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: ImagingStudyTWPAS - Detailed Descriptions

Active as of 2024-12-12

Definitions for the ImagingStudy-twpas resource profile.

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

0. ImagingStudy
2. ImagingStudy.identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..?
SlicingThis element introduces a set of slices on ImagingStudy.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ system
  • 4. ImagingStudy.identifier:study-uid
    Slice Namestudy-uid
    Short整項影像檢查的識別碼。上傳至健保署時,必要填寫 DICOM 檢查實例 UID (Study Instance UID)
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control1..1
    Must Supporttrue
    6. ImagingStudy.identifier:study-uid.system
    Control1..?
    Must Supporttrue
    Pattern Valueurn:dicom:uid
    8. ImagingStudy.identifier:study-uid.value
    Control1..?
    Must Supporttrue
    Example<br/><b>General</b>:urn:oid:2.16.886.2102.54.4546465747.465465465 <br/><b>General</b>:urn:oid:2.16.886.2102.54.4546465747.0.46546546
    InvariantsStudyUID: 以`urn:oid:`開頭,後接一串由數字`0`-`9`及`.`組成的字串。第一個數字須為個位數,每個數字不得為`0`開頭(除非為單一的`0`),整體(不含`urn:oid:`)長度不得超過64 bytes。 (value.matches('^urn:oid:(0|[1-9])(.(0|[1-9][0-9]*)){0,63}$'))
    10. ImagingStudy.subject
    TypeReference(病人資訊-Patient TWPAS)
    12. ImagingStudy.series
    Control1..?
    14. ImagingStudy.series.bodySite
    Short影像檢查的身體部位
    BindingThe codes SHALL be taken from SNOMEDCT-健保事前審查-身體部位值集
    (required to https://twcore.mohw.gov.tw/ig/pas/ValueSet/body-site)
    Must Supporttrue
    16. ImagingStudy.series.instance
    18. ImagingStudy.series.instance.uid
    ShortDICOM影像

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

    0. ImagingStudy
    Definition

    DICOM影像檢查中產生的內容。每項檢查包含若干系列(series),每一系列只使用一種影像儀器(例如X光、電腦斷層掃描CT、核磁共振MR、超音波等),每個系列由在相同背景下獲得或製作的服務-物件對實例(Service-Object Pair Instances,簡稱SOP實例,包含影像或其他類型的資料)所組成。但一項檢查中可能包括多個使用不同影像儀器的系列。


    Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.

    Short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】A set of images produced in single study (one or more series of references images)
    Control0..*
    Is Modifierfalse
    Summaryfalse
    Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
    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 (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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
    dom-6: A resource should have narrative for robust management (text.`div`.exists())
    2. ImagingStudy.implicitRules
    Definition

    構建resource時遵循的一系列規則的參照,在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。


    A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

    Short創建此內容所依據的一組規則A set of rules under which this content was created
    Comments

    宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而,現有的健康生態體系高度分裂,還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能,實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時,此URL是對IG的參照,此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。


    Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

    Control0..1
    Typeuri
    Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    4. ImagingStudy.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored
    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 Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Summaryfalse
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    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())
    6. ImagingStudy.identifier
    Definition

    ImagingStudy的識別碼,如DICOM檢查實例UID (Study Instance UID)和檢查單號(Accession Number)。


    Identifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number.

    Short整項影像檢查的識別碼Identifiers for the whole study
    Comments

    有關DICOM檢查實例UID的編碼,請參閱「影像檢查實作說明(Imaging Study Implementation Notes)」下的討論。檢查單號(Accession Number)應使用ACSN識別碼類型 (Identifier type)。


    See discussion under Imaging Study Implementation Notes for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type.

    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control10..*
    TypeIdentifier
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

    如果此 ImagingStudy 中存在一個或多個 series 資料項目,那麼就應該有一個DICOM Study UID識別碼(見DICOM PS 3.3 C.7.2 .


    If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier (see DICOM PS 3.3 C.7.2.

    Alternate NamesStudyInstanceUID, AccessionNumber
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on ImagingStudy.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ system
    • 8. ImagingStudy.identifier:study-uid
      Slice Namestudy-uid
      Definition

      ImagingStudy的識別碼,如DICOM檢查實例UID (Study Instance UID)和檢查單號(Accession Number)。


      Identifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number.

      Short整項影像檢查的識別碼。上傳至健保署時,必要填寫 DICOM 檢查實例 UID (Study Instance UID)Identifiers for the whole study
      Comments

      有關DICOM檢查實例UID的編碼,請參閱「影像檢查實作說明(Imaging Study Implementation Notes)」下的討論。檢查單號(Accession Number)應使用ACSN識別碼類型 (Identifier type)。


      See discussion under Imaging Study Implementation Notes for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type.

      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control10..1*
      TypeIdentifier
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Requirements

      如果此 ImagingStudy 中存在一個或多個 series 資料項目,那麼就應該有一個DICOM Study UID識別碼(見DICOM PS 3.3 C.7.2 .


      If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier (see DICOM PS 3.3 C.7.2.

      Alternate NamesStudyInstanceUID, AccessionNumber
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      10. ImagingStudy.identifier:study-uid.use
      Definition

      The purpose of this identifier.

      Shortusual | official | temp | secondary | old (If known)
      Comments

      Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

      Control0..1
      BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
      (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

      Identifies the purpose for this identifier, if known .

      Typecode
      Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      12. ImagingStudy.identifier:study-uid.system
      Definition

      Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

      ShortThe namespace for the identifier value
      Comments

      Identifier.system is always case sensitive.

