臺灣榮總腦中風實作指引（TW VGH Stroke IG）
0.1.0 - ci-build

臺灣榮總腦中風實作指引（TW VGH Stroke IG）, published by 高雄榮民總醫院 (VGHKS). This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/SitatechCo/TWVGHStroke_IG_Build/ and changes regularly. See the Directory of published versions

Resource Profile: 腦中風－中風診斷

Official URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeCondition Version: 0.1.0
Draft as of 2026-10-07 Computable Name: StrokeCondition

此 Profile 說明本 IG 如何進一步定義 FHIR 的 Condition Resource，以呈現腦中風病人的中風診斷，診斷碼採用 ICD-10-CM。

每個中風診斷建一筆 Condition。診斷內容、臨床狀態與分類都能由診斷來源確認才建立；任一項無法確認時，原值改存登錄表單（StrokeRegistryResponse）。

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Condition C 0..* TWCoreCondition 有關病情、問題或診斷的詳細資訊
Constraints: con-3, con-4, con-5
Condition.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri 創建此內容所依據的一組規則
Condition.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Condition.clinicalStatus This element is a modifier element. This element must be supported. This element is included in summaries. C 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 臨床狀態。[依診斷來源填寫]
Binding: ConditionClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。
Condition.verificationStatus This element is a modifier element. This element must be supported. This element is included in summaries. C 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 確認狀態。[來源有明確紀錄才填]
Binding: ConditionVerificationStatus (required): 應填入所綁定值集中的其中一個代碼。
Condition.category This element must be supported. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 診斷分類。[依診斷來源填寫，例如 encounter-diagnosis]
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。
Condition.severity This element must be supported. 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.code This element must be supported. This element is included in summaries. C 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 中風診斷。[應填入 ICD-10-CM 診斷碼]
Binding: Condition/Problem/DiagnosisCodes (example): 此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。
Constraints: stroke-condition-1
Condition.code.Slices for coding This element must be supported. This element is included in summaries. 0..* CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。
Slice: Unordered, Open by pattern:$this
Condition.code.Slices for coding.coding:icd10-cm-2023 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (required)
Condition.code.Slices for coding.coding:icd10-cm-2021 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.code.Slices for coding.coding:icd10-cm-2014 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.code.Slices for coding.coding:icd9-cm-2001 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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)
Condition.code.Slices for coding.coding:absentOrUnknownProblem This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.code.Slices for coding.coding:sct This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.code.Slices for coding.coding:icd10cm This element must be supported. This element is included in summaries. 0..1 Coding ICD-10-CM 診斷碼。[system 為 http://hl7.org/fhir/sid/icd-10-cm]

Required Pattern: At least the following
Condition.code.Slices for coding.coding:icd10cm.id 0..1 string Unique id for inter-element referencing
Condition.code.Slices for coding.coding:icd10cm.extension 0..* Extension Additional content defined by implementations
Condition.code.Slices for coding.coding:icd10cm.version 0..1 string Version of the system - if relevant
Condition.code.Slices for coding.coding:icd10cm.display 0..1 string Representation defined by the system
Condition.code.Slices for coding.coding:icd10cm.userSelected 0..1 boolean If this coding was chosen directly by the user
Condition.code.Slices for coding.coding:icd10cm.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/sid/icd-10-cm
Condition.code.Slices for coding.coding:icd10cm.code This element is included in summaries. 1..1 code 診斷碼。[例如 I63.9]
Condition.code.text This element must be supported. This element is included in summaries. 0..1 string 診斷文字。[應填入診斷名稱]
Condition.bodySite This element must be supported. This element is included in summaries. 0..* CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.subject This element must be supported. This element is included in summaries. 1..1 Reference(腦中風－病人基本資料) 病人。[應參照 StrokePatient]
Condition.encounter This element must be supported. This element is included in summaries. 0..1 Reference(腦中風－就醫事件) 診斷所屬就醫事件。[應參照 StrokeEncounter]
Condition.onset[x] This element must be supported. This element is included in summaries. 0..1 估計的或實際的日期、日期—時間或年齡。
Condition.onset[x].onsetDateTime dateTime This target must be supported.
Condition.onset[x].onsetAge Age
Condition.onset[x].onsetPeriod Period
Condition.onset[x].onsetRange Range
Condition.onset[x].onsetString string
Condition.abatement[x] This element must be supported. C 0..1 何時解決/緩解
Condition.abatement[x].abatementDateTime dateTime This target must be supported.
Condition.abatement[x].abatementAge Age
Condition.abatement[x].abatementPeriod Period
Condition.abatement[x].abatementRange Range
Condition.abatement[x].abatementString string
Condition.asserter This element must be supported. This element is included in summaries. 0..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | TW Core RelatedPerson) 聲稱有此病情、問題或診斷的人
Condition.note This element must be supported. 0..* Annotation 關於此Condition的附加資訊

