Package | tw.gov.mohw.emr |
Type | StructureDefinition |
Id | IMAGE |
FHIR Version | R4 |
Source | https://twcore.mohw.gov.tw/ig/emr/https://twcore.mohw.gov.tw/ig/emr/0.2.0/StructureDefinition-IMAGE.html |
URL | https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/IMAGE |
Version | 0.2.0 |
Status | active |
Date | 2023-10-11T16:18:20+08:00 |
Name | IMAGE |
Title | 醫學影像報告邏輯模型 |
Realm | tw |
Authority | national |
Description | 醫學影像報告邏輯模型,讀者可藉此資料模型快速瞭解醫學影像報告的內容,實作者亦可透過此資料模型上方Mappings功能頁籤來瞭解各資料項目應透過哪些Lung Profiles或Resources的資料項目進行實作。 |
Type | https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/IMAGE |
Kind | logical |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
{ "resourceType": "StructureDefinition", "id": "IMAGE", "text": { "status": "extensions", "div": "<!-- snip (see above) -->" }, "url": "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/IMAGE", "version": "0.2.0", "name": "IMAGE", "title": "醫學影像報告邏輯模型", "status": "active", "date": "2023-10-11T16:18:20+08:00", "publisher": "衛生福利部", "contact": [ { "telecom": [ { "system": "url", "value": "https://www.mohw.gov.tw/mp-1.html" } ] } ], "description": "醫學影像報告邏輯模型,讀者可藉此資料模型快速瞭解醫學影像報告的內容,實作者亦可透過此資料模型上方Mappings功能頁籤來瞭解各資料項目應透過哪些Lung Profiles或Resources的資料項目進行實作。", "fhirVersion": "4.0.1", "mapping": [ { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "MedicalImagingAndReport", "uri": "hl7.org/fhir/r4", "name": "Medical Imaging And Report to FHIR" } ], "kind": "logical", "abstract": false, "type": "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/IMAGE", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element", "derivation": "specialization", "snapshot": { "element": [ { "id": "IMAGE", "path": "IMAGE", "short": "此邏輯模型適用於醫學影像報告", "definition": "Medical Imaging And Report", "min": 0, "max": "*", "base": { "path": "Element", "min": 0, "max": "*" }, "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "mapping": [ { "identity": "MedicalImagingAndReport", "map": "Patient" }, { "identity": "MedicalImagingAndReport", "map": "Organization" }, { "identity": "MedicalImagingAndReport", "map": "Practitioner" }, { "identity": "MedicalImagingAndReport", "map": "Encounter" }, { "identity": "MedicalImagingAndReport", "map": "Condition" }, { "identity": "MedicalImagingAndReport", "map": "ImagingStudy" }, { "identity": "MedicalImagingAndReport", "map": "Observation" }, { "identity": "MedicalImagingAndReport", "map": "DiagnosticReport" }, { "identity": "rim", "map": "n/a" } ] }, { "id": "IMAGE.id", "path": "IMAGE.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "IMAGE.extension", "path": "IMAGE.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "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.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "IMAGE.hospitaltype", "path": "IMAGE.hospitaltype", "short": "醫院別", "definition": "醫院別", "min": 1, "max": "1", "base": { "path": "IMAGE.hospitaltype", "min": 1, "max": "1" }, "type": [ { "code": "Base" } ] }, { "id": "IMAGE.hospitaltype.id", "path": "IMAGE.hospitaltype.id", "short": "醫事機構代碼,院所代碼需與健保申報相同", "definition": "醫事機構代碼,院所代碼需與健保申報相同", "min": 1, "max": "1", "base": { "path": "IMAGE.hospitaltype.id", "min": 1, "max": "1" }, "type": [ { "code": "Identifier" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "醫事機構代碼:Organization.identifier.value 使用 Organization.identifier.type 識別類型" } ] }, { "id": "IMAGE.hospitaltype.name", "path": "IMAGE.hospitaltype.name", "short": "醫事機構名稱,院所名稱需與健保申報相同", "definition": "醫事機構名稱,院所名稱需與健保申報相同", "min": 