FHIR IG analytics| Package | tw.vgh.stroke |
| Resource Type | StructureDefinition |
| Id | StructureDefinition-StrokeImagingStudy.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/SitatechCo/TWVGHStroke_IG_Build/StructureDefinition-StrokeImagingStudy.html |
| URL | http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeImagingStudy |
| Version | 0.1.0 |
| Status | draft |
| Date | 2026-10-07T16:40:32+00:00 |
| Name | StrokeImagingStudy |
| Title | 腦中風－影像檢查 |
| Realm | tw |
| Description | 此 Profile 說明本 IG 如何進一步定義 FHIR 的 ImagingStudy Resource，以呈現腦中風病人的首次 CT/MRI、EVT 前 CT、CTA、MRI、追蹤 CT/MR，以及 RAPID 影像分析所用的掃描。 |
| Purpose | 每次影像檢查建立一筆，記錄檢查種類與開始時間。首次 CT/MRI、EVT 前 CT、EVT 前 CTA、EVT 前 MRI、追蹤 CT、追蹤 MR 各自建立；只有確認是同一次檢查時，才把日期與時間合在同一筆。來源時間的時區確認前，started 只填日期，時間原值保存在登錄表單（StrokeRegistryResponse）。影像判讀結果（例如 ASPECTS、灌流體積）另以 StrokeImagingResult 記錄。 |
| Type | ImagingStudy |
| Kind | resource |
| StructureDefinition | ||
| tw.vgh.stroke#current | StrokeCaseManagementBundle | 腦中風－個管系統個案資料包 |
| tw.vgh.stroke#current | StrokeEvtRegistryBundle | 腦中風－EVT 登錄個案資料包 |
| tw.vgh.stroke#current | StrokeImagingResult | 腦中風－影像判讀結果 |
| tw.vgh.stroke#current | StrokeRapidBundle | 腦中風－RAPID 影像分析資料包 |
| StructureDefinition | ||
| tw.vgh.stroke#current | StrokeEncounter | 腦中風－就醫事件 |
| tw.vgh.stroke#current | StrokePatient | 腦中風－病人基本資料 |
| tw.vgh.stroke#current | StrokeServiceRequest | 腦中風－影像檢查醫令 |
| tw.vgh.stroke#current | event-time-only | 腦中風－來源事件時間 |
| tw.gov.mohw.twcore#current | ImagingStudy-twcore | TW Core ImagingStudy |
| ValueSet | ||
| tw.vgh.stroke#current | rapid-scan-type | 腦中風－影像分析掃描類型值集 |
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition StrokeImagingStudy
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  ImagingStudy | TWCoreImagingStudy | |||
  identifier | 0..* | Identifier | 檢查識別碼。[有 DICOM Study Instance UID 或已核定的檢查單號時才填] | |
| status | S | 1..1 | code | 檢查狀態。[已完成檢查填 available] |
| modality | 0..* | Coding | 檢查儀器類別。[CT 填 CT，MRI 填 MR] | |
 subject | 1..1 | Reference(腦中風－病人基本資料) | 病人。[應參照 StrokePatient] | |
| encounter | S | 0..1 | Reference(腦中風－就醫事件) | 就醫事件。[應參照 StrokeEncounter] |
| started | 0..1 | dateTime | 檢查開始日期與時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] | |
   Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:eventTimeOnly | S | 0..1 | time | 僅有檢查時間（無日期）。[hh:mm:ss] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only |
| basedOn | S | 0..* | Reference(腦中風－影像檢查醫令) | 檢查醫令。[應參照 StrokeServiceRequest] |
| procedureCode | 0..* | CodeableConceptTW | 檢查項目與掃描類型 | |
 Slices for coding | Content/Rules for all slices | |||
| coding:rapidScanType | S | 0..1 | Coding | 掃描類型。[填 CTP／CTA／NCCT] Binding: 腦中風－影像分析掃描類型值集 (required) Required Pattern: At least the following |
 system | 1..1 | uri | Identity of the terminology system Fixed Value: http://vgh-stroke-ig.fhir.tw/CodeSystem/rapid-scan-type | |
 code | 1..1 | code | Symbol in syntax defined by the system | |
| text | 0..1 | string | 檢查名稱 | |
| description | S | 0..1 | string | 檢查說明。[填檢查時點與種類，例如「EVT 前 CTA」] |
| series | 0..* | BackboneElement | 影像系列。[有 DICOM Series Instance UID 時才填] | |
| uid | 1..1 | id | DICOM Series Instance UID。[填影像系列的 UID] | |
| Documentation for this format | ||||
FHIR
FHIRsmith{
"resourceType": "StructureDefinition",
"id": "StrokeImagingStudy",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeImagingStudy",
"version": "0.1.0",
"name": "StrokeImagingStudy",
"title": "腦中風－影像檢查",
"status": "draft",
"experimental": false,
"date": "2026-10-07T16:40:32+00:00",
"publisher": "高雄榮民總醫院 (VGHKS)",
"contact": [
{
"name": "高雄榮民總醫院 (VGHKS)",
"telecom": [
{
"system": "url",
"value": "https://www.vghks.gov.tw/"
}
]
}
],
"description": "此 Profile 說明本 IG 如何進一步定義 FHIR 的 ImagingStudy Resource，以呈現腦中風病人的首次 CT/MRI、EVT 前 CT、CTA、MRI、追蹤 CT/MR，以及 RAPID 影像分析所用的掃描。",
"purpose": "每次影像檢查建立一筆，記錄檢查種類與開始時間。首次 CT/MRI、EVT 前 CT、EVT 前 CTA、EVT 前 MRI、追蹤 CT、追蹤 MR 各自建立；只有確認是同一次檢查時，才把日期與時間合在同一筆。來源時間的時區確認前，started 只填日期，時間原值保存在登錄表單（StrokeRegistryResponse）。影像判讀結果（例如 ASPECTS、灌流體積）另以 StrokeImagingResult 記錄。",
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "workflow",
"uri": "http://hl7.org/fhir/workflow",
"name": "Workflow Pattern"
},
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM Mapping"
},
{
"identity": "dicom",
"uri": "http://nema.org/dicom",
"name": "DICOM Tag Mapping"
},
{
"identity": "w5",
"uri": "http://hl7.org/fhir/fivews",
"name": "FiveWs Pattern Mapping"
},
{
"identity": "v2",
"uri": "http://hl7.org/v2",
"name": "HL7 v2 Mapping"
}
],
"kind": "resource",
"abstract": false,
"type": "ImagingStudy",
"baseDefinition": "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/ImagingStudy-twcore",
"derivation": "constraint",
"snapshot": {
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "1.0.0"
}
],
"element": [
{
"id": "ImagingStudy",
"path": "ImagingStudy",
"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】",
"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。",
"min": 0,
"max": "*",
"base": {
"path": "ImagingStudy",
"min": 0,
"max": "*"
},
"constraint": [
{
"key": "dom-2",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression": "contained.contained.empty()",
"xpath": "not(parent::f:contained and f:contained)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-3",
"severity": "error",
"human": "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",
"expression": "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()",
"xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-4",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-5",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression": "contained.meta.security.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:security))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
}
],
"key": "dom-6",
"severity": "warning",
"human": "A resource should have narrative for robust management",
"expression": "text.`div`.exists()",
"xpath": "exists(f:text/h:div)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "workflow",
"map": "Event"
},
{
"identity": "rim",
"map": "Act[classCode=COMPOSITION, moodCode=EVN]"
},
{
"identity": "dicom",
"map": "Reference IHE radiology TF vol 2 table 4.14-1"
}
]
},
{
"id": "ImagingStudy.id",
"path": "ImagingStudy.id",
"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。",
"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。",
"comment": "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。",
"min": 0,
"max": "1",
"base": {
"path": "Resource.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": true
},
{
"id": "ImagingStudy.meta",
"path": "ImagingStudy.meta",