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📦4.0.1 FHIR Std.
Condition.severity Base extensible Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.code Base example Condition/Problem/Diagnosis Codes 📦4.0.1 FHIR Std.
Condition.code.coding:icd10-cm-2023 Base required 臺灣健保署2023年中文版ICD-10-CM值集 📦2024-11-18 臺灣核心實作指引 v1.0
Condition.code.coding:icd10-cm-2021 Base required 臺灣健保署2021年中文版ICD-10-CM值集 📦2022-07-29 臺灣核心實作指引 v1.0
Condition.code.coding:icd10-cm-2014 Base required 臺灣健保署2014年中文版ICD-10-CM值集 📦2017-07-19 臺灣核心實作指引 v1.0
Condition.code.coding:icd9-cm-2001 Base required 臺灣健保署2001年中文版ICD-9-CM值集 📦2023-05-09 臺灣核心實作指引 v1.0
Condition.code.coding:absentOrUnknownProblem Base required Absent or Unknown Problems - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Condition.code.coding:sct Base required SNOMED CT診斷代碼值集 📦2022-07-31 臺灣核心實作指引 v1.0
Condition.bodySite Base extensible SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
con-3 best practice Condition Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5 error Condition Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2 error Condition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Condition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Condition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Condition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Condition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
stroke-condition-1 error Condition.code 診斷須有代碼或診斷文字。 coding.exists() or text.exists()

This structure is derived from TWCoreCondition

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Condition TWCoreCondition
Condition.clinicalStatus 1..1 CodeableConceptTW 臨床狀態。[依診斷來源填寫]
Condition.verificationStatus 0..1 CodeableConceptTW 確認狀態。[來源有明確紀錄才填]
Condition.category 1..1 CodeableConceptTW 診斷分類。[依診斷來源填寫，例如 encounter-diagnosis]
Condition.code.Slices for coding Content/Rules for all slices
Condition.code.Slices for coding.coding:icd10cm This element must be supported. 0..1 Coding ICD-10-CM 診斷碼。[system 為 http://hl7.org/fhir/sid/icd-10-cm]
Required Pattern: At least the following
Condition.code.Slices for coding.coding:icd10cm.system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/sid/icd-10-cm
Condition.code.Slices for coding.coding:icd10cm.code 1..1 code 診斷碼。[例如 I63.9]
Condition.code.text 0..1 string 診斷文字。[應填入診斷名稱]
Condition.subject 1..1 Reference(腦中風－病人基本資料) 病人。[應參照 StrokePatient]
Condition.encounter This element must be supported. 0..1 Reference(腦中風－就醫事件) 診斷所屬就醫事件。[應參照 StrokeEncounter]

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
stroke-condition-1 error Condition.code 診斷須有代碼或診斷文字。 coding.exists() or text.exists()
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Condition C 0..* TWCoreCondition 有關病情、問題或診斷的詳細資訊
Constraints: con-3, con-4, con-5
Condition.id This element is included in summaries. 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。
Condition.meta This element is included in summaries. 0..1 Meta 此Condition Resource的metadata
Condition.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri 創建此內容所依據的一組規則
Condition.language 0..1 code 用以表述Condition Resource內容的語言。
Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
Additional BindingsPurpose
AllLanguages Max Binding