1, "max": "1", "base": { "path": "IMAGE.hospitaltype.name", "min": 1, "max": "1" }, "type": [ { "code": "string" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "院所名稱:Organization.name" } ] }, { "id": "IMAGE.order", "path": "IMAGE.order", "short": "檢查項目", "definition": "檢查項目", "min": 1, "max": "1", "base": { "path": "IMAGE.order", "min": 1, "max": "1" }, "type": [ { "code": "Base" } ] }, { "id": "IMAGE.order.code", "path": "IMAGE.order.code", "short": "醫令代碼,檢查健保醫令代碼,需與健保申報相同。", "definition": "醫令代碼,檢查健保醫令代碼,需與健保申報相同。", "min": 1, "max": "1", "base": { "path": "IMAGE.order.code", "min": 1, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "檢查健保醫令代碼:ImagingStudy.procedureCode.coding.code" }, { "identity": "MedicalImagingAndReport", "map": "檢查健保醫令代碼:Observation.code.coding.code" } ] }, { "id": "IMAGE.order.description", "path": "IMAGE.order.description", "short": "醫令名稱,檢查健保醫令名稱,需與健保申報相同。", "definition": "醫令名稱,檢查健保醫令名稱,需與健保申報相同。", "min": 1, "max": "1", "base": { "path": "IMAGE.order.description", "min": 1, "max": "1" }, "type": [ { "code": "string" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "醫令名稱:ImagingStudy.procedureCode.coding.display" }, { "identity": "MedicalImagingAndReport", "map": "醫令名稱:Observation.code.coding.display" } ] }, { "id": "IMAGE.examinationStatus", "path": "IMAGE.examinationStatus", "short": "檢查部位", "definition": "檢查部位", "min": 1, "max": "1", "base": { "path": "IMAGE.examinationStatus", "min": 1, "max": "1" }, "type": [ { "code": "Base" } ] }, { "id": "IMAGE.examinationStatus.physicalExamination", "path": "IMAGE.examinationStatus.physicalExamination", "short": "檢查部位,檢查部位,需與健保申報相同。", "definition": "檢查部位,檢查部位,需與健保申報相同。", "min": 1, "max": "*", "base": { "path": "IMAGE.examinationStatus.physicalExamination", "min": 1, "max": "*" }, "type": [ { "code": "Coding" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "檢查部位:ImagingStudy.series.bodySite" } ] }, { "id": "IMAGE.examinationStatus.description", "path": "IMAGE.examinationStatus.description", "short": "檢查部位詳細說明、拍攝方向與角度等", "definition": "檢查部位詳細說明、拍攝方向與角度等", "min": 0, "max": "1", "base": { "path": "IMAGE.examinationStatus.description", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "檢查部位說明:ImagingStudy.series.description" } ] }, { "id": "IMAGE.numberOfInstances", "path": "IMAGE.numberOfInstances", "short": "檢查張數", "definition": "檢查張數", "min": 1, "max": "*", "base": { "path": "IMAGE.numberOfInstances", "min": 1, "max": "*" }, "type": [ { "code": "unsignedInt" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "醫療影像張數:ImagingStudy.numberOfInstances" } ] }, { "id": "IMAGE.accessionNo", "path": "IMAGE.accessionNo", "short": "檢查單號,須與影像資料串連,每筆檢查必須有獨立不重複的單號。", "definition": "檢查單號,須與影像資料串連,每筆檢查必須有獨立不重複的單號。", "min": 1, "max": "1", "base": { "path": "IMAGE.accessionNo", "min": 1, "max": "1" }, "type": [ { "code": "Identifier" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "檢查單號:ImagingStudy.identifier" }, { "identity": "MedicalImagingAndReport", "map": "檢查單號:Observation.identifier" }, { "identity": "MedicalImagingAndReport", "map": "檢查單號:DiagnosticReport.identifier" } ] }, { "id": "IMAGE.patientInformation", "path": "IMAGE.patientInformation", "short": "病人基本資料", "definition": "病人基本資料", "min": 1, "max": "1", "base": { "path": "IMAGE.patientInformation", "min": 1, "max": "1" }, "type": [ { "code": "Base" } ] }, { "id": "IMAGE.patientInformation.idNumber", "path": "IMAGE.patientInformation.idNumber", "short": "身分證號,病人身分證號。", "definition": "身分證號,病人身分證號。", "min": 1, "max": "1", "base": { "path": "IMAGE.patientInformation.idNumber", "min": 