電子病歷交換單張實作指引(EMR-IG)
0.2.0 - ci-build

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

Logical Model: IMAGE - Detailed Descriptions

Active as of 2023-10-11

Definitions for the IMAGE logical model.

Guidance on how to interpret the contents of this table can be found here

0. IMAGE
Definition

Medical Imaging And Report


Base definition for all elements in a resource.

Short此邏輯模型適用於醫學影像報告Base for all elements
Control0..*
This element is affected by the following invariants: ele-1
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
2. IMAGE.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
4. IMAGE.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on IMAGE.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 6. IMAGE.hospitaltype
    Definition

    醫院別

    Short醫院別
    Control1..1
    TypeBase
    8. IMAGE.hospitaltype.id
    Definition

    醫事機構代碼,院所代碼需與健保申報相同

    Short醫事機構代碼,院所代碼需與健保申報相同
    Control1..1
    TypeIdentifier
    10. IMAGE.hospitaltype.name
    Definition

    醫事機構名稱,院所名稱需與健保申報相同

    Short醫事機構名稱,院所名稱需與健保申報相同
    Control1..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    12. IMAGE.order
    Definition

    檢查項目

    Short檢查項目
    Control1..1
    TypeBase
    14. IMAGE.order.code
    Definition

    醫令代碼,檢查健保醫令代碼,需與健保申報相同。

    Short醫令代碼,檢查健保醫令代碼,需與健保申報相同。
    Control1..1
    TypeCodeableConcept
    16. IMAGE.order.description
    Definition

    醫令名稱,檢查健保醫令名稱,需與健保申報相同。

    Short醫令名稱,檢查健保醫令名稱,需與健保申報相同。
    Control1..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    18. IMAGE.examinationStatus
    Definition

    檢查部位

    Short檢查部位
    Control1..1
    TypeBase
    20. IMAGE.examinationStatus.physicalExamination
    Definition

    檢查部位,檢查部位,需與健保申報相同。

    Short檢查部位,檢查部位,需與健保申報相同。
    Control1..*
    TypeCoding
    22. IMAGE.examinationStatus.description
    Definition

    檢查部位詳細說明、拍攝方向與角度等

    Short檢查部位詳細說明、拍攝方向與角度等
    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    24. IMAGE.numberOfInstances
    Definition

    檢查張數

    Short檢查張數
    Control1..*
    TypeunsignedInt
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    26. IMAGE.accessionNo
    Definition

    檢查單號,須與影像資料串連,每筆檢查必須有獨立不重複的單號。

    Short檢查單號,須與影像資料串連,每筆檢查必須有獨立不重複的單號。
    Control1..1
    TypeIdentifier
    28. IMAGE.patientInformation
    Definition

    病人基本資料

    Short病人基本資料
    Control1..1
    TypeBase
    30. IMAGE.patientInformation.idNumber
    Definition

    身分證號,病人身分證號。

    Short身分證號,病人身分證號。
    Control1..1
    TypeIdentifier
    32. IMAGE.patientInformation.chartNO
    Definition

    病歷號碼,院內病歷號碼。

    Short病歷號碼,院內病歷號碼。
    Control1..1
    TypeIdentifier
    34. IMAGE.patientInformation.name
    Definition

    姓名

    Short姓名
    Control1..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    36. IMAGE.patientInformation.administrativeSex
    Definition

    性別

    Short性別
    Control1..1
    Typecode
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    38. IMAGE.patientInformation.birthDate
    Definition

    出生日期

    Short出生日期
    Control1..1
    Typedate
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    40. IMAGE.medicalOrder
    Definition

    醫囑時間及醫囑醫師資料

    Short醫囑時間及醫囑醫師資料
    Control1..1
    TypeBase
    42. IMAGE.medicalOrder.orderDatetime
    Definition

    醫囑時間,醫囑日期(分),格式為西元YYYYMMDDHHMM。

    Short醫囑時間,醫囑日期(分),格式為西元YYYYMMDDHHMM。
    Control1..1
    TypePeriod
    44. IMAGE.medicalOrder.orderPhysician
    Definition

    醫囑醫師姓名

    Short醫囑醫師姓名
    Control1..1
    TypePractitioner
    46. IMAGE.historyOfPresentIllness
    Definition

