臺灣健保癌症用藥事前審查實作指引
1.0.8 - ci-build

臺灣健保癌症用藥事前審查實作指引, 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 1.0.8 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TWNHIFHIR/pas/ and changes regularly. See the Directory of published versions

Resource Profile: DocumentReferenceTWPAS - Detailed Descriptions

Active as of 2025-09-04

Definitions for the DocumentReference-twpas resource profile.

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

0. DocumentReference
Definition

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。


A reference to a document of any kind for any purpose. Provides metadata about the document so that the document can be discovered and managed. The scope of a document is any seralized object with a mime-type, so includes formal patient centric documents (CDA), cliical notes, scanned paper, and non-patient specific documents like policy text.

Short文件的參照A reference to a document
Comments

通常,這用於除了由FHIR定義之外的文件。


Usually, this is used for documents other than those defined by FHIR.

Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-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())
report-title: 若category為「治療計畫文件(#careplan)」,請擇一填寫:「免疫檢查點抑制劑治療計畫/CAR-T多團隊會議紀錄/造血幹細胞移植計畫書」 (((category.coding.exists(code='careplan')) implies (content.attachment.title = '免疫檢查點抑制劑治療計畫' or content.attachment.title = 'CAR-T多團隊會議紀錄' or content.attachment.title = '造血幹細胞移植計畫書')))
2. DocumentReference.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。


The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Short此DocumentReference Resource的metadataMetadata about the resource
Control10..1
TypeMeta
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. DocumentReference.meta.profile
Definition

A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.


A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

ShortProfiles this resource claims to conform to
Comments

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.

Control10..1*
Typecanonical(StructureDefinition)
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Pattern Valuehttps://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. DocumentReference.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.

Control0..1
Typeuri
Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. DocumentReference.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).

ShortExtensions 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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
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 Namesextensions, user content
Invariantsele-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. DocumentReference.masterIdentifier
Definition

這個文件的唯一識別碼是由提供該文件的來源所賦予的。這個識別碼僅適用於該文件的特定版本。這個獨特的識別碼也可能在其他情況下用於辨認這一版本的文件


Document identifier as assigned by the source of the document. This identifier is specific to this version of the document. This unique identifier may be used elsewhere to identify this version of the document.

Short主版本的識別碼Master Version Specific Identifier
Comments

CDA 文件 Id extension及root


CDA Document Id extension and root.

Control0..1
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

這個 Id 的結構和格式應與對應於 formatCode 屬性的規範一致。例如:對於 DICOM 標準文件,為64字元數字 UID;對於 HL7 CDA 格式,則為 CDA Document Id extension和 root 的序列化,格式為「oid^extension」,其中 OID 最多64位數字,Id 最多16位 UTF-8 字元。如果 OID 是不帶extension的編碼,則不應包含「^」字元。


The structure and format of this Id shall be consistent with the specification corresponding to the formatCode attribute. (e.g. for a DICOM standard document a 64-character numeric UID, for an HL7 CDA format a serialization of the CDA Document Id extension and root in the form "oid^extension", where OID is a 64 digits max, and the Id is a 16 UTF-8 char max. If the OID is coded without the extension then the '^' character shall not be included.).

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. DocumentReference.status
Definition

此文件參照的狀態


The status of this document reference.

Shortcurrent | superseded | entered-in-error
Comments

DocumentReference 物件的狀態,可能與 docStatus 資料項目無關,兩者可以是獨立設定。 此資料項目被標記為修飾用(modifier),因為狀態包含標記 resource 為當前無效的代碼。


This is the status of the DocumentReference object, which might be independent from the docStatus element.

This element is labeled as a modifier because the status contains the codes that mark the document or reference as not currently valid.

Control1..1
BindingThe codes SHALL be taken from DocumentReferenceStatushttp://hl7.org/fhir/ValueSet/document-reference-status|4.0.1
(required to http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1)

文件參照的狀態;應填入所綁定值集中的其中一個代碼。


The status of the document reference.

Typecode
Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Pattern Valuecurrent
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. DocumentReference.type
Definition

被參照文件的具體類型,例如是關於病人的病史和體檢報告、出院摘要、病程摘要等。這樣的類型通常與文件被創建和使用的目的是一致的。


Specifies the particular kind of document referenced (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the document referenced.

Short文件的類型(如果可能,使用 LOINC 代碼)Kind of document (LOINC if possible)
Comments

關鍵metadata描述了文件的確切類型,有助於人們在查看文件清單時判斷該文件是否感興趣。


Key metadata element describing the document that describes he exact type of document. Helps humans to assess whether the document is of interest when viewing a list of documents.

