電子病歷交換單張實作指引(EMR-IG)
0.1.0 - ci-build
This page is part of the 電子病歷交換單張實作指引(EMR-IG) (v0.1.0: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Draft as of 2023-10-11 |
XML representation of the IMAGE logical model.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="IMAGE"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">Placeholder</div>
</text>
<url value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/IMAGE"/>
<version value="0.1.0"/>
<name value="IMAGE"/>
<title value="醫學影像報告邏輯模型"/>
<status value="draft"/>
<date value="2023-10-11T16:18:20+08:00"/>
<publisher value="衛生福利部"/>
<contact>
<telecom>
<system value="url"/>
<value value="https://www.mohw.gov.tw/mp-1.html"/>
</telecom>
</contact>
<description
value="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。"/>
<fhirVersion value="4.0.1"/>
<mapping>
<identity value="rim"/>
<uri value="http://hl7.org/v3"/>
<name value="RIM Mapping"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<uri value="hl7.org/fhir/r4"/>
<name value="Medical Imaging And Report to FHIR"/>
</mapping>
<kind value="logical"/>
<abstract value="false"/>
<type value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/IMAGE"/>
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"/>
<derivation value="specialization"/>
<snapshot>
<element id="IMAGE">
<path value="IMAGE"/>
<short value="此邏輯模型適用於醫學影像報告"/>
<definition value="Medical Imaging And Report"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element"/>
<min value="0"/>
<max value="*"/>
</base>
<condition value="ele-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="Patient"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="Organization"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="Practitioner"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="Encounter"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="Condition"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="ImagingStudy"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="Observation"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="DiagnosticReport"/>
</mapping>
</element>
<element id="IMAGE.id">
<path value="IMAGE.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="IMAGE.extension">
<path value="IMAGE.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="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."/>
<comment
value="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."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="IMAGE.hospitaltype">
<path value="IMAGE.hospitaltype"/>
<short value="醫院別"/>
<definition value="醫院別"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="IMAGE.hospitaltype"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Base"/>
</type>
</element>
<element id="IMAGE.hospitaltype.id">
<path value="IMAGE.hospitaltype.id"/>
<short value="醫事機構代碼，院所代碼需與健保申報相同"/>
<definition value="醫事機構代碼，院所代碼需與健保申報相同"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="IMAGE.hospitaltype.id"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map
value="醫事機構代碼:Organization.identifier.value 使用 Organization.identifier.type 識別類型"/>
</mapping>
</element>
<element id="IMAGE.hospitaltype.name">
<path value="IMAGE.hospitaltype.name"/>
<short value="醫事機構名稱，院所名稱需與健保申報相同"/>
<definition value="醫事機構名稱，院所名稱需與健保申報相同"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="IMAGE.hospitaltype.name"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="院所名稱:Organization.name"/>
</mapping>
</element>
<element id="IMAGE.order">
<path value="IMAGE.order"/>
<short value="檢查項目"/>
<definition value="檢查項目"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="IMAGE.order"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Base"/>
</type>
</element>
<element id="IMAGE.order.code">
<path value="IMAGE.order.code"/>
<short value="醫令代碼，檢查健保醫令代碼，需與健保申報相同。"/>
<definition value="醫令代碼，檢查健保醫令代碼，需與健保申報相同。"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="IMAGE.order.code"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="檢查健保醫令代碼:ImagingStudy.procedureCode.coding.code"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="檢查健保醫令代碼:Observation.code.coding.code"/>
</mapping>
</element>
<element id="IMAGE.order.description">
<path value="IMAGE.order.description"/>
<short value="醫令名稱，檢查健保醫令名稱，需與健保申報相同。"/>
<definition value="醫令名稱，檢查健保醫令名稱，需與健保申報相同。"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="IMAGE.order.description"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="醫令名稱:ImagingStudy.procedureCode.coding.display"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="醫令名稱:Observation.code.coding.display"/>
</mapping>
</element>
<element id="IMAGE.examinationStatus">