"short": "此ImagingStudy Resource的metadata",
"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。",
"min": 0,
"max": "1",
"base": {
"path": "Resource.meta",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Meta"
}
],
"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,
"isSummary": true
},
{
"id": "ImagingStudy.implicitRules",
"path": "ImagingStudy.implicitRules",
"short": "創建此內容所依據的一組規則",
"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。",
"comment": "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。",
"min": 0,
"max": "1",
"base": {
"path": "Resource.implicitRules",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"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": true,
"isModifierReason": "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",
"isSummary": true
},
{
"id": "ImagingStudy.language",
"path": "ImagingStudy.language",
"short": "用以表述ImagingStudy Resource內容的語言。",
"definition": "編寫此resource的語言",
"comment": "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）。",
"min": 0,
"max": "1",
"base": {
"path": "Resource.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"example": [
{
"label": "Value",
"valueString": "zh-TW"
}
],
"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,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
}
],
"strength": "preferred",
"description": "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。",
"valueSet": "http://hl7.org/fhir/ValueSet/languages"
}
},
{
"id": "ImagingStudy.text",
"path": "ImagingStudy.text",
"short": "ImagingStudy Resource之內容摘要以供人閱讀",
"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。",
"comment": "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。",
"alias": [
"narrative",
"html",
"xhtml",
"display"
],
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.text",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Narrative"
}
],
"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,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "Act.text?"
}
]
},
{
"id": "ImagingStudy.contained",
"path": "ImagingStudy.contained",
"short": "Contained, inline Resources",
"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.",
"comment": "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.",
"alias": [
"inline resources",
"anonymous resources",
"contained resources"
],
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.contained",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Resource"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ImagingStudy.extension",
"path": "ImagingStudy.extension",
"short": "Additional content defined by implementations",
"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.",
"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": "DomainResource.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": "ImagingStudy.modifierExtension",
"path": "ImagingStudy.modifierExtension",
"short": "Extensions that cannot be ignored",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.modifierExtension",
"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": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ImagingStudy.identifier",
"path": "ImagingStudy.identifier",
"short": "檢查識別碼。[有 DICOM Study Instance UID 或已核定的檢查單號時才填]",
"definition": "有 DICOM Study Instance UID 時，system 填 urn:dicom:uid，value 填 urn:oid: 加上 UID。院方確認 RAPID 影像申請序號為檢查單號（accession number）後才填入，type 填 ACSN；確認前存入登錄表單。",
"comment": "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)。",
"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 .](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html)",
"alias": [
"StudyInstanceUID",
"AccessionNumber"
],
"min": 0,
"max": "*",
"base": {
"path": "ImagingStudy.identifier",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Identifier"
}
],
"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"
}
],
"mustSupport": true,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Event.identifier"
},
{
"identity": "w5",
"map": "FiveWs.identifier"
},
{
"identity": "rim",
"map": ".id and .inboundRelationship[typeCode=COMP].source[classCode=ACSN, moodCode=EVN].id"
},
{
"identity": "dicom",
"map": "StudyInstanceUID (0020,000D) | Accession Number and Issuer (0080,0050)+(0080,0051) | Study ID (0020,0010)"
}
]
},
{
"id": "ImagingStudy.status",
"path": "ImagingStudy.status",
"short": "檢查狀態。[已完成檢查填 available]",
"definition": "來源記錄已完成檢查填 available。無法確認檢查狀態時填 unknown。",
"comment": "「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。",
"min": 1,
"max": "1",
"base": {
"path": "ImagingStudy.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"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"
}
],
"mustSupport": true,
"isModifier": true,
"isModifierReason": "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",
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ImagingStudyStatus"
}
],
"strength": "required",
"description": "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。",
"valueSet": "http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1"
},
"mapping": [
{
"identity": "workflow",
"map": "Event.status"
},
{
"identity": "w5",
"map": "FiveWs.status"
},
{
"identity": "v2",
"map": "Varies by domain"
},
{
"identity": "rim",
"map": ".status"
}
]
},
{
"id": "ImagingStudy.modality",
"path": "ImagingStudy.modality",
"short": "檢查儀器類別。[CT 填 CT，MRI 填 MR]",
"definition": "填 DICOM 代碼（system 為 http://dicom.nema.org/resources/ontology/DCM）。CT、CTA、CT 灌流與非增強 CT 都填 CT；MRI 填 MR。檢查技術（CTP、CTA、NCCT）填在 procedureCode。首次 CT/MRI 無法確認是哪一種時不填。",
"alias": [
"ModalitiesInStudy"
],
"min": 0,
"max": "*",
"base": {
"path": "ImagingStudy.modality",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Coding"
}
],
"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"
}
],
"mustSupport": true,
"isModifier": false,
"isSummary": true,
"binding": {
"strength": "extensible",
"valueSet": "https://twcore.mohw.gov.tw/ig/twcore/ValueSet/AcquisitionModality"
},
"mapping": [
{
"identity": "w5",
"map": "FiveWs.class"
},
{
"identity": "rim",
"map": ".code"
},
{
"identity": "dicom",
"map": "(0008,0061)"
}
]
},
{
"id": "ImagingStudy.subject",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
"valueString": "dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.2.2.html"
}
],
"path": "ImagingStudy.subject",
"short": "病人。[應參照 StrokePatient]",
"definition": "影像檢查的對象，通常是病人。",
"comment": "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。",
"min": 1,
"max": "1",
"base": {
"path": "ImagingStudy.subject",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient"
]
}
],
"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"
}
],
