臺灣健保署基礎實作指引
0.0.1 - ci-build

臺灣健保署基礎實作指引, published by 衛生福利部中央健康保險署. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TWNHIFHIR/base/ and changes regularly. See the Directory of published versions

## Resource Profile: PatientTWNHIBASE - Detailed Descriptions

Draft as of 2025-10-29

Definitions for the Patient-twnhibase resource profile.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

Guidance on how to interpret the contents of this table can be foundhere

0. Patient
Definition | 關於接受照護或其他健康相關服務的個人或動物的人口統計學和其他行政資訊。 Demographics and other administrative information about an individual or animal receiving care or other health-related services.
Short | 接受健康照護服務的個人或動物之資訊Information about an individual or animal receiving health care services
Control | 0..*
Is Modifier | false
Summary | false
Alternate Names | SubjectOfCare Client Resident
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) patient-gender-match: gender依據identifier:idCardNumber第二位字符檢核男性與女性代碼 (1=male, 2=female) (`(identifier.where(system = 'http://www.moi.gov.tw').value.substring(1, 1) = '1' implies gender = 'male') and (identifier.where(system = 'http://www.moi.gov.tw').value.substring(1, 1) = '2' implies gender = 'female')`)
2. Patient.implicitRules
Definition | 構建resource時遵循的一系列規則的參照，在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。 A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | 創建此內容所依據的一組規則A set of rules under which this content was created
Comments | 宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而，現有的健康生態體系高度分裂，還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能，實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時，此URL是對IG的參照，此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。 Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Patient.extension:age
Slice Name | age
Definition | 年齡
Short | 年齡
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Person Age) (Extension Type: Age)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. Patient.extension:nationality
Slice Name | nationality
Definition | The nationality of the patient.
Short | 病人所屬國籍
Control | 0..1
Type | Extension(Patient Nationality) (Complex Extension)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
8. Patient.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. Patient.identifier
Definition | 病人的唯一識別碼（identifier） An identifier for this patient.
Short | 病人的身份識別碼（identifier），通常為業務目的所使用的識別碼，例如病歷號。An identifier for this patient
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 10..2*
Type | Identifier
Is Modifier | false
Must Support | true
Summary | true
Requirements | 病人幾乎總是被指定一個特定的數值型的唯一識別碼（identifier） Patients are almost always assigned specific numerical identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `Patient.identifier`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ type.coding.code value @ type.coding.system
12. Patient.identifier:idCardNumber
Slice Name | idCardNumber
Definition | 適用於身分證字號 An identifier for this patient.
Short | 身分證號，被保險人國民身分證統一編號。An identifier for this patient
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 10..1*
Type | Identifier
Is Modifier | false
Must Support | true
Summary | true
Requirements | 病人幾乎總是被指定一個特定的數值型的唯一識別碼（identifier） Patients are almost always assigned specific numerical identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) id-card-number: 身分證號共十碼，首碼以英文字母代表直轄市、縣（市）別，第二碼至第十碼為數字碼。 (`value.matches('^[A-Za-z][0-9]{9}$')`)
14. Patient.identifier:idCardNumber.use
Definition | 這個唯一識別碼（identifier）的用途 The purpose of this identifier.
Short | usual ｜ official ｜ temp ｜ secondary ｜ old （如果知道）usual | official | temp | secondary | old (If known)
Comments | 應用程式可以假定一個識別碼是永久的，除非它明確說它是暫時的。 Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 0..1
Binding | The codes SHALL be taken from IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) 如果知道，請說明此識別碼的目的；應填入所綁定值集中的其中一個代碼。 Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 允許從一組識別碼中為特定的使用情境選擇適當的識別碼 Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Pattern Value | `official`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Patient.identifier:idCardNumber.type
Definition | 識別碼的代碼型別，用於決定特定目適用的識別碼。 A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | 身份識別碼（identifier）的型別說明Description of identifier
Comments | 這個資料項目只涉及識別碼的一般類別。它 必須沒有（SHALL NOT） 被用於與Identifier.system 1..1對應的代碼。一些識別碼可能由於常見的用法而屬於多個類別。在系統是已知的情況下，型別是不必要的，因為型別總是系統定義的一部分。然而，系統經常需要處理系統不為人知的識別碼。型別和系統之間不是1:1的關係，因為許多不同的系統有相同的型別。 This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 10..1
Binding | Unless not suitable, these codes SHALL be taken from IdentifierType + 臺灣衛福部資訊處識別碼類型值集 http://hl7.org/fhir/ValueSet/identifier-type|4.0.1 (extensible to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/identifier-type-tw` ) 識別碼的型別，用於決定特定目的所適用的識別碼；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Requirements | 允許使用者在不知道識別碼系統的情況下利用識別碼 Allows users to make use of identifiers when the identifier system is not known.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Patient.identifier:idCardNumber.type.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 10..*
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Patient.identifier:idCardNumber.type.coding.system
Definition | The identification of the code system that defines the meaning of the symbol in the code.
Short | Identity of the terminology system
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be unambiguous about the source of the definition of the symbol.
Pattern Value | `http://terminology.hl7.org/CodeSystem/v2-0203`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Patient.identifier:idCardNumber.type.coding.code
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | Symbol in syntax defined by the system
Control | 10..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to refer to a particular code in the system.
Pattern Value | `NNxxx`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Patient.identifier:idCardNumber.type.coding.code.extension:identifier-suffix
Slice Name | identifier-suffix
Definition | 增加Practitioner.identifier.type.coding.code欄位也可使用此Extension，以利實務專案使用 識別碼後綴詞
Short | 識別碼後綴詞
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Identifier Suffix) (Complex Extension)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
26. Patient.identifier:idCardNumber.system
Definition | 建立值的命名空間－即一個描述一組值的唯一URL Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | 身份識別碼（identifier）的命名空間（namespace） 例如：身分證字號='http://www.moi.gov.tw'The namespace for the identifier value
Comments | Identifier.system總是區分大小寫 Identifier.system is always case sensitive.
Control | 0..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 有許多識別碼的集合。為了進行兩個識別碼的對應，我們需要知道我們處理的是哪一組。系統指明了一個特定的唯一識別碼集。 There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Pattern Value | `http://www.moi.gov.tw`
Example | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Patient.identifier:idCardNumber.value
Definition | 識別碼中通常與使用者有關的部分，在系統情境內是唯一的。 The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | 唯一值。 例如：身分證字號為A123456789The value that is unique
Comments | 如果此值是一個完整的URI，那麼此系統 必須（SHALL） 是urn:ietf:rfc:3986。此值的主要目的是為了可運算的對應。因此，為了比較的目的，它可能會被正規化（例如：去除不重要的空白、破折號等）。一個為人顯示的格式化的值可以使用Rendered Value擴充來傳達。除非對Identifier.system的了解使處理者確信不區分大小寫的處理是安全的，否則Identifier.value應被視為區分大小寫。 If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Example | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Patient.identifier:passportNumber
Slice Name | passportNumber
Definition | 適用於護照號碼 An identifier for this patient.
Short | 適用護照號碼An identifier for this patient
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1*
Type | Identifier
Is Modifier | false
Must Support | true
Summary | true
Requirements | 病人幾乎總是被指定一個特定的數值型的唯一識別碼（identifier） Patients are almost always assigned specific numerical identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Patient.identifier:passportNumber.use
Definition | 這個唯一識別碼（identifier）的用途 The purpose of this identifier.
Short | usual ｜ official ｜ temp ｜ secondary ｜ old （如果知道）usual | official | temp | secondary | old (If known)
Comments | 應用程式可以假定一個識別碼是永久的，除非它明確說它是暫時的。 Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 0..1
Binding | The codes SHALL be taken from IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) 如果知道，請說明此識別碼的目的；應填入所綁定值集中的其中一個代碼。 Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 允許從一組識別碼中為特定的使用情境選擇適當的識別碼 Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Pattern Value | `official`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Patient.identifier:passportNumber.type
Definition | 識別碼的代碼型別，用於決定特定目適用的識別碼。 A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | 身份識別碼（identifier）的型別說明Description of identifier
Comments | 這個資料項目只涉及識別碼的一般類別。它 必須沒有（SHALL NOT） 被用於與Identifier.system 1..1對應的代碼。一些識別碼可能由於常見的用法而屬於多個類別。在系統是已知的情況下，型別是不必要的，因為型別總是系統定義的一部分。然而，系統經常需要處理系統不為人知的識別碼。型別和系統之間不是1:1的關係，因為許多不同的系統有相同的型別。 This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 10..1
Binding | Unless not suitable, these codes SHALL be taken from IdentifierType + 臺灣衛福部資訊處識別碼類型值集 http://hl7.org/fhir/ValueSet/identifier-type|4.0.1 (extensible to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/identifier-type-tw` ) 識別碼的型別，用於決定特定目的所適用的識別碼；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Requirements | 允許使用者在不知道識別碼系統的情況下利用識別碼 Allows users to make use of identifiers when the identifier system is not known.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Patient.identifier:passportNumber.type.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 10..*
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. Patient.identifier:passportNumber.type.coding.system
Definition | The identification of the code system that defines the meaning of the symbol in the code.
Short | Identity of the terminology system
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be unambiguous about the source of the definition of the symbol.
Pattern Value | `http://terminology.hl7.org/CodeSystem/v2-0203`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. Patient.identifier:passportNumber.type.coding.code
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | Symbol in syntax defined by the system
Control | 10..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to refer to a particular code in the system.
Pattern Value | `PPN`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. Patient.identifier:passportNumber.system
Definition | 建立值的命名空間－即一個描述一組值的唯一URL Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | 身份識別碼（identifier）的命名空間（namespace） 例如：護照號碼='http://www.boca.gov.tw。The namespace for the identifier value
Comments | Identifier.system總是區分大小寫 Identifier.system is always case sensitive.
Control | 0..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 有許多識別碼的集合。為了進行兩個識別碼的對應，我們需要知道我們處理的是哪一組。系統指明了一個特定的唯一識別碼集。 There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Pattern Value | `http://hl7.org/fhir/sid/passport-TWN`
Example | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. Patient.identifier:passportNumber.value
Definition | 識別碼中通常與使用者有關的部分，在系統情境內是唯一的。 The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | 唯一值。 例如：護照號碼為888800371The value that is unique
Comments | 如果此值是一個完整的URI，那麼此系統 必須（SHALL） 是urn:ietf:rfc:3986。此值的主要目的是為了可運算的對應。因此，為了比較的目的，它可能會被正規化（例如：去除不重要的空白、破折號等）。一個為人顯示的格式化的值可以使用Rendered Value擴充來傳達。除非對Identifier.system的了解使處理者確信不區分大小寫的處理是安全的，否則Identifier.value應被視為區分大小寫。 If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Example | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. Patient.identifier:residentNumber
Slice Name | residentNumber
Definition | 適用於居留證號碼 An identifier for this patient.
Short | 適用居留證號碼An identifier for this patient
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1*
Type | Identifier
Is Modifier | false
Must Support | true
Summary | true
Requirements | 病人幾乎總是被指定一個特定的數值型的唯一識別碼（identifier） Patients are almost always assigned specific numerical identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. Patient.identifier:residentNumber.use
Definition | 這個唯一識別碼（identifier）的用途 The purpose of this identifier.