    病史,病人病史,內容可以包含主訴、適應症等。

    Short病史,病人病史,內容可以包含主訴、適應症等。
    Control1..*
    TypeCodeableConcept
    48. IMAGE.diagnosisICDcode
    Definition

    疾病診斷,疾病診斷代碼及文字。

    Short疾病診斷,疾病診斷代碼及文字。
    Control0..*
    TypeCodeableConcept
    50. IMAGE.examDatetime
    Definition

    實際檢查日期時間(分) ,格式為西元YYYYMMDDHHMM。

    Short實際檢查日期時間(分) ,格式為西元YYYYMMDDHHMM。
    Control1..1
    TypedateTime
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    52. IMAGE.picture
    Definition

    圖片

    Short圖片
    Control1..*
    TypeImagingStudy
    54. IMAGE.recordTotal
    Definition

    報告結果,含影像發現、臆斷及註記(如過敏反應、顯影劑種類等)。

    Short報告結果,含影像發現、臆斷及註記(如過敏反應、顯影劑種類等)。
    Control1..*
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    56. IMAGE.radiologyStudyRecommendation
    Definition

    醫師總結之建議。

    Short醫師總結之建議。
    Control0..1
    TypeAnnotation
    58. IMAGE.verificationTime
    Definition

    確認報告時間(分),格式為西元YYYYMMDDHHMM。

    Short確認報告時間(分),格式為西元YYYYMMDDHHMM。
    Control1..1
    TypedateTime
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    60. IMAGE.verificationPhysician
    Definition

    報告醫師姓名

    Short報告醫師姓名
    Control1..1
    TypePractitioner

    Guidance on how to interpret the contents of this table can be found here

    0. IMAGE
    Definition

    Medical Imaging And Report

    Short此邏輯模型適用於醫學影像報告
    Logical ModelInstances of this logical model are not marked to be the target of a Reference
    2. IMAGE.hospitaltype
    Definition

    醫院別

    Short醫院別
    Control1..1
    TypeBase
    4. IMAGE.hospitaltype.id
    Definition

    醫事機構代碼,院所代碼需與健保申報相同

    Short醫事機構代碼,院所代碼需與健保申報相同
    Control1..1
    TypeIdentifier
    6. IMAGE.hospitaltype.name
    Definition

    醫事機構名稱,院所名稱需與健保申報相同

    Short醫事機構名稱,院所名稱需與健保申報相同
    Control1..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    8. IMAGE.order
    Definition

    檢查項目

    Short檢查項目
    Control1..1
    TypeBase
    10. IMAGE.order.code
    Definition

    醫令代碼,檢查健保醫令代碼,需與健保申報相同。

    Short醫令代碼,檢查健保醫令代碼,需與健保申報相同。
    Control1..1
    TypeCodeableConcept
    12. IMAGE.order.description
    Definition

    醫令名稱,檢查健保醫令名稱,需與健保申報相同。

    Short醫令名稱,檢查健保醫令名稱,需與健保申報相同。
    Control1..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    14. IMAGE.examinationStatus
    Definition

    檢查部位

    Short檢查部位
    Control1..1
    TypeBase
    16. IMAGE.examinationStatus.physicalExamination
    Definition

    檢查部位,檢查部位,需與健保申報相同。

    Short檢查部位,檢查部位,需與健保申報相同。
    Control1..*
    TypeCoding
    18. IMAGE.examinationStatus.description
    Definition

    檢查部位詳細說明、拍攝方向與角度等

    Short檢查部位詳細說明、拍攝方向與角度等
    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    20. IMAGE.numberOfInstances
    Definition

    檢查張數

    Short檢查張數
    Control1..*
    TypeunsignedInt
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    22. IMAGE.accessionNo
    Definition

    檢查單號,須與影像資料串連,每筆檢查必須有獨立不重複的單號。

    Short檢查單號,須與影像資料串連,每筆檢查必須有獨立不重複的單號。
    Control1..1
    TypeIdentifier
    24. IMAGE.patientInformation
    Definition

    病人基本資料

    Short病人基本資料
    Control1..1
    TypeBase
    26. IMAGE.patientInformation.idNumber
    Definition

    身分證號,病人身分證號。

    Short身分證號,病人身分證號。
    Control1..1
    TypeIdentifier
    28. IMAGE.patientInformation.chartNO
    Definition

