臺灣健保癌症用藥事前審查實作指引
1.0.1 - release

This page is part of the 臺灣癌症用藥事前審查實作指引(TWPAS IG) (v1.0.1: Release) 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

Resource Profile: 影像報告-DiagnosticReport Image TWPAS

Official URL: https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/DiagnosticReport-image-twpas Version: 1.0.1
Active as of 2024-12-12 Computable Name: DiagnosticReportImageTWPAS

此影像報告-DiagnosticReport Image TWPAS Profile說明本IG如何進一步定義臺灣核心-診斷報告(TW Core DiagnosticReport) Profile以呈現癌藥事前審查之影像報告

Usage:

Formal Views of Profile Content

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

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport C 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
image-report: DICOM影像(imagingStudy)或非DICOM影像(media)擇一必填。
... category 0..1 CodeableConcept Service category
.... coding 1..1 Coding Code defined by a terminology system
... code 1..1 CodeableConcept 影像報告,ICD10-PCS
Binding: 健保事前審查-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (preferred): 最新參考代碼清單請參考此檔案

.... Slices for coding 1..1 Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
..... coding:TW2023ICD10PCS S 0..1 Coding Code defined by a terminology system
Binding: 健保事前審查-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案

...... system S 1..1 uri Identity of the terminology system
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
...... code S 1..1 code Symbol in syntax defined by the system
..... coding:TW2014ICD10PCS S 0..1 Coding Code defined by a terminology system
Binding: 健保事前審查-臺灣健保署2014年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案

...... system S 1..1 uri Identity of the terminology system
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
...... code S 1..1 code Symbol in syntax defined by the system
.... text S 0..1 string 影像檢查的身體部位
... subject 1..1 Reference(病人資訊-Patient TWPAS) The subject of the report - usually, but not always, the patient
.... effective[x]:effectiveDateTime S 1..1 dateTime 影像報告日期,YYYY-MM-DD
... performer S 1..1 Reference(醫事人員-Practitioner TWPAS) 簽發影像報告醫師身分證號
... imagingStudy SC 0..* Reference(DICOM影像-ImagingStudy TWPAS) DICOM影像,SNOMED CT
... media SC 0..* BackboneElement 非DICOM影像
.... link 1..1 Reference(非DICOM影像-Media TWPAS) Reference to the image source
... conclusion SC 1..1 string 影像報告結果,請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳,且不得包含HTML或XML等語法。
pas-2: 長度不得超過4000 bytes。
... presentedForm SC 0..* Attachment 報告結果-MIMEType。若需要,可上傳影像報告的PDF檔。
UploadContent: 填寫格式:file://檔名.副檔名,例如:file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf
.... contentType S 1..1 code Mime type of the content, with charset etc.
.... url S 1..1 url 影像報告(請填寫完整檔案路徑)
Example General: file://ImagingDiagnosticReport01.pdf
.... title S 1..1 string 影像報告名稱

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DiagnosticReport.codepreferredICD10PCS2023Image
https://twcore.mohw.gov.tw/ig/pas/ValueSet/icd-10-pcs-2023-image
from this IG
DiagnosticReport.code.coding:TW2023ICD10PCSextensibleICD10PCS2023Image
https://twcore.mohw.gov.tw/ig/pas/ValueSet/icd-10-pcs-2023-image
from this IG
DiagnosticReport.code.coding:TW2014ICD10PCSextensibleICD10PCSImage
https://twcore.mohw.gov.tw/ig/pas/ValueSet/icd-10-pcs-2014-image
from this IG

Constraints

IdGradePath(s)DetailsRequirements
UploadContenterrorDiagnosticReport.presentedForm填寫格式:file://檔名.副檔名,例如:file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf
: url.matches('^file://[a-zA-Z0-9一-龥]+.[a-zA-Z]{2,5}$')
image-reporterrorDiagnosticReportDICOM影像(imagingStudy)或非DICOM影像(media)擇一必填。
: imagingStudy.exists() or media.exists()
pas-2errorDiagnosticReport.conclusion長度不得超過4000 bytes。
: toString().length() <= 4000
NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport C 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
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
image-report: DICOM影像(imagingStudy)或非DICOM影像(media)擇一必填。
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
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
... status ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.


ele-1: All FHIR elements must have a @value or children
.... coding Σ 1..1 Coding Code defined by a terminology system
ele-1: All FHIR elements must have a @value or children
... code Σ 1..1 CodeableConcept 影像報告,ICD10-PCS
Binding: 健保事前審查-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (preferred): 最新參考代碼清單請參考此檔案


ele-1: All FHIR elements must have a @value or children
.... Slices for coding Σ 1..1 Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
ele-1: All FHIR elements must have a @value or children
..... coding:TW2023ICD10PCS SΣ 0..1 Coding Code defined by a terminology system
Binding: 健保事前審查-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案


ele-1: All FHIR elements must have a @value or children
...... system SΣ 1..1 uri Identity of the terminology system
ele-1: All FHIR elements must have a @value or children
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
...... code SΣ 1..1 code Symbol in syntax defined by the system
ele-1: All FHIR elements must have a @value or children
..... coding:TW2014ICD10PCS SΣ 0..1 Coding Code defined by a terminology system
Binding: 健保事前審查-臺灣健保署2014年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案


ele-1: All FHIR elements must have a @value or children
...... system SΣ 1..1 uri Identity of the terminology system
ele-1: All FHIR elements must have a @value or children
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
...... code SΣ 1..1 code Symbol in syntax defined by the system
ele-1: All FHIR elements must have a @value or children
.... text SΣ 0..1 string 影像檢查的身體部位
ele-1: All FHIR elements must have a @value or children
... subject Σ 1..1 Reference(病人資訊-Patient TWPAS) The subject of the report - usually, but not always, the patient
ele-1: All FHIR elements must have a @value or children
... Slices for effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for report
Slice: Unordered, Closed by type:$this
ele-1: All FHIR elements must have a @value or children
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime 影像報告日期,YYYY-MM-DD
ele-1: All FHIR elements must have a @value or children
... performer SΣ 1..1 Reference(醫事人員-Practitioner TWPAS) 簽發影像報告醫師身分證號
ele-1: All FHIR elements must have a @value or children
... imagingStudy SC 0..* Reference(DICOM影像-ImagingStudy TWPAS) DICOM影像,SNOMED CT
ele-1: All FHIR elements must have a @value or children
... media SΣC 0..* BackboneElement 非DICOM影像
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
.... link Σ 1..1 Reference(非DICOM影像-Media TWPAS) Reference to the image source
ele-1: All FHIR elements must have a @value or children
... conclusion SC 1..1 string 影像報告結果,請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳,且不得包含HTML或XML等語法。
ele-1: All FHIR elements must have a @value or children
pas-2: 長度不得超過4000 bytes。
... presentedForm SC 0..* Attachment 報告結果-MIMEType。若需要,可上傳影像報告的PDF檔。
ele-1: All FHIR elements must have a @value or children
UploadContent: 填寫格式:file://檔名.副檔名,例如:file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf
.... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.


ele-1: All FHIR elements must have a @value or children
Example General: text/plain; charset=UTF-8, image/png
.... url SΣ 1..1 url 影像報告(請填寫完整檔案路徑)
ele-1: All FHIR elements must have a @value or children
Example General: http://www.acme.com/logo-small.png
Example General: file://ImagingDiagnosticReport01.pdf
.... title SΣ 1..1 string 影像報告名稱
ele-1: All FHIR elements must have a @value or children
Example General: Official Corporate Logo

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.codepreferredICD10PCS2023Image
https://twcore.mohw.gov.tw/ig/pas/ValueSet/icd-10-pcs-2023-image
from this IG
DiagnosticReport.code.coding:TW2023ICD10PCSextensibleICD10PCS2023Image
https://twcore.mohw.gov.tw/ig/pas/ValueSet/icd-10-pcs-2023-image
from this IG
DiagnosticReport.code.coding:TW2014ICD10PCSextensibleICD10PCSImage
https://twcore.mohw.gov.tw/ig/pas/ValueSet/icd-10-pcs-2014-image
from this IG
DiagnosticReport.presentedForm.contentTyperequiredMime Types (a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
UploadContenterrorDiagnosticReport.presentedForm填寫格式:file://檔名.副檔名,例如:file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf
: url.matches('^file://[a-zA-Z0-9一-龥]+.[a-zA-Z]{2,5}$')
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf 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-4errorDiagnosticReportIf 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-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA 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()
image-reporterrorDiagnosticReportDICOM影像(imagingStudy)或非DICOM影像(media)擇一必填。
: imagingStudy.exists() or media.exists()
pas-2errorDiagnosticReport.conclusion長度不得超過4000 bytes。
: toString().length() <= 4000
NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport C 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
image-report: DICOM影像(imagingStudy)或非DICOM影像(media)擇一必填。
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
... basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
... status ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.

... category Σ 0..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


.... 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 1..1 Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... code Σ 1..1 CodeableConcept 影像報告,ICD10-PCS
Binding: 健保事前審查-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (preferred): 最新參考代碼清單請參考此檔案

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..1 Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
..... coding:TW2023ICD10PCS SΣ 0..1 Coding Code defined by a terminology system
Binding: 健保事前審查-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案


...... 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 SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:TW2014ICD10PCS SΣ 0..1 Coding Code defined by a terminology system
Binding: 健保事前審查-臺灣健保署2014年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案


...... 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 SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string 影像檢查的身體部位
... subject Σ 1..1 Reference(病人資訊-Patient TWPAS) The subject of the report - usually, but not always, the patient
... encounter Σ 0..1 Reference(Encounter) Health care event when test ordered
... Slices for effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for report
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime 影像報告日期,YYYY-MM-DD
... issued Σ 0..1 instant DateTime this version was made
... performer SΣ 1..1 Reference(醫事人員-Practitioner TWPAS) 簽發影像報告醫師身分證號
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on
... result 0..* Reference(Observation) Observations
... imagingStudy SC 0..* Reference(DICOM影像-ImagingStudy TWPAS) DICOM影像,SNOMED CT
... media SΣC 0..* BackboneElement 非DICOM影像
.... 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
.... comment 0..1 string Comment about the image (e.g. explanation)
.... link Σ 1..1 Reference(非DICOM影像-Media TWPAS) Reference to the image source
... conclusion SC 1..1 string 影像報告結果,請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳,且不得包含HTML或XML等語法。
pas-2: 長度不得超過4000 bytes。
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.


... presentedForm SC 0..* Attachment 報告結果-MIMEType。若需要,可上傳影像報告的PDF檔。
UploadContent: 填寫格式:file://檔名.副檔名,例如:file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.


Example General: text/plain; charset=UTF-8, image/png
.... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
.... data 0..1 base64Binary Data inline, base64ed
.... url SΣ 1..1 url 影像報告(請填寫完整檔案路徑)
Example General: http://www.acme.com/logo-small.png
Example General: file://ImagingDiagnosticReport01.pdf
.... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
.... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
.... title SΣ 1..1 string 影像報告名稱
Example General: Official Corporate Logo
.... creation Σ 0..1 dateTime Date attachment was first created

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.codepreferredICD10PCS2023Image
https://twcore.mohw.gov.tw/ig/pas/ValueSet/icd-10-pcs-2023-image
from this IG
DiagnosticReport.code.coding:TW2023ICD10PCSextensibleICD10PCS2023Image
https://twcore.mohw.gov.tw/ig/pas/ValueSet/icd-10-pcs-2023-image
from this IG
DiagnosticReport.code.coding:TW2014ICD10PCSextensibleICD10PCSImage
https://twcore.mohw.gov.tw/ig/pas/ValueSet/icd-10-pcs-2014-image
from this IG
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
DiagnosticReport.presentedForm.contentTyperequiredMime Types (a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
from the FHIR Standard
DiagnosticReport.presentedForm.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding

Constraints

IdGradePath(s)DetailsRequirements
UploadContenterrorDiagnosticReport.presentedForm填寫格式:file://檔名.副檔名,例如:file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf
: url.matches('^file://[a-zA-Z0-9一-龥]+.[a-zA-Z]{2,5}$')
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf 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-4errorDiagnosticReportIf 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-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA 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()
image-reporterrorDiagnosticReportDICOM影像(imagingStudy)或非DICOM影像(media)擇一必填。
: imagingStudy.exists() or media.exists()
pas-2errorDiagnosticReport.conclusion長度不得超過4000 bytes。
: toString().length() <= 4000

This structure is derived from DiagnosticReport

Summary

Mandatory: 6 elements(8 nested mandatory elements)
Must-Support: 16 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DiagnosticReport.code.coding (Closed)
  • The element 1 is sliced based on the value of DiagnosticReport.effective[x]

Differential View

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport C 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
image-report: DICOM影像(imagingStudy)或非DICOM影像(media)擇一必填。
... category 0..1 CodeableConcept Service category
.... coding 1..1 Coding Code defined by a terminology system
... code 1..1 CodeableConcept 影像報告,ICD10-PCS
Binding: 健保事前審查-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (preferred): 最新參考代碼清單請參考此檔案

.... Slices for coding 1..1 Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
..... coding:TW2023ICD10PCS S 0..1 Coding Code defined by a terminology system
Binding: 健保事前審查-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案

...... system S 1..1 uri Identity of the terminology system
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
...... code S 1..1 code Symbol in syntax defined by the system
..... coding:TW2014ICD10PCS S 0..1 Coding Code defined by a terminology system
Binding: 健保事前審查-臺灣健保署2014年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案

...... system S 1..1 uri Identity of the terminology system
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
...... code S 1..1 code Symbol in syntax defined by the system
.... text S 0..1 string 影像檢查的身體部位
... subject 1..1 Reference(病人資訊-Patient TWPAS) The subject of the report - usually, but not always, the patient
.... effective[x]:effectiveDateTime S 1..1 dateTime 影像報告日期,YYYY-MM-DD
... performer S 1..1 Reference(醫事人員-Practitioner TWPAS) 簽發影像報告醫師身分證號
... imagingStudy SC 0..* Reference(DICOM影像-ImagingStudy TWPAS) DICOM影像,SNOMED CT
... media SC 0..* BackboneElement 非DICOM影像
.... link 1..1 Reference(非DICOM影像-Media TWPAS) Reference to the image source
... conclusion SC 1..1 string 影像報告結果,請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳,且不得包含HTML或XML等語法。
pas-2: 長度不得超過4000 bytes。
... presentedForm SC 0..* Attachment 報告結果-MIMEType。若需要,可上傳影像報告的PDF檔。
UploadContent: 填寫格式:file://檔名.副檔名,例如:file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf
.... contentType S 1..1 code Mime type of the content, with charset etc.
.... url S 1..1 url 影像報告(請填寫完整檔案路徑)
Example General: file://ImagingDiagnosticReport01.pdf
.... title S 1..1 string 影像報告名稱

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DiagnosticReport.codepreferredICD10PCS2023Image
https://twcore.mohw.gov.tw/ig/pas/ValueSet/icd-10-pcs-2023-image
from this IG
DiagnosticReport.code.coding:TW2023ICD10PCSextensibleICD10PCS2023Image
https://twcore.mohw.gov.tw/ig/pas/ValueSet/icd-10-pcs-2023-image
from this IG
DiagnosticReport.code.coding:TW2014ICD10PCSextensibleICD10PCSImage
https://twcore.mohw.gov.tw/ig/pas/ValueSet/icd-10-pcs-2014-image
from this IG

Constraints

IdGradePath(s)DetailsRequirements
UploadContenterrorDiagnosticReport.presentedForm填寫格式:file://檔名.副檔名,例如:file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf
: url.matches('^file://[a-zA-Z0-9一-龥]+.[a-zA-Z]{2,5}$')
image-reporterrorDiagnosticReportDICOM影像(imagingStudy)或非DICOM影像(media)擇一必填。
: imagingStudy.exists() or media.exists()
pas-2errorDiagnosticReport.conclusion長度不得超過4000 bytes。
: toString().length() <= 4000

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport C 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
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
image-report: DICOM影像(imagingStudy)或非DICOM影像(media)擇一必填。
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
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
... status ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.


ele-1: All FHIR elements must have a @value or children
.... coding Σ 1..1 Coding Code defined by a terminology system
ele-1: All FHIR elements must have a @value or children
... code Σ 1..1 CodeableConcept 影像報告,ICD10-PCS
Binding: 健保事前審查-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (preferred): 最新參考代碼清單請參考此檔案


ele-1: All FHIR elements must have a @value or children
.... Slices for coding Σ 1..1 Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
ele-1: All FHIR elements must have a @value or children
..... coding:TW2023ICD10PCS SΣ 0..1 Coding Code defined by a terminology system
Binding: 健保事前審查-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案


ele-1: All FHIR elements must have a @value or children
...... system SΣ 1..1 uri Identity of the terminology system
ele-1: All FHIR elements must have a @value or children
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
...... code SΣ 1..1 code Symbol in syntax defined by the system
ele-1: All FHIR elements must have a @value or children
..... coding:TW2014ICD10PCS SΣ 0..1 Coding Code defined by a terminology system
Binding: 健保事前審查-臺灣健保署2014年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案


ele-1: All FHIR elements must have a @value or children
...... system SΣ 1..1 uri Identity of the terminology system
ele-1: All FHIR elements must have a @value or children
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
...... code SΣ 1..1 code Symbol in syntax defined by the system
ele-1: All FHIR elements must have a @value or children
.... text SΣ 0..1 string 影像檢查的身體部位
ele-1: All FHIR elements must have a @value or children
... subject Σ 1..1 Reference(病人資訊-Patient TWPAS) The subject of the report - usually, but not always, the patient
ele-1: All FHIR elements must have a @value or children
... Slices for effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for report
Slice: Unordered, Closed by type:$this
ele-1: All FHIR elements must have a @value or children
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime 影像報告日期,YYYY-MM-DD
ele-1: All FHIR elements must have a @value or children
... performer SΣ 1..1 Reference(醫事人員-Practitioner TWPAS) 簽發影像報告醫師身分證號
ele-1: All FHIR elements must have a @value or children
... imagingStudy SC 0..* Reference(DICOM影像-ImagingStudy TWPAS) DICOM影像,SNOMED CT
ele-1: All FHIR elements must have a @value or children
... media SΣC 0..* BackboneElement 非DICOM影像
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
.... link Σ 1..1 Reference(非DICOM影像-Media TWPAS) Reference to the image source
ele-1: All FHIR elements must have a @value or children
... conclusion SC 1..1 string 影像報告結果,請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳,且不得包含HTML或XML等語法。
ele-1: All FHIR elements must have a @value or children
pas-2: 長度不得超過4000 bytes。
... presentedForm SC 0..* Attachment 報告結果-MIMEType。若需要,可上傳影像報告的PDF檔。
ele-1: All FHIR elements must have a @value or children
UploadContent: 填寫格式:file://檔名.副檔名,例如:file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf
.... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.


ele-1: All FHIR elements must have a @value or children
Example General: text/plain; charset=UTF-8, image/png
.... url SΣ 1..1 url 影像報告(請填寫完整檔案路徑)
ele-1: All FHIR elements must have a @value or children
Example General: http://www.acme.com/logo-small.png
Example General: file://ImagingDiagnosticReport01.pdf
.... title SΣ 1..1 string 影像報告名稱
ele-1: All FHIR elements must have a @value or children
Example General: Official Corporate Logo

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.codepreferredICD10PCS2023Image
https://twcore.mohw.gov.tw/ig/pas/ValueSet/icd-10-pcs-2023-image
from this IG
DiagnosticReport.code.coding:TW2023ICD10PCSextensibleICD10PCS2023Image
https://twcore.mohw.gov.tw/ig/pas/ValueSet/icd-10-pcs-2023-image
from this IG
DiagnosticReport.code.coding:TW2014ICD10PCSextensibleICD10PCSImage
https://twcore.mohw.gov.tw/ig/pas/ValueSet/icd-10-pcs-2014-image
from this IG
DiagnosticReport.presentedForm.contentTyperequiredMime Types (a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
UploadContenterrorDiagnosticReport.presentedForm填寫格式:file://檔名.副檔名,例如:file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf
: url.matches('^file://[a-zA-Z0-9一-龥]+.[a-zA-Z]{2,5}$')
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf 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-4errorDiagnosticReportIf 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-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA 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()
image-reporterrorDiagnosticReportDICOM影像(imagingStudy)或非DICOM影像(media)擇一必填。
: imagingStudy.exists() or media.exists()
pas-2errorDiagnosticReport.conclusion長度不得超過4000 bytes。
: toString().length() <= 4000

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport C 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
image-report: DICOM影像(imagingStudy)或非DICOM影像(media)擇一必填。
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
... basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
... status ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.

... category Σ 0..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


.... 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 1..1 Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... code Σ 1..1 CodeableConcept 影像報告,ICD10-PCS
Binding: 健保事前審查-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (preferred): 最新參考代碼清單請參考此檔案

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..1 Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
..... coding:TW2023ICD10PCS SΣ 0..1 Coding Code defined by a terminology system
Binding: 健保事前審查-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案


...... 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 SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:TW2014ICD10PCS SΣ 0..1 Coding Code defined by a terminology system
Binding: 健保事前審查-臺灣健保署2014年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案


...... 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 SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string 影像檢查的身體部位
... subject Σ 1..1 Reference(病人資訊-Patient TWPAS) The subject of the report - usually, but not always, the patient
... encounter Σ 0..1 Reference(Encounter) Health care event when test ordered
... Slices for effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for report
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime 影像報告日期,YYYY-MM-DD
... issued Σ 0..1 instant DateTime this version was made
... performer SΣ 1..1 Reference(醫事人員-Practitioner TWPAS) 簽發影像報告醫師身分證號
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on
... result 0..* Reference(Observation) Observations
... imagingStudy SC 0..* Reference(DICOM影像-ImagingStudy TWPAS) DICOM影像,SNOMED CT
... media SΣC 0..* BackboneElement 非DICOM影像
.... 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
.... comment 0..1 string Comment about the image (e.g. explanation)
.... link Σ 1..1 Reference(非DICOM影像-Media TWPAS) Reference to the image source
... conclusion SC 1..1 string 影像報告結果,請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳,且不得包含HTML或XML等語法。
pas-2: 長度不得超過4000 bytes。
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.


... presentedForm SC 0..* Attachment 報告結果-MIMEType。若需要,可上傳影像報告的PDF檔。
UploadContent: 填寫格式:file://檔名.副檔名,例如:file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.


Example General: text/plain; charset=UTF-8, image/png
.... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
.... data 0..1 base64Binary Data inline, base64ed
.... url SΣ 1..1 url 影像報告(請填寫完整檔案路徑)
Example General: http://www.acme.com/logo-small.png
Example General: file://ImagingDiagnosticReport01.pdf
.... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
.... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
.... title SΣ 1..1 string 影像報告名稱
Example General: Official Corporate Logo
.... creation Σ 0..1 dateTime Date attachment was first created

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.codepreferredICD10PCS2023Image
https://twcore.mohw.gov.tw/ig/pas/ValueSet/icd-10-pcs-2023-image
from this IG
DiagnosticReport.code.coding:TW2023ICD10PCSextensibleICD10PCS2023Image
https://twcore.mohw.gov.tw/ig/pas/ValueSet/icd-10-pcs-2023-image
from this IG
DiagnosticReport.code.coding:TW2014ICD10PCSextensibleICD10PCSImage
https://twcore.mohw.gov.tw/ig/pas/ValueSet/icd-10-pcs-2014-image
from this IG
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
DiagnosticReport.presentedForm.contentTyperequiredMime Types (a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
from the FHIR Standard
DiagnosticReport.presentedForm.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding

Constraints

IdGradePath(s)DetailsRequirements
UploadContenterrorDiagnosticReport.presentedForm填寫格式:file://檔名.副檔名,例如:file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf
: url.matches('^file://[a-zA-Z0-9一-龥]+.[a-zA-Z]{2,5}$')
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf 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-4errorDiagnosticReportIf 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-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA 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()
image-reporterrorDiagnosticReportDICOM影像(imagingStudy)或非DICOM影像(media)擇一必填。
: imagingStudy.exists() or media.exists()
pas-2errorDiagnosticReport.conclusion長度不得超過4000 bytes。
: toString().length() <= 4000

This structure is derived from DiagnosticReport

Summary

Mandatory: 6 elements(8 nested mandatory elements)
Must-Support: 16 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DiagnosticReport.code.coding (Closed)
  • The element 1 is sliced based on the value of DiagnosticReport.effective[x]

 

Other representations of profile: CSV, Excel, Schematron