      Control10..1
      Typeuri
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Requirements

      There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

      Pattern Valueurn:dicom:uid
      Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      14. ImagingStudy.identifier:study-uid.value
      Definition

      The portion of the identifier typically relevant to the user and which is unique within the context of the system.

      ShortThe value that is unique
      Comments

      If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

      Control10..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Example<br/><b>General</b>:123456 <br/><b>General</b>:urn:oid:2.16.886.2102.54.4546465747.465465465 <br/><b>General</b>:urn:oid:2.16.886.2102.54.4546465747.0.46546546
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      StudyUID: 以`urn:oid:`開頭,後接一串由數字`0`-`9`及`.`組成的字串。第一個數字須為個位數,每個數字不得為`0`開頭(除非為單一的`0`),整體(不含`urn:oid:`)長度不得超過64 bytes。 (value.matches('^urn:oid:(0|[1-9])(.(0|[1-9][0-9]*)){0,63}$'))
      16. ImagingStudy.status
      Definition

      影像檢查的當前狀態。


      The current state of the ImagingStudy.

      Shortregistered | available | cancelled | entered-in-error | unknown
      Comments

      「未知」並不意味著「其他」類型;必須符合已確定的某種狀態。當創建系統不確定當前狀態時,會使用「未知」這一選項。


      Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.

      Control1..1
      BindingThe codes SHALL be taken from ImagingStudyStatushttp://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1
      (required to http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1)

      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。


      The status of the ImagingStudy.

      Typecode
      Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      18. ImagingStudy.modality
      Definition

      列出所有系列中用於實際影像獲取的儀器類型,即在DICOM Context Group 29(值集的唯一識別碼為1.2.840.10008.6.1.19)中定義的類型。


      A list of all the series.modality values that are actual acquisition modalities, i.e. those in the DICOM Context Group 29 (value set OID 1.2.840.10008.6.1.19).

      Short列出所有系列中用於實際影像獲取的儀器類型All series modality if actual acquisition modalities
      Control0..*
      BindingUnless not suitable, these codes SHALL be taken from AcquisitionModalityhttp://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
      (extensible to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html)

      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。


      Type of acquired data in the instance.

      TypeCoding
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Alternate NamesModalitiesInStudy
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      20. ImagingStudy.subject
      Definition

      影像檢查的對象,通常是病人。


      The subject, typically a patient, of the imaging study.

      Short誰或什麼是影像檢查的對象Who or what is the subject of the study
      Comments

      影像檢查的對象,若為品質保證的標準對照物(QA幻影)可用 Device 作記錄。若其檢查對象是多隻小動物(如多隻老鼠),則可以將它們作為 Group 來進行記錄。


      QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group.

      Control1..1
      TypeReference(病人資訊-Patient TWPAS, Patient, Device, Group)
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      22. ImagingStudy.started
      Definition

      檢查開始的日期和時間


      Date and time the study started.

      Short影像檢查何時開始When the study was started
      Control0..1
      TypedateTime
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Alternate NamesStudyDate, StudyTime
      Example<br/><b>General</b>:2011-01-01T11:01:20+03:00
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      24. ImagingStudy.procedureCode
      Definition

      執行的處置類型代碼


      The code for the performed procedure type.

      Short執行的處置代碼The performed procedure code
      Comments

      Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

      Control0..*
      This element is affected by the following invariants: ele-1
      BindingUnless not suitable, these codes SHALL be taken from http://www.rsna.org/RadLex_Playbook.aspx
      (extensible to http://www.rsna.org/RadLex_Playbook.aspx)

      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。


      The performed procedure type.

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Must Supporttrue
      Alternate NamesProcedureCodeSequence
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      26. ImagingStudy.procedureCode.coding
      Definition

      由專門術語系統(terminology system)所定義之代碼的參照


      A reference to a code defined by a terminology system.

      Short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。Code defined by a terminology system
      Comments

      代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

      Control0..*
      This element is affected by the following invariants: ele-1
      TypeCoding(TW Coding)
      Is Modifierfalse
      Must Supporttrue
      Requirements

      允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


      Allows for alternative encodings within a code system, and translations to other code systems.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on ImagingStudy.procedureCode.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • pattern @ $this
      • 28. ImagingStudy.procedureCode.coding:radLex-radiology-lexicon
        Slice NameradLex-radiology-lexicon
        Definition

        由專門術語系統(terminology system)所定義之代碼的參照。


        A reference to a code defined by a terminology system.

        Short應填入所綁定值集中的其中一個代碼。Code defined by a terminology system
        Comments

        代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

        Control0..1*
        This element is affected by the following invariants: ele-1
        BindingThe codes SHALL be taken from For codes, see http://www.rsna.org/RadLex_Playbook.aspx
        (required to http://www.rsna.org/RadLex_Playbook.aspx)
        TypeCoding(TW Coding)
        Is Modifierfalse
        Must Supporttrue
        Requirements

        允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


        Allows for alternative encodings within a code system, and translations to other code systems.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        30. ImagingStudy.procedureCode.coding:icd10-pcs-2021
        Slice Nameicd10-pcs-2021
        Definition

        由專門術語系統(terminology system)所定義之代碼的參照。


        A reference to a code defined by a terminology system.

