醫查實作指引
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Resource Profile: ImagingStudyIMRI - Detailed Descriptions

Active as of 2024-08-12

Definitions for the imagingstudy-imri resource profile.

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

0. ImagingStudy
2. ImagingStudy.status
Pattern Valueavailable
4. ImagingStudy.subject
TypeReference(Patient IMRI)
6. ImagingStudy.encounter
TypeReference(Encounter IMRI)
8. ImagingStudy.started
Control1..?
10. ImagingStudy.basedOn
TypeReference(CarePlan IMRI, ServiceRequest, Appointment, AppointmentResponse, Task)
12. ImagingStudy.referrer
TypeReference(Practitioner IMRI, PractitionerRole IMRI)
14. ImagingStudy.interpreter
Short即為「醫療影像檢查解讀者」,誰解讀了影像。
TypeReference(Practitioner IMRI)
16. ImagingStudy.procedureReference
TypeReference(Procedure IMRI)
18. ImagingStudy.location
TypeReference(Location IMRI)
20. ImagingStudy.reasonReference
TypeReference(TW Core Condition, ObservationLaboratory IMRI, Media, TW Core DiagnosticReport, DocumentReference)
22. ImagingStudy.description
Short即為「醫療影像檢查敘述」,機構產生的描述。

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

0. ImagingStudy
Definition

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


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

Short在單一檢查中產生的一組影像【一個或多個系列(series)的參照影像】A set of images produced in single study (one or more series of references images)
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. ImagingStudy.implicitRules
Definition

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


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

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

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


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

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

可以用來表示不屬於此resource的基本定義的額外資訊,並修改包含它所內嵌(contained)的資料項目的理解和/或對包含資料項目之後續使用的理解。通常修飾用的資料項目提供否定或限定的資訊。為了使擴充的使用安全和可管理,對擴充的定義和使用有一套嚴格的管理。雖然任何實作者都可以定義一個擴充,但在定義擴充時 必須(SHALL) 滿足一組要求。處理resource的應用程式需要檢查修飾用的擴充資料項目。
修飾用的擴充資料項目 必須沒有(SHALL NOT) 改變resource或DomainResource上任何資料項目的含義(包括不能改變modifierExtension本身的含義)。


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

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

Short此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。Extensions that cannot be ignored
Comments

任何應用程式、專案或標準使用擴充時,都不應該帶有任何負面的聯想。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。


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

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

修飾用的資料項目擴充允許將不能安全地忽略的擴充,與絕大多數可以安全地忽略的擴充明確區分開來。這樣做有助於促進可互操作性,因為無需禁止實作者使用擴充,想要瞭解更多資訊,請參見[修飾用的資料項目擴充之定義](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)。


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

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. ImagingStudy.identifier
Definition

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


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

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

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


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

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

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


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

Alternate NamesStudyInstanceUID, AccessionNumber
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. ImagingStudy.status
Definition

影像檢查的當前狀態。


The current state of the ImagingStudy.

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

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


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

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

影像檢查的當前狀態;應填入所綁定值集中的其中一個代碼。


The status of the ImagingStudy.

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

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


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

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

應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


Type of acquired data in the instance.

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

影像檢查的對象,通常是病人。


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

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

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


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

Control1..1
TypeReference(Patient IMRI, Patient, Device, Group)
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. ImagingStudy.encounter
Definition

進行此影像檢查的健康照護事件(例如:病人與健康照護服務提供者的互動)。


The healthcare event (e.g. a patient and healthcare provider interaction) during which this ImagingStudy is made.

Short與此影像檢查有關的就醫事件(Encounter)Encounter with which this imaging study is associated
Comments

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


This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission test).

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

檢查開始的日期和時間


Date and time the study started.

Short影像檢查何時開始When the study was started
Control10..1
TypedateTime
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Alternate NamesStudyDate, StudyTime
Example<br/><b>General</b>:2011-01-01T11:01:20+03:00
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. ImagingStudy.basedOn
Definition

導致進行此影像檢查的診斷報告清單


A list of the diagnostic requests that resulted in this imaging study being performed.

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

支援分組處置(一項影像檢查支援多個醫令處置,如胸腔/腹部/骨盆CT)。


To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT).

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

請求/轉診的醫師


The requesting/referring physician.

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

誰閱讀了檢查報告並解讀了影像或其他內容


Who read the study and interpreted the images or other content.

Short即為「醫療影像檢查解讀者」,誰解讀了影像。Who interpreted images
Control0..*
TypeReference(Practitioner IMRI, Practitioner, PractitionerRole)
Is Modifierfalse
Summarytrue
Alternate NamesName of Physician(s) Reading Study
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. ImagingStudy.procedureReference
Definition

此影像檢查是此處置(Procedure)的一部分


The procedure which this ImagingStudy was part of.

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

執行的處置類型代碼


The code for the performed procedure type.

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

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

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

此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。


The performed procedure type.

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

由專門術語系統(terminology system)所定義之代碼的參照


A reference to a code defined by a terminology system.

Short此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。Code defined by a terminology system
Comments

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


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

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

允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


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

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

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


    A reference to a code defined by a terminology system.