"mustSupport": true,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Event.subject"
},
{
"identity": "w5",
"map": "FiveWs.subject[x]"
},
{
"identity": "rim",
"map": ".participation[typeCode=SBJ].role"
},
{
"identity": "dicom",
"map": "(0010/*)"
},
{
"identity": "w5",
"map": "FiveWs.subject"
}
]
},
{
"id": "ImagingStudy.encounter",
"path": "ImagingStudy.encounter",
"short": "就醫事件。[應參照 StrokeEncounter]",
"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）。",
"comment": "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）。",
"min": 0,
"max": "1",
"base": {
"path": "ImagingStudy.encounter",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter"
]
}
],
"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"
}
],
"mustSupport": true,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Event.encounter"
},
{
"identity": "w5",
"map": "FiveWs.context"
},
{
"identity": "rim",
"map": "inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
}
]
},
{
"id": "ImagingStudy.started",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
"valueString": "dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html#sect_C.7.2.1"
}
],
"path": "ImagingStudy.started",
"short": "檢查開始日期與時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區]",
"definition": "時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後把同一次檢查的日期與時間合併成一個 dateTime 並帶時區（例如 +08:00）。只有年月填 YYYY-MM。只有時間沒有日期時 started 不填值，改在 extension 放 StrokeEventTimeOnly。日期與時間都沒有時不填。",
"alias": [
"StudyDate",
"StudyTime"
],
"min": 0,
"max": "1",
"base": {
"path": "ImagingStudy.started",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
],
"example": [
{
"label": "General",
"valueDateTime": "2011-01-01T11:01:20+03:00"
}
],
"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"
}
],
"mustSupport": true,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Event.occurrence[x]"
},
{
"identity": "w5",
"map": "FiveWs.init"
},
{
"identity": "rim",
"map": ".effectiveTime"
},
{
"identity": "dicom",
"map": "(0008,0020)+(0008,0030)"
}
]
},
{
"id": "ImagingStudy.started.id",
"path": "ImagingStudy.started.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references)",
"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
},
{
"id": "ImagingStudy.started.extension",
"path": "ImagingStudy.started.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"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
},
{
"id": "ImagingStudy.started.extension:eventTimeOnly",
"path": "ImagingStudy.started.extension",
"sliceName": "eventTimeOnly",
"short": "僅有檢查時間（無日期）。[hh:mm:ss]",
"definition": "只用於 dateTime 型別元素；choice 元素只用 dateTime 分支，Period 用於 start 與 end。兩種用法：一、來源只有時間、沒有日期：原元素不填值，只在該元素的 extension 放入本 Extension，例如 Procedure._performedDateTime；此用法不適用 Observation.effective[x]，評估時間缺日期時改存登錄表單。二、來源有日期與時間但時區尚未確認：原元素只填日期（YYYY-MM-DD），並在該元素的 extension 放入本 Extension 保留來源時鐘時間。",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only"
]
}
],
"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"
},
{
"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"
}
],
"mustSupport": true,
"isModifier": false,
"isSummary": false
},
{
"id": "ImagingStudy.started.value",
"path": "ImagingStudy.started.value",
"representation": [
"xmlAttr"
],
"short": "Primitive value for dateTime",
"definition": "The actual value",
"min": 0,
"max": "1",
"base": {
"path": "dateTime.value",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "dateTime"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/regex",
"valueString": "([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)(-(0[1-9]|1[0-2])(-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?)?)?"
}
],
"code": "http://hl7.org/fhirpath/System.DateTime"
}
],
"isModifier": false,
"isSummary": false
},
{
"id": "ImagingStudy.basedOn",
"path": "ImagingStudy.basedOn",
"short": "檢查醫令。[應參照 StrokeServiceRequest]",
"definition": "院方核定醫令識別方式後，參照該次檢查醫令。核定前不填。",
"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）。",
"min": 0,
"max": "*",
"base": {
"path": "ImagingStudy.basedOn",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeServiceRequest"
]
}
],
"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"
}
],
"mustSupport": true,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Event.basedOn"
},
{
"identity": "w5",
"map": "FiveWs.cause"
},
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO]"
},
{
"identity": "dicom",
"map": "(0032,1064)"
}
]
},
{
"id": "ImagingStudy.referrer",
"path": "ImagingStudy.referrer",
"short": "轉診醫師",
"definition": "請求/轉診的醫師",
"alias": [
"ReferringPhysiciansName"
],
"min": 0,
"max": "1",
"base": {
"path": "ImagingStudy.referrer",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore"
]
}
],
"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,
"isSummary": true,
"mapping": [
{
"identity": "w5",
"map": "FiveWs.cause"
},
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO].participation[typeCode=AUT].role"
},
{
"identity": "dicom",
"map": "(0008,0090)+(0008,0096)"
}
]
},
{
"id": "ImagingStudy.interpreter",
"path": "ImagingStudy.interpreter",
"short": "誰解讀了影像",
"definition": "誰閱讀了檢查報告並解讀了影像或其他內容",
"alias": [
"Name of Physician(s) Reading Study"
],
"min": 0,
"max": "*",
"base": {
"path": "ImagingStudy.interpreter",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore"
]
}
],
"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,
"isSummary": true,
"mapping": [
{
"identity": "w5",
"map": "FiveWs.witness"
},
{
"identity": "rim",
"map": ".participation[typeCode=PRF].role"
},
{
"identity": "dicom",
"map": "(0008,1060)"
}
]
},
{
"id": "ImagingStudy.endpoint",
"path": "ImagingStudy.endpoint",
"short": "影像檢查存取的端點(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。",
"comment": "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。",
"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。",
"min": 0,
"max": "*",
"base": {
"path": "ImagingStudy.endpoint",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Endpoint|4.0.1"
]
}
],
"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,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Not supported"
}
]
},
{
"id": "ImagingStudy.numberOfSeries",
"path": "ImagingStudy.numberOfSeries",
"short": "影像檢查相關Series的數量",
"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。",
"alias": [
"NumberOfStudyRelatedSeries"
],
"min": 0,
"max": "1",
"base": {
"path": "ImagingStudy.numberOfSeries",
"min": 0,
"max": "1"
},
"type": [
{
"code": "unsignedInt"
}
],
"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,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=OBSSER, moodCode=EVN].repeatNumber"
},
{
"identity": "dicom",
"map": "(0020,1206)"
}
]
},
{
