 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	0..*	Identifier	整項影像檢查的識別碼 ele-1: All FHIR elements must have a @value or children
status	?!SΣ	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。 ele-1: All FHIR elements must have a @value or children Fixed Value: available
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: Acquisition Modality (extensible) ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Device | Group | 出院病摘-病人基本資料)	醫學影像檢查對象 ele-1: All FHIR elements must have a @value or children
encounter	Σ	0..1	Reference(出院病摘住院基本資料-Encounter)	與此影像檢查有關的就醫事件(Encounter) ele-1: All FHIR elements must have a @value or children
started	SΣ	1..1	dateTime	醫學影像檢查開始時間。[應填入至出院病摘醫療影像檢查Imaging Study] ele-1: All FHIR elements must have a @value or children Example General: 2011-01-01T11:01:20+03:00
procedureCode	S	0..*	CodeableConceptTW	執行的處置代碼 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。 ele-1: All FHIR elements must have a @value or children
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 ele-1: All FHIR elements must have a @value or children
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) ele-1: All FHIR elements must have a @value or children
coding:icd10-pcs-2021	S	0..1	CodingTW	此為臺灣健保署2021年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
coding:icd10-pcs-2023	S	0..1	CodingTW	此為臺灣健保署2023年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
location	SΣ	0..1	Reference(出院病摘-住院基本資料(Location))	影像檢查發生的地點 ele-1: All FHIR elements must have a @value or children
reasonCode	S	0..*	CodeableConceptTW	醫療影像檢查發生的原因描述 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。 ele-1: All FHIR elements must have a @value or children
coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
text	SΣ	1..1	string	醫療影像檢查發生的原因描述。[應填入至出院病摘醫療影像檢查Imaging Study] ele-1: All FHIR elements must have a @value or children
reasonReference	SΣ	0..*	Reference(TW Core Condition | TW Core Observation Laboratory Result | Media | TW Core DiagnosticReport | DocumentReference)	紀錄儲存醫療影像檢查檔案的位置 ele-1: All FHIR elements must have a @value or children
series	SΣ	0..*	BackboneElement	檢查的身體部位 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
uid	SΣ	1..1	id	此系列的DICOM系列實例UID ele-1: All FHIR elements must have a @value or children Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
modality	SΣ	1..1	Coding	醫療影像檢查 Binding: Acquisition Modality (extensible) ele-1: All FHIR elements must have a @value or children
display	SΣ	1..1	string	Representation defined by the system。[應填入至出院病摘醫療影像檢查Imaging Study] ele-1: All FHIR elements must have a @value or children
bodySite	SΣ	0..1	Coding	檢查的身體部位 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。 ele-1: All FHIR elements must have a @value or children
display	SΣ	1..1	string	檢查的身體部位描述。[應填入至出院病摘醫療影像檢查Imaging Study] ele-1: All FHIR elements must have a @value or children
instance	S	0..*	BackboneElement	系列中的一個SOP實例 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
uid	S	1..1	id	DICOM SOP實例的UID ele-1: All FHIR elements must have a @value or children 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。 ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ImagingStudy.status	required	Fixed Value: available http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1 from the FHIR Standard
ImagingStudy.modality	extensible	AcquisitionModality (a valid code from Acquisition Modality) https://twcore.mohw.gov.tw/ig/emr/ValueSet/AcquisitionModality from this IG
ImagingStudy.procedureCode	extensible	http://www.rsna.org/RadLex_Playbook.aspx http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:radLex-radiology-lexicon	required	http://www.rsna.org/RadLex_Playbook.aspx http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:icd10-pcs-2021	required	TW2021ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
ImagingStudy.procedureCode.coding:icd10-pcs-2023	required	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
ImagingStudy.reasonCode	extensible	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ImagingStudy.series.modality	extensible	AcquisitionModality (a valid code from Acquisition Modality) https://twcore.mohw.gov.tw/ig/emr/ValueSet/AcquisitionModality from this IG
ImagingStudy.series.bodySite	extensible	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
ImagingStudy.series.instance.sopClass	extensible	http://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

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ImagingStudy	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImagingStudy	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	error	ImagingStudy	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	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImagingStudy	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from TWCoreImagingStudy

