臺灣長期照顧實作指引 (Taiwan Long-Term Care Implementation Guide)
0.2.0 - ci-build+trial-use
臺灣長期照顧實作指引 (Taiwan Long-Term Care Implementation Guide) - Local Development build (v0.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Official URL: http://ltc-ig.fhir.tw/StructureDefinition/LTCConditionDisabilityType | Version: 0.2.0 | |||
Active as of 2024-10-23 | Computable Name: LTCConditionDisabilityType |
此 Profile 說明本 IG 如何進一步定義 FHIR 的 Condition Resource,以呈現長照機構住民的身心障礙類型。
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from LTCCondition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | LTCCondition | |||
severity | 0..1 | CodeableConceptTW | 障礙程度 Binding: 疾病嚴重度擴展值集 (required) | |
code | 1..1 | CodeableConceptTW | 障礙類別 Binding: 身心障礙類型值集 (required) | |
coding | 1..1 | CodingTW | 身心障礙別代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Required Pattern: http://ltc-ig.fhir.tw/ValueSet/ConditionDisabilityTypeVS-TWLTC | |
code | 1..1 | code | 身心障礙類型代碼 | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Condition.severity | required | ConditionSeverityVSTWLTChttp://ltc-ig.fhir.tw/ValueSet/ConditionSeverityVS-TWLTC from this IG | |
Condition.code | required | ConditionDisabilityTypeVSTWLTChttp://ltc-ig.fhir.tw/ValueSet/ConditionDisabilityTypeVS-TWLTC from this IG |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | C | 0..* | LTCCondition | 有關病情、問題或診斷的詳細資訊 con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則 |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
clinicalStatus | S | 1..1 | CodeableConceptTW | active | recurrence | relapse | inactive | remission | resolved ,病情、問題或診斷的臨床狀態。 Binding: ConditionClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。 |
verificationStatus | S | 0..1 | CodeableConceptTW | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error ,支持或拒絕病情、問題或診斷的臨床狀態的驗證狀態。 Binding: ConditionVerificationStatus (required): 應填入所綁定值集中的其中一個代碼。 |
category | S | 1..1 | CodeableConceptTW | problem-list-item | encounter-diagnosis ,指定病情、問題或診斷的類別。 Binding: ConditionCategoryCodes (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。 |
severity | S | 0..1 | CodeableConceptTW | 障礙程度 Binding: 疾病嚴重度擴展值集 (required) |
code | S | 1..1 | CodeableConceptTW | 障礙類別 Binding: 身心障礙類型值集 (required) |
Slices for coding | S | 1..1 | CodingTW | 身心障礙別代碼 Slice: Unordered, Open by pattern:$this |
coding:All Slices | Content/Rules for all slices | |||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Required Pattern: http://ltc-ig.fhir.tw/ValueSet/ConditionDisabilityTypeVS-TWLTC |
code | SΣ | 1..1 | code | 身心障礙類型代碼 |
display | SΣ | 0..1 | string | 由系統定義的表示法 |
coding:icd10-cm-2023 | S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (required) |
coding:icd10-cm-2021 | S | 0..1 | CodingTW | 此為臺灣衛生福利部中央健康保險署維護之2021年中文版ICD-10-CM代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別;應填入所綁定值集中的其中一個代碼。 |
coding:icd10-cm-2014 | S | 0..1 | CodingTW | 此為臺灣衛生福利部中央健康保險署維護之2014年中文版ICD-10-CM代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。 Binding: 臺灣健保署2014年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別;應填入所綁定值集中的其中一個代碼。 |
coding:icd9-cm-2001 | S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 臺灣健保署2001年中文版ICD-9-CM值集 (required) |
coding:absentOrUnknownProblem | S | 0..1 | CodingTW | 不存在的問題或未知問題的代碼 Binding: Absent or Unknown Problems - IPS (required): 應填入所綁定值集中的其中一個代碼。 |
coding:sct | S | 0..1 | CodingTW | 此為SNOMED CT診斷代碼,若機構已有購買相關授權,亦可使用。 Binding: SNOMED CT診斷代碼值集 (required): 應填入所綁定值集中的其中一個代碼。 |
text | SΣ | 0..1 | string | 概念的文字表示法 |
bodySite | S | 0..* | CodeableConceptTW | 如果相關請填寫解剖位置 Binding: SNOMEDCTBodyStructures (extensible): 描述解剖位置的代碼。可包括側面;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(長期照顧-住民基本資料) | 誰有此病情、問題或診斷? |
reference | SΣC | 1..1 | string | 擁有此病情、問題或診斷的住民。[應輸入 Patient Resource ID] |
onset[x] | SΣ | 0..1 | 估計的或實際的日期、日期—時間或年齡。 | |
onsetDateTime | dateTime | |||
abatement[x] | SC | 0..1 | 何時解決/緩解 | |