"id": "ImagingStudy.numberOfInstances",
"path": "ImagingStudy.numberOfInstances",
"short": "影像檢查相關Instances的數量",
"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。",
"alias": [
"NumberOfStudyRelatedInstances"
],
"min": 0,
"max": "1",
"base": {
"path": "ImagingStudy.numberOfInstances",
"min": 0,
"max": "1"
},
"type": [
{
"code": "unsignedInt"
}
],
"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,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber"
},
{
"identity": "dicom",
"map": "(0020,1208)"
}
]
},
{
"id": "ImagingStudy.procedureReference",
"path": "ImagingStudy.procedureReference",
"short": "所執行的處置(Procedure)參照",
"definition": "此影像檢查是此處置(Procedure)的一部分",
"min": 0,
"max": "1",
"base": {
"path": "ImagingStudy.procedureReference",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Procedure-twcore"
]
}
],
"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,
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Event.partOf"
},
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN]"
},
{
"identity": "dicom",
"map": "(0008,1032)"
}
]
},
{
"id": "ImagingStudy.procedureCode",
"path": "ImagingStudy.procedureCode",
"short": "檢查項目與掃描類型",
"definition": "以 rapidScanType Slice 填掃描類型。已知正式檢查項目代碼（RadLex 或 ICD-10-PCS）時，另在父層 Slice 填入。",
"alias": [
"ProcedureCodeSequence"
],
"min": 0,
"max": "*",
"base": {
"path": "ImagingStudy.procedureCode",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept",
"profile": [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"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"
}
],
"mustSupport": true,
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ImagingProcedureCode"
}
],
"strength": "extensible",
"description": "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。",
"valueSet": "http://www.rsna.org/RadLex_Playbook.aspx"
},
"mapping": [
{
"identity": "workflow",
"map": "Event.code"
},
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN]"
},
{
"identity": "dicom",
"map": "(0008,1032)"
}
]
},
{
"id": "ImagingStudy.procedureCode.id",
"path": "ImagingStudy.procedureCode.id",
"representation": [
"xmlAttr"
],
"short": "唯一可識別ID，以供資料項目間相互參照。",
"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。",
"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": "ImagingStudy.procedureCode.extension",
"path": "ImagingStudy.procedureCode.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "擴充的資料項目",
"definition": "擴充的資料項目",
"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
},
{
"id": "ImagingStudy.procedureCode.coding",
"path": "ImagingStudy.procedureCode.coding",
"slicing": {
"discriminator": [
{
"type": "pattern",
"path": "$this"
}
],
"rules": "open"
},
"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。",
"definition": "由專門術語系統（terminology system）所定義之代碼的參照",
"comment": "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。",
"requirements": "允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。",
"min": 0,
"max": "*",
"base": {
"path": "CodeableConcept.coding",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Coding",
"profile": [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"
]
}
],
"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"
}
],
"mustSupport": true,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.1-8, C*E.10-22"
},
{
"identity": "rim",
"map": "union(., ./translation)"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
}
]
},
{
"id": "ImagingStudy.procedureCode.coding:radLex-radiology-lexicon",
"path": "ImagingStudy.procedureCode.coding",
"sliceName": "radLex-radiology-lexicon",
"short": "應填入所綁定值集中的其中一個代碼。",
"definition": "由專門術語系統（terminology system）所定義之代碼的參照。",
"comment": "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。",
"requirements": "允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。",
"min": 0,
"max": "1",
"base": {
"path": "CodeableConcept.coding",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Coding",
"profile": [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"
]
}
],
"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"
}
],
"mustSupport": true,
"isModifier": false,
"isSummary": true,
"binding": {
"strength": "required",
"valueSet": "http://www.rsna.org/RadLex_Playbook.aspx"
},
"mapping": [
{
"identity": "v2",
"map": "C*E.1-8, C*E.10-22"
},
{
"identity": "rim",
"map": "union(., ./translation)"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
}
]
},
{
"id": "ImagingStudy.procedureCode.coding:icd10-pcs-2021",
"path": "ImagingStudy.procedureCode.coding",
"sliceName": "icd10-pcs-2021",
"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。",
"definition": "由專門術語系統（terminology system）所定義之代碼的參照。",
"comment": "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。",
"requirements": "允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。",
"min": 0,
"max": "1",
"base": {
"path": "CodeableConcept.coding",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Coding",
"profile": [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"
]
}
],
"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"
}
],
"mustSupport": true,
"isModifier": false,
"isSummary": true,
"binding": {
"strength": "required",
"description": "應填入所綁定值集中的其中一個代碼。",
"valueSet": "https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw"
},
"mapping": [
{
"identity": "v2",
"map": "C*E.1-8, C*E.10-22"
},
{
"identity": "rim",
"map": "union(., ./translation)"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
}
]
},
{
"id": "ImagingStudy.procedureCode.coding:icd10-pcs-2023",
"path": "ImagingStudy.procedureCode.coding",
"sliceName": "icd10-pcs-2023",
"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。",
"definition": "由專門術語系統（terminology system）所定義之代碼的參照。",
"comment": "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。",
"requirements": "允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。",
"min": 0,
"max": "1",
"base": {
"path": "CodeableConcept.coding",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Coding",
"profile": [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"
]
}
],
"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"
}
],
"mustSupport": true,
"isModifier": false,
"isSummary": true,
"binding": {
"strength": "required",
"description": "應填入所綁定值集中的其中一個代碼。",
"valueSet": "https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw"
},
"mapping": [
{
"identity": "v2",
"map": "C*E.1-8, C*E.10-22"
},
{
"identity": "rim",
"map": "union(., ./translation)"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
}
]
},
{
"id": "ImagingStudy.procedureCode.coding:rapidScanType",
"path": "ImagingStudy.procedureCode.coding",
"sliceName": "rapidScanType",