<path value="IMAGE.examinationStatus"/>
<short value="檢查部位"/>
<definition value="檢查部位"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="IMAGE.examinationStatus"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Base"/>
</type>
</element>
<element id="IMAGE.examinationStatus.physicalExamination">
<path value="IMAGE.examinationStatus.physicalExamination"/>
<short value="檢查部位，檢查部位，需與健保申報相同。"/>
<definition value="檢查部位，檢查部位，需與健保申報相同。"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="IMAGE.examinationStatus.physicalExamination"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="Coding"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="檢查部位:ImagingStudy.series.bodySite"/>
</mapping>
</element>
<element id="IMAGE.examinationStatus.description">
<path value="IMAGE.examinationStatus.description"/>
<short value="檢查部位詳細說明、拍攝方向與角度等"/>
<definition value="檢查部位詳細說明、拍攝方向與角度等"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="IMAGE.examinationStatus.description"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="檢查部位說明:ImagingStudy.series.description"/>
</mapping>
</element>
<element id="IMAGE.numberOfInstances">
<path value="IMAGE.numberOfInstances"/>
<short value="檢查張數"/>
<definition value="檢查張數"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="IMAGE.numberOfInstances"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="unsignedInt"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="醫療影像張數:ImagingStudy.numberOfInstances"/>
</mapping>
</element>
<element id="IMAGE.accessionNo">
<path value="IMAGE.accessionNo"/>
<short value="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。"/>
<definition value="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。"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="IMAGE.accessionNo"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="檢查單號:ImagingStudy.identifier"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="檢查單號:Observation.identifier"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="檢查單號:DiagnosticReport.identifier"/>
</mapping>
</element>
<element id="IMAGE.patientInformation">
<path value="IMAGE.patientInformation"/>
<short value="病人基本資料"/>
<definition value="病人基本資料"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="IMAGE.patientInformation"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Base"/>
</type>
</element>
<element id="IMAGE.patientInformation.idNumber">
<path value="IMAGE.patientInformation.idNumber"/>
<short value="身分證號，病人身分證號。"/>
<definition value="身分證號，病人身分證號。"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="IMAGE.patientInformation.idNumber"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map
value="身分證:Patient.identifier.value 使用 Patient.identifier.type 識別類型"/>
</mapping>
</element>
<element id="IMAGE.patientInformation.chartNO">
<path value="IMAGE.patientInformation.chartNO"/>
<short value="病歷號碼，院內病歷號碼。"/>
<definition value="病歷號碼，院內病歷號碼。"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="IMAGE.patientInformation.chartNO"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map
value="病歷號:Patient.identifier.value 使用 Patient.identifier.type 識別類型"/>
</mapping>
</element>
<element id="IMAGE.patientInformation.name">
<path value="IMAGE.patientInformation.name"/>
<short value="姓名"/>
<definition value="姓名"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="IMAGE.patientInformation.name"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="病人性名:Patient.name"/>
</mapping>
</element>
<element id="IMAGE.patientInformation.administrativeSex">
<path value="IMAGE.patientInformation.administrativeSex"/>
<short value="性別"/>
<definition value="性別"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="IMAGE.patientInformation.administrativeSex"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="病人性別:Patient.gender"/>
</mapping>
</element>
<element id="IMAGE.patientInformation.birthDate">
<path value="IMAGE.patientInformation.birthDate"/>
<short value="出生日期"/>
<definition value="出生日期"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="IMAGE.patientInformation.birthDate"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="date"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="病人出生日期:Patient.birthDate"/>
</mapping>
</element>
<element id="IMAGE.medicalOrder">
<path value="IMAGE.medicalOrder"/>
<short value="醫囑時間及醫囑醫師資料"/>
<definition value="醫囑時間及醫囑醫師資料"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="IMAGE.medicalOrder"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Base"/>
</type>
</element>
<element id="IMAGE.medicalOrder.orderDatetime">
<path value="IMAGE.medicalOrder.orderDatetime"/>