        Short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。Code defined by a terminology system
        Comments

        代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

        Control0..1*
        This element is affected by the following invariants: ele-1
        BindingThe codes SHALL be taken from For codes, see 臺灣健保署2021年中文版ICD-10-PCS值集
        (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw)

        應填入所綁定值集中的其中一個代碼。

        TypeCoding(TW Coding)
        Is Modifierfalse
        Must Supporttrue
        Requirements

        允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


        Allows for alternative encodings within a code system, and translations to other code systems.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        32. ImagingStudy.procedureCode.coding:icd10-pcs-2023
        Slice Nameicd10-pcs-2023
        Definition

        由專門術語系統(terminology system)所定義之代碼的參照。


        A reference to a code defined by a terminology system.

        Short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。Code defined by a terminology system
        Comments

        代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

        Control0..1*
        This element is affected by the following invariants: ele-1
        BindingThe codes SHALL be taken from For codes, see 臺灣健保署2023年中文版ICD-10-PCS值集
        (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw)

        應填入所綁定值集中的其中一個代碼。

        TypeCoding(TW Coding)
        Is Modifierfalse
        Must Supporttrue
        Requirements

        允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


        Allows for alternative encodings within a code system, and translations to other code systems.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        34. ImagingStudy.procedureCode.text
        Definition

        輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。


        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

        Short概念的文字表示法Plain text representation of the concept
        Comments

        很多時候,此文字表述與其中一個代碼的顯示名稱相同。


        Very often the text is the same as a displayName of one of the codings.

        Control0..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Requirements

        專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。


        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        36. ImagingStudy.reasonCode
        Definition

        說明為什麼要求進行影像檢查的臨床情況


        Description of clinical condition indicating why the ImagingStudy was requested.

        Short為什麼進行此影像檢查Why the study was requested
        Comments

        Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

        Control0..*
        This element is affected by the following invariants: ele-1
        BindingUnless not suitable, these codes SHALL be taken from For example codes, see ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reason
        (extensible to http://hl7.org/fhir/ValueSet/procedure-reason)

        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。


        The reason for the study.

        TypeCodeableConcept(TW CodeableConcept)
        Is Modifierfalse
        Must Supporttrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        38. ImagingStudy.series
        Definition

        每項影像檢查有一個或多個系列的影像或其他內容


        Each study has one or more series of images or other content.

        Short每項影像檢查有一個或多個系列(series)的實例Each study has one or more series of instances
        Control10..*
        TypeBackboneElement
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        40. ImagingStudy.series.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        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 Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        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())
        42. ImagingStudy.series.uid
        Definition

        此系列的DICOM系列實例UID


        The DICOM Series Instance UID for the series.

        Short此系列的DICOM系列實例UIDDICOM Series Instance UID for the series
        Comments

        見DICOM PS3.3 C.7.3


        Control1..1
        Typeid
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Requirements

        此系列的DICOM系列實例UID


        DICOM Series Instance UID.

        Alternate NamesSeriesInstanceUID
        Example<br/><b>General</b>:2.16.124.113543.6003.2588828330.45298.17418.2723805630
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        44. ImagingStudy.series.modality
        Definition

        此系列序列所使用的成像儀器


        The modality of this series sequence.

        Short此系列實例所使用的成像儀器The modality of the instances in the series
        Control1..1
        BindingUnless not suitable, these codes SHALL be taken from AcquisitionModalityhttp://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
        (extensible to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html)

        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。


        Type of acquired data in the instance.

        TypeCoding
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Alternate NamesModality
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        46. ImagingStudy.series.bodySite
        Definition

        所檢查的解剖結構。參見DICOM第16部分附件L(http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html),瞭解DICOM與SNOMED-CT的對應關係。bodySite可指示成像的身體部位的橫向性;如果是這樣,它應與ImagingStudy.series.siderality的任何內容一致。


        The anatomic structures examined. See DICOM Part 16 Annex L (http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings. The bodySite may indicate the laterality of body part imaged; if so, it shall be consistent with any content of ImagingStudy.series.laterality.

        Short影像檢查的身體部位Body part examined
        Control0..1
        BindingThe codes SHALL be taken from For example codes, see SNOMEDCT-健保事前審查-身體部位值集http://hl7.org/fhir/ValueSet/body-site
        (required to https://twcore.mohw.gov.tw/ig/pas/ValueSet/body-site)
        TypeCoding
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Alternate NamesBodyPartExamined
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        48. ImagingStudy.series.instance
        Definition

        系列中的單一SOP實例,例如:影像或表現狀態。


        A single SOP instance within the series, e.g. an image, or presentation state.

        Short系列中的一個SOP實例A single SOP instance from the series
        Control0..*
        TypeBackboneElement
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        50. ImagingStudy.series.instance.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        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 Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        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())
        52. ImagingStudy.series.instance.uid
        Definition

        此影像或其他DICOM內容的DICOM SOP實例UID


        The DICOM SOP Instance UID for this image or other DICOM content.

        ShortDICOM影像DICOM SOP Instance UID
        Comments

        見DICOM PS3.3 C.12.1


        Control1..1
        Typeid
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summaryfalse
        Requirements

        DICOM SOP實例的UID


        DICOM SOP Instance UID.

        Alternate NamesSOPInstanceUID
        Example<br/><b>General</b>:2.16.124.113543.6003.189642796.63084.16748.2599092903
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        54. ImagingStudy.series.instance.sopClass
        Definition

        DICOM實例類型


        DICOM instance type.

        ShortDICOM class 類型DICOM class type
        Control1..1
        BindingUnless not suitable, these codes SHALL be taken from http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
        (extensible to http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1)

        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。


        The sopClass for the instance.