1, "max": "1" }, "type": [ { "code": "Identifier" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "身分證:Patient.identifier.value 使用 Patient.identifier.type 識別類型" } ] }, { "id": "IMAGE.patientInformation.chartNO", "path": "IMAGE.patientInformation.chartNO", "short": "病歷號碼,院內病歷號碼。", "definition": "病歷號碼,院內病歷號碼。", "min": 1, "max": "1", "base": { "path": "IMAGE.patientInformation.chartNO", "min": 1, "max": "1" }, "type": [ { "code": "Identifier" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "病歷號:Patient.identifier.value 使用 Patient.identifier.type 識別類型" } ] }, { "id": "IMAGE.patientInformation.name", "path": "IMAGE.patientInformation.name", "short": "姓名", "definition": "姓名", "min": 1, "max": "1", "base": { "path": "IMAGE.patientInformation.name", "min": 1, "max": "1" }, "type": [ { "code": "string" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "病人性名:Patient.name" } ] }, { "id": "IMAGE.patientInformation.administrativeSex", "path": "IMAGE.patientInformation.administrativeSex", "short": "性別", "definition": "性別", "min": 1, "max": "1", "base": { "path": "IMAGE.patientInformation.administrativeSex", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "病人性別:Patient.gender" } ] }, { "id": "IMAGE.patientInformation.birthDate", "path": "IMAGE.patientInformation.birthDate", "short": "出生日期", "definition": "出生日期", "min": 1, "max": "1", "base": { "path": "IMAGE.patientInformation.birthDate", "min": 1, "max": "1" }, "type": [ { "code": "date" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "病人出生日期:Patient.birthDate" } ] }, { "id": "IMAGE.medicalOrder", "path": "IMAGE.medicalOrder", "short": "醫囑時間及醫囑醫師資料", "definition": "醫囑時間及醫囑醫師資料", "min": 1, "max": "1", "base": { "path": "IMAGE.medicalOrder", "min": 1, "max": "1" }, "type": [ { "code": "Base" } ] }, { "id": "IMAGE.medicalOrder.orderDatetime", "path": "IMAGE.medicalOrder.orderDatetime", "short": "醫囑時間,醫囑日期(分),格式為西元YYYYMMDDHHMM。", "definition": "醫囑時間,醫囑日期(分),格式為西元YYYYMMDDHHMM。", "min": 1, "max": "1", "base": { "path": "IMAGE.medicalOrder.orderDatetime", "min": 1, "max": "1" }, "type": [ { "code": "Period" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "醫囑時間,醫囑日期(分):Encounter.period" } ] }, { "id": "IMAGE.medicalOrder.orderPhysician", "path": "IMAGE.medicalOrder.orderPhysician", "short": "醫囑醫師姓名", "definition": "醫囑醫師姓名", "min": 1, "max": "1", "base": { "path": "IMAGE.medicalOrder.orderPhysician", "min": 1, "max": "1" }, "type": [ { "code": "Practitioner" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "醫囑醫師姓名:Practitioner.name" }, { "identity": "MedicalImagingAndReport", "map": "醫囑醫師:Encounter.participant.individual" } ] }, { "id": "IMAGE.historyOfPresentIllness", "path": "IMAGE.historyOfPresentIllness", "short": "病史,病人病史,內容可以包含主訴、適應症等。", "definition": "病史,病人病史,內容可以包含主訴、適應症等。", "min": 1, "max": "*", "base": { "path": "IMAGE.historyOfPresentIllness", "min": 1, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "病史,病人病史,內容可以包含主訴、適應症等:Condition.code" } ] }, { "id": "IMAGE.diagnosisICDcode", "path": "IMAGE.diagnosisICDcode", "short": "疾病診斷,疾病診斷代碼及文字。", "definition": "疾病診斷,疾病診斷代碼及文字。", "min": 0, "max": "*", "base": { "path": "IMAGE.diagnosisICDcode", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "疾病診斷代碼:DiagnosticReport.code" } ] }, { "id": "IMAGE.examDatetime", "path": "IMAGE.examDatetime", "short": "實際檢查日期時間(分) ,格式為西元YYYYMMDDHHMM。", "definition": "實際檢查日期時間(分) ,格式為西元YYYYMMDDHHMM。", "min": 1, "max": "1", "base": { "path": "IMAGE.examDatetime", "min": 1, "max": "1" }, "type": [ { "code": "dateTime" } ] }, { "id": "IMAGE.picture", "path": "IMAGE.picture", "short": "圖片", "definition": "圖片", "min": 1, "max": "*", "base": { "path": "IMAGE.picture", "min": 1, "max": "*" }, "type": [ { "code": "ImagingStudy" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "圖片:ImagingStudy" } ] }, { "id": "IMAGE.recordTotal", "path": "IMAGE.recordTotal", "short": "報告結果,含影像發現、臆斷及註記(如過敏反應、顯影劑種類等)。", "definition": "報告結果,含影像發現、臆斷及註記(如過敏反應、顯影劑種類等)。", "min": 1, "max": "*", "base": { "path": "IMAGE.recordTotal", "min": 1, "max": "*" }, "type": [ { "code": "string" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "報告結果(Finding):Observation.valueString 如果可編碼請使用 Observation.component" }, { "identity": "MedicalImagingAndReport", "map": "報告結果(interpretation/impression):DiagnosticReport.conclusion" } ] }, { "id": "IMAGE.radiologyStudyRecommendation", "path": "IMAGE.radiologyStudyRecommendation", "short": "醫師總結之建議。", "definition": "醫師總結之建議。", "min": 0, "max": "1", "base": { "path": "IMAGE.radiologyStudyRecommendation", "min": 0, "max": "1" }, "type": [ { "code": "Annotation" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "醫師總結隻建議:Observation.note" } ] }, { "id": "IMAGE.verificationTime", "path": "IMAGE.verificationTime", "short": "確認報告時間(分),格式為西元YYYYMMDDHHMM。", "definition": "確認報告時間(分),格式為西元YYYYMMDDHHMM。", "min": 1, "max": "1", "base": { "path": "IMAGE.verificationTime", "min": 1, "max": "1" }, "type": [ { "code": "dateTime" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "確認報告時間:Observation.effective[x]" }, { "identity": "MedicalImagingAndReport", "map": "確認報告時間:DiagnosticReport.effective[x]" } ] }, { "id": "IMAGE.verificationPhysician", "path": "IMAGE.verificationPhysician", "short": "報告醫師姓名", "definition": "報告醫師姓名", "min": 1, "max": "1", "base": { "path": "IMAGE.verificationPhysician", "min": 1, "max": "1" }, "type": [ { "code": "Practitioner" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "報告醫師姓名:Practitioner.name" } ] } ] }, "differential": { "element": [ { "id": "IMAGE", "path": "IMAGE", "short": "此邏輯模型適用於醫學影像報告", "definition": "Medical Imaging And Report", "mapping": [ { "identity": "MedicalImagingAndReport", "map": "Patient" }, { "identity": "MedicalImagingAndReport", "map": "Organization" }, { "identity": "MedicalImagingAndReport", "map": "Practitioner" }, { "identity": "MedicalImagingAndReport", "map": "Encounter" }, { "identity": "MedicalImagingAndReport", "map": "Condition" }, { "identity": "MedicalImagingAndReport", "map": "ImagingStudy" }, { "identity": "MedicalImagingAndReport", "map": "Observation" }, { "identity": "MedicalImagingAndReport", "map": "DiagnosticReport" } ] }, { "id": "IMAGE.hospitaltype", "path": "IMAGE.hospitaltype", "short": "醫院別", "definition": "醫院別", "min": 1, "max": "1", "type": [ { "code": "Base" } ] }, { "id": "IMAGE.hospitaltype.id", "path": "IMAGE.hospitaltype.id", "short": "醫事機構代碼,院所代碼需與健保申報相同", "definition": "醫事機構代碼,院所代碼需與健保申報相同", "min": 1, "max": "1", "type": [ { "code": "Identifier" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "醫事機構代碼:Organization.identifier.value 使用 Organization.identifier.type 識別類型" } ] }, { "id": "IMAGE.hospitaltype.name", "path": "IMAGE.hospitaltype.name", "short": "醫事機構名稱,院所名稱需與健保申報相同", "definition": "醫事機構名稱,院所名稱需與健保申報相同", "min": 1, "max": "1", "type": [ { "code": "string" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "院所名稱:Organization.name" } ] }, { "id": "IMAGE.order", "path": "IMAGE.order", "short": "檢查項目", "definition": "檢查項目", "min": 1, "max": "1", "type": [ { "code": "Base" } ] }, { "id": "IMAGE.order.code", "path": "IMAGE.order.code", "short": "醫令代碼,檢查健保醫令代碼,需與健保申報相同。", "definition": "醫令代碼,檢查健保醫令代碼,需與健保申報相同。", "min": 1, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "檢查健保醫令代碼:ImagingStudy.procedureCode.coding.code" }, { "identity": "MedicalImagingAndReport", "map": "檢查健保醫令代碼:Observation.code.coding.code" } ] }, { "id": "IMAGE.order.description", "path": "IMAGE.order.description", "short": "醫令名稱,檢查健保醫令名稱,需與健保申報相同。", "definition": "醫令名稱,檢查健保醫令名稱,需與健保申報相同。", "min": 1, "max": "1", "type": [ { "code": "string" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "醫令名稱:ImagingStudy.procedureCode.coding.display" }, { "identity": "MedicalImagingAndReport", "map": "醫令名稱:Observation.code.coding.display" } ] }, { "id": "IMAGE.examinationStatus", "path": "IMAGE.examinationStatus", "short": "檢查部位", "definition": "檢查部位", "min": 1, "max": "1", "type": [ { "code": "Base" } ] }, { "id": "IMAGE.examinationStatus.physicalExamination", "path": "IMAGE.examinationStatus.physicalExamination", "short": "檢查部位,檢查部位,需與健保申報相同。", "definition": "檢查部位,檢查部位,需與健保申報相同。", "min": 1, "max": "*", "type": [ { "code": "Coding" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "檢查部位:ImagingStudy.series.bodySite" } ] }, { "id": "IMAGE.examinationStatus.description", "path": "IMAGE.examinationStatus.description", "short": "檢查部位詳細說明、拍攝方向與角度等", "definition": "檢查部位詳細說明、拍攝方向與角度等", "min": 0, "max": "1", "type": [ { "code": "string" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "檢查部位說明:ImagingStudy.series.description" } ] }, { "id": "IMAGE.numberOfInstances", "path": "IMAGE.numberOfInstances", "short": "檢查張數", "definition": "檢查張數", "min": 1, "max": "*", "type": [ { "code": "unsignedInt" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "醫療影像張數:ImagingStudy.numberOfInstances" } ] }, { "id": "IMAGE.accessionNo", "path": "IMAGE.accessionNo", "short": "檢查單號,須與影像資料串連,每筆檢查必須有獨立不重複的單號。", "definition": "檢查單號,須與影像資料串連,每筆檢查必須有獨立不重複的單號。", "min": 1, "max": "1", "type": [ { "code": "Identifier" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "檢查單號:ImagingStudy.identifier" }, { "identity": "MedicalImagingAndReport", "map": "檢查單號:Observation.identifier" }, { "identity": "MedicalImagingAndReport", "map": "檢查單號:DiagnosticReport.identifier" } ] }, { "id": "IMAGE.patientInformation", "path": "IMAGE.patientInformation", "short": "病人基本資料", "definition": "病人基本資料", "min": 1, "max": "1", "type": [ { "code": "Base" } ] }, { "id": "IMAGE.patientInformation.idNumber", "path": "IMAGE.patientInformation.idNumber", "short": "身分證號,病人身分證號。", "definition": "身分證號,病人身分證號。", "min": 1, "max": "1", "type": [ { "code": "Identifier" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "身分證:Patient.identifier.value 使用 Patient.identifier.type 識別類型" } ] }, { "id": "IMAGE.patientInformation.chartNO", "path": "IMAGE.patientInformation.chartNO", "short": "病歷號碼,院內病歷號碼。", "definition": "病歷號碼,院內病歷號碼。", "min": 1, "max": "1", "type": [ { "code": "Identifier" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "病歷號:Patient.identifier.value 使用 Patient.identifier.type 識別類型" } ] }, { "id": "IMAGE.patientInformation.name", "path": "IMAGE.patientInformation.name", "short": "姓名", "definition": "姓名", "min": 1, "max": "1", "type": [ { "code": "string" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "病人性名:Patient.name" } ] }, { "id": "IMAGE.patientInformation.administrativeSex", "path": "IMAGE.patientInformation.administrativeSex", "short": "性別", "definition": "性別", "min": 1, "max": "1", "type": [ { "code": "code" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "病人性別:Patient.gender" } ] }, { "id": "IMAGE.patientInformation.birthDate", "path": "IMAGE.patientInformation.birthDate", "short": "出生日期", "definition": "出生日期", "min": 1, "max": "1", "type": [ { "code": "date" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "病人出生日期:Patient.birthDate" } ] }, { "id": "IMAGE.medicalOrder", "path": "IMAGE.medicalOrder", "short": "醫囑時間及醫囑醫師資料", "definition": "醫囑時間及醫囑醫師資料", "min": 1, "max": "1", "type": [ { "code": "Base" } ] }, { "id": "IMAGE.medicalOrder.orderDatetime", "path": "IMAGE.medicalOrder.orderDatetime", "short": "醫囑時間,醫囑日期(分),格式為西元YYYYMMDDHHMM。", "definition": "醫囑時間,醫囑日期(分),格式為西元YYYYMMDDHHMM。", "min": 1, "max": "1", "type": [ { "code": "Period" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "醫囑時間,醫囑日期(分):Encounter.period" } ] }, { "id": "IMAGE.medicalOrder.orderPhysician", "path": "IMAGE.medicalOrder.orderPhysician", "short": "醫囑醫師姓名", "definition": "醫囑醫師姓名", "min": 1, "max": "1", "type": [ { "code": "Practitioner" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "醫囑醫師姓名:Practitioner.name" }, { "identity": "MedicalImagingAndReport", "map": "醫囑醫師:Encounter.participant.individual" } ] }, { "id": "IMAGE.historyOfPresentIllness", "path": "IMAGE.historyOfPresentIllness", "short": "病史,病人病史,內容可以包含主訴、適應症等。", "definition": "病史,病人病史,內容可以包含主訴、適應症等。", "min": 1, "max": "*", "type": [ { "code": "CodeableConcept" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "病史,病人病史,內容可以包含主訴、適應症等:Condition.code" } ] }, { "id": "IMAGE.diagnosisICDcode", "path": "IMAGE.diagnosisICDcode", "short": "疾病診斷,疾病診斷代碼及文字。", "definition": "疾病診斷,疾病診斷代碼及文字。", "min": 0, "max": "*", "type": [ { "code": "CodeableConcept" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "疾病診斷代碼:DiagnosticReport.code" } ] }, { "id": "IMAGE.examDatetime", "path": "IMAGE.examDatetime", "short": "實際檢查日期時間(分) ,格式為西元YYYYMMDDHHMM。", "definition": "實際檢查日期時間(分) ,格式為西元YYYYMMDDHHMM。", "min": 1, "max": "1", "type": [ { "code": "dateTime" } ] }, { "id": "IMAGE.picture", "path": "IMAGE.picture", "short": "圖片", "definition": "圖片", "min": 1, "max": "*", "type": [ { "code": "ImagingStudy" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "圖片:ImagingStudy" } ] }, { "id": "IMAGE.recordTotal", "path": "IMAGE.recordTotal", "short": "報告結果,含影像發現、臆斷及註記(如過敏反應、顯影劑種類等)。", "definition": "報告結果,含影像發現、臆斷及註記(如過敏反應、顯影劑種類等)。", "min": 1, "max": "*", "type": [ { "code": "string" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "報告結果(Finding):Observation.valueString 如果可編碼請使用 Observation.component" }, { "identity": "MedicalImagingAndReport", "map": "報告結果(interpretation/impression):DiagnosticReport.conclusion" } ] }, { "id": "IMAGE.radiologyStudyRecommendation", "path": "IMAGE.radiologyStudyRecommendation", "short": "醫師總結之建議。", "definition": "醫師總結之建議。", "min": 0, "max": "1", "type": [ { "code": "Annotation" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "醫師總結隻建議:Observation.note" } ] }, { "id": "IMAGE.verificationTime", "path": "IMAGE.verificationTime", "short": "確認報告時間(分),格式為西元YYYYMMDDHHMM。", "definition": "確認報告時間(分),格式為西元YYYYMMDDHHMM。", "min": 1, "max": "1", "type": [ { "code": "dateTime" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "確認報告時間:Observation.effective[x]" }, { "identity": "MedicalImagingAndReport", "map": "確認報告時間:DiagnosticReport.effective[x]" } ] }, { "id": "IMAGE.verificationPhysician", "path": "IMAGE.verificationPhysician", "short": "報告醫師姓名", "definition": "報告醫師姓名", "min": 1, "max": "1", "type": [ { "code": "Practitioner" } ], "mapping": [ { "identity": "MedicalImagingAndReport", "map": "報告醫師姓名:Practitioner.name" } ] } ] } }