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

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Resource Profile: 腦中風－就醫事件

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... Show 26 more, 腦中風－體重, 腦中風－照護流程紀錄, 腦中風－中風分類評估, 腦中風－住院併發症與惡化, 腦中風－中風診斷, 腦中風－EVT 術後結果, 腦中風－EVT 處置細節, 腦中風－昏迷指數, 腦中風－心率, 腦中風－影像判讀結果, 腦中風－影像檢查, 腦中風－檢驗結果, 腦中風－mRS 評估, 腦中風－給藥紀錄, 腦中風－用藥紀錄, 腦中風－NIHSS 評估, 腦中風－職業, 腦中風－發病時間, 腦中風－離院與追蹤結果, 腦中風－醫療處置, 腦中風－處置時點結果, 腦中風－登錄表單回覆, 腦中風－呼吸速率, 腦中風－危險因子與病史, 腦中風－影像檢查醫令 and 腦中風－吸菸狀態
• 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.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	TWCoreEncounter	提供病人服務的一種互動
Encounter.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
Encounter.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Encounter.identifier	S This element must be supported. Σ This element is included in summaries.	0..*	Identifier	此就醫事件的識別碼
Encounter.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	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。
Encounter.identifier.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	識別碼（identifier）的命名空間（namespace） Example General: http://www.acme.com/identifiers/patient
Encounter.identifier.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	唯一值 Example General: 123456
Encounter.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	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
Encounter.class	S This element must be supported. Σ This element is included in summaries.	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。
Encounter.serviceType	S This element must be supported. Σ This element is included in summaries.	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。
Encounter.serviceType.Slices for coding	S This element must be supported. Σ This element is included in summaries.	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:system
Encounter.serviceType.Slices for coding.coding:TWMedicalDepartmentSCT	S This element must be supported. Σ This element is included in summaries.	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)
Encounter.serviceType.Slices for coding.coding:TWMedicalDepartmentSCT.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: http://snomed.info/sct
Encounter.serviceType.Slices for coding.coding:TWMedicalDepartmentSCT.code	S This element must be supported. Σ This element is included in summaries.	0..1	code	系統定義的語法之符號
Encounter.serviceType.Slices for coding.coding:TWMedicalDepartmentSCT.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	由系統定義的表示法
Encounter.serviceType.Slices for coding.coding:TWMedicalConsultationDepartment	S This element must be supported. Σ This element is included in summaries.	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)
Encounter.serviceType.Slices for coding.coding:TWMedicalConsultationDepartment.system	S This element must be supported. Σ This element is included in summaries.	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
Encounter.serviceType.Slices for coding.coding:TWMedicalConsultationDepartment.code	S This element must be supported. Σ This element is included in summaries.	0..1	code	系統定義的語法之符號
Encounter.serviceType.Slices for coding.coding:TWMedicalConsultationDepartment.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	由系統定義的表示法
Encounter.serviceType.Slices for coding.coding:TWMedicalTreatmentDepartment	S This element must be supported. Σ This element is included in summaries.	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)
Encounter.serviceType.Slices for coding.coding:TWMedicalTreatmentDepartment.system	S This element must be supported. Σ This element is included in summaries.	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
Encounter.serviceType.Slices for coding.coding:TWMedicalTreatmentDepartment.code	S This element must be supported. Σ This element is included in summaries.	0..1	code	系統定義的語法之符號
Encounter.serviceType.Slices for coding.coding:TWMedicalTreatmentDepartment.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	由系統定義的表示法
Encounter.serviceType.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字表示法
Encounter.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
Encounter.participant	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	參與就醫的健康照護服務提供者之名單
Encounter.participant.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.participant.type	S This element must be supported. Σ This element is included in summaries.	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。
Encounter.participant.period	S This element must be supported.	0..1	Period	參與者在病人就醫期間參與的時段
Encounter.participant.individual	S This element must be supported. Σ This element is included in summaries.	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。
Encounter.period	S This element must be supported.	0..1	Period	就醫期間
Encounter.period.start	S This element must be supported. Σ This element is included in summaries. 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]
Encounter.period.start.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