        TypeCoding
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Alternate NamesSOPClassUID
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

        0. ImagingStudy
        Definition

        DICOM影像檢查中產生的內容。每項檢查包含若干系列(series),每一系列只使用一種影像儀器(例如X光、電腦斷層掃描CT、核磁共振MR、超音波等),每個系列由在相同背景下獲得或製作的服務-物件對實例(Service-Object Pair Instances,簡稱SOP實例,包含影像或其他類型的資料)所組成。但一項檢查中可能包括多個使用不同影像儀器的系列。

        Short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】
        Control0..*
        Is Modifierfalse
        Summaryfalse
        Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
        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 (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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
        dom-6: A resource should have narrative for robust management (text.`div`.exists())
        2. ImagingStudy.id
        Definition

        resource的邏輯ID,在resource的URL中使用。一旦指定,這個值永遠不會改變。

        Short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。
        Comments

        一個resource使用新增操作(create operation)提交給伺服器時,此resource沒有id,它的id在resource被創建後由伺器分配/指定。

        Control0..1
        Typeid
        Is Modifierfalse
        Summarytrue
        4. ImagingStudy.meta
        Definition

        關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。

        Short此ImagingStudy Resource的metadata
        Control0..1
        TypeMeta
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        6. ImagingStudy.implicitRules
        Definition

        構建resource時遵循的一系列規則的參照,在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。

        Short創建此內容所依據的一組規則
        Comments

        宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而,現有的健康生態體系高度分裂,還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能,實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時,此URL是對IG的參照,此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。

        Control0..1
        Typeuri
        Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        8. ImagingStudy.language
        Definition

        編寫此resource的語言

        Short用以表述ImagingStudy Resource內容的語言。
        Comments

        提供語言是為了支援索引和可存取性(通常,文字表述轉語音等服務使用此語言標籤)。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此語言。不應該假定Resource.language自動適用於敘述。如果指定語言,它也應該被指定在html中的div資料項目(關於xml:lang和html lang屬性之間的關係,見HTML5中的規則)。

        Control0..1
        BindingThe codes SHOULD be taken from CommonLanguages
        (preferred to http://hl7.org/fhir/ValueSet/languages)

        人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。

        Additional BindingsPurpose
        AllLanguagesMax Binding
        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Example<br/><b>Value</b>:zh-TW
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        10. ImagingStudy.text
        Definition

        人可讀的敘述,包含resource的摘要,可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼,但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義有哪些內容應該在敘述中表示,以確保臨床安全。

        ShortImagingStudy Resource之內容摘要以供人閱讀
        Comments

        內嵌(contained)的resource沒有敘述,非內嵌(contained)的resource則 建議應該(SHOULD) 有敘述。有時resource可能只有文字表述,很少或沒有額外的結構化資料(只要滿足所有minOccurs=1的資料項目)。這可能出現在舊系統的資料,當資訊以 「文字表述區塊(text blob) 」的形式被取得,或者文字表述是原始輸入或說明,而編碼資訊稍後再添加。

        Control0..1
        TypeNarrative
        Is Modifierfalse
        Summaryfalse
        Alternate Namesnarrative, html, xhtml, display
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        12. ImagingStudy.contained
        Definition

        These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

        ShortContained, inline Resources
        Comments

        This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

        Control0..*
        TypeResource
        Is Modifierfalse
        Summaryfalse
        Alternate Namesinline resources, anonymous resources, contained resources
        14. ImagingStudy.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the resource. 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())
        16. ImagingStudy.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored
        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 Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
        Summaryfalse
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        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())
        18. ImagingStudy.identifier
        Definition

        ImagingStudy的識別碼,如DICOM檢查實例UID (Study Instance UID)和檢查單號(Accession Number)。

        Short整項影像檢查的識別碼
        Comments

        有關DICOM檢查實例UID的編碼,請參閱「影像檢查實作說明(Imaging Study Implementation Notes)」下的討論。檢查單號(Accession Number)應使用ACSN識別碼類型 (Identifier type)。

        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control1..*
        TypeIdentifier
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Requirements

        如果此 ImagingStudy 中存在一個或多個 series 資料項目,那麼就應該有一個DICOM Study UID識別碼(見DICOM PS 3.3 C.7.2 .

        Alternate NamesStudyInstanceUID, AccessionNumber
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on ImagingStudy.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ system
        • 20. ImagingStudy.identifier:study-uid
          Slice Namestudy-uid
          Definition

          ImagingStudy的識別碼,如DICOM檢查實例UID (Study Instance UID)和檢查單號(Accession Number)。

          Short整項影像檢查的識別碼。上傳至健保署時,必要填寫 DICOM 檢查實例 UID (Study Instance UID)
          Comments

          有關DICOM檢查實例UID的編碼,請參閱「影像檢查實作說明(Imaging Study Implementation Notes)」下的討論。檢查單號(Accession Number)應使用ACSN識別碼類型 (Identifier type)。

          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control1..1
          TypeIdentifier
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          如果此 ImagingStudy 中存在一個或多個 series 資料項目,那麼就應該有一個DICOM Study UID識別碼(見DICOM PS 3.3 C.7.2 .

          Alternate NamesStudyInstanceUID, AccessionNumber
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          22. ImagingStudy.identifier:study-uid.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
          24. ImagingStudy.identifier:study-uid.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 ImagingStudy.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 26. ImagingStudy.identifier:study-uid.use
            Definition

            The purpose of this identifier.

            Shortusual | official | temp | secondary | old (If known)
            Comments

            Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

            Control0..1
            BindingThe codes SHALL be taken from IdentifierUse
            (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

            Identifies the purpose for this identifier, if known .