Example Value: zh-TW
Condition.text 0..1 Narrative Condition Resource之內容摘要以供人閱讀
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Condition.contained 0..* Resource Contained, inline Resources
Condition.extension 0..* Extension Additional content defined by implementations
Condition.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Condition.identifier This element is included in summaries. 0..* Identifier 此病情、問題或診斷的外部識別碼
Condition.clinicalStatus This element is a modifier element. This element must be supported. This element is included in summaries. C 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 臨床狀態。[依診斷來源填寫]
Binding: ConditionClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。
Condition.verificationStatus This element is a modifier element. This element must be supported. This element is included in summaries. C 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 確認狀態。[來源有明確紀錄才填]
Binding: ConditionVerificationStatus (required): 應填入所綁定值集中的其中一個代碼。
Condition.category This element must be supported. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 診斷分類。[依診斷來源填寫，例如 encounter-diagnosis]
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。
Condition.severity This element must be supported. 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.code This element must be supported. This element is included in summaries. C 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 中風診斷。[應填入 ICD-10-CM 診斷碼]
Binding: Condition/Problem/DiagnosisCodes (example): 此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。
Constraints: stroke-condition-1
Condition.code.id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
Condition.code.extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
Condition.code.Slices for coding This element must be supported. This element is included in summaries. 0..* CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。
Slice: Unordered, Open by pattern:$this
Condition.code.Slices for coding.coding:icd10-cm-2023 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (required)
Condition.code.Slices for coding.coding:icd10-cm-2021 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.code.Slices for coding.coding:icd10-cm-2014 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.code.Slices for coding.coding:icd9-cm-2001 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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)
Condition.code.Slices for coding.coding:absentOrUnknownProblem This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.code.Slices for coding.coding:sct This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.code.Slices for coding.coding:icd10cm This element must be supported. This element is included in summaries. 0..1 Coding ICD-10-CM 診斷碼。[system 為 http://hl7.org/fhir/sid/icd-10-cm]

Required Pattern: At least the following
Condition.code.Slices for coding.coding:icd10cm.id 0..1 string Unique id for inter-element referencing
Condition.code.Slices for coding.coding:icd10cm.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Condition.code.Slices for coding.coding:icd10cm.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/sid/icd-10-cm
Condition.code.Slices for coding.coding:icd10cm.version This element is included in summaries. 0..1 string Version of the system - if relevant
Condition.code.Slices for coding.coding:icd10cm.code This element is included in summaries. 1..1 code 診斷碼。[例如 I63.9]
Condition.code.Slices for coding.coding:icd10cm.display This element is included in summaries. 0..1 string Representation defined by the system
Condition.code.Slices for coding.coding:icd10cm.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Condition.code.text This element must be supported. This element is included in summaries. 0..1 string 診斷文字。[應填入診斷名稱]
Condition.bodySite This element must be supported. This element is included in summaries. 0..* CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.subject This element must be supported. This element is included in summaries. 1..1 Reference(腦中風－病人基本資料) 病人。[應參照 StrokePatient]
Condition.encounter This element must be supported. This element is included in summaries. 0..1 Reference(腦中風－就醫事件) 診斷所屬就醫事件。[應參照 StrokeEncounter]
Condition.onset[x] This element must be supported. This element is included in summaries. 0..1 估計的或實際的日期、日期—時間或年齡。
Condition.onset[x].onsetDateTime dateTime This target must be supported.
Condition.onset[x].onsetAge Age
Condition.onset[x].onsetPeriod Period
Condition.onset[x].onsetRange Range
Condition.onset[x].onsetString string
Condition.abatement[x] This element must be supported. C 0..1 何時解決/緩解
Condition.abatement[x].abatementDateTime dateTime This target must be supported.
Condition.abatement[x].abatementAge Age
Condition.abatement[x].abatementPeriod Period
Condition.abatement[x].abatementRange Range
Condition.abatement[x].abatementString string
Condition.recordedDate This element is included in summaries. 0..1 dateTime 記錄的日期
Condition.recorder This element is included in summaries. 0..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | TW Core RelatedPerson) 誰記錄此病情、問題或診斷
Condition.asserter This element must be supported. This element is included in summaries. 0..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | TW Core RelatedPerson) 聲稱有此病情、問題或診斷的人
Condition.stage C 0..* BackboneElement 分期（stage）／分級（grade），通常是正式的評估。
Constraints: con-1
Condition.stage.id 0..1 string Unique id for inter-element referencing
Condition.stage.extension 0..* Extension Additional content defined by implementations
Condition.stage.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Condition.stage.summary C 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.stage.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
Condition.stage.type 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.evidence C 0..* BackboneElement 支持的證據
Constraints: con-2
Condition.evidence.id 0..1 string Unique id for inter-element referencing
Condition.evidence.extension 0..* Extension Additional content defined by implementations
Condition.evidence.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Condition.evidence.code This element is included in summaries. C 0..* CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.evidence.detail This element is included in summaries. C 0..* Reference(Resource) 在其他地方找到的支持資訊
Condition.note This element must be supported. 0..* Annotation 關於此Condition的附加資訊