Short | usual ｜ official ｜ temp ｜ secondary ｜ old （如果知道）usual | official | temp | secondary | old (If known)
Comments | 應用程式可以假定一個識別碼是永久的，除非它明確說它是暫時的。 Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 0..1
Binding | The codes SHALL be taken from IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) 如果知道，請說明此識別碼的目的；應填入所綁定值集中的其中一個代碼。 Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 允許從一組識別碼中為特定的使用情境選擇適當的識別碼 Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Pattern Value | `official`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. Patient.identifier:residentNumber.type
Definition | 識別碼的代碼型別，用於決定特定目適用的識別碼。 A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | 身份識別碼（identifier）的型別說明Description of identifier
Comments | 這個資料項目只涉及識別碼的一般類別。它 必須沒有（SHALL NOT） 被用於與Identifier.system 1..1對應的代碼。一些識別碼可能由於常見的用法而屬於多個類別。在系統是已知的情況下，型別是不必要的，因為型別總是系統定義的一部分。然而，系統經常需要處理系統不為人知的識別碼。型別和系統之間不是1:1的關係，因為許多不同的系統有相同的型別。 This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 10..1
Binding | Unless not suitable, these codes SHALL be taken from IdentifierType + 臺灣衛福部資訊處識別碼類型值集 http://hl7.org/fhir/ValueSet/identifier-type|4.0.1 (extensible to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/identifier-type-tw` ) 識別碼的型別，用於決定特定目的所適用的識別碼；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Requirements | 允許使用者在不知道識別碼系統的情況下利用識別碼 Allows users to make use of identifiers when the identifier system is not known.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. Patient.identifier:residentNumber.type.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 10..*
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. Patient.identifier:residentNumber.type.coding.system
Definition | The identification of the code system that defines the meaning of the symbol in the code.
Short | Identity of the terminology system
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be unambiguous about the source of the definition of the symbol.
Pattern Value | `http://terminology.hl7.org/CodeSystem/v2-0203`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. Patient.identifier:residentNumber.type.coding.code
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | Symbol in syntax defined by the system
Control | 10..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to refer to a particular code in the system.
Pattern Value | `PRC`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. Patient.identifier:residentNumber.system
Definition | 建立值的命名空間－即一個描述一組值的唯一URL Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | 身份識別碼（identifier）的命名空間（namespace） 例如：居留證號='http://www.immigration.gov.tw'。The namespace for the identifier value
Comments | Identifier.system總是區分大小寫 Identifier.system is always case sensitive.
Control | 0..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 有許多識別碼的集合。為了進行兩個識別碼的對應，我們需要知道我們處理的是哪一組。系統指明了一個特定的唯一識別碼集。 There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Pattern Value | `http://www.immigration.gov.tw`
Example | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. Patient.identifier:residentNumber.value
Definition | 識別碼中通常與使用者有關的部分，在系統情境內是唯一的。 The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | 唯一值。 例如：居留證號碼為A912345678The value that is unique
Comments | 如果此值是一個完整的URI，那麼此系統 必須（SHALL） 是urn:ietf:rfc:3986。此值的主要目的是為了可運算的對應。因此，為了比較的目的，它可能會被正規化（例如：去除不重要的空白、破折號等）。一個為人顯示的格式化的值可以使用Rendered Value擴充來傳達。除非對Identifier.system的了解使處理者確信不區分大小寫的處理是安全的，否則Identifier.value應被視為區分大小寫。 If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Example | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
62. Patient.identifier:medicalRecord
Slice Name | medicalRecord
Definition | 適用於病歷號 An identifier for this patient.
Short | 病歷號 (參與醫院必須註冊命名系統)，由醫院自行填寫。An identifier for this patient
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1*
Type | Identifier
Is Modifier | false
Must Support | true
Summary | true
Requirements | 病人幾乎總是被指定一個特定的數值型的唯一識別碼（identifier） Patients are almost always assigned specific numerical identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
64. Patient.identifier:medicalRecord.use
Definition | 這個唯一識別碼（identifier）的用途 The purpose of this identifier.
Short | usual ｜ official ｜ temp ｜ secondary ｜ old （如果知道）usual | official | temp | secondary | old (If known)
Comments | 應用程式可以假定一個識別碼是永久的，除非它明確說它是暫時的。 Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 0..1
Binding | The codes SHALL be taken from IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) 如果知道，請說明此識別碼的目的；應填入所綁定值集中的其中一個代碼。 Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 允許從一組識別碼中為特定的使用情境選擇適當的識別碼 Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Pattern Value | `official`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. Patient.identifier:medicalRecord.type
Definition | 識別碼的代碼型別，用於決定特定目適用的識別碼。 A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | 身份識別碼（identifier）的型別說明Description of identifier
Comments | 這個資料項目只涉及識別碼的一般類別。它 必須沒有（SHALL NOT） 被用於與Identifier.system 1..1對應的代碼。一些識別碼可能由於常見的用法而屬於多個類別。在系統是已知的情況下，型別是不必要的，因為型別總是系統定義的一部分。然而，系統經常需要處理系統不為人知的識別碼。型別和系統之間不是1:1的關係，因為許多不同的系統有相同的型別。 This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 10..1
Binding | Unless not suitable, these codes SHALL be taken from IdentifierType + 臺灣衛福部資訊處識別碼類型值集 http://hl7.org/fhir/ValueSet/identifier-type|4.0.1 (extensible to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/identifier-type-tw` ) 識別碼的型別，用於決定特定目的所適用的識別碼；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Requirements | 允許使用者在不知道識別碼系統的情況下利用識別碼 Allows users to make use of identifiers when the identifier system is not known.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
68. Patient.identifier:medicalRecord.type.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 10..*
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
70. Patient.identifier:medicalRecord.type.coding.system
Definition | The identification of the code system that defines the meaning of the symbol in the code.
Short | Identity of the terminology system
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be unambiguous about the source of the definition of the symbol.
Pattern Value | `http://terminology.hl7.org/CodeSystem/v2-0203`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. Patient.identifier:medicalRecord.type.coding.code
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | Symbol in syntax defined by the system
Control | 10..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to refer to a particular code in the system.
Pattern Value | `MR`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. Patient.identifier:medicalRecord.system
Definition | 建立值的命名空間－即一個描述一組值的唯一URL Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | 身份識別碼（identifier）的命名空間（namespace），可至[twTerminology](https://fhir.mohw.gov.tw/ts/namingsystem.jsp?status=active&amp;type=0)申請或查詢命名系統。The namespace for the identifier value
Comments | Identifier.system總是區分大小寫 Identifier.system is always case sensitive.
Control | 0..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 有許多識別碼的集合。為了進行兩個識別碼的對應，我們需要知道我們處理的是哪一組。系統指明了一個特定的唯一識別碼集。 There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Example | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
76. Patient.identifier:medicalRecord.value
Definition | 識別碼中通常與使用者有關的部分，在系統情境內是唯一的。 The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | 唯一值。 例如：病歷號為8862168The value that is unique
Comments | 如果此值是一個完整的URI，那麼此系統 必須（SHALL） 是urn:ietf:rfc:3986。此值的主要目的是為了可運算的對應。因此，為了比較的目的，它可能會被正規化（例如：去除不重要的空白、破折號等）。一個為人顯示的格式化的值可以使用Rendered Value擴充來傳達。除非對Identifier.system的了解使處理者確信不區分大小寫的處理是安全的，否則Identifier.value應被視為區分大小寫。 If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Example | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
78. Patient.active
Definition | 這位病人的紀錄是否在使用中（active）。許多系統使用這個屬性來標記為非現有（non-current）病人，例如那些根據機構的業務規則在一段時間內沒有被看到的病人。 它經常被用來過濾病人清單以排除inactive的病人 已過世的病人也可能因為同樣的原因被標記為inactive，但在過世後的一段時間內可能是active。 Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.
Short | 病人的紀錄是否「使用中（true）」Whether this patient's record is in active use
Comments | 如果一筆病人紀錄沒有在使用，但與另一筆使用中的病人紀錄相連結，那麼未來的病人／紀錄更新應該發生在另一筆病人紀錄。 If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.
Control | 0..1
Type | boolean
Is Modifier | true because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 若紀錄因為錯誤而創建，需要能夠將這位病人紀錄標記為不使用 Need to be able to mark a patient record as not to be used because it was created in error.
Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
80. Patient.name
Definition | 個人名字 A name associated with the individual.
Short | 病人的姓名A name associated with the patient
Comments | 一位病人可能有多個姓名，有不同的用途或適用期。對於動物來說，這個姓名是一個「HumanName」，它是人類指定和使用的，具有相同的模式。 A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.
Control | 10..1*
Type | HumanName
Is Modifier | false
Must Support | true
Summary | true
Requirements | 需要能夠追踪病人的多個姓名。例如：正式姓名及配偶姓名。 必須（SHALL） 總是提供姓名的完整拼法。 Need to be able to track the patient by multiple names. Examples are your official name and a partner name.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) pat-name: 病人姓名有誤，超過40字 (`text.length() <= 40`)
Slicing | This element introduces a set of slices on `Patient.name`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ use
82. Patient.name:official
Slice Name | official
Definition | 個人名字 A name associated with the individual.
Short | 病人的護照姓名A name associated with the patient
Comments | 一位病人可能有多個姓名，有不同的用途或適用期。對於動物來說，這個姓名是一個「HumanName」，它是人類指定和使用的，具有相同的模式。 A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.
Control | 0..0*
Type | HumanName
Is Modifier | false
Must Support | true
Summary | true
Requirements | 需要能夠追踪病人的多個姓名。例如：正式姓名及配偶姓名。 必須（SHALL） 總是提供姓名的完整拼法。 Need to be able to track the patient by multiple names. Examples are your official name and a partner name.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) tw-core-1: Patient.name.text or Patient.name.family or both SHALL be present (`text.exists() or family.exists()`)
88. Patient.name:usual
Slice Name | usual
Definition | 個人名字 A name associated with the individual.
Short | 病人所屬國籍的真實姓名A name associated with the patient
Comments | 一位病人可能有多個姓名，有不同的用途或適用期。對於動物來說，這個姓名是一個「HumanName」，它是人類指定和使用的，具有相同的模式。 A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.
Control | 10..1*
Type | HumanName
Is Modifier | false
Must Support | true
Summary | true
Requirements | 需要能夠追踪病人的多個姓名。例如：正式姓名及配偶姓名。 必須（SHALL） 總是提供姓名的完整拼法。 Need to be able to track the patient by multiple names. Examples are your official name and a partner name.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) tw-core-1: Patient.name.text or Patient.name.family or both SHALL be present (`text.exists() or family.exists()`)
90. Patient.name:usual.use
Definition | 此姓名的用途 Identifies the purpose for this name.
Short | usual | official | temp | nickname | anonymous | old | maiden
Comments | 應用程式可以假定一個姓名是永久的，除非它明確說它是暫時或舊的。 Applications can assume that a name is current unless it explicitly says that it is temporary or old.
Control | 10..1
Binding | The codes SHALL be taken from NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/name-use|4.0.1` ) 人名的使用情況；應填入所綁定值集中的其中一個代碼。 The use of a human name.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 允許從一組姓名中為特定的使用情境選擇適當的姓名 Allows the appropriate name for a particular context of use to be selected from among a set of names.
Pattern Value | `usual`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
92. Patient.name:usual.text
Definition | 完整姓名的文字表述。由於世界各地的文化差異，取得資料的系統可能不知道如何正確地呈現姓名；此外，不是所有的名字部分都呈現予姓或名。因此，我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。 Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.
Short | 完整的中文姓名Text representation of the full name
Comments | 可以同時提供文字表述（text）和部分（part）。更新姓名的應用程式 必須（SHALL） 確保當test和lpart都存在時，text中不包含part中沒有的內容。 Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
Control | 10..1 This element is affected by the following invariants: tw-core-1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 一個可呈現的、未編碼的形式。 A renderable, unencoded form.
Example | General: 陳加玲
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
94. Patient.name:usual.family
Definition | 姓名中與族譜相關的部分。在一些文化中（如厄立特里亞），兒子的姓氏是其父親的名字。 The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.
Short | 若所屬國籍可區分family及given，填入所屬國籍之姓（family）Family name (often called 'Surname')
Comments | 姓氏可以使用擴充名（de、nl、es相關文化）分解成具體的部分（part） Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
Control | 0..1 This element is affected by the following invariants: tw-core-1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Alternate Names | surname
Example | General: 陳
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
96. Patient.name:usual.given
Definition | 姓名中的「名」 Given name.
Short | 若所屬國籍可區分family及given，填入所屬國籍之名（given）Given names (not always 'first'). Includes middle names
Comments | 如果只記錄首字母，可以用它們來代替完整姓名。首字母可以分為多個名，但由於實際情況的限制，通常不會這樣做。這個資料項目不被稱為 「first name」，因為「given name」並不總是排在前面。 If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.