    病歷號碼,院內病歷號碼。

    Short病歷號碼,院內病歷號碼。
    Control1..1
    TypeIdentifier
    30. IMAGE.patientInformation.name
    Definition

    姓名

    Short姓名
    Control1..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    32. IMAGE.patientInformation.administrativeSex
    Definition

    性別

    Short性別
    Control1..1
    Typecode
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    34. IMAGE.patientInformation.birthDate
    Definition

    出生日期

    Short出生日期
    Control1..1
    Typedate
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    36. IMAGE.medicalOrder
    Definition

    醫囑時間及醫囑醫師資料

    Short醫囑時間及醫囑醫師資料
    Control1..1
    TypeBase
    38. IMAGE.medicalOrder.orderDatetime
    Definition

    醫囑時間,醫囑日期(分),格式為西元YYYYMMDDHHMM。

    Short醫囑時間,醫囑日期(分),格式為西元YYYYMMDDHHMM。
    Control1..1
    TypePeriod
    40. IMAGE.medicalOrder.orderPhysician
    Definition

    醫囑醫師姓名

    Short醫囑醫師姓名
    Control1..1
    TypePractitioner
    42. IMAGE.historyOfPresentIllness
    Definition

    病史,病人病史,內容可以包含主訴、適應症等。

    Short病史,病人病史,內容可以包含主訴、適應症等。
    Control1..*
    TypeCodeableConcept
    44. IMAGE.diagnosisICDcode
    Definition

    疾病診斷,疾病診斷代碼及文字。

    Short疾病診斷,疾病診斷代碼及文字。
    Control0..*
    TypeCodeableConcept
    46. IMAGE.examDatetime
    Definition

    實際檢查日期時間(分) ,格式為西元YYYYMMDDHHMM。

    Short實際檢查日期時間(分) ,格式為西元YYYYMMDDHHMM。
    Control1..1
    TypedateTime
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    48. IMAGE.picture
    Definition

    圖片

    Short圖片
    Control1..*
    TypeImagingStudy
    50. IMAGE.recordTotal
    Definition

    報告結果,含影像發現、臆斷及註記(如過敏反應、顯影劑種類等)。

    Short報告結果,含影像發現、臆斷及註記(如過敏反應、顯影劑種類等)。
    Control1..*
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    52. IMAGE.radiologyStudyRecommendation
    Definition

    醫師總結之建議。

    Short醫師總結之建議。
    Control0..1
    TypeAnnotation
    54. IMAGE.verificationTime
    Definition

    確認報告時間(分),格式為西元YYYYMMDDHHMM。

    Short確認報告時間(分),格式為西元YYYYMMDDHHMM。
    Control1..1
    TypedateTime
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    56. IMAGE.verificationPhysician
    Definition

    報告醫師姓名

    Short報告醫師姓名
    Control1..1
    TypePractitioner

    Guidance on how to interpret the contents of this table can be found here

    0. IMAGE
    Definition

    Medical Imaging And Report

    Short此邏輯模型適用於醫學影像報告
    Control0..*
    This element is affected by the following invariants: ele-1
    Is Modifierfalse
    Logical ModelInstances of this logical model are not marked to be the target of a Reference
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    2. IMAGE.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    4. IMAGE.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on IMAGE.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 6. IMAGE.hospitaltype
      Definition

      醫院別

      Short醫院別
      Control1..1
      TypeBase
      8. IMAGE.hospitaltype.id
      Definition

      醫事機構代碼,院所代碼需與健保申報相同

      Short醫事機構代碼,院所代碼需與健保申報相同
      Control1..1
      TypeIdentifier
      10. IMAGE.hospitaltype.name
      Definition

      醫事機構名稱,院所名稱需與健保申報相同

      Short醫事機構名稱,院所名稱需與健保申報相同
      Control1..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      12. IMAGE.order
      Definition

      檢查項目

      Short檢查項目
      Control1..1
      TypeBase
      14. IMAGE.order.code
      Definition

      醫令代碼,檢查健保醫令代碼,需與健保申報相同。

      Short醫令代碼,檢查健保醫令代碼,需與健保申報相同。
      Control1..1
      TypeCodeableConcept
      16. IMAGE.order.description
      Definition

      醫令名稱,檢查健保醫令名稱,需與健保申報相同。

      Short醫令名稱,檢查健保醫令名稱,需與健保申報相同。
      Control1..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      18. IMAGE.examinationStatus
      Definition

      檢查部位

      Short檢查部位
      Control1..1
      TypeBase
      20. IMAGE.examinationStatus.physicalExamination
      Definition

      檢查部位,檢查部位,需與健保申報相同。

      Short檢查部位,檢查部位,需與健保申報相同。
      Control1..*
      TypeCoding
      22. IMAGE.examinationStatus.description
      Definition

      檢查部位詳細說明、拍攝方向與角度等

      Short檢查部位詳細說明、拍攝方向與角度等
      Control0..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      24. IMAGE.numberOfInstances
      Definition

      檢查張數

      Short檢查張數
      Control1..*
      TypeunsignedInt
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      26. IMAGE.accessionNo
      Definition

      檢查單號,須與影像資料串連,每筆檢查必須有獨立不重複的單號。

      Short檢查單號,須與影像資料串連,每筆檢查必須有獨立不重複的單號。
      Control1..1
      TypeIdentifier
      28. IMAGE.patientInformation
      Definition

      病人基本資料

      Short病人基本資料
      Control1..1
      TypeBase
      30. IMAGE.patientInformation.idNumber
      Definition

      身分證號,病人身分證號。

      Short身分證號,病人身分證號。
      Control1..1
      TypeIdentifier
      32. IMAGE.patientInformation.chartNO
      Definition

      病歷號碼,院內病歷號碼。

      Short病歷號碼,院內病歷號碼。
      Control1..1
      TypeIdentifier
      34. IMAGE.patientInformation.name
      Definition

      姓名

      Short姓名
      Control1..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      36. IMAGE.patientInformation.administrativeSex
      Definition

      性別

      Short性別
      Control1..1
      Typecode
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      38. IMAGE.patientInformation.birthDate
      Definition

      出生日期

      Short出生日期
      Control1..1
      Typedate
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      40. IMAGE.medicalOrder
      Definition

      醫囑時間及醫囑醫師資料

      Short醫囑時間及醫囑醫師資料
      Control1..1
      TypeBase
      42. IMAGE.medicalOrder.orderDatetime
      Definition

      醫囑時間,醫囑日期(分),格式為西元YYYYMMDDHHMM。

      Short醫囑時間,醫囑日期(分),格式為西元YYYYMMDDHHMM。
      Control1..1
      TypePeriod
      44. IMAGE.medicalOrder.orderPhysician
      Definition

      醫囑醫師姓名

      Short醫囑醫師姓名
      Control1..1
      TypePractitioner
      46. IMAGE.historyOfPresentIllness
      Definition

      病史,病人病史,內容可以包含主訴、適應症等。

      Short病史,病人病史,內容可以包含主訴、適應症等。
      Control1..*
      TypeCodeableConcept
      48. IMAGE.diagnosisICDcode
      Definition

      疾病診斷,疾病診斷代碼及文字。

      Short疾病診斷,疾病診斷代碼及文字。
      Control0..*
      TypeCodeableConcept
      50. IMAGE.examDatetime
      Definition

      實際檢查日期時間(分) ,格式為西元YYYYMMDDHHMM。

      Short實際檢查日期時間(分) ,格式為西元YYYYMMDDHHMM。
      Control1..1
      TypedateTime
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      52. IMAGE.picture
      Definition

      圖片

      Short圖片
      Control1..*
      TypeImagingStudy
      54. IMAGE.recordTotal
      Definition

      報告結果,含影像發現、臆斷及註記(如過敏反應、顯影劑種類等)。

      Short報告結果,含影像發現、臆斷及註記(如過敏反應、顯影劑種類等)。
      Control1..*
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      56. IMAGE.radiologyStudyRecommendation
      Definition

      醫師總結之建議。

      Short醫師總結之建議。
      Control0..1
      TypeAnnotation
      58. IMAGE.verificationTime
      Definition

      確認報告時間(分),格式為西元YYYYMMDDHHMM。

      Short確認報告時間(分),格式為西元YYYYMMDDHHMM。
      Control1..1
      TypedateTime
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      60. IMAGE.verificationPhysician
      Definition

      報告醫師姓名

      Short報告醫師姓名
      Control1..1
      TypePractitioner