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
| Active as of 2024-10-23 |
JSON representation of the LTCConditionResidence resource profile.
{
"resourceType" : "StructureDefinition",
"id" : "LTCConditionResidence",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition LTCConditionResidence</b></p><a name=\"LTCConditionResidence\"> </a><a name=\"hcLTCConditionResidence\"> </a><a name=\"LTCConditionResidence-en-US\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LTCConditionResidence-definitions.html#Condition\">Condition</a><a name=\"Condition\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://twcore.mohw.gov.tw/ig/twcore/0.3.0/StructureDefinition-Condition-twcore.html\">TWCoreCondition</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LTCConditionResidence-definitions.html#Condition.code\">code</a><a name=\"Condition.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://twcore.mohw.gov.tw/ig/twcore/0.3.0/StructureDefinition-CodeableConcept-tw.html\" title=\"CodeableConcept\">CodeableConceptTW</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">居住狀況<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-ReferralConditionResidenceVS-TWLTC.html\" title=\"http://ltc-ig.fhir.tw/ValueSet/ReferralConditionResidenceVS-TWLTC\">居住狀況值集</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck001.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LTCConditionResidence-definitions.html#Condition.code.coding\">coding</a><a name=\"Condition.code.coding\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://twcore.mohw.gov.tw/ig/twcore/0.3.0/StructureDefinition-Coding-tw.html\" title=\"Coding\">CodingTW</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">居住狀況代碼</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LTCConditionResidence-definitions.html#Condition.code.coding.system\">system</a><a name=\"Condition.code.coding.system\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">專門術語系統（terminology system）的識別</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">http://ltc-ig.fhir.tw/ValueSet/ReferralConditionResidenceVS-TWLTC</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LTCConditionResidence-definitions.html#Condition.code.coding.code\">code</a><a name=\"Condition.code.coding.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">個案是否獨居？</td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
},
"url" : "http://ltc-ig.fhir.tw/StructureDefinition/LTCConditionResidence",
"version" : "0.2.0",
"name" : "LTCConditionResidence",
"title" : "長期照顧－居住狀況",
"status" : "active",
"date" : "2024-10-23T02:33:36+08:00",
"publisher" : "MI-TW",
"contact" : [
{
"name" : "MI-TW",
"telecom" : [
{
"system" : "url",
"value" : "https://mitw.dicom.org.tw/"
}
]
}
],
"description" : "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居住狀況。",
"fhirVersion" : "4.0.1",
"mapping" : [
{
"identity" : "workflow",
"uri" : "http://hl7.org/fhir/workflow",
"name" : "Workflow Pattern"
},
{
"identity" : "sct-concept",
"uri" : "http://snomed.info/conceptdomain",
"name" : "SNOMED CT Concept Domain Binding"
},
{
"identity" : "v2",
"uri" : "http://hl7.org/v2",
"name" : "HL7 v2 Mapping"
},
{
"identity" : "rim",
"uri" : "http://hl7.org/v3",
"name" : "RIM Mapping"
},
{
"identity" : "w5",
"uri" : "http://hl7.org/fhir/fivews",
"name" : "FiveWs Pattern Mapping"
}
],
"kind" : "resource",
"abstract" : false,
"type" : "Condition",
"baseDefinition" : "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Condition-twcore",
"derivation" : "constraint",
"snapshot" : {
"element" : [
{
"id" : "Condition",
"path" : "Condition",
"short" : "有關病情、問題或診斷的詳細資訊",
"definition" : "一個臨床病情、問題、診斷或其他事件、情況、或臨床概念，已上升到需要關注的程度。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Condition",
"min" : 0,
"max" : "*"
},
"constraint" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean" : true
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown" : "Most systems will expect a clinicalStatus to be valued for problem-list-items that are managed over time, but might not need a clinicalStatus for point in time encounter-diagnosis."
}
],
"key" : "con-3",
"severity" : "warning",
"human" : "Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item",
"expression" : "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()",
"xpath" : "exists(f:clinicalStatus) or exists(f:verificationStatus/f:coding/f:code/@value='entered-in-error') or not(exists(category[@value='problem-list-item']))",
"source" : "http://hl7.org/fhir/StructureDefinition/Condition"
},
{
"key" : "con-4",
"severity" : "error",
"human" : "If condition is abated, then clinicalStatus must be either inactive, resolved, or remission",
"expression" : "abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()",
"xpath" : "not(exists(*[starts-with(local-name(.), 'abatement')])) or exists(f:clinicalStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-clinical' and f:code/@value=('resolved', 'remission', 'inactive')])",
"source" : "http://hl7.org/fhir/StructureDefinition/Condition"
},
{
"key" : "con-5",
"severity" : "error",
"human" : "Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error",
"expression" : "verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()",
"xpath" : "not(exists(f:verificationStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-ver-status' and f:code/@value='entered-in-error'])) or not(exists(f:clinicalStatus))",
"source" : "http://hl7.org/fhir/StructureDefinition/Condition"
},
{
"key" : "dom-2",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression" : "contained.contained.empty()",
"xpath" : "not(parent::f:contained and f:contained)",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-3",
"severity" : "error",
"human" : "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",
"expression" : "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()",
"xpath" : "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-4",
"severity" : "error",
"human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-5",
"severity" : "error",
"human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression" : "contained.meta.security.empty()",
"xpath" : "not(exists(f:contained/*/f:meta/f:security))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean" : true
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
}
],
"key" : "dom-6",
"severity" : "warning",
"human" : "A resource should have narrative for robust management",
"expression" : "text.`div`.exists()",
"xpath" : "exists(f:text/h:div)",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "workflow",
"map" : "Event"
},
{
"identity" : "sct-concept",
"map" : "< 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 272379006 |Event|)"
},
{
"identity" : "v2",
"map" : "PPR message"
},
{
"identity" : "rim",
"map" : "Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]"
}
]
},
{
"id" : "Condition.id",
"path" : "Condition.id",
"short" : "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。",
"definition" : "resource的邏輯ID，在resource的URL中使用。一旦指定，這個值永遠不會改變。",
"comment" : "一個resource使用新增操作（create operation）提交給伺服器時，此resource沒有id，它的id在resource被創建後由伺器分配/指定。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "id"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "Condition.meta",
"path" : "Condition.meta",
"short" : "此Condition Resource的metadata",
"definition" : "關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.meta",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Meta"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "Condition.implicitRules",
"path" : "Condition.implicitRules",
"short" : "創建此內容所依據的一組規則",
"definition" : "構建resource時遵循的一系列規則的參照，在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。",
"comment" : "宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而，現有的健康生態體系高度分裂，還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能，實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時，此URL是對IG的參照，此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.implicitRules",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : true,
"isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary" : true
},
{
"id" : "Condition.language",
"path" : "Condition.language",
"short" : "用以表述Condition Resource內容的語言。",
"definition" : "編寫此resource的語言",
"comment" : "提供語言是為了支援索引和可存取性（通常，文字表述轉語音等服務使用此語言標籤）。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此語言。不應該假定Resource.language自動適用於敘述。如果指定語言，它也應該被指定在html中的div資料項目（關於xml:lang和html lang屬性之間的關係，見HTML5中的規則）。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.language",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"example" : [
{
"label" : "Value",
"valueString" : "zh-TW"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "Language"
}
],
"strength" : "preferred",
"description" : "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。",
"valueSet" : "http://hl7.org/fhir/ValueSet/languages"
}
},
{
"id" : "Condition.text",
"path" : "Condition.text",
"short" : "Condition Resource之內容摘要以供人閱讀",
"definition" : "人可讀的敘述，包含resource的摘要，可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼，但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義有哪些內容應該在敘述中表示，以確保臨床安全。",
"comment" : "內嵌（contained）的resource沒有敘述，非內嵌（contained）的resource則 **建議應該（SHOULD）** 有敘述。有時resource可能只有文字表述，很少或沒有額外的結構化資料（只要滿足所有minOccurs=1的資料項目）。這可能出現在舊系統的資料，當資訊以 「文字表述區塊（text blob） 」的形式被取得，或者文字表述是原始輸入或說明，而編碼資訊稍後再添加。",
"alias" : [
"narrative",
"html",
"xhtml",
"display"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "DomainResource.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "Act.text?"
}
]
},
{
"id" : "Condition.contained",
"path" : "Condition.contained",
"short" : "Contained, inline Resources",
"definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
"alias" : [
"inline resources",
"anonymous resources",
"contained resources"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.contained",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Resource"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Condition.extension",
"path" : "Condition.extension",
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Condition.modifierExtension",
"path" : "Condition.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Condition.identifier",
"path" : "Condition.identifier",
"short" : "此病情、問題或診斷的外部識別碼",
"definition" : "由執行者或其他系統指定給此病情、問題或診斷的業務用識別碼，即使此resource作更新及在伺服器之間的傳遞，此識別碼仍保持不變。",
"comment" : "這是一個業務識別碼，不是一個resource識別碼（詳見討論）。最好的做法是該識別碼只出現在單個resource實例上，但是業務實務有可能會規定可以在多個resource實例中具有相同識別碼—甚至可能具有不同的resource型例。例如：多個 「Patient（病人）」和 「Person（個人）」resource實例可能共用同一個社會保險號碼。",
"requirements" : "允許識別各參與系統所知的此病情、問題或診斷資訊，並在各伺服器之間保持一致的方式。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Condition.identifier",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Identifier"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.identifier"
},
{
"identity" : "w5",
"map" : "FiveWs.identifier"
},
{
"identity" : "rim",
"map" : ".id"
}
]
},
{
"id" : "Condition.clinicalStatus",
"path" : "Condition.clinicalStatus",
"short" : "active | recurrence | relapse | inactive | remission | resolved ，病情、問題或診斷的臨床狀態。",
"definition" : "此病情、問題或診斷的臨床狀態",
"comment" : "data type是CodeableConcept，因為clinicalStatus涉及到一些臨床判斷，例如：可能需要比所需的FHIR值集更多的特殊性。例如：SNOMED編碼可能允許更多的特殊性。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Condition.clinicalStatus",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ConditionClinicalStatus"
}
],
"strength" : "required",
"description" : "應填入所綁定值集中的其中一個代碼。",
"valueSet" : "http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id" : "Condition.verificationStatus",
"path" : "Condition.verificationStatus",
"short" : "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。",
"definition" : "支持此病情、問題或診斷的臨床狀態之驗證狀態",
"comment" : "verificationStatus不是必須的。例如：當病人在急診室出現腹痛時，不可能出現驗證狀態。資料類型是CodeableConcept，因為verificationStatus涉及到一些臨床判斷，因此可能需要比所需的FHIR值集更多的特殊性。例如：SNOMED編碼可能允許更多的特殊性。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Condition.verificationStatus",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ConditionVerificationStatus"
}
],
"strength" : "required",
"description" : "應填入所綁定值集中的其中一個代碼。",
"valueSet" : "http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id" : "Condition.category",
"path" : "Condition.category",
"short" : "problem-list-item | encounter-diagnosis ，指定病情、問題或診斷的類別。",
"definition" : "指定此病情、問題或診斷的類別",
"comment" : "這種分類往往具有很強的情境性，在其他情境下可能顯得區分度不高，或沒有什麼用處。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Condition.category",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ConditionCategory"
}
],
"strength" : "extensible",
"description" : "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。",
"valueSet" : "http://hl7.org/fhir/ValueSet/condition-category"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id" : "Condition.severity",
"path" : "Condition.severity",
"short" : "病情、問題或診斷的主觀嚴重程度",
"definition" : "臨床醫生對病情、問題或診斷嚴重程度的主觀評估",
"comment" : "如有可能，最好用專門術語對嚴重程度進行編碼。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Condition.severity",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"strength" : "extensible",
"description" : "臨床醫生對病情、問題或診斷嚴重程度的主觀評價；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。",
"valueSet" : "http://hl7.org/fhir/ValueSet/condition-severity"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id" : "Condition.code",
"path" : "Condition.code",
"short" : "居住狀況",
"definition" : "病情、問題或診斷的識別",
"comment" : "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"requirements" : "0..1，主要用於說明敘述性resource。",
"alias" : [
"type"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Condition.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"strength" : "required",
"valueSet" : "http://ltc-ig.fhir.tw/ValueSet/ReferralConditionResidenceVS-TWLTC"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id" : "Condition.code.id",
"path" : "Condition.code.id",
"representation" : [
"xmlAttr"
],
"short" : "唯一可識別ID，以供資料項目間相互參照。",
"definition" : "resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Condition.code.extension",
"path" : "Condition.code.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "擴充的資料項目",
"definition" : "擴充的資料項目",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "Condition.code.coding",
"path" : "Condition.code.coding",
"slicing" : {
"discriminator" : [
{
"type" : "pattern",
"path" : "$this"
}
],
"rules" : "open"
},
"short" : "居住狀況代碼",
"definition" : "由專門術語系統（terminology system）所定義之代碼的參照。",
"comment" : "代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。",
"requirements" : "允許使用者在不知道識別碼系統的情況下利用識別碼",
"min" : 1,
"max" : "1",
"base" : {
"path" : "CodeableConcept.coding",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Coding",
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"
},
{
"identity" : "rim",
"map" : "CV"
},
{
"identity" : "orim",
"map" : "fhir:Coding rdfs:subClassOf dt:CDCoding"
}
]
},
{
"id" : "Condition.code.coding.id",
"path" : "Condition.code.coding.id",
"representation" : [
"xmlAttr"
],
"short" : "唯一可識別ID，以供資料項目間相互參照。",
"definition" : "resource中資料項目的唯一ID（用於內部參照），這可以是任何不含空格的字串。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Condition.code.coding.extension",
"path" : "Condition.code.coding.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "擴充的資料項目",
"definition" : "可用於表示不屬於此資料項目基本定義的附加資訊。為了擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，有一套要求 **必須（SHALL）** 滿足。",
"comment" : "無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何污名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "Condition.code.coding.system",
"path" : "Condition.code.coding.system",
"short" : "專門術語系統（terminology system）的識別",
"definition" : "定義代碼中符號意義的代碼系統識別",
"comment" : "URI可以是一個OID（urn:oid:...）或一個UUID（urn:uuid:...）；OID和UUID **必須（SHALL）** 參照HL7 OID註冊中心；否則，URI應該來自HL7的FHIR定義的特殊URI列表，或者它應該參照一些明確建立的系统定義。",
"requirements" : "需要明確說明符號定義的來源",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Coding.system",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"patternUri" : "http://ltc-ig.fhir.tw/ValueSet/ReferralConditionResidenceVS-TWLTC",
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.3"
},
{
"identity" : "rim",
"map" : "./codeSystem"
},
{
"identity" : "orim",
"map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
}
]
},
{
"id" : "Condition.code.coding.version",
"path" : "Condition.code.coding.version",
"short" : "系統的版本—如果相關的話",
"definition" : "選擇此代碼時使用的代碼系統版本；請注意，一個維護良好的代碼系統不需要版本報告，因為代碼的意義在不同系統版本中是一致的；然而，不能始終保證這點，當不能保證意義一致時， **必須（SHALL）** 將版本資訊也一併作交換。",
"comment" : "如果專門術語沒有明確定義應該使用什麼字串來識別代碼系統的版本，建議使用版本正式發布的日期（用FHIR日期格式表示）作為版本日期。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Coding.version",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.7"
},
{
"identity" : "rim",
"map" : "./codeSystemVersion"
},
{
"identity" : "orim",
"map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
}
]
},
{
"id" : "Condition.code.coding.code",
"path" : "Condition.code.coding.code",
"short" : "個案是否獨居？",
"definition" : "系統定義的語法之符號；符號可能是一個預先定義的代碼，也可能是代碼系統定義的語法中的表達式（如後組合配對／後組合式）。",
"requirements" : "需要參照系統中的一個特定代碼",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Coding.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.1"
},
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "orim",
"map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
}
]
},
{
"id" : "Condition.code.coding.display",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "Condition.code.coding.display",
"short" : "由系統定義的表示法",
"definition" : "遵循系統的規則以呈現代碼含義的表示法",
"requirements" : "需要能為不了解此系統的讀者呈現可讀的代碼含義",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Coding.display",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.2 - but note this is not well followed"
},
{
"identity" : "rim",
"map" : "CV.displayName"
},
{
"identity" : "orim",
"map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
}
]
},
{
"id" : "Condition.code.coding.userSelected",
"path" : "Condition.code.coding.userSelected",
"short" : "此編碼是否由使用者直接選擇？",
"definition" : "表明此編碼是由使用者直接選擇，例如：從可用項目（代碼或顯示名稱）的清單中選擇。",
"comment" : "在一系列備選方案中，直接選擇的代碼是新翻譯最合適的起點；關於「直接選擇」的確切意義，存在模糊不清之處，可能需要貿易夥伴的同意，以更完整澄清此資料項目的使用及其後果。",
"requirements" : "已被確定為一個臨床安全準則—此確切的系統／代碼對(code pair)是被明確選擇的，而不是由系統根據一些規則或是程式語言處理判斷。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Coding.userSelected",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "Sometimes implied by being first"
},
{
"identity" : "rim",
"map" : "CD.codingRationale"
},
{
"identity" : "orim",
"map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]"
}
]
},
{
"id" : "Condition.code.coding:icd10-cm-2023",
"path" : "Condition.code.coding",
"sliceName" : "icd10-cm-2023",
"short" : "由專門術語系統（terminology system）定義的代碼",
"definition" : "由專門術語系統（terminology system）所定義之代碼的參照",
"comment" : "代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。",
"requirements" : "允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CodeableConcept.coding",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Coding",
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"strength" : "required",
"valueSet" : "https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2023-tw"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"
},
{
"identity" : "rim",
"map" : "CV"
},
{
"identity" : "orim",
"map" : "fhir:Coding rdfs:subClassOf dt:CDCoding"
}
]
},
{
"id" : "Condition.code.coding:icd10-cm-2021",
"path" : "Condition.code.coding",
"sliceName" : "icd10-cm-2021",
"short" : "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。",
"definition" : "由專門術語系統（terminology system）所定義之代碼的參照。",
"comment" : "代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。",
"requirements" : "允許使用者在不知道識別碼系統的情況下利用識別碼",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CodeableConcept.coding",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Coding",
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"strength" : "required",
"description" : "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。",
"valueSet" : "https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2021-tw"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"
},
{
"identity" : "rim",
"map" : "CV"
},
{
"identity" : "orim",
"map" : "fhir:Coding rdfs:subClassOf dt:CDCoding"
}
]
},
{
"id" : "Condition.code.coding:icd10-cm-2014",
"path" : "Condition.code.coding",
"sliceName" : "icd10-cm-2014",
"short" : "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。",
"definition" : "由專門術語系統（terminology system）所定義之代碼的參照。",
"comment" : "代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。",
"requirements" : "允許使用者在不知道識別碼系統的情況下利用識別碼",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CodeableConcept.coding",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Coding",
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"strength" : "required",
"description" : "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。",
"valueSet" : "https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"
},
{
"identity" : "rim",
"map" : "CV"
},
{
"identity" : "orim",
"map" : "fhir:Coding rdfs:subClassOf dt:CDCoding"
}
]
},
{
"id" : "Condition.code.coding:icd9-cm-2001",
"path" : "Condition.code.coding",
"sliceName" : "icd9-cm-2001",
"short" : "由專門術語系統（terminology system）定義的代碼",
"definition" : "由專門術語系統（terminology system）所定義之代碼的參照",
"comment" : "代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。",
"requirements" : "允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CodeableConcept.coding",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Coding",
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"strength" : "required",
"valueSet" : "https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-9-cm-2001-tw"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"
},
{
"identity" : "rim",
"map" : "CV"
},
{
"identity" : "orim",
"map" : "fhir:Coding rdfs:subClassOf dt:CDCoding"
}
]
},
{
"id" : "Condition.code.coding:absentOrUnknownProblem",
"path" : "Condition.code.coding",
"sliceName" : "absentOrUnknownProblem",
"short" : "不存在的問題或未知問題的代碼",
"definition" : "表示「absent problem」或「problems unknown」的代碼",
"comment" : "代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。",
"requirements" : "允許使用者在不知道識別碼系統的情況下利用識別碼",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CodeableConcept.coding",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Coding",
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"strength" : "required",
"description" : "應填入所綁定值集中的其中一個代碼。",
"valueSet" : "http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"
},
{
"identity" : "rim",
"map" : "CV"
},
{
"identity" : "orim",
"map" : "fhir:Coding rdfs:subClassOf dt:CDCoding"
}
]
},
{
"id" : "Condition.code.coding:sct",
"path" : "Condition.code.coding",
"sliceName" : "sct",
"short" : "此為SNOMED CT診斷代碼，若機構已有購買相關授權，亦可使用。",
"definition" : "由專門術語系統（terminology system）所定義之代碼的參照。",
"comment" : "代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。",
"requirements" : "允許使用者在不知道識別碼系統的情況下利用識別碼",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CodeableConcept.coding",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Coding",
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"strength" : "required",
"description" : "應填入所綁定值集中的其中一個代碼。",
"valueSet" : "https://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"
},
{
"identity" : "rim",
"map" : "CV"
},
{
"identity" : "orim",
"map" : "fhir:Coding rdfs:subClassOf dt:CDCoding"
}
]
},
{
"id" : "Condition.code.text",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "Condition.code.text",
"short" : "概念的文字表示法",
"definition" : "輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。",
"comment" : "很多時候，此文字表述與其中一個代碼的顯示名稱相同。",
"requirements" : "專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CodeableConcept.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.9. But note many systems use C*E.2 for this"
},
{
"identity" : "rim",
"map" : "./originalText[mediaType/code=\"text/plain\"]/data"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
}
]
},
{
"id" : "Condition.bodySite",
"path" : "Condition.bodySite",
"short" : "如果相關請填寫解剖位置",
"definition" : "此病情、問題或診斷表現出來的解剖位置",
"comment" : "只有在Condition.code中找到的代碼未隱含此資料項目概念時才使用。如果使用案例（use-case）要求將BodySite作為一個單獨的resource來處理（例如：識別和追踪），那麼就使用標準的資料項目擴充方式來擴充bodySite。可以是一個摘要代碼，也可以是對一個非常精確位置定義的參照，或者兩者都是。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Condition.bodySite",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"strength" : "extensible",
"description" : "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。",
"valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id" : "Condition.subject",
"path" : "Condition.subject",
"short" : "誰有此病情、問題或診斷？",
"definition" : "表示與此病情、問題或診斷紀錄相關的病人或實體集合（Group resource）",
"requirements" : "實體集合（Group resource）通常用於獸醫或公共衛生的案例",
"alias" : [
"patient"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Condition.subject",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore"🔗 ,
"http://hl7.org/fhir/StructureDefinition/Group"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.subject"
},
{
"identity" : "w5",
"map" : "FiveWs.subject[x]"
},
{
"identity" : "v2",
"map" : "PID-3"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=SBJ].role[classCode=PAT]"
},
{
"identity" : "w5",
"map" : "FiveWs.subject"
}
]
},
{
"id" : "Condition.encounter",
"path" : "Condition.encounter",
"short" : "作為病情、問題或診斷紀錄的一部分的就醫（Encounter）紀錄",
"definition" : "此病情、問題或診斷記載在哪次的「就醫（Encounter）」紀錄或者與此病情、問題或診斷紀錄密切相關的「就醫（Encounter）」紀錄",
"comment" : "通常是此病情、問題或診斷發生的就醫事件，雖然有些活動可能在就醫結束之前或之後開始，但仍與就醫事件的情境有關。這筆紀錄表明與此病情、問題或診斷紀錄相關的就醫事件（Encounter）。「新的」診斷的情況下，反映病情、問題或診斷的持續/修訂資訊可能與首次就醫所知道的病情、問題或診斷不同。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Condition.encounter",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Encounter-twcore"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.context"
},
{
"identity" : "w5",
"map" : "FiveWs.context"
},
{
"identity" : "v2",
"map" : "PV1-19 (+PV1-54)"
},
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
}
]
},
{
"id" : "Condition.onset[x]",
"path" : "Condition.onset[x]",
"short" : "估計的或實際的日期、日期—時間或年齡。",
"definition" : "醫師認為此病情、問題或診斷之推估或實際發生時間或日期時間等",
"comment" : "onsetAge通常是指病人說明病情何時開始發生的年齡",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Condition.onset[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
"valueBoolean" : true
}
],
"code" : "dateTime"
},
{
"code" : "Age"
},
{
"code" : "Period"
},
{
"code" : "Range"
},
{
"code" : "string"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.occurrence[x]"
},
{
"identity" : "w5",
"map" : "FiveWs.init"
},
{
"identity" : "v2",
"map" : "PRB-16"
},
{
"identity" : "rim",
"map" : ".effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age at onset\"].value"
}
]
},
{
"id" : "Condition.abatement[x]",
"path" : "Condition.abatement[x]",
"short" : "何時解決/緩解",
"definition" : "病情、問題或診斷緩解或開始緩解的日期或估計日期。因為與「緩解（remissio）」或 「解決（resolution）」相關的許多過多含義—病情、問題或診斷不會真正解決，但它們可以緩解，所以稱為「緩解 （abatement）」，",
"comment" : "解決（resolution）和緩解（remission）之間沒有明確的區別，因為在許多情況下，兩者的區別並不明顯。當病人說明病情、問題或診斷緩解的年齡時，一般使用onsetAge。如果沒有abatement這個資料項目，就不知道狀況是否已經解決或緩解；應用程式和使用者一般應假定病情、問題或診斷仍存在。當abatementString存在時，它意味著病情、問題或診斷已緩解。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Condition.abatement[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
"valueBoolean" : true
}
],
"code" : "dateTime"
},
{
"code" : "Age"
},
{
"code" : "Period"
},
{
"code" : "Range"
},
{
"code" : "string"
}
],
"condition" : [
"con-4"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.done[x]"
},
{
"identity" : "rim",
"map" : ".effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age at remission\"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed"
}
]
},
{
"id" : "Condition.recordedDate",
"path" : "Condition.recordedDate",
"short" : "記錄的日期",
"definition" : "recordedDate表述此Condition記錄何時於系統中建立，這通常是系統產生的日期。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Condition.recordedDate",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.recorded"
},
{
"identity" : "v2",
"map" : "REL-11"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=AUT].time"
}
]
},
{
"id" : "Condition.recorder",
"path" : "Condition.recorder",
"short" : "誰記錄此病情、問題或診斷",
"definition" : "記錄病情、問題或診斷內容並對其內容負責的個人",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Condition.recorder",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore"🔗 ,
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore"🔗 ,
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore"🔗 ,
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.author"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=AUT].role"
}
]
},
{
"id" : "Condition.asserter",
"path" : "Condition.asserter",
"short" : "聲稱有此病情、問題或診斷的人",
"definition" : "提出此病情、問題或診斷說明的人",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Condition.asserter",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore"🔗 ,
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore"🔗 ,
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore"🔗 ,
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.source"
},
{
"identity" : "v2",
"map" : "REL-7.1 identifier + REL-7.12 type code"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=INF].role"
}
]
},
{
"id" : "Condition.stage",
"path" : "Condition.stage",
"short" : "分期（stage）／分級（grade），通常是正式的評估。",
"definition" : "病情、問題或診斷的臨床分期或分級，可能包括正式的嚴重程度評估。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Condition.stage",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "con-1",
"severity" : "error",
"human" : "Stage SHALL have summary or assessment",
"expression" : "summary.exists() or assessment.exists()",
"xpath" : "exists(f:summary) or exists(f:assessment)",
"source" : "http://hl7.org/fhir/StructureDefinition/Condition"
},
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"stage/grade\"]"
}
]
},
{
"id" : "Condition.stage.id",
"path" : "Condition.stage.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Condition.stage.extension",
"path" : "Condition.stage.extension",
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Condition.stage.modifierExtension",
"path" : "Condition.stage.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Condition.stage.summary",
"path" : "Condition.stage.summary",
"short" : "簡單的摘要（特定疾病）。",
"definition" : "對分期的簡單摘要，如「第3期」。針對特定疾病的分期測定。",
"comment" : "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Condition.stage.summary",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"binding" : {
"strength" : "extensible",
"description" : "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。",
"valueSet" : "http://hl7.org/fhir/ValueSet/condition-stage"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id" : "Condition.stage.assessment",
"path" : "Condition.stage.assessment",
"short" : "正式的評估記錄",
"definition" : "分期評估所依據的證據之正式記錄",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Condition.stage.assessment",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/ClinicalImpression"🔗 ,
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/DiagnosticReport-twcore"🔗 ,
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-laboratoryResult-twcore"🔗 ,
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-vitalSigns-twcore"
]
}
],
"condition" : [
"con-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : ".self"
}
]
},
{
"id" : "Condition.stage.type",
"path" : "Condition.stage.type",
"short" : "分期的種類",
"definition" : "分期的種類，如病理分期或臨床分期。",
"comment" : "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Condition.stage.type",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"binding" : {
"strength" : "extensible",
"description" : "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。",
"valueSet" : "http://hl7.org/fhir/ValueSet/condition-stage-type"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id" : "Condition.evidence",
"path" : "Condition.evidence",
"short" : "支持的證據",
"definition" : "作為病情、問題或診斷驗證狀態基礎的支持證據／臨床表現，如證實或反駁病情、問題或診斷的證據。",
"comment" : "證據可以是一個簡單的編碼症狀／臨床表現的清單，或參考檢驗檢查或者正式評估，或者兩者都是。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Condition.evidence",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "con-2",
"severity" : "error",
"human" : "evidence SHALL have code or details",
"expression" : "code.exists() or detail.exists()",
"xpath" : "exists(f:code) or exists(f:detail)",
"source" : "http://hl7.org/fhir/StructureDefinition/Condition"
},
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]"
}
]
},
{
"id" : "Condition.evidence.id",
"path" : "Condition.evidence.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Condition.evidence.extension",
"path" : "Condition.evidence.extension",
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Condition.evidence.modifierExtension",
"path" : "Condition.evidence.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Condition.evidence.code",
"path" : "Condition.evidence.code",
"short" : "表現／症狀",
"definition" : "導致記錄此病情、問題或診斷的表現或症狀",
"comment" : "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Condition.evidence.code",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"binding" : {
"strength" : "extensible",
"description" : "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。",
"valueSet" : "http://hl7.org/fhir/ValueSet/manifestation-or-symptom"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id" : "Condition.evidence.detail",
"path" : "Condition.evidence.detail",
"short" : "在其他地方找到的支持資訊",
"definition" : "其他相關資訊的連接，包括病理報告。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Condition.evidence.detail",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Resource"
]
}
],
"condition" : [
"con-2"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.why[x]"
},
{
"identity" : "rim",
"map" : ".self"
}
]
},
{
"id" : "Condition.note",
"path" : "Condition.note",
"short" : "關於此Condition的附加資訊",
"definition" : "關於此Condition的附加資訊。這是一個一般的註釋／意見紀錄，用於描述病情、問題或診斷、其診斷和預後。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Condition.note",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Annotation"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.note"
},
{
"identity" : "v2",
"map" : "NTE child of PRB"
},
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "Condition.code",
"path" : "Condition.code",
"short" : "居住狀況",
"min" : 1,
"binding" : {
"strength" : "required",
"valueSet" : "http://ltc-ig.fhir.tw/ValueSet/ReferralConditionResidenceVS-TWLTC"
}
},
{
"id" : "Condition.code.coding",
"path" : "Condition.code.coding",
"short" : "居住狀況代碼",
"min" : 1,
"max" : "1"
},
{
"id" : "Condition.code.coding.system",
"path" : "Condition.code.coding.system",
"min" : 1,
"patternUri" : "http://ltc-ig.fhir.tw/ValueSet/ReferralConditionResidenceVS-TWLTC"
},
{
"id" : "Condition.code.coding.code",
"path" : "Condition.code.coding.code",
"short" : "個案是否獨居？",
"min" : 1
}
]
}
}