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

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


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

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

    允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


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

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

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


    A reference to a code defined by a terminology system.

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

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


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

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

    允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


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

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

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


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

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

    很多時候,此文字表述與其中一個代碼的顯示名稱相同。


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

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

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


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

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

    進行影像檢查的主要實體地點


    The principal physical location where the ImagingStudy was performed.

    Short影像檢查發生的地點Where ImagingStudy occurred
    Control0..1
    TypeReference(Location IMRI, Location)
    Is Modifierfalse
    Summarytrue
    Requirements

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


    Ties the event to where the records are likely kept and provides context around the event occurrence (e.g. if it occurred inside or outside a dedicated healthcare setting).

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

    說明為什麼要求進行影像檢查的臨床情況


    Description of clinical condition indicating why the ImagingStudy was requested.

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

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

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

    應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


    The reason for the study.

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

    這表示有另外一個Resource,其存在是進行這項檢查的合理原因。


    Indicates another resource whose existence justifies this Study.

    Short為什麼進行此影像檢查Why was study performed
    Control0..*
    TypeReference(TW Core Condition, ObservationLaboratory IMRI, Media, TW Core DiagnosticReport, DocumentReference, Condition, Observation, DiagnosticReport)
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    42. ImagingStudy.description
    Definition

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


    The Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed.

    Short即為「醫療影像檢查敘述」,機構產生的描述。Institution-generated description
    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Alternate NamesStudyDescription
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    44. ImagingStudy.series
    Definition

    每項影像檢查有一個或多個系列的影像或其他內容


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

    Short每項影像檢查有一個或多個系列(series)的實例Each study has one or more series of instances
    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    46. ImagingStudy.series.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

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

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

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

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

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

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    48. ImagingStudy.series.uid
    Definition

    此系列的DICOM系列實例UID


    The DICOM Series Instance UID for the series.

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

    見DICOM PS3.3 C.7.3


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

    此系列的DICOM系列實例UID


    DICOM Series Instance UID.

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

    此系列序列所使用的成像儀器


    The modality of this series sequence.

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

    應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


    Type of acquired data in the instance.

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

    系列中的單一SOP實例,例如:影像或表現狀態。


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

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

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

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

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

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

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

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

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    56. ImagingStudy.series.instance.uid
    Definition

    此影像或其他DICOM內容的DICOM SOP實例UID


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

    ShortDICOM SOP實例的UIDDICOM SOP Instance UID
    Comments

    見DICOM PS3.3 C.12.1


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

    DICOM SOP實例的UID


    DICOM SOP Instance UID.

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

    DICOM實例類型


    DICOM instance type.

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

    應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


    The sopClass for the instance.

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

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

    0. ImagingStudy
    Definition

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

    Short在單一檢查中產生的一組影像【一個或多個系列(series)的參照影像】
    Control0..*
    Is Modifierfalse
    Summaryfalse
    Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
    dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
    dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
    dom-6: A resource should have narrative for robust management (text.`div`.exists())
    2. ImagingStudy.id
    Definition

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

    Short不重複的ID用以識別儲存在特定FHIR Server中的ImagingStudy紀錄,通常又稱為邏輯性ID。
    Comments

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

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

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

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

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

    Short創建此內容所依據的一組規則
    Comments

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

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

    編寫此resource的語言

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

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

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

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

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

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

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

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

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

    這些resource內嵌(contains)的resource不會另外存於任何FHIR伺服器,意即它們無法在任何FHIR伺服器中被找到,也無法有自己獨立的資料異動/交易(transaction)範圍。

    Short內嵌的(contained)、行內的Resources
    Comments

    當內容可以從任何FHIR伺服器找到時,不應該以內嵌(contained)resource的方式呈現,因為一旦失去識別,再次恢復它是非常困難的(並且取決於情境)。內嵌(contained)的resource可在它們的meta資料項目中表述profiles和tag,但不應該有安全標號(security labels)。

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

    可用於表示不屬於此resource基本定義的額外資訊。為了擴充的使用安全和可管理,對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充,但作為擴充定義的一部分,必須(SHALL) 滿足一系列要求。

    Short擴充的資料項目
    Comments

    任何應用程式、專案或標準使用擴充時,都不應該帶有任何負面的聯想。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    16. ImagingStudy.modifierExtension
    Definition

    可以用來表示不屬於此resource的基本定義的額外資訊,並修改包含它所內嵌(contained)的資料項目的理解和/或對包含資料項目之後續使用的理解。通常修飾用的資料項目提供否定或限定的資訊。為了使擴充的使用安全和可管理,對擴充的定義和使用有一套嚴格的管理。雖然任何實作者都可以定義一個擴充,但在定義擴充時 必須(SHALL) 滿足一組要求。處理resource的應用程式需要檢查修飾用的擴充資料項目。
    修飾用的擴充資料項目 必須沒有(SHALL NOT) 改變resource或DomainResource上任何資料項目的含義(包括不能改變modifierExtension本身的含義)。

    Short此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。
    Comments

    任何應用程式、專案或標準使用擴充時,都不應該帶有任何負面的聯想。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Summaryfalse
    Requirements