abatementDateTime | dateTime | |||
recorder | SΣ | 0..1 | Reference(長期照顧-照顧服務提供者 | 長期照顧-服務人員角色 | 長期照顧-住民基本資料 | 長期照顧-關係人) | 誰記錄此病情、問題或診斷 |
reference | SΣC | 1..1 | string | 記錄此病情、問題或診斷的人員。[應輸入 Practitioner/PractitionerRole/Patient/RelatedPerson Resource ID] |
asserter | SΣ | 0..1 | Reference(長期照顧-照顧服務提供者 | 長期照顧-服務人員角色 | 長期照顧-住民基本資料 | 長期照顧-關係人) | 聲稱有此病情、問題或診斷的人 |
reference | SΣC | 1..1 | string | 聲稱有此病情、問題或診斷的人員。[應輸入 Practitioner/PractitionerRole/Patient/RelatedPerson Resource ID] |
note | S | 0..* | Annotation | 關於此Condition的附加資訊 |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard | |
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard | |
Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | |
Condition.severity | required | ConditionSeverityVSTWLTChttp://ltc-ig.fhir.tw/ValueSet/ConditionSeverityVS-TWLTC from this IG | |
Condition.code | required | ConditionDisabilityTypeVSTWLTChttp://ltc-ig.fhir.tw/ValueSet/ConditionDisabilityTypeVS-TWLTC from this IG | |
Condition.code.coding:icd10-cm-2023 | required | TW2023ICD10CMhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2023-tw | |
Condition.code.coding:icd10-cm-2021 | required | TW2021ICD10CMhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2021-tw | |
Condition.code.coding:icd10-cm-2014 | required | TW2014ICD10CMhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw | |
Condition.code.coding:icd9-cm-2001 | required | TW2001ICD9CMhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-9-cm-2001-tw | |
Condition.code.coding:absentOrUnknownProblem | required | AbsentOrUnknownProblemsUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips | |
Condition.code.coding:sct | required | TWConditionCodeSCThttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw | |
Condition.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() | |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() | |
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Condition | 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 | Condition | 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 | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Condition | 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 | ||||
---|---|---|---|---|---|---|---|---|
Condition | C | 0..* | LTCCondition | 有關病情、問題或診斷的詳細資訊 con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | ||||
id | Σ | 0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的Condition紀錄,通常又稱為邏輯性ID。 | ||||
meta | Σ | 0..1 | Meta | 此Condition 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Condition Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。
Example Value: zh-TW | |||||
text | 0..1 | Narrative | Condition Resource之內容摘要以供人閱讀 | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | 此病情、問題或診斷的外部識別碼 | ||||
clinicalStatus | S | 1..1 | CodeableConceptTW | active | recurrence | relapse | inactive | remission | resolved ,病情、問題或診斷的臨床狀態。 Binding: ConditionClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。 | ||||
verificationStatus | S | 0..1 | CodeableConceptTW | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error ,支持或拒絕病情、問題或診斷的臨床狀態的驗證狀態。 Binding: ConditionVerificationStatus (required): 應填入所綁定值集中的其中一個代碼。 | ||||
category | S | 1..1 | CodeableConceptTW | problem-list-item | encounter-diagnosis ,指定病情、問題或診斷的類別。 Binding: ConditionCategoryCodes (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。 | ||||
severity | S | 0..1 | CodeableConceptTW | 障礙程度 Binding: 疾病嚴重度擴展值集 (required) | ||||
code | S | 1..1 | CodeableConceptTW | 障礙類別 Binding: 身心障礙類型值集 (required) | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
Slices for coding | S | 1..1 | CodingTW | 身心障礙別代碼 Slice: Unordered, Open by pattern:$this | ||||
coding:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Required Pattern: http://ltc-ig.fhir.tw/ValueSet/ConditionDisabilityTypeVS-TWLTC | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 身心障礙類型代碼 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