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📦4.0.1 FHIR Std.
Condition.severity Base extensible Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.code Base example Condition/Problem/Diagnosis Codes 📦4.0.1 FHIR Std.
Condition.code.coding:icd10-cm-2023 Base required 臺灣健保署2023年中文版ICD-10-CM值集 📦2024-11-18 臺灣核心實作指引 v1.0
Condition.code.coding:icd10-cm-2021 Base required 臺灣健保署2021年中文版ICD-10-CM值集 📦2022-07-29 臺灣核心實作指引 v1.0
Condition.code.coding:icd10-cm-2014 Base required 臺灣健保署2014年中文版ICD-10-CM值集 📦2017-07-19 臺灣核心實作指引 v1.0
Condition.code.coding:icd9-cm-2001 Base required 臺灣健保署2001年中文版ICD-9-CM值集 📦2023-05-09 臺灣核心實作指引 v1.0
Condition.code.coding:absentOrUnknownProblem Base required Absent or Unknown Problems - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Condition.code.coding:sct Base required SNOMED CT診斷代碼值集 📦2022-07-31 臺灣核心實作指引 v1.0
Condition.bodySite Base extensible SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Condition.stage.summary Base extensible Condition Stage 📦4.0.1 FHIR Std.
Condition.stage.type Base extensible Condition Stage Type 📦4.0.1 FHIR Std.
Condition.evidence.code Base extensible Manifestation and Symptom Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
con-1 error Condition.stage Stage SHALL have summary or assessment summary.exists() or assessment.exists()
con-2 error Condition.evidence evidence SHALL have code or details code.exists() or detail.exists()
con-3 best practice Condition Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5 error Condition Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2 error Condition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Condition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Condition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Condition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Condition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
stroke-condition-1 error Condition.code 診斷須有代碼或診斷文字。 coding.exists() or text.exists()

This structure is derived from TWCoreCondition

Summary

Mandatory: 1 element(2 nested mandatory elements)
Must-Support: 2 elements

Structures

This structure refers to these other structures:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Condition C 0..* TWCoreCondition 有關病情、問題或診斷的詳細資訊
Constraints: con-3, con-4, con-5
Condition.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri 創建此內容所依據的一組規則
Condition.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Condition.clinicalStatus This element is a modifier element. This element must be supported. This element is included in summaries. C 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 臨床狀態。[依診斷來源填寫]
Binding: ConditionClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。
Condition.verificationStatus This element is a modifier element. This element must be supported. This element is included in summaries. C 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 確認狀態。[來源有明確紀錄才填]
Binding: ConditionVerificationStatus (required): 應填入所綁定值集中的其中一個代碼。
Condition.category This element must be supported. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 診斷分類。[依診斷來源填寫，例如 encounter-diagnosis]
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。
Condition.severity This element must be supported. 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.code This element must be supported. This element is included in summaries. C 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 中風診斷。[應填入 ICD-10-CM 診斷碼]
Binding: Condition/Problem/DiagnosisCodes (example): 此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。
Constraints: stroke-condition-1
Condition.code.Slices for coding This element must be supported. This element is included in summaries. 0..* CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。
Slice: Unordered, Open by pattern:$this
Condition.code.Slices for coding.coding:icd10-cm-2023 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (required)
Condition.code.Slices for coding.coding:icd10-cm-2021 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.code.Slices for coding.coding:icd10-cm-2014 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.code.Slices for coding.coding:icd9-cm-2001 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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)
Condition.code.Slices for coding.coding:absentOrUnknownProblem This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.code.Slices for coding.coding:sct This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.code.Slices for coding.coding:icd10cm This element must be supported. This element is included in summaries. 0..1 Coding ICD-10-CM 診斷碼。[system 為 http://hl7.org/fhir/sid/icd-10-cm]

