Generated Narrative: StructureDefinition Bundle-twpas Name Flags Card. Type Description & Constraints Bundle <a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="This element has or is affected by constraints ( applyReason-1, applyReason-2, applyReason-3, applyReason-4, applyReason-5, applyReason-6, applyReason-7, applyReason-8, applyReason-9, applyReason-10, applyReason-11, applyReason-12, applyReason-13, applyReason-14, applyReason-15, applyReason-16, claimResponse-1, claimResponse-2 )">C 0..* TWCoreBundle 包含resourceBundle Constraints: applyReason-1, applyReason-2, applyReason-3, applyReason-4, applyReason-5, applyReason-6, applyReason-7, applyReason-8, applyReason-9, applyReason-10, applyReason-11, applyReason-12, applyReason-13, applyReason-14, applyReason-15, applyReason-16, claimResponse-1, claimResponse-2 #xD; meta 1..1 Meta 此Bundle Resource的metadata #xD; profile 1..1 canonical(StructureDefinition) Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Bundle-twpas #xD; type 1..1 code document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Required Pattern: collection #xD; timestamp 0..1 instant 緊急報備日期，YYYY-MM-DDTHH:MM:SS (需包含時區)；若本案件前已緊急報備過，本次為檢送完整資訊申請送件者，由機構將前次緊急報備時所填之申請日期，自填為緊急報備日期。 Example 緊急報備日期: 2024-05-30T13:50:58.000+08:00 #xD; Slices for entry S 8..* BackboneElement 在bundle中的條目 - 將會有一個resource或資訊，這個重複的資料項目順序：對於type為「document」和「message」的bundles，第一個resource是特殊的（必須分別是Composition或MessageHeader）。對於所有bundles，條目順序的意義取決於bundle的type。 Slice: Unordered, Closed by profile:resource #xD; entry:claim S 1..1 BackboneElement 事前審查(Claim) #xD; resource S 1..1 ClaimTWPAS Claim, Pre-determination or Pre-authorization #xD; entry:encounter S 1..1 BackboneElement 就醫科別 #xD; resource S 1..1 EncounterTWPAS 提供病人服務的一種互動 #xD; entry:patient S 1..1 BackboneElement 病人資訊 #xD; resource S 1..1 PatientTWPAS 接受健康照護服務的個人或動物之資訊 #xD; entry:practitioner S 1..* BackboneElement 醫師(申請醫師／簽發影像報告醫師／簽發癌症分期報告醫師／檢查報告醫師／簽發檢驗(查)報告醫事人員／評估項目醫事人員) #xD; resource S 1..1 PractitionerTWPAS 對於所提供之健康照護或相關服務負有正式責任的人員 #xD; entry:organization S 1..1 BackboneElement 醫事機構 #xD; resource S 1..1 OrganizationTWPAS 具有共同目的的一群人或機構 #xD; entry:diagnosticReportImage S 0..* BackboneElement 影像報告 #xD; resource S 1..1 DiagnosticReportImageTWPAS A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports #xD; entry:imageStudy S 0..* BackboneElement DICOM影像 #xD; resource S 1..1 ImagingStudyTWPAS 在單一檢查中產生的一組影像【一個或多個系列(series)的參照影像】 #xD; entry:media S 0..* BackboneElement 非DICOM影像 #xD; resource S 1..1 MediaTWPAS 健康照護中獲取或使用的影像、影片或音檔，實際內容可能置於行內或透過直接參照提供。 #xD; entry:observationCancerStage S 0..* BackboneElement 癌症分期量表 #xD; resource S 1..1 ObservationCancerStageTWPAS Measurements and simple assertions #xD; entry:diagnosticReport S 0..* BackboneElement 檢查報告 #xD; resource S 1..1 DiagnosticReportTWPAS A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports #xD; entry:observationDiagnostic S 0..* BackboneElement 基因資訊 #xD; resource S 1..1 ObservationDiagnosticTWPAS Measurements and simple assertions #xD; entry:specimen S 0..* BackboneElement 檢體 #xD; resource S 1..1 SpecimenTWPAS 用於分析的檢體 #xD; entry:organizationGen S 0..* BackboneElement 基因檢測機構 #xD; resource S 1..1 OrganizationGeneticTestingTWPAS 具有共同目的的一群人或機構 #xD; entry:documentReference S 0..* BackboneElement 基因報告／治療計畫文件／檢驗(查)附件／病人狀態評估報告 #xD; resource S 1..1 DocumentReferenceTWPAS 文件的參照 #xD; entry:observationLaboratoryResult S 0..* BackboneElement 檢驗(查) #xD; resource S 1..1 ObservationLaboratoryResultTWPAS Measurements and simple assertions #xD; entry:observationPatientAssessment S 0..* BackboneElement 病人狀態評估 #xD; resource S 1..1 ObservationPatientAssessmentTWPAS Measurements and simple assertions #xD; entry:medicationRequestTreat S 0..* BackboneElement 用藥品項 #xD; resource S 1..1 MedicationRequestTreatTWPAS 為病人或實體集合（例如：特定的一群人）開立的藥品請求 #xD; entry:procedure S 0..