臺灣長期照顧實作指引 (Taiwan Long-Term Care FHIR Implementation Guide)
0.1.1 - ci-build
臺灣長期照顧實作指引 (Taiwan Long-Term Care FHIR Implementation Guide) - Local Development build (v0.1.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Official URL: http://ltc-ig.fhir.tw/StructureDefinition/LTCCompositionReferral | Version: 0.1.1 | |||
Draft as of 2024-09-16 | Computable Name: LTCCompositionReferral |
長期照護管理中心個案服務初篩表/轉介單文件架構,用以表述長期照護管理中心個案服務初篩表/轉介單的文件結構。
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from TWCoreComposition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | 0..* | TWCoreComposition | 將一組resources組成一份連貫的臨床聲明,並附有臨床證明。 | |
implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則 |
modifierExtension | ?! | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
identifier | SΣ | 0..1 | Identifier | 不分版本的臨床文件架構(Composition)識別碼。 |
status | ?!SΣ | 1..1 | code | registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): Composition的工作流程/臨床狀態;應填入所綁定值集中的其中一個代碼。 |
type | S | 1..1 | CodeableConceptTW | Composition的種類(如果可能請使用LOINC) Binding: FHIRDocumentTypeCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 |
subject | SΣ | 1..1 | Reference(TWLTC Patient for Referral Form) | 轉介單描述的個案 |
reference | SΣC | 1..1 | string | 轉介單描述的個案。[應輸入 Patient Resource ID] |
date | SΣ | 1..1 | dateTime | Composition的編輯時間 |
author | SΣ | 1..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼創建了這個Composition |
title | SΣ | 1..1 | string | 人類可讀的名稱/標題 |
attester | S | 0..* | BackboneElement | 證明Composition的準確性 |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): 認證者提供的認證類型;應填入所綁定值集中的其中一個代碼。 | |
custodian | SΣ | 0..1 | Reference(TW Core Organization) | 維護Composition的機構 |
Slices for section | SC | 16..16 | BackboneElement | Composition被分成一個或數個小節 Slice: Unordered, Open by value:title cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
section:All Slices | Content/Rules for all slices | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 |
section:patient | SC | 1..1 | BackboneElement | 個案基本資料 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..1 | Reference(TWLTC Patient for Referral Form) | 個案基本資料的內容 |
reference | SΣC | 1..1 | string | 個案基本資料的內容。[應輸入 Patient Resource ID] |
section:condition-disability | SC | 1..1 | BackboneElement | 身心障礙手冊 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(TWLTC Condition Disability | TWLTC Condition Disability Type | TW Core Condition) | 身心障礙手冊的內容,至少應填寫是否領有身心障礙手冊,如有領有身心障礙手冊,則續填身障類別與疾病代碼 (ICD-10),如有多個身障疾病則可放入多個 Condition。 |
section:condition-tube | SC | 1..1 | BackboneElement | 管路 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..1 | Reference(TWLTC Condition Tube) | 管路的內容,至少應填寫是否有管路,如有管路,則續填管路類別,如有多個管路則可放入多個 Condition。 |
section:condition-crush | SC | 1..1 | BackboneElement | 壓傷 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..1 | Reference(TWLTC Condition Crush) | 壓傷的內容,至少應填寫是否有壓傷,如有壓傷,則續填壓傷部位、等級與大小。 |
section:condition-residence | SC | 1..1 | BackboneElement | 居住狀況 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..1 | Reference(TWLTC Condition Residence) | 居住狀況的內容,應填寫個案獨居狀態。 |
section:condition-caregiver | SC | 1..1 | BackboneElement | 看護 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..1 | Reference(TWLTC Condition Caregiver) | 看護的內容,至少應填寫個案是否有看護,如有看護,則續填本國/外國籍看護人力配置狀況。 |
section:condition-problem | SC | 1..1 | BackboneElement | 疾病狀況 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..1 | Reference(TW Core Condition) | 案主(家)主要疾病 |
section:condition-need | SC | 1..1 | BackboneElement | 案主(家)主要問題及需求 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..1 | Reference(TW Core Condition) | 案主(家)主要問題及需求 |
section:careplan | SC | 1..1 | BackboneElement | 欲申請服務之種類 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(TWLTC CarePlan Referral) | 欲申請服務之種類 |
section:questionnaire-adl | SC | 1..1 | BackboneElement | ADL 失能項目評估 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..1 | Reference(TWLTC QuestionnaireResponse Referral ADL) | ADL 失能項目評估 |
section:questionnaire-iadl | SC | 1..1 | BackboneElement | IADL 失能項目評估 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..1 | Reference(TWLTC QuestionnaireResponse Referral IADL) | IADL 失能項目評估 |
section:questionnaire-sof | SC | 1..1 | BackboneElement | 長者衰弱評估 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..1 | Reference(TWLTC QuestionnaireResponse Referral SOF) | 長者衰弱評估 |