Required Pattern: At least the following
Condition.code.Slices for coding.coding:icd10cm.id 0..1 string Unique id for inter-element referencing
Condition.code.Slices for coding.coding:icd10cm.extension 0..* Extension Additional content defined by implementations
Condition.code.Slices for coding.coding:icd10cm.version 0..1 string Version of the system - if relevant
Condition.code.Slices for coding.coding:icd10cm.display 0..1 string Representation defined by the system
Condition.code.Slices for coding.coding:icd10cm.userSelected 0..1 boolean If this coding was chosen directly by the user
Condition.code.Slices for coding.coding:icd10cm.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/sid/icd-10-cm
Condition.code.Slices for coding.coding:icd10cm.code This element is included in summaries. 1..1 code 診斷碼。[例如 I63.9]
Condition.code.text This element must be supported. This element is included in summaries. 0..1 string 診斷文字。[應填入診斷名稱]
Condition.bodySite This element must be supported. This element is included in summaries. 0..* CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.subject This element must be supported. This element is included in summaries. 1..1 Reference(腦中風－病人基本資料) 病人。[應參照 StrokePatient]
Condition.encounter This element must be supported. This element is included in summaries. 0..1 Reference(腦中風－就醫事件) 診斷所屬就醫事件。[應參照 StrokeEncounter]
Condition.onset[x] This element must be supported. This element is included in summaries. 0..1 估計的或實際的日期、日期—時間或年齡。
Condition.onset[x].onsetDateTime dateTime This target must be supported.
Condition.onset[x].onsetAge Age
Condition.onset[x].onsetPeriod Period
Condition.onset[x].onsetRange Range
Condition.onset[x].onsetString string
Condition.abatement[x] This element must be supported. C 0..1 何時解決/緩解
Condition.abatement[x].abatementDateTime dateTime This target must be supported.
Condition.abatement[x].abatementAge Age
Condition.abatement[x].abatementPeriod Period
Condition.abatement[x].abatementRange Range
Condition.abatement[x].abatementString string
Condition.asserter This element must be supported. This element is included in summaries. 0..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | TW Core RelatedPerson) 聲稱有此病情、問題或診斷的人
Condition.note This element must be supported. 0..* Annotation 關於此Condition的附加資訊

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📦4.0.1 FHIR Std.
Condition.severity Base extensible Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.code Base example Condition/Problem/Diagnosis Codes 📦4.0.1 FHIR Std.
Condition.code.coding:icd10-cm-2023 Base required 臺灣健保署2023年中文版ICD-10-CM值集 📦2024-11-18 臺灣核心實作指引 v1.0
Condition.code.coding:icd10-cm-2021 Base required 臺灣健保署2021年中文版ICD-10-CM值集 📦2022-07-29 臺灣核心實作指引 v1.0
Condition.code.coding:icd10-cm-2014 Base required 臺灣健保署2014年中文版ICD-10-CM值集 📦2017-07-19 臺灣核心實作指引 v1.0
Condition.code.coding:icd9-cm-2001 Base required 臺灣健保署2001年中文版ICD-9-CM值集 📦2023-05-09 臺灣核心實作指引 v1.0
Condition.code.coding:absentOrUnknownProblem Base required Absent or Unknown Problems - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Condition.code.coding:sct Base required SNOMED CT診斷代碼值集 📦2022-07-31 臺灣核心實作指引 v1.0
Condition.bodySite Base extensible SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
con-3 best practice Condition Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5 error Condition Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2 error Condition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Condition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Condition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Condition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Condition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
stroke-condition-1 error Condition.code 診斷須有代碼或診斷文字。 coding.exists() or text.exists()