* BackboneElement 放射/照光治療 #xD; resource S 1..1 ProcedureTWPAS An action that is being or was performed on a patient #xD; entry:substance S 0..* BackboneElement 放射/照光治療總劑量 #xD; resource S 1..1 SubstanceTWPAS A homogeneous material with a definite composition #xD; entry:observationTreatmentAssessment S 0..* BackboneElement 治療後疾病狀態評估 #xD; resource S 1..1 ObservationTreatmentAssessmentTWPAS Measurements and simple assertions #xD; entry:medicationRequestApply S 1..* BackboneElement 事前審查品項 #xD; resource S 1..1 MedicationRequestApplyTWPAS 為病人或實體集合（例如：特定的一群人）開立的藥品請求 #xD; entry:coverage S 1..1 BackboneElement 健保事前審查計畫 #xD; resource S 1..1 CoverageTWPAS Insurance or medical plan or a payment agreement #xD; entry:claimResponse S 0..1 BackboneElement 自主審查。若申請案件類別(Claim.priority)為自主審查(#3)時，須填寫。 #xD; resource S 1..1 ClaimResponseSelfAssessmentTWPAS Response to a claim predetermination or preauthorization #xD; entry:organizationOrg S 1..1 BackboneElement 政府機構 #xD; resource S 1..1 TWCoreOrganizationGovt 具有共同目的的一群人或機構 #xD; entry:encounterOpd S 0..1 BackboneElement 門診病歷 #xD; resource S 1..1 EncounterOpdTWPAS 提供病人服務的一種互動 #xD; entry:condition S 0..1 BackboneElement 診斷 #xD; resource S 1..1 ConditionTWPAS 有關病情、問題或診斷的詳細資訊 #xD; entry:observationBloodgroup S 0..1 BackboneElement 血型 #xD; resource S 1..1 ObservationBloodGroupTWPAS Measurements and simple assertions #xD; entry:allergyIntolerance S 0..* BackboneElement 過敏史 #xD; resource S 1..1 AllergyIntoleranceTWPAS 過敏或不耐症（通常指：對某種物質有不良反應的風險） #xD; entry:observationSubjective S 0..* BackboneElement 主觀描述(S) #xD; resource S 1..1 ObservationSubjectiveTWPAS Measurements and simple assertions #xD; entry:observationObjective S 0..* BackboneElement 客觀描述(O) #xD; resource S 1..1 ObservationObjectiveTWPAS Measurements and simple assertions #xD; entry:clinicalImpression S 0..* BackboneElement 評估(A) #xD; resource S 1..1 ClinicalImpressionTWPAS A clinical assessment performed when planning treatments and management strategies for a patient #xD; entry:carePlan S 0..* BackboneElement 計畫(P) #xD; resource S 1..1 CarePlanTWPAS Healthcare plan for patient or group #xD; Documentation for this format
此癌藥事前審查-Bundle TWPAS Profile說明本IG如何進一步定義資料交換基本單位(TW Core Bundle) Profile以呈現癌藥事前審查之內容
total.empty() or (type = 'searchset') or (type = 'history')
not(f:total) or (f:type/@value = 'searchset') or (f:type/@value = 'history')
entry.search.empty() or (type = 'searchset')
not(f:entry/f:search) or (f:type/@value = 'searchset')
entry.request mandatory for batch/transaction/history, otherwise prohibited
entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
not(f:entry/f:request) or (f:type/@value = 'batch') or (f:type/@value = 'transaction') or (f:type/@value = 'history')
entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited
entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
not(f:entry/f:response) or (f:type/@value = 'batch-response') or (f:type/@value = 'transaction-response') or (f:type/@value = 'history')
FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)
(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()
(f:type/@value = 'history') or (count(for $entry in f:entry[f:resource] return $entry[count(parent::f:Bundle/f:entry[f:fullUrl/@value=$entry/f:fullUrl/@value and ((not(f:resource/*/f:meta/f:versionId/@value) and not($entry/f:resource/*/f:meta/f:versionId/@value)) or f:resource/*/f:meta/f:versionId/@value=$entry/f:resource/*/f:meta/f:versionId/@value)])!=1])=0)
A document must have an identifier with a system and a value
type = 'document' implies (identifier.system.exists() and identifier.value.exists())
not(f:type/@value = 'document') or exists(f:identifier/f:system) or exists(f:identifier/f:value)
type = 'document' implies (timestamp.hasValue())
not(f:type/@value = 'document') or exists(f:timestamp/@value)
A document must have a Composition as the first resource