coding:icd10-cm-2023 | S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (required) | ||||
coding:icd10-cm-2021 | S | 0..1 | CodingTW | 此為臺灣衛生福利部中央健康保險署維護之2021年中文版ICD-10-CM代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別;應填入所綁定值集中的其中一個代碼。 | ||||
coding:icd10-cm-2014 | S | 0..1 | CodingTW | 此為臺灣衛生福利部中央健康保險署維護之2014年中文版ICD-10-CM代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。 Binding: 臺灣健保署2014年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別;應填入所綁定值集中的其中一個代碼。 | ||||
coding:icd9-cm-2001 | S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 臺灣健保署2001年中文版ICD-9-CM值集 (required) | ||||
coding:absentOrUnknownProblem | S | 0..1 | CodingTW | 不存在的問題或未知問題的代碼 Binding: Absent or Unknown Problems - IPS (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:sct | S | 0..1 | CodingTW | 此為SNOMED CT診斷代碼,若機構已有購買相關授權,亦可使用。 Binding: SNOMED CT診斷代碼值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
bodySite | S | 0..* | CodeableConceptTW | 如果相關請填寫解剖位置 Binding: SNOMEDCTBodyStructures (extensible): 描述解剖位置的代碼。可包括側面;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(長期照顧-住民基本資料) | 誰有此病情、問題或診斷? | ||||
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 | 擁有此病情、問題或診斷的住民。[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) | 作為病情、問題或診斷紀錄的一部分的就醫(Encounter)紀錄 | ||||
onset[x] | SΣ | 0..1 | 估計的或實際的日期、日期—時間或年齡。 | |||||
onsetDateTime | dateTime S | |||||||
onsetAge | Age | |||||||
onsetPeriod | Period | |||||||
onsetRange | Range | |||||||
onsetString | string | |||||||
abatement[x] | SC | 0..1 | 何時解決/緩解 | |||||
abatementDateTime | dateTime S | |||||||
abatementAge | Age | |||||||
abatementPeriod | Period | |||||||
abatementRange | Range | |||||||
abatementString | string | |||||||
recordedDate | Σ | 0..1 | dateTime | 記錄的日期 | ||||
recorder | SΣ | 0..1 | Reference(長期照顧-照顧服務提供者 | 長期照顧-服務人員角色 | 長期照顧-住民基本資料 | 長期照顧-關係人) | 誰記錄此病情、問題或診斷 | ||||
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 | 記錄此病情、問題或診斷的人員。[應輸入 Practitioner/PractitionerRole/Patient/RelatedPerson 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 | ||||
asserter | SΣ | 0..1 | Reference(長期照顧-照顧服務提供者 | 長期照顧-服務人員角色 | 長期照顧-住民基本資料 | 長期照顧-關係人) | 聲稱有此病情、問題或診斷的人 | ||||
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 | 聲稱有此病情、問題或診斷的人員。[應輸入 Practitioner/PractitionerRole/Patient/RelatedPerson 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 | ||||
stage | C | 0..* | BackboneElement | 分期(stage)/分級(grade),通常是正式的評估。 con-1: Stage SHALL have summary or assessment | ||||
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 | ||||
summary | 0..1 | CodeableConceptTW | 簡單的摘要(特定疾病)。 Binding: ConditionStage (extensible): 描述病情、問題或診斷分期的代碼(例如:癌症分期)。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。 | |||||
assessment | C | 0..* | Reference(ClinicalImpression | TW Core DiagnosticReport | TW Core Observation Laboratory Result | TW Core Observation Vital Signs) | 正式的評估記錄 | ||||
type | 0..1 | CodeableConceptTW | 分期的種類 Binding: ConditionStageType (extensible): 病情、問題或診斷分期種類的代碼(如臨床或病理);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。 | |||||
evidence | C | 0..* | BackboneElement | 支持的證據 con-2: evidence SHALL have code or details | ||||
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 | 表現/症狀 Binding: ManifestationAndSymptomCodes (extensible): 病情、問題或診斷的表現或症狀之代碼;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。 | |||||
detail | ΣC | 0..* | Reference(Resource) | 在其他地方找到的支持資訊 | ||||
note | S | 0..* | Annotation | 關於此Condition的附加資訊 | ||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Condition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard | ||||
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard | ||||
Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | ||||
Condition.severity | required | ConditionSeverityVSTWLTChttp://ltc-ig.fhir.tw/ValueSet/ConditionSeverityVS-TWLTC from this IG | ||||
Condition.code | required | ConditionDisabilityTypeVSTWLTChttp://ltc-ig.fhir.tw/ValueSet/ConditionDisabilityTypeVS-TWLTC from this IG | ||||
Condition.code.coding:icd10-cm-2023 | required | TW2023ICD10CMhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2023-tw | ||||
Condition.code.coding:icd10-cm-2021 | required | TW2021ICD10CMhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2021-tw | ||||
Condition.code.coding:icd10-cm-2014 | required | TW2014ICD10CMhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw | ||||
Condition.code.coding:icd9-cm-2001 | required | TW2001ICD9CMhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-9-cm-2001-tw | ||||
Condition.code.coding:absentOrUnknownProblem | required | AbsentOrUnknownProblemsUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips | ||||
Condition.code.coding:sct | required | TWConditionCodeSCThttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw | ||||
Condition.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Condition.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Condition.recorder.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Condition.asserter.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Condition.stage.summary | extensible | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard | ||||
Condition.stage.type | extensible | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard | ||||
Condition.evidence.code | extensible | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
con-1 | error | Condition.stage | Stage SHALL have summary or assessment : summary.exists() or assessment.exists() | |
con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() | |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() | |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() | |
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Condition | 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 | Condition | 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 | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Condition | 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() |
This structure is derived from LTCCondition
Differential View
This structure is derived from LTCCondition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | LTCCondition | |||
severity | 0..1 | CodeableConceptTW | 障礙程度 Binding: 疾病嚴重度擴展值集 (required) | |
code | 1..1 | CodeableConceptTW | 障礙類別 Binding: 身心障礙類型值集 (required) | |
coding | 1..1 | CodingTW | 身心障礙別代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Required Pattern: http://ltc-ig.fhir.tw/ValueSet/ConditionDisabilityTypeVS-TWLTC | |
code | 1..1 | code | 身心障礙類型代碼 | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Condition.severity | required | ConditionSeverityVSTWLTChttp://ltc-ig.fhir.tw/ValueSet/ConditionSeverityVS-TWLTC from this IG | |
Condition.code | required | ConditionDisabilityTypeVSTWLTChttp://ltc-ig.fhir.tw/ValueSet/ConditionDisabilityTypeVS-TWLTC from this IG |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | C | 0..* | LTCCondition | 有關病情、問題或診斷的詳細資訊 con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則 |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
clinicalStatus | S | 1..1 | CodeableConceptTW | active | recurrence | relapse | inactive | remission | resolved ,病情、問題或診斷的臨床狀態。 Binding: ConditionClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。 |
verificationStatus | S | 0..1 | CodeableConceptTW | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error ,支持或拒絕病情、問題或診斷的臨床狀態的驗證狀態。 Binding: ConditionVerificationStatus (required): 應填入所綁定值集中的其中一個代碼。 |
category | S | 1..1 | CodeableConceptTW | problem-list-item | encounter-diagnosis ,指定病情、問題或診斷的類別。 Binding: ConditionCategoryCodes (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。 |
severity | S | 0..1 | CodeableConceptTW | 障礙程度 Binding: 疾病嚴重度擴展值集 (required) |
code | S | 1..1 | CodeableConceptTW | 障礙類別 Binding: 身心障礙類型值集 (required) |
