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－就醫事件
| Official URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter | Version: 0.1.0 | |||
| Draft as of 2026-10-07 | Computable Name: StrokeEncounter | |||
此 Profile 說明本 IG 如何進一步定義 FHIR 的 Encounter Resource，以呈現腦中風病人的急診與住院就醫事件，包含就醫期間與離院情形。
記錄單次急診或住院就醫。急診與住院分開建 Encounter，以 class 區分。本院急診、他院急診與本院住院各建一筆。院方確認病人與就醫事件的對照方式後，才可把不同來源的資料歸到同一筆 Encounter。
Usages:
- Use this Profile: 腦中風－個管系統個案資料包 and 腦中風－EVT 登錄個案資料包
- Refer to this Profile: 腦中風－就醫背景, 腦中風－血壓, 腦中風－身高, 腦中風－體溫...
- Examples for this Profile: Encounter/stroke-encounter-er-example, Encounter/stroke-encounter-example and Encounter/stroke-encounter-other-er-example
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.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  Encounter |
0..* | TWCoreEncounter | 提供病人服務的一種互動 | |
  implicitRules |
0..1 | uri | 創建此內容所依據的一組規則 | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
  identifier |
0..* | Identifier | 此就醫事件的識別碼 | |
 use |
0..1 | code | usual ｜ official ｜ temp ｜ secondary ｜ old （如果知道） Binding: IdentifierUse (required): 如果知道，請說明此識別碼的用途；應填入所綁定值集中的其中一個代碼。 | |
| system |
1..1 | uri | 識別碼（identifier）的命名空間（namespace） Example General: http://www.acme.com/identifiers/patient | |
 value |
1..1 | string | 唯一值 Example General: 123456 | |
| status |
1..1 | code | 就醫狀態。[填 finished、in-progress 或 unknown] Binding: EncounterStatus (required): 就醫現況的代碼；應填入所綁定值集中的其中一個代碼 | |
| class |
1..1 | CodingTW  |
就醫類別。[急診填 EMER；住院填 IMP] Binding: ActEncounterCode (3.0.0) (extensible): 就醫的分類；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。 | |
| serviceType |
0..1 | CodeableConceptTW |
服務的特定型別 Binding: ServiceType (example): 對提供的服務進行廣泛分類；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。 | |
 Slices for coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:system | |
  coding:TWMedicalDepartmentSCT |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: 對應至 SNOMED CT之就醫科別 + 診療科別值集 (required) | |
  system |
1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://snomed.info/sct | |
| code |
0..1 | code | 系統定義的語法之符號 | |
 display |
0..1 | string | 由系統定義的表示法 | |
| coding:TWMedicalConsultationDepartment |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署就醫科別值集 (required) | |
| system |
1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw | |
| code |
0..1 | code | 系統定義的語法之符號 | |
| display |
0..1 | string | 由系統定義的表示法 | |
 coding:TWMedicalTreatmentDepartment |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署診療科別值集 (required) | |
 system |
1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-nhi-tw | |
| code |
0..1 | code | 系統定義的語法之符號 | |
| display |
0..1 | string | 由系統定義的表示法 | |
| text |
0..1 | string | 概念的文字表示法 | |
 subject |
1..1 | Reference(腦中風－病人基本資料) | 病人。[應參照 StrokePatient] | |
| participant |
0..* | BackboneElement | 參與就醫的健康照護服務提供者之名單 | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| type |
0..* | CodeableConceptTW |
參與者在病人就醫事件中的角色 Binding: ParticipantType (extensible): 參與者在病人就醫事件中的角色；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。 | |
| period |
0..1 | Period | 參與者在病人就醫期間參與的時段 | |
| individual |
0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson) | 除病人外，參與病人就醫事件的人。 | |
| period |
0..1 | Period | 就醫期間 | |
| start |
C | 0..1 | dateTime | 開始日期時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
 extension:eventTimeOnly |
0..1 | time | 僅有開始時間。[hh:mm:ss，無日期時使用] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only | |
| end |
C | 0..1 | dateTime | 結束日期時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:eventTimeOnly |
0..1 | time | 僅有結束時間。[hh:mm:ss，無日期時使用] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only | |
| reasonCode |
0..* | CodeableConceptTW |
就醫發生的編碼原因 Binding: EncounterReasonCodes (preferred): 發生此就醫事件的原因；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |
| hospitalization |
0..1 | BackboneElement | 住院資訊 | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| dischargeDisposition |
0..1 | CodeableConceptTW |
離院情形。[填 StrokeDischargeStatusVS 代碼] Binding: 腦中風－離院情形值集 (extensible) | |
| location |
0..* | BackboneElement | 病人曾去過的一個或多個地點 | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| location |
1..1 | Reference(TW Core Location) | 就醫發生的地點 | |
| serviceProvider |
0..1 | Reference(腦中風－醫療院所) | 提供服務的院所。[應參照 StrokeOrganization] | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std. |