type = 'document' implies entry.first().resource.is(Composition)
not(f:type/@value='document') or f:entry[1]/f:resource/f:Composition
A message must have a MessageHeader as the first resource
type = 'message' implies entry.first().resource.is(MessageHeader)
not(f:type/@value='message') or f:entry[1]/f:resource/f:MessageHeader
若事前審查品項代碼(MedicationRequest.medicationCodeableConcept)為 KC009612B5，則給付適應症條件代碼(Claim.item.programCode.coding) 僅可為 C50P1(自113年12月擴增)、C50P2、C50R1 或 C16R1
Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC009612B5').exists() implies Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC009612B5').all(programCode.coding.code.matches('C50P1|C50P2|C50R1|C16R1'))
若事前審查品項代碼(MedicationRequest.medicationCodeableConcept)為 KC010892B5，則給付適應症條件代碼(Claim.item.programCode.coding) 僅可為 C50P1、C50P2、C50R1 或 C16R1
Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC010892B5').exists() implies Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC010892B5').all(programCode.coding.code.matches('C50P1|C50P2|C50R1|C16R1'))
若事前審查品項代碼(MedicationRequest.medicationCodeableConcept)為 KC011112DE，則給付適應症條件代碼(Claim.item.programCode.coding) 僅可為 C50P1、C50P2、C50R1 或 C16R1
Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC011112DE').exists() implies Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC011112DE').all(programCode.coding.code.matches('C50P1|C50P2|C50R1|C16R1'))
若事前審查品項代碼(MedicationRequest.medicationCodeableConcept)為 KC011162B5，則給付適應症條件代碼(Claim.item.programCode.coding) 僅可為 C50P1、C50P2、C50R1 或 C16R1
Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC011162B5').exists() implies Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC011162B5').all(programCode.coding.code.matches('C50P1|C50P2|C50R1|C16R1'))
若事前審查品項代碼(MedicationRequest.medicationCodeableConcept)為 KC011362B5，則給付適應症條件代碼(Claim.item.programCode.coding) 僅可為 C50P2、C50R1 或 C16R1
Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC011362B5').exists() implies Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC011362B5').all(programCode.coding.code.matches('C50P2|C50R1|C16R1'))
若事前審查品項代碼(MedicationRequest.medicationCodeableConcept)為 JC00154261，則給付適應症條件代碼(Claim.item.programCode.coding) 僅可為 C50P1、C50P2、C50R1 或 C16R1
Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'JC00154261').exists() implies Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'JC00154261').all(programCode.coding.code.matches('C50P1|C50P2|C50R1|C16R1'))
若事前審查品項代碼(MedicationRequest.medicationCodeableConcept)為 KC01013229，則給付適應症條件代碼(Claim.item.programCode.coding) 僅可為 P001、P011、P012、P031、P041、P061 或 P081
Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC01013229').exists() implies Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC01013229').all(programCode.coding.code.matches('P001|P011|P012|P031|P041|P061|P081'))
若事前審查品項代碼(MedicationRequest.medicationCodeableConcept)為 KC01013230，則給付適應症條件代碼(Claim.item.programCode.coding) 僅可為 P001、P011、P012、P031、P041、P052、P061、P081、P101 或 P111
Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC01013230').exists() implies Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC01013230').all(programCode.coding.code.matches('P001|P011|P012|P031|P041|P052|P061|P081|P101|P111'))
若事前審查品項代碼(MedicationRequest.medicationCodeableConcept)為 KC01025219，則給付適應症條件代碼(Claim.item.programCode.coding) 僅可為 P001、P031、P081、P011、P012、P013、P014、P041、P042、P082、P131 或 P141
Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC01025219').exists() implies Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC01025219').all(programCode.coding.code.matches('P001|P031|P081|P011|P012|P013|P014|P041|P042|P082|P131|P141'))
若事前審查品項代碼(MedicationRequest.medicationCodeableConcept)為 KC01050238，則給付適應症條件代碼(Claim.item.programCode.coding) 僅可為 P011、P012、P013、P021、P041、P042 或 P072
Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC01050238').exists() implies Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC01050238').all(programCode.coding.code.matches('P011|P012|P013|P021|P041|P042|P072'))
若事前審查品項代碼(MedicationRequest.medicationCodeableConcept)為 KC01088229，則給付適應症條件代碼(Claim.item.programCode.coding) 僅可為 P015、P021、P072 或 P121
Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC01088229').exists() implies Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC01088229').all(programCode.coding.code.matches('P015|P021|P072|P121'))
若事前審查品項代碼(MedicationRequest.medicationCodeableConcept)為 KC01085229，則給付適應症條件代碼(Claim.item.programCode.coding) 僅可為 P043 或 P091
Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC01085229').exists() implies Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC01085229').all(programCode.coding.code.matches('P043|P091'))
若事前審查品項代碼(MedicationRequest.medicationCodeableConcept)為 KC00958229，則給付適應症條件代碼(Claim.item.programCode.coding) 僅可為 P111
Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC00958229').exists() implies Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC00958229').all(programCode.coding.code.matches('P111'))
若事前審查品項代碼(MedicationRequest.medicationCodeableConcept)為 KC01258235，則給付適應症條件代碼(Claim.item.programCode.coding) 僅可為 P011、P012、P013、P021、P041、P042 或 P072
Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC01258235').exists() implies Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC01258235').all(programCode.coding.code.matches('P011|P012|P013|P021|P041|P042|P072'))
若事前審查品項代碼(MedicationRequest.medicationCodeableConcept)為 BC28160100，則給付適應症條件代碼(Claim.item.programCode.coding) 僅可為 C83N2、C88N3、C82N3 或 C91N1
Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'BC28160100').exists() implies Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'BC28160100').all(programCode.coding.code.matches('C83N2|C88N3|C82N3|C91N1'))
若事前審查品項代碼(MedicationRequest.medicationCodeableConcept)為 KC01242235，則給付適應症條件代碼(Claim.item.programCode.coding) 僅可為 P072
Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC01242235').exists() implies Bundle.entry.resource.item.where(extension.value.ofType(Reference).resolve().medication.coding.code = 'KC01242235').all(programCode.coding.code.matches('P072'))
(Bundle.entry.select((resource as Claim).priority.coding.code.matches('3'))) implies (Bundle.entry.select((resource as ClaimResponse).created).exists()) and (Bundle.entry.select((resource as ClaimResponse).item.adjudication.value).exists()) and (Bundle.entry.select((resource as ClaimResponse).item.adjudication.reason).exists()) and (Bundle.entry.select((resource as ClaimResponse).extension.where(url = 'https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-claimResponse-requestor')).exists())
(Bundle.entry.resource.ofType(Claim).priority.coding.where(code = '3').exists()) and (Bundle.entry.resource.ofType(Claim).diagnosis.diagnosis.ofType(CodeableConcept).coding.where(code.matches('^(C18|C19|C20|C21|C22|C33|C34|C50|C61)')).exists()) implies (Bundle.entry.resource.ofType(Claim).item.modifier.coding.where(system = 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-continuation-status').code.all($this = '2'))
ClinicalDocument, if bundle.type = document
不重複的ID用以識別儲存在特定FHIR Server中的Bundle紀錄，通常又稱為邏輯性ID。
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。
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。
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
Additional content defined by implementations
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.
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.
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
When the resource last changed - e.g. when the version changed.
This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http://hl7.org/fhir/R4/http.html#read) interaction.
Identifies where the resource comes from
A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
Profiles this resource claims to conform to
A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url).
It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Security Labels applied to this resource
Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
Security Labels from the Healthcare Privacy and Security Classification System.
Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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。
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。
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
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）。
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。
Bundle的永久識別碼，識別碼不會因為Bundle從一個伺服器複製到另一個伺服器而改變。。
永久的識別通常只對Document、Message和Collection的批次處理是重要。它通常不會被填入到searh和history的結果中，伺服器在處理batches和transactions時會忽略Bundle.identifier。但對於Documents的identifier **必須（SHALL）** 被填入，其為全球唯一的識別碼。
document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Bundle也可以用於其他目的（例如，document可以作為transaction被接受）。這主要是為了給某些Bundle類型制定特定的規則。
Bundle類型；應填入所綁定值集中的其中一個代碼。
緊急報備日期，YYYY-MM-DDTHH:MM:SS (需包含時區)；若本案件前已緊急報備過，本次為檢送完整資訊申請送件者，由機構將前次緊急報備時所填之申請日期，自填為緊急報備日期。
YYYY-MM-DDTHH:MM:SS (需包含時區)；若本案件前已緊急報備過，本次為檢送完整資訊申請送件者，由機構將前次緊急報備時所填之申請日期，自填為緊急報備日期。
如果有一組查詢結果相符，這個數字代表所有頁面中 type「match」條目的總數。這個總數不包括search.mode=「include」 或 「outcome」的查詢結果，也不表示Bundle內全部條目的數量。
Bundle.link和Bundle.entry.link的設計是為了在使用Bundle時（例如實現HATEOAS時）提供更多的上下文資訊。 如果entry中的resource是直接被讀取的，那麼Bundle.entry.link就對應於HTTP header中的連結。 雖然這個規範對於查詢和分頁有一些Bundle.link的特定使用方式，但對於Bundle.entry.link沒有特定的使用方式，也沒有在transaction過程中定義其功能 - 它的具體意義取決於實際的應用方式。
Extensions that cannot be ignored even if unrecognized
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).
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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
參見 [http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1](http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1)
詳細說明該連結功能用途的名稱 - 參見[http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1](http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1)
在bundle中的條目 - 將會有一個resource或資訊，這個重複的資料項目順序：對於type為「document」和「message」的bundles，第一個resource是特殊的（必須分別是Composition或MessageHeader）。對於所有bundles，條目順序的意義取決於bundle的type。
Bundle resource中的條目 - 將包含一個resource或是關於resource的資訊（僅限transactions和history）。
For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
must be a resource unless there's a request or response
resource.exists() or request.exists() or response.exists()
exists(f:resource) or exists(f:request) or exists(f:response)
fullUrl cannot be a version specific reference
not(exists(f:fullUrl[contains(string(@value), '/_history/')]))
為本條目提供情境背景的一系列連結。
Resource的 URI（絕對 URL 伺服器地址或 UUID/OID 的 URI）
resource的絕對URL。fullUrl **必須沒有(SHALL NOT)**與resource中的 id 不一致，也就是說如果 fullUrl 不是 urn:uuid，則 URL 應為與 Resource.id 一致的不分版本的URL。fullUrl 是對resource的不分版本參照。fullUrl 資料項目必須有一個值，但以下情況除外： 在 POST 時，fullUrl 可以為空（雖然在 bundle 中包含暫時 id 時，fullUrl 不需要為空） 操作結果可能涉及未被識別的resources。
fullUrl 在resource上下文中可能不是唯一的。請注意：由於 FHIR resource不需要透過 FHIR API 提供服務，因此 fullURL 可能是一個 URN 或絕對 URL，而不是以resource的邏輯 id（Resource.id）結尾。但是，如果 fullUrl 看起來確實像 RESTful 伺服器 URL（例如：符合正則表達式regex，則 fullUrl 的 「id」部分 **必須（SHALL）** 以 Resource.id 結尾。 請注意：fullUrl 與 canonical URL（正準URL） 並不相同，fullUrl是為resource提供服務的端點的絕對 URL（這些在為 resource 帶有 canonical URL 的 Canonical 伺服器上將具有相同的值）。
Bundle中的resource。resource的目的/含義由 Bundle.type 決定。
有關如何進行查詢才能創建此條目的解釋資訊。
此條目出現在結果集中的原因--是因為符合match要求還是因為 _include 要求，或者是為了傳達有關查詢過程的資訊或警告資訊。
Resource出現在Bundle中的原因；應填入所綁定值集中的其中一個代碼。
查詢時，該條目在伺服器上的查詢排名得分。
伺服器無需返回排名得分，1 表示最相關，0 表示最不相關。通常情況下，查詢結果按得分排序，但用戶可指定不同的排序順序。 請參閱「病人匹配（Patient Match）」以了解與此資料項目相關的 EMPI 查詢。請參閱[Patient Match]（http://hl7.org/fhir/R4/patient-operation-match.html），了解與此要素相關的 EMPI 查詢。
關於如何將條目作為transaction或batch的一部分進行處理的附加資訊。對於history，它顯示如何處理條目以創建條目中包含的版本。
GET | HEAD | POST | PUT | DELETE | PATCH
在 transaction 或 batch 中，這是此條目要執行的 HTTP 操作。在history Bundle中，這表示發生的 HTTP 操作。
應填入所綁定值集中的其中一個代碼。
此條目相對於根地址（請求發布的地址）的 URL。
例如：對於 病人創建（Patient Create），方法是 「POST」，URL 是 「Patient」。對於病人更新（Patient Update），方法是 「PUT」，URL 是 「Patient/[id]」。
如果 ETag 值匹配，則返回 304 未修改狀態（Not Modified）。請參閱「[有條件讀取（Conditional Read）]（http://hl7.org/fhir/R4/http.html#cread）」的 API 文件。
僅在最後更新日期匹配時執行操作。請參閱 「[有條件讀取（Conditional Read）]（http://hl7.org/fhir/R4/http.html#cread）」的 API 文件。
只有在 Etag 值匹配時才執行操作。有關詳細資訊，請參閱 API 部分 「[管理resource衝突]（http://hl7.org/fhir/R4/http.html#concurrency）」。
如果指定的resource已經存在，則指示伺服器不執行創建。有關詳細資訊，請參閱 「[有條件創建 （Conditional Creage）]（http://hl7.org/fhir/R4/http.html#ccreate）」的 API 文件。這只是 URL 的查詢部分，即「? 」後面的內容（不包括「?」）。
表表示 batch 或 transaction 中相應「請求」條目的處理結果，或返回history時的操作結果。
處理此條目時返回的狀態編碼。狀態 **必須（SHALL）** 以三位 HTTP 編碼（如 404）開頭，並可包含與狀態編碼相關的標準 HTTP 描述。
處理該操作時創建的位置表頭（location header），如果該操作返回位置，則填入該位地置表頭。
resource的 Etag，如果條目的操作產生了版本化resource（請參閱 「[Resource Metadata及版本化和管理resource衝突」]（http://hl7.org/fhir/R4/http.html#versioning））。
Etag 與 Resource.meta.versionId 匹配。如果包含resource，ETag 必須與表頭中的版本 ID 相匹配。
對於 POST/PUT 操作，這是 prefer = operationoutcome 將返回的等價結果，但無論是否返回結果，resource都會被返回。此結果不用於批次處理/異動處理中的錯誤響應，僅用於提示和警告。在批次處理操作中，錯誤將出現在 Bundle.entry.response 中，而在異動處理中，如果出現錯誤，將只有一個 OperationOutcome 而不是一個 bundle。
Claim, Pre-determination or Pre-authorization
A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement.
The Claim resource fulfills three information request requirements: Claim - a request for adjudication for reimbursement for products and/or services provided; Preauthorization - a request to authorize the future provision of products and/or services including an anticipated adjudication; and, Predetermination - a request for a non-bind adjudication of possible future products and/or services.
病人和健康照護服務提供者之間的互動，目的是提供健康照護服務或評估病人的健康狀況。
接受健康照護服務的個人或動物之資訊
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。
醫師(申請醫師／簽發影像報告醫師／簽發癌症分期報告醫師／檢查報告醫師／簽發檢驗(查)報告醫事人員／評估項目醫事人員)
對於所提供之健康照護或相關服務負有正式責任的人員
為實現某種形式的集體行動而形成的正式或非正式認可的一群人或機構的團體。包括公司、機構、企業、部門、社群團體、健康照護實務團體、付款人／保險公司等。
Organization(classCode=ORG, determinerCode=INST)
A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.
This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.
Observation[classCode=OBS, moodCode=EVN]
在單一檢查中產生的一組影像【一個或多個系列(series)的參照影像】
DICOM影像檢查中產生的內容。每項檢查包含若干系列(series)，每一系列只使用一種影像儀器（例如X光、電腦斷層掃描CT、核磁共振MR、超音波等），每個系列由在相同背景下獲得或製作的服務-物件對實例（Service-Object Pair Instances，簡稱SOP實例，包含影像或其他類型的資料）所組成。但一項檢查中可能包括多個使用不同影像儀器的系列。
Act[classCode=COMPOSITION, moodCode=EVN]
Reference IHE radiology TF vol 2 table 4.14-1
健康照護中獲取或使用的影像、影片或音檔，實際內容可能置於行內或透過直接參照提供。
Measurements and simple assertions made about a patient, device or other subject.
Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.
基因報告／治療計畫文件／檢驗(查)附件／病人狀態評估報告
這是對任何目的文件的參照。它提供了有關文件的metadata，以便能夠找到並管理此文件。文件的範圍包括任何具有MIME類型的序列物件(seralized object)，例如：以病人為中心的文件（CDA）、臨床註釋、掃描的紙張，以及非與病人有關的文件，像是政策文字表述。
通常，這用於除了由FHIR定義之外的文件。
Document[classCode="DOC" and moodCode="EVN"]
為病人或實體集合（例如：特定的一群人）開立的藥品請求
關於藥品供應和對病人用藥指導的醫令或請求。此resource被稱為 「MedicationRequest」，而不是 「MedicationPrescription 」或「MedicationOrder」，以便與在住院病人和門診病人的環境中通用，包括照護計畫等，並與工作流程模式相協調。
An action that is being or was performed on a patient
An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like long term services, counseling, or hypnotherapy.
A homogeneous material with a definite composition
fhir:Substance rdfs:subClassOf rim:Entity, [ a owl:Restriction; owl:onProperty rim:Act.classCode; owl:allValuesFrom cs:EntityClass\#MAT ].
Insurance or medical plan or a payment agreement
Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment.
The Coverage resource contains the insurance card level information, which is customary to provide on claims and other communications between providers and insurers.
Response to a claim predetermination or preauthorization
This resource provides the adjudication details from the processing of a Claim resource.
一個臨床病情、問題、診斷或其他事件、情況、或臨床概念，已上升到需要關注的程度。
< 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 272379006 |Event|)
Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]
過敏或不耐症（通常指：對某種物質有不良反應的風險）
可能對個人產生有害或不希望的生理反應的風險，這種反應是與暴露於某種物質相關的，並且對每個人來說都是獨特的。
物質包括但不限於：適合個人的劑量正確使用的治療性物質、食品、來自植物或動物的材質、或昆蟲叮咬所釋放的毒液。
A clinical assessment performed when planning treatments and management strategies for a patient
A record of a clinical assessment performed to determine what problem(s) may affect the patient and before planning the treatments or management strategies that are best to manage a patient's condition. Assessments are often 1:1 with a clinical consultation / encounter, but this varies greatly depending on the clinical workflow. This resource is called "ClinicalImpression" rather than "ClinicalAssessment" to avoid confusion with the recording of assessment tools such as Apgar score.
Describes the intention of how one or more practitioners intend to deliver care for a particular patient, group or community for a period of time, possibly limited to care for a specific condition or set of conditions.
簽章可以由bundle的「作者（author）」或是發起的設備所創建。關於是否要包含簽章、如何驗證簽章，以及如何處理已簽章與未簽章的bundle，這些要求會根據實作的環境而有所不同。
簽章（Signature）以 FHIR 可存取的形式保存簽章及其支持上下文的電子表述。簽章可以是加密類型（XML DigSig 或 JWS），能夠提供不可否認性證明，也可以是表示簽章或簽章過程的圖形化圖像。該資料項目允許截取 document、message、transation甚至search回應上的簽章，以支持內容驗證、不可否認性或其他業務情況。這主要適用於Bundle可能透過多節點傳輸或其他機制傳輸的情況，因為 HTTPS 的不可否認性是不夠的。