"short": "掃描類型。[填 CTP／CTA／NCCT]",
"definition": "可填 CTP（CT 灌流）、CTA（CT 血管攝影）、NCCT（非增強 CT）。記錄 RAPID 影像分析掃描時填。其他檢查若能確定是其中一種也可填，例如 EVT 前 CTA 填 CTA。無法確定時不填。",
"comment": "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.",
"requirements": "Allows for alternative encodings within a code system, and translations to other code systems.",
"min": 0,
"max": "1",
"base": {
"path": "CodeableConcept.coding",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Coding"
}
],
"patternCoding": {
"system": "http://vgh-stroke-ig.fhir.tw/CodeSystem/rapid-scan-type"
},
"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"
}
],
"mustSupport": true,
"isModifier": false,
"isSummary": true,
"binding": {
"strength": "required",
"valueSet": "http://vgh-stroke-ig.fhir.tw/ValueSet/rapid-scan-type"
},
"mapping": [
{
"identity": "v2",
"map": "C*E.1-8, C*E.10-22"
},
{
"identity": "rim",
"map": "union(., ./translation)"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
}
]
},
{
"id": "ImagingStudy.procedureCode.coding:rapidScanType.id",
"path": "ImagingStudy.procedureCode.coding.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": "ImagingStudy.procedureCode.coding:rapidScanType.extension",
"path": "ImagingStudy.procedureCode.coding.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": "ImagingStudy.procedureCode.coding:rapidScanType.system",
"path": "ImagingStudy.procedureCode.coding.system",
"short": "Identity of the terminology system",
"definition": "The identification of the code system that defines the meaning of the symbol in the code.",
"comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.",
"requirements": "Need to be unambiguous about the source of the definition of the symbol.",
"min": 1,
"max": "1",
"base": {
"path": "Coding.system",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"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,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.3"
},
{
"identity": "rim",
"map": "./codeSystem"
},
{
"identity": "orim",
"map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
}
]
},
{
"id": "ImagingStudy.procedureCode.coding:rapidScanType.version",
"path": "ImagingStudy.procedureCode.coding.version",
"short": "Version of the system - if relevant",
"definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
"comment": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
"min": 0,
"max": "1",
"base": {
"path": "Coding.version",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"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,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.7"
},
{
"identity": "rim",
"map": "./codeSystemVersion"
},
{
"identity": "orim",
"map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
}
]
},
{
"id": "ImagingStudy.procedureCode.coding:rapidScanType.code",
"path": "ImagingStudy.procedureCode.coding.code",
"short": "Symbol in syntax defined by the system",
"definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
"requirements": "Need to refer to a particular code in the system.",
"min": 1,
"max": "1",
"base": {
"path": "Coding.code",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"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,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.1"
},
{
"identity": "rim",
"map": "./code"
},
{
"identity": "orim",
"map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
}
]
},
{
"id": "ImagingStudy.procedureCode.coding:rapidScanType.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "ImagingStudy.procedureCode.coding.display",
"short": "Representation defined by the system",
"definition": "A representation of the meaning of the code in the system, following the rules of the system.",
"requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.",
"min": 0,
"max": "1",
"base": {
"path": "Coding.display",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"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,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.2 - but note this is not well followed"
},
{
"identity": "rim",
"map": "CV.displayName"
},
{
"identity": "orim",
"map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
}
]
},
{
"id": "ImagingStudy.procedureCode.coding:rapidScanType.userSelected",
"path": "ImagingStudy.procedureCode.coding.userSelected",
"short": "If this coding was chosen directly by the user",
"definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).",
"comment": "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
"requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
"min": 0,
"max": "1",
"base": {
"path": "Coding.userSelected",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"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,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "Sometimes implied by being first"
},
{
"identity": "rim",
"map": "CD.codingRationale"
},
{
"identity": "orim",
"map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]"
}
]
},
{
"id": "ImagingStudy.procedureCode.text",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "ImagingStudy.procedureCode.text",
"short": "檢查名稱",
"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。",
"comment": "很多時候，此文字表述與其中一個代碼的顯示名稱相同。",
"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。",
"min": 0,
"max": "1",
"base": {
"path": "CodeableConcept.text",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"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"
}
],
"mustSupport": true,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.9. But note many systems use C*E.2 for this"
},
{
"identity": "rim",
"map": "./originalText[mediaType/code=\"text/plain\"]/data"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
}
]
},
{
"id": "ImagingStudy.location",
"path": "ImagingStudy.location",
"short": "影像檢查發生的地點",
"definition": "進行影像檢查的主要實體地點",
"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）。",
"min": 0,
"max": "1",
"base": {
"path": "ImagingStudy.location",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Location-twcore"
]
}
],
"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,
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Event.location"
},
{
"identity": "w5",
"map": "FiveWs.where[x]"
},
{
"identity": "v2",
"map": "EVN.7"
},
{
"identity": "rim",
"map": ".participation[typeCode=LOC].role"
},
{
"identity": "dicom",
"map": "(0008,1040) | (0040,0243)"
}
]
},
{
"id": "ImagingStudy.reasonCode",
"path": "ImagingStudy.reasonCode",
"short": "為什麼進行此影像檢查",
"definition": "說明為什麼要求進行影像檢查的臨床情況",
"min": 0,
"max": "*",
"base": {
"path": "ImagingStudy.reasonCode",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept",