| Encounter.class | Base | extensible | ActEncounterCode | 📍3.0.0 | THO v7.4 |
| Encounter.serviceType | Base | example | Service type | 📦4.0.1 | FHIR Std. |
| Encounter.serviceType.coding:TWMedicalDepartmentSCT | Base | required | 對應至 SNOMED CT之就醫科別 + 診療科別值集 | 📦0.3.0 | 臺灣核心實作指引 v1.0 |
| Encounter.serviceType.coding:TWMedicalConsultationDepartment | Base | required | 無法對應至SNOMED CT之臺灣健保署就醫科別值集 | 📦0.3.0 | 臺灣核心實作指引 v1.0 |
| Encounter.serviceType.coding:TWMedicalTreatmentDepartment | Base | required | 無法對應至SNOMED CT之臺灣健保署診療科別值集 | 📦0.3.0 | 臺灣核心實作指引 v1.0 |
| Encounter.participant.type | Base | extensible | Participant type | 📦4.0.1 | FHIR Std. |
| Encounter.reasonCode | Base | preferred | Encounter Reason Codes | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.dischargeDisposition | Base | extensible | 腦中風－離院情形值集 | 📦0.1.0 | This IG |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Encounter | 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 | Encounter | 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 | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Encounter | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from TWCoreEncounter
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Encounter |
TWCoreEncounter | |||
 status |
1..1 | code | 就醫狀態。[填 finished、in-progress 或 unknown] | |
| class |
1..1 | CodingTW | 就醫類別。[急診填 EMER；住院填 IMP] | |
| subject |
1..1 | Reference(腦中風－病人基本資料) | 病人。[應參照 StrokePatient] | |
| period |
0..1 | Period | 就醫期間 | |
| start |
0..1 | dateTime | 開始日期時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:eventTimeOnly |
0..1 | time | 僅有開始時間。[hh:mm:ss，無日期時使用] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only | |
| end |
0..1 | dateTime | 結束日期時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:eventTimeOnly |
0..1 | time | 僅有結束時間。[hh:mm:ss，無日期時使用] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only | |
| hospitalization |
0..1 | BackboneElement | 住院資訊 | |
| dischargeDisposition |
0..1 | CodeableConceptTW | 離院情形。[填 StrokeDischargeStatusVS 代碼] Binding: 腦中風－離院情形值集 (extensible) | |
| serviceProvider |
0..1 | Reference(腦中風－醫療院所) | 提供服務的院所。[應參照 StrokeOrganization] | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.hospitalization.dischargeDisposition | Base | extensible | 腦中風－離院情形值集 | 📦0.1.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Encounter |
0..* | TWCoreEncounter | 提供病人服務的一種互動 | |||||
| id |
0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的Encounter紀錄，通常又稱為邏輯性ID。 | |||||
| meta |
0..1 | Meta | 此Encounter Resource的metadata | |||||
| implicitRules |
0..1 | uri | 創建此內容所依據的一組規則 | |||||
| language |
0..1 | code | 用以表述Encounter Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
Example Value: zh-TW | |||||
| text |
0..1 | Narrative | Encounter 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 | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | 此就醫事件的識別碼 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
0..1 | code | usual ｜ official ｜ temp ｜ secondary ｜ old （如果知道） Binding: IdentifierUse (required): 如果知道，請說明此識別碼的用途；應填入所綁定值集中的其中一個代碼。 | |||||
| type |
0..1 | CodeableConceptTW |
識別碼（identifier）的型別說明 Binding: Identifier Type Codes (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。 | |||||
| system |
1..1 | uri | 識別碼（identifier）的命名空間（namespace） Example General: http://www.acme.com/identifiers/patient | |||||
| value |
1..1 | string | 唯一值 Example General: 123456 | |||||
| period |
0..1 | Period | 此就醫事件識別碼（identifier）的使用效期 | |||||
| assigner |
0..1 | Reference(TW Core Organization) | 簽發identifier的機構（可以只是文字表述） | |||||
| status |
1..1 | code | 就醫狀態。[填 finished、in-progress 或 unknown] Binding: EncounterStatus (required): 就醫現況的代碼；應填入所綁定值集中的其中一個代碼 | |||||
| statusHistory |
0..* | BackboneElement | 過去的就醫狀態清單 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| status |
1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): 就醫現狀的代碼；應填入所綁定值集中的其中一個代碼 | |||||
| period |
1..1 | Period | 該事件處於特定狀態的時間 | |||||
| class |
1..1 | CodingTW |
就醫類別。[急診填 EMER；住院填 IMP] Binding: ActEncounterCode (3.0.0) (extensible): 就醫的分類；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。 | |||||
| classHistory |
0..* | BackboneElement | 過去就醫類別的列表 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| class |
