{ "description": "醫學影像報告邏輯模型,讀者可藉此資料模型快速瞭解醫學影像報告的內容,實作者亦可透過此資料模型上方Mappings功能頁籤來瞭解各資料項目應透過哪些Lung Profiles或Resources的資料項目進行實作。", "_filename": "StructureDefinition-IMAGE.json", "package_name": "tw.gov.mohw.emr", "date": "2023-10-11T16:18:20+08:00", "derivation": "specialization", "publisher": "衛生福利部", "fhirVersion": "4.0.1", "name": "IMAGE", "mapping": [ { "uri": "http://hl7.org/v3", "name": "RIM Mapping", "identity": "rim" }, { "uri": "hl7.org/fhir/r4", "name": "Medical Imaging And Report to FHIR", "identity": "MedicalImagingAndReport" } ], "abstract": false, "type": "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/IMAGE", "experimental": null, "resourceType": "StructureDefinition", "title": "醫學影像報告邏輯模型", "package_version": "0.1.0", "snapshot": { "element": [ { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" } ], "path": "IMAGE", "min": 0, "definition": "Medical Imaging And Report", "isModifier": false, "short": "此邏輯模型適用於醫學影像報告", "mapping": [ { "map": "n/a", "identity": "rim" }, { "map": "Patient", "identity": "MedicalImagingAndReport" }, { "map": "Organization", "identity": "MedicalImagingAndReport" }, { "map": "Practitioner", "identity": "MedicalImagingAndReport" }, { "map": "Encounter", "identity": "MedicalImagingAndReport" }, { "map": "Condition", "identity": "MedicalImagingAndReport" }, { "map": "ImagingStudy", "identity": "MedicalImagingAndReport" }, { "map": "Observation", "identity": "MedicalImagingAndReport" }, { "map": "DiagnosticReport", "identity": "MedicalImagingAndReport" } ], "max": "*", "id": "IMAGE", "condition": [ "ele-1" ], "base": { "max": "*", "min": 0, "path": "Element" } }, { "path": "IMAGE.id", "min": 0, "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "isModifier": false, "short": "Unique id for inter-element referencing", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "IMAGE.id", "base": { "max": "1", "min": 0, "path": "Element.id" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "IMAGE.extension", "min": 0, "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.", "isModifier": false, "short": "Additional content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "IMAGE.extension", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "id": "IMAGE.hospitaltype", "max": "1", "min": 1, "base": { "max": "1", "min": 1, "path": "IMAGE.hospitaltype" }, "path": "IMAGE.hospitaltype", "type": [ { "code": "Base" } ], "short": "醫院別", "definition": "醫院別" }, { "path": "IMAGE.hospitaltype.id", "min": 1, "definition": "醫事機構代碼,院所代碼需與健保申報相同", "short": "醫事機構代碼,院所代碼需與健保申報相同", "mapping": [ { "map": "醫事機構代碼:Organization.identifier.value 使用 Organization.identifier.type 識別類型", "identity": "MedicalImagingAndReport" } ], "type": [ { "code": "Identifier" } ], "max": "1", "id": "IMAGE.hospitaltype.id", "base": { "max": "1", "min": 1, "path": "IMAGE.hospitaltype.id" } }, { "path": "IMAGE.hospitaltype.name", "min": 1, "definition": "醫事機構名稱,院所名稱需與健保申報相同", "short": "醫事機構名稱,院所名稱需與健保申報相同", "mapping": [ { "map": "院所名稱:Organization.name", "identity": "MedicalImagingAndReport" } ], "type": [ { "code": "string" } ], "max": "1", "id": "IMAGE.hospitaltype.name", "base": { "max": "1", "min": 