1.0.0 - ci-build

JPCoreV1 - Local Development build (v1.0.0). See the Directory of published versions

Resource Profile: JP_ImagingStudy_Radiology - Detailed Descriptions

Definitions for the JP-ImagingStudy-Radiology resource profile.

1. ImagingStudy
Definition

Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.

DICOM画像検査で作成されたコンテンツの表現。スタディは一連のシリーズで構成され、各シリーズには、共通のコンテキストで取得または生成された一連のサービスオブジェクトペアインスタンス(SOPインスタンス-画像またはその他のデータ)が含まれる。シリーズは1つのモダリティ(X線、CT、MR、超音波など)のみだが、スタディには複数の異なるモダリティのシリーズが含まれる場合がある。

Control0..*
InvariantsDefined on this element
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (: contained.contained.empty())
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 (: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (: contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (: text.`div`.exists())
2. ImagingStudy.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Control0..1
Typestring
Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

3. ImagingStudy.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Control0..1
TypeMeta
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
4. ImagingStudy.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Control0..1
Typeuri
Is Modifiertrue
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
5. ImagingStudy.language
Definition

The base language in which the resource is written.

Control0..1
BindingThe codes SHOULD be taken from CommonLanguages
Max Binding: AllLanguages A human language.
Typecode
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
6. ImagingStudy.text
Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Control0..1
TypeNarrative
Alternate Namesnarrative, html, xhtml, display
Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
7. ImagingStudy.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Control0..*
TypeResource
Alternate Namesinline resources, anonymous resources, contained resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

8. ImagingStudy.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. 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.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

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.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
9. ImagingStudy.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Comments

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.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
10. ImagingStudy.identifier
Definition

Identifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number.

DICOMスタディインスタンスUIDやアクセッション番号などのImagingStudyの識別子。

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Requirements

If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier (see DICOM PS 3.3 C.7.2. ImagingStudyに1つ以上のシリーズ要素が存在する場合、1つのDICOMスタディUID識別子が存在する必要がある([DICOM PS 3.3 C.7.2](http://dicom.nema.org/medical/dicom/current/output/を参照) chtml / part03 / sect_C.7.2.html)。

Alternate NamesStudyInstanceUID, AccessionNumber
Comments

See discussion under Imaging Study Implementation Notes for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type.

DICOMスタディインスタンスUIDのエンコードについては、[Imaging Study Implementation Notes](imagingstudy.html#notes)の説明を参照。アクセッション番号はACSN識別子タイプを使用する必要がある。

<br><br> 【JP仕様】<br> Study Instance UIDは必須、その他は任意。

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
11. ImagingStudy.status
Definition

The current state of the ImagingStudy.  ImagingStudyの現在のステータス

Control1..1
BindingThe codes SHALL be taken from ImagingStudyStatus The status of the ImagingStudy.
Typecode
Is Modifiertrue
Comments

Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.

不明は「その他」を表すものではない。定義されたステータスの1つを適用する必要がある。不明は、オーサリングシステムが現在のステータスを確認できない場合に使用される。

<br><br> 【JP仕様】<br> リソースの状態。

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
12. ImagingStudy.modality
Definition

A list of all the series.modality values that are actual acquisition modalities, i.e. those in the DICOM Context Group 29 (value set OID 1.2.840.10008.6.1.19).

実際の取得モダリティであるすべてのseries.modality値のリスト、つまりDICOMコンテキストグループ29(値セットOID 1.2.840.10008.6.1.19)の値。

Control0..*
BindingThe codes SHALL be taken from http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html; other codes may be used where these codes are not suitable Type of acquired data in the instance.
TypeCoding
Alternate NamesModalitiesInStudy
Comments

Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.

コードは、列挙型またはコードリストで、SNOMED CTなどの非常に正式な定義まで、非常にカジュアルに定義できる。詳細については、HL7v3コア原則を参照のこと。

【JP-CORE】 ・モダリティのコードを設定。<br> ・Seriesの階層の(0008,0060)を集約する、または(0008,0060) と (0008, 0061) のOR。但し、重複する値は1つにまとめて表現。<br>

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
13. ImagingStudy.subject
Definition

The subject, typically a patient, of the imaging study.

画像検査の対象、通常は患者。

Control1..1
TypeReference(Patient | Device | Group)
Comments

QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group.