"profile": [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"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"
}
],
"mustSupport": true,
"isModifier": false,
"isSummary": true,
"binding": {
"strength": "extensible",
"description": "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。",
"valueSet": "http://hl7.org/fhir/ValueSet/procedure-reason"
},
"mapping": [
{
"identity": "workflow",
"map": "Event.reasonCode"
},
{
"identity": "w5",
"map": "FiveWs.why[x]"
},
{
"identity": "rim",
"map": ".reasonCode"
},
{
"identity": "dicom",
"map": "(0040,1002)"
}
]
},
{
"id": "ImagingStudy.reasonReference",
"path": "ImagingStudy.reasonReference",
"short": "為什麼進行此影像檢查",
"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。",
"min": 0,
"max": "*",
"base": {
"path": "ImagingStudy.reasonReference",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Condition-twcore",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-laboratoryResult-twcore",
"http://hl7.org/fhir/StructureDefinition/Media",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/DiagnosticReport-twcore",
"http://hl7.org/fhir/StructureDefinition/DocumentReference"
]
}
],
"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,
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Event.reasonReference"
},
{
"identity": "w5",
"map": "FiveWs.why[x]"
},
{
"identity": "v2",
"map": "EVN.4 or by domain"
},
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=RSON].target"
}
]
},
{
"id": "ImagingStudy.note",
"path": "ImagingStudy.note",
"short": "用戶自定義的評論",
"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。",
"min": 0,
"max": "*",
"base": {
"path": "ImagingStudy.note",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Annotation"
}
],
"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,
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Event.note"
},
{
"identity": "rim",
"map": "unknown"
}
]
},
{
"id": "ImagingStudy.description",
"path": "ImagingStudy.description",
"short": "檢查說明。[填檢查時點與種類，例如「EVT 前 CTA」]",
"definition": "填檢查時點與種類，例如「首次 CT/MRI」「EVT 前 CT」「EVT 前 CTA」「EVT 前 MRI」「追蹤 CT」「追蹤 MR」，用來區分同一病人的多次檢查。",
"alias": [
"StudyDescription"
],
"min": 0,
"max": "1",
"base": {
"path": "ImagingStudy.description",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"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"
}
],
"mustSupport": true,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".text"
},
{
"identity": "dicom",
"map": "(0008,1030)"
}
]
},
{
"id": "ImagingStudy.series",
"path": "ImagingStudy.series",
"short": "影像系列。[有 DICOM Series Instance UID 時才填]",
"definition": "取得 DICOM Series Instance UID 時才建立 series。",
"min": 0,
"max": "*",
"base": {
"path": "ImagingStudy.series",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mustSupport": true,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=COMP].target[classCode=OBSSER, moodCode=EVN]"
}
]
},
{
"id": "ImagingStudy.series.id",
"path": "ImagingStudy.series.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": "ImagingStudy.series.extension",
"path": "ImagingStudy.series.extension",
"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": "ImagingStudy.series.modifierExtension",
"path": "ImagingStudy.series.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"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": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ImagingStudy.series.uid",
"path": "ImagingStudy.series.uid",
"short": "DICOM Series Instance UID。[填影像系列的 UID]",
"definition": "此系列的DICOM系列實例UID",
"comment": "[見DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.3.html)",
"requirements": "此系列的DICOM系列實例UID",
"alias": [
"SeriesInstanceUID"
],
"min": 1,
"max": "1",
"base": {
"path": "ImagingStudy.series.uid",
"min": 1,
"max": "1"
},
"type": [
{
"code": "id"
}
],
"example": [
{
"label": "General",
"valueId": "2.16.124.113543.6003.2588828330.45298.17418.2723805630"
}
],
"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"
}
],
"mustSupport": true,
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".id"
},
{
"identity": "dicom",
"map": "(0020,000E)"
}
]
},
{
"id": "ImagingStudy.series.number",
"path": "ImagingStudy.series.number",
"short": "此系列的數字識別碼",
"definition": "此影像檢查中此系列的數字識別碼",
"alias": [
"SeriesNumber"
],
"min": 0,
"max": "1",
"base": {
"path": "ImagingStudy.series.number",
"min": 0,
"max": "1"
},
"type": [
{
"code": "unsignedInt"
}
],
"example": [
{
"label": "General",
"valueUnsignedInt": 3
}
],
"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,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".inboundRelationship[type=COMP, source[classCode=COMPOSITION, moodCode=EVN]].sequenceNumber"
},
{
"identity": "dicom",
"map": "(0020,0011)"
}
]
},
{
"id": "ImagingStudy.series.modality",
"path": "ImagingStudy.series.modality",
"short": "此系列實例所使用的成像儀器",
"definition": "用於此系列（series）的成像儀器。",
"alias": [
"Modality"
],
"min": 1,
"max": "1",
"base": {
"path": "ImagingStudy.series.modality",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Coding"
}
],
"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"
}
],
"mustSupport": true,
"isModifier": false,
"isSummary": true,
"binding": {
"strength": "extensible",
"valueSet": "https://twcore.mohw.gov.tw/ig/twcore/ValueSet/AcquisitionModality"
},
"mapping": [
{
"identity": "rim",
"map": ".code"
},
{
"identity": "dicom",
"map": "(0008,0060)"
}
]
},
{
"id": "ImagingStudy.series.description",
"path": "ImagingStudy.series.description",
"short": "對此系列的一個簡短且易於閱讀的摘要",
"definition": "對此系列的描述",
"alias": [
"SeriesDescription"
],
"min": 0,
"max": "1",
"base": {
"path": "ImagingStudy.series.description",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"example": [
{
"label": "General",
"valueString": "CT Surview 180"
}
],
"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,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".text"
},
{
"identity": "dicom",
"map": "(0008,103E)"
}
]
},
{
"id": "ImagingStudy.series.numberOfInstances",
"path": "ImagingStudy.series.numberOfInstances",
"short": "此Series相關Instances的數量",
"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。",
"alias": [
"NumberOfSeriesRelatedInstances"
],
"min": 0,
"max": "1",
"base": {
"path": "ImagingStudy.series.numberOfInstances",
"min": 0,
"max": "1"
},
"type": [
{
"code": "unsignedInt"
}
],
"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,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber"
},
{
"identity": "dicom",
"map": "(0020,1209)"
}
]
},
{
"id": "ImagingStudy.series.endpoint",
"path": "ImagingStudy.series.endpoint",
"short": "此系列的存取端點",
"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。",