1..1 | Coding | inpatient ｜ outpatient ｜ ambulatory ｜ emergency + Binding: ActEncounterCode (3.0.0) (extensible): 就醫類別；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。 | |||||
| period |
1..1 | Period | 此就醫事件處於特定類別的時間 | |||||
| type |
0..* | CodeableConceptTW |
就醫的特定型別 Binding: EncounterType (example): 就醫的型別；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
| serviceType |
0..1 | CodeableConceptTW |
服務的特定型別 Binding: ServiceType (example): 對提供的服務進行廣泛分類；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。 | |||||
| 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 |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:system | |||||
| coding:TWMedicalDepartmentSCT |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: 對應至 SNOMED CT之就醫科別 + 診療科別值集 (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 | |||||
| system |
1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://snomed.info/sct | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| coding:TWMedicalConsultationDepartment |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署就醫科別值集 (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 | |||||
| system |
1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| coding:TWMedicalTreatmentDepartment |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署診療科別值集 (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 | |||||
| system |
1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-nhi-tw | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| text |
0..1 | string | 概念的文字表示法 | |||||
| priority |
0..1 | CodeableConceptTW |
表明就醫的急迫性 Binding: ActPriority (3.0.0) (example): 表明就醫的迫切性；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
| subject |
1..1 | Reference(腦中風－病人基本資料) | 病人。[應參照 StrokePatient] | |||||
| episodeOfCare |
0..* | Reference(EpisodeOfCare) | 此次就醫應記錄的照護事件 | |||||
| basedOn |
0..* | Reference(TW Core ServiceRequest) | 開始此次就醫的服務請求（ServiceRequest） | |||||
| participant |
0..* | BackboneElement | 參與就醫的健康照護服務提供者之名單 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| type |
0..* | CodeableConceptTW |
參與者在病人就醫事件中的角色 Binding: ParticipantType (extensible): 參與者在病人就醫事件中的角色；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。 | |||||
| period |
0..1 | Period | 參與者在病人就醫期間參與的時段 | |||||
| individual |
0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson) | 除病人外，參與病人就醫事件的人。 | |||||
| appointment |
0..* | Reference(Appointment) | 這次就醫的預約紀錄 | |||||
| period |
0..1 | Period | 就醫期間 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| start |
C | 0..1 | dateTime | 開始日期時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] | ||||
| id |
0..1 | string | xml:id (or equivalent in JSON) | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:eventTimeOnly |
0..1 | time | 僅有開始時間。[hh:mm:ss，無日期時使用] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only | |||||
| value |
0..1 | dateTime | Primitive value for dateTime | |||||
| end |
C | 0..1 | dateTime | 結束日期時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] | ||||
| id |
0..1 | string | xml:id (or equivalent in JSON) | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:eventTimeOnly |
0..1 | time | 僅有結束時間。[hh:mm:ss，無日期時使用] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only | |||||
| value |
0..1 | dateTime | Primitive value for dateTime | |||||
| length |
0..1 | Duration | 就醫持續的時間（扣除缺席時間） | |||||
| reasonCode |
0..* | CodeableConceptTW |
就醫發生的編碼原因 Binding: EncounterReasonCodes (preferred): 發生此就醫事件的原因；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| reasonReference |
0..* | Reference(TW Core Condition | TW Core Procedure | TW Core Observation Laboratory Result | ImmunizationRecommendation) | 就醫發生的原因（參照） | |||||
| diagnosis |
0..* | BackboneElement | 與此就醫相關的診斷清單 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| condition |
1..1 | Reference(TW Core Condition | TW Core Procedure) | 與就醫事件相關的診斷或處置 | |||||
| use |
0..1 | CodeableConceptTW |
此診斷在病人就醫事件中的作用（例如：住院、收費、出院...）。 Binding: DiagnosisRole (preferred): 此情況所代表的診斷型別；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| rank |
0..1 | positiveInt | 診斷的排序（針對每個角色型別） | |||||
| account |
0..* | Reference(Account) | 可用於為此病人就醫事件計費的一組帳戶 | |||||
| hospitalization |
0..1 | BackboneElement | 住院資訊 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| preAdmissionIdentifier |
0..1 | Identifier | 住院前識別碼 | |||||
| origin |