    修飾用的資料項目擴充允許將不能安全地忽略的擴充,與絕大多數可以安全地忽略的擴充明確區分開來。這樣做有助於促進可互操作性,因為無需禁止實作者使用擴充,想要瞭解更多資訊,請參見[修飾用的資料項目擴充之定義](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)。

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    18. ImagingStudy.identifier
    Definition

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

    Short整項影像檢查的識別碼
    Comments

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

    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..*
    TypeIdentifier
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

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

    Alternate NamesStudyInstanceUID, AccessionNumber
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. ImagingStudy.status
    Definition

    影像檢查的當前狀態。

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

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

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

    影像檢查的當前狀態;應填入所綁定值集中的其中一個代碼。

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

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

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

    應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

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

    影像檢查的對象,通常是病人。

    Short誰或什麼是影像檢查的對象
    Comments

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

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

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

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

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

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

    檢查開始的日期和時間

    Short影像檢查何時開始
    Control1..1
    TypedateTime
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Alternate NamesStudyDate, StudyTime
    Example<br/><b>General</b>:2011-01-01T11:01:20+03:00
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    30. ImagingStudy.basedOn
    Definition

    導致進行此影像檢查的診斷報告清單

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

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

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

    請求/轉診的醫師

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

    誰閱讀了檢查報告並解讀了影像或其他內容

    Short即為「醫療影像檢查解讀者」,誰解讀了影像。
    Control0..*
    TypeReference(Practitioner IMRI)
    Is Modifierfalse
    Summarytrue
    Alternate NamesName of Physician(s) Reading Study
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    36. ImagingStudy.endpoint
    Definition

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

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

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

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

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

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

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

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

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

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

    此影像檢查是此處置(Procedure)的一部分

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

    執行的處置類型代碼

    Short執行的處置代碼
    Comments

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

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

    此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。

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

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

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

    擴充的資料項目

    Short擴充的資料項目
    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on ImagingStudy.procedureCode.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 50. ImagingStudy.procedureCode.coding
      Definition

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

      Short此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。
      Comments

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

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

      允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

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

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

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

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

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

        允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

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

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

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

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

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

        允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

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

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

        Short概念的文字表示法
        Comments

        很多時候,此文字表述與其中一個代碼的顯示名稱相同。

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

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

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

        進行影像檢查的主要實體地點

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

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

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

        說明為什麼要求進行影像檢查的臨床情況

        Short為什麼進行此影像檢查
        Comments

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

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

        應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

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

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

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

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

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

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

        Short即為「醫療影像檢查敘述」,機構產生的描述。
        Control0..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Alternate NamesStudyDescription
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        68. ImagingStudy.series
        Definition

        每項影像檢查有一個或多個系列的影像或其他內容

        Short每項影像檢查有一個或多個系列(series)的實例
        Control0..*
        TypeBackboneElement
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        70. ImagingStudy.series.id
        Definition

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

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

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

        ShortAdditional content defined by implementations
        Comments

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

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        74. ImagingStudy.series.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

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

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

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

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

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

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        76. ImagingStudy.series.uid
        Definition

        此系列的DICOM系列實例UID

        Short此系列的DICOM系列實例UID
        Comments

        見DICOM PS3.3 C.7.3

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

        此系列的DICOM系列實例UID

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

        此影像檢查中此系列的數字識別碼

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

        此系列序列所使用的成像儀器

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

        應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

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

        對此系列的描述

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

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

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

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

        Short此系列的存取端點
        Comments

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

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

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

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

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

        Short被檢查的身體部位
        Control0..1
        BindingUnless not suitable, these codes SHALL be taken from SNOMEDCTBodyStructures
        (extensible to http://hl7.org/fhir/ValueSet/body-site)

        應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

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

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

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

        應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

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

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

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

        此系列開始的日期和時間

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

        指明誰或什麼執行了這個系列,以及他們是如何參與的。

        Short誰執行了此系列
        Comments

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

        Control0..*
        TypeBackboneElement
        Is Modifierfalse
        Summarytrue
        Requirements

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

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

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

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

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

        ShortAdditional content defined by implementations
        Comments

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

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        102. ImagingStudy.series.performer.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

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

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

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

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

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

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        104. ImagingStudy.series.performer.function
        Definition

        區分執行者在此系列中的參與類型

        Short執行的類型
        Comments

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

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

        應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

        TypeCodeableConcept(TW CodeableConcept)
        Is Modifierfalse
        Requirements

        可以區分不同執行者參與的類型

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

        表示誰或什麼人執行了該系列

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

        系列中的單一SOP實例,例如:影像或表現狀態。

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

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

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

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

        ShortAdditional content defined by implementations
        Comments

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

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        114. ImagingStudy.series.instance.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

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

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

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

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

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

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        116. ImagingStudy.series.instance.uid
        Definition

        此影像或其他DICOM內容的DICOM SOP實例UID

        ShortDICOM SOP實例的UID
        Comments

        見DICOM PS3.3 C.12.1

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

        DICOM SOP實例的UID

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

        DICOM實例類型

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

        應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

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

        此系列中該實例的序號

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

        實例的描述

        Short實例的描述
        Comments

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

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