"comment": "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。",
"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。",
"min": 0,
"max": "*",
"base": {
"path": "ImagingStudy.series.endpoint",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Endpoint|4.0.1"
]
}
],
"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,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Not supported"
}
]
},
{
"id": "ImagingStudy.series.bodySite",
"path": "ImagingStudy.series.bodySite",
"short": "被檢查的身體部位",
"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。",
"alias": [
"BodyPartExamined"
],
"min": 0,
"max": "1",
"base": {
"path": "ImagingStudy.series.bodySite",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Coding"
}
],
"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,
"isSummary": true,
"binding": {
"strength": "extensible",
"description": "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。",
"valueSet": "http://hl7.org/fhir/ValueSet/body-site"
},
"mapping": [
{
"identity": "rim",
"map": ".targetSiteCode"
},
{
"identity": "dicom",
"map": "(0018,0015)"
}
]
},
{
"id": "ImagingStudy.series.laterality",
"path": "ImagingStudy.series.laterality",
"short": "身體部位的側性",
"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](http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html)。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。",
"min": 0,
"max": "1",
"base": {
"path": "ImagingStudy.series.laterality",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Coding"
}
],
"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,
"isSummary": true,
"binding": {
"strength": "extensible",
"description": "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。",
"valueSet": "http://hl7.org/fhir/ValueSet/bodysite-laterality"
},
"mapping": [
{
"identity": "rim",
"map": ".targetSiteCode"
},
{
"identity": "dicom",
"map": "(0020,0060)"
}
]
},
{
"id": "ImagingStudy.series.specimen",
"path": "ImagingStudy.series.specimen",
"short": "要進行影像檢查的檢體",
"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。",
"min": 0,
"max": "*",
"base": {
"path": "ImagingStudy.series.specimen",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Specimen-twcore"
]
}
],
"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,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Role[classCode=SPEC]"
},
{
"identity": "dicom",
"map": "(0040,0551) + (0040,0562)"
}
]
},
{
"id": "ImagingStudy.series.started",
"path": "ImagingStudy.series.started",
"short": "此系列何時開始的",
"definition": "此系列開始的日期和時間",
"min": 0,
"max": "1",
"base": {
"path": "ImagingStudy.series.started",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
],
"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,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".effectiveTime"
},
{
"identity": "dicom",
"map": "(0008,0021) + (0008,0031)"
}
]
},
{
"id": "ImagingStudy.series.performer",
"path": "ImagingStudy.series.performer",
"short": "誰執行了此系列",
"definition": "指明誰或什麼執行了這個系列，以及他們是如何參與的。",
"comment": "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。",
"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。",
"alias": [
"PerformingPhysicianName",
"OperatorName"
],
"min": 0,
"max": "*",
"base": {
"path": "ImagingStudy.series.performer",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"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,
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Event.performer"
},
{
"identity": "rim",
"map": ".participation[typeCode=PRF].role"
},
{
"identity": "dicom",
"map": "(0008, 1050) | (0008, 1052) | (0008, 1070) | (0008, 1072)"
}
]
},
{
"id": "ImagingStudy.series.performer.id",
"path": "ImagingStudy.series.performer.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": "ImagingStudy.series.performer.extension",
"path": "ImagingStudy.series.performer.extension",
"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": "ImagingStudy.series.performer.modifierExtension",
"path": "ImagingStudy.series.performer.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"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": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ImagingStudy.series.performer.function",
"path": "ImagingStudy.series.performer.function",
"short": "執行的類型",
"definition": "區分執行者在此系列中的參與類型",
"requirements": "可以區分不同執行者參與的類型",
"min": 0,
"max": "1",
"base": {
"path": "ImagingStudy.series.performer.function",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept",
"profile": [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"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,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "EventPerformerFunction"
}
],
"strength": "extensible",
"description": "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。",
"valueSet": "http://hl7.org/fhir/ValueSet/series-performer-function"
},
"mapping": [
{
"identity": "rim",
"map": ".participation[typeCode=PRF].role"
}
]
},
{
"id": "ImagingStudy.series.performer.actor",
"path": "ImagingStudy.series.performer.actor",
"short": "誰執行了此系列",
"definition": "表示誰或什麼人執行了該系列",
"min": 1,
"max": "1",
"base": {
"path": "ImagingStudy.series.performer.actor",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-twcore",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CareTeam-twcore",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore",
"http://hl7.org/fhir/StructureDefinition/Device",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore"
]
}
],
"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,
"isSummary": true,
"mapping": [
{
"identity": "w5",
"map": "FiveWs.actor"
},
{
"identity": "v2",
"map": "EVN.5 or by domain"
},
{
"identity": "rim",
"map": ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
}
]
},
{
"id": "ImagingStudy.series.instance",
"path": "ImagingStudy.series.instance",
"short": "系列中的一個SOP實例",
"definition": "系列中的單一SOP實例，例如：影像或表現狀態。",
"min": 0,
"max": "*",
"base": {
"path": "ImagingStudy.series.instance",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mustSupport": true,
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=COMP].target[classCode=DGIMG, moodCode=EVN]"
}
]
},
{
"id": "ImagingStudy.series.instance.id",
"path": "ImagingStudy.series.instance.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": "ImagingStudy.series.instance.extension",
"path": "ImagingStudy.series.instance.extension",
"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": "ImagingStudy.series.instance.modifierExtension",