            Typecode
            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            28. ImagingStudy.identifier:study-uid.type
            Definition

            A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

            ShortDescription of identifier
            Comments

            This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

            Control0..1
            BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
            (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

            A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

            TypeCodeableConcept
            Is Modifierfalse
            Summarytrue
            Requirements

            Allows users to make use of identifiers when the identifier system is not known.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            30. ImagingStudy.identifier:study-uid.system
            Definition

            Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

            ShortThe namespace for the identifier value
            Comments

            Identifier.system is always case sensitive.

            Control1..1
            Typeuri
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            Requirements

            There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

            Pattern Valueurn:dicom:uid
            Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            32. ImagingStudy.identifier:study-uid.value
            Definition

            The portion of the identifier typically relevant to the user and which is unique within the context of the system.

            ShortThe value that is unique
            Comments

            If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

            Control1..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            Example<br/><b>General</b>:123456 <br/><b>General</b>:urn:oid:2.16.886.2102.54.4546465747.465465465 <br/><b>General</b>:urn:oid:2.16.886.2102.54.4546465747.0.46546546
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            StudyUID: 以`urn:oid:`開頭,後接一串由數字`0`-`9`及`.`組成的字串。第一個數字須為個位數,每個數字不得為`0`開頭(除非為單一的`0`),整體(不含`urn:oid:`)長度不得超過64 bytes。 (value.matches('^urn:oid:(0|[1-9])(.(0|[1-9][0-9]*)){0,63}$'))
            34. ImagingStudy.identifier:study-uid.period
            Definition

            Time period during which identifier is/was valid for use.

            ShortTime period when id is/was valid for use
            Control0..1
            TypePeriod
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            36. ImagingStudy.identifier:study-uid.assigner
            Definition

            Organization that issued/manages the identifier.

            ShortOrganization that issued id (may be just text)
            Comments

            The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

            Control0..1
            TypeReference(Organization)
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            38. ImagingStudy.status
            Definition

            影像檢查的當前狀態。

            Shortregistered | available | cancelled | entered-in-error | unknown
            Comments

            「未知」並不意味著「其他」類型;必須符合已確定的某種狀態。當創建系統不確定當前狀態時,會使用「未知」這一選項。

            Control1..1
            BindingThe codes SHALL be taken from ImagingStudyStatus
            (required to http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1)

            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。

            Typecode
            Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            40. ImagingStudy.modality
            Definition

            列出所有系列中用於實際影像獲取的儀器類型,即在DICOM Context Group 29(值集的唯一識別碼為1.2.840.10008.6.1.19)中定義的類型。

            Short列出所有系列中用於實際影像獲取的儀器類型
            Control0..*
            BindingUnless not suitable, these codes SHALL be taken from AcquisitionModality
            (extensible to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html)

            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。

            TypeCoding
            Is Modifierfalse
            Must Supporttrue
            Summarytrue
            Alternate NamesModalitiesInStudy
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            42. ImagingStudy.subject
            Definition

            影像檢查的對象,通常是病人。

            Short誰或什麼是影像檢查的對象
            Comments

            影像檢查的對象,若為品質保證的標準對照物(QA幻影)可用 Device 作記錄。若其檢查對象是多隻小動物(如多隻老鼠),則可以將它們作為 Group 來進行記錄。

            Control1..1
            TypeReference(病人資訊-Patient TWPAS)
            Is Modifierfalse
            Must Supporttrue
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            44. ImagingStudy.encounter
            Definition

            進行此影像檢查的健康照護事件(例如:病人與健康照護服務提供者的互動)。

            Short與此影像檢查有關的就醫事件(Encounter)
            Comments

            病人接受影像檢查時所在的就醫情境。不過,有些相關事件可能在病人就醫前或完成就醫後發生,但這些事件仍與就醫情境有關(例如:病人入院前的檢查)。

            Control0..1
            TypeReference(TW Core Encounter)
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            46. ImagingStudy.started
            Definition

            檢查開始的日期和時間

            Short影像檢查何時開始
            Control0..1
            TypedateTime
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            Alternate NamesStudyDate, StudyTime
            Example<br/><b>General</b>:2011-01-01T11:01:20+03:00
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            48. ImagingStudy.basedOn
            Definition

            導致進行此影像檢查的診斷報告清單

            Short要求執行此影像檢查的依據
            Control0..*
            TypeReference(CarePlan, ServiceRequest, Appointment, AppointmentResponse, Task)
            Is Modifierfalse
            Summarytrue
            Requirements

            支援分組處置(一項影像檢查支援多個醫令處置,如胸腔/腹部/骨盆CT)。

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            50. ImagingStudy.referrer
            Definition

            請求/轉診的醫師

            Short轉診醫師
            Control0..1
            TypeReference(TW Core Practitioner, TW Core PractitionerRole)
            Is Modifierfalse
            Summarytrue
            Alternate NamesReferringPhysiciansName
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            52. ImagingStudy.interpreter
            Definition

            誰閱讀了檢查報告並解讀了影像或其他內容

            Short誰解讀了影像
            Control0..*
            TypeReference(TW Core Practitioner, TW Core PractitionerRole)
            Is Modifierfalse
            Summarytrue
            Alternate NamesName of Physician(s) Reading Study
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            54. ImagingStudy.endpoint
            Definition