Control | 0..* This element is affected by the following invariants: tw-core-1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Alternate Names | first name, middle name
Example | General: 加玲
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
98. Patient.name:temp
Slice Name | temp
Definition | 個人名字 A name associated with the individual.
Short | 新生兒姓名，緊急救護未知病人姓名時亦可用。A name associated with the patient
Comments | 一位病人可能有多個姓名，有不同的用途或適用期。對於動物來說，這個姓名是一個「HumanName」，它是人類指定和使用的，具有相同的模式。 A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.
Control | 0..0*
Type | HumanName
Is Modifier | false
Must Support | true
Summary | true
Requirements | 需要能夠追踪病人的多個姓名。 Need to be able to track the patient by multiple names. Examples are your official name and a partner name.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
106. Patient.name:anonymous
Slice Name | anonymous
Definition | 個人名字 A name associated with the individual.
Short | 匿名供研究使用A name associated with the patient
Comments | 一位病人可能有多個姓名，有不同的用途或適用期。對於動物來說，這個姓名是一個「HumanName」，它是人類指定和使用的，具有相同的模式。 A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.
Control | 0..0*
Type | HumanName
Is Modifier | false
Must Support | true
Summary | true
Requirements | 需要能夠追踪病人的多個姓名。 Need to be able to track the patient by multiple names. Examples are your official name and a partner name.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
114. Patient.telecom
Definition | 可與此人聯絡的詳細聯絡方式（如電話或電子郵件地址等） A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.
Short | 病人的聯絡資訊（例如：電話、電子郵件等）A contact detail for the individual
Comments | 一位病人可能有多種聯絡方式，有不同的用途或適用期。可能需要有緊急聯絡此人的選項，也需要幫忙識別身份。地址可能不會直接聯絡到此人，但可能到透過他人代為聯絡（意即家中的電話）。 A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).
Control | 0..*
Type | ContactPoint
Is Modifier | false
Must Support | true
Summary | true
Requirements | 人們有（主要）方式與他們聯絡，如電話、電子郵件。 People have (primary) ways to contact them in some way such as phone, email.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
116. Patient.telecom.system
Definition | 聯絡方式的通訊形式－需要什麼通訊系統進行聯絡 Telecommunications form for contact point - what communications system is required to make use of the contact.
Short | phone | fax | email | pager | url | sms | other
Control | 10..1 This element is affected by the following invariants: cpt-2
Binding | The codes SHALL be taken from ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 (required to `http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1` ) 應填入所綁定值集中的其中一個代碼。 Telecommunications form for contact point.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
118. Patient.telecom.value
Definition | 實際的聯絡方式之細節，針對指定的通訊系統提供有意義的形式（電話號碼或是電子郵件位址） The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).
Short | 實際的聯絡方式之細節The actual contact point details
Comments | 額外的文字資料，例如電話分機號碼、或關於聯絡人的說明，有時也包括於此值。 Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.
Control | 10..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需支援非嚴格格式控制之舊有號碼 Need to support legacy numbers that are not in a tightly controlled format.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
120. Patient.telecom.use
Definition | 確定聯絡方式的用途 Identifies the purpose for the contact point.
Short | home | work | temp | old | mobile－此聯絡方式的用途home | work | temp | old | mobile - purpose of this contact point
Comments | 應用程式可以假定一個聯絡方法是目前使用中，除非它明確說它是暫時的或舊的。 Applications can assume that a contact is current unless it explicitly says that it is temporary or old.
Control | 0..1
Binding | The codes SHALL be taken from ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1` ) 應填入所綁定值集中的其中一個代碼。 Use of contact point.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要追蹤此人使用這種聯絡的方式，使用者可以選擇適合他們用途的聯絡方式。 Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
122. Patient.telecom.period
Definition | 此聯絡方式的使用效期 Time period when the contact point was/is in use.
Short | 此聯絡方式的使用效期Time period when the contact point was/is in use
Control | 0..1
Type | Period
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
124. Patient.gender
Definition | Administrative Gender 為行政管理及保存紀錄目的之病人性別 Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.
Short | male:男性 ｜ female:女性 ｜ other:其他 ｜ unknown:未知male | female | other | unknown
Comments | 行政管理用之性別可能不符合由遺傳學或個人偏好的識別所決定的生物性別。請注意，對於人類，特別是動物，除了男性和女性，還有其他合法歸類的可能性，儘管絕大多數系統和情境只支持男性和女性。提供決策支援或執行業務規則的系統最好以檢驗檢查（Observation）呈現特定性別或感興趣的性別（解剖學、染色體、社會等）。然而，由於這些檢驗檢驗不常被記錄，預設為行政管理用之性別是常見的做法。在這種預設的情況下，規則的執行應該允許行政管理用和生物、染色體和其他性別方面的差異。例如：關於男性子宮切除的警訊應該作為警告或可推翻的錯誤來處理，而不是 「硬（hard） 」錯誤。關於溝通病人性別的更多資訊，請參閱Patient Gender及Sex的部分。 The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.
Control | 10..1
Binding | The codes SHALL be taken from AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 (required to `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` ) 病人性別；應填入所綁定值集中的其中一個代碼。 The gender of a person used for administrative purposes.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 性別用於結合（至少）姓名和出生日期以識別個人身份 Needed for identification of the individual, in combination with (at least) name and birth date.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
126. Patient.birthDate
Definition | 個人的出生日期 The date of birth for the individual.
Short | 出生日期，YYYY-MM-DD，西元年月日。The date of birth for the individual
Comments | 如果真實的出生日期未知，至少應該提供一個估計的出生年份作為猜測。有一個標準的擴充 「patient-birthTime」，應該於需要出生時間（Time）資訊時使用（例如：在產科／新生兒照護系統中）。 At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).
Control | 10..1
Type | date
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 個人的年齡驅動著許多臨床過程／進程 Age of the individual drives many clinical processes.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
LOINC Code | 21112-8
128. Patient.deceased[x]
Definition | 表示此人是否過世 Indicates if the individual is deceased or not.
Short | 病人是否過世Indicates if the individual is deceased or not
Comments | 如果實例中沒有值，就意味著沒有關於此人是否過世的聲明。大多數系統會把沒有數值解釋為這個人還活著的標誌。 If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.
Control | 0..1
Type | Choice of: boolean, dateTime
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | true because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | 病人已經過世的事實影響了臨床過程／進度。另外，在人際溝通和關係管理中，有必要知道這個人是否活著。 The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
130. Patient.address
Definition | 此人的地址 An address for the individual.
Short | 病人聯絡地址 pat-cnt-2or3-char：如果有國家名，則必須（SHALL）從[ISO Country Alpha-2](http://hl7.org/fhir/valueset/iso3166-1-2)找出相對代碼作呈現。 如果未在ISO Country Alpha-2 中找到此一國家的代碼，則可能可以（MAY）從[ISO Country Alpha-3](http://hl7.org/fhir/valueset/iso3166-1-3)找出相對代碼作呈現。An address for the individual
Comments | 病人可能有多個地址，有不同的用途或適用期。 Patient may have multiple addresses with different uses or applicable periods.
Control | 0..* This element is affected by the following invariants: ele-1
Type | Address(TW Core Address)
Is Modifier | false
Must Support | true
Requirements | 可能需要記錄病人的地址，以便聯繫、結算或報告的要求，也有助於識別身份。 May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
132. Patient.maritalStatus
Definition | 這個欄位包含病人的目前婚姻（民事）狀態 This field contains a patient's most recent marital (civil) status.
Short | 病人的婚姻狀態Marital (civil) status of a patient
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from Marital Status Codes http://hl7.org/fhir/ValueSet/marital-status|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/marital-status` ) 病人的婚姻狀態；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。 The domestic partnership status of a person.
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Requirements | 如果不是所有的系統都能取得此資訊 Most, if not all systems capture it.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
134. Patient.photo
Definition | 病人的影像（照片） Image of the patient.
Short | 病人的影像（照片）Image of the patient
Comments | 指引： 使用個人影像，而不是臨床影像。 限制尺寸為縮圖。 保持低位元組小檔案以便更新resource。 Guidelines: Use id photos, not clinical photos. Limit dimensions to thumbnail. Keep byte count low to ease resource updates.
Control | 0..*
Type | Attachment
Is Modifier | false
Must Support | true
Summary | false
Requirements | 許多EHR系統有能力取得病人的影像，這也符合較新的社群媒體的使用。 Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
136. Patient.contact
Definition | 病人的聯絡人（如監護人、伴侶、朋友）。 A contact party (e.g. guardian, partner, friend) for the patient.
Short | 病人的聯絡人，例如：監護人、伴侶、朋友等。A contact party (e.g. guardian, partner, friend) for the patient
Comments | 聯絡涵蓋所有種類的聯絡人：家人、業務聯絡、監護人、照顧者。不適用於登記血統和家庭關係，因這超出聯絡的目的。 Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.
Control | 0..*
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Requirements | 需能聯絡到的病人的人。 Need to track people you can contact about the patient.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) pat-1: SHALL at least contain a contact's details or a reference to an organization (`name.exists() or telecom.exists() or address.exists() or organization.exists()`) pat-1: SHALL at least contain a contact's details or a reference to an organization (name.exists() or telecom.exists() or address.exists() or organization.exists())
138. Patient.contact.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
140. Patient.contact.relationship
Definition | 可以透過正式參照一個專門術語或知識本體來定義一個概念，或者也可以文字表述此概念。 The nature of the relationship between the patient and the contact person.
Short | 概念（Concept）－參照一個專門術語或只是文字表述The kind of relationship
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Control | 0..* This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from Unless not suitable, these codes SHALL be taken from PatientRelationshipType http://hl7.org/fhir/ValueSet/patient-contactrelationship|4.0.1 (required to `http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype` ) 應填入所綁定值集中的其中一個代碼。 The nature of the relationship between a patient and a contact person for that patient.
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Requirements | 根據情況決定哪位聯絡人最有關聯以作聯繫 Used to determine which contact person is the most relevant to approach, depending on circumstances.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
142. Patient.contact.name
Definition | 與聯絡人有關的姓名 A name associated with the contact person.
Short | 聯絡人姓名A name associated with the contact person
Control | 0..1
Type | HumanName
Is Modifier | false
Must Support | true
Summary | false
Requirements | 聯絡人需要以姓名來識別，但通常不需要此聯絡人的其他姓名的細節。 Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
144. Patient.contact.name.use
Definition | 此姓名的用途 Identifies the purpose for this name.
Short | usual | official | temp | nickname | anonymous | old | maiden
Comments | 應用程式可以假定一個姓名是永久的，除非它明確說它是暫時或舊的。 Applications can assume that a name is current unless it explicitly says that it is temporary or old.
Control | 0..1
Binding | The codes SHALL be taken from NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/name-use|4.0.1` ) 人名的使用情況；應填入所綁定值集中的其中一個代碼。 The use of a human name.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 允許從一組姓名中為特定的使用情境選擇適當的姓名 Allows the appropriate name for a particular context of use to be selected from among a set of names.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
146. Patient.contact.name.text
Definition | 完整姓名的文字表述。由於世界各地的文化差異，取得資料的系統可能不知道如何正確地呈現姓名；此外，不是所有的名字部分都呈現予姓或名。因此，我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。 Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.
Short | 完整的中文姓名Text representation of the full name
Comments | 可以同時提供文字表述（text）和部分（part）。更新姓名的應用程式 必須（SHALL） 確保當test和lpart都存在時，text中不包含part中沒有的內容。 Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 一個可呈現的、未編碼的形式。 A renderable, unencoded form.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
148. Patient.contact.name.family
Definition | 姓名中與族譜相關的部分。在一些文化中（如厄立特里亞），兒子的姓氏是其父親的名字。 The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.
Short | 英文姓Family name (often called 'Surname')
Comments | 姓氏可以使用擴充名（de、nl、es相關文化）分解成具體的部分（part） Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Alternate Names | surname
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
150. Patient.contact.name.given
Definition | 姓名中的「名」 Given name.
