臺灣長期照顧實作指引 (Taiwan Long-Term Care FHIR Implementation Guide)
0.1.1 - ci-build

臺灣長期照顧實作指引 (Taiwan Long-Term Care FHIR Implementation Guide) - Local Development build (v0.1.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: TWLTC Condition Tube

Official URL: http://ltc-ig.fhir.tw/StructureDefinition/LTCConditionTube Version: 0.1.1
Draft as of 2024-09-16 Computable Name: LTCConditionTube

長照機構住民的管路資料

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from TWCoreCondition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition TWCoreCondition
... code 1..1 CodeableConceptTW 管路裝設狀況與類別
Binding: 管路狀況值集 (required)
.... coding 1..1 CodingTW 管路裝設狀況與類別代碼
..... system 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: http://ltc-ig.fhir.tw/ValueSet/ReferralConditionTubeVS-TWLTC
..... code 1..1 code 管路裝設狀況與類別代碼,如果代碼為 other,則需填寫備註以描述管路使用情況
... note 0..1 Annotation 管路裝設狀況與類別備註

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Condition.coderequiredReferralConditionTubeVSTWLTC (a valid code from 轉介單管路狀況代碼)
http://ltc-ig.fhir.tw/ValueSet/ReferralConditionTubeVS-TWLTC
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* TWCoreCondition 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 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。
... 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。

... 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 病情、問題或診斷的主觀嚴重程度
Binding: Condition/DiagnosisSeverity (extensible): 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。

... code S 1..1 CodeableConceptTW 管路裝設狀況與類別
Binding: 管路狀況值集 (required)
.... Slices for coding S 1..1 CodingTW 管路裝設狀況與類別代碼
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/ReferralConditionTubeVS-TWLTC
...... code SΣ 1..1 code 管路裝設狀況與類別代碼,如果代碼為 other,則需填寫備註以描述管路使用情況
...... display SΣ 0..1 string 由系統定義的表示法
..... 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(TW Core Patient | Group) 誰有此病情、問題或診斷?
... 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
... asserter SΣ 0..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | RelatedPerson) 聲稱有此病情、問題或診斷的人
... note S 0..1 Annotation 管路裝設狀況與類別備註

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.severityextensibleCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.coderequiredReferralConditionTubeVSTWLTC (a valid code from 轉介單管路狀況代碼)
http://ltc-ig.fhir.tw/ValueSet/ReferralConditionTubeVS-TWLTC
from this IG
Condition.code.coding:icd10-cm-2021requiredTW2021ICD10CM
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2021-tw
Condition.code.coding:icd10-cm-2014requiredTW2014ICD10CM
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw
Condition.code.coding:icd9-cm-2001requiredTW2001ICD9CM
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-9-cm-2001-tw
Condition.code.coding:absentOrUnknownProblemrequiredAbsentOrUnknownProblemsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips
Condition.code.coding:sctrequiredTWConditionCodeSCT
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw
Condition.bodySiteextensibleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
con-3best practiceConditionCondition.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-4errorConditionIf 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-5errorConditionCondition.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-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* TWCoreCondition 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
... text 0..1 Narrative Condition Resource之內容摘要以供人閱讀
... contained 0..* Resource 內嵌的(contained)、行內的Resources
... extension 0..* Extension 擴充的資料項目
... modifierExtension ?! 0..* Extension 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。
... identifier 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 病情、問題或診斷的主觀嚴重程度
Binding: Condition/DiagnosisSeverity (extensible): 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。

... code S 1..1 CodeableConceptTW 管路裝設狀況與類別
Binding: 管路狀況值集 (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 管路裝設狀況與類別代碼
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/ReferralConditionTubeVS-TWLTC
...... version Σ 0..1 string 系統的版本—如果相關的話
...... code SΣ 1..1 code 管路裝設狀況與類別代碼,如果代碼為 other,則需填寫備註以描述管路使用情況
...... 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-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(TW Core Patient | Group) 誰有此病情、問題或診斷?
... 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 Σ 0..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | RelatedPerson) 誰記錄此病情、問題或診斷
... asserter SΣ 0..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | RelatedPerson) 聲稱有此病情、問題或診斷的人
... 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..1 Annotation 管路裝設狀況與類別備註

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.severityextensibleCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.coderequiredReferralConditionTubeVSTWLTC (a valid code from 轉介單管路狀況代碼)
http://ltc-ig.fhir.tw/ValueSet/ReferralConditionTubeVS-TWLTC
from this IG
Condition.code.coding:icd10-cm-2021requiredTW2021ICD10CM
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2021-tw
Condition.code.coding:icd10-cm-2014requiredTW2014ICD10CM
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw
Condition.code.coding:icd9-cm-2001requiredTW2001ICD9CM
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-9-cm-2001-tw
Condition.code.coding:absentOrUnknownProblemrequiredAbsentOrUnknownProblemsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips
Condition.code.coding:sctrequiredTWConditionCodeSCT
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw
Condition.bodySiteextensibleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Condition.stage.summaryextensibleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage.typeextensibleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
from the FHIR Standard
Condition.evidence.codeextensibleManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
con-1errorCondition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
con-2errorCondition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()
con-3best practiceConditionCondition.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-4errorConditionIf 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-5errorConditionCondition.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-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from TWCoreCondition

Summary

Mandatory: 4 elements

Differential View

This structure is derived from TWCoreCondition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition TWCoreCondition
... code 1..1 CodeableConceptTW 管路裝設狀況與類別
Binding: 管路狀況值集 (required)
.... coding 1..1 CodingTW 管路裝設狀況與類別代碼
..... system 1..1 uri 專門術語系統(terminology system)的識別
Required Pattern: http://ltc-ig.fhir.tw/ValueSet/ReferralConditionTubeVS-TWLTC
..... code 1..1 code 管路裝設狀況與類別代碼,如果代碼為 other,則需填寫備註以描述管路使用情況
... note 0..1 Annotation 管路裝設狀況與類別備註

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Condition.coderequiredReferralConditionTubeVSTWLTC (a valid code from 轉介單管路狀況代碼)
http://ltc-ig.fhir.tw/ValueSet/ReferralConditionTubeVS-TWLTC
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* TWCoreCondition 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 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。
... 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。

... 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 病情、問題或診斷的主觀嚴重程度
Binding: Condition/DiagnosisSeverity (extensible): 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。

... code S 1..1 CodeableConceptTW 管路裝設狀況與類別
Binding: 管路狀況值集 (required)
.... Slices for coding S 1..1 CodingTW 管路裝設狀況與類別代碼
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/ReferralConditionTubeVS-TWLTC
...... code SΣ 1..1 code 管路裝設狀況與類別代碼,如果代碼為 other,則需填寫備註以描述管路使用情況
...... display SΣ 0..1 string 由系統定義的表示法
..... 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(TW Core Patient | Group) 誰有此病情、問題或診斷?
... 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
... asserter SΣ 0..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | RelatedPerson) 聲稱有此病情、問題或診斷的人
... note S 0..1 Annotation 管路裝設狀況與類別備註

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.severityextensibleCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.coderequiredReferralConditionTubeVSTWLTC (a valid code from 轉介單管路狀況代碼)
http://ltc-ig.fhir.tw/ValueSet/ReferralConditionTubeVS-TWLTC
from this IG
Condition.code.coding:icd10-cm-2021requiredTW2021ICD10CM
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2021-tw
Condition.code.coding:icd10-cm-2014requiredTW2014ICD10CM
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw
Condition.code.coding:icd9-cm-2001requiredTW2001ICD9CM
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-9-cm-2001-tw
Condition.code.coding:absentOrUnknownProblemrequiredAbsentOrUnknownProblemsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips
Condition.code.coding:sctrequiredTWConditionCodeSCT
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw
Condition.bodySiteextensibleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
con-3best practiceConditionCondition.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-4errorConditionIf 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-5errorConditionCondition.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-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C 0..* TWCoreCondition 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
... text 0..1 Narrative Condition Resource之內容摘要以供人閱讀
... contained 0..* Resource 內嵌的(contained)、行內的Resources
... extension 0..* Extension 擴充的資料項目
... modifierExtension ?! 0..* Extension 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。
... identifier 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 病情、問題或診斷的主觀嚴重程度
Binding: Condition/DiagnosisSeverity (extensible): 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。

... code S 1..1 CodeableConceptTW 管路裝設狀況與類別
Binding: 管路狀況值集 (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 管路裝設狀況與類別代碼
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/ReferralConditionTubeVS-TWLTC
...... version Σ 0..1 string 系統的版本—如果相關的話
...... code SΣ 1..1 code 管路裝設狀況與類別代碼,如果代碼為 other,則需填寫備註以描述管路使用情況
...... 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-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(TW Core Patient | Group) 誰有此病情、問題或診斷?
... 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 Σ 0..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | RelatedPerson) 誰記錄此病情、問題或診斷
... asserter SΣ 0..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | RelatedPerson) 聲稱有此病情、問題或診斷的人
... 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..1 Annotation 管路裝設狀況與類別備註

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.severityextensibleCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.coderequiredReferralConditionTubeVSTWLTC (a valid code from 轉介單管路狀況代碼)
http://ltc-ig.fhir.tw/ValueSet/ReferralConditionTubeVS-TWLTC
from this IG
Condition.code.coding:icd10-cm-2021requiredTW2021ICD10CM
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2021-tw
Condition.code.coding:icd10-cm-2014requiredTW2014ICD10CM
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw
Condition.code.coding:icd9-cm-2001requiredTW2001ICD9CM
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-9-cm-2001-tw
Condition.code.coding:absentOrUnknownProblemrequiredAbsentOrUnknownProblemsUvIps
http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips
Condition.code.coding:sctrequiredTWConditionCodeSCT
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw
Condition.bodySiteextensibleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Condition.stage.summaryextensibleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage.typeextensibleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
from the FHIR Standard
Condition.evidence.codeextensibleManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
con-1errorCondition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
con-2errorCondition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()
con-3best practiceConditionCondition.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-4errorConditionIf 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-5errorConditionCondition.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-2errorConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConditionIf 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-4errorConditionIf 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-5errorConditionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConditionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from TWCoreCondition

Summary

Mandatory: 4 elements

 

Other representations of profile: CSV, Excel, Schematron