            提供影像檢查資料存取的網路服務,包括查詢、觀看或下載影像檢查資料。更多有關如何使用DICOM端點的詳細資訊,請查看實作指引。整體檢查的網絡連接設定(端點)適用於檢查中的每一個影像系列。但如果某個影像系列有自己特定的網路連接設定(稱為系統端點),且這個設定的類型(Endpoint.connectionType)與整體檢查的端點相同,則該系列將依據其自身的設定進行連接。

            Short影像檢查存取的端點(endpoint)
            Comments

            常見的端點類型包括:DICOM WADO-RS,它透過RESTful API以原始或轉換後的格式(如JPG、PNG)來查DICOM影像檔案;DICOM WADO-URI,這也能查詢原始或轉換後的影像,但它是透過HTTP查詢方式實現;DICOM QIDO-RS,它允許使用RESTful查詢方式來獲取DICOM資訊,而無需下載影像檔案本身;還有IHE Invoke Image Display(IID),這是一種標準的網路影像查看器(viewer)啟動方式。

            Control0..*
            TypeReference(Endpoint)
            Is Modifierfalse
            Summarytrue
            Requirements

            說明了如何查看(例如:使用IHE的IID profile)或查詢(例如:使用DICOM的WADO-URI和WADO-RS)影像檢查、其影像系列或單個影像的方法。整體檢查的基礎位置設定(baseLocation)通常適用於檢查中的所有影像系列。但如果某個影像系列有自己的基礎位置設定(稱為系列級baseLocation),且這個設定與整體檢查的設定類型相同,則該系列將按照自己的設定進行操作。

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            56. ImagingStudy.numberOfSeries
            Definition

            在醫學影像檢查中,顯示的series數量有時會比Resource實際包含的更多。這可能是由於Resource的限制、安全問題或其他因素所致。如果Resource中包含至少一個series的資料項目,那麼這個series數量就應當被明確標出。

            Short影像檢查相關Series的數量
            Control0..1
            TypeunsignedInt
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Alternate NamesNumberOfStudyRelatedSeries
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            58. ImagingStudy.numberOfInstances
            Definition

            在醫學影像檢查中,顯示的SOP instances數量有時會比Resource實際包含的更多。這可能是由於instance的限制、安全問題或其他因素所致。如果Resource中包含至少一個instance的資料項目,那麼這個資料項目就應該被包含在內。

            Short影像檢查相關Instances的數量
            Control0..1
            TypeunsignedInt
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Alternate NamesNumberOfStudyRelatedInstances
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            60. ImagingStudy.procedureReference
            Definition

            此影像檢查是此處置(Procedure)的一部分

            Short所執行的處置(Procedure)參照
            Control0..1
            TypeReference(TW Core Procedure)
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            62. ImagingStudy.procedureCode
            Definition

            執行的處置類型代碼

            Short執行的處置代碼
            Comments

            Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

            Control0..*
            This element is affected by the following invariants: ele-1
            BindingUnless not suitable, these codes SHALL be taken from http://www.rsna.org/RadLex_Playbook.aspx
            (extensible to http://www.rsna.org/RadLex_Playbook.aspx)

            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。

            TypeCodeableConcept(TW CodeableConcept)
            Is Modifierfalse
            Must Supporttrue
            Alternate NamesProcedureCodeSequence
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            64. ImagingStudy.procedureCode.id
            Definition

            resource中資料項目的唯一ID(用於內部參照)。這可以是任何不含空格的字串。

            Short唯一可識別ID,以供資料項目間相互參照。
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            66. ImagingStudy.procedureCode.extension
            Definition

            擴充的資料項目

            Short擴充的資料項目
            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            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 ImagingStudy.procedureCode.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 68. ImagingStudy.procedureCode.coding
              Definition

              由專門術語系統(terminology system)所定義之代碼的參照

              Short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。
              Comments

              代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

              Control0..*
              This element is affected by the following invariants: ele-1
              TypeCoding(TW Coding)
              Is Modifierfalse
              Must Supporttrue
              Requirements

              允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              SlicingThis element introduces a set of slices on ImagingStudy.procedureCode.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • pattern @ $this
              • 70. ImagingStudy.procedureCode.coding:radLex-radiology-lexicon
                Slice NameradLex-radiology-lexicon
                Definition

                由專門術語系統(terminology system)所定義之代碼的參照。

                Short應填入所綁定值集中的其中一個代碼。
                Comments

                代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

                Control0..1
                This element is affected by the following invariants: ele-1
                BindingThe codes SHALL be taken from http://www.rsna.org/RadLex_Playbook.aspx
                (required to http://www.rsna.org/RadLex_Playbook.aspx)
                TypeCoding(TW Coding)
                Is Modifierfalse
                Must Supporttrue
                Requirements

                允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                72. ImagingStudy.procedureCode.coding:icd10-pcs-2021
                Slice Nameicd10-pcs-2021
                Definition

                由專門術語系統(terminology system)所定義之代碼的參照。

                Short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。
                Comments

                代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

                Control0..1
                This element is affected by the following invariants: ele-1
                BindingThe codes SHALL be taken from 臺灣健保署2021年中文版ICD-10-PCS值集
                (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw)

                應填入所綁定值集中的其中一個代碼。

                TypeCoding(TW Coding)
                Is Modifierfalse
                Must Supporttrue
                Requirements

                允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                74. ImagingStudy.procedureCode.coding:icd10-pcs-2023
                Slice Nameicd10-pcs-2023
                Definition

                由專門術語系統(terminology system)所定義之代碼的參照。

                Short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。
                Comments