Slices for coding | S | 1..1 | CodingTW | 身心障礙別代碼 Slice: Unordered, Open by pattern:$this |
coding:All Slices | Content/Rules for all slices | |||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Required Pattern: http://ltc-ig.fhir.tw/ValueSet/ConditionDisabilityTypeVS-TWLTC |
code | SΣ | 1..1 | code | 身心障礙類型代碼 |
display | SΣ | 0..1 | string | 由系統定義的表示法 |
coding:icd10-cm-2023 | S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (required) |
coding:icd10-cm-2021 | S | 0..1 | CodingTW | 此為臺灣衛生福利部中央健康保險署維護之2021年中文版ICD-10-CM代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別;應填入所綁定值集中的其中一個代碼。 |
coding:icd10-cm-2014 | S | 0..1 | CodingTW | 此為臺灣衛生福利部中央健康保險署維護之2014年中文版ICD-10-CM代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。 Binding: 臺灣健保署2014年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別;應填入所綁定值集中的其中一個代碼。 |
coding:icd9-cm-2001 | S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 臺灣健保署2001年中文版ICD-9-CM值集 (required) |
coding:absentOrUnknownProblem | S | 0..1 | CodingTW | 不存在的問題或未知問題的代碼 Binding: Absent or Unknown Problems - IPS (required): 應填入所綁定值集中的其中一個代碼。 |
coding:sct | S | 0..1 | CodingTW | 此為SNOMED CT診斷代碼,若機構已有購買相關授權,亦可使用。 Binding: SNOMED CT診斷代碼值集 (required): 應填入所綁定值集中的其中一個代碼。 |
text | SΣ | 0..1 | string | 概念的文字表示法 |
bodySite | S | 0..* | CodeableConceptTW | 如果相關請填寫解剖位置 Binding: SNOMEDCTBodyStructures (extensible): 描述解剖位置的代碼。可包括側面;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(長期照顧-住民基本資料) | 誰有此病情、問題或診斷? |
reference | SΣC | 1..1 | string | 擁有此病情、問題或診斷的住民。[應輸入 Patient Resource ID] |
onset[x] | SΣ | 0..1 | 估計的或實際的日期、日期—時間或年齡。 | |
onsetDateTime | dateTime | |||
abatement[x] | SC | 0..1 | 何時解決/緩解 | |
abatementDateTime | dateTime | |||
recorder | SΣ | 0..1 | Reference(長期照顧-照顧服務提供者 | 長期照顧-服務人員角色 | 長期照顧-住民基本資料 | 長期照顧-關係人) | 誰記錄此病情、問題或診斷 |
reference | SΣC | 1..1 | string | 記錄此病情、問題或診斷的人員。[應輸入 Practitioner/PractitionerRole/Patient/RelatedPerson Resource ID] |
asserter | SΣ | 0..1 | Reference(長期照顧-照顧服務提供者 | 長期照顧-服務人員角色 | 長期照顧-住民基本資料 | 長期照顧-關係人) | 聲稱有此病情、問題或診斷的人 |
reference | SΣC | 1..1 | string | 聲稱有此病情、問題或診斷的人員。[應輸入 Practitioner/PractitionerRole/Patient/RelatedPerson Resource ID] |
note | S | 0..* | Annotation | 關於此Condition的附加資訊 |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard | |
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard | |
Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | |
Condition.severity | required | ConditionSeverityVSTWLTChttp://ltc-ig.fhir.tw/ValueSet/ConditionSeverityVS-TWLTC from this IG | |
Condition.code | required | ConditionDisabilityTypeVSTWLTChttp://ltc-ig.fhir.tw/ValueSet/ConditionDisabilityTypeVS-TWLTC from this IG | |
Condition.code.coding:icd10-cm-2023 | required | TW2023ICD10CMhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2023-tw | |
Condition.code.coding:icd10-cm-2021 | required | TW2021ICD10CMhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2021-tw | |
Condition.code.coding:icd10-cm-2014 | required | TW2014ICD10CMhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw | |
Condition.code.coding:icd9-cm-2001 | required | TW2001ICD9CMhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-9-cm-2001-tw | |
Condition.code.coding:absentOrUnknownProblem | required | AbsentOrUnknownProblemsUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips | |
Condition.code.coding:sct | required | TWConditionCodeSCThttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw | |
Condition.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() | |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() | |
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Condition | 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 | Condition | 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 | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Condition | 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() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Condition | C | 0..* | LTCCondition | 有關病情、問題或診斷的詳細資訊 con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | ||||
id | Σ | 0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的Condition紀錄,通常又稱為邏輯性ID。 | ||||
meta | Σ | 0..1 | Meta | 此Condition 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Condition Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。
Example Value: zh-TW | |||||
text | 0..1 | Narrative | Condition Resource之內容摘要以供人閱讀 | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | 此病情、問題或診斷的外部識別碼 | ||||
clinicalStatus | S | 1..1 | CodeableConceptTW | active | recurrence | relapse | inactive | remission | resolved ,病情、問題或診斷的臨床狀態。 Binding: ConditionClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。 | ||||
verificationStatus | S | 0..1 | CodeableConceptTW | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error ,支持或拒絕病情、問題或診斷的臨床狀態的驗證狀態。 Binding: ConditionVerificationStatus (required): 應填入所綁定值集中的其中一個代碼。 | ||||
category | S | 1..1 | CodeableConceptTW | problem-list-item | encounter-diagnosis ,指定病情、問題或診斷的類別。 Binding: ConditionCategoryCodes (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。 | ||||
severity | S | 0..1 | CodeableConceptTW | 障礙程度 Binding: 疾病嚴重度擴展值集 (required) | ||||
code | S | 1..1 | CodeableConceptTW | 障礙類別 Binding: 身心障礙類型值集 (required) | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
Slices for coding | S | 1..1 | CodingTW | 身心障礙別代碼 Slice: Unordered, Open by pattern:$this | ||||
coding:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Required Pattern: http://ltc-ig.fhir.tw/ValueSet/ConditionDisabilityTypeVS-TWLTC | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 身心障礙類型代碼 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
coding:icd10-cm-2023 | S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (required) | ||||
coding:icd10-cm-2021 | S | 0..1 | CodingTW | 此為臺灣衛生福利部中央健康保險署維護之2021年中文版ICD-10-CM代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別;應填入所綁定值集中的其中一個代碼。 | ||||
coding:icd10-cm-2014 | S | 0..1 | CodingTW | 此為臺灣衛生福利部中央健康保險署維護之2014年中文版ICD-10-CM代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。 Binding: 臺灣健保署2014年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別;應填入所綁定值集中的其中一個代碼。 | ||||
coding:icd9-cm-2001 | S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 臺灣健保署2001年中文版ICD-9-CM值集 (required) | ||||
coding:absentOrUnknownProblem | S | 0..1 | CodingTW | 不存在的問題或未知問題的代碼 Binding: Absent or Unknown Problems - IPS (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:sct | S | 0..1 | CodingTW | 此為SNOMED CT診斷代碼,若機構已有購買相關授權,亦可使用。 Binding: SNOMED CT診斷代碼值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
bodySite | S | 0..* | CodeableConceptTW | 如果相關請填寫解剖位置 Binding: SNOMEDCTBodyStructures (extensible): 描述解剖位置的代碼。可包括側面;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(長期照顧-住民基本資料) | 誰有此病情、問題或診斷? | ||||
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 | 擁有此病情、問題或診斷的住民。[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) | 作為病情、問題或診斷紀錄的一部分的就醫(Encounter)紀錄 | ||||
onset[x] | SΣ | 0..1 | 估計的或實際的日期、日期—時間或年齡。 | |||||
onsetDateTime | dateTime S | |||||||
onsetAge | Age | |||||||
onsetPeriod | Period | |||||||
onsetRange | Range | |||||||
onsetString | string | |||||||
abatement[x] | SC | 0..1 | 何時解決/緩解 | |||||
abatementDateTime | dateTime S | |||||||
abatementAge | Age | |||||||
abatementPeriod | Period | |||||||
abatementRange | Range | |||||||
abatementString | string | |||||||
recordedDate | Σ | 0..1 | dateTime | 記錄的日期 | ||||
recorder | SΣ | 0..1 | Reference(長期照顧-照顧服務提供者 | 長期照顧-服務人員角色 | 長期照顧-住民基本資料 | 長期照顧-關係人) | 誰記錄此病情、問題或診斷 | ||||
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 | 記錄此病情、問題或診斷的人員。[應輸入 Practitioner/PractitionerRole/Patient/RelatedPerson 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 | ||||
asserter | SΣ | 0..1 | Reference(長期照顧-照顧服務提供者 | 長期照顧-服務人員角色 | 長期照顧-住民基本資料 | 長期照顧-關係人) | 聲稱有此病情、問題或診斷的人 | ||||
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 | 聲稱有此病情、問題或診斷的人員。[應輸入 Practitioner/PractitionerRole/Patient/RelatedPerson 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 | ||||
stage | C | 0..* | BackboneElement | 分期(stage)/分級(grade),通常是正式的評估。 con-1: Stage SHALL have summary or assessment | ||||
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 | ||||
summary | 0..1 | CodeableConceptTW | 簡單的摘要(特定疾病)。 Binding: ConditionStage (extensible): 描述病情、問題或診斷分期的代碼(例如:癌症分期)。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。 | |||||
assessment | C | 0..* | Reference(ClinicalImpression | TW Core DiagnosticReport | TW Core Observation Laboratory Result | TW Core Observation Vital Signs) | 正式的評估記錄 | ||||
type | 0..1 | CodeableConceptTW | 分期的種類 Binding: ConditionStageType (extensible): 病情、問題或診斷分期種類的代碼(如臨床或病理);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。 | |||||
evidence | C | 0..* | BackboneElement | 支持的證據 con-2: evidence SHALL have code or details | ||||
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 | 表現/症狀 Binding: ManifestationAndSymptomCodes (extensible): 病情、問題或診斷的表現或症狀之代碼;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。 | |||||
detail | ΣC | 0..* | Reference(Resource) | 在其他地方找到的支持資訊 | ||||
note | S | 0..* | Annotation | 關於此Condition的附加資訊 | ||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Condition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard | ||||
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard | ||||
Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | ||||
Condition.severity | required | ConditionSeverityVSTWLTChttp://ltc-ig.fhir.tw/ValueSet/ConditionSeverityVS-TWLTC from this IG | ||||
Condition.code | required | ConditionDisabilityTypeVSTWLTChttp://ltc-ig.fhir.tw/ValueSet/ConditionDisabilityTypeVS-TWLTC from this IG | ||||
Condition.code.coding:icd10-cm-2023 | required | TW2023ICD10CMhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2023-tw | ||||
Condition.code.coding:icd10-cm-2021 | required | TW2021ICD10CMhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2021-tw | ||||
Condition.code.coding:icd10-cm-2014 | required | TW2014ICD10CMhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw | ||||
Condition.code.coding:icd9-cm-2001 | required | TW2001ICD9CMhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-9-cm-2001-tw | ||||
Condition.code.coding:absentOrUnknownProblem | required | AbsentOrUnknownProblemsUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips | ||||
Condition.code.coding:sct | required | TWConditionCodeSCThttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw | ||||
Condition.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Condition.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Condition.recorder.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Condition.asserter.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Condition.stage.summary | extensible | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard | ||||
Condition.stage.type | extensible | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard | ||||
Condition.evidence.code | extensible | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
con-1 | error | Condition.stage | Stage SHALL have summary or assessment : summary.exists() or assessment.exists() | |
con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() | |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() | |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() | |
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Condition | 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 | Condition | 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 | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Condition | 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() |
This structure is derived from LTCCondition
Other representations of profile: CSV, Excel, Schematron