Short | 英文名Given names (not always 'first'). Includes middle names
Comments | 如果只記錄首字母，可以用它們來代替完整姓名。首字母可以分為多個名，但由於實際情況的限制，通常不會這樣做。這個資料項目不被稱為 「first name」，因為「given name」並不總是排在前面。 If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.
Control | 0..*
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Alternate Names | first name, middle name
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
152. Patient.contact.telecom
Definition | 此人的詳細聯絡方式，例如：電話號碼或電子郵件地址。 A contact detail for the person, e.g. a telephone number or an email address.
Short | 聯絡人的詳細聯絡資訊A contact detail for the person
Comments | 聯絡人可能有多種聯絡方式，有不同的用途或適用期。可能需要有緊急聯絡此人的選項，及需要幫忙身份識別。 Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.
Control | 0..*
Type | ContactPoint
Is Modifier | false
Must Support | true
Summary | false
Requirements | 人們可透過（主要）方式與他們聯絡，例如電話、電子郵件。 People have (primary) ways to contact them in some way such as phone, email.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
154. Patient.contact.telecom.system
Definition | 聯絡方式的通訊形式－需要什麼通訊系統進行聯絡 Telecommunications form for contact point - what communications system is required to make use of the contact.
Short | phone | fax | email | pager | url | sms | other
Control | 10..1 This element is affected by the following invariants: cpt-2
Binding | The codes SHALL be taken from ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 (required to `http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1` ) 應填入所綁定值集中的其中一個代碼。 Telecommunications form for contact point.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
156. Patient.contact.telecom.value
Definition | 實際的聯絡方式之細節，針對指定的通訊系統提供有意義的形式（電話號碼或是電子郵件位址）。 The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).
Short | 實際的聯絡方式之細節The actual contact point details
Comments | 額外的文字資料，例如電話分機號碼、或關於聯絡人的說明，有時也包括於此值。 Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.
Control | 10..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需支援非嚴格格式控制之舊有號碼 Need to support legacy numbers that are not in a tightly controlled format.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
158. Patient.contact.telecom.use
Definition | 確定聯絡方式的用途 Identifies the purpose for the contact point.
Short | home | work | temp | old | mobile－此聯絡方式的用途home | work | temp | old | mobile - purpose of this contact point
Comments | 應用程式可以假定一個聯絡方法是目前使用中，除非它明確說它是暫時的或舊的。 Applications can assume that a contact is current unless it explicitly says that it is temporary or old.
Control | 0..1
Binding | The codes SHALL be taken from ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1` ) 應填入所綁定值集中的其中一個代碼。 Use of contact point.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要追蹤此人使用這種聯絡的方式，使用者可以選擇適合他們用途的聯絡方式。 Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
160. Patient.contact.period
Definition | 與此病人有關的聯絡人或機構的有效聯絡期 The period during which this contact person or organization is valid to be contacted relating to this patient.
Short | 聯絡人或其可聯絡機構之可聯絡期（時間區間）The period during which this contact person or organization is valid to be contacted relating to this patient
Control | 0..1
Type | Period
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
162. Patient.communication
Definition | 可用於與病人溝通其健康狀況的語言。 A language which may be used to communicate with the patient about his or her health.
Short | 向病人說明健康狀態時所使用的語言A language which may be used to communicate with the patient about his or her health
Comments | 如果沒有指定語言，這意味著預設使用當地語言。如果你需要多種模式的熟練程度，那麼你需要多個Patient.Communication關聯。對於動物來說，語言不是相關的欄位，應該不存在於實例中。如果病人不講預設的當地語言，那麼可以使用 「（Interpreter Required Standard）需要口譯員」來明確聲明需要口譯員。 If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.
Control | 0..*
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Requirements | 如果病人不會說當地語言，可能需要翻譯，因此，對於病人和其他相關人士來說，所講的語言和熟練程度都是需要記錄的重要內容。 If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
164. Patient.communication.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
166. Patient.communication.language
Definition | 小寫的ISO-639-1字母兩個代碼表示的語言，後面可以有連字符號，大寫的ISO-3166-1字母兩個代碼表示使用此語言的地區；例如「en 」代表英語，或者 「en-US 」代表美國英語，而 「en-EN 」代表英國英語。 The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English.
Short | 向病人說明健康狀況時所使用的語言The language which can be used to communicate with the patient about his or her health
Comments | 帶有這種精確字母大小寫的aa-BB結構是最廣泛使用的地方性符號之一。但並不是所有的系統都對其進行編碼，而是將其作為純文字表述。因此，data type為CodeableConcept而不是code。 The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.
Control | 1..1 This element is affected by the following invariants: ele-1
Binding | The codes SHOULD be taken from CommonLanguages http://hl7.org/fhir/ValueSet/languages|4.0.1 (preferred to `http://hl7.org/fhir/ValueSet/languages` ) 應填入所綁定值集中的其中一個代碼。 A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Requirements | 在多語言國家的大多數系統都會想要溝通語言。並非所有的系統實際上都需要區域方言。 Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.
Example | Value: zh-TW
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
168. Patient.managingOrganization
Definition | 病人紀錄的保管機構 Organization that is the custodian of the patient record.
Short | 此紀錄的保管機構Organization that is the custodian of the patient record
Comments | 僅有一個管理特定病人紀錄的機構。其他機構將擁有自己的「病人」紀錄，並可透過使用「Link」屬性將紀錄結合在一起（或可以包含關聯可信的「Person」resource）。 There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).
Control | 0..1
Type | Reference(TW Core Organization, Organization)
Is Modifier | false
Must Support | true
Summary | true
Requirements | 需要知道誰識別、管理和更新這位病人的紀錄 Need to know who recognizes this patient record, manages and updates it.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
170. Patient.link
Definition | 連結到另一個涉及同一實際病人的Patient resource。 Link to another patient resource that concerns the same actual patient.
Short | 連結至此病人的其他Patient ResourceLink to another patient resource that concerns the same actual person
Comments | 不存在連結的病人紀錄有相互連結的假設 There is no assumption that linked patient records have mutual links.
Control | 0..*
Type | BackboneElement
Is Modifier | true because This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'
Summary | true
Requirements | 有多種使用案例： 由於難以一致地指明與人相關的文件而錯誤地重複製作病人紀錄，並在多個伺服器上發佈病人的資訊。 There are multiple use cases: Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and Distribution of patient information across multiple servers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
172. Patient.link.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
174. Patient.link.other
Definition | 此連超所參照的另一個Patient resource The other patient resource that the link refers to.
Short | 連結至其他Patient或RelatedPerson ResourceThe other patient or related person resource that the link refers to
Comments | 在這裡參照一個RelatedPerson，就不需要另外使用Person來將Patient及RelatedPerson作為同一個人關聯起來。 Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.
Control | 1..1
Type | Reference(TW Core Patient, TW Core RelatedPerson, Patient, RelatedPerson)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
176. Patient.link.type
Definition | 這個Patient resource與另一個Patient resource之間的連結型別 The type of link between this patient resource and another patient resource.
Short | replaced-by ｜ replaces ｜ refer ｜ seealsoreplaced-by | replaces | refer | seealso
Control | 1..1
Binding | The codes SHALL be taken from LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 (required to `http://hl7.org/fhir/ValueSet/link-type|4.0.1` ) 連結的型別；應填入所綁定值集中的其中一個代碼。 The type of link between this patient resource and another patient resource.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be foundhere

0. Patient
Invariants | patient-gender-match: gender依據identifier:idCardNumber第二位字符檢核男性與女性代碼 (1=male, 2=female) (`(identifier.where(system = 'http://www.moi.gov.tw').value.substring(1, 1) = '1' implies gender = 'male') and (identifier.where(system = 'http://www.moi.gov.tw').value.substring(1, 1) = '2' implies gender = 'female')`)
2. Patient.identifier
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..2
4. Patient.identifier:idCardNumber
Slice Name | idCardNumber
Short | 身分證號，被保險人國民身分證統一編號。
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..?
6. Patient.identifier:medicalRecord
Slice Name | medicalRecord
Short | 病歷號 (參與醫院必須註冊命名系統)，由醫院自行填寫。
Note | This is a business identifier, not a resource identifier (see discussion)
8. Patient.name
Control | 1..1
Must Support | true
Invariants | pat-name: 病人姓名有誤，超過40字 (`text.length() <= 40`)
10. Patient.name:official
Slice Name | official
Control | 0..0
12. Patient.name:usual
Slice Name | usual
Control | 1..?
14. Patient.name:usual.text
Control | 1..?
16. Patient.name:temp
Slice Name | temp
Control | 0..0
18. Patient.name:anonymous
Slice Name | anonymous
Control | 0..0
20. Patient.gender
Short | male:男性 ｜ female:女性 ｜ other:其他 ｜ unknown:未知
22. Patient.birthDate
Short | 出生日期，YYYY-MM-DD，西元年月日。
LOINC Code |

Guidance on how to interpret the contents of this table can be foundhere

0. Patient
Definition | 關於接受照護或其他健康相關服務的個人或動物的人口統計學和其他行政資訊。
Short | 接受健康照護服務的個人或動物之資訊
Control | 0..*
Is Modifier | false
Summary | false
Alternate Names | SubjectOfCare Client Resident
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`) patient-gender-match: gender依據identifier:idCardNumber第二位字符檢核男性與女性代碼 (1=male, 2=female) (`(identifier.where(system = 'http://www.moi.gov.tw').value.substring(1, 1) = '1' implies gender = 'male') and (identifier.where(system = 'http://www.moi.gov.tw').value.substring(1, 1) = '2' implies gender = 'female')`)
2. Patient.id
Definition | resource的邏輯ID，在resource的URL中使用。一旦指定，這個值永遠不會改變。
Short | 不重複的ID用以識別儲存在特定FHIR Server中的Patient紀錄，通常又稱為邏輯性ID。
Comments | 一個resource使用新增操作（create operation）提交給伺服器時，此resource沒有id，它的id在resource被創建後由伺器分配/指定。
Control | 0..1
Type | id
Is Modifier | false
Summary | true
4. Patient.meta
Definition | 關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。
Short | 此Patient Resource的metadata
Control | 0..1
Type | Meta
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. Patient.implicitRules
Definition | 構建resource時遵循的一系列規則的參照，在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。
Short | 創建此內容所依據的一組規則
Comments | 宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而，現有的健康生態體系高度分裂，還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能，實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時，此URL是對IG的參照，此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. Patient.language
Definition | 編寫此resource的語言
Short | 用以表述Patient Resource內容的語言。
Comments | 提供語言是為了支援索引和可存取性（通常，文字表述轉語音等服務使用此語言標籤）。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此語言。不應該假定Resource.language自動適用於敘述。如果指定語言，它也應該被指定在html中的div資料項目（關於xml:lang和html lang屬性之間的關係，見HTML5中的規則）。
Control | 0..1
Binding | The codes SHOULD be taken from CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages` ) 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
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Example | Value: zh-TW
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. Patient.text
Definition | 人可讀的敘述，包含resource的摘要，可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼，但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義有哪些內容應該在敘述中表示，以確保臨床安全。
Short | Patient Resource之內容摘要以供人閱讀
Comments | 內嵌（contained）的resource沒有敘述，非內嵌（contained）的resource則 建議應該（SHOULD） 有敘述。有時resource可能只有文字表述，很少或沒有額外的結構化資料（只要滿足所有minOccurs=1的資料項目）。這可能出現在舊系統的資料，當資訊以 「文字表述區塊（text blob） 」的形式被取得，或者文字表述是原始輸入或說明，而編碼資訊稍後再添加。
Control | 0..1
Type | Narrative
Is Modifier | false
Summary | false
Alternate Names | narrative, html, xhtml, display
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. Patient.contained
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Short | Contained, inline Resources
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Control | 0..*
Type | Resource
Is Modifier | false
Summary | false
Alternate Names | inline resources, anonymous resources, contained resources
14. Patient.extension
Definition | An Extension
Short | Extension
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
16. Patient.extension:age
Slice Name | age
Definition | 年齡
Short | 年齡
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Person Age) (Extension Type: Age)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
18. Patient.extension:nationality
Slice Name | nationality
Definition | The nationality of the patient.
Short | 病人所屬國籍
Control | 0..1
Type | Extension(Patient Nationality) (Complex Extension)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
20. Patient.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
22. Patient.identifier
Definition | 病人的唯一識別碼（identifier）
Short | 病人的身份識別碼（identifier），通常為業務目的所使用的識別碼，例如病歷號。
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..2
Type | Identifier
Is Modifier | false
Must Support | true
Summary | true
Requirements | 病人幾乎總是被指定一個特定的數值型的唯一識別碼（identifier）
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `Patient.identifier`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ type.coding.code value @ type.coding.system
24. Patient.identifier:idCardNumber
Slice Name | idCardNumber
Definition | 適用於身分證字號
Short | 身分證號，被保險人國民身分證統一編號。
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..1
Type | Identifier
Is Modifier | false
Must Support | true
Summary | true
Requirements | 病人幾乎總是被指定一個特定的數值型的唯一識別碼（identifier）
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) id-card-number: 身分證號共十碼，首碼以英文字母代表直轄市、縣（市）別，第二碼至第十碼為數字碼。 (`value.matches('^[A-Za-z][0-9]{9}$')`)
26. Patient.identifier:idCardNumber.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
28. Patient.identifier:idCardNumber.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.identifier.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
30. Patient.identifier:idCardNumber.use
Definition | 這個唯一識別碼（identifier）的用途
Short | usual ｜ official ｜ temp ｜ secondary ｜ old （如果知道）
Comments | 應用程式可以假定一個識別碼是永久的，除非它明確說它是暫時的。
Control | 0..1
Binding | The codes SHALL be taken from IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) 如果知道，請說明此識別碼的目的；應填入所綁定值集中的其中一個代碼。
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 允許從一組識別碼中為特定的使用情境選擇適當的識別碼
Pattern Value | `official`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
32. Patient.identifier:idCardNumber.type
Definition | 識別碼的代碼型別，用於決定特定目適用的識別碼。
Short | 身份識別碼（identifier）的型別說明
Comments | 這個資料項目只涉及識別碼的一般類別。它 必須沒有（SHALL NOT） 被用於與Identifier.system 1..1對應的代碼。一些識別碼可能由於常見的用法而屬於多個類別。在系統是已知的情況下，型別是不必要的，因為型別總是系統定義的一部分。然而，系統經常需要處理系統不為人知的識別碼。型別和系統之間不是1:1的關係，因為許多不同的系統有相同的型別。
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from IdentifierType + 臺灣衛福部資訊處識別碼類型值集 (extensible to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/identifier-type-tw` ) 識別碼的型別，用於決定特定目的所適用的識別碼；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Requirements | 允許使用者在不知道識別碼系統的情況下利用識別碼
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
34. Patient.identifier:idCardNumber.type.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
36. Patient.identifier:idCardNumber.type.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.identifier.type.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
38. Patient.identifier:idCardNumber.type.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 1..*
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. Patient.identifier:idCardNumber.type.coding.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
42. Patient.identifier:idCardNumber.type.coding.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.identifier.type.coding.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
44. Patient.identifier:idCardNumber.type.coding.system
Definition | The identification of the code system that defines the meaning of the symbol in the code.
Short | Identity of the terminology system
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be unambiguous about the source of the definition of the symbol.
Pattern Value | `http://terminology.hl7.org/CodeSystem/v2-0203`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. Patient.identifier:idCardNumber.type.coding.version
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Short | Version of the system - if relevant
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
48. Patient.identifier:idCardNumber.type.coding.code
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | Symbol in syntax defined by the system
Control | 1..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to refer to a particular code in the system.
Pattern Value | `NNxxx`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. Patient.identifier:idCardNumber.type.coding.code.id
Definition | unique id for the element within a resource (for internal references)
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
52. Patient.identifier:idCardNumber.type.coding.code.extension
Definition | An Extension
Short | Extension
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.identifier.type.coding.code.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
54. Patient.identifier:idCardNumber.type.coding.code.extension:identifier-suffix
Slice Name | identifier-suffix
Definition | 增加Practitioner.identifier.type.coding.code欄位也可使用此Extension，以利實務專案使用 識別碼後綴詞
Short | 識別碼後綴詞
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Identifier Suffix) (Complex Extension)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
56. Patient.identifier:idCardNumber.type.coding.code.value
Definition | Primitive value for code
Short | Primitive value for code
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
58. Patient.identifier:idCardNumber.type.coding.display
Definition | A representation of the meaning of the code in the system, following the rules of the system.
Short | Representation defined by the system
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
60. Patient.identifier:idCardNumber.type.coding.userSelected
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Short | If this coding was chosen directly by the user
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Control | 0..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
62. Patient.identifier:idCardNumber.type.text
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | Plain text representation of the concept
Comments | Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. Patient.identifier:idCardNumber.system
Definition | 建立值的命名空間－即一個描述一組值的唯一URL
Short | 身份識別碼（identifier）的命名空間（namespace） 例如：身分證字號='http://www.moi.gov.tw'
Comments | Identifier.system總是區分大小寫
Control | 0..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 有許多識別碼的集合。為了進行兩個識別碼的對應，我們需要知道我們處理的是哪一組。系統指明了一個特定的唯一識別碼集。
Pattern Value | `http://www.moi.gov.tw`
Example | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
66. Patient.identifier:idCardNumber.value
Definition | 識別碼中通常與使用者有關的部分，在系統情境內是唯一的。
Short | 唯一值。 例如：身分證字號為A123456789
Comments | 如果此值是一個完整的URI，那麼此系統 必須（SHALL） 是urn:ietf:rfc:3986。此值的主要目的是為了可運算的對應。因此，為了比較的目的，它可能會被正規化（例如：去除不重要的空白、破折號等）。一個為人顯示的格式化的值可以使用Rendered Value擴充來傳達。除非對Identifier.system的了解使處理者確信不區分大小寫的處理是安全的，否則Identifier.value應被視為區分大小寫。
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Example | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. Patient.identifier:idCardNumber.period
Definition | 識別碼有效／曾經有效使用的時段或期間
Short | 此身份識別碼（identifier）的使用效期
Control | 0..1
Type | Period
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. Patient.identifier:idCardNumber.assigner
Definition | 簽發／管理識別碼的機構
Short | 簽發identifier的機構（可以只是文字表述）
Comments | Identifier.assigner可以省略.reference資料項目，只包含一個.display資料項目，反映指定機構的名稱或其他文字表述資訊。
Control | 0..1
Type | Reference(TW Core Organization)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. Patient.identifier:passportNumber
Slice Name | passportNumber
Definition | 適用於護照號碼
Short | 適用護照號碼
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1
Type | Identifier
Is Modifier | false
Must Support | true
Summary | true
Requirements | 病人幾乎總是被指定一個特定的數值型的唯一識別碼（identifier）
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
74. Patient.identifier:passportNumber.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
76. Patient.identifier:passportNumber.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.identifier.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
78. Patient.identifier:passportNumber.use
Definition | 這個唯一識別碼（identifier）的用途
Short | usual ｜ official ｜ temp ｜ secondary ｜ old （如果知道）
Comments | 應用程式可以假定一個識別碼是永久的，除非它明確說它是暫時的。
Control | 0..1
Binding | The codes SHALL be taken from IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) 如果知道，請說明此識別碼的目的；應填入所綁定值集中的其中一個代碼。
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 允許從一組識別碼中為特定的使用情境選擇適當的識別碼
Pattern Value | `official`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
80. Patient.identifier:passportNumber.type
Definition | 識別碼的代碼型別，用於決定特定目適用的識別碼。
Short | 身份識別碼（identifier）的型別說明
Comments | 這個資料項目只涉及識別碼的一般類別。它 必須沒有（SHALL NOT） 被用於與Identifier.system 1..1對應的代碼。一些識別碼可能由於常見的用法而屬於多個類別。在系統是已知的情況下，型別是不必要的，因為型別總是系統定義的一部分。然而，系統經常需要處理系統不為人知的識別碼。型別和系統之間不是1:1的關係，因為許多不同的系統有相同的型別。
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from IdentifierType + 臺灣衛福部資訊處識別碼類型值集 (extensible to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/identifier-type-tw` ) 識別碼的型別，用於決定特定目的所適用的識別碼；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Requirements | 允許使用者在不知道識別碼系統的情況下利用識別碼
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. Patient.identifier:passportNumber.type.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
84. Patient.identifier:passportNumber.type.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.identifier.type.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
86. Patient.identifier:passportNumber.type.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 1..*
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
88. Patient.identifier:passportNumber.type.coding.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
90. Patient.identifier:passportNumber.type.coding.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.identifier.type.coding.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
92. Patient.identifier:passportNumber.type.coding.system
Definition | The identification of the code system that defines the meaning of the symbol in the code.
Short | Identity of the terminology system
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be unambiguous about the source of the definition of the symbol.
Pattern Value | `http://terminology.hl7.org/CodeSystem/v2-0203`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
94. Patient.identifier:passportNumber.type.coding.version
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Short | Version of the system - if relevant
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
96. Patient.identifier:passportNumber.type.coding.code
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | Symbol in syntax defined by the system
Control | 1..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to refer to a particular code in the system.
Pattern Value | `PPN`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
98. Patient.identifier:passportNumber.type.coding.display
Definition | A representation of the meaning of the code in the system, following the rules of the system.
Short | Representation defined by the system
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
100. Patient.identifier:passportNumber.type.coding.userSelected
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Short | If this coding was chosen directly by the user
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Control | 0..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
102. Patient.identifier:passportNumber.type.text
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | Plain text representation of the concept
Comments | Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
104. Patient.identifier:passportNumber.system
Definition | 建立值的命名空間－即一個描述一組值的唯一URL
Short | 身份識別碼（identifier）的命名空間（namespace） 例如：護照號碼='http://www.boca.gov.tw。
Comments | Identifier.system總是區分大小寫
Control | 0..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 有許多識別碼的集合。為了進行兩個識別碼的對應，我們需要知道我們處理的是哪一組。系統指明了一個特定的唯一識別碼集。
Pattern Value | `http://hl7.org/fhir/sid/passport-TWN`
Example | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
106. Patient.identifier:passportNumber.value
Definition | 識別碼中通常與使用者有關的部分，在系統情境內是唯一的。
Short | 唯一值。 例如：護照號碼為888800371
Comments | 如果此值是一個完整的URI，那麼此系統 必須（SHALL） 是urn:ietf:rfc:3986。此值的主要目的是為了可運算的對應。因此，為了比較的目的，它可能會被正規化（例如：去除不重要的空白、破折號等）。一個為人顯示的格式化的值可以使用Rendered Value擴充來傳達。除非對Identifier.system的了解使處理者確信不區分大小寫的處理是安全的，否則Identifier.value應被視為區分大小寫。
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Example | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
108. Patient.identifier:passportNumber.period
Definition | 識別碼有效／曾經有效使用的時段或期間
Short | 此身份識別碼（identifier）的使用效期
Control | 0..1
Type | Period
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
110. Patient.identifier:passportNumber.assigner
Definition | 簽發／管理識別碼的機構
Short | 簽發identifier的機構（可以只是文字表述）
Comments | Identifier.assigner可以省略.reference資料項目，只包含一個.display資料項目，反映指定機構的名稱或其他文字表述資訊。
Control | 0..1
Type | Reference(TW Core Organization)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
112. Patient.identifier:residentNumber
Slice Name | residentNumber
Definition | 適用於居留證號碼
Short | 適用居留證號碼
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1
Type | Identifier
Is Modifier | false
Must Support | true
Summary | true
Requirements | 病人幾乎總是被指定一個特定的數值型的唯一識別碼（identifier）
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
114. Patient.identifier:residentNumber.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
116. Patient.identifier:residentNumber.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.identifier.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
118. Patient.identifier:residentNumber.use
Definition | 這個唯一識別碼（identifier）的用途
Short | usual ｜ official ｜ temp ｜ secondary ｜ old （如果知道）
Comments | 應用程式可以假定一個識別碼是永久的，除非它明確說它是暫時的。
Control | 0..1
Binding | The codes SHALL be taken from IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) 如果知道，請說明此識別碼的目的；應填入所綁定值集中的其中一個代碼。
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 允許從一組識別碼中為特定的使用情境選擇適當的識別碼
Pattern Value | `official`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
120. Patient.identifier:residentNumber.type
Definition | 識別碼的代碼型別，用於決定特定目適用的識別碼。
Short | 身份識別碼（identifier）的型別說明
Comments | 這個資料項目只涉及識別碼的一般類別。它 必須沒有（SHALL NOT） 被用於與Identifier.system 1..1對應的代碼。一些識別碼可能由於常見的用法而屬於多個類別。在系統是已知的情況下，型別是不必要的，因為型別總是系統定義的一部分。然而，系統經常需要處理系統不為人知的識別碼。型別和系統之間不是1:1的關係，因為許多不同的系統有相同的型別。
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from IdentifierType + 臺灣衛福部資訊處識別碼類型值集 (extensible to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/identifier-type-tw` ) 識別碼的型別，用於決定特定目的所適用的識別碼；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Requirements | 允許使用者在不知道識別碼系統的情況下利用識別碼
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
122. Patient.identifier:residentNumber.type.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
124. Patient.identifier:residentNumber.type.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.identifier.type.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
126. Patient.identifier:residentNumber.type.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 1..*
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
128. Patient.identifier:residentNumber.type.coding.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
130. Patient.identifier:residentNumber.type.coding.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.identifier.type.coding.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
132. Patient.identifier:residentNumber.type.coding.system
Definition | The identification of the code system that defines the meaning of the symbol in the code.
Short | Identity of the terminology system
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be unambiguous about the source of the definition of the symbol.
Pattern Value | `http://terminology.hl7.org/CodeSystem/v2-0203`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
134. Patient.identifier:residentNumber.type.coding.version
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Short | Version of the system - if relevant
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
136. Patient.identifier:residentNumber.type.coding.code
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | Symbol in syntax defined by the system
Control | 1..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to refer to a particular code in the system.
Pattern Value | `PRC`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
138. Patient.identifier:residentNumber.type.coding.display
Definition | A representation of the meaning of the code in the system, following the rules of the system.
Short | Representation defined by the system
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
140. Patient.identifier:residentNumber.type.coding.userSelected
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Short | If this coding was chosen directly by the user
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Control | 0..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
142. Patient.identifier:residentNumber.type.text
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | Plain text representation of the concept
Comments | Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
144. Patient.identifier:residentNumber.system
Definition | 建立值的命名空間－即一個描述一組值的唯一URL
Short | 身份識別碼（identifier）的命名空間（namespace） 例如：居留證號='http://www.immigration.gov.tw'。
Comments | Identifier.system總是區分大小寫
Control | 0..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 有許多識別碼的集合。為了進行兩個識別碼的對應，我們需要知道我們處理的是哪一組。系統指明了一個特定的唯一識別碼集。
Pattern Value | `http://www.immigration.gov.tw`
Example | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
146. Patient.identifier:residentNumber.value
Definition | 識別碼中通常與使用者有關的部分，在系統情境內是唯一的。
Short | 唯一值。 例如：居留證號碼為A912345678
Comments | 如果此值是一個完整的URI，那麼此系統 必須（SHALL） 是urn:ietf:rfc:3986。此值的主要目的是為了可運算的對應。因此，為了比較的目的，它可能會被正規化（例如：去除不重要的空白、破折號等）。一個為人顯示的格式化的值可以使用Rendered Value擴充來傳達。除非對Identifier.system的了解使處理者確信不區分大小寫的處理是安全的，否則Identifier.value應被視為區分大小寫。
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Example | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
148. Patient.identifier:residentNumber.period
Definition | 識別碼有效／曾經有效使用的時段或期間
Short | 此身份識別碼（identifier）的使用效期
Control | 0..1
Type | Period
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
150. Patient.identifier:residentNumber.assigner
Definition | 簽發／管理識別碼的機構
Short | 簽發identifier的機構（可以只是文字表述）
Comments | Identifier.assigner可以省略.reference資料項目，只包含一個.display資料項目，反映指定機構的名稱或其他文字表述資訊。
Control | 0..1
Type | Reference(TW Core Organization)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
152. Patient.identifier:medicalRecord
Slice Name | medicalRecord
Definition | 適用於病歷號
Short | 病歷號 (參與醫院必須註冊命名系統)，由醫院自行填寫。
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1
Type | Identifier
Is Modifier | false
Must Support | true
Summary | true
Requirements | 病人幾乎總是被指定一個特定的數值型的唯一識別碼（identifier）
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
154. Patient.identifier:medicalRecord.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
156. Patient.identifier:medicalRecord.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.identifier.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
158. Patient.identifier:medicalRecord.use
Definition | 這個唯一識別碼（identifier）的用途
Short | usual ｜ official ｜ temp ｜ secondary ｜ old （如果知道）
Comments | 應用程式可以假定一個識別碼是永久的，除非它明確說它是暫時的。
Control | 0..1
Binding | The codes SHALL be taken from IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) 如果知道，請說明此識別碼的目的；應填入所綁定值集中的其中一個代碼。
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 允許從一組識別碼中為特定的使用情境選擇適當的識別碼
Pattern Value | `official`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
160. Patient.identifier:medicalRecord.type
Definition | 識別碼的代碼型別，用於決定特定目適用的識別碼。
Short | 身份識別碼（identifier）的型別說明
Comments | 這個資料項目只涉及識別碼的一般類別。它 必須沒有（SHALL NOT） 被用於與Identifier.system 1..1對應的代碼。一些識別碼可能由於常見的用法而屬於多個類別。在系統是已知的情況下，型別是不必要的，因為型別總是系統定義的一部分。然而，系統經常需要處理系統不為人知的識別碼。型別和系統之間不是1:1的關係，因為許多不同的系統有相同的型別。
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from IdentifierType + 臺灣衛福部資訊處識別碼類型值集 (extensible to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/identifier-type-tw` ) 識別碼的型別，用於決定特定目的所適用的識別碼；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Requirements | 允許使用者在不知道識別碼系統的情況下利用識別碼
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
162. Patient.identifier:medicalRecord.type.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
164. Patient.identifier:medicalRecord.type.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.identifier.type.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
166. Patient.identifier:medicalRecord.type.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 1..*
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
168. Patient.identifier:medicalRecord.type.coding.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
170. Patient.identifier:medicalRecord.type.coding.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.identifier.type.coding.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
172. Patient.identifier:medicalRecord.type.coding.system
Definition | The identification of the code system that defines the meaning of the symbol in the code.
Short | Identity of the terminology system
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be unambiguous about the source of the definition of the symbol.
Pattern Value | `http://terminology.hl7.org/CodeSystem/v2-0203`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
174. Patient.identifier:medicalRecord.type.coding.version
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Short | Version of the system - if relevant
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
176. Patient.identifier:medicalRecord.type.coding.code
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | Symbol in syntax defined by the system
Control | 1..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to refer to a particular code in the system.
Pattern Value | `MR`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
178. Patient.identifier:medicalRecord.type.coding.display
Definition | A representation of the meaning of the code in the system, following the rules of the system.
Short | Representation defined by the system
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
180. Patient.identifier:medicalRecord.type.coding.userSelected
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Short | If this coding was chosen directly by the user
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Control | 0..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
182. Patient.identifier:medicalRecord.type.text
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | Plain text representation of the concept
Comments | Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
184. Patient.identifier:medicalRecord.system
Definition | 建立值的命名空間－即一個描述一組值的唯一URL
Short | 身份識別碼（identifier）的命名空間（namespace），可至[twTerminology](https://fhir.mohw.gov.tw/ts/namingsystem.jsp?status=active&amp;type=0)申請或查詢命名系統。
Comments | Identifier.system總是區分大小寫
Control | 0..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 有許多識別碼的集合。為了進行兩個識別碼的對應，我們需要知道我們處理的是哪一組。系統指明了一個特定的唯一識別碼集。
Example | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
186. Patient.identifier:medicalRecord.value
Definition | 識別碼中通常與使用者有關的部分，在系統情境內是唯一的。
Short | 唯一值。 例如：病歷號為8862168
Comments | 如果此值是一個完整的URI，那麼此系統 必須（SHALL） 是urn:ietf:rfc:3986。此值的主要目的是為了可運算的對應。因此，為了比較的目的，它可能會被正規化（例如：去除不重要的空白、破折號等）。一個為人顯示的格式化的值可以使用Rendered Value擴充來傳達。除非對Identifier.system的了解使處理者確信不區分大小寫的處理是安全的，否則Identifier.value應被視為區分大小寫。
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Example | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
188. Patient.identifier:medicalRecord.period
Definition | 識別碼有效／曾經有效使用的時段或期間
Short | 此身份識別碼（identifier）的使用效期
Control | 0..1
Type | Period
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
190. Patient.identifier:medicalRecord.assigner
Definition | 簽發／管理識別碼的機構
Short | 簽發identifier的機構（可以只是文字表述）
Comments | Identifier.assigner可以省略.reference資料項目，只包含一個.display資料項目，反映指定機構的名稱或其他文字表述資訊。
Control | 0..1
Type | Reference(TW Core Organization)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
192. Patient.active
Definition | 這位病人的紀錄是否在使用中（active）。許多系統使用這個屬性來標記為非現有（non-current）病人，例如那些根據機構的業務規則在一段時間內沒有被看到的病人。 它經常被用來過濾病人清單以排除inactive的病人 已過世的病人也可能因為同樣的原因被標記為inactive，但在過世後的一段時間內可能是active。
Short | 病人的紀錄是否「使用中（true）」
Comments | 如果一筆病人紀錄沒有在使用，但與另一筆使用中的病人紀錄相連結，那麼未來的病人／紀錄更新應該發生在另一筆病人紀錄。
Control | 0..1
Type | boolean
Is Modifier | true because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 若紀錄因為錯誤而創建，需要能夠將這位病人紀錄標記為不使用
Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
194. Patient.name
Definition | 個人名字
Short | 病人的姓名
Comments | 一位病人可能有多個姓名，有不同的用途或適用期。對於動物來說，這個姓名是一個「HumanName」，它是人類指定和使用的，具有相同的模式。
Control | 1..1
Type | HumanName
Is Modifier | false
Must Support | true
Summary | true
Requirements | 需要能夠追踪病人的多個姓名。例如：正式姓名及配偶姓名。 必須（SHALL） 總是提供姓名的完整拼法。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) pat-name: 病人姓名有誤，超過40字 (`text.length() <= 40`)
Slicing | This element introduces a set of slices on `Patient.name`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ use
196. Patient.name:official
Slice Name | official
Definition | 個人名字
Short | 病人的護照姓名
Comments | 一位病人可能有多個姓名，有不同的用途或適用期。對於動物來說，這個姓名是一個「HumanName」，它是人類指定和使用的，具有相同的模式。
Control | 0..0
Type | HumanName
Is Modifier | false
Must Support | true
Summary | true
Requirements | 需要能夠追踪病人的多個姓名。例如：正式姓名及配偶姓名。 必須（SHALL） 總是提供姓名的完整拼法。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) tw-core-1: Patient.name.text or Patient.name.family or both SHALL be present (`text.exists() or family.exists()`)
207. Patient.name:usual
Slice Name | usual
Definition | 個人名字
Short | 病人所屬國籍的真實姓名
Comments | 一位病人可能有多個姓名，有不同的用途或適用期。對於動物來說，這個姓名是一個「HumanName」，它是人類指定和使用的，具有相同的模式。
Control | 1..1
Type | HumanName
Is Modifier | false
Must Support | true
Summary | true
Requirements | 需要能夠追踪病人的多個姓名。例如：正式姓名及配偶姓名。 必須（SHALL） 總是提供姓名的完整拼法。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) tw-core-1: Patient.name.text or Patient.name.family or both SHALL be present (`text.exists() or family.exists()`)
209. Patient.name:usual.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
211. Patient.name:usual.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.name.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
213. Patient.name:usual.use
Definition | 此姓名的用途
Short | usual | official | temp | nickname | anonymous | old | maiden
Comments | 應用程式可以假定一個姓名是永久的，除非它明確說它是暫時或舊的。
Control | 1..1
Binding | The codes SHALL be taken from NameUse (required to `http://hl7.org/fhir/ValueSet/name-use|4.0.1` ) 人名的使用情況；應填入所綁定值集中的其中一個代碼。
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 允許從一組姓名中為特定的使用情境選擇適當的姓名
Pattern Value | `usual`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
215. Patient.name:usual.text
Definition | 完整姓名的文字表述。由於世界各地的文化差異，取得資料的系統可能不知道如何正確地呈現姓名；此外，不是所有的名字部分都呈現予姓或名。因此，我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。
Short | 完整的中文姓名
Comments | 可以同時提供文字表述（text）和部分（part）。更新姓名的應用程式 必須（SHALL） 確保當test和lpart都存在時，text中不包含part中沒有的內容。
Control | 1..1 This element is affected by the following invariants: tw-core-1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 一個可呈現的、未編碼的形式。
Example | General: 陳加玲
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
217. Patient.name:usual.family
Definition | 姓名中與族譜相關的部分。在一些文化中（如厄立特里亞），兒子的姓氏是其父親的名字。
Short | 若所屬國籍可區分family及given，填入所屬國籍之姓（family）
Comments | 姓氏可以使用擴充名（de、nl、es相關文化）分解成具體的部分（part）
Control | 0..1 This element is affected by the following invariants: tw-core-1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Alternate Names | surname
Example | General: 陳
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
219. Patient.name:usual.given
Definition | 姓名中的「名」
Short | 若所屬國籍可區分family及given，填入所屬國籍之名（given）
Comments | 如果只記錄首字母，可以用它們來代替完整姓名。首字母可以分為多個名，但由於實際情況的限制，通常不會這樣做。這個資料項目不被稱為 「first name」，因為「given name」並不總是排在前面。
Control | 0..* This element is affected by the following invariants: tw-core-1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Alternate Names | first name, middle name
Example | General: 加玲
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
221. Patient.name:usual.prefix
Definition | 由於學術、法規、就業或貴族身份等原因而獲得的名，並出現在姓名的開頭。
Short | 姓名前面的頭銜 由於學術，法律，職業或貴族身份等原因而獲得頭銜，出現在姓名開頭。
Control | 0..*
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
223. Patient.name:usual.suffix
Definition | 由於學術、法規、就業或貴族身份等原因而獲得的名，並出現在姓名的開頭。
Short | 姓名後面的稱謂 由於學術，法律，職業或貴族身份等原因而獲得頭銜，出現在姓名之後。
Control | 0..*
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
225. Patient.name:usual.period
Definition | 表明這個姓名對此病人有效的時間區間或期間
Short | 此姓名的使用效期
Control | 0..1
Type | Period
Is Modifier | false
Summary | true
Requirements | 允許多個姓名按其歷史情境（效期）儲存
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
227. Patient.name:temp
Slice Name | temp
Definition | 個人名字
Short | 新生兒姓名，緊急救護未知病人姓名時亦可用。
Comments | 一位病人可能有多個姓名，有不同的用途或適用期。對於動物來說，這個姓名是一個「HumanName」，它是人類指定和使用的，具有相同的模式。
Control | 0..0
Type | HumanName
Is Modifier | false
Must Support | true
Summary | true
Requirements | 需要能夠追踪病人的多個姓名。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
238. Patient.name:anonymous
Slice Name | anonymous
Definition | 個人名字
Short | 匿名供研究使用
Comments | 一位病人可能有多個姓名，有不同的用途或適用期。對於動物來說，這個姓名是一個「HumanName」，它是人類指定和使用的，具有相同的模式。
Control | 0..0
Type | HumanName
Is Modifier | false
Must Support | true
Summary | true
Requirements | 需要能夠追踪病人的多個姓名。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
249. Patient.telecom
Definition | 可與此人聯絡的詳細聯絡方式（如電話或電子郵件地址等）
Short | 病人的聯絡資訊（例如：電話、電子郵件等）
Comments | 一位病人可能有多種聯絡方式，有不同的用途或適用期。可能需要有緊急聯絡此人的選項，也需要幫忙識別身份。地址可能不會直接聯絡到此人，但可能到透過他人代為聯絡（意即家中的電話）。
Control | 0..*
Type | ContactPoint
Is Modifier | false
Must Support | true
Summary | true
Requirements | 人們有（主要）方式與他們聯絡，如電話、電子郵件。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
251. Patient.telecom.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
253. Patient.telecom.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.telecom.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
255. Patient.telecom.system
Definition | 聯絡方式的通訊形式－需要什麼通訊系統進行聯絡
Short | phone | fax | email | pager | url | sms | other
Control | 1..1 This element is affected by the following invariants: cpt-2
Binding | The codes SHALL be taken from ContactPointSystem (required to `http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1` ) 應填入所綁定值集中的其中一個代碼。
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
257. Patient.telecom.value
Definition | 實際的聯絡方式之細節，針對指定的通訊系統提供有意義的形式（電話號碼或是電子郵件位址）
Short | 實際的聯絡方式之細節
Comments | 額外的文字資料，例如電話分機號碼、或關於聯絡人的說明，有時也包括於此值。
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需支援非嚴格格式控制之舊有號碼
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
259. Patient.telecom.use
Definition | 確定聯絡方式的用途
Short | home | work | temp | old | mobile－此聯絡方式的用途
Comments | 應用程式可以假定一個聯絡方法是目前使用中，除非它明確說它是暫時的或舊的。
Control | 0..1
Binding | The codes SHALL be taken from ContactPointUse (required to `http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1` ) 應填入所綁定值集中的其中一個代碼。
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要追蹤此人使用這種聯絡的方式，使用者可以選擇適合他們用途的聯絡方式。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
261. Patient.telecom.rank
Definition | 具體說明使用一組聯繫方式的優先順序，較小排名序位的聯絡方式比較大排名序位的聯絡方式之序位還要前面。
Short | 具體說明偏好的使用順序（1=最高優先順序）
Comments | 請注意，排名序位沒有一定要遵循聯絡方式在實例中呈現的順序。
Control | 0..1
Type | positiveInt
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
263. Patient.telecom.period
Definition | 此聯絡方式的使用效期
Short | 此聯絡方式的使用效期
Control | 0..1
Type | Period
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
265. Patient.gender
Definition | Administrative Gender 為行政管理及保存紀錄目的之病人性別
Short | male:男性 ｜ female:女性 ｜ other:其他 ｜ unknown:未知
Comments | 行政管理用之性別可能不符合由遺傳學或個人偏好的識別所決定的生物性別。請注意，對於人類，特別是動物，除了男性和女性，還有其他合法歸類的可能性，儘管絕大多數系統和情境只支持男性和女性。提供決策支援或執行業務規則的系統最好以檢驗檢查（Observation）呈現特定性別或感興趣的性別（解剖學、染色體、社會等）。然而，由於這些檢驗檢驗不常被記錄，預設為行政管理用之性別是常見的做法。在這種預設的情況下，規則的執行應該允許行政管理用和生物、染色體和其他性別方面的差異。例如：關於男性子宮切除的警訊應該作為警告或可推翻的錯誤來處理，而不是 「硬（hard） 」錯誤。關於溝通病人性別的更多資訊，請參閱Patient Gender及Sex的部分。
Control | 1..1
Binding | The codes SHALL be taken from AdministrativeGender (required to `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` ) 病人性別；應填入所綁定值集中的其中一個代碼。
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 性別用於結合（至少）姓名和出生日期以識別個人身份
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
267. Patient.birthDate
Definition | 個人的出生日期
Short | 出生日期，YYYY-MM-DD，西元年月日。
Comments | 如果真實的出生日期未知，至少應該提供一個估計的出生年份作為猜測。有一個標準的擴充 「patient-birthTime」，應該於需要出生時間（Time）資訊時使用（例如：在產科／新生兒照護系統中）。
Control | 1..1
Type | date
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 個人的年齡驅動著許多臨床過程／進程
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
LOINC Code | 21112-8
269. Patient.deceased[x]
Definition | 表示此人是否過世
Short | 病人是否過世
Comments | 如果實例中沒有值，就意味著沒有關於此人是否過世的聲明。大多數系統會把沒有數值解釋為這個人還活著的標誌。
Control | 0..1
Type | Choice of: boolean, dateTime
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | true because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | 病人已經過世的事實影響了臨床過程／進度。另外，在人際溝通和關係管理中，有必要知道這個人是否活著。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
271. Patient.address
Definition | 此人的地址
Short | 病人聯絡地址 pat-cnt-2or3-char：如果有國家名，則必須（SHALL）從[ISO Country Alpha-2](http://hl7.org/fhir/valueset/iso3166-1-2)找出相對代碼作呈現。 如果未在ISO Country Alpha-2 中找到此一國家的代碼，則可能可以（MAY）從[ISO Country Alpha-3](http://hl7.org/fhir/valueset/iso3166-1-3)找出相對代碼作呈現。
Comments | 病人可能有多個地址，有不同的用途或適用期。
Control | 0..* This element is affected by the following invariants: ele-1
Type | Address(TW Core Address)
Is Modifier | false
Must Support | true
Requirements | 可能需要記錄病人的地址，以便聯繫、結算或報告的要求，也有助於識別身份。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
273. Patient.maritalStatus
Definition | 這個欄位包含病人的目前婚姻（民事）狀態
Short | 病人的婚姻狀態
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from Marital Status Codes (extensible to `http://hl7.org/fhir/ValueSet/marital-status` ) 病人的婚姻狀態；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。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Requirements | 如果不是所有的系統都能取得此資訊
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
275. Patient.multipleBirth[x]
Definition | 表示病人是否是為多胞胎（佈林值）或表示實際的出生順序（整數值）
Short | 病人是否為多胞胎；或多胞胎出生順序。
Comments | 在提供valueInteger的情況下，這個數字是序列中的出生序。例如：三胞胎中的中間胎兒是valueInteger=2，第三胎兒是valueInteger=3，如果是為三胞胎提供布林值，那麼所有3位病人的紀錄都是valueBoolean=true（沒有指明出生序）。
Control | 0..1
Type | Choice of: boolean, integer
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Requirements | 用於消除多胎孩童的歧義，特別是在照護人員沒有見到病人的情況下，例如：在實驗室。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
277. Patient.photo
Definition | 病人的影像（照片）
Short | 病人的影像（照片）
Comments | 指引： 使用個人影像，而不是臨床影像。 限制尺寸為縮圖。 保持低位元組小檔案以便更新resource。
Control | 0..*
Type | Attachment
Is Modifier | false
Must Support | true
Summary | false
Requirements | 許多EHR系統有能力取得病人的影像，這也符合較新的社群媒體的使用。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
279. Patient.contact
Definition | 病人的聯絡人（如監護人、伴侶、朋友）。
Short | 病人的聯絡人，例如：監護人、伴侶、朋友等。
Comments | 聯絡涵蓋所有種類的聯絡人：家人、業務聯絡、監護人、照顧者。不適用於登記血統和家庭關係，因這超出聯絡的目的。
Control | 0..*
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Requirements | 需能聯絡到的病人的人。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) pat-1: SHALL at least contain a contact's details or a reference to an organization (`name.exists() or telecom.exists() or address.exists() or organization.exists()`)
281. Patient.contact.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
283. Patient.contact.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
285. Patient.contact.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
287. Patient.contact.relationship
Definition | 可以透過正式參照一個專門術語或知識本體來定義一個概念，或者也可以文字表述此概念。
Short | 概念（Concept）－參照一個專門術語或只是文字表述
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Control | 0..* This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from PatientRelationshipType (required to `http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype` ) 應填入所綁定值集中的其中一個代碼。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Requirements | 根據情況決定哪位聯絡人最有關聯以作聯繫
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
289. Patient.contact.name
Definition | 與聯絡人有關的姓名
Short | 聯絡人姓名
Control | 0..1
Type | HumanName
Is Modifier | false
Must Support | true
Summary | false
Requirements | 聯絡人需要以姓名來識別，但通常不需要此聯絡人的其他姓名的細節。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
291. Patient.contact.name.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
293. Patient.contact.name.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.contact.name.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
295. Patient.contact.name.use
Definition | 此姓名的用途
Short | usual | official | temp | nickname | anonymous | old | maiden
Comments | 應用程式可以假定一個姓名是永久的，除非它明確說它是暫時或舊的。
Control | 0..1
Binding | The codes SHALL be taken from NameUse (required to `http://hl7.org/fhir/ValueSet/name-use|4.0.1` ) 人名的使用情況；應填入所綁定值集中的其中一個代碼。
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 允許從一組姓名中為特定的使用情境選擇適當的姓名
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
297. Patient.contact.name.text
Definition | 完整姓名的文字表述。由於世界各地的文化差異，取得資料的系統可能不知道如何正確地呈現姓名；此外，不是所有的名字部分都呈現予姓或名。因此，我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。
Short | 完整的中文姓名
Comments | 可以同時提供文字表述（text）和部分（part）。更新姓名的應用程式 必須（SHALL） 確保當test和lpart都存在時，text中不包含part中沒有的內容。
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 一個可呈現的、未編碼的形式。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
299. Patient.contact.name.family
Definition | 姓名中與族譜相關的部分。在一些文化中（如厄立特里亞），兒子的姓氏是其父親的名字。
Short | 英文姓
Comments | 姓氏可以使用擴充名（de、nl、es相關文化）分解成具體的部分（part）
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Alternate Names | surname
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
301. Patient.contact.name.given
Definition | 姓名中的「名」
Short | 英文名
Comments | 如果只記錄首字母，可以用它們來代替完整姓名。首字母可以分為多個名，但由於實際情況的限制，通常不會這樣做。這個資料項目不被稱為 「first name」，因為「given name」並不總是排在前面。
Control | 0..*
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Alternate Names | first name, middle name
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
303. Patient.contact.name.prefix
Definition | 由於學術、法規、就業或貴族身份等原因而獲得的名，並出現在姓名的開頭。
Short | 姓名前面的頭銜 由於學術，法律，職業或貴族身份等原因而獲得頭銜，出現在姓名開頭。
Control | 0..*
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
305. Patient.contact.name.suffix
Definition | 由於學術、法規、就業或貴族身份等原因而獲得的名，並出現在姓名的開頭。
Short | 姓名後面的稱謂 由於學術，法律，職業或貴族身份等原因而獲得頭銜，出現在姓名之後。
Control | 0..*
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
307. Patient.contact.name.period
Definition | 表明這個姓名對此病人有效的時間區間或期間
Short | 此姓名的使用效期
Control | 0..1
Type | Period
Is Modifier | false
Summary | true
Requirements | 允許多個姓名按其歷史情境（效期）儲存
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
309. Patient.contact.telecom
Definition | 此人的詳細聯絡方式，例如：電話號碼或電子郵件地址。
Short | 聯絡人的詳細聯絡資訊
Comments | 聯絡人可能有多種聯絡方式，有不同的用途或適用期。可能需要有緊急聯絡此人的選項，及需要幫忙身份識別。
Control | 0..*
Type | ContactPoint
Is Modifier | false
Must Support | true
Summary | false
Requirements | 人們可透過（主要）方式與他們聯絡，例如電話、電子郵件。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
311. Patient.contact.telecom.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
313. Patient.contact.telecom.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.contact.telecom.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
315. Patient.contact.telecom.system
Definition | 聯絡方式的通訊形式－需要什麼通訊系統進行聯絡
Short | phone | fax | email | pager | url | sms | other
Control | 1..1 This element is affected by the following invariants: cpt-2
Binding | The codes SHALL be taken from ContactPointSystem (required to `http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1` ) 應填入所綁定值集中的其中一個代碼。
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
317. Patient.contact.telecom.value
Definition | 實際的聯絡方式之細節，針對指定的通訊系統提供有意義的形式（電話號碼或是電子郵件位址）。
Short | 實際的聯絡方式之細節
Comments | 額外的文字資料，例如電話分機號碼、或關於聯絡人的說明，有時也包括於此值。
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需支援非嚴格格式控制之舊有號碼
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
319. Patient.contact.telecom.use
Definition | 確定聯絡方式的用途
Short | home | work | temp | old | mobile－此聯絡方式的用途
Comments | 應用程式可以假定一個聯絡方法是目前使用中，除非它明確說它是暫時的或舊的。
Control | 0..1
Binding | The codes SHALL be taken from ContactPointUse (required to `http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1` ) 應填入所綁定值集中的其中一個代碼。
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 需要追蹤此人使用這種聯絡的方式，使用者可以選擇適合他們用途的聯絡方式。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
321. Patient.contact.telecom.rank
Definition | 具體說明使用一組聯繫方式的優先順序，較小排名序位的聯絡方式比較大排名序位的聯絡方式之序位還要前面。
Short | 具體說明偏好的使用順序（1=最高優先順序）
Comments | 請注意，排名序位沒有一定要遵循聯絡方式在實例中呈現的順序。
Control | 0..1
Type | positiveInt
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
323. Patient.contact.telecom.period
Definition | 此聯絡方式的使用效期
Short | 此聯絡方式的使用效期
Control | 0..1
Type | Period
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
325. Patient.contact.address
Definition | 聯絡人的地址
Short | 聯絡人的地址
Comments | 注意：地址的目的是描述用於管理目的之郵政地址，而不是描述絕對的地理座標。郵政地址經常被用作實體位置的代表（亦可見Locationresource）。
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Address(TW Core Address)
Is Modifier | false
Requirements | 需要紀錄用以聯絡聯絡人的郵件地址或到訪地址
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
327. Patient.contact.gender
Definition | Administrative Gender為行政管理的及保存紀錄目的之聯絡人性別
Short | male ｜ female ｜ other ｜ unknown
Control | 0..1
Binding | The codes SHALL be taken from AdministrativeGender (required to `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` ) 聯絡人的性別；應填入所綁定值集中的其中一個代碼。
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Requirements | 用以正確稱呼聯絡人
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
329. Patient.contact.organization
Definition | 聯絡人為機構或聯絡人為其工作的機構
Short | 可聯絡到聯絡人的機構
Control | 0..1 This element is affected by the following invariants: pat-1
Type | Reference(TW Core Organization)
Is Modifier | false
Summary | false
Requirements | 監護人或與業務相關聯絡與此機構有關
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
331. Patient.contact.period
Definition | 與此病人有關的聯絡人或機構的有效聯絡期
Short | 聯絡人或其可聯絡機構之可聯絡期（時間區間）
Control | 0..1
Type | Period
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
333. Patient.communication
Definition | 可用於與病人溝通其健康狀況的語言。
Short | 向病人說明健康狀態時所使用的語言
Comments | 如果沒有指定語言，這意味著預設使用當地語言。如果你需要多種模式的熟練程度，那麼你需要多個Patient.Communication關聯。對於動物來說，語言不是相關的欄位，應該不存在於實例中。如果病人不講預設的當地語言，那麼可以使用 「（Interpreter Required Standard）需要口譯員」來明確聲明需要口譯員。
Control | 0..*
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Requirements | 如果病人不會說當地語言，可能需要翻譯，因此，對於病人和其他相關人士來說，所講的語言和熟練程度都是需要記錄的重要內容。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
335. Patient.communication.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
337. Patient.communication.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
339. Patient.communication.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
341. Patient.communication.language
Definition | 小寫的ISO-639-1字母兩個代碼表示的語言，後面可以有連字符號，大寫的ISO-3166-1字母兩個代碼表示使用此語言的地區；例如「en 」代表英語，或者 「en-US 」代表美國英語，而 「en-EN 」代表英國英語。
Short | 向病人說明健康狀況時所使用的語言
Comments | 帶有這種精確字母大小寫的aa-BB結構是最廣泛使用的地方性符號之一。但並不是所有的系統都對其進行編碼，而是將其作為純文字表述。因此，data type為CodeableConcept而不是code。
Control | 1..1 This element is affected by the following invariants: ele-1
Binding | The codes SHOULD be taken from CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages` ) 應填入所綁定值集中的其中一個代碼。
Additional Bindings | Purpose
AllLanguages | Max Binding
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Requirements | 在多語言國家的大多數系統都會想要溝通語言。並非所有的系統實際上都需要區域方言。
Example | Value: zh-TW
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
343. Patient.communication.preferred
Definition | 表示病人是否偏好此語言（相對於其他它已掌握到一定水平的語言）
Short | 病人是否偏好使用此語言
Comments | 此語言專門用以溝通健康照護資訊
Control | 0..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Requirements | 掌握多種語言達到一定水平的人可能更偏好一種或多種語言，也就是說，在用某一種語言溝通時感到更有信心，使其他語言成為一種備用語言。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
345. Patient.generalPractitioner
Definition | 病人指定的照護服務提供者
Short | 照護此病人的機構、照護服務提供者、或健康照護服務提供者的角色
Comments | 這可能是基層健康照護提供者（在一般科醫生的情境下），也可能是在社區／失能環境中由病人提名的照護管理者，甚至是提供人力來履行照護提供者角色的機構。它不能用來記錄Care Teams，這些團隊應該在CareTeams resource中，可以連接到CarePlan或EpisodeOfCare。由於各種原因，病人可能會被記錄有多個一般科醫生，例如：一位學生在學校學期期間將他的家庭醫生與大學的醫生一起列出，或者一位至偏遠地區「飛進／飛出 」的工作者會有當地的醫師及其家庭醫生，以保持對醫療問題的瞭解。 如果需要，各行政管轄區可決定將其規範為只有1位，或每種型別1位。
Control | 0..*
Type | Reference(TW Core Organization, TW Core Practitioner, TW Core PractitionerRole)
Is Modifier | false
Summary | false
Alternate Names | careProvider
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
347. Patient.managingOrganization
Definition | 病人紀錄的保管機構
Short | 此紀錄的保管機構
Comments | 僅有一個管理特定病人紀錄的機構。其他機構將擁有自己的「病人」紀錄，並可透過使用「Link」屬性將紀錄結合在一起（或可以包含關聯可信的「Person」resource）。
Control | 0..1
Type | Reference(TW Core Organization)
Is Modifier | false
Must Support | true
Summary | true
Requirements | 需要知道誰識別、管理和更新這位病人的紀錄
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
349. Patient.link
Definition | 連結到另一個涉及同一實際病人的Patient resource。
Short | 連結至此病人的其他Patient Resource
Comments | 不存在連結的病人紀錄有相互連結的假設
Control | 0..*
Type | BackboneElement
Is Modifier | true because This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'
Summary | true
Requirements | 有多種使用案例： 由於難以一致地指明與人相關的文件而錯誤地重複製作病人紀錄，並在多個伺服器上發佈病人的資訊。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
351. Patient.link.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
353. Patient.link.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
355. Patient.link.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
357. Patient.link.other
Definition | 此連超所參照的另一個Patient resource
Short | 連結至其他Patient或RelatedPerson Resource
Comments | 在這裡參照一個RelatedPerson，就不需要另外使用Person來將Patient及RelatedPerson作為同一個人關聯起來。
Control | 1..1
Type | Reference(TW Core Patient, TW Core RelatedPerson)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
359. Patient.link.type
Definition | 這個Patient resource與另一個Patient resource之間的連結型別
Short | replaced-by ｜ replaces ｜ refer ｜ seealso
Control | 1..1
Binding | The codes SHALL be taken from LinkType (required to `http://hl7.org/fhir/ValueSet/link-type|4.0.1` ) 連結的型別；應填入所綁定值集中的其中一個代碼。
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)