                代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

                Control0..1
                This element is affected by the following invariants: ele-1
                BindingThe codes SHALL be taken from 臺灣健保署2023年中文版ICD-10-PCS值集
                (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw)

                應填入所綁定值集中的其中一個代碼。

                TypeCoding(TW Coding)
                Is Modifierfalse
                Must Supporttrue
                Requirements

                允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                76. ImagingStudy.procedureCode.text
                Definition

                輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。

                Short概念的文字表示法
                Comments

                很多時候,此文字表述與其中一個代碼的顯示名稱相同。

                Control0..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Requirements

                專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                78. ImagingStudy.location
                Definition

                進行影像檢查的主要實體地點

                Short影像檢查發生的地點
                Control0..1
                TypeReference(TW Core Location)
                Is Modifierfalse
                Summarytrue
                Requirements

                將事件與可能保存記錄的地點相關聯,並提供圍繞事件發生的背景資訊(例如:事件是發生在專門的醫療環境內或外)。

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                80. ImagingStudy.reasonCode
                Definition

                說明為什麼要求進行影像檢查的臨床情況

                Short為什麼進行此影像檢查
                Comments

                Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

                Control0..*
                This element is affected by the following invariants: ele-1
                BindingUnless not suitable, these codes SHALL be taken from ProcedureReasonCodes
                (extensible to http://hl7.org/fhir/ValueSet/procedure-reason)

                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。

                TypeCodeableConcept(TW CodeableConcept)
                Is Modifierfalse
                Must Supporttrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                82. ImagingStudy.reasonReference
                Definition

                這表示有另外一個Resource,其存在是進行這項檢查的合理原因。

                Short為什麼進行此影像檢查
                Control0..*
                TypeReference(TW Core Condition, TW Core Observation Laboratory Result, Media, TW Core DiagnosticReport, DocumentReference)
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                84. ImagingStudy.note
                Definition

                按照建議的DICOM對應關係,這個資料項目是來自影像檢查描述屬性(0008,1030)。有關影像檢查的觀察或發現應該記錄在別的Resource裡,比如說Observation,而不是在這個資料項目。

                Short用戶自定義的評論
                Control0..*
                TypeAnnotation
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                86. ImagingStudy.description
                Definition

                影像管理員(Imaging Manager)對此影像檢查的描述,它是由醫療機構自己生成的,用來描述或分類此影像檢查(元件)的內容。

                Short機構產生的描述
                Control0..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Alternate NamesStudyDescription
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                88. ImagingStudy.series
                Definition

                每項影像檢查有一個或多個系列的影像或其他內容

                Short每項影像檢查有一個或多個系列(series)的實例
                Control1..*
                TypeBackboneElement
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                90. ImagingStudy.series.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
                92. ImagingStudy.series.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())
                94. ImagingStudy.series.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                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 Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                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())
                96. ImagingStudy.series.uid
                Definition

                此系列的DICOM系列實例UID

                Short此系列的DICOM系列實例UID
                Comments

                見DICOM PS3.3 C.7.3

                Control1..1
                Typeid
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Requirements

                此系列的DICOM系列實例UID

                Alternate NamesSeriesInstanceUID
                Example<br/><b>General</b>:2.16.124.113543.6003.2588828330.45298.17418.2723805630
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                98. ImagingStudy.series.number
                Definition

                此影像檢查中此系列的數字識別碼

                Short此系列的數字識別碼
                Control0..1
                TypeunsignedInt
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Alternate NamesSeriesNumber
                Example<br/><b>General</b>:3
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                100. ImagingStudy.series.modality
                Definition

                此系列序列所使用的成像儀器

                Short此系列實例所使用的成像儀器
                Control1..1
                BindingUnless not suitable, these codes SHALL be taken from AcquisitionModality
                (extensible to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html)

                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。

                TypeCoding
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Alternate NamesModality
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                102. ImagingStudy.series.description
                Definition

                對此系列的描述

                Short對此系列的一個簡短且易於閱讀的摘要
                Control0..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Alternate NamesSeriesDescription
                Example<br/><b>General</b>:CT Surview 180
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                104. ImagingStudy.series.numberOfInstances
                Definition

                在醫學影像檢查中,顯示的SOP instances數量有時會比Resource實際包含的更多。這可能是由於instance的限制、安全問題或其他因素所致。如果Resource中包含至少一個instance的資料項目,那麼這個資料項目就應該被包含在內。

                Short此Series相關Instances的數量
                Control0..1
                TypeunsignedInt
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Alternate NamesNumberOfSeriesRelatedInstances
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                106. ImagingStudy.series.endpoint
                Definition

                提供影像檢查資料存取的網路服務,包括查詢、觀看或下載影像檢查資料。更多有關如何使用DICOM端點的詳細資訊,請查看實作指引。整體檢查的網絡連接設定(端點)適用於檢查中的每一個影像系列。但如果某個影像系列有自己特定的網路連接設定(稱為系統端點),且這個設定的類型(Endpoint.connectionType)與整體檢查的端點相同,則該系列將依據其自身的設定進行連接。

                Short此系列的存取端點
                Comments

                常見的端點類型包括:DICOM WADO-RS,它透過RESTful API以原始或轉換後的格式(如JPG、PNG)來查DICOM影像檔案;DICOM WADO-URI,這也能查詢原始或轉換後的影像,但它是透過HTTP查詢方式實現;DICOM QIDO-RS,它允許使用RESTful查詢方式來獲取DICOM資訊,而無需下載影像檔案本身;還有IHE Invoke Image Display(IID),這是一種標準的網路影像查看器(viewer)啟動方式。