<short value="醫囑時間，醫囑日期（分），格式為西元YYYYMMDDHHMM。"/>
<definition value="醫囑時間，醫囑日期（分），格式為西元YYYYMMDDHHMM。"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="IMAGE.medicalOrder.orderDatetime"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Period"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="醫囑時間，醫囑日期（分）:Encounter.period"/>
</mapping>
</element>
<element id="IMAGE.medicalOrder.orderPhysician">
<path value="IMAGE.medicalOrder.orderPhysician"/>
<short value="醫囑醫師姓名"/>
<definition value="醫囑醫師姓名"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="IMAGE.medicalOrder.orderPhysician"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Practitioner"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="醫囑醫師姓名:Practitioner.name"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="醫囑醫師:Encounter.participant.individual"/>
</mapping>
</element>
<element id="IMAGE.historyOfPresentIllness">
<path value="IMAGE.historyOfPresentIllness"/>
<short value="病史，病人病史，內容可以包含主訴、適應症等。"/>
<definition value="病史，病人病史，內容可以包含主訴、適應症等。"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="IMAGE.historyOfPresentIllness"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="病史，病人病史，內容可以包含主訴、適應症等:Condition.code"/>
</mapping>
</element>
<element id="IMAGE.diagnosisICDcode">
<path value="IMAGE.diagnosisICDcode"/>
<short value="疾病診斷，疾病診斷代碼及文字。"/>
<definition value="疾病診斷，疾病診斷代碼及文字。"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="IMAGE.diagnosisICDcode"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="疾病診斷代碼:DiagnosticReport.code"/>
</mapping>
</element>
<element id="IMAGE.examDatetime">
<path value="IMAGE.examDatetime"/>
<short value="實際檢查日期時間(分) ，格式為西元YYYYMMDDHHMM。"/>
<definition value="實際檢查日期時間(分) ，格式為西元YYYYMMDDHHMM。"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="IMAGE.examDatetime"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
</element>
<element id="IMAGE.picture">
<path value="IMAGE.picture"/>
<short value="圖片"/>
<definition value="圖片"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="IMAGE.picture"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="ImagingStudy"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="圖片:ImagingStudy"/>
</mapping>
</element>
<element id="IMAGE.recordTotal">
<path value="IMAGE.recordTotal"/>
<short value="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)。"/>
<definition value="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)。"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="IMAGE.recordTotal"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map
value="報告結果(Finding):Observation.valueString 如果可編碼請使用 Observation.component"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map
value="報告結果(interpretation/impression):DiagnosticReport.conclusion"/>
</mapping>
</element>
<element id="IMAGE.radiologyStudyRecommendation">
<path value="IMAGE.radiologyStudyRecommendation"/>
<short value="醫師總結之建議。"/>
<definition value="醫師總結之建議。"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="IMAGE.radiologyStudyRecommendation"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Annotation"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="醫師總結隻建議:Observation.note"/>
</mapping>
</element>
<element id="IMAGE.verificationTime">
<path value="IMAGE.verificationTime"/>
<short value="確認報告時間(分)，格式為西元YYYYMMDDHHMM。"/>
<definition value="確認報告時間(分)，格式為西元YYYYMMDDHHMM。"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="IMAGE.verificationTime"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="確認報告時間:Observation.effective[x]"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="確認報告時間:DiagnosticReport.effective[x]"/>
</mapping>
</element>
<element id="IMAGE.verificationPhysician">
<path value="IMAGE.verificationPhysician"/>
<short value="報告醫師姓名"/>
<definition value="報告醫師姓名"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="IMAGE.verificationPhysician"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Practitioner"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="報告醫師姓名:Practitioner.name"/>
</mapping>
</element>
</snapshot>
<differential>
<element id="IMAGE">
<path value="IMAGE"/>
<short value="此邏輯模型適用於醫學影像報告"/>
<definition value="Medical Imaging And Report"/>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="Patient"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="Organization"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="Practitioner"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="Encounter"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="Condition"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="ImagingStudy"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="Observation"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="DiagnosticReport"/>