Control0..1
This element is affected by the following invariants: ele-1
BindingUnless not suitable, these codes SHALL be taken from The codes SHOULD be taken from LOINC Code Document Type值集http://hl7.org/fhir/ValueSet/c80-doc-typecodes
(extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-type-doc-code)

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。


Precise type of clinical document.

TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. DocumentReference.category
Definition

文件的一個分類標準,用於幫助對文件進行索引和查詢。這個分類可能直接基於或是由 DocumentReference.type 指定的代碼來確定。


A categorization for the type of document referenced - helps for indexing and searching. This may be implied by or derived from the code specified in the DocumentReference.type.

Short文件的類別Categorization of document
Comments

關鍵metadata描述文件的大類或類型。這種分類是基於文件可能的用途或功能,將具有相似用途的文件劃分為同一組。在進行文件查詢時,這個分類作為一個主要的查詢條件。


Key metadata element describing the the category or classification of the document. This is a broader perspective that groups similar documents based on how they would be used. This is a primary key used in searching.

Control10..1*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For example codes, see NHI-健保事前審查-文件類型值集http://hl7.org/fhir/ValueSet/document-classcodes
(required to https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-pdf-type)
TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Must Supporttrue
Alternate Namesclaxs
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. DocumentReference.category.coding
Definition

由專門術語系統(terminology system)所定義之代碼的參照


A reference to a code defined by a terminology system.

Short由專門術語系統(terminology system)定義的代碼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.

Control10..1*
This element is affected by the following invariants: ele-1
TypeCoding(TW Coding)
Is Modifierfalse
Must Supporttrue
Requirements

允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


Allows for alternative encodings within a code system, and translations to other code systems.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. DocumentReference.category.coding.system
Definition

定義代碼中符號意義的代碼系統識別


The identification of the code system that defines the meaning of the symbol in the code.

Short專門術語系統(terminology system)的識別Identity of the terminology system
Comments

URI可以是一個OID(urn:oid:...)或一個UUID(urn:uuid:...);OID和UUID 必須(SHALL) 參照HL7 OID註冊中心;否則,URI應該來自HL7的FHIR定義的特殊URI列表,或者它應該參照一些明確建立的系统定義。


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.

Control0..1
Typeuri
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

需要明確說明符號定義的來源


Need to be unambiguous about the source of the definition of the symbol.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. DocumentReference.category.coding.code
Definition

系統定義的語法之符號;符號可能是一個預先定義的代碼,也可能是代碼系統定義的語法中的表達式(如後組合配對/後組合式)。


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系統定義的語法之符號Symbol in syntax defined by the system
Control10..1
Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

需要參照系統中的一個特定代碼


Need to refer to a particular code in the system.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. DocumentReference.category.coding.display
Definition

遵循系統的規則以呈現代碼含義的表示法


A representation of the meaning of the code in the system, following the rules of the system.

Short由系統定義的表示法Representation defined by the system
Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

需要能為不了解此系統的讀者呈現可讀的代碼含義


Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. DocumentReference.category.text
Definition

輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。


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概念的文字表示法Plain text representation of the concept
Comments

很多時候,此文字表述與其中一個代碼的顯示名稱相同。


Very often the text is the same as a displayName of one of the codings.

Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。


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.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. DocumentReference.subject
Definition

文件可能涉及的對象範圍。這意味著文件可能描述的是一個人(例如病人或健康照護服務提供者)、一個設備(比如某種醫療機構),或者是一組特定的對象,比如一群農場動物或者一批有著相同健康風險的病人。


Who or what the document is about. The document can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of farm animals, or a set of patients that share a common exposure).

Short文件描述的對象是誰/是什麼?Who/what is the subject of the document
Control10..1
TypeReference(病人資訊-Patient TWPAS, Patient, Practitioner, Group, Device)
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. DocumentReference.date
Definition

文件參照的創建時間是何時?


When the document reference was created.

Short文件參照的創建時間是何時?When this document reference was created
Comments

文件的參照或索引時間被用於來追蹤文件的歷史、組織不同的版本及需要時查詢特定文件。


Referencing/indexing time is used for tracking, organizing versions and searching.

Control0..1
Typeinstant
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Alternate Namesindexed
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. DocumentReference.author
Definition

識別誰負責將資訊添加到文件中


Identifies who is responsible for adding the information to the document.

Short誰以及/或什麼創建了文件Who and/or what authored the document
Comments

未必是輸入資料的人(例如:打字員),也不必是提供資訊的人(例如:資訊提供者)。


Not necessarily who did the actual data entry (i.e. typist) or who was the source (informant).

Control0..*
TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, Device, TW Core Patient, TW Core RelatedPerson, Practitioner, PractitionerRole, Organization, Patient, RelatedPerson)
Is Modifierfalse
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. DocumentReference.content
Definition

參照的文件和格式。可能存在多個content資料項目,每個資料項目都有不同的格式。


The document and format referenced. There may be multiple content element repetitions, each with a different format.