section:questionnaire-caregiver | SC | 1..1 | BackboneElement | 照顧者評估 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..1 | Reference(TWLTC QuestionnaireResponse Referral Caregiver) | 照顧者評估 |
section:encounter | SC | 1..1 | BackboneElement | 出入院情形 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..1 | Reference(TW Core Encounter) | 個案的出入院情形,若個案在住院中,則填入該次就診資料。 |
section:practitioner | SC | 1..1 | BackboneElement | 填表者/轉介者資訊及簽名欄 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..1 | Reference(TWLTC Practitioner | TW Core Practitioner) | 填表者/轉介者資訊及簽名欄 |
section:organization | SC | 1..1 | BackboneElement | 填表單位資訊 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..1 | Reference(TWLTC Organization | TW Core Organization) | 填表單位資訊 |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard | |
Composition.type | extensible | FHIRDocumentTypeCodeshttp://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard | |
Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard | |
Composition.section.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:patient.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:condition-disability.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:condition-tube.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:condition-crush.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:condition-residence.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:condition-caregiver.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:condition-problem.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:condition-need.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:careplan.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:questionnaire-adl.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:questionnaire-iadl.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:questionnaire-sof.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:questionnaire-caregiver.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:encounter.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:practitioner.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:organization.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
cmp-1 | error | Composition.section, Composition.section:patient, Composition.section:condition-disability, Composition.section:condition-tube, Composition.section:condition-crush, Composition.section:condition-residence, Composition.section:condition-caregiver, Composition.section:condition-problem, Composition.section:condition-need, Composition.section:careplan, Composition.section:questionnaire-adl, Composition.section:questionnaire-iadl, Composition.section:questionnaire-sof, Composition.section:questionnaire-caregiver, Composition.section:encounter, Composition.section:practitioner, Composition.section:organization | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
cmp-2 | error | Composition.section, Composition.section:patient, Composition.section:condition-disability, Composition.section:condition-tube, Composition.section:condition-crush, Composition.section:condition-residence, Composition.section:condition-caregiver, Composition.section:condition-problem, Composition.section:condition-need, Composition.section:careplan, Composition.section:questionnaire-adl, Composition.section:questionnaire-iadl, Composition.section:questionnaire-sof, Composition.section:questionnaire-caregiver, Composition.section:encounter, Composition.section:practitioner, Composition.section:organization | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Composition | 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 | error | Composition | 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 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Composition | 0..* | TWCoreComposition | 將一組resources組成一份連貫的臨床聲明,並附有臨床證明。 | |||||
id | Σ | 0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的Composition紀錄,通常又稱為邏輯性ID。 | ||||
meta | Σ | 0..1 | Meta | 此Composition Resource的metadata | ||||
implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則 | ||||
language | 0..1 | code | 用以表述Composition Resource內容的語言 Binding: CommonLanguages (preferred): 人類語言;鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。
Example Value: zh-TW | |||||
text | 0..1 | Narrative | Composition Resource之內容摘要以供人閱讀 | |||||
contained | 0..* | Resource | 內嵌的(contained)、行內的Resources | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?! | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