Differential View

This structure is derived from TWCoreCondition

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Condition TWCoreCondition
Condition.clinicalStatus 1..1 CodeableConceptTW 臨床狀態。[依診斷來源填寫]
Condition.verificationStatus 0..1 CodeableConceptTW 確認狀態。[來源有明確紀錄才填]
Condition.category 1..1 CodeableConceptTW 診斷分類。[依診斷來源填寫，例如 encounter-diagnosis]
Condition.code C 1..1 CodeableConceptTW 中風診斷。[應填入 ICD-10-CM 診斷碼]
Constraints: stroke-condition-1
Condition.code.Slices for coding Content/Rules for all slices
Condition.code.Slices for coding.coding:icd10cm This element must be supported. 0..1 Coding ICD-10-CM 診斷碼。[system 為 http://hl7.org/fhir/sid/icd-10-cm]
Required Pattern: At least the following
Condition.code.Slices for coding.coding:icd10cm.system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/sid/icd-10-cm
Condition.code.Slices for coding.coding:icd10cm.code 1..1 code 診斷碼。[例如 I63.9]
Condition.code.text 0..1 string 診斷文字。[應填入診斷名稱]
Condition.subject 1..1 Reference(腦中風－病人基本資料) 病人。[應參照 StrokePatient]
Condition.encounter This element must be supported. 0..1 Reference(腦中風－就醫事件) 診斷所屬就醫事件。[應參照 StrokeEncounter]

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
stroke-condition-1 error Condition.code 診斷須有代碼或診斷文字。 coding.exists() or text.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Condition C 0..* TWCoreCondition 有關病情、問題或診斷的詳細資訊
Constraints: con-3, con-4, con-5
Condition.id This element is included in summaries. 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。
Condition.meta This element is included in summaries. 0..1 Meta 此Condition Resource的metadata
Condition.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri 創建此內容所依據的一組規則
Condition.language 0..1 code 用以表述Condition Resource內容的語言。
Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
Additional BindingsPurpose
AllLanguages Max Binding

Example Value: zh-TW
Condition.text 0..1 Narrative Condition Resource之內容摘要以供人閱讀
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Condition.contained 0..* Resource Contained, inline Resources
Condition.extension 0..* Extension Additional content defined by implementations
Condition.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Condition.identifier This element is included in summaries. 0..* Identifier 此病情、問題或診斷的外部識別碼
Condition.clinicalStatus This element is a modifier element. This element must be supported. This element is included in summaries. C 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 臨床狀態。[依診斷來源填寫]
Binding: ConditionClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。
Condition.verificationStatus This element is a modifier element. This element must be supported. This element is included in summaries. C 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 確認狀態。[來源有明確紀錄才填]
Binding: ConditionVerificationStatus (required): 應填入所綁定值集中的其中一個代碼。
Condition.category This element must be supported. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 診斷分類。[依診斷來源填寫，例如 encounter-diagnosis]
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。
Condition.severity This element must be supported. 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.code This element must be supported. This element is included in summaries. C 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 中風診斷。[應填入 ICD-10-CM 診斷碼]
Binding: Condition/Problem/DiagnosisCodes (example): 此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。
Constraints: stroke-condition-1
Condition.code.id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
Condition.code.extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
Condition.code.Slices for coding This element must be supported. This element is included in summaries. 0..* CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。
Slice: Unordered, Open by pattern:$this
Condition.code.Slices for coding.coding:icd10-cm-2023 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (required)
Condition.code.Slices for coding.coding:icd10-cm-2021 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.code.Slices for coding.coding:icd10-cm-2014 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.code.Slices for coding.coding:icd9-cm-2001 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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)
Condition.code.Slices for coding.coding:absentOrUnknownProblem This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.code.Slices for coding.coding:sct This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.code.Slices for coding.coding:icd10cm This element must be supported. This element is included in summaries. 0..1 Coding ICD-10-CM 診斷碼。[system 為 http://hl7.org/fhir/sid/icd-10-cm]