</mapping>
</element>
<element id="IMAGE.hospitaltype">
<path value="IMAGE.hospitaltype"/>
<short value="醫院別"/>
<definition value="醫院別"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Base"/>
</type>
</element>
<element id="IMAGE.hospitaltype.id">
<path value="IMAGE.hospitaltype.id"/>
<short value="醫事機構代碼，院所代碼需與健保申報相同"/>
<definition value="醫事機構代碼，院所代碼需與健保申報相同"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Identifier"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map
value="醫事機構代碼:Organization.identifier.value 使用 Organization.identifier.type 識別類型"/>
</mapping>
</element>
<element id="IMAGE.hospitaltype.name">
<path value="IMAGE.hospitaltype.name"/>
<short value="醫事機構名稱，院所名稱需與健保申報相同"/>
<definition value="醫事機構名稱，院所名稱需與健保申報相同"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="院所名稱:Organization.name"/>
</mapping>
</element>
<element id="IMAGE.order">
<path value="IMAGE.order"/>
<short value="檢查項目"/>
<definition value="檢查項目"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Base"/>
</type>
</element>
<element id="IMAGE.order.code">
<path value="IMAGE.order.code"/>
<short value="醫令代碼，檢查健保醫令代碼，需與健保申報相同。"/>
<definition value="醫令代碼，檢查健保醫令代碼，需與健保申報相同。"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="檢查健保醫令代碼:ImagingStudy.procedureCode.coding.code"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="檢查健保醫令代碼:Observation.code.coding.code"/>
</mapping>
</element>
<element id="IMAGE.order.description">
<path value="IMAGE.order.description"/>
<short value="醫令名稱，檢查健保醫令名稱，需與健保申報相同。"/>
<definition value="醫令名稱，檢查健保醫令名稱，需與健保申報相同。"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="醫令名稱:ImagingStudy.procedureCode.coding.display"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="醫令名稱:Observation.code.coding.display"/>
</mapping>
</element>
<element id="IMAGE.examinationStatus">
<path value="IMAGE.examinationStatus"/>
<short value="檢查部位"/>
<definition value="檢查部位"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Base"/>
</type>
</element>
<element id="IMAGE.examinationStatus.physicalExamination">
<path value="IMAGE.examinationStatus.physicalExamination"/>
<short value="檢查部位，檢查部位，需與健保申報相同。"/>
<definition value="檢查部位，檢查部位，需與健保申報相同。"/>
<min value="1"/>
<max value="*"/>
<type>
<code value="Coding"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="檢查部位:ImagingStudy.series.bodySite"/>
</mapping>
</element>
<element id="IMAGE.examinationStatus.description">
<path value="IMAGE.examinationStatus.description"/>
<short value="檢查部位詳細說明、拍攝方向與角度等"/>
<definition value="檢查部位詳細說明、拍攝方向與角度等"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="檢查部位說明:ImagingStudy.series.description"/>
</mapping>
</element>
<element id="IMAGE.numberOfInstances">
<path value="IMAGE.numberOfInstances"/>
<short value="檢查張數"/>
<definition value="檢查張數"/>
<min value="1"/>
<max value="*"/>
<type>
<code value="unsignedInt"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="醫療影像張數:ImagingStudy.numberOfInstances"/>
</mapping>
</element>
<element id="IMAGE.accessionNo">
<path value="IMAGE.accessionNo"/>
<short value="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。"/>
<definition value="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。"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Identifier"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="檢查單號:ImagingStudy.identifier"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="檢查單號:Observation.identifier"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="檢查單號:DiagnosticReport.identifier"/>
</mapping>
</element>
<element id="IMAGE.patientInformation">
<path value="IMAGE.patientInformation"/>
<short value="病人基本資料"/>
<definition value="病人基本資料"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Base"/>
</type>
</element>
<element id="IMAGE.patientInformation.idNumber">
<path value="IMAGE.patientInformation.idNumber"/>
<short value="身分證號，病人身分證號。"/>
<definition value="身分證號，病人身分證號。"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Identifier"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map
value="身分證:Patient.identifier.value 使用 Patient.identifier.type 識別類型"/>
</mapping>
</element>
<element id="IMAGE.patientInformation.chartNO">
<path value="IMAGE.patientInformation.chartNO"/>
<short value="病歷號碼，院內病歷號碼。"/>
<definition value="病歷號碼，院內病歷號碼。"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Identifier"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map
value="病歷號:Patient.identifier.value 使用 Patient.identifier.type 識別類型"/>
</mapping>
</element>
<element id="IMAGE.patientInformation.name">