0..1 | Reference(TW Core Organization | TW Core Location) | 病人住院前來自的地點／機構 | |||||
| admitSource |
0..1 | CodeableConceptTW |
病人從哪裡住院（醫生轉介、轉院）？ Binding: AdmitSource (preferred): 病人從哪裡住院；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| reAdmission |
0..1 | CodeableConceptTW |
已發生的醫院再入院型別（如果有的話）。如果該值不存在，則不被認定為再入院。 Binding: Hl7VSReAdmissionIndicator (3.0.0) (example): 這次住院就醫的再入院原因；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
| dietPreference |
0..* | CodeableConceptTW |
病人報告的飲食偏好 Binding: Diet (example): 醫療、文化或道德方面的食物偏好，以幫助滿足飲食要求；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
| specialCourtesy |
0..* | CodeableConceptTW |
特別禮遇（貴賓、董事會成員） Binding: SpecialCourtesy (preferred): 特別禮遇；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| specialArrangement |
0..* | CodeableConceptTW |
輪椅、翻譯人員、擔架等。 Binding: SpecialArrangements (preferred): 特殊安排；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| destination |
0..1 | Reference(TW Core Location | TW Core Organization) | 病人出院地點／機構 | |||||
| dischargeDisposition |
0..1 | CodeableConceptTW |
離院情形。[填 StrokeDischargeStatusVS 代碼] Binding: 腦中風－離院情形值集 (extensible) | |||||
| location |
0..* | BackboneElement | 病人曾去過的一個或多個地點 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| location |
1..1 | Reference(TW Core Location) | 就醫發生的地點 | |||||
| status |
0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): 就醫地點的狀態；應填入所綁定值集中的其中一個代碼。 | |||||
| physicalType |
0..1 | CodeableConceptTW |
地點的實體型別（通常是地點的層級—床位、房間、病房等）。 Binding: LocationType (example): 地點的實體型別；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
| period |
0..1 | Period | 病人出現在此地點的時段 | |||||
| serviceProvider |
0..1 | Reference(腦中風－醫療院所) | 提供服務的院所。[應參照 StrokeOrganization] | |||||
| partOf |
0..1 | Reference(TW Core Encounter) | 此就醫是哪次就醫的一部份？ | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Encounter.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.identifier.type | Base | extensible | IdentifierType | 📦4.0.1 | FHIR Std. |
| Encounter.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std. |
| Encounter.statusHistory.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std. |
| Encounter.class | Base | extensible | ActEncounterCode | 📍3.0.0 | THO v7.4 |
| Encounter.classHistory.class | Base | extensible | ActEncounterCode | 📍3.0.0 | THO v7.4 |
| Encounter.type | Base | example | Encounter type | 📦4.0.1 | FHIR Std. |
| Encounter.serviceType | Base | example | Service type | 📦4.0.1 | FHIR Std. |
| Encounter.serviceType.coding:TWMedicalDepartmentSCT | Base | required | 對應至 SNOMED CT之就醫科別 + 診療科別值集 | 📦0.3.0 | 臺灣核心實作指引 v1.0 |
| Encounter.serviceType.coding:TWMedicalConsultationDepartment | Base | required | 無法對應至SNOMED CT之臺灣健保署就醫科別值集 | 📦0.3.0 | 臺灣核心實作指引 v1.0 |
| Encounter.serviceType.coding:TWMedicalTreatmentDepartment | Base | required | 無法對應至SNOMED CT之臺灣健保署診療科別值集 | 📦0.3.0 | 臺灣核心實作指引 v1.0 |
| Encounter.priority | Base | example | ActPriority | 📍3.0.0 | THO v7.4 |
| Encounter.participant.type | Base | extensible | Participant type | 📦4.0.1 | FHIR Std. |
| Encounter.reasonCode | Base | preferred | Encounter Reason Codes | 📦4.0.1 | FHIR Std. |
| Encounter.diagnosis.use | Base | preferred | DiagnosisRole | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.admitSource | Base | preferred | Admit source | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.reAdmission | Base | example | hl7VS-re-admissionIndicator | 📍3.0.0 | THO v7.4 |
| Encounter.hospitalization.dietPreference | Base | example | Diet | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.specialCourtesy | Base | preferred | Special courtesy | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.specialArrangement | Base | preferred | Special arrangements | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.dischargeDisposition | Base | extensible | 腦中風－離院情形值集 | 📦0.1.0 | This IG |
| Encounter.location.status | Base | required | EncounterLocationStatus | 📍4.0.1 | FHIR Std. |
| Encounter.location.physicalType | Base | example | Location type | 📦4.0.1 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Encounter | 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 | Encounter | 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 | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Encounter | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from TWCoreEncounter