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy		0..*	TWCoreImagingStudy	在單一檢查中產生的一組影像【一個或多個系列(series)的參照影像】
status	S	1..1	code	registered | available | cancelled | entered-in-error | unknown Fixed Value: available
modality		0..*	Coding	列出所有系列中用於實際影像獲取的儀器類型 Binding: Acquisition Modality (extensible)
subject		1..1	Reference(Device | Group | 出院病摘-病人基本資料)	醫學影像檢查對象
encounter		0..1	Reference(出院病摘住院基本資料-Encounter)	與此影像檢查有關的就醫事件(Encounter)
started		1..1	dateTime	醫學影像檢查開始時間。[應填入至出院病摘醫療影像檢查Imaging Study]
location	S	0..1	Reference(出院病摘-住院基本資料(Location))	影像檢查發生的地點
reasonCode		0..*	CodeableConceptTW	醫療影像檢查發生的原因描述
text		1..1	string	醫療影像檢查發生的原因描述。[應填入至出院病摘醫療影像檢查Imaging Study]
reasonReference	S	0..*	Reference(TW Core Condition | TW Core Observation Laboratory Result | Media | TW Core DiagnosticReport | DocumentReference)	紀錄儲存醫療影像檢查檔案的位置
series		0..*	BackboneElement	檢查的身體部位
modality		1..1	Coding	醫療影像檢查 Binding: Acquisition Modality (extensible)
display	S	1..1	string	Representation defined by the system。[應填入至出院病摘醫療影像檢查Imaging Study]
bodySite	S	0..1	Coding	檢查的身體部位
display	S	1..1	string	檢查的身體部位描述。[應填入至出院病摘醫療影像檢查Imaging Study]
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ImagingStudy.modality	extensible	AcquisitionModality (a valid code from Acquisition Modality) https://twcore.mohw.gov.tw/ig/emr/ValueSet/AcquisitionModality from this IG
ImagingStudy.series.modality	extensible	AcquisitionModality (a valid code from Acquisition Modality) https://twcore.mohw.gov.tw/ig/emr/ValueSet/AcquisitionModality from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy		0..*	TWCoreImagingStudy	在單一檢查中產生的一組影像【一個或多個系列(series)的參照影像】
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 Bindings Purpose 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	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	整項影像檢查的識別碼
status	?!SΣ	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。 Fixed Value: available
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: Acquisition Modality (extensible)
subject	SΣ	1..1	Reference(Device | Group | 出院病摘-病人基本資料)	醫學影像檢查對象
encounter	Σ	0..1	Reference(出院病摘住院基本資料-Encounter)	與此影像檢查有關的就醫事件(Encounter)
started	SΣ	1..1	dateTime	醫學影像檢查開始時間。[應填入至出院病摘醫療影像檢查Imaging Study] 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	Σ	0..1	unsignedInt	影像檢查相關Series的數量
numberOfInstances	Σ	0..1	unsignedInt	影像檢查相關Instances的數量
procedureReference	Σ	0..1	Reference(TW Core Procedure)	所執行的處置(Procedure)參照
procedureCode	S	0..*	CodeableConceptTW	執行的處置代碼 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	此為臺灣健保署2021年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。
coding:icd10-pcs-2023	S	0..1	CodingTW	此為臺灣健保署2023年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。
text	SΣ	0..1	string	概念的文字表示法
location	SΣ	0..1	Reference(出院病摘-住院基本資料(Location))	影像檢查發生的地點
reasonCode	S	0..*	CodeableConceptTW	醫療影像檢查發生的原因描述 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。
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
coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
text	SΣ	1..1	string	醫療影像檢查發生的原因描述。[應填入至出院病摘醫療影像檢查Imaging Study]
reasonReference	SΣ	0..*	Reference(TW Core Condition | TW Core Observation Laboratory Result | Media | TW Core DiagnosticReport | DocumentReference)	紀錄儲存醫療影像檢查檔案的位置
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	0..*	BackboneElement	檢查的身體部位
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	醫療影像檢查 Binding: Acquisition Modality (extensible)
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
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system。[應填入至出院病摘醫療影像檢查Imaging Study]
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
description	Σ	0..1	string	對此系列的一個簡短且易於閱讀的摘要 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	0..1	Coding	檢查的身體部位 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。
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
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	檢查的身體部位描述。[應填入至出院病摘醫療影像檢查Imaging Study]
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
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 | TW Core CareTeam | TW Core Patient | Device | TW Core 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ImagingStudy.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ImagingStudy.status	required	Fixed Value: available http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1 from the FHIR Standard
ImagingStudy.modality	extensible	AcquisitionModality (a valid code from Acquisition Modality) https://twcore.mohw.gov.tw/ig/emr/ValueSet/AcquisitionModality from this IG
ImagingStudy.procedureCode	extensible	http://www.rsna.org/RadLex_Playbook.aspx http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:radLex-radiology-lexicon	required	http://www.rsna.org/RadLex_Playbook.aspx http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:icd10-pcs-2021	required	TW2021ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
ImagingStudy.procedureCode.coding:icd10-pcs-2023	required	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
ImagingStudy.reasonCode	extensible	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ImagingStudy.series.modality	extensible	AcquisitionModality (a valid code from Acquisition Modality) https://twcore.mohw.gov.tw/ig/emr/ValueSet/AcquisitionModality from this IG
ImagingStudy.series.bodySite	extensible	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
ImagingStudy.series.laterality	extensible	Laterality http://hl7.org/fhir/ValueSet/bodysite-laterality from the FHIR Standard
ImagingStudy.series.performer.function	extensible	ImagingStudySeriesPerformerFunction http://hl7.org/fhir/ValueSet/series-performer-function from the FHIR Standard
ImagingStudy.series.instance.sopClass	extensible	http://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

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ImagingStudy	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImagingStudy	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	error	ImagingStudy	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	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImagingStudy	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from TWCoreImagingStudy

Summary

Mandatory: 1 element(3 nested mandatory elements)
Must-Support: 6 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

• 出院病摘-病人基本資料 (https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PatientDMS)
• 出院病摘住院基本資料-Encounter (https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/EncounterDMS)
• 出院病摘-住院基本資料(Location) (https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/LocationDMS)

Other representations of profile: CSV, Excel, Schematron