臺灣癌症用藥事前審查實作指引
0.1.1 - ci-build

This page is part of the 臺灣癌症用藥事前審查實作指引(TWPAS IG) (v0.1.1: Releases) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.0.4. For a full list of available versions, see the Directory of published versions

Resource Profile: 影像報告-DiagnosticReport Image TWPAS

Official URL: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-image-twpas Version: 0.1.1
Active as of 2024-08-02 Computable Name: DiagnosticReportImageTWPAS

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

Usage:

Formal Views of Profile Content

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

This structure is derived from TWCoreDiagnosticReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport TWCoreDiagnosticReport
... category 0..1 CodeableConceptTW 服務類別
.... coding 1..1 CodingTW 由專門術語系統（terminology system）定義的代碼
... code 1..1 CodeableConceptTW 影像報告，ICD10-PCS
Binding: 臺灣健保署2021年中文版ICD 10 PCS-影像報告值集 (required)
.... Slices for coding Content/Rules for all slices
..... coding:LOINCObservationCode 0..0
..... coding:TWLaboratoryCategory 0..0
..... coding:TW2021ICD10PCS 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2021年中文版ICD 10 PCS-影像報告值集 (required)
... subject 1..1 Reference(病人資訊-Patient TWPAS) 報告的對象—通常但不總是病人
.... effective[x]:effectiveDateTime S 1..1 dateTime S 影像報告日期，YYYY-MM-DD
... performer 0..* Reference(醫事人員-Practitioner TWPAS) 簽發影像報告醫師身分證號
... imagingStudy S 1..* Reference(DICOM影像-ImagingStudy TWPAS) 影像檢查的身體部位／DICOM影像，SNOMED CT
... media S 0..* BackboneElement 非DICOM影像
.... link 1..1 Reference(非DICOM影像-Media TWPAS) 參照的影像來源
... conclusion 1..1 string 影像報告結果

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DiagnosticReport.coderequiredICD10PCSImage
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-image
from this IG
DiagnosticReport.code.coding:TW2021ICD10PCSrequiredICD10PCSImage
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-image
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* TWCoreDiagnosticReport 診斷報告—由請求資訊、不可被中斷的一個或一系列結果（atomic results）、影像、解釋以及格式化報告所組成。
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... modifierExtension ?! 0..* Extension 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。
... status ?!SΣ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): 診斷報告狀態；應填入所綁定值集中的其中一個代碼

.... coding S 1..1 CodingTW 由專門術語系統（terminology system）定義的代碼
.... text SΣ 0..1 string 概念的文字表示法
... code S 1..1 CodeableConceptTW 影像報告，ICD10-PCS
Binding: 臺灣健保署2021年中文版ICD 10 PCS-影像報告值集 (required)
.... Slices for coding S 0..* CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:$this
..... coding:TW2021ICD10PCS S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2021年中文版ICD 10 PCS-影像報告值集 (required)
...... system SΣ 0..1 uri 專門術語系統（terminology system）的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2021-tw
...... code SΣ 1..1 code 系統定義的語法之符號
...... display SΣ 0..1 string 由系統定義的表示法
.... text SΣ 0..1 string 概念的文字表示法
... subject SΣ 1..1 Reference(病人資訊-Patient TWPAS) 報告的對象—通常但不總是病人
... Slices for effective[x] SΣ 1..1 dateTime 與臨床相關的時間／報告的時段
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime 影像報告日期，YYYY-MM-DD
... issued SΣ 0..1 instant 此版本完成的日期時間
... performer SΣ 0..* Reference(醫事人員-Practitioner TWPAS) 簽發影像報告醫師身分證號
... result S 0..* Reference(TW Core Observation Laboratory Result) 檢驗檢查
... imagingStudy S 1..* Reference(DICOM影像-ImagingStudy TWPAS) 影像檢查的身體部位／DICOM影像，SNOMED CT
... media SΣ 0..* BackboneElement 非DICOM影像
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... link Σ 1..1 Reference(非DICOM影像-Media TWPAS) 參照的影像來源
... conclusion S 1..1 string 影像報告結果

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryextensibleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.coderequiredICD10PCSImage
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-image
from this IG
DiagnosticReport.code.coding:TW2021ICD10PCSrequiredICD10PCSImage
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-image
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* TWCoreDiagnosticReport 診斷報告—由請求資訊、不可被中斷的一個或一系列結果（atomic results）、影像、解釋以及格式化報告所組成。
... id Σ 0..1 id 不重複的ID用以識別儲存在特定FHIR Server中的DiagnosticReport紀錄，通常又稱為邏輯性ID。
... meta Σ 0..1 Meta 此DiagnosticReport Resource的metadata
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... text 0..1 Narrative DiagnosticReport Resource之內容摘要以供人閱讀
... contained 0..* Resource 內嵌的（contained）、行內的Resources
... extension 0..* Extension 擴充的資料項目
... modifierExtension ?! 0..* Extension 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。
... identifier Σ 0..* Identifier 報告的業務用識別碼
... basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | ServiceRequest) 此報告是基於什麼服務的請求
... status ?!SΣ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): 診斷報告狀態；應填入所綁定值集中的其中一個代碼

... category S 0..1 CodeableConceptTW 服務類別
Binding: DiagnosticServiceSectionCodes (extensible): 診斷報告分類；應填入所綁定值集值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。


.... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... coding S 1..1 CodingTW 由專門術語系統（terminology system）定義的代碼
.... text SΣ 0..1 string 概念的文字表示法
... code S 1..1 CodeableConceptTW 影像報告，ICD10-PCS
Binding: 臺灣健保署2021年中文版ICD 10 PCS-影像報告值集 (required)
.... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... Slices for coding S 0..* CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:$this
..... coding:TW2021ICD10PCS S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2021年中文版ICD 10 PCS-影像報告值集 (required)
...... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... system SΣ 0..1 uri 專門術語系統（terminology system）的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2021-tw
...... version Σ 0..1 string 系統的版本—如果相關的話
...... code SΣ 1..1 code 系統定義的語法之符號
...... display SΣ 0..1 string 由系統定義的表示法
...... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇？
.... text SΣ 0..1 string 概念的文字表示法
... subject SΣ 1..1 Reference(病人資訊-Patient TWPAS) 報告的對象—通常但不總是病人
... encounter Σ 0..1 Reference(TW Core Encounter) 請求檢驗時的健康照護事件
... Slices for effective[x] SΣ 1..1 dateTime S 與臨床相關的時間／報告的時段
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime S 影像報告日期，YYYY-MM-DD
... issued SΣ 0..1 instant 此版本完成的日期時間
... performer SΣ 0..* Reference(醫事人員-Practitioner TWPAS) 簽發影像報告醫師身分證號
... resultsInterpreter Σ 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | CareTeam) 主要結果的解釋者
... specimen 0..* Reference(Specimen) 此報告所依據的檢體
... result S 0..* Reference(TW Core Observation Laboratory Result) 檢驗檢查
... imagingStudy S 1..* Reference(DICOM影像-ImagingStudy TWPAS) 影像檢查的身體部位／DICOM影像，SNOMED CT
... media SΣ 0..* BackboneElement 非DICOM影像
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... comment 0..1 string 關於影像的意見（例如：解釋）。
.... link Σ 1..1 Reference(非DICOM影像-Media TWPAS) 參照的影像來源
... conclusion S 1..1 string 影像報告結果
... conclusionCode 0..* CodeableConceptTW 檢驗結果的臨床結論的代碼；應填入所綁定值集值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Binding: SNOMEDCTClinicalFindings (extensible)
... presentedForm 0..* Attachment 已發佈的整個報告

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryextensibleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.coderequiredICD10PCSImage
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-image
from this IG
DiagnosticReport.code.coding:TW2021ICD10PCSrequiredICD10PCSImage
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-image
from this IG
DiagnosticReport.conclusionCodeextensibleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from TWCoreDiagnosticReport

Summary

Mandatory: 4 elements(1 nested mandatory element)
Must-Support: 3 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DiagnosticReport.effective[x]

Differential View

This structure is derived from TWCoreDiagnosticReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport TWCoreDiagnosticReport
... category 0..1 CodeableConceptTW 服務類別
.... coding 1..1 CodingTW 由專門術語系統（terminology system）定義的代碼
... code 1..1 CodeableConceptTW 影像報告，ICD10-PCS
Binding: 臺灣健保署2021年中文版ICD 10 PCS-影像報告值集 (required)
.... Slices for coding Content/Rules for all slices
..... coding:LOINCObservationCode 0..0
..... coding:TWLaboratoryCategory 0..0
..... coding:TW2021ICD10PCS 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2021年中文版ICD 10 PCS-影像報告值集 (required)
... subject 1..1 Reference(病人資訊-Patient TWPAS) 報告的對象—通常但不總是病人
.... effective[x]:effectiveDateTime S 1..1 dateTime S 影像報告日期，YYYY-MM-DD
... performer 0..* Reference(醫事人員-Practitioner TWPAS) 簽發影像報告醫師身分證號
... imagingStudy S 1..* Reference(DICOM影像-ImagingStudy TWPAS) 影像檢查的身體部位／DICOM影像，SNOMED CT
... media S 0..* BackboneElement 非DICOM影像
.... link 1..1 Reference(非DICOM影像-Media TWPAS) 參照的影像來源
... conclusion 1..1 string 影像報告結果

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DiagnosticReport.coderequiredICD10PCSImage
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-image
from this IG
DiagnosticReport.code.coding:TW2021ICD10PCSrequiredICD10PCSImage
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-image
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* TWCoreDiagnosticReport 診斷報告—由請求資訊、不可被中斷的一個或一系列結果（atomic results）、影像、解釋以及格式化報告所組成。
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... modifierExtension ?! 0..* Extension 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。
... status ?!SΣ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): 診斷報告狀態；應填入所綁定值集中的其中一個代碼

.... coding S 1..1 CodingTW 由專門術語系統（terminology system）定義的代碼
.... text SΣ 0..1 string 概念的文字表示法
... code S 1..1 CodeableConceptTW 影像報告，ICD10-PCS
Binding: 臺灣健保署2021年中文版ICD 10 PCS-影像報告值集 (required)
.... Slices for coding S 0..* CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:$this
..... coding:TW2021ICD10PCS S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2021年中文版ICD 10 PCS-影像報告值集 (required)
...... system SΣ 0..1 uri 專門術語系統（terminology system）的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2021-tw
...... code SΣ 1..1 code 系統定義的語法之符號
...... display SΣ 0..1 string 由系統定義的表示法
.... text SΣ 0..1 string 概念的文字表示法
... subject SΣ 1..1 Reference(病人資訊-Patient TWPAS) 報告的對象—通常但不總是病人
... Slices for effective[x] SΣ 1..1 dateTime 與臨床相關的時間／報告的時段
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime 影像報告日期，YYYY-MM-DD
... issued SΣ 0..1 instant 此版本完成的日期時間
... performer SΣ 0..* Reference(醫事人員-Practitioner TWPAS) 簽發影像報告醫師身分證號
... result S 0..* Reference(TW Core Observation Laboratory Result) 檢驗檢查
... imagingStudy S 1..* Reference(DICOM影像-ImagingStudy TWPAS) 影像檢查的身體部位／DICOM影像，SNOMED CT
... media SΣ 0..* BackboneElement 非DICOM影像
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... link Σ 1..1 Reference(非DICOM影像-Media TWPAS) 參照的影像來源
... conclusion S 1..1 string 影像報告結果

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryextensibleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.coderequiredICD10PCSImage
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-image
from this IG
DiagnosticReport.code.coding:TW2021ICD10PCSrequiredICD10PCSImage
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-image
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* TWCoreDiagnosticReport 診斷報告—由請求資訊、不可被中斷的一個或一系列結果（atomic results）、影像、解釋以及格式化報告所組成。
... id Σ 0..1 id 不重複的ID用以識別儲存在特定FHIR Server中的DiagnosticReport紀錄，通常又稱為邏輯性ID。
... meta Σ 0..1 Meta 此DiagnosticReport Resource的metadata
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... text 0..1 Narrative DiagnosticReport Resource之內容摘要以供人閱讀
... contained 0..* Resource 內嵌的（contained）、行內的Resources
... extension 0..* Extension 擴充的資料項目
... modifierExtension ?! 0..* Extension 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。
... identifier Σ 0..* Identifier 報告的業務用識別碼
... basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | ServiceRequest) 此報告是基於什麼服務的請求
... status ?!SΣ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): 診斷報告狀態；應填入所綁定值集中的其中一個代碼

... category S 0..1 CodeableConceptTW 服務類別
Binding: DiagnosticServiceSectionCodes (extensible): 診斷報告分類；應填入所綁定值集值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。


.... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... coding S 1..1 CodingTW 由專門術語系統（terminology system）定義的代碼
.... text SΣ 0..1 string 概念的文字表示法
... code S 1..1 CodeableConceptTW 影像報告，ICD10-PCS
Binding: 臺灣健保署2021年中文版ICD 10 PCS-影像報告值集 (required)
.... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... Slices for coding S 0..* CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:$this
..... coding:TW2021ICD10PCS S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2021年中文版ICD 10 PCS-影像報告值集 (required)
...... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... system SΣ 0..1 uri 專門術語系統（terminology system）的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2021-tw
...... version Σ 0..1 string 系統的版本—如果相關的話
...... code SΣ 1..1 code 系統定義的語法之符號
...... display SΣ 0..1 string 由系統定義的表示法
...... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇？
.... text SΣ 0..1 string 概念的文字表示法
... subject SΣ 1..1 Reference(病人資訊-Patient TWPAS) 報告的對象—通常但不總是病人
... encounter Σ 0..1 Reference(TW Core Encounter) 請求檢驗時的健康照護事件
... Slices for effective[x] SΣ 1..1 dateTime S 與臨床相關的時間／報告的時段
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime S 影像報告日期，YYYY-MM-DD
... issued SΣ 0..1 instant 此版本完成的日期時間
... performer SΣ 0..* Reference(醫事人員-Practitioner TWPAS) 簽發影像報告醫師身分證號
... resultsInterpreter Σ 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | CareTeam) 主要結果的解釋者
... specimen 0..* Reference(Specimen) 此報告所依據的檢體
... result S 0..* Reference(TW Core Observation Laboratory Result) 檢驗檢查
... imagingStudy S 1..* Reference(DICOM影像-ImagingStudy TWPAS) 影像檢查的身體部位／DICOM影像，SNOMED CT
... media SΣ 0..* BackboneElement 非DICOM影像
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... comment 0..1 string 關於影像的意見（例如：解釋）。
.... link Σ 1..1 Reference(非DICOM影像-Media TWPAS) 參照的影像來源
... conclusion S 1..1 string 影像報告結果
... conclusionCode 0..* CodeableConceptTW 檢驗結果的臨床結論的代碼；應填入所綁定值集值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Binding: SNOMEDCTClinicalFindings (extensible)
... presentedForm 0..* Attachment 已發佈的整個報告

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryextensibleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.coderequiredICD10PCSImage
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-image
from this IG
DiagnosticReport.code.coding:TW2021ICD10PCSrequiredICD10PCSImage
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-image
from this IG
DiagnosticReport.conclusionCodeextensibleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from TWCoreDiagnosticReport

Summary

Mandatory: 4 elements(1 nested mandatory element)
Must-Support: 3 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DiagnosticReport.effective[x]

 

Other representations of profile: CSV, Excel, Schematron