Summary
Mandatory: 1 element
Must-Support: 4 elements
Structures
This structure refers to these other structures:
- 腦中風－病人基本資料 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient)
- 腦中風－醫療院所 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOrganization)
Extensions
This structure refers to these extensions:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Encounter |
0..* | TWCoreEncounter | 提供病人服務的一種互動 | |
| implicitRules |
0..1 | uri | 創建此內容所依據的一組規則 | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| identifier |
0..* | Identifier | 此就醫事件的識別碼 | |
| use |
0..1 | code | usual ｜ official ｜ temp ｜ secondary ｜ old （如果知道） Binding: IdentifierUse (required): 如果知道，請說明此識別碼的用途；應填入所綁定值集中的其中一個代碼。 | |
| system |
1..1 | uri | 識別碼（identifier）的命名空間（namespace） Example General: http://www.acme.com/identifiers/patient | |
| value |
1..1 | string | 唯一值 Example General: 123456 | |
| status |
1..1 | code | 就醫狀態。[填 finished、in-progress 或 unknown] Binding: EncounterStatus (required): 就醫現況的代碼；應填入所綁定值集中的其中一個代碼 | |
| class |
1..1 | CodingTW |
就醫類別。[急診填 EMER；住院填 IMP] Binding: ActEncounterCode (3.0.0) (extensible): 就醫的分類；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。 | |
| serviceType |
0..1 | CodeableConceptTW |
服務的特定型別 Binding: ServiceType (example): 對提供的服務進行廣泛分類；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。 | |
| Slices for coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:system | |
| coding:TWMedicalDepartmentSCT |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: 對應至 SNOMED CT之就醫科別 + 診療科別值集 (required) | |
| system |
1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://snomed.info/sct | |
| code |
0..1 | code | 系統定義的語法之符號 | |
| display |
0..1 | string | 由系統定義的表示法 | |
| coding:TWMedicalConsultationDepartment |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署就醫科別值集 (required) | |
| system |
1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw | |
| code |
0..1 | code | 系統定義的語法之符號 | |
| display |
0..1 | string | 由系統定義的表示法 | |
| coding:TWMedicalTreatmentDepartment |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署診療科別值集 (required) | |
| system |
1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-nhi-tw | |
| code |
0..1 | code | 系統定義的語法之符號 | |
| display |
0..1 | string | 由系統定義的表示法 | |
| text |
0..1 | string | 概念的文字表示法 | |
| subject |
1..1 | Reference(腦中風－病人基本資料) | 病人。[應參照 StrokePatient] | |
| participant |
0..* | BackboneElement | 參與就醫的健康照護服務提供者之名單 | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| type |
0..* | CodeableConceptTW |
參與者在病人就醫事件中的角色 Binding: ParticipantType (extensible): 參與者在病人就醫事件中的角色；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。 | |
| period |
0..1 | Period | 參與者在病人就醫期間參與的時段 | |
| individual |
0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson) | 除病人外，參與病人就醫事件的人。 | |
| period |
0..1 | Period | 就醫期間 | |
| start |
C | 0..1 | dateTime | 開始日期時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:eventTimeOnly |
0..1 | time | 僅有開始時間。[hh:mm:ss，無日期時使用] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only | |
| end |
C | 0..1 | dateTime | 結束日期時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:eventTimeOnly |
0..1 | time | 僅有結束時間。[hh:mm:ss，無日期時使用] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only | |
| reasonCode |
0..* | CodeableConceptTW |
就醫發生的編碼原因 Binding: EncounterReasonCodes (preferred): 發生此就醫事件的原因；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |
| hospitalization |
0..1 | BackboneElement | 住院資訊 | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| dischargeDisposition |
0..1 | CodeableConceptTW |
離院情形。[填 StrokeDischargeStatusVS 代碼] Binding: 腦中風－離院情形值集 (extensible) | |
| location |
0..* | BackboneElement | 病人曾去過的一個或多個地點 | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| location |
1..1 | Reference(TW Core Location) | 就醫發生的地點 | |
| serviceProvider |
0..1 | Reference(腦中風－醫療院所) | 提供服務的院所。[應參照 StrokeOrganization] | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std. |
| Encounter.class | Base | extensible | ActEncounterCode | 📍3.0.0 | THO v7.4 |
| Encounter.serviceType | Base | example | Service type | 📦4.0.1 | FHIR Std. |
| Encounter.serviceType.coding:TWMedicalDepartmentSCT | Base | required | 對應至 SNOMED CT之就醫科別 + 診療科別值集 | 📦0.3.0 | 臺灣核心實作指引 v1.0 |