"path": "ImagingStudy.series.instance.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"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": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ImagingStudy.series.instance.uid",
"path": "ImagingStudy.series.instance.uid",
"short": "DICOM SOP實例的UID",
"definition": "此影像或其他DICOM內容的DICOM SOP實例UID",
"comment": "[見DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html#sect_C.12.1)",
"requirements": "DICOM SOP實例的UID",
"alias": [
"SOPInstanceUID"
],
"min": 1,
"max": "1",
"base": {
"path": "ImagingStudy.series.instance.uid",
"min": 1,
"max": "1"
},
"type": [
{
"code": "id"
}
],
"example": [
{
"label": "General",
"valueId": "2.16.124.113543.6003.189642796.63084.16748.2599092903"
}
],
"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"
}
],
"mustSupport": true,
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": ".id"
},
{
"identity": "dicom",
"map": "(0008,0018)"
}
]
},
{
"id": "ImagingStudy.series.instance.sopClass",
"path": "ImagingStudy.series.instance.sopClass",
"short": "DICOM class 類型",
"definition": "DICOM實例類型",
"alias": [
"SOPClassUID"
],
"min": 1,
"max": "1",
"base": {
"path": "ImagingStudy.series.instance.sopClass",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Coding"
}
],
"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"
}
],
"mustSupport": true,
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "sopClass"
}
],
"strength": "extensible",
"description": "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。",
"valueSet": "http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1"
},
"mapping": [
{
"identity": "rim",
"map": ".inboundRelationship[typeCode=COMP]. source[classCode=OBS, moodCode=EVN, code=\"sop class\"].value"
},
{
"identity": "dicom",
"map": "(0008,0016)"
}
]
},
{
"id": "ImagingStudy.series.instance.number",
"path": "ImagingStudy.series.instance.number",
"short": "此系列中該實例的序號",
"definition": "此系列中該實例的序號",
"alias": [
"InstanceNumber"
],
"min": 0,
"max": "1",
"base": {
"path": "ImagingStudy.series.instance.number",
"min": 0,
"max": "1"
},
"type": [
{
"code": "unsignedInt"
}
],
"example": [
{
"label": "General",
"valueUnsignedInt": 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,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": ".inboundRelationship[typeCode=COMP, source[classCode=OBSSER, moodCode=EVN]].sequenceNumber"
},
{
"identity": "dicom",
"map": "(0020,0013)"
}
]
},
{
"id": "ImagingStudy.series.instance.title",
"path": "ImagingStudy.series.instance.title",
"short": "實例的描述",
"definition": "實例的描述",
"comment": "特別是對於取得後的分析物件，例如：SR、表現狀態、值對應等。",
"min": 0,
"max": "1",
"base": {
"path": "ImagingStudy.series.instance.title",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"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,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": ".title"
},
{
"identity": "dicom",
"map": "(0008,0008) | (0007,0080) | (0040,A043) + (0008,0104) | (0042,0010)"
}
]
}
]
},
"differential": {
"element": [
{
"id": "ImagingStudy.identifier",
"path": "ImagingStudy.identifier",
"short": "檢查識別碼。[有 DICOM Study Instance UID 或已核定的檢查單號時才填]",
"definition": "有 DICOM Study Instance UID 時，system 填 urn:dicom:uid，value 填 urn:oid: 加上 UID。院方確認 RAPID 影像申請序號為檢查單號（accession number）後才填入，type 填 ACSN；確認前存入登錄表單。"
},
{
"id": "ImagingStudy.status",
"path": "ImagingStudy.status",
"short": "檢查狀態。[已完成檢查填 available]",
"definition": "來源記錄已完成檢查填 available。無法確認檢查狀態時填 unknown。",
"mustSupport": true
},
{
"id": "ImagingStudy.modality",
"path": "ImagingStudy.modality",
"short": "檢查儀器類別。[CT 填 CT，MRI 填 MR]",
"definition": "填 DICOM 代碼（system 為 http://dicom.nema.org/resources/ontology/DCM）。CT、CTA、CT 灌流與非增強 CT 都填 CT；MRI 填 MR。檢查技術（CTP、CTA、NCCT）填在 procedureCode。首次 CT/MRI 無法確認是哪一種時不填。"
},
{
"id": "ImagingStudy.subject",
"path": "ImagingStudy.subject",
"short": "病人。[應參照 StrokePatient]",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient"
]
}
]
},
{
"id": "ImagingStudy.encounter",
"path": "ImagingStudy.encounter",
"short": "就醫事件。[應參照 StrokeEncounter]",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter"
]
}
],
"mustSupport": true
},
{
"id": "ImagingStudy.started",
"path": "ImagingStudy.started",
"short": "檢查開始日期與時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區]",
"definition": "時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後把同一次檢查的日期與時間合併成一個 dateTime 並帶時區（例如 +08:00）。只有年月填 YYYY-MM。只有時間沒有日期時 started 不填值，改在 extension 放 StrokeEventTimeOnly。日期與時間都沒有時不填。"
},
{
"id": "ImagingStudy.started.extension",
"path": "ImagingStudy.started.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
}
},
{
"id": "ImagingStudy.started.extension:eventTimeOnly",
"path": "ImagingStudy.started.extension",
"sliceName": "eventTimeOnly",
"short": "僅有檢查時間（無日期）。[hh:mm:ss]",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only"
]
}
],
"mustSupport": true
},
{
"id": "ImagingStudy.basedOn",
"path": "ImagingStudy.basedOn",
"short": "檢查醫令。[應參照 StrokeServiceRequest]",
"definition": "院方核定醫令識別方式後，參照該次檢查醫令。核定前不填。",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeServiceRequest"
]
}
],
"mustSupport": true
},
{
"id": "ImagingStudy.procedureCode",
"path": "ImagingStudy.procedureCode",
"short": "檢查項目與掃描類型",
"definition": "以 rapidScanType Slice 填掃描類型。已知正式檢查項目代碼（RadLex 或 ICD-10-PCS）時，另在父層 Slice 填入。"
},
{
"id": "ImagingStudy.procedureCode.coding:rapidScanType",
"path": "ImagingStudy.procedureCode.coding",
"sliceName": "rapidScanType",
"short": "掃描類型。[填 CTP／CTA／NCCT]",
"definition": "可填 CTP（CT 灌流）、CTA（CT 血管攝影）、NCCT（非增強 CT）。記錄 RAPID 影像分析掃描時填。其他檢查若能確定是其中一種也可填，例如 EVT 前 CTA 填 CTA。無法確定時不填。",
"min": 0,
"max": "1",
"patternCoding": {
"system": "http://vgh-stroke-ig.fhir.tw/CodeSystem/rapid-scan-type"
},
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://vgh-stroke-ig.fhir.tw/ValueSet/rapid-scan-type"
}
},
{
"id": "ImagingStudy.procedureCode.coding:rapidScanType.system",
"path": "ImagingStudy.procedureCode.coding.system",
"min": 1
},
{
"id": "ImagingStudy.procedureCode.coding:rapidScanType.code",
"path": "ImagingStudy.procedureCode.coding.code",
"min": 1
},
{
"id": "ImagingStudy.procedureCode.text",
"path": "ImagingStudy.procedureCode.text",
"short": "檢查名稱"
},
{
"id": "ImagingStudy.description",
"path": "ImagingStudy.description",
"short": "檢查說明。[填檢查時點與種類，例如「EVT 前 CTA」]",
"definition": "填檢查時點與種類，例如「首次 CT/MRI」「EVT 前 CT」「EVT 前 CTA」「EVT 前 MRI」「追蹤 CT」「追蹤 MR」，用來區分同一病人的多次檢查。",
"mustSupport": true
},
{
"id": "ImagingStudy.series",
"path": "ImagingStudy.series",
"short": "影像系列。[有 DICOM Series Instance UID 時才填]",
"definition": "取得 DICOM Series Instance UID 時才建立 series。"
},
{
"id": "ImagingStudy.series.uid",
"path": "ImagingStudy.series.uid",
"short": "DICOM Series Instance UID。[填影像系列的 UID]"
}
]
}
}