                Control0..*
                TypeReference(Endpoint)
                Is Modifierfalse
                Summarytrue
                Requirements

                說明了如何查詢(例如:使用DICOM的WADO-URI和WADO-RS)其影像系列或單個系列的方法。整體檢查的基礎位置設定(baseLocation)通常適用於檢查中的所有影像系列。但如果某個影像系列有自己的基礎位置設定(稱為系列級baseLocation),且這個設定與整體檢查的設定類型相同,則該系列將按照自己的設定進行操作。

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                108. ImagingStudy.series.bodySite
                Definition

                所檢查的解剖結構。參見DICOM第16部分附件L(http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html),瞭解DICOM與SNOMED-CT的對應關係。bodySite可指示成像的身體部位的橫向性;如果是這樣,它應與ImagingStudy.series.siderality的任何內容一致。

                Short影像檢查的身體部位
                Control0..1
                BindingThe codes SHALL be taken from SNOMEDCT-健保事前審查-身體部位值集
                (required to https://twcore.mohw.gov.tw/ig/pas/ValueSet/body-site)
                TypeCoding
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Alternate NamesBodyPartExamined
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                110. ImagingStudy.series.laterality
                Definition

                影像檢查中所掃描的身體結構部位。要了解DICOM與SNOMED-CT的對應關係,可以查閱DICOM標準的第16部分附件L。在這裡提到的bodySite可能會表明被掃描的身體部位是左側還是右側;如果有指明側性,那麼這個資訊應該與ImagingStudy.series.laterality中的內容一致。

                Short身體部位的側性
                Control0..1
                BindingUnless not suitable, these codes SHALL be taken from Laterality
                (extensible to http://hl7.org/fhir/ValueSet/bodysite-laterality)

                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。

                TypeCoding
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                112. ImagingStudy.series.specimen
                Definition

                要進行影像檢查的檢體,例如:活體組織切片的整片掃描成像的檢體。

                Short要進行影像檢查的檢體
                Control0..*
                TypeReference(TW Core Specimen)
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                114. ImagingStudy.series.started
                Definition

                此系列開始的日期和時間

                Short此系列何時開始的
                Control0..1
                TypedateTime
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                116. ImagingStudy.series.performer
                Definition

                指明誰或什麼執行了這個系列,以及他們是如何參與的。

                Short誰執行了此系列
                Comments

                如果不確定是誰執行了此系列,可以記錄這位執行者所在的機構。有時,病人本人或與病人有關的人士也可能是影像的拍攝者,比如在病人自己拍攝的影像。

                Control0..*
                TypeBackboneElement
                Is Modifierfalse
                Summarytrue
                Requirements

                執行者的資訊是記錄在每個系列的層面上,因為在一次檢查中,不同的系列可能會由不同的執行者在不同的時間點使用不同的設備來進行。而且一個系列有可能由多位執行者共同完成。

                Alternate NamesPerformingPhysicianName, OperatorName
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                118. ImagingStudy.series.performer.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
                120. ImagingStudy.series.performer.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())
                122. ImagingStudy.series.performer.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                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 Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                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())
                124. ImagingStudy.series.performer.function
                Definition

                區分執行者在此系列中的參與類型

                Short執行的類型
                Comments

                Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

                Control0..1
                This element is affected by the following invariants: ele-1
                BindingUnless not suitable, these codes SHALL be taken from ImagingStudySeriesPerformerFunction
                (extensible to http://hl7.org/fhir/ValueSet/series-performer-function)

                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。

                TypeCodeableConcept(TW CodeableConcept)
                Is Modifierfalse
                Requirements

                可以區分不同執行者參與的類型

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                126. ImagingStudy.series.performer.actor
                Definition

                表示誰或什麼人執行了該系列

                Short誰執行了此系列
                Control1..1
                TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, TW Core CareTeam, TW Core Patient, Device, TW Core RelatedPerson)
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                128. ImagingStudy.series.instance
                Definition

                系列中的單一SOP實例,例如:影像或表現狀態。

                Short系列中的一個SOP實例
                Control0..*
                TypeBackboneElement
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                130. ImagingStudy.series.instance.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
                132. ImagingStudy.series.instance.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())
                134. ImagingStudy.series.instance.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                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 Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                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())
                136. ImagingStudy.series.instance.uid
                Definition

                此影像或其他DICOM內容的DICOM SOP實例UID

                ShortDICOM影像
                Comments

                見DICOM PS3.3 C.12.1

                Control1..1
                Typeid
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summaryfalse
                Requirements

                DICOM SOP實例的UID

                Alternate NamesSOPInstanceUID
                Example<br/><b>General</b>:2.16.124.113543.6003.189642796.63084.16748.2599092903
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                138. ImagingStudy.series.instance.sopClass
                Definition

                DICOM實例類型

                ShortDICOM class 類型
                Control1..1
                BindingUnless not suitable, these codes SHALL be taken from http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1
                (extensible to http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1)

                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。

                TypeCoding
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Alternate NamesSOPClassUID
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                140. ImagingStudy.series.instance.number
                Definition

                此系列中該實例的序號

                Short此系列中該實例的序號
                Control0..1
                TypeunsignedInt
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Alternate NamesInstanceNumber
                Example<br/><b>General</b>:1
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                142. ImagingStudy.series.instance.title
                Definition

                實例的描述

                Short實例的描述
                Comments

                特別是對於取得後的分析物件,例如:SR、表現狀態、值對應等。

                Control0..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))