| Encounter.serviceType.coding:TWMedicalConsultationDepartment | Base | required | 無法對應至SNOMED CT之臺灣健保署就醫科別值集 | 📦0.3.0 | 臺灣核心實作指引 v1.0 |
| Encounter.serviceType.coding:TWMedicalTreatmentDepartment | Base | required | 無法對應至SNOMED CT之臺灣健保署診療科別值集 | 📦0.3.0 | 臺灣核心實作指引 v1.0 |
| Encounter.participant.type | Base | extensible | Participant type | 📦4.0.1 | FHIR Std. |
| Encounter.reasonCode | Base | preferred | Encounter Reason Codes | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.dischargeDisposition | Base | extensible | 腦中風－離院情形值集 | 📦0.1.0 | This IG |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Encounter | 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 | Encounter | 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 | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Encounter | 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()
|
Differential View
This structure is derived from TWCoreEncounter
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Encounter |
TWCoreEncounter | |||
| status |
1..1 | code | 就醫狀態。[填 finished、in-progress 或 unknown] | |
| class |
1..1 | CodingTW | 就醫類別。[急診填 EMER；住院填 IMP] | |
| subject |
1..1 | Reference(腦中風－病人基本資料) | 病人。[應參照 StrokePatient] | |
| period |
0..1 | Period | 就醫期間 | |
| start |
0..1 | dateTime | 開始日期時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:eventTimeOnly |
0..1 | time | 僅有開始時間。[hh:mm:ss，無日期時使用] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only | |
| end |
0..1 | dateTime | 結束日期時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:eventTimeOnly |
0..1 | time | 僅有結束時間。[hh:mm:ss，無日期時使用] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only | |
| hospitalization |
0..1 | BackboneElement | 住院資訊 | |
| dischargeDisposition |
0..1 | CodeableConceptTW | 離院情形。[填 StrokeDischargeStatusVS 代碼] Binding: 腦中風－離院情形值集 (extensible) | |
| serviceProvider |
0..1 | Reference(腦中風－醫療院所) | 提供服務的院所。[應參照 StrokeOrganization] | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.hospitalization.dischargeDisposition | Base | extensible | 腦中風－離院情形值集 | 📦0.1.0 | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Encounter |
0..* | TWCoreEncounter | 提供病人服務的一種互動 | |||||
| id |
0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的Encounter紀錄，通常又稱為邏輯性ID。 | |||||
| meta |
0..1 | Meta | 此Encounter Resource的metadata | |||||
| implicitRules |
0..1 | uri | 創建此內容所依據的一組規則 | |||||
| language |
0..1 | code | 用以表述Encounter Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
Example Value: zh-TW | |||||
| text |
0..1 | Narrative | Encounter 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 | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | 此就醫事件的識別碼 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
0..1 | code | usual ｜ official ｜ temp ｜ secondary ｜ old （如果知道） Binding: IdentifierUse (required): 如果知道，請說明此識別碼的用途；應填入所綁定值集中的其中一個代碼。 | |||||
| type |
0..1 | CodeableConceptTW |
識別碼（identifier）的型別說明 Binding: Identifier Type Codes (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。 | |||||
| system |
1..1 | uri | 識別碼（identifier）的命名空間（namespace） Example General: http://www.acme.com/identifiers/patient | |||||
| value |
1..1 | string | 唯一值 Example General: 123456 | |||||
| period |
0..1 | Period | 此就醫事件識別碼（identifier）的使用效期 | |||||
| assigner |
0..1 | Reference(TW Core Organization) | 簽發identifier的機構（可以只是文字表述） | |||||
| status |
1..1 | code | 就醫狀態。[填 finished、in-progress 或 unknown] Binding: EncounterStatus (required): 就醫現況的代碼；應填入所綁定值集中的其中一個代碼 | |||||
| statusHistory |
0..* | BackboneElement | 過去的就醫狀態清單 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| status |
1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): 就醫現狀的代碼；應填入所綁定值集中的其中一個代碼 | |||||
| period |
1..1 | Period | 該事件處於特定狀態的時間 | |||||
| class |
1..1 | CodingTW |
就醫類別。[急診填 EMER；住院填 IMP] Binding: ActEncounterCode (3.0.0) (extensible): 就醫的分類；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。 | |||||
| classHistory |
0..* | BackboneElement | 過去就醫類別的列表 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| class |
1..1 | Coding | inpatient ｜ outpatient ｜ ambulatory ｜ emergency + Binding: ActEncounterCode (3.0.0) (extensible): 就醫類別；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。 | |||||
| period |
1..1 | Period | 此就醫事件處於特定類別的時間 | |||||
| type |
0..* | CodeableConceptTW |
就醫的特定型別 Binding: EncounterType (example): 就醫的型別；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
| serviceType |
0..1 | CodeableConceptTW |
服務的特定型別 Binding: ServiceType (example): 對提供的服務進行廣泛分類；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。 | |||||
| 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 |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:system | |||||
| coding:TWMedicalDepartmentSCT |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: 對應至 SNOMED CT之就醫科別 + 診療科別值集 (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 | |||||
| system |
1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://snomed.info/sct | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| coding:TWMedicalConsultationDepartment |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署就醫科別值集 (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 | |||||
| system |
1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| coding:TWMedicalTreatmentDepartment |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署診療科別值集 (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 | |||||
| system |
1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-nhi-tw | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| text |
0..1 | string | 概念的文字表示法 | |||||
| priority |
0..1 | CodeableConceptTW |
表明就醫的急迫性 Binding: ActPriority (3.0.0) (example): 表明就醫的迫切性；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
| subject |
1..1 | Reference(腦中風－病人基本資料) | 病人。[應參照 StrokePatient] | |||||
| episodeOfCare |
0..* | Reference(EpisodeOfCare) | 此次就醫應記錄的照護事件 | |||||
| basedOn |
0..* | Reference(TW Core ServiceRequest) | 開始此次就醫的服務請求（ServiceRequest） | |||||
| participant |
0..* | BackboneElement | 參與就醫的健康照護服務提供者之名單 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| type |
0..* | CodeableConceptTW |
參與者在病人就醫事件中的角色 Binding: ParticipantType (extensible): 參與者在病人就醫事件中的角色；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。 | |||||
| period |
0..1 | Period | 參與者在病人就醫期間參與的時段 | |||||
| individual |
0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson) | 除病人外，參與病人就醫事件的人。 | |||||
| appointment |
0..* | Reference(Appointment) | 這次就醫的預約紀錄 | |||||
| period |
0..1 | Period | 就醫期間 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| start |
C | 0..1 | dateTime | 開始日期時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] | ||||
| id |
0..1 | string | xml:id (or equivalent in JSON) | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:eventTimeOnly |
0..1 | time | 僅有開始時間。[hh:mm:ss，無日期時使用] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only | |||||
| value |
0..1 | dateTime | Primitive value for dateTime | |||||
| end |
C | 0..1 | dateTime | 結束日期時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] | ||||
| id |
0..1 | string | xml:id (or equivalent in JSON) | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:eventTimeOnly |
0..1 | time | 僅有結束時間。[hh:mm:ss，無日期時使用] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only | |||||
| value |
0..1 | dateTime | Primitive value for dateTime | |||||
| length |
0..1 | Duration | 就醫持續的時間（扣除缺席時間） | |||||
| reasonCode |
0..* | CodeableConceptTW |
就醫發生的編碼原因 Binding: EncounterReasonCodes (preferred): 發生此就醫事件的原因；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| reasonReference |
0..* | Reference(TW Core Condition | TW Core Procedure | TW Core Observation Laboratory Result | ImmunizationRecommendation) | 就醫發生的原因（參照） | |||||
| diagnosis |
0..* | BackboneElement | 與此就醫相關的診斷清單 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| condition |
1..1 | Reference(TW Core Condition | TW Core Procedure) | 與就醫事件相關的診斷或處置 | |||||
| use |
0..1 | CodeableConceptTW |
此診斷在病人就醫事件中的作用（例如：住院、收費、出院...）。 Binding: DiagnosisRole (preferred): 此情況所代表的診斷型別；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| rank |
0..1 | positiveInt | 診斷的排序（針對每個角色型別） | |||||
| account |
0..* | Reference(Account) | 可用於為此病人就醫事件計費的一組帳戶 | |||||
| hospitalization |
0..1 | BackboneElement | 住院資訊 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| preAdmissionIdentifier |
0..1 | Identifier | 住院前識別碼 | |||||
| origin |
0..1 | Reference(TW Core Organization | TW Core Location) | 病人住院前來自的地點／機構 | |||||
| admitSource |
0..1 | CodeableConceptTW |
病人從哪裡住院（醫生轉介、轉院）？ Binding: AdmitSource (preferred): 病人從哪裡住院；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| reAdmission |
0..1 | CodeableConceptTW |
已發生的醫院再入院型別（如果有的話）。如果該值不存在，則不被認定為再入院。 Binding: Hl7VSReAdmissionIndicator (3.0.0) (example): 這次住院就醫的再入院原因；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
| dietPreference |
0..* | CodeableConceptTW |
病人報告的飲食偏好 Binding: Diet (example): 醫療、文化或道德方面的食物偏好，以幫助滿足飲食要求；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
| specialCourtesy |
0..* | CodeableConceptTW |
特別禮遇（貴賓、董事會成員） Binding: SpecialCourtesy (preferred): 特別禮遇；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| specialArrangement |
0..* | CodeableConceptTW |
輪椅、翻譯人員、擔架等。 Binding: SpecialArrangements (preferred): 特殊安排；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| destination |
0..1 | Reference(TW Core Location | TW Core Organization) | 病人出院地點／機構 | |||||
| dischargeDisposition |
0..1 | CodeableConceptTW |
離院情形。[填 StrokeDischargeStatusVS 代碼] Binding: 腦中風－離院情形值集 (extensible) | |||||
| location |
0..* | BackboneElement | 病人曾去過的一個或多個地點 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| location |
1..1 | Reference(TW Core Location) | 就醫發生的地點 | |||||
| status |
0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): 就醫地點的狀態；應填入所綁定值集中的其中一個代碼。 | |||||
| physicalType |
0..1 | CodeableConceptTW |
地點的實體型別（通常是地點的層級—床位、房間、病房等）。 Binding: LocationType (example): 地點的實體型別；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
| period |
0..1 | Period | 病人出現在此地點的時段 | |||||
| serviceProvider |
0..1 | Reference(腦中風－醫療院所) | 提供服務的院所。[應參照 StrokeOrganization] | |||||
| partOf |
0..1 | Reference(TW Core Encounter) | 此就醫是哪次就醫的一部份？ | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Encounter.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Encounter.identifier.type | Base | extensible | IdentifierType | 📦4.0.1 | FHIR Std. |
| Encounter.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std. |
| Encounter.statusHistory.status | Base | required | EncounterStatus | 📍4.0.1 | FHIR Std. |
| Encounter.class | Base | extensible | ActEncounterCode | 📍3.0.0 | THO v7.4 |
| Encounter.classHistory.class | Base | extensible | ActEncounterCode | 📍3.0.0 | THO v7.4 |
| Encounter.type | Base | example | Encounter type | 📦4.0.1 | FHIR Std. |
| Encounter.serviceType | Base | example | Service type | 📦4.0.1 | FHIR Std. |
| Encounter.serviceType.coding:TWMedicalDepartmentSCT | Base | required | 對應至 SNOMED CT之就醫科別 + 診療科別值集 | 📦0.3.0 | 臺灣核心實作指引 v1.0 |
| Encounter.serviceType.coding:TWMedicalConsultationDepartment | Base | required | 無法對應至SNOMED CT之臺灣健保署就醫科別值集 | 📦0.3.0 | 臺灣核心實作指引 v1.0 |
| Encounter.serviceType.coding:TWMedicalTreatmentDepartment | Base | required | 無法對應至SNOMED CT之臺灣健保署診療科別值集 | 📦0.3.0 | 臺灣核心實作指引 v1.0 |
| Encounter.priority | Base | example | ActPriority | 📍3.0.0 | THO v7.4 |
| Encounter.participant.type | Base | extensible | Participant type | 📦4.0.1 | FHIR Std. |
| Encounter.reasonCode | Base | preferred | Encounter Reason Codes | 📦4.0.1 | FHIR Std. |
| Encounter.diagnosis.use | Base | preferred | DiagnosisRole | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.admitSource | Base | preferred | Admit source | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.reAdmission | Base | example | hl7VS-re-admissionIndicator | 📍3.0.0 | THO v7.4 |
| Encounter.hospitalization.dietPreference | Base | example | Diet | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.specialCourtesy | Base | preferred | Special courtesy | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.specialArrangement | Base | preferred | Special arrangements | 📦4.0.1 | FHIR Std. |
| Encounter.hospitalization.dischargeDisposition | Base | extensible | 腦中風－離院情形值集 | 📦0.1.0 | This IG |
| Encounter.location.status | Base | required | EncounterLocationStatus | 📍4.0.1 | FHIR Std. |
| Encounter.location.physicalType | Base | example | Location type | 📦4.0.1 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Encounter | 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 | Encounter | 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 | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Encounter | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from TWCoreEncounter
Summary
Mandatory: 1 element
Must-Support: 4 elements
Structures
This structure refers to these other structures:
- 腦中風－病人基本資料 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient)
- 腦中風－醫療院所 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOrganization)
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron