This page is part of the 臺灣癌症用藥事前審查實作指引(TWPAS IG) (v1.0.4: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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Resource Profile: DICOM影像-ImagingStudy TWPAS

此DICOM影像-ImagingStudy TWPAS Profile說明本IG如何進一步定義臺灣核心-影像檢查(TW Core ImagingStudy) Profile以呈現癌藥事前審查中疾病資訊之影像報告的影像檢查的身體部位及DICOM影像

Usage:

• Use this Resource Profile: 事前審查-Bundle TWPAS
• Refer to this Resource Profile: 影像報告-DiagnosticReport Image TWPAS
• Examples for this Resource Profile: ImagingStudy/imaStu-min
• CapabilityStatements using this Resource Profile: 臺灣癌藥事前審查-用戶端(TWPAS Client) and 臺灣癌藥事前審查-伺服端(TWPAS Server)

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy		0..*	TWCoreImagingStudy	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】 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	SΣ	1..*	Identifier	整項影像檢查的識別碼 Slice: Unordered, Closed by value:system ele-1: All FHIR elements must have a @value or children
identifier:study-uid	SΣ	1..1	Identifier	整項影像檢查的識別碼。上傳至健保署時，必要填寫 DICOM 檢查實例 UID (Study Instance UID) ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Required Pattern: urn:dicom:uid
value	SΣC	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children StudyUID: 以`urn:oid:`開頭，後接一串由數字`0`-`9`及`.`組成的字串。第一個數字須為個位數，每個數字不得為`0`開頭（除非為單一的`0`），整體(不含`urn:oid:`)長度不得超過64 bytes。 Example General: 123456 Example General: urn:oid:2.16.886.2102.54.4546465747.465465465 Example General: urn:oid:2.16.886.2102.54.4546465747.0.46546546
status	?!Σ	1..1	code	registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): 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。 ele-1: All FHIR elements must have a @value or children
modality	SΣ	0..*	Coding	列出所有系列中用於實際影像獲取的儀器類型 Binding: HL7-AcquisitionModality值集 (extensible) ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(病人資訊-Patient TWPAS)	誰或什麼是影像檢查的對象 ele-1: All FHIR elements must have a @value or children
started	SΣ	0..1	dateTime	影像檢查何時開始 ele-1: All FHIR elements must have a @value or children Example General: 2011-01-01T11:01:20+03:00
procedureCode	S	0..*	CodeableConceptTW	執行的處置代碼 Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): 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。 ele-1: All FHIR elements must have a @value or children
Slices for coding	S	0..*	CodingTW	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。 Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
coding:radLex-radiology-lexicon	S	0..1	CodingTW	應填入所綁定值集中的其中一個代碼。 Binding: http://www.rsna.org/RadLex_Playbook.aspx (required) ele-1: All FHIR elements must have a @value or children
coding:icd10-pcs-2021	S	0..1	CodingTW	此為臺灣健保署2021年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
coding:icd10-pcs-2023	S	0..1	CodingTW	此為臺灣健保署2023年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
reasonCode	S	0..*	CodeableConceptTW	為什麼進行此影像檢查 Binding: ProcedureReasonCodes (extensible): 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。 ele-1: All FHIR elements must have a @value or children
series	SΣ	1..*	BackboneElement	每項影像檢查有一個或多個系列(series)的實例 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
uid	SΣ	1..1	id	此系列的DICOM系列實例UID ele-1: All FHIR elements must have a @value or children Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
modality	SΣ	1..1	Coding	此系列實例所使用的成像儀器 Binding: HL7-AcquisitionModality值集 (extensible) ele-1: All FHIR elements must have a @value or children
bodySite	SΣ	0..1	Coding	影像檢查的身體部位 Binding: SNOMEDCT-健保事前審查-身體部位值集 (required) ele-1: All FHIR elements must have a @value or children
instance	S	0..*	BackboneElement	系列中的一個SOP實例 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
uid	S	1..1	id	DICOM影像。1.填寫DICOM欄位至ImagingStudy: Study Instance UID, Series Instance UID, SOP Instance, Modality, SOP Class UID。2.其餘資訊需額外填寫，包含: Status，影像檢查的身體部位 (SNOMED CT)、Procedure Code等。3.上傳影像需打包成DICOMDIR且壓縮成DCF。 ele-1: All FHIR elements must have a @value or children Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
sopClass	S	1..1	Coding	DICOM class 類型 Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): 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。 ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ImagingStudy.identifier:study-uid.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ImagingStudy.status	required	ImagingStudyStatus http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1 from the FHIR Standard
ImagingStudy.modality	extensible	AcquisitionModality https://nhicore.nhi.gov.tw/pas/ValueSet/dicom-cid-29-AcquisitionModality from this IG
ImagingStudy.procedureCode	extensible	http://www.rsna.org/RadLex_Playbook.aspx http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:radLex-radiology-lexicon	required	http://www.rsna.org/RadLex_Playbook.aspx http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:icd10-pcs-2021	required	TW2021ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
ImagingStudy.procedureCode.coding:icd10-pcs-2023	required	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
ImagingStudy.reasonCode	extensible	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ImagingStudy.series.modality	extensible	AcquisitionModality https://nhicore.nhi.gov.tw/pas/ValueSet/dicom-cid-29-AcquisitionModality from this IG
ImagingStudy.series.bodySite	required	SNOMEDCTBodySite https://nhicore.nhi.gov.tw/pas/ValueSet/body-site from this IG
ImagingStudy.series.instance.sopClass	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Constraints

Id	Grade	Path(s)	Details	Requirements
StudyUID	error	ImagingStudy.identifier:study-uid.value	以`urn:oid:`開頭，後接一串由數字`0`-`9`及`.`組成的字串。第一個數字須為個位數，每個數字不得為`0`開頭（除非為單一的`0`），整體(不含`urn:oid:`)長度不得超過64 bytes。 : value.matches('^urn:oid:(0|[1-9])(.(0|[1-9][0-9]*)){0,63}$')
dom-2	error	ImagingStudy	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImagingStudy	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	error	ImagingStudy	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	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImagingStudy	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from TWCoreImagingStudy

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy			TWCoreImagingStudy
Slices for identifier		1..*	Identifier	整項影像檢查的識別碼 Slice: Unordered, Closed by value:system
identifier:study-uid	S	1..1	Identifier	整項影像檢查的識別碼。上傳至健保署時，必要填寫 DICOM 檢查實例 UID (Study Instance UID)
system	S	1..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
value	SC	1..1	string	The value that is unique StudyUID: 以`urn:oid:`開頭，後接一串由數字`0`-`9`及`.`組成的字串。第一個數字須為個位數，每個數字不得為`0`開頭（除非為單一的`0`），整體(不含`urn:oid:`)長度不得超過64 bytes。 Example General: urn:oid:2.16.886.2102.54.4546465747.465465465 Example General: urn:oid:2.16.886.2102.54.4546465747.0.46546546
modality		0..*	Coding	列出所有系列中用於實際影像獲取的儀器類型 Binding: HL7-AcquisitionModality值集 (extensible)
subject		1..1	Reference(病人資訊-Patient TWPAS)	誰或什麼是影像檢查的對象
series		1..*	BackboneElement	每項影像檢查有一個或多個系列(series)的實例
modality		1..1	Coding	此系列實例所使用的成像儀器 Binding: HL7-AcquisitionModality值集 (extensible)
bodySite	S	0..1	Coding	影像檢查的身體部位 Binding: SNOMEDCT-健保事前審查-身體部位值集 (required)
instance
uid		1..1	id	DICOM影像。1.填寫DICOM欄位至ImagingStudy: Study Instance UID, Series Instance UID, SOP Instance, Modality, SOP Class UID。2.其餘資訊需額外填寫，包含: Status，影像檢查的身體部位 (SNOMED CT)、Procedure Code等。3.上傳影像需打包成DICOMDIR且壓縮成DCF。
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ImagingStudy.modality	extensible	AcquisitionModality https://nhicore.nhi.gov.tw/pas/ValueSet/dicom-cid-29-AcquisitionModality from this IG
ImagingStudy.series.modality	extensible	AcquisitionModality https://nhicore.nhi.gov.tw/pas/ValueSet/dicom-cid-29-AcquisitionModality from this IG
ImagingStudy.series.bodySite	required	SNOMEDCTBodySite https://nhicore.nhi.gov.tw/pas/ValueSet/body-site from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
StudyUID	error	ImagingStudy.identifier:study-uid.value	以`urn:oid:`開頭，後接一串由數字`0`-`9`及`.`組成的字串。第一個數字須為個位數，每個數字不得為`0`開頭（除非為單一的`0`），整體(不含`urn:oid:`)長度不得超過64 bytes。 : value.matches('^urn:oid:(0|[1-9])(.(0|[1-9][0-9]*)){0,63}$')

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy		0..*	TWCoreImagingStudy	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】
id	Σ	0..1	id	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。
meta	Σ	0..1	Meta	此ImagingStudy Resource的metadata
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
language		0..1	code	用以表述ImagingStudy Resource內容的語言。 Binding: CommonLanguages (preferred): 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 Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
text		0..1	Narrative	ImagingStudy Resource之內容摘要以供人閱讀
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	整項影像檢查的識別碼 Slice: Unordered, Closed by value:system
identifier:study-uid	SΣ	1..1	Identifier	整項影像檢查的識別碼。上傳至健保署時，必要填寫 DICOM 檢查實例 UID (Study Instance UID)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
value	SΣC	1..1	string	The value that is unique StudyUID: 以`urn:oid:`開頭，後接一串由數字`0`-`9`及`.`組成的字串。第一個數字須為個位數，每個數字不得為`0`開頭（除非為單一的`0`），整體(不含`urn:oid:`)長度不得超過64 bytes。 Example General: 123456 Example General: urn:oid:2.16.886.2102.54.4546465747.465465465 Example General: urn:oid:2.16.886.2102.54.4546465747.0.46546546
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): 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。
modality	SΣ	0..*	Coding	列出所有系列中用於實際影像獲取的儀器類型 Binding: HL7-AcquisitionModality值集 (extensible)
subject	SΣ	1..1	Reference(病人資訊-Patient TWPAS)	誰或什麼是影像檢查的對象
encounter	Σ	0..1	Reference(TW Core Encounter)	與此影像檢查有關的就醫事件(Encounter)
started	SΣ	0..1	dateTime	影像檢查何時開始 Example General: 2011-01-01T11:01:20+03:00
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)	要求執行此影像檢查的依據
referrer	Σ	0..1	Reference(TW Core Practitioner | TW Core PractitionerRole)	轉診醫師
interpreter	Σ	0..*	Reference(TW Core Practitioner | TW Core PractitionerRole)	誰解讀了影像
endpoint	Σ	0..*	Reference(Endpoint)	影像檢查存取的端點(endpoint)
numberOfSeries	Σ	0..1	unsignedInt	影像檢查相關Series的數量
numberOfInstances	Σ	0..1	unsignedInt	影像檢查相關Instances的數量
procedureReference	Σ	0..1	Reference(TW Core Procedure)	所執行的處置(Procedure)參照
procedureCode	S	0..*	CodeableConceptTW	執行的處置代碼 Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): 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。
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	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。 Slice: Unordered, Open by pattern:$this
coding:radLex-radiology-lexicon	S	0..1	CodingTW	應填入所綁定值集中的其中一個代碼。 Binding: http://www.rsna.org/RadLex_Playbook.aspx (required)
coding:icd10-pcs-2021	S	0..1	CodingTW	此為臺灣健保署2021年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。
coding:icd10-pcs-2023	S	0..1	CodingTW	此為臺灣健保署2023年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。
text	SΣ	0..1	string	概念的文字表示法
location	Σ	0..1	Reference(TW Core Location)	影像檢查發生的地點
reasonCode	S	0..*	CodeableConceptTW	為什麼進行此影像檢查 Binding: ProcedureReasonCodes (extensible): 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。
reasonReference	Σ	0..*	Reference(TW Core Condition | TW Core Observation Laboratory Result | Media | TW Core DiagnosticReport | DocumentReference)	為什麼進行此影像檢查
note	Σ	0..*	Annotation	用戶自定義的評論
description	Σ	0..1	string	機構產生的描述
series	SΣ	1..*	BackboneElement	每項影像檢查有一個或多個系列(series)的實例
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
uid	SΣ	1..1	id	此系列的DICOM系列實例UID Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
number	Σ	0..1	unsignedInt	此系列的數字識別碼 Example General: 3
modality	SΣ	1..1	Coding	此系列實例所使用的成像儀器 Binding: HL7-AcquisitionModality值集 (extensible)
description	Σ	0..1	string	對此系列的一個簡短且易於閱讀的摘要 Example General: CT Surview 180
numberOfInstances	Σ	0..1	unsignedInt	此Series相關Instances的數量
endpoint	Σ	0..*	Reference(Endpoint)	此系列的存取端點
bodySite	SΣ	0..1	Coding	影像檢查的身體部位 Binding: SNOMEDCT-健保事前審查-身體部位值集 (required)
laterality	Σ	0..1	Coding	身體部位的側性 Binding: Laterality (extensible): 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。
specimen	Σ	0..*	Reference(TW Core Specimen)	要進行影像檢查的檢體
started	Σ	0..1	dateTime	此系列何時開始的
performer	Σ	0..*	BackboneElement	誰執行了此系列
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
function		0..1	CodeableConceptTW	執行的類型 Binding: ImagingStudySeriesPerformerFunction (extensible): 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。
actor	Σ	1..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core CareTeam | TW Core Patient | Device | TW Core RelatedPerson)	誰執行了此系列
instance	S	0..*	BackboneElement	系列中的一個SOP實例
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
uid	S	1..1	id	DICOM影像。1.填寫DICOM欄位至ImagingStudy: Study Instance UID, Series Instance UID, SOP Instance, Modality, SOP Class UID。2.其餘資訊需額外填寫，包含: Status，影像檢查的身體部位 (SNOMED CT)、Procedure Code等。3.上傳影像需打包成DICOMDIR且壓縮成DCF。 Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
sopClass	S	1..1	Coding	DICOM class 類型 Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): 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。
number		0..1	unsignedInt	此系列中該實例的序號 Example General: 1
title		0..1	string	實例的描述
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ImagingStudy.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ImagingStudy.identifier:study-uid.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ImagingStudy.identifier:study-uid.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
ImagingStudy.status	required	ImagingStudyStatus http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1 from the FHIR Standard
ImagingStudy.modality	extensible	AcquisitionModality https://nhicore.nhi.gov.tw/pas/ValueSet/dicom-cid-29-AcquisitionModality from this IG
ImagingStudy.procedureCode	extensible	http://www.rsna.org/RadLex_Playbook.aspx http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:radLex-radiology-lexicon	required	http://www.rsna.org/RadLex_Playbook.aspx http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:icd10-pcs-2021	required	TW2021ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
ImagingStudy.procedureCode.coding:icd10-pcs-2023	required	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
ImagingStudy.reasonCode	extensible	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ImagingStudy.series.modality	extensible	AcquisitionModality https://nhicore.nhi.gov.tw/pas/ValueSet/dicom-cid-29-AcquisitionModality from this IG
ImagingStudy.series.bodySite	required	SNOMEDCTBodySite https://nhicore.nhi.gov.tw/pas/ValueSet/body-site from this IG
ImagingStudy.series.laterality	extensible	Laterality http://hl7.org/fhir/ValueSet/bodysite-laterality from the FHIR Standard
ImagingStudy.series.performer.function	extensible	ImagingStudySeriesPerformerFunction http://hl7.org/fhir/ValueSet/series-performer-function from the FHIR Standard
ImagingStudy.series.instance.sopClass	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Constraints

Id	Grade	Path(s)	Details	Requirements
StudyUID	error	ImagingStudy.identifier:study-uid.value	以`urn:oid:`開頭，後接一串由數字`0`-`9`及`.`組成的字串。第一個數字須為個位數，每個數字不得為`0`開頭（除非為單一的`0`），整體(不含`urn:oid:`)長度不得超過64 bytes。 : value.matches('^urn:oid:(0|[1-9])(.(0|[1-9][0-9]*)){0,63}$')
dom-2	error	ImagingStudy	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImagingStudy	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	error	ImagingStudy	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	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImagingStudy	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from TWCoreImagingStudy

Summary

Mandatory: 5 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ImagingStudy.identifier (Closed)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy		0..*	TWCoreImagingStudy	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】 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	SΣ	1..*	Identifier	整項影像檢查的識別碼 Slice: Unordered, Closed by value:system ele-1: All FHIR elements must have a @value or children
identifier:study-uid	SΣ	1..1	Identifier	整項影像檢查的識別碼。上傳至健保署時，必要填寫 DICOM 檢查實例 UID (Study Instance UID) ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Required Pattern: urn:dicom:uid
value	SΣC	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children StudyUID: 以`urn:oid:`開頭，後接一串由數字`0`-`9`及`.`組成的字串。第一個數字須為個位數，每個數字不得為`0`開頭（除非為單一的`0`），整體(不含`urn:oid:`)長度不得超過64 bytes。 Example General: 123456 Example General: urn:oid:2.16.886.2102.54.4546465747.465465465 Example General: urn:oid:2.16.886.2102.54.4546465747.0.46546546
status	?!Σ	1..1	code	registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): 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。 ele-1: All FHIR elements must have a @value or children
modality	SΣ	0..*	Coding	列出所有系列中用於實際影像獲取的儀器類型 Binding: HL7-AcquisitionModality值集 (extensible) ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(病人資訊-Patient TWPAS)	誰或什麼是影像檢查的對象 ele-1: All FHIR elements must have a @value or children
started	SΣ	0..1	dateTime	影像檢查何時開始 ele-1: All FHIR elements must have a @value or children Example General: 2011-01-01T11:01:20+03:00
procedureCode	S	0..*	CodeableConceptTW	執行的處置代碼 Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): 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。 ele-1: All FHIR elements must have a @value or children
Slices for coding	S	0..*	CodingTW	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。 Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
coding:radLex-radiology-lexicon	S	0..1	CodingTW	應填入所綁定值集中的其中一個代碼。 Binding: http://www.rsna.org/RadLex_Playbook.aspx (required) ele-1: All FHIR elements must have a @value or children
coding:icd10-pcs-2021	S	0..1	CodingTW	此為臺灣健保署2021年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
coding:icd10-pcs-2023	S	0..1	CodingTW	此為臺灣健保署2023年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
reasonCode	S	0..*	CodeableConceptTW	為什麼進行此影像檢查 Binding: ProcedureReasonCodes (extensible): 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。 ele-1: All FHIR elements must have a @value or children
series	SΣ	1..*	BackboneElement	每項影像檢查有一個或多個系列(series)的實例 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
uid	SΣ	1..1	id	此系列的DICOM系列實例UID ele-1: All FHIR elements must have a @value or children Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
modality	SΣ	1..1	Coding	此系列實例所使用的成像儀器 Binding: HL7-AcquisitionModality值集 (extensible) ele-1: All FHIR elements must have a @value or children
bodySite	SΣ	0..1	Coding	影像檢查的身體部位 Binding: SNOMEDCT-健保事前審查-身體部位值集 (required) ele-1: All FHIR elements must have a @value or children
instance	S	0..*	BackboneElement	系列中的一個SOP實例 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
uid	S	1..1	id	DICOM影像。1.填寫DICOM欄位至ImagingStudy: Study Instance UID, Series Instance UID, SOP Instance, Modality, SOP Class UID。2.其餘資訊需額外填寫，包含: Status，影像檢查的身體部位 (SNOMED CT)、Procedure Code等。3.上傳影像需打包成DICOMDIR且壓縮成DCF。 ele-1: All FHIR elements must have a @value or children Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
sopClass	S	1..1	Coding	DICOM class 類型 Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): 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。 ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ImagingStudy.identifier:study-uid.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ImagingStudy.status	required	ImagingStudyStatus http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1 from the FHIR Standard
ImagingStudy.modality	extensible	AcquisitionModality https://nhicore.nhi.gov.tw/pas/ValueSet/dicom-cid-29-AcquisitionModality from this IG
ImagingStudy.procedureCode	extensible	http://www.rsna.org/RadLex_Playbook.aspx http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:radLex-radiology-lexicon	required	http://www.rsna.org/RadLex_Playbook.aspx http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:icd10-pcs-2021	required	TW2021ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
ImagingStudy.procedureCode.coding:icd10-pcs-2023	required	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
ImagingStudy.reasonCode	extensible	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ImagingStudy.series.modality	extensible	AcquisitionModality https://nhicore.nhi.gov.tw/pas/ValueSet/dicom-cid-29-AcquisitionModality from this IG
ImagingStudy.series.bodySite	required	SNOMEDCTBodySite https://nhicore.nhi.gov.tw/pas/ValueSet/body-site from this IG
ImagingStudy.series.instance.sopClass	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Constraints

Id	Grade	Path(s)	Details	Requirements
StudyUID	error	ImagingStudy.identifier:study-uid.value	以`urn:oid:`開頭，後接一串由數字`0`-`9`及`.`組成的字串。第一個數字須為個位數，每個數字不得為`0`開頭（除非為單一的`0`），整體(不含`urn:oid:`)長度不得超過64 bytes。 : value.matches('^urn:oid:(0|[1-9])(.(0|[1-9][0-9]*)){0,63}$')
dom-2	error	ImagingStudy	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImagingStudy	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	error	ImagingStudy	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	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImagingStudy	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from TWCoreImagingStudy

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy			TWCoreImagingStudy
Slices for identifier		1..*	Identifier	整項影像檢查的識別碼 Slice: Unordered, Closed by value:system
identifier:study-uid	S	1..1	Identifier	整項影像檢查的識別碼。上傳至健保署時，必要填寫 DICOM 檢查實例 UID (Study Instance UID)
system	S	1..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
value	SC	1..1	string	The value that is unique StudyUID: 以`urn:oid:`開頭，後接一串由數字`0`-`9`及`.`組成的字串。第一個數字須為個位數，每個數字不得為`0`開頭（除非為單一的`0`），整體(不含`urn:oid:`)長度不得超過64 bytes。 Example General: urn:oid:2.16.886.2102.54.4546465747.465465465 Example General: urn:oid:2.16.886.2102.54.4546465747.0.46546546
modality		0..*	Coding	列出所有系列中用於實際影像獲取的儀器類型 Binding: HL7-AcquisitionModality值集 (extensible)
subject		1..1	Reference(病人資訊-Patient TWPAS)	誰或什麼是影像檢查的對象
series		1..*	BackboneElement	每項影像檢查有一個或多個系列(series)的實例
modality		1..1	Coding	此系列實例所使用的成像儀器 Binding: HL7-AcquisitionModality值集 (extensible)
bodySite	S	0..1	Coding	影像檢查的身體部位 Binding: SNOMEDCT-健保事前審查-身體部位值集 (required)
instance
uid		1..1	id	DICOM影像。1.填寫DICOM欄位至ImagingStudy: Study Instance UID, Series Instance UID, SOP Instance, Modality, SOP Class UID。2.其餘資訊需額外填寫，包含: Status，影像檢查的身體部位 (SNOMED CT)、Procedure Code等。3.上傳影像需打包成DICOMDIR且壓縮成DCF。
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ImagingStudy.modality	extensible	AcquisitionModality https://nhicore.nhi.gov.tw/pas/ValueSet/dicom-cid-29-AcquisitionModality from this IG
ImagingStudy.series.modality	extensible	AcquisitionModality https://nhicore.nhi.gov.tw/pas/ValueSet/dicom-cid-29-AcquisitionModality from this IG
ImagingStudy.series.bodySite	required	SNOMEDCTBodySite https://nhicore.nhi.gov.tw/pas/ValueSet/body-site from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
StudyUID	error	ImagingStudy.identifier:study-uid.value	以`urn:oid:`開頭，後接一串由數字`0`-`9`及`.`組成的字串。第一個數字須為個位數，每個數字不得為`0`開頭（除非為單一的`0`），整體(不含`urn:oid:`)長度不得超過64 bytes。 : value.matches('^urn:oid:(0|[1-9])(.(0|[1-9][0-9]*)){0,63}$')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ImagingStudy		0..*	TWCoreImagingStudy	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】
id	Σ	0..1	id	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。
meta	Σ	0..1	Meta	此ImagingStudy Resource的metadata
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
language		0..1	code	用以表述ImagingStudy Resource內容的語言。 Binding: CommonLanguages (preferred): 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 Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
text		0..1	Narrative	ImagingStudy Resource之內容摘要以供人閱讀
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	整項影像檢查的識別碼 Slice: Unordered, Closed by value:system
identifier:study-uid	SΣ	1..1	Identifier	整項影像檢查的識別碼。上傳至健保署時，必要填寫 DICOM 檢查實例 UID (Study Instance UID)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: urn:dicom:uid
value	SΣC	1..1	string	The value that is unique StudyUID: 以`urn:oid:`開頭，後接一串由數字`0`-`9`及`.`組成的字串。第一個數字須為個位數，每個數字不得為`0`開頭（除非為單一的`0`），整體(不含`urn:oid:`)長度不得超過64 bytes。 Example General: 123456 Example General: urn:oid:2.16.886.2102.54.4546465747.465465465 Example General: urn:oid:2.16.886.2102.54.4546465747.0.46546546
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	registered | available | cancelled | entered-in-error | unknown Binding: ImagingStudyStatus (required): 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。
modality	SΣ	0..*	Coding	列出所有系列中用於實際影像獲取的儀器類型 Binding: HL7-AcquisitionModality值集 (extensible)
subject	SΣ	1..1	Reference(病人資訊-Patient TWPAS)	誰或什麼是影像檢查的對象
encounter	Σ	0..1	Reference(TW Core Encounter)	與此影像檢查有關的就醫事件(Encounter)
started	SΣ	0..1	dateTime	影像檢查何時開始 Example General: 2011-01-01T11:01:20+03:00
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)	要求執行此影像檢查的依據
referrer	Σ	0..1	Reference(TW Core Practitioner | TW Core PractitionerRole)	轉診醫師
interpreter	Σ	0..*	Reference(TW Core Practitioner | TW Core PractitionerRole)	誰解讀了影像
endpoint	Σ	0..*	Reference(Endpoint)	影像檢查存取的端點(endpoint)
numberOfSeries	Σ	0..1	unsignedInt	影像檢查相關Series的數量
numberOfInstances	Σ	0..1	unsignedInt	影像檢查相關Instances的數量
procedureReference	Σ	0..1	Reference(TW Core Procedure)	所執行的處置(Procedure)參照
procedureCode	S	0..*	CodeableConceptTW	執行的處置代碼 Binding: http://www.rsna.org/RadLex_Playbook.aspx (extensible): 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。
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	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。 Slice: Unordered, Open by pattern:$this
coding:radLex-radiology-lexicon	S	0..1	CodingTW	應填入所綁定值集中的其中一個代碼。 Binding: http://www.rsna.org/RadLex_Playbook.aspx (required)
coding:icd10-pcs-2021	S	0..1	CodingTW	此為臺灣健保署2021年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。
coding:icd10-pcs-2023	S	0..1	CodingTW	此為臺灣健保署2023年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 應填入所綁定值集中的其中一個代碼。
text	SΣ	0..1	string	概念的文字表示法
location	Σ	0..1	Reference(TW Core Location)	影像檢查發生的地點
reasonCode	S	0..*	CodeableConceptTW	為什麼進行此影像檢查 Binding: ProcedureReasonCodes (extensible): 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。
reasonReference	Σ	0..*	Reference(TW Core Condition | TW Core Observation Laboratory Result | Media | TW Core DiagnosticReport | DocumentReference)	為什麼進行此影像檢查
note	Σ	0..*	Annotation	用戶自定義的評論
description	Σ	0..1	string	機構產生的描述
series	SΣ	1..*	BackboneElement	每項影像檢查有一個或多個系列(series)的實例
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
uid	SΣ	1..1	id	此系列的DICOM系列實例UID Example General: 2.16.124.113543.6003.2588828330.45298.17418.2723805630
number	Σ	0..1	unsignedInt	此系列的數字識別碼 Example General: 3
modality	SΣ	1..1	Coding	此系列實例所使用的成像儀器 Binding: HL7-AcquisitionModality值集 (extensible)
description	Σ	0..1	string	對此系列的一個簡短且易於閱讀的摘要 Example General: CT Surview 180
numberOfInstances	Σ	0..1	unsignedInt	此Series相關Instances的數量
endpoint	Σ	0..*	Reference(Endpoint)	此系列的存取端點
bodySite	SΣ	0..1	Coding	影像檢查的身體部位 Binding: SNOMEDCT-健保事前審查-身體部位值集 (required)
laterality	Σ	0..1	Coding	身體部位的側性 Binding: Laterality (extensible): 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。
specimen	Σ	0..*	Reference(TW Core Specimen)	要進行影像檢查的檢體
started	Σ	0..1	dateTime	此系列何時開始的
performer	Σ	0..*	BackboneElement	誰執行了此系列
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
function		0..1	CodeableConceptTW	執行的類型 Binding: ImagingStudySeriesPerformerFunction (extensible): 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。
actor	Σ	1..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core CareTeam | TW Core Patient | Device | TW Core RelatedPerson)	誰執行了此系列
instance	S	0..*	BackboneElement	系列中的一個SOP實例
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
uid	S	1..1	id	DICOM影像。1.填寫DICOM欄位至ImagingStudy: Study Instance UID, Series Instance UID, SOP Instance, Modality, SOP Class UID。2.其餘資訊需額外填寫，包含: Status，影像檢查的身體部位 (SNOMED CT)、Procedure Code等。3.上傳影像需打包成DICOMDIR且壓縮成DCF。 Example General: 2.16.124.113543.6003.189642796.63084.16748.2599092903
sopClass	S	1..1	Coding	DICOM class 類型 Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible): 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。
number		0..1	unsignedInt	此系列中該實例的序號 Example General: 1
title		0..1	string	實例的描述
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ImagingStudy.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ImagingStudy.identifier:study-uid.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ImagingStudy.identifier:study-uid.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
ImagingStudy.status	required	ImagingStudyStatus http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1 from the FHIR Standard
ImagingStudy.modality	extensible	AcquisitionModality https://nhicore.nhi.gov.tw/pas/ValueSet/dicom-cid-29-AcquisitionModality from this IG
ImagingStudy.procedureCode	extensible	http://www.rsna.org/RadLex_Playbook.aspx http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:radLex-radiology-lexicon	required	http://www.rsna.org/RadLex_Playbook.aspx http://www.rsna.org/RadLex_Playbook.aspx
ImagingStudy.procedureCode.coding:icd10-pcs-2021	required	TW2021ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
ImagingStudy.procedureCode.coding:icd10-pcs-2023	required	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
ImagingStudy.reasonCode	extensible	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
ImagingStudy.series.modality	extensible	AcquisitionModality https://nhicore.nhi.gov.tw/pas/ValueSet/dicom-cid-29-AcquisitionModality from this IG
ImagingStudy.series.bodySite	required	SNOMEDCTBodySite https://nhicore.nhi.gov.tw/pas/ValueSet/body-site from this IG
ImagingStudy.series.laterality	extensible	Laterality http://hl7.org/fhir/ValueSet/bodysite-laterality from the FHIR Standard
ImagingStudy.series.performer.function	extensible	ImagingStudySeriesPerformerFunction http://hl7.org/fhir/ValueSet/series-performer-function from the FHIR Standard
ImagingStudy.series.instance.sopClass	extensible	http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1

Constraints

Id	Grade	Path(s)	Details	Requirements
StudyUID	error	ImagingStudy.identifier:study-uid.value	以`urn:oid:`開頭，後接一串由數字`0`-`9`及`.`組成的字串。第一個數字須為個位數，每個數字不得為`0`開頭（除非為單一的`0`），整體(不含`urn:oid:`)長度不得超過64 bytes。 : value.matches('^urn:oid:(0|[1-9])(.(0|[1-9][0-9]*)){0,63}$')
dom-2	error	ImagingStudy	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ImagingStudy	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	error	ImagingStudy	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	error	ImagingStudy	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ImagingStudy	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from TWCoreImagingStudy

Summary

Mandatory: 5 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ImagingStudy.identifier (Closed)

Other representations of profile: CSV, Excel, Schematron