description: 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
package_name: tw.gov.mohw.nhi.pas
derivation: constraint
name: DiagnosticReportImageTWPAS
type: DiagnosticReport
elements:
  category:
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: imagingReport, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'}
    index: 2
    elements:
      coding: {index: 3}
    required: [coding]
  conclusion: {short: 影像報告結果，請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。, mustSupport: true, index: 26}
  meta:
    index: 0
    elements:
      profile:
        pattern: {type: Canonical, value: 'https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-image-twpas'}
        index: 1
    required: [profile]
  effectiveDateTime:
    short: 影像報告日期，YYYY-MM-DD
    type: dateTime
    mustSupport: true
    choiceOf: effective
    index: 21
    slicing:
      slices:
        effectiveDateTime:
          match: {}
          schema: {short: 影像報告日期，YYYY-MM-DD, type: dateTime, mustSupport: true, _required: true, choiceOf: effective, index: 21}
          min: 1
          max: 1
  effective:
    choices: []
    index: 18
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: $this, type: type}
      min: 1
      slices:
        effectiveDateTime:
          match: {}
          schema:
            short: 影像報告日期，YYYY-MM-DD
            mustSupport: true
            choices: [effectiveDateTime]
            _required: true
            index: 20
          min: 1
          max: 1
  code:
    short: 影像報告，ICD-10-PCS。外院報告請依ICD-10-PCS填寫，若無法對應，可使用LOINC代碼呈現。
    binding: {strength: preferred, valueSet: 'https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-image'}
    index: 4
    elements:
      coding:
        index: 5
        slicing:
          rules: closed
          discriminator:
          - {path: system, type: value}
          min: 1
          max: 1
          slices:
            TW2023ICD10PCS:
              match: {system: 'https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw'}
              schema:
                short: 2023年中文版ICD 10 PCS-影像報告值集
                binding: {strength: extensible, valueSet: 'https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-image'}
                mustSupport: true
                index: 6
                elements:
                  system:
                    pattern: {type: Uri, value: 'https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw'}
                    mustSupport: true
                    index: 7
                  code: {mustSupport: true, index: 8}
                required: [system, code]
            TW2014ICD10PCS:
              match: {system: 'https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw'}
              schema:
                short: 2014年中文版ICD 10 PCS-影像報告值集
                binding: {strength: extensible, valueSet: 'https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2014-image'}
                mustSupport: true
                index: 9
                elements:
                  system:
                    pattern: {type: Uri, value: 'https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw'}
                    mustSupport: true
                    index: 10
                  code: {mustSupport: true, index: 11}
                required: [system, code]
            LOINC:
              match: {system: 'http://loinc.org'}
              schema:
                short: 外院報告請依ICD-10-PCS填寫，若無法對應，可使用LOINC代碼呈現。
                binding: {strength: extensible, valueSet: 'https://nhicore.nhi.gov.tw/pas/ValueSet/imaging-report'}
                mustSupport: true
                index: 12
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://loinc.org'}
                    mustSupport: true
                    index: 13
                  code: {mustSupport: true, index: 14}
                required: [system, code]
      text: {short: 影像檢查的身體部位, mustSupport: true, index: 15}
    required: [coding]
  presentedForm:
    short: 報告結果-MIMEType。若需要，可上傳影像報告的PDF檔。
    constraint:
      UploadContent: {human: '填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf', source: 'https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-image-twpas', severity: error, expression: 'url.matches(''^file://[a-zA-Z0-9_一-龥()（）－]+.[a-zA-Z]{2,5}$'')'}
    mustSupport: true
    index: 27
    elements:
      contentType: {mustSupport: true, index: 28}
      url: {short: 影像報告（請填寫完整檔案路徑）, mustSupport: true, index: 29}
      title: {short: 影像報告名稱, mustSupport: true, index: 30}
    required: [url, title, contentType]
  imagingStudy:
    type: Reference
    short: DICOM影像，SNOMED CT
    mustSupport: true
    refers: ['https://nhicore.nhi.gov.tw/pas/StructureDefinition/ImagingStudy-twpas']
    index: 23
  media:
    short: 非DICOM影像
    mustSupport: true
    index: 24
    elements:
      link:
        type: Reference
        refers: ['https://nhicore.nhi.gov.tw/pas/StructureDefinition/Media-twpas']
        index: 25
  subject:
    type: Reference
    refers: ['https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas']
    index: 16
  performer:
    type: Reference
    short: 簽發影像報告醫師身分證號
    mustSupport: true
    refers: ['https://nhicore.nhi.gov.tw/pas/StructureDefinition/Practitioner-twpas']
    index: 22
package_version: 1.0.9
class: profile
kind: resource
url: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-image-twpas
base: http://hl7.org/fhir/StructureDefinition/DiagnosticReport
version: 1.0.9
required: [effectiveDateTime, conclusion, subject, meta, category, effective, performer]