identifier | SΣ | 0..1 | Identifier | 不分版本的臨床文件架構(Composition)識別碼。 | ||||
status | ?!SΣ | 1..1 | code | registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): Composition的工作流程/臨床狀態;應填入所綁定值集中的其中一個代碼。 | ||||
type | S | 1..1 | CodeableConceptTW | Composition的種類(如果可能請使用LOINC) Binding: FHIRDocumentTypeCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
category | 0..* | CodeableConceptTW | Composition的分類 Binding: DocumentClassValueSet (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
subject | SΣ | 1..1 | Reference(TWLTC Patient for Referral Form) | 轉介單描述的個案 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | SΣC | 1..1 | string | 轉介單描述的個案。[應輸入 Patient Resource ID] | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
encounter | Σ | 0..1 | Reference(TW Core Encounter) | Composition的情境 | ||||
date | SΣ | 1..1 | dateTime | Composition的編輯時間 | ||||
author | SΣ | 1..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼創建了這個Composition | ||||
title | SΣ | 1..1 | string | 人類可讀的名稱/標題 | ||||
confidentiality | Σ | 0..1 | code | 根據特定技術領域的定義 Binding: v3.ConfidentialityClassification (2014-03-26) (required): 應填入所綁定值集中的其中一個代碼。 | ||||
attester | S | 0..* | BackboneElement | 證明Composition的準確性 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): 認證者提供的認證類型;應填入所綁定值集中的其中一個代碼。 | |||||
time | 0..1 | dateTime | 此Composition被證明的時間 | |||||
party | 0..1 | Reference(TW Core Patient | RelatedPerson | TW Core Practitioner | TW Core PractitionerRole | TW Core Organization) | 誰證明了此Composition | |||||
custodian | SΣ | 0..1 | Reference(TW Core Organization) | 維護Composition的機構 | ||||
relatesTo | 0..* | BackboneElement | 與其他Composition/文件之間的關係 | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): 檔案之間的關係型別;應填入所綁定值集中的其中一個代碼。 | |||||
target[x] | 1..1 | 此關係的目標文件 | ||||||
targetIdentifier | Identifier | |||||||
targetReference | Reference(Composition) | |||||||
event | Σ | 0..* | BackboneElement | 正在記錄的臨床服務 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | 0..* | CodeableConceptTW | 此代碼表代表了正在被記錄的主要臨床行為 Binding: v3 Code System ActCode (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
period | Σ | 0..1 | Period | 文件所涵蓋的時間區間 | ||||
detail | Σ | 0..* | Reference(Resource) | 在描述被記錄下來的事件,這些事件可以是以代碼的形式、參考資料的形式,或者兩者都有的形式來呈現。 | ||||
Slices for section | SC | 16..16 | BackboneElement | Composition被分成一個或數個小節 Slice: Unordered, Open by value:title cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
section:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | 小節標籤(例如:目錄ToC) | |||||
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
entry | SC | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:patient | SC | 1..1 | BackboneElement | 個案基本資料 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | 小節標籤(例如:目錄ToC) | |||||
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
entry | SC | 1..1 | Reference(TWLTC Patient for Referral Form) | 個案基本資料的內容 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | SΣC | 1..1 | string | 個案基本資料的內容。[應輸入 Patient Resource ID] | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:condition-disability | SC | 1..1 | BackboneElement | 身心障礙手冊 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | 小節標籤(例如:目錄ToC) | |||||
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
entry | SC | 1..* | Reference(TWLTC Condition Disability | TWLTC Condition Disability Type | TW Core Condition) | 身心障礙手冊的內容,至少應填寫是否領有身心障礙手冊,如有領有身心障礙手冊,則續填身障類別與疾病代碼 (ICD-10),如有多個身障疾病則可放入多個 Condition。 | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:condition-tube | SC | 1..1 | BackboneElement | 管路 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | 小節標籤(例如:目錄ToC) | |||||
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
entry | SC | 1..1 | Reference(TWLTC Condition Tube) | 管路的內容,至少應填寫是否有管路,如有管路,則續填管路類別,如有多個管路則可放入多個 Condition。 | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:condition-crush | SC | 1..1 | BackboneElement | 壓傷 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | 小節標籤(例如:目錄ToC) | |||||
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
entry | SC | 1..1 | Reference(TWLTC Condition Crush) | 壓傷的內容,至少應填寫是否有壓傷,如有壓傷,則續填壓傷部位、等級與大小。 | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:condition-residence | SC | 1..1 | BackboneElement | 居住狀況 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | 小節標籤(例如:目錄ToC) | |||||
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
entry | SC | 1..1 | Reference(TWLTC Condition Residence) | 居住狀況的內容,應填寫個案獨居狀態。 | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:condition-caregiver | SC | 1..1 | BackboneElement | 看護 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | 小節標籤(例如:目錄ToC) | |||||
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
entry | SC | 1..1 | Reference(TWLTC Condition Caregiver) | 看護的內容,至少應填寫個案是否有看護,如有看護,則續填本國/外國籍看護人力配置狀況。 | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:condition-problem | SC | 1..1 | BackboneElement | 疾病狀況 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | 小節標籤(例如:目錄ToC) | |||||
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
entry | SC | 1..1 | Reference(TW Core Condition) | 案主(家)主要疾病 | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:condition-need | SC | 1..1 | BackboneElement | 案主(家)主要問題及需求 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | 小節標籤(例如:目錄ToC) | |||||
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
entry | SC | 1..1 | Reference(TW Core Condition) | 案主(家)主要問題及需求 | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:careplan | SC | 1..1 | BackboneElement | 欲申請服務之種類 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | 小節標籤(例如:目錄ToC) | |||||
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
entry | SC | 1..* | Reference(TWLTC CarePlan Referral) | 欲申請服務之種類 | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:questionnaire-adl | SC | 1..1 | BackboneElement | ADL 失能項目評估 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | 小節標籤(例如:目錄ToC) | |||||
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
entry | SC | 1..1 | Reference(TWLTC QuestionnaireResponse Referral ADL) | ADL 失能項目評估 | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:questionnaire-iadl | SC | 1..1 | BackboneElement | IADL 失能項目評估 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | 小節標籤(例如:目錄ToC) | |||||
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
entry | SC | 1..1 | Reference(TWLTC QuestionnaireResponse Referral IADL) | IADL 失能項目評估 | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:questionnaire-sof | SC | 1..1 | BackboneElement | 長者衰弱評估 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | 小節標籤(例如:目錄ToC) | |||||
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
entry | SC | 1..1 | Reference(TWLTC QuestionnaireResponse Referral SOF) | 長者衰弱評估 | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:questionnaire-caregiver | SC | 1..1 | BackboneElement | 照顧者評估 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | 小節標籤(例如:目錄ToC) | |||||
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
entry | SC | 1..1 | Reference(TWLTC QuestionnaireResponse Referral Caregiver) | 照顧者評估 | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:encounter | SC | 1..1 | BackboneElement | 出入院情形 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | 小節標籤(例如:目錄ToC) | |||||
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
entry | SC | 1..1 | Reference(TW Core Encounter) | 個案的出入院情形,若個案在住院中,則填入該次就診資料。 | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:practitioner | SC | 1..1 | BackboneElement | 填表者/轉介者資訊及簽名欄 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | 小節標籤(例如:目錄ToC) | |||||
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
entry | SC | 1..1 | Reference(TWLTC Practitioner | TW Core Practitioner) | 填表者/轉介者資訊及簽名欄 | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:organization | SC | 1..1 | BackboneElement | 填表單位資訊 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | 小節標籤(例如:目錄ToC) | |||||
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
entry | SC | 1..1 | Reference(TWLTC Organization | TW Core Organization) | 填表單位資訊 | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Composition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard | ||||
Composition.type | extensible | FHIRDocumentTypeCodeshttp://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard | ||||
Composition.category | extensible | DocumentClassValueSethttp://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard | ||||
Composition.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.confidentiality | required | v3.ConfidentialityClassificationhttp://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard | ||||
Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard | ||||
Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard | ||||
Composition.event.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | ||||
Composition.section.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section.emptyReason | preferred |