QAファントムはデバイスで記録できる。複数の被験者(マウスなど)をグループで記録できる。

【JP-CORE】 ・患者(Patient)リソースを参照。<br> ・DICOMタグ値を参照する場合は、tag mappingの通りグループ0010(患者情報に関連する情報を扱うグループ)を参照。<br> ・不明患者は、空もしくは不明を指すPatientリソースを参照。<br>

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
14. ImagingStudy.encounter
Definition

The healthcare event (e.g. a patient and healthcare provider interaction) during which this ImagingStudy is made.

このImagingStudyが行われるヘルスケアイベント(患者とヘルスケアプロバイダーの相互作用など)。

Control0..1
TypeReference(Encounter)
Comments

This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission test).

これは通常、イベントが発生したエンカウンターですが、一部のイベントは、エンカウンターの正式な完了の前または後に開始される場合があり、それでもそのエンカウンターのコンテキストに関連付けられています(例:入院前の検査)

【JP-CORE】 受付を示すEncounterリソースを参照。 (補足:訪問診療では医療者が患者と会った事を指す)

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
15. ImagingStudy.started
Definition

Date and time the study started.

スタディーの開始日時

Control0..1
TypedateTime
Alternate NamesStudyDate, StudyTime
Comments

【JP-CORE】 検査開始日時 もしくは 撮影装置へ患者情報が届いた/入力した日時。

Example
General:2011-01-01T11:01:20+03:00
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
16. ImagingStudy.basedOn
Definition

A list of the diagnostic requests that resulted in this imaging study being performed.

この画像検査の実施につながった診断依頼のリスト。

Control0..*
TypeReference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)
Requirements

To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT).

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

参照は、実際のFHIRリソースへの参照である必要があり、内容に辿り着ける(解決できる)必要があります(アクセス制御、一時的な使用不可などを考慮に入れる)。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。

【JP-CORE】 依頼元のServiceRequestを紐付ける。

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
17. ImagingStudy.referrer
Definition

The requesting/referring physician.

依頼紹介医師

Control0..1
TypeReference(Practitioner | PractitionerRole)
Alternate NamesReferringPhysiciansName
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

参照は、実際のFHIRリソースへの参照である必要があり、内容に辿り着ける(解決できる)必要があります(アクセス制御、一時的な使用不可などを考慮に入れる)。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。

【JP-CORE】 依頼医師。必須ではない(ServiceRequestから参照できるため)。

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
18. ImagingStudy.interpreter
Definition

Who read the study and interpreted the images or other content.

画像の読影者

Control0..*
TypeReference(Practitioner | PractitionerRole)
Alternate NamesName of Physician(s) Reading Study
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

参照は、実際のFHIRリソースへの参照である必要があり、内容に辿り着ける(解決できる)必要があります(アクセス制御、一時的な使用不可などを考慮に入れる)。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。

【JP-CORE】 読影医

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
19. ImagingStudy.endpoint
Definition

The network service providing access (e.g., query, view, or retrieval) for the study. See implementation notes for information about using DICOM endpoints. A study-level endpoint applies to each series in the study, unless overridden by a series-level endpoint with the same Endpoint.connectionType.

スタディーへのアクセス(クエリ、表示、取得など)を提供するネットワークサービス。 DICOMエンドポイントの使用については、実装ノートを参照。スタディレベルのエンドポイントは、同じEndpoint.connectionType.cを持つシリーズレベルのエンドポイントによってオーバーライドされない限り、スタディの各シリーズに適用される。

Control0..*
TypeReference(Endpoint)
Requirements

Access methods for viewing (e.g., IHE’s IID profile) or retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the study or the study’s series or instances. The study-level baseLocation applies to each series in the study, unless overridden in series by a series-level baseLocation of the same type.

Comments

Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG), formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances; or IHE Invoke Image Display (IID), which provides standard invocation of an imaging web viewer.

典型的なエンドポイントタイプには、RESTful APIを使用してネイティブまたはレンダリング(JPG、PNGなど)形式でDICOMインスタンスを取得するために使用されるDICOMWADO-RSが含まれる。 DICOMWADO-URI。HTTPクエリベースのアプローチを使用することを除いて、ネイティブインスタンスまたはレンダリングされたインスタンスを同様に取得できる。 DICOM QIDO-RS。実際のインスタンスを取得せずに、DICOM情報のRESTfulクエリを可能にする。またはIHEInvoke Image Display(IID)。これは、イメージングWebビューアの標準的な呼び出しを提供する。

【JP-CORE】 DICOMのリソース位置を指定。基本的には1つ。

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
20. ImagingStudy.numberOfSeries
Definition

Number of Series in the Study. This value given may be larger than the number of series elements this Resource contains due to resource availability, security, or other factors. This element should be present if any series elements are present.

調査のシリーズ数。指定されたこの値は、リソースの可用性、セキュリティ、またはその他の要因により、このリソースに含まれる一連の要素の数よりも大きい場合がある。系列要素が存在する場合、この要素が存在する必要がある。

Control0..1
TypeunsignedInt
Alternate NamesNumberOfStudyRelatedSeries
Comments

32 bit number; for values larger than this, use decimal 32ビット数;これより大きい値の場合は、10進数を使用する。

【JP-CORE】 シリーズの数

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
21. ImagingStudy.numberOfInstances
Definition

Number of SOP Instances in Study. This value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present.

スタディーの中のSOPインスタンスの数。指定されたこの値は、リソースの可用性、セキュリティ、またはその他の要因により、このリソースに含まれるインスタンス要素の数よりも大きい場合がある。インスタンス要素が存在する場合は、この要素が存在する必要がある。

Control0..1
TypeunsignedInt
Alternate NamesNumberOfStudyRelatedInstances
Comments

32 bit number; for values larger than this, use decimal 32ビット数;これより大きい値の場合は、10進数を使用する。

【JP-CORE】 イメージ(インスタンス)の数。

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
22. ImagingStudy.procedureReference
Definition

The procedure which this ImagingStudy was part of.

このImagingStudyが含まれていたprocedure リソースへの参照。

Control0..1
TypeReference(Procedure)
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

参照は、実際のFHIRリソースへの参照である必要があり、内容に辿り着ける(解決できる)必要があります(アクセス制御、一時的な使用不可などを考慮に入れる)。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。

【JP-CORE】 進捗状況に関するProcedureリソースを参照。

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
23. ImagingStudy.procedureCode
Definition

The code for the performed procedure type.

実施されたProcesureのタイプを表すコード。

Control0..*
BindingThe codes SHALL be taken from http://www.rsna.org/RadLex_Playbook.aspx; other codes may be used where these codes are not suitable The performed procedure type.
TypeCodeableConcept
Alternate NamesProcedureCodeSequence
Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

すべてのターミノロジーの使用がこの一般的なパターンに適合するわけではない。場合によっては、モデルはCodeableConceptを使用せず、コーディングを直接使用して、テキスト、コーディング、翻訳、および要素間の関係と調整前後の関係を管理するための独自の構造を提供する必要がある。

【JP-CORE】 エラーコードなどを記載

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
24. ImagingStudy.location
Definition

The principal physical location where the ImagingStudy was performed.

ImagingStudyが実行された主要な物理的な場所。

Control0..1
TypeReference(Location)
Requirements

Ties the event to where the records are likely kept and provides context around the event occurrence (e.g. if it occurred inside or outside a dedicated healthcare setting).

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

参照は、実際のFHIRリソースへの参照である必要があり、内容に辿り着ける(解決できる)必要があります(アクセス制御、一時的な使用不可などを考慮に入れる)。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。

【JP-CORE】 撮影室を示すLocationリソースを参照。

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
25. ImagingStudy.reasonCode
Definition

Description of clinical condition indicating why the ImagingStudy was requested.

ImagingStudyが要求された理由を示す臨床状態の説明。

Control0..*
BindingFor example codes, see ProcedureReasonCodes The reason for the study.
TypeCodeableConcept
Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

すべてのターミノロジーの使用がこの一般的なパターンに適合するわけではない。場合によっては、モデルはCodeableConceptを使用せず、コーディングを直接使用して、テキスト、コーディング、翻訳、および要素間の関係と調整前後の関係を管理するための独自の構造を提供する必要がある。

【JP-CORE】 未使用

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
26. ImagingStudy.reasonReference
Definition

Indicates another resource whose existence justifies this Study.

このスタディーを正当化する別のリソースを示す。

Control0..*
TypeReference(Condition | Observation | Media | DiagnosticReport | DocumentReference)
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

参照は、実際のFHIRリソースへの参照である必要があり、内容に辿り着ける(解決できる)必要があります(アクセス制御、一時的な使用不可などを考慮に入れる)。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。

【JP-CORE】 実施理由が書かれたDiagnosticReportリソースを参照。

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
27. ImagingStudy.note
Definition

Per the recommended DICOM mapping, this element is derived from the Study Description attribute (0008,1030). Observations or findings about the imaging study should be recorded in another resource, e.g. Observation, and not in this element.

推奨されるDICOMマッピングによると、この要素はスタディの説明属性(0008,1030)から派生している。画像検査に関する観察または所見は、この要素に記述するのではなく、Observationのような別のリソースに記録する必要がある。

Control0..*
TypeAnnotation
Comments

For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).

構造化された注釈(アノテーション)を持たないシステムの場合、作成者や時間なしで単一の注釈を簡単に伝達できる。情報を変更する可能性があるため、この要素をナラティブに含める必要がある場合があります。 注釈は、計算機処理れきる「変更」情報を伝達するために使用されるべきではない。 (ユーザーの行動を強制することはほとんど不可能であるため、これはSHOULDです)。

【JP-CORE】 コメント(Annotation型による記述)

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
28. ImagingStudy.description
Definition

The Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed.

スタディーのイメージングマネージャーの説明。実施されたスタディー(コンポーネント)の機関生成の説明または分類。

Control0..1
Typestring
Alternate NamesStudyDescription
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

FHIR文字列のサイズは1MBを超えてはならないことに注意。

【JP-CORE】 検査に関するフリーコメント。

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
29. ImagingStudy.series
Definition

Each study has one or more series of images or other content.

個々のスタディーは画像か他の内容の1以上のシリーズを有する。

Control0..*
TypeBackboneElement
Comments

【JP-CORE】 シリーズ(大まかな画像のグループ)

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
30. ImagingStudy.series.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
31. ImagingStudy.series.extension
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.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

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.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
32. ImagingStudy.series.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

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.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
33. ImagingStudy.series.uid
Definition

The DICOM Series Instance UID for the series.

そのシリーズにrタイするDICOMシリーズインスタンスUID

Control1..1
Typeid
Requirements

DICOM Series Instance UID.

Alternate NamesSeriesInstanceUID
Comments

See DICOM PS3.3 C.7.3. [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.3.html)を参照。

【JP-CORE】 study階層のidentifierと同じ概念。(0020,000E)にseries固有のUIDが付与される。

Example
General:2.16.124.113543.6003.2588828330.45298.17418.2723805630
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
34. ImagingStudy.series.number
Definition

The numeric identifier of this series in the study.

このシリーズの数値型識別子

Control0..1
TypeunsignedInt
Alternate NamesSeriesNumber
Comments

32 bit number; for values larger than this, use decimal 32ビット数;これより大きい値の場合は、10進数を使用する。

【JP-CORE】 上記UIDとは別に、ユーザー(または装置)が自由に決められる番号。

Example
General:3
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
35. ImagingStudy.series.modality
Definition

The modality of this series sequence.

シリーズシーケンスのモダリティー

Control1..1
BindingThe codes SHALL be taken from http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html; other codes may be used where these codes are not suitable Type of acquired data in the instance.
TypeCoding
Alternate NamesModality
Comments

Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.

コードは、列挙型またはコードリストで、SNOMED CTなどの非常に正式な定義まで、非常に柔軟に定義できる。詳細については、HL7v3コア原則を参照。

【JP-CORE】 当該シリーズのモダリティコード。1シリーズ1モダリティ(1つのシリーズの中に複数のモダリティが混在することはない)。 <br> (参照先)<br> ftp://medical.nema.org/medical/dicom/resources/valuesets/fhir/json/CID_29.json<br> http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
36. ImagingStudy.series.description
Definition

A description of the series.

シリーズの記述。

Control0..1
Typestring
Alternate NamesSeriesDescription
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

FHIR文字列のサイズは1MBを超えてはならないことに注意。

【JP-CORE】 シリーズごとにつけられるフリーコメント。

Example
General:CT Surview 180
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
37. ImagingStudy.series.numberOfInstances
Definition

Number of SOP Instances in the Study. The value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present.

スタディーの中のSOPインスタンスの数。指定されたこの値は、リソースの可用性、セキュリティ、またはその他の要因により、このリソースに含まれるインスタンス要素の数よりも大きい場合がある。インスタンス要素が存在する場合は、この要素が存在する必要がある。

Control0..1
TypeunsignedInt
Alternate NamesNumberOfSeriesRelatedInstances
Comments

32 bit number; for values larger than this, use decimal

32ビット数;これより大きい値の場合は、10進数を使用する。

【JP-CORE】 シリーズに含まれる画像枚数

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
38. ImagingStudy.series.endpoint
Definition

The network service providing access (e.g., query, view, or retrieval) for this series. See implementation notes for information about using DICOM endpoints. A series-level endpoint, if present, has precedence over a study-level endpoint with the same Endpoint.connectionType.

シリーズへのアクセス(クエリ、表示、取得など)を提供するネットワークサービス。 DICOMエンドポイントの使用については、実装ノートを参照。シリーズレベルのエンドポイントは、同じEndpoint.connectionType.cを持つシリーズレベルのエンドポイントによってオーバーライドされない限り、スタディの各シリーズに適用される。

Control0..*
TypeReference(Endpoint)
Requirements

Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the series or the series’ instances. A baseLocation specified at the series level has precedence over a baseLocation of the same type specified at the study level.

Comments

Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG) formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; and DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances.

典型的なエンドポイントタイプには、RESTful APIを使用してネイティブまたはレンダリング(JPG、PNGなど)形式でDICOMインスタンスを取得するために使用されるDICOMWADO-RSが含まれる。 DICOMWADO-URI。HTTPクエリベースのアプローチを使用することを除いて、ネイティブインスタンスまたはレンダリングされたインスタンスを同様に取得できる。 DICOM QIDO-RSは、実際のインスタンスを取得せずにDICOM情報のRESTfulクエリを可能にする。

【JP-CORE】 study階層のendpointと同じ。DICOMのリソース位置を指定。基本的には1つ。

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
39. ImagingStudy.series.bodySite
Definition

The anatomic structures examined. See DICOM Part 16 Annex L (http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings. The bodySite may indicate the laterality of body part imaged; if so, it shall be consistent with any content of ImagingStudy.series.laterality.

検査対象の解剖学的構造。 DICOMからSNOMED-CTへのマッピングについては、DICOM Part 16 Annex L(http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html)を参照。 bodySiteは、画像化された身体部分の左右差を示している場合がある。その場合、ImagingStudy.series.lateralityのコンテンツと一致している必要がある。

Control0..1
BindingFor example codes, see SNOMEDCTBodyStructures Codes describing anatomical locations. May include laterality.
TypeCoding
Alternate NamesBodyPartExamined
Comments

Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.

コードは、列挙型またはコードリストで、SNOMED CTなどの非常に正式な定義まで、非常に柔軟に定義できる。詳細については、HL7v3コア原則を参照。

【JP-CORE】 どの部位の検査なのかを示す。フリーではなく、DICOM定義書の中で示される語句しか使えない。

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
40. ImagingStudy.series.laterality
Definition

The laterality of the (possibly paired) anatomic structures examined. E.g., the left knee, both lungs, or unpaired abdomen. If present, shall be consistent with any laterality information indicated in ImagingStudy.series.bodySite.

検査した(おそらく対になっている)解剖学的構造の左右識別。 例:左膝、両方の肺、または対になっていない腹部。存在する場合は、ImagingStudy.series.bodySiteに示されている左右差情報と一致している必要がある。

Control0..1
BindingFor example codes, see Laterality Codes describing body site laterality (left, right, etc.).
TypeCoding
Comments

Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.

コードは、列挙型またはコードリストで、SNOMED CTなどの非常に正式な定義まで、非常に柔軟に定義できる。詳細については、HL7v3コア原則を参照。

【JP-CORE】 左右などを示す。フリーではなく、DICOM定義書の中で示される語句しか使えない。

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
41. ImagingStudy.series.specimen
Definition

The specimen imaged, e.g., for whole slide imaging of a biopsy.

例えば、生検のスライド全体の画像化のために画像化された標本。

Control0..*
TypeReference(Specimen)
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

参照は、実際のFHIRリソースへの参照である必要があり、内容に辿り着ける(解決できる)必要があります(アクセス制御、一時的な使用不可などを考慮に入れる)。解決は、URLから取得するか、リソースタイプによって該当する場合は、絶対参照を正規URLとして扱い、ローカルレジストリ/リポジトリで検索することによって行うことができる。

【JP-CORE】 病理検体などを管理するための番号。 <br> 【議論】<br> UIDは別のtagが存在するので、ユーザー側で自由に付与していい番号と思われる。

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
42. ImagingStudy.series.started
Definition

The date and time the series was started.

シリーズの開始日付、日時。

Control0..1
TypedateTime
Comments

【JP-CORE】 シリーズ単位での開始時刻。最初にシリーズを取得 or 定義した時刻。

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
43. ImagingStudy.series.performer
Definition

Indicates who or what performed the series and how they were involved.

シリーズを実施し、かかわった人を示す。

Control0..*
TypeBackboneElement
Requirements

The performer is recorded at the series level, since each series in a study may be performed by a different performer, at different times, and using different devices. A series may be performed by multiple performers.

Alternate NamesPerformingPhysicianName, OperatorName
Comments

If the person who performed the series is not known, their Organization may be recorded. A patient, or related person, may be the performer, e.g. for patient-captured images.

シリーズを行った人がわからない場合は、その組織が記録される場合がある。患者または関係者は、患者自身で取得した画像の場合など、パフォーマーである可能性がある。

【JP-CORE】 検査を実施した(画像を取得する操作を行った)人。<br>   (0008,1050)Performing Physician's Name<br>   (0008,1052)Performing Physician Identification Sequence<br>   (0008,1070)Operators' Name<br>   (0008,1072)Operator Identification Sequence<br>

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
44. ImagingStudy.series.performer.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
45. ImagingStudy.series.performer.extension
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.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

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.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
46. ImagingStudy.series.performer.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

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.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
47. ImagingStudy.series.performer.function
Definition

Distinguishes the type of involvement of the performer in the series.

Control0..1
BindingThe codes SHALL be taken from ImagingStudySeriesPerformerFunction; other codes may be used where these codes are not suitable The type of involvement of the performer.
TypeCodeableConcept
Requirements

Allows disambiguation of the types of involvement of different performers.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
48. ImagingStudy.series.performer.actor
Definition

Indicates who or what performed the series.

Control1..1
TypeReference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

<br><br> 【JP仕様】<br> 組織または撮影者

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
49. ImagingStudy.series.instance
Definition

A single SOP instance within the series, e.g. an image, or presentation state.

ひとつの画像、またはプレゼンテーションの状態など、シリーズ内の単一のSOPインスタンス。

Control0..*
TypeBackboneElement
Comments

【JP-CORE】 インスタンス(画像)単位の情報

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
50. ImagingStudy.series.instance.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
51. ImagingStudy.series.instance.extension
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.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

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.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
52. ImagingStudy.series.instance.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

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.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
53. ImagingStudy.series.instance.uid
Definition

The DICOM SOP Instance UID for this image or other DICOM content.

Control1..1
Typeid
Requirements

DICOM SOP Instance UID.

Alternate NamesSOPInstanceUID
Comments

See DICOM PS3.3 C.12.1.

<br><br> 【JP仕様】<br> 画像のユニークID。DICOMタグマッピングにある値をそのまま設定。

Example
General:2.16.124.113543.6003.189642796.63084.16748.2599092903
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
54. ImagingStudy.series.instance.sopClass
Definition

DICOM instance type.

Control1..1
BindingThe codes SHALL be taken from http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1; other codes may be used where these codes are not suitable The sopClass for the instance.
TypeCoding
Alternate NamesSOPClassUID
Comments

Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.

<br><br> 【JP仕様】<br> SOPクラスUID。DICOMタグマッピングにある値をそのまま設定。

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
55. ImagingStudy.series.instance.number
Definition

The number of instance in the series.

Control0..1
TypeunsignedInt
Alternate NamesInstanceNumber
Comments

32 bit number; for values larger than this, use decimal

<br><br> 【JP仕様】<br> ユーザー(または装置)が自由に決められる画像ごとの番号。DICOMタグマッピングにある値をそのまま設定。

Example
General:1
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
56. ImagingStudy.series.instance.title
Definition

The description of the instance. インスタンスの記述

Control0..1
Typestring
Comments

Particularly for post-acquisition analytic objects, such as SR, presentation states, value mapping, etc.

<br><br> 【JP仕様】<br> 画像に対する説明。DICOMタグマッピングにある値があれば、そのまま設定<br>   (0008,0008)Image Type<br>   (0040,A043)Concept Name Code Sequence<br>   (0008,0104)Code Meaning<br>   (0042,0010)Document Title

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))