1, "path": "IMAGE.hospitaltype.name" } }, { "id": "IMAGE.order", "max": "1", "min": 1, "base": { "max": "1", "min": 1, "path": "IMAGE.order" }, "path": "IMAGE.order", "type": [ { "code": "Base" } ], "short": "檢查項目", "definition": "檢查項目" }, { "path": "IMAGE.order.code", "min": 1, "definition": "醫令代碼,檢查健保醫令代碼,需與健保申報相同。", "short": "醫令代碼,檢查健保醫令代碼,需與健保申報相同。", "mapping": [ { "map": "檢查健保醫令代碼:ImagingStudy.procedureCode.coding.code", "identity": "MedicalImagingAndReport" }, { "map": "檢查健保醫令代碼:Observation.code.coding.code", "identity": "MedicalImagingAndReport" } ], "type": [ { "code": "CodeableConcept" } ], "max": "1", "id": "IMAGE.order.code", "base": { "max": "1", "min": 1, "path": "IMAGE.order.code" } }, { "path": "IMAGE.order.description", "min": 1, "definition": "醫令名稱,檢查健保醫令名稱,需與健保申報相同。", "short": "醫令名稱,檢查健保醫令名稱,需與健保申報相同。", "mapping": [ { "map": "醫令名稱:ImagingStudy.procedureCode.coding.display", "identity": "MedicalImagingAndReport" }, { "map": "醫令名稱:Observation.code.coding.display", "identity": "MedicalImagingAndReport" } ], "type": [ { "code": "string" } ], "max": "1", "id": "IMAGE.order.description", "base": { "max": "1", "min": 1, "path": "IMAGE.order.description" } }, { "id": "IMAGE.examinationStatus", "max": "1", "min": 1, "base": { "max": "1", "min": 1, "path": "IMAGE.examinationStatus" }, "path": "IMAGE.examinationStatus", "type": [ { "code": "Base" } ], "short": "檢查部位", "definition": "檢查部位" }, { "path": "IMAGE.examinationStatus.physicalExamination", "min": 1, "definition": "檢查部位,檢查部位,需與健保申報相同。", "short": "檢查部位,檢查部位,需與健保申報相同。", "mapping": [ { "map": "檢查部位:ImagingStudy.series.bodySite", "identity": "MedicalImagingAndReport" } ], "type": [ { "code": "Coding" } ], "max": "*", "id": "IMAGE.examinationStatus.physicalExamination", "base": { "max": "*", "min": 1, "path": "IMAGE.examinationStatus.physicalExamination" } }, { "path": "IMAGE.examinationStatus.description", "min": 0, "definition": "檢查部位詳細說明、拍攝方向與角度等", "short": "檢查部位詳細說明、拍攝方向與角度等", "mapping": [ { "map": "檢查部位說明:ImagingStudy.series.description", "identity": "MedicalImagingAndReport" } ], "type": [ { "code": "string" } ], "max": "1", "id": "IMAGE.examinationStatus.description", "base": { "max": "1", "min": 0, "path": "IMAGE.examinationStatus.description" } }, { "path": "IMAGE.numberOfInstances", "min": 1, "definition": "檢查張數", "short": "檢查張數", "mapping": [ { "map": "醫療影像張數:ImagingStudy.numberOfInstances", "identity": "MedicalImagingAndReport" } ], "type": [ { "code": "unsignedInt" } ], "max": "*", "id": "IMAGE.numberOfInstances", "base": { "max": "*", "min": 1, "path": "IMAGE.numberOfInstances" } }, { "path": "IMAGE.accessionNo", "min": 1, "definition": "檢查單號,須與影像資料串連,每筆檢查必須有獨立不重複的單號。", "short": "檢查單號,須與影像資料串連,每筆檢查必須有獨立不重複的單號。", "mapping": [ { "map": "檢查單號:ImagingStudy.identifier", "identity": "MedicalImagingAndReport" }, { "map": "檢查單號:Observation.identifier", "identity": "MedicalImagingAndReport" }, { "map": "檢查單號:DiagnosticReport.identifier", "identity": "MedicalImagingAndReport" } ], "type": [ { "code": "Identifier" } ], "max": "1", "id": "IMAGE.accessionNo", "base": { "max": "1", "min": 