<path value="IMAGE.patientInformation.name"/>
<short value="姓名"/>
<definition value="姓名"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="病人性名:Patient.name"/>
</mapping>
</element>
<element id="IMAGE.patientInformation.administrativeSex">
<path value="IMAGE.patientInformation.administrativeSex"/>
<short value="性別"/>
<definition value="性別"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="病人性別:Patient.gender"/>
</mapping>
</element>
<element id="IMAGE.patientInformation.birthDate">
<path value="IMAGE.patientInformation.birthDate"/>
<short value="出生日期"/>
<definition value="出生日期"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="date"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="病人出生日期:Patient.birthDate"/>
</mapping>
</element>
<element id="IMAGE.medicalOrder">
<path value="IMAGE.medicalOrder"/>
<short value="醫囑時間及醫囑醫師資料"/>
<definition value="醫囑時間及醫囑醫師資料"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Base"/>
</type>
</element>
<element id="IMAGE.medicalOrder.orderDatetime">
<path value="IMAGE.medicalOrder.orderDatetime"/>
<short value="醫囑時間，醫囑日期（分），格式為西元YYYYMMDDHHMM。"/>
<definition value="醫囑時間，醫囑日期（分），格式為西元YYYYMMDDHHMM。"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Period"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="醫囑時間，醫囑日期（分）:Encounter.period"/>
</mapping>
</element>
<element id="IMAGE.medicalOrder.orderPhysician">
<path value="IMAGE.medicalOrder.orderPhysician"/>
<short value="醫囑醫師姓名"/>
<definition value="醫囑醫師姓名"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Practitioner"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="醫囑醫師姓名:Practitioner.name"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="醫囑醫師:Encounter.participant.individual"/>
</mapping>
</element>
<element id="IMAGE.historyOfPresentIllness">
<path value="IMAGE.historyOfPresentIllness"/>
<short value="病史，病人病史，內容可以包含主訴、適應症等。"/>
<definition value="病史，病人病史，內容可以包含主訴、適應症等。"/>
<min value="1"/>
<max value="*"/>
<type>
<code value="CodeableConcept"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="病史，病人病史，內容可以包含主訴、適應症等:Condition.code"/>
</mapping>
</element>
<element id="IMAGE.diagnosisICDcode">
<path value="IMAGE.diagnosisICDcode"/>
<short value="疾病診斷，疾病診斷代碼及文字。"/>
<definition value="疾病診斷，疾病診斷代碼及文字。"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="CodeableConcept"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="疾病診斷代碼:DiagnosticReport.code"/>
</mapping>
</element>
<element id="IMAGE.examDatetime">
<path value="IMAGE.examDatetime"/>
<short value="實際檢查日期時間(分) ，格式為西元YYYYMMDDHHMM。"/>
<definition value="實際檢查日期時間(分) ，格式為西元YYYYMMDDHHMM。"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="dateTime"/>
</type>
</element>
<element id="IMAGE.picture">
<path value="IMAGE.picture"/>
<short value="圖片"/>
<definition value="圖片"/>
<min value="1"/>
<max value="*"/>
<type>
<code value="ImagingStudy"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="圖片:ImagingStudy"/>
</mapping>
</element>
<element id="IMAGE.recordTotal">
<path value="IMAGE.recordTotal"/>
<short value="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)。"/>
<definition value="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)。"/>
<min value="1"/>
<max value="*"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map
value="報告結果(Finding):Observation.valueString 如果可編碼請使用 Observation.component"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map
value="報告結果(interpretation/impression):DiagnosticReport.conclusion"/>
</mapping>
</element>
<element id="IMAGE.radiologyStudyRecommendation">
<path value="IMAGE.radiologyStudyRecommendation"/>
<short value="醫師總結之建議。"/>
<definition value="醫師總結之建議。"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Annotation"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="醫師總結隻建議:Observation.note"/>
</mapping>
</element>
<element id="IMAGE.verificationTime">
<path value="IMAGE.verificationTime"/>
<short value="確認報告時間(分)，格式為西元YYYYMMDDHHMM。"/>
<definition value="確認報告時間(分)，格式為西元YYYYMMDDHHMM。"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="dateTime"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="確認報告時間:Observation.effective[x]"/>
</mapping>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="確認報告時間:DiagnosticReport.effective[x]"/>
</mapping>
</element>
<element id="IMAGE.verificationPhysician">
<path value="IMAGE.verificationPhysician"/>
<short value="報告醫師姓名"/>
<definition value="報告醫師姓名"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Practitioner"/>
</type>
<mapping>
<identity value="MedicalImagingAndReport"/>
<map value="報告醫師姓名:Practitioner.name"/>
</mapping>
</element>
</differential>
</StructureDefinition>