Required Pattern: At least the following
Condition.code.Slices for coding.coding:icd10cm.id 0..1 string Unique id for inter-element referencing
Condition.code.Slices for coding.coding:icd10cm.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Condition.code.Slices for coding.coding:icd10cm.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/sid/icd-10-cm
Condition.code.Slices for coding.coding:icd10cm.version This element is included in summaries. 0..1 string Version of the system - if relevant
Condition.code.Slices for coding.coding:icd10cm.code This element is included in summaries. 1..1 code 診斷碼。[例如 I63.9]
Condition.code.Slices for coding.coding:icd10cm.display This element is included in summaries. 0..1 string Representation defined by the system
Condition.code.Slices for coding.coding:icd10cm.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Condition.code.text This element must be supported. This element is included in summaries. 0..1 string 診斷文字。[應填入診斷名稱]
Condition.bodySite This element must be supported. This element is included in summaries. 0..* CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.subject This element must be supported. This element is included in summaries. 1..1 Reference(腦中風－病人基本資料) 病人。[應參照 StrokePatient]
Condition.encounter This element must be supported. This element is included in summaries. 0..1 Reference(腦中風－就醫事件) 診斷所屬就醫事件。[應參照 StrokeEncounter]
Condition.onset[x] This element must be supported. This element is included in summaries. 0..1 估計的或實際的日期、日期—時間或年齡。
Condition.onset[x].onsetDateTime dateTime This target must be supported.
Condition.onset[x].onsetAge Age
Condition.onset[x].onsetPeriod Period
Condition.onset[x].onsetRange Range
Condition.onset[x].onsetString string
Condition.abatement[x] This element must be supported. C 0..1 何時解決/緩解
Condition.abatement[x].abatementDateTime dateTime This target must be supported.
Condition.abatement[x].abatementAge Age
Condition.abatement[x].abatementPeriod Period
Condition.abatement[x].abatementRange Range
Condition.abatement[x].abatementString string
Condition.recordedDate This element is included in summaries. 0..1 dateTime 記錄的日期
Condition.recorder This element is included in summaries. 0..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | TW Core RelatedPerson) 誰記錄此病情、問題或診斷
Condition.asserter This element must be supported. This element is included in summaries. 0..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | TW Core RelatedPerson) 聲稱有此病情、問題或診斷的人
Condition.stage C 0..* BackboneElement 分期（stage）／分級（grade），通常是正式的評估。
Constraints: con-1
Condition.stage.id 0..1 string Unique id for inter-element referencing
Condition.stage.extension 0..* Extension Additional content defined by implementations
Condition.stage.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Condition.stage.summary C 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.stage.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
Condition.stage.type 0..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.evidence C 0..* BackboneElement 支持的證據
Constraints: con-2
Condition.evidence.id 0..1 string Unique id for inter-element referencing
Condition.evidence.extension 0..* Extension Additional content defined by implementations
Condition.evidence.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Condition.evidence.code This element is included in summaries. C 0..* CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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。
Condition.evidence.detail This element is included in summaries. C 0..* Reference(Resource) 在其他地方找到的支持資訊
Condition.note This element must be supported. 0..* Annotation 關於此Condition的附加資訊

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📦4.0.1 FHIR Std.
Condition.severity Base extensible Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.code Base example Condition/Problem/Diagnosis Codes 📦4.0.1 FHIR Std.
Condition.code.coding:icd10-cm-2023 Base required 臺灣健保署2023年中文版ICD-10-CM值集 📦2024-11-18 臺灣核心實作指引 v1.0
Condition.code.coding:icd10-cm-2021 Base required 臺灣健保署2021年中文版ICD-10-CM值集 📦2022-07-29 臺灣核心實作指引 v1.0
Condition.code.coding:icd10-cm-2014 Base required 臺灣健保署2014年中文版ICD-10-CM值集 📦2017-07-19 臺灣核心實作指引 v1.0
Condition.code.coding:icd9-cm-2001 Base required 臺灣健保署2001年中文版ICD-9-CM值集 📦2023-05-09 臺灣核心實作指引 v1.0
Condition.code.coding:absentOrUnknownProblem Base required Absent or Unknown Problems - IPS 📦1.1.0 International Patient Summary Implementation Guide v1.1
Condition.code.coding:sct Base required SNOMED CT診斷代碼值集 📦2022-07-31 臺灣核心實作指引 v1.0
Condition.bodySite Base extensible SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Condition.stage.summary Base extensible Condition Stage 📦4.0.1 FHIR Std.
Condition.stage.type Base extensible Condition Stage Type 📦4.0.1 FHIR Std.
Condition.evidence.code Base extensible Manifestation and Symptom Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
con-1 error Condition.stage Stage SHALL have summary or assessment summary.exists() or assessment.exists()
con-2 error Condition.evidence evidence SHALL have code or details code.exists() or detail.exists()
con-3 best practice Condition Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5 error Condition Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2 error Condition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Condition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Condition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Condition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Condition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
stroke-condition-1 error Condition.code 診斷須有代碼或診斷文字。 coding.exists() or text.exists()

This structure is derived from TWCoreCondition

Summary

Mandatory: 1 element(2 nested mandatory elements)
Must-Support: 2 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron