{
  "resourceType": "StructureDefinition",
  "url": "http://jpfhir.jp/fhir/core/StructureDefinition/JP_ImagingStudy_Radiology",
  "version": "1.0.0",
  "name": "JPCoreImagingStudyRadiologyProfile",
  "title": "JP Core ImagingStudy Radiology Profile",
  "status": "active",
  "publisher": "FHIR® Japanese implementation research working group in Japan Association of Medical Informatics (JAMI)",
  "description": "このプロファイルはImagingStudyリソースに対して、放射線検査のデータを送受信するための制約と拡張を定めたものである。",
  "copyright": "FHIR® Japanese implementation research working group in Japan Association of Medical Informatics (JAMI)",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "dicom",
      "uri": "http://nema.org/dicom",
      "name": "DICOM Tag Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "ImagingStudy",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ImagingStudy",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "ImagingStudy.identifier",
        "path": "ImagingStudy.identifier",
        "comment": "See discussion under [Imaging Study Implementation Notes](imagingstudy.html#notes) for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type.\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\nStudy Instance UIDは必須、その他は任意。"
      },
      {
        "id": "ImagingStudy.status",
        "path": "ImagingStudy.status",
        "comment": "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.\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\nリソースの状態。"
      },
      {
        "id": "ImagingStudy.modality",
        "path": "ImagingStudy.modality",
        "comment": "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.\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\n・モダリティのコードを設定。<br>\r\n・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>"
      },
      {
        "id": "ImagingStudy.subject",
        "path": "ImagingStudy.subject",
        "comment": "QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group.\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\n・患者(Patient)リソースを参照。<br>\r\n・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>\r\n・不明患者は、空もしくは不明を指すPatientリソースを参照。<br>"
      },
      {
        "id": "ImagingStudy.encounter",
        "path": "ImagingStudy.encounter",
        "comment": "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).\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\n受付を示すEncounterリソースを参照。\r\n（補足：訪問診療では医療者が患者と会った事を指す）"
      },
      {
        "id": "ImagingStudy.started",
        "path": "ImagingStudy.started",
        "comment": "<br><br>\r\n【JP仕様】<br>\r\n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。"
      },
      {
        "id": "ImagingStudy.basedOn",
        "path": "ImagingStudy.basedOn",
        "comment": "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.\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\n依頼元のServiceRequestを紐付ける。"
      },
      {
        "id": "ImagingStudy.referrer",
        "path": "ImagingStudy.referrer",
        "comment": "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.\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\n依頼医師。必須ではない（ServiceRequestから参照できるため）。"
      },
      {
        "id": "ImagingStudy.interpreter",
        "path": "ImagingStudy.interpreter",
        "comment": "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.\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\n読影医"
      },
      {
        "id": "ImagingStudy.endpoint",
        "path": "ImagingStudy.endpoint",
        "comment": "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.\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\nDICOMのリソース位置を指定。基本的には1つ。"
      },
      {
        "id": "ImagingStudy.numberOfSeries",
        "path": "ImagingStudy.numberOfSeries",
        "comment": "32 bit number; for values larger than this, use decimal\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\nシリーズの数"
      },
      {
        "id": "ImagingStudy.numberOfInstances",
        "path": "ImagingStudy.numberOfInstances",
        "comment": "32 bit number; for values larger than this, use decimal\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\nイメージ（インスタンス）の数。"
      },
      {
        "id": "ImagingStudy.procedureReference",
        "path": "ImagingStudy.procedureReference",
        "comment": "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.\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\n進捗状況に関するProcedureリソースを参照。"
      },
      {
        "id": "ImagingStudy.procedureCode",
        "path": "ImagingStudy.procedureCode",
        "comment": "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.\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\nエラーコードなどを記載"
      },
      {
        "id": "ImagingStudy.location",
        "path": "ImagingStudy.location",
        "comment": "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.\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\n撮影室を示すLocationリソースを参照。"
      },
      {
        "id": "ImagingStudy.reasonCode",
        "path": "ImagingStudy.reasonCode",
        "comment": "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.\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\n未使用"
      },
      {
        "id": "ImagingStudy.reasonReference",
        "path": "ImagingStudy.reasonReference",
        "comment": "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.\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\n実施理由が書かれたDiagnosticReportリソースを参照。"
      },
      {
        "id": "ImagingStudy.note",
        "path": "ImagingStudy.note",
        "comment": "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).\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\nコメント（Annotation型による記述）"
      },
      {
        "id": "ImagingStudy.description",
        "path": "ImagingStudy.description",
        "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\n検査に関するフリーコメント。"
      },
      {
        "id": "ImagingStudy.series",
        "path": "ImagingStudy.series",
        "comment": "【JP仕様】<br>\r\nシリーズ（大まかな画像のグループ）"
      },
      {
        "id": "ImagingStudy.series.uid",
        "path": "ImagingStudy.series.uid",
        "comment": "See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.3.html).\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\nstudy階層のidentifierと同じ概念。(0020,000E)にseries固有のUIDが付与される。"
      },
      {
        "id": "ImagingStudy.series.number",
        "path": "ImagingStudy.series.number",
        "comment": "32 bit number; for values larger than this, use decimal\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\n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。"
      },
      {
        "id": "ImagingStudy.series.modality",
        "path": "ImagingStudy.series.modality",
        "comment": "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.\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\n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）。\r\n<br>\r\n（参照先）<br>\r\nftp://medical.nema.org/medical/dicom/resources/valuesets/fhir/json/CID_29.json<br>\r\nhttp://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html"
      },
      {
        "id": "ImagingStudy.series.description",
        "path": "ImagingStudy.series.description",
        "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\nシリーズごとにつけられるフリーコメント。"
      },
      {
        "id": "ImagingStudy.series.numberOfInstances",
        "path": "ImagingStudy.series.numberOfInstances",
        "comment": "32 bit number; for values larger than this, use decimal\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\nシリーズに含まれる画像枚数"
      },
      {
        "id": "ImagingStudy.series.endpoint",
        "path": "ImagingStudy.series.endpoint",
        "comment": "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.\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\nstudy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。"
      },
      {
        "id": "ImagingStudy.series.bodySite",
        "path": "ImagingStudy.series.bodySite",
        "comment": "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.\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\n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。"
      },
      {
        "id": "ImagingStudy.series.laterality",
        "path": "ImagingStudy.series.laterality",
        "comment": "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.\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\n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。"
      },
      {
        "id": "ImagingStudy.series.specimen",
        "path": "ImagingStudy.series.specimen",
        "comment": "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.\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\n病理検体などを管理するための番号。\r\n<br>\r\n【議論】<br>\r\nUID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。"
      },
      {
        "id": "ImagingStudy.series.started",
        "path": "ImagingStudy.series.started",
        "comment": "<br><br>\r\n【JP仕様】<br>\r\n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。"
      },
      {
        "id": "ImagingStudy.series.performer",
        "path": "ImagingStudy.series.performer",
        "comment": "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.\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\n検査を実施した（画像を取得する操作を行った）人。<br>\r\n　　(0008,1050)Performing Physician's Name<br>\r\n　　(0008,1052)Performing Physician Identification Sequence<br>\r\n　　(0008,1070)Operators' Name<br>\r\n　　(0008,1072)Operator Identification Sequence<br>"
      },
      {
        "id": "ImagingStudy.series.performer.actor",
        "path": "ImagingStudy.series.performer.actor",
        "comment": "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.\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\n組織または撮影者"
      },
      {
        "id": "ImagingStudy.series.instance",
        "path": "ImagingStudy.series.instance",
        "comment": "<br><br>\r\n【JP仕様】<br>\r\nインスタンス（画像）単位の情報"
      },
      {
        "id": "ImagingStudy.series.instance.uid",
        "path": "ImagingStudy.series.instance.uid",
        "comment": "See  [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html#sect_C.12.1).\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\n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。"
      },
      {
        "id": "ImagingStudy.series.instance.sopClass",
        "path": "ImagingStudy.series.instance.sopClass",
        "comment": "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.\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\nSOPクラスUID。DICOMタグマッピングにある値をそのまま設定。"
      },
      {
        "id": "ImagingStudy.series.instance.number",
        "path": "ImagingStudy.series.instance.number",
        "comment": "32 bit number; for values larger than this, use decimal\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\n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。"
      },
      {
        "id": "ImagingStudy.series.instance.title",
        "path": "ImagingStudy.series.instance.title",
        "comment": "Particularly for post-acquisition analytic objects, such as SR, presentation states, value mapping, etc.\r\n\r\n<br><br>\r\n【JP仕様】<br>\r\n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>\r\n　　(0008,0008)Image Type<br>\r\n　　(0040,A043)Concept Name Code Sequence<br>\r\n　　(0008,0104)Code Meaning<br>\r\n　　(0042,0010)Document Title"
      }
    ]
  }
}