Encounter.period.start.Slices for extension.extension:eventTimeOnly	S This element must be supported.	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
Encounter.period.end	S This element must be supported. Σ This element is included in summaries. 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]
Encounter.period.end.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
Encounter.period.end.Slices for extension.extension:eventTimeOnly	S This element must be supported.	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
Encounter.reasonCode	S This element must be supported. Σ This element is included in summaries.	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。
Encounter.hospitalization	S This element must be supported.	0..1	BackboneElement	住院資訊
Encounter.hospitalization.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.hospitalization.dischargeDisposition	S This element must be supported.	0..1	CodeableConceptTW	離院情形。[填 StrokeDischargeStatusVS 代碼] Binding: 腦中風－離院情形值集 (extensible)
Encounter.location	S This element must be supported.	0..*	BackboneElement	病人曾去過的一個或多個地點
Encounter.location.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.location.location	S This element must be supported.	1..1	Reference(TW Core Location)	就醫發生的地點
Encounter.serviceProvider	S This element must be supported.	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: Bindings Constraints Obligations
Encounter			TWCoreEncounter
Encounter.status		1..1	code	就醫狀態。[填 finished、in-progress 或 unknown]
Encounter.class		1..1	CodingTW	就醫類別。[急診填 EMER；住院填 IMP]
Encounter.subject		1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
Encounter.period		0..1	Period	就醫期間
Encounter.period.start	S This element must be supported.	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]
Encounter.period.start.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
Encounter.period.start.Slices for extension.extension:eventTimeOnly	S This element must be supported.	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
Encounter.period.end	S This element must be supported.	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]
Encounter.period.end.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
Encounter.period.end.Slices for extension.extension:eventTimeOnly	S This element must be supported.	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
Encounter.hospitalization		0..1	BackboneElement	住院資訊
Encounter.hospitalization.dischargeDisposition		0..1	CodeableConceptTW	離院情形。[填 StrokeDischargeStatusVS 代碼] Binding: 腦中風－離院情形值集 (extensible)
Encounter.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: Bindings Constraints Obligations
Encounter		0..*	TWCoreEncounter	提供病人服務的一種互動
Encounter.id	Σ 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Encounter紀錄，通常又稱為邏輯性ID。
Encounter.meta	Σ This element is included in summaries.	0..1	Meta	此Encounter Resource的metadata
Encounter.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
Encounter.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。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
Encounter.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
Encounter.contained		0..*	Resource	Contained, inline Resources
Encounter.extension		0..*	Extension	Additional content defined by implementations
Encounter.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Encounter.identifier	S This element must be supported. Σ This element is included in summaries.	0..*	Identifier	此就醫事件的識別碼
Encounter.identifier.id		0..1	string	Unique id for inter-element referencing
Encounter.identifier.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Encounter.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	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。
Encounter.identifier.type	Σ This element is included in summaries.	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。
Encounter.identifier.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	識別碼（identifier）的命名空間（namespace） Example General: http://www.acme.com/identifiers/patient
Encounter.identifier.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	唯一值 Example General: 123456
Encounter.identifier.period	Σ This element is included in summaries.	0..1	Period	此就醫事件識別碼（identifier）的使用效期
Encounter.identifier.assigner	Σ This element is included in summaries.	0..1	Reference(TW Core Organization)	簽發identifier的機構（可以只是文字表述）
Encounter.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	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
Encounter.statusHistory		0..*	BackboneElement	過去的就醫狀態清單
Encounter.statusHistory.id		0..1	string	Unique id for inter-element referencing
Encounter.statusHistory.extension		0..*	Extension	Additional content defined by implementations
Encounter.statusHistory.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.statusHistory.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
Encounter.statusHistory.period		1..1	Period	該事件處於特定狀態的時間
Encounter.class	S This element must be supported. Σ This element is included in summaries.	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。
Encounter.classHistory		0..*	BackboneElement	過去就醫類別的列表
Encounter.classHistory.id		0..1	string	Unique id for inter-element referencing
Encounter.classHistory.extension		0..*	Extension	Additional content defined by implementations
Encounter.classHistory.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.classHistory.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。
Encounter.classHistory.period		1..1	Period	此就醫事件處於特定類別的時間
Encounter.type	Σ This element is included in summaries.	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。
Encounter.serviceType	S This element must be supported. Σ This element is included in summaries.	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。
Encounter.serviceType.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
Encounter.serviceType.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Encounter.serviceType.Slices for coding	S This element must be supported. Σ This element is included in summaries.	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:system
Encounter.serviceType.Slices for coding.coding:TWMedicalDepartmentSCT	S This element must be supported. Σ This element is included in summaries.	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)
Encounter.serviceType.Slices for coding.coding:TWMedicalDepartmentSCT.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
Encounter.serviceType.Slices for coding.coding:TWMedicalDepartmentSCT.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Encounter.serviceType.Slices for coding.coding:TWMedicalDepartmentSCT.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: http://snomed.info/sct
Encounter.serviceType.Slices for coding.coding:TWMedicalDepartmentSCT.version	Σ This element is included in summaries.	0..1	string	系統的版本—如果相關的話
Encounter.serviceType.Slices for coding.coding:TWMedicalDepartmentSCT.code	S This element must be supported. Σ This element is included in summaries.	0..1	code	系統定義的語法之符號
Encounter.serviceType.Slices for coding.coding:TWMedicalDepartmentSCT.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	由系統定義的表示法
Encounter.serviceType.Slices for coding.coding:TWMedicalDepartmentSCT.userSelected	Σ This element is included in summaries.	0..1	boolean	此編碼是否由使用者直接選擇？
Encounter.serviceType.Slices for coding.coding:TWMedicalConsultationDepartment	S This element must be supported. Σ This element is included in summaries.	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)
Encounter.serviceType.Slices for coding.coding:TWMedicalConsultationDepartment.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
Encounter.serviceType.Slices for coding.coding:TWMedicalConsultationDepartment.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Encounter.serviceType.Slices for coding.coding:TWMedicalConsultationDepartment.system	S This element must be supported. Σ This element is included in summaries.	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
Encounter.serviceType.Slices for coding.coding:TWMedicalConsultationDepartment.version	Σ This element is included in summaries.	0..1	string	系統的版本—如果相關的話
Encounter.serviceType.Slices for coding.coding:TWMedicalConsultationDepartment.code	S This element must be supported. Σ This element is included in summaries.	0..1	code	系統定義的語法之符號
Encounter.serviceType.Slices for coding.coding:TWMedicalConsultationDepartment.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	由系統定義的表示法
Encounter.serviceType.Slices for coding.coding:TWMedicalConsultationDepartment.userSelected	Σ This element is included in summaries.	0..1	boolean	此編碼是否由使用者直接選擇？
Encounter.serviceType.Slices for coding.coding:TWMedicalTreatmentDepartment	S This element must be supported. Σ This element is included in summaries.	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)
Encounter.serviceType.Slices for coding.coding:TWMedicalTreatmentDepartment.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
Encounter.serviceType.Slices for coding.coding:TWMedicalTreatmentDepartment.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Encounter.serviceType.Slices for coding.coding:TWMedicalTreatmentDepartment.system	S This element must be supported. Σ This element is included in summaries.	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
Encounter.serviceType.Slices for coding.coding:TWMedicalTreatmentDepartment.version	Σ This element is included in summaries.	0..1	string	系統的版本—如果相關的話
Encounter.serviceType.Slices for coding.coding:TWMedicalTreatmentDepartment.code	S This element must be supported. Σ This element is included in summaries.	0..1	code	系統定義的語法之符號
Encounter.serviceType.Slices for coding.coding:TWMedicalTreatmentDepartment.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	由系統定義的表示法
Encounter.serviceType.Slices for coding.coding:TWMedicalTreatmentDepartment.userSelected	Σ This element is included in summaries.	0..1	boolean	此編碼是否由使用者直接選擇？
Encounter.serviceType.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字表示法
Encounter.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。
Encounter.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
Encounter.episodeOfCare	Σ This element is included in summaries.	0..*	Reference(EpisodeOfCare)	此次就醫應記錄的照護事件
Encounter.basedOn		0..*	Reference(TW Core ServiceRequest)	開始此次就醫的服務請求（ServiceRequest）
Encounter.participant	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	參與就醫的健康照護服務提供者之名單
Encounter.participant.id		0..1	string	Unique id for inter-element referencing
Encounter.participant.extension		0..*	Extension	Additional content defined by implementations
Encounter.participant.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.participant.type	S This element must be supported. Σ This element is included in summaries.	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。
Encounter.participant.period	S This element must be supported.	0..1	Period	參與者在病人就醫期間參與的時段
Encounter.participant.individual	S This element must be supported. Σ This element is included in summaries.	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。
Encounter.appointment	Σ This element is included in summaries.	0..*	Reference(Appointment)	這次就醫的預約紀錄
Encounter.period	S This element must be supported.	0..1	Period	就醫期間
Encounter.period.id		0..1	string	Unique id for inter-element referencing
Encounter.period.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Encounter.period.start	S This element must be supported. Σ This element is included in summaries. 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]
Encounter.period.start.id		0..1	string	xml:id (or equivalent in JSON)
Encounter.period.start.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
Encounter.period.start.Slices for extension.extension:eventTimeOnly	S This element must be supported.	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
Encounter.period.start.value		0..1	dateTime	Primitive value for dateTime
Encounter.period.end	S This element must be supported. Σ This element is included in summaries. 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]
Encounter.period.end.id		0..1	string	xml:id (or equivalent in JSON)
Encounter.period.end.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
Encounter.period.end.Slices for extension.extension:eventTimeOnly	S This element must be supported.	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
Encounter.period.end.value		0..1	dateTime	Primitive value for dateTime
Encounter.length		0..1	Duration	就醫持續的時間（扣除缺席時間）
Encounter.reasonCode	S This element must be supported. Σ This element is included in summaries.	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。
Encounter.reasonReference	Σ This element is included in summaries.	0..*	Reference(TW Core Condition | TW Core Procedure | TW Core Observation Laboratory Result | ImmunizationRecommendation)	就醫發生的原因（參照）
Encounter.diagnosis	Σ This element is included in summaries.	0..*	BackboneElement	與此就醫相關的診斷清單
Encounter.diagnosis.id		0..1	string	Unique id for inter-element referencing
Encounter.diagnosis.extension		0..*	Extension	Additional content defined by implementations
Encounter.diagnosis.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.diagnosis.condition	Σ This element is included in summaries.	1..1	Reference(TW Core Condition | TW Core Procedure)	與就醫事件相關的診斷或處置
Encounter.diagnosis.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。
Encounter.diagnosis.rank		0..1	positiveInt	診斷的排序（針對每個角色型別）
Encounter.account		0..*	Reference(Account)	可用於為此病人就醫事件計費的一組帳戶
Encounter.hospitalization	S This element must be supported.	0..1	BackboneElement	住院資訊
Encounter.hospitalization.id		0..1	string	Unique id for inter-element referencing
Encounter.hospitalization.extension		0..*	Extension	Additional content defined by implementations
Encounter.hospitalization.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.hospitalization.preAdmissionIdentifier		0..1	Identifier	住院前識別碼
Encounter.hospitalization.origin		0..1	Reference(TW Core Organization | TW Core Location)	病人住院前來自的地點／機構
Encounter.hospitalization.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。
Encounter.hospitalization.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。
Encounter.hospitalization.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。
Encounter.hospitalization.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。
Encounter.hospitalization.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。
Encounter.hospitalization.destination		0..1	Reference(TW Core Location | TW Core Organization)	病人出院地點／機構
Encounter.hospitalization.dischargeDisposition	S This element must be supported.	0..1	CodeableConceptTW	離院情形。[填 StrokeDischargeStatusVS 代碼] Binding: 腦中風－離院情形值集 (extensible)
Encounter.location	S This element must be supported.	0..*	BackboneElement	病人曾去過的一個或多個地點
Encounter.location.id		0..1	string	Unique id for inter-element referencing
Encounter.location.extension		0..*	Extension	Additional content defined by implementations
Encounter.location.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.location.location	S This element must be supported.	1..1	Reference(TW Core Location)	就醫發生的地點
Encounter.location.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。
Encounter.location.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。
Encounter.location.period		0..1	Period	病人出現在此地點的時段
Encounter.serviceProvider	S This element must be supported.	0..1	Reference(腦中風－醫療院所)	提供服務的院所。[應參照 StrokeOrganization]
Encounter.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:

• http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	TWCoreEncounter	提供病人服務的一種互動
Encounter.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
Encounter.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Encounter.identifier	S This element must be supported. Σ This element is included in summaries.	0..*	Identifier	此就醫事件的識別碼
Encounter.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	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。
Encounter.identifier.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	識別碼（identifier）的命名空間（namespace） Example General: http://www.acme.com/identifiers/patient
Encounter.identifier.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	唯一值 Example General: 123456
Encounter.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	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
Encounter.class	S This element must be supported. Σ This element is included in summaries.	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。
Encounter.serviceType	S This element must be supported. Σ This element is included in summaries.	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。
Encounter.serviceType.Slices for coding	S This element must be supported. Σ This element is included in summaries.	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:system
Encounter.serviceType.Slices for coding.coding:TWMedicalDepartmentSCT	S This element must be supported. Σ This element is included in summaries.	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)
Encounter.serviceType.Slices for coding.coding:TWMedicalDepartmentSCT.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: http://snomed.info/sct
Encounter.serviceType.Slices for coding.coding:TWMedicalDepartmentSCT.code	S This element must be supported. Σ This element is included in summaries.	0..1	code	系統定義的語法之符號
Encounter.serviceType.Slices for coding.coding:TWMedicalDepartmentSCT.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	由系統定義的表示法
Encounter.serviceType.Slices for coding.coding:TWMedicalConsultationDepartment	S This element must be supported. Σ This element is included in summaries.	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)
Encounter.serviceType.Slices for coding.coding:TWMedicalConsultationDepartment.system	S This element must be supported. Σ This element is included in summaries.	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
Encounter.serviceType.Slices for coding.coding:TWMedicalConsultationDepartment.code	S This element must be supported. Σ This element is included in summaries.	0..1	code	系統定義的語法之符號
Encounter.serviceType.Slices for coding.coding:TWMedicalConsultationDepartment.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	由系統定義的表示法
Encounter.serviceType.Slices for coding.coding:TWMedicalTreatmentDepartment	S This element must be supported. Σ This element is included in summaries.	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)
Encounter.serviceType.Slices for coding.coding:TWMedicalTreatmentDepartment.system	S This element must be supported. Σ This element is included in summaries.	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
Encounter.serviceType.Slices for coding.coding:TWMedicalTreatmentDepartment.code	S This element must be supported. Σ This element is included in summaries.	0..1	code	系統定義的語法之符號
Encounter.serviceType.Slices for coding.coding:TWMedicalTreatmentDepartment.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	由系統定義的表示法
Encounter.serviceType.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字表示法
Encounter.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
Encounter.participant	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	參與就醫的健康照護服務提供者之名單
Encounter.participant.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.participant.type	S This element must be supported. Σ This element is included in summaries.	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。
Encounter.participant.period	S This element must be supported.	0..1	Period	參與者在病人就醫期間參與的時段
Encounter.participant.individual	S This element must be supported. Σ This element is included in summaries.	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。
Encounter.period	S This element must be supported.	0..1	Period	就醫期間
Encounter.period.start	S This element must be supported. Σ This element is included in summaries. 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]
Encounter.period.start.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
Encounter.period.start.Slices for extension.extension:eventTimeOnly	S This element must be supported.	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
Encounter.period.end	S This element must be supported. Σ This element is included in summaries. 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]
Encounter.period.end.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
Encounter.period.end.Slices for extension.extension:eventTimeOnly	S This element must be supported.	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
Encounter.reasonCode	S This element must be supported. Σ This element is included in summaries.	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。
Encounter.hospitalization	S This element must be supported.	0..1	BackboneElement	住院資訊
Encounter.hospitalization.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.hospitalization.dischargeDisposition	S This element must be supported.	0..1	CodeableConceptTW	離院情形。[填 StrokeDischargeStatusVS 代碼] Binding: 腦中風－離院情形值集 (extensible)
Encounter.location	S This element must be supported.	0..*	BackboneElement	病人曾去過的一個或多個地點
Encounter.location.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.location.location	S This element must be supported.	1..1	Reference(TW Core Location)	就醫發生的地點
Encounter.serviceProvider	S This element must be supported.	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: Bindings Constraints Obligations
Encounter			TWCoreEncounter
Encounter.status		1..1	code	就醫狀態。[填 finished、in-progress 或 unknown]
Encounter.class		1..1	CodingTW	就醫類別。[急診填 EMER；住院填 IMP]
Encounter.subject		1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
Encounter.period		0..1	Period	就醫期間
Encounter.period.start	S This element must be supported.	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]
Encounter.period.start.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
Encounter.period.start.Slices for extension.extension:eventTimeOnly	S This element must be supported.	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
Encounter.period.end	S This element must be supported.	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]
Encounter.period.end.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
Encounter.period.end.Slices for extension.extension:eventTimeOnly	S This element must be supported.	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
Encounter.hospitalization		0..1	BackboneElement	住院資訊
Encounter.hospitalization.dischargeDisposition		0..1	CodeableConceptTW	離院情形。[填 StrokeDischargeStatusVS 代碼] Binding: 腦中風－離院情形值集 (extensible)
Encounter.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: Bindings Constraints Obligations
Encounter		0..*	TWCoreEncounter	提供病人服務的一種互動
Encounter.id	Σ 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Encounter紀錄，通常又稱為邏輯性ID。
Encounter.meta	Σ This element is included in summaries.	0..1	Meta	此Encounter Resource的metadata
Encounter.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
Encounter.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。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
Encounter.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
Encounter.contained		0..*	Resource	Contained, inline Resources
Encounter.extension		0..*	Extension	Additional content defined by implementations
Encounter.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Encounter.identifier	S This element must be supported. Σ This element is included in summaries.	0..*	Identifier	此就醫事件的識別碼
Encounter.identifier.id		0..1	string	Unique id for inter-element referencing
Encounter.identifier.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Encounter.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	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。
Encounter.identifier.type	Σ This element is included in summaries.	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。
Encounter.identifier.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	識別碼（identifier）的命名空間（namespace） Example General: http://www.acme.com/identifiers/patient
Encounter.identifier.value	S This element must be supported. Σ This element is included in summaries.	1..1	string	唯一值 Example General: 123456
Encounter.identifier.period	Σ This element is included in summaries.	0..1	Period	此就醫事件識別碼（identifier）的使用效期
Encounter.identifier.assigner	Σ This element is included in summaries.	0..1	Reference(TW Core Organization)	簽發identifier的機構（可以只是文字表述）
Encounter.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	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
Encounter.statusHistory		0..*	BackboneElement	過去的就醫狀態清單
Encounter.statusHistory.id		0..1	string	Unique id for inter-element referencing
Encounter.statusHistory.extension		0..*	Extension	Additional content defined by implementations
Encounter.statusHistory.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.statusHistory.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
Encounter.statusHistory.period		1..1	Period	該事件處於特定狀態的時間
Encounter.class	S This element must be supported. Σ This element is included in summaries.	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。
Encounter.classHistory		0..*	BackboneElement	過去就醫類別的列表
Encounter.classHistory.id		0..1	string	Unique id for inter-element referencing
Encounter.classHistory.extension		0..*	Extension	Additional content defined by implementations
Encounter.classHistory.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.classHistory.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。
Encounter.classHistory.period		1..1	Period	此就醫事件處於特定類別的時間
Encounter.type	Σ This element is included in summaries.	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。
Encounter.serviceType	S This element must be supported. Σ This element is included in summaries.	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。
Encounter.serviceType.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
Encounter.serviceType.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Encounter.serviceType.Slices for coding	S This element must be supported. Σ This element is included in summaries.	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:system
Encounter.serviceType.Slices for coding.coding:TWMedicalDepartmentSCT	S This element must be supported. Σ This element is included in summaries.	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)
Encounter.serviceType.Slices for coding.coding:TWMedicalDepartmentSCT.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
Encounter.serviceType.Slices for coding.coding:TWMedicalDepartmentSCT.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Encounter.serviceType.Slices for coding.coding:TWMedicalDepartmentSCT.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: http://snomed.info/sct
Encounter.serviceType.Slices for coding.coding:TWMedicalDepartmentSCT.version	Σ This element is included in summaries.	0..1	string	系統的版本—如果相關的話
Encounter.serviceType.Slices for coding.coding:TWMedicalDepartmentSCT.code	S This element must be supported. Σ This element is included in summaries.	0..1	code	系統定義的語法之符號
Encounter.serviceType.Slices for coding.coding:TWMedicalDepartmentSCT.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	由系統定義的表示法
Encounter.serviceType.Slices for coding.coding:TWMedicalDepartmentSCT.userSelected	Σ This element is included in summaries.	0..1	boolean	此編碼是否由使用者直接選擇？
Encounter.serviceType.Slices for coding.coding:TWMedicalConsultationDepartment	S This element must be supported. Σ This element is included in summaries.	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)
Encounter.serviceType.Slices for coding.coding:TWMedicalConsultationDepartment.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
Encounter.serviceType.Slices for coding.coding:TWMedicalConsultationDepartment.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Encounter.serviceType.Slices for coding.coding:TWMedicalConsultationDepartment.system	S This element must be supported. Σ This element is included in summaries.	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
Encounter.serviceType.Slices for coding.coding:TWMedicalConsultationDepartment.version	Σ This element is included in summaries.	0..1	string	系統的版本—如果相關的話
Encounter.serviceType.Slices for coding.coding:TWMedicalConsultationDepartment.code	S This element must be supported. Σ This element is included in summaries.	0..1	code	系統定義的語法之符號
Encounter.serviceType.Slices for coding.coding:TWMedicalConsultationDepartment.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	由系統定義的表示法
Encounter.serviceType.Slices for coding.coding:TWMedicalConsultationDepartment.userSelected	Σ This element is included in summaries.	0..1	boolean	此編碼是否由使用者直接選擇？
Encounter.serviceType.Slices for coding.coding:TWMedicalTreatmentDepartment	S This element must be supported. Σ This element is included in summaries.	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)
Encounter.serviceType.Slices for coding.coding:TWMedicalTreatmentDepartment.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
Encounter.serviceType.Slices for coding.coding:TWMedicalTreatmentDepartment.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Encounter.serviceType.Slices for coding.coding:TWMedicalTreatmentDepartment.system	S This element must be supported. Σ This element is included in summaries.	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
Encounter.serviceType.Slices for coding.coding:TWMedicalTreatmentDepartment.version	Σ This element is included in summaries.	0..1	string	系統的版本—如果相關的話
Encounter.serviceType.Slices for coding.coding:TWMedicalTreatmentDepartment.code	S This element must be supported. Σ This element is included in summaries.	0..1	code	系統定義的語法之符號
Encounter.serviceType.Slices for coding.coding:TWMedicalTreatmentDepartment.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	由系統定義的表示法
Encounter.serviceType.Slices for coding.coding:TWMedicalTreatmentDepartment.userSelected	Σ This element is included in summaries.	0..1	boolean	此編碼是否由使用者直接選擇？
Encounter.serviceType.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字表示法
Encounter.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。
Encounter.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
Encounter.episodeOfCare	Σ This element is included in summaries.	0..*	Reference(EpisodeOfCare)	此次就醫應記錄的照護事件
Encounter.basedOn		0..*	Reference(TW Core ServiceRequest)	開始此次就醫的服務請求（ServiceRequest）
Encounter.participant	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	參與就醫的健康照護服務提供者之名單
Encounter.participant.id		0..1	string	Unique id for inter-element referencing
Encounter.participant.extension		0..*	Extension	Additional content defined by implementations
Encounter.participant.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.participant.type	S This element must be supported. Σ This element is included in summaries.	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。
Encounter.participant.period	S This element must be supported.	0..1	Period	參與者在病人就醫期間參與的時段
Encounter.participant.individual	S This element must be supported. Σ This element is included in summaries.	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。
Encounter.appointment	Σ This element is included in summaries.	0..*	Reference(Appointment)	這次就醫的預約紀錄
Encounter.period	S This element must be supported.	0..1	Period	就醫期間
Encounter.period.id		0..1	string	Unique id for inter-element referencing
Encounter.period.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Encounter.period.start	S This element must be supported. Σ This element is included in summaries. 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]
Encounter.period.start.id		0..1	string	xml:id (or equivalent in JSON)
Encounter.period.start.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
Encounter.period.start.Slices for extension.extension:eventTimeOnly	S This element must be supported.	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
Encounter.period.start.value		0..1	dateTime	Primitive value for dateTime
Encounter.period.end	S This element must be supported. Σ This element is included in summaries. 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]
Encounter.period.end.id		0..1	string	xml:id (or equivalent in JSON)
Encounter.period.end.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
Encounter.period.end.Slices for extension.extension:eventTimeOnly	S This element must be supported.	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
Encounter.period.end.value		0..1	dateTime	Primitive value for dateTime
Encounter.length		0..1	Duration	就醫持續的時間（扣除缺席時間）
Encounter.reasonCode	S This element must be supported. Σ This element is included in summaries.	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。
Encounter.reasonReference	Σ This element is included in summaries.	0..*	Reference(TW Core Condition | TW Core Procedure | TW Core Observation Laboratory Result | ImmunizationRecommendation)	就醫發生的原因（參照）
Encounter.diagnosis	Σ This element is included in summaries.	0..*	BackboneElement	與此就醫相關的診斷清單
Encounter.diagnosis.id		0..1	string	Unique id for inter-element referencing
Encounter.diagnosis.extension		0..*	Extension	Additional content defined by implementations
Encounter.diagnosis.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.diagnosis.condition	Σ This element is included in summaries.	1..1	Reference(TW Core Condition | TW Core Procedure)	與就醫事件相關的診斷或處置
Encounter.diagnosis.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。
Encounter.diagnosis.rank		0..1	positiveInt	診斷的排序（針對每個角色型別）
Encounter.account		0..*	Reference(Account)	可用於為此病人就醫事件計費的一組帳戶
Encounter.hospitalization	S This element must be supported.	0..1	BackboneElement	住院資訊
Encounter.hospitalization.id		0..1	string	Unique id for inter-element referencing
Encounter.hospitalization.extension		0..*	Extension	Additional content defined by implementations
Encounter.hospitalization.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.hospitalization.preAdmissionIdentifier		0..1	Identifier	住院前識別碼
Encounter.hospitalization.origin		0..1	Reference(TW Core Organization | TW Core Location)	病人住院前來自的地點／機構
Encounter.hospitalization.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。
Encounter.hospitalization.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。
Encounter.hospitalization.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。
Encounter.hospitalization.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。
Encounter.hospitalization.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。
Encounter.hospitalization.destination		0..1	Reference(TW Core Location | TW Core Organization)	病人出院地點／機構
Encounter.hospitalization.dischargeDisposition	S This element must be supported.	0..1	CodeableConceptTW	離院情形。[填 StrokeDischargeStatusVS 代碼] Binding: 腦中風－離院情形值集 (extensible)
Encounter.location	S This element must be supported.	0..*	BackboneElement	病人曾去過的一個或多個地點
Encounter.location.id		0..1	string	Unique id for inter-element referencing
Encounter.location.extension		0..*	Extension	Additional content defined by implementations
Encounter.location.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Encounter.location.location	S This element must be supported.	1..1	Reference(TW Core Location)	就醫發生的地點
Encounter.location.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。
Encounter.location.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。
Encounter.location.period		0..1	Period	病人出現在此地點的時段
Encounter.serviceProvider	S This element must be supported.	0..1	Reference(腦中風－醫療院所)	提供服務的院所。[應參照 StrokeOrganization]
Encounter.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:

• http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only