1, "path": "IMAGE.accessionNo" } }, { "id": "IMAGE.patientInformation", "max": "1", "min": 1, "base": { "max": "1", "min": 1, "path": "IMAGE.patientInformation" }, "path": "IMAGE.patientInformation", "type": [ { "code": "Base" } ], "short": "病人基本資料", "definition": "病人基本資料" }, { "path": "IMAGE.patientInformation.idNumber", "min": 1, "definition": "身分證號,病人身分證號。", "short": "身分證號,病人身分證號。", "mapping": [ { "map": "身分證:Patient.identifier.value 使用 Patient.identifier.type 識別類型", "identity": "MedicalImagingAndReport" } ], "type": [ { "code": "Identifier" } ], "max": "1", "id": "IMAGE.patientInformation.idNumber", "base": { "max": "1", "min": 1, "path": "IMAGE.patientInformation.idNumber" } }, { "path": "IMAGE.patientInformation.chartNO", "min": 1, "definition": "病歷號碼,院內病歷號碼。", "short": "病歷號碼,院內病歷號碼。", "mapping": [ { "map": "病歷號:Patient.identifier.value 使用 Patient.identifier.type 識別類型", "identity": "MedicalImagingAndReport" } ], "type": [ { "code": "Identifier" } ], "max": "1", "id": "IMAGE.patientInformation.chartNO", "base": { "max": "1", "min": 1, "path": "IMAGE.patientInformation.chartNO" } }, { "path": "IMAGE.patientInformation.name", "min": 1, "definition": "姓名", "short": "姓名", "mapping": [ { "map": "病人性名:Patient.name", "identity": "MedicalImagingAndReport" } ], "type": [ { "code": "string" } ], "max": "1", "id": "IMAGE.patientInformation.name", "base": { "max": "1", "min": 1, "path": "IMAGE.patientInformation.name" } }, { "path": "IMAGE.patientInformation.administrativeSex", "min": 1, "definition": "性別", "short": "性別", "mapping": [ { "map": "病人性別:Patient.gender", "identity": "MedicalImagingAndReport" } ], "type": [ { "code": "code" } ], "max": "1", "id": "IMAGE.patientInformation.administrativeSex", "base": { "max": "1", "min": 1, "path": "IMAGE.patientInformation.administrativeSex" } }, { "path": "IMAGE.patientInformation.birthDate", "min": 1, "definition": "出生日期", "short": "出生日期", "mapping": [ { "map": "病人出生日期:Patient.birthDate", "identity": "MedicalImagingAndReport" } ], "type": [ { "code": "date" } ], "max": "1", "id": "IMAGE.patientInformation.birthDate", "base": { "max": "1", "min": 1, "path": "IMAGE.patientInformation.birthDate" } }, { "id": "IMAGE.medicalOrder", "max": "1", "min": 1, "base": { "max": "1", "min": 1, "path": "IMAGE.medicalOrder" }, "path": "IMAGE.medicalOrder", "type": [ { "code": "Base" } ], "short": "醫囑時間及醫囑醫師資料", "definition": "醫囑時間及醫囑醫師資料" }, { "path": "IMAGE.medicalOrder.orderDatetime", "min": 1, "definition": "醫囑時間,醫囑日期(分),格式為西元YYYYMMDDHHMM。", "short": "醫囑時間,醫囑日期(分),格式為西元YYYYMMDDHHMM。", "mapping": [ { "map": "醫囑時間,醫囑日期(分):Encounter.period", "identity": "MedicalImagingAndReport" } ], "type": [ { "code": "Period" } ], "max": "1", "id": "IMAGE.medicalOrder.orderDatetime", "base": { "max": "1", "min": 1, "path": "IMAGE.medicalOrder.orderDatetime" } }, { "path": "IMAGE.medicalOrder.orderPhysician", "min": 1, "definition": "醫囑醫師姓名", "short": "醫囑醫師姓名", "mapping": [ { "map": "醫囑醫師姓名:Practitioner.name", "identity": "MedicalImagingAndReport" }, { "map": "醫囑醫師:Encounter.participant.individual", "identity": "MedicalImagingAndReport" } ], "type": [ { "code": "Practitioner" } ], "max": "1", "id": "IMAGE.medicalOrder.orderPhysician", "base": { "max": "1", "min": 1, "path": "IMAGE.medicalOrder.orderPhysician" } }, { "path": "IMAGE.historyOfPresentIllness", "min": 1, "definition": "病史,病人病史,內容可以包含主訴、適應症等。", "short": "病史,病人病史,內容可以包含主訴、適應症等。", "mapping": [ { "map": "病史,病人病史,內容可以包含主訴、適應症等:Condition.code", "identity": "MedicalImagingAndReport" } ], "type": [ { "code": "CodeableConcept" } ], "max": "*", "id": "IMAGE.historyOfPresentIllness", "base": { "max": "*", "min": 1, "path": "IMAGE.historyOfPresentIllness" } }, { "path": "IMAGE.diagnosisICDcode", "min": 0, "definition": "疾病診斷,疾病診斷代碼及文字。", "short": "疾病診斷,疾病診斷代碼及文字。", "mapping": [ { "map": "疾病診斷代碼:DiagnosticReport.code", "identity": "MedicalImagingAndReport" } ], "type": [ { "code": "CodeableConcept" } ], "max": "*", "id": "IMAGE.diagnosisICDcode", "base": { "max": "*", "min": 0, "path": "IMAGE.diagnosisICDcode" } }, { "id": "IMAGE.examDatetime", "max": "1", "min": 1, "base": { "max": "1", "min": 1, "path": "IMAGE.examDatetime" }, "path": "IMAGE.examDatetime", "type": [ { "code": "dateTime" } ], "short": "實際檢查日期時間(分) ,格式為西元YYYYMMDDHHMM。", "definition": "實際檢查日期時間(分) ,格式為西元YYYYMMDDHHMM。" }, { "path": "IMAGE.picture", "min": 1, "definition": "圖片", "short": "圖片", "mapping": [ { "map": "圖片:ImagingStudy", "identity": "MedicalImagingAndReport" } ], "type": [ { "code": "ImagingStudy" } ], "max": "*", "id": "IMAGE.picture", "base": { "max": "*", "min": 1, "path": "IMAGE.picture" } }, { "path": "IMAGE.recordTotal", "min": 1, "definition": "報告結果,含影像發現、臆斷及註記(如過敏反應、顯影劑種類等)。", "short": "報告結果,含影像發現、臆斷及註記(如過敏反應、顯影劑種類等)。", "mapping": [ { "map": "報告結果(Finding):Observation.valueString 如果可編碼請使用 Observation.component", "identity": "MedicalImagingAndReport" }, { "map": "報告結果(interpretation/impression):DiagnosticReport.conclusion", "identity": "MedicalImagingAndReport" } ], "type": [ { "code": "string" } ], "max": "*", "id": "IMAGE.recordTotal", "base": { "max": "*", "min": 1, "path": "IMAGE.recordTotal" } }, { "path": "IMAGE.radiologyStudyRecommendation", "min": 0, "definition": "醫師總結之建議。", "short": "醫師總結之建議。", "mapping": [ { "map": "醫師總結隻建議:Observation.note", "identity": "MedicalImagingAndReport" } ], "type": [ { "code": "Annotation" } ], "max": "1", "id": "IMAGE.radiologyStudyRecommendation", "base": { "max": "1", "min": 0, "path": "IMAGE.radiologyStudyRecommendation" } }, { "path": "IMAGE.verificationTime", "min": 1, "definition": "確認報告時間(分),格式為西元YYYYMMDDHHMM。", "short": "確認報告時間(分),格式為西元YYYYMMDDHHMM。", "mapping": [ { "map": "確認報告時間:Observation.effective[x]", "identity": "MedicalImagingAndReport" }, { "map": "確認報告時間:DiagnosticReport.effective[x]", "identity": "MedicalImagingAndReport" } ], "type": [ { "code": "dateTime" } ], "max": "1", "id": "IMAGE.verificationTime", "base": { "max": "1", "min": 1, "path": "IMAGE.verificationTime" } }, { "path": "IMAGE.verificationPhysician", "min": 1, "definition": "報告醫師姓名", "short": "報告醫師姓名", "mapping": [ { "map": "報告醫師姓名:Practitioner.name", "identity": "MedicalImagingAndReport" } ], "type": [ { "code": "Practitioner" } ], "max": "1", "id": "IMAGE.verificationPhysician", "base": { "max": "1", "min": 1, "path": "IMAGE.verificationPhysician" } } ] }, "status": "draft", "id": "dc4aa89b-d75a-4c51-be4c-43be535e0030", "kind": "logical", "url": "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/IMAGE", "version": "0.1.0", "differential": { "element": [ { "id": "IMAGE", "path": "IMAGE", "short": "此邏輯模型適用於醫學影像報告", "mapping": [ { "map": "Patient", "identity": "MedicalImagingAndReport" }, { "map": "Organization", "identity": "MedicalImagingAndReport" }, { "map": "Practitioner", "identity": "MedicalImagingAndReport" }, { "map": "Encounter", "identity": "MedicalImagingAndReport" }, { "map": "Condition", "identity": "MedicalImagingAndReport" }, { "map": "ImagingStudy", "identity": "MedicalImagingAndReport" }, { "map": "Observation", "identity": "MedicalImagingAndReport" }, { "map": "DiagnosticReport", "identity": "MedicalImagingAndReport" } ], "definition": "Medical Imaging And Report" }, { "id": "IMAGE.hospitaltype", "max": "1", "min": 1, "path": "IMAGE.hospitaltype", "type": [ { "code": "Base" } ], "short": "醫院別", "definition": "醫院別" }, { "id": "IMAGE.hospitaltype.id", "max": "1", "min": 1, "path": "IMAGE.hospitaltype.id", "type": [ { "code": "Identifier" } ], "short": "醫事機構代碼,院所代碼需與健保申報相同", "mapping": [ { "map": "醫事機構代碼:Organization.identifier.value 使用 Organization.identifier.type 識別類型", "identity": "MedicalImagingAndReport" } ], "definition": "醫事機構代碼,院所代碼需與健保申報相同" }, { "id": "IMAGE.hospitaltype.name", "max": "1", "min": 1, "path": "IMAGE.hospitaltype.name", "type": [ { "code": "string" } ], "short": "醫事機構名稱,院所名稱需與健保申報相同", "mapping": [ { "map": "院所名稱:Organization.name", "identity": "MedicalImagingAndReport" } ], "definition": "醫事機構名稱,院所名稱需與健保申報相同" }, { "id": "IMAGE.order", "max": "1", "min": 1, "path": "IMAGE.order", "type": [ { "code": "Base" } ], "short": "檢查項目", "definition": "檢查項目" }, { "id": "IMAGE.order.code", "max": "1", "min": 1, "path": "IMAGE.order.code", "type": [ { "code": "CodeableConcept" } ], "short": "醫令代碼,檢查健保醫令代碼,需與健保申報相同。", "mapping": [ { "map": "檢查健保醫令代碼:ImagingStudy.procedureCode.coding.code", "identity": "MedicalImagingAndReport" }, { "map": "檢查健保醫令代碼:Observation.code.coding.code", "identity": "MedicalImagingAndReport" } ], "definition": "醫令代碼,檢查健保醫令代碼,需與健保申報相同。" }, { "id": "IMAGE.order.description", "max": "1", "min": 1, "path": "IMAGE.order.description", "type": [ { "code": "string" } ], "short": "醫令名稱,檢查健保醫令名稱,需與健保申報相同。", "mapping": [ { "map": "醫令名稱:ImagingStudy.procedureCode.coding.display", "identity": "MedicalImagingAndReport" }, { "map": "醫令名稱:Observation.code.coding.display", "identity": "MedicalImagingAndReport" } ], "definition": "醫令名稱,檢查健保醫令名稱,需與健保申報相同。" }, { "id": "IMAGE.examinationStatus", "max": "1", "min": 1, "path": "IMAGE.examinationStatus", "type": [ { "code": "Base" } ], "short": "檢查部位", "definition": "檢查部位" }, { "id": "IMAGE.examinationStatus.physicalExamination", "max": "*", "min": 1, "path": "IMAGE.examinationStatus.physicalExamination", "type": [ { "code": "Coding" } ], "short": "檢查部位,檢查部位,需與健保申報相同。", "mapping": [ { "map": "檢查部位:ImagingStudy.series.bodySite", "identity": "MedicalImagingAndReport" } ], "definition": "檢查部位,檢查部位,需與健保申報相同。" }, { "id": "IMAGE.examinationStatus.description", "max": "1", "min": 0, "path": "IMAGE.examinationStatus.description", "type": [ { "code": "string" } ], "short": "檢查部位詳細說明、拍攝方向與角度等", "mapping": [ { "map": "檢查部位說明:ImagingStudy.series.description", "identity": "MedicalImagingAndReport" } ], "definition": "檢查部位詳細說明、拍攝方向與角度等" }, { "id": "IMAGE.numberOfInstances", "max": "*", "min": 1, "path": "IMAGE.numberOfInstances", "type": [ { "code": "unsignedInt" } ], "short": "檢查張數", "mapping": [ { "map": "醫療影像張數:ImagingStudy.numberOfInstances", "identity": "MedicalImagingAndReport" } ], "definition": "檢查張數" }, { "id": "IMAGE.accessionNo", "max": "1", "min": 1, "path": "IMAGE.accessionNo", "type": [ { "code": "Identifier" } ], "short": "檢查單號,須與影像資料串連,每筆檢查必須有獨立不重複的單號。", "mapping": [ { "map": "檢查單號:ImagingStudy.identifier", "identity": "MedicalImagingAndReport" }, { "map": "檢查單號:Observation.identifier", "identity": "MedicalImagingAndReport" }, { "map": "檢查單號:DiagnosticReport.identifier", "identity": "MedicalImagingAndReport" } ], "definition": "檢查單號,須與影像資料串連,每筆檢查必須有獨立不重複的單號。" }, { "id": "IMAGE.patientInformation", "max": "1", "min": 1, "path": "IMAGE.patientInformation", "type": [ { "code": "Base" } ], "short": "病人基本資料", "definition": "病人基本資料" }, { "id": "IMAGE.patientInformation.idNumber", "max": "1", "min": 1, "path": "IMAGE.patientInformation.idNumber", "type": [ { "code": "Identifier" } ], "short": "身分證號,病人身分證號。", "mapping": [ { "map": "身分證:Patient.identifier.value 使用 Patient.identifier.type 識別類型", "identity": "MedicalImagingAndReport" } ], "definition": "身分證號,病人身分證號。" }, { "id": "IMAGE.patientInformation.chartNO", "max": "1", "min": 1, "path": "IMAGE.patientInformation.chartNO", "type": [ { "code": "Identifier" } ], "short": "病歷號碼,院內病歷號碼。", "mapping": [ { "map": "病歷號:Patient.identifier.value 使用 Patient.identifier.type 識別類型", "identity": "MedicalImagingAndReport" } ], "definition": "病歷號碼,院內病歷號碼。" }, { "id": "IMAGE.patientInformation.name", "max": "1", "min": 1, "path": "IMAGE.patientInformation.name", "type": [ { "code": "string" } ], "short": "姓名", "mapping": [ { "map": "病人性名:Patient.name", "identity": "MedicalImagingAndReport" } ], "definition": "姓名" }, { "id": "IMAGE.patientInformation.administrativeSex", "max": "1", "min": 1, "path": "IMAGE.patientInformation.administrativeSex", "type": [ { "code": "code" } ], "short": "性別", "mapping": [ { "map": "病人性別:Patient.gender", "identity": "MedicalImagingAndReport" } ], "definition": "性別" }, { "id": "IMAGE.patientInformation.birthDate", "max": "1", "min": 1, "path": "IMAGE.patientInformation.birthDate", "type": [ { "code": "date" } ], "short": "出生日期", "mapping": [ { "map": "病人出生日期:Patient.birthDate", "identity": "MedicalImagingAndReport" } ], "definition": "出生日期" }, { "id": "IMAGE.medicalOrder", "max": "1", "min": 1, "path": "IMAGE.medicalOrder", "type": [ { "code": "Base" } ], "short": "醫囑時間及醫囑醫師資料", "definition": "醫囑時間及醫囑醫師資料" }, { "id": "IMAGE.medicalOrder.orderDatetime", "max": "1", "min": 1, "path": "IMAGE.medicalOrder.orderDatetime", "type": [ { "code": "Period" } ], "short": "醫囑時間,醫囑日期(分),格式為西元YYYYMMDDHHMM。", "mapping": [ { "map": "醫囑時間,醫囑日期(分):Encounter.period", "identity": "MedicalImagingAndReport" } ], "definition": "醫囑時間,醫囑日期(分),格式為西元YYYYMMDDHHMM。" }, { "id": "IMAGE.medicalOrder.orderPhysician", "max": "1", "min": 1, "path": "IMAGE.medicalOrder.orderPhysician", "type": [ { "code": "Practitioner" } ], "short": "醫囑醫師姓名", "mapping": [ { "map": "醫囑醫師姓名:Practitioner.name", "identity": "MedicalImagingAndReport" }, { "map": "醫囑醫師:Encounter.participant.individual", "identity": "MedicalImagingAndReport" } ], "definition": "醫囑醫師姓名" }, { "id": "IMAGE.historyOfPresentIllness", "max": "*", "min": 1, "path": "IMAGE.historyOfPresentIllness", "type": [ { "code": "CodeableConcept" } ], "short": "病史,病人病史,內容可以包含主訴、適應症等。", "mapping": [ { "map": "病史,病人病史,內容可以包含主訴、適應症等:Condition.code", "identity": "MedicalImagingAndReport" } ], "definition": "病史,病人病史,內容可以包含主訴、適應症等。" }, { "id": "IMAGE.diagnosisICDcode", "max": "*", "min": 0, "path": "IMAGE.diagnosisICDcode", "type": [ { "code": "CodeableConcept" } ], "short": "疾病診斷,疾病診斷代碼及文字。", "mapping": [ { "map": "疾病診斷代碼:DiagnosticReport.code", "identity": "MedicalImagingAndReport" } ], "definition": "疾病診斷,疾病診斷代碼及文字。" }, { "id": "IMAGE.examDatetime", "max": "1", "min": 1, "path": "IMAGE.examDatetime", "type": [ { "code": "dateTime" } ], "short": "實際檢查日期時間(分) ,格式為西元YYYYMMDDHHMM。", "definition": "實際檢查日期時間(分) ,格式為西元YYYYMMDDHHMM。" }, { "id": "IMAGE.picture", "max": "*", "min": 1, "path": "IMAGE.picture", "type": [ { "code": "ImagingStudy" } ], "short": "圖片", "mapping": [ { "map": "圖片:ImagingStudy", "identity": "MedicalImagingAndReport" } ], "definition": "圖片" }, { "id": "IMAGE.recordTotal", "max": "*", "min": 1, "path": "IMAGE.recordTotal", "type": [ { "code": "string" } ], "short": "報告結果,含影像發現、臆斷及註記(如過敏反應、顯影劑種類等)。", "mapping": [ { "map": "報告結果(Finding):Observation.valueString 如果可編碼請使用 Observation.component", "identity": "MedicalImagingAndReport" }, { "map": "報告結果(interpretation/impression):DiagnosticReport.conclusion", "identity": "MedicalImagingAndReport" } ], "definition": "報告結果,含影像發現、臆斷及註記(如過敏反應、顯影劑種類等)。" }, { "id": "IMAGE.radiologyStudyRecommendation", "max": "1", "min": 0, "path": "IMAGE.radiologyStudyRecommendation", "type": [ { "code": "Annotation" } ], "short": "醫師總結之建議。", "mapping": [ { "map": "醫師總結隻建議:Observation.note", "identity": "MedicalImagingAndReport" } ], "definition": "醫師總結之建議。" }, { "id": "IMAGE.verificationTime", "max": "1", "min": 1, "path": "IMAGE.verificationTime", "type": [ { "code": "dateTime" } ], "short": "確認報告時間(分),格式為西元YYYYMMDDHHMM。", "mapping": [ { "map": "確認報告時間:Observation.effective[x]", "identity": "MedicalImagingAndReport" }, { "map": "確認報告時間:DiagnosticReport.effective[x]", "identity": "MedicalImagingAndReport" } ], "definition": "確認報告時間(分),格式為西元YYYYMMDDHHMM。" }, { "id": "IMAGE.verificationPhysician", "max": "1", "min": 1, "path": "IMAGE.verificationPhysician", "type": [ { "code": "Practitioner" } ], "short": "報告醫師姓名", "mapping": [ { "map": "報告醫師姓名:Practitioner.name", "identity": "MedicalImagingAndReport" } ], "definition": "報告醫師姓名" } ] }, "contact": [ { "telecom": [ { "value": "https://www.mohw.gov.tw/mp-1.html", "system": "url" } ] } ], "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element" }