Short被參照的文件Document referenced
Control1..*
TypeBackboneElement
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. DocumentReference.content.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).

ShortExtensions 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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
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 Namesextensions, user content, modifiers
Invariantsele-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())
38. DocumentReference.content.attachment
Definition

文件或文件的URL以及證明內容具有完整性的關鍵metadata


The document or URL of the document along with critical metadata to prove content has integrity.

Short存取文件的位置Where to access the document
Control1..1
TypeAttachment
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
UploadContent: 填寫格式:file://檔名.副檔名,例如:file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf (url.matches('^file://[a-zA-Z0-9_一-龥()()-]+.[a-zA-Z]{2,5}$'))
40. DocumentReference.content.attachment.contentType
Definition

Identifies the type of the data in the attachment and allows a method to be chosen to interpret or render the data. Includes mime type parameters such as charset where appropriate.

Short報告結果-MIMETypeMime type of the content, with charset etc.
Control10..1
BindingThe codes SHALL be taken from Mime Typeshttp://hl7.org/fhir/ValueSet/mimetypes|4.0.1
(required to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1)

The mime type of an attachment. Any valid mime type is allowed.

Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

Processors of the data need to be able to know how to interpret the data.

Pattern Valueapplication/pdf
ExampleGeneral: text/plain; charset=UTF-8, image/png
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. DocumentReference.content.attachment.url
Definition

A location where the data can be accessed.

Short基因報告/治療計畫文件/檢驗(查)附件/病歷資料。(請填寫完整檔案路徑)Uri where the data can be found
Comments

If both data and url are provided, the url SHALL point to the same content as the data contains. Urls may be relative references or may reference transient locations such as a wrapping envelope using cid: though this has ramifications for using signatures. Relative URLs are interpreted relative to the service url, like a resource reference, rather than relative to the resource itself. If a URL is provided, it SHALL resolve to actual data.

Control10..1
Typeurl
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

The data needs to be transmitted by reference.

ExampleGeneral: http://www.acme.com/logo-small.png
General: file://PathologyReport01.pdf
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. DocumentReference.content.attachment.title
Definition

A label or set of text to display in place of the data.

Short基因報告名稱/治療計畫文件名稱/檢驗(查)附件名稱/病歷資料名稱。若category為「治療計畫文件(#careplan)」,請擇一填寫:「免疫檢查點抑制劑治療計畫/CAR-T多團隊會議紀錄/造血幹細胞移植計畫書」。Label to display in place of the data
Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

Applications need a label to display to a human user in place of the actual data if the data cannot be rendered or perceived by the viewer.

ExampleGeneral: Official Corporate Logo
Invariantsele-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. DocumentReference
Invariantsreport-title: 若category為「治療計畫文件(#careplan)」,請擇一填寫:「免疫檢查點抑制劑治療計畫/CAR-T多團隊會議紀錄/造血幹細胞移植計畫書」 (((category.coding.exists(code='careplan')) implies (content.attachment.title = '免疫檢查點抑制劑治療計畫' or content.attachment.title = 'CAR-T多團隊會議紀錄' or content.attachment.title = '造血幹細胞移植計畫書')))
2. DocumentReference.meta
Control1..?
4. DocumentReference.meta.profile
Control1..1
Pattern Valuehttps://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas
6. DocumentReference.status
Pattern Valuecurrent
8. DocumentReference.category
Control1..1
BindingThe codes SHALL be taken from NHI-健保事前審查-文件類型值集
(required to https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-pdf-type)
10. DocumentReference.category.coding
Control1..1
12. DocumentReference.category.coding.code
Control1..?
14. DocumentReference.subject
TypeReference(病人資訊-Patient TWPAS)
16. DocumentReference.content
18. DocumentReference.content.attachment
Must Supporttrue
InvariantsUploadContent: 填寫格式:file://檔名.副檔名,例如:file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf (url.matches('^file://[a-zA-Z0-9_一-龥()()-]+.[a-zA-Z]{2,5}$'))
20. DocumentReference.content.attachment.contentType
Short報告結果-MIMEType
Control1..?
Must Supporttrue
Pattern Valueapplication/pdf
22. DocumentReference.content.attachment.url
Short基因報告/治療計畫文件/檢驗(查)附件/病歷資料。(請填寫完整檔案路徑)
Control1..?
Must Supporttrue
ExampleGeneral: file://PathologyReport01.pdf
24. DocumentReference.content.attachment.title
Short基因報告名稱/治療計畫文件名稱/檢驗(查)附件名稱/病歷資料名稱。若category為「治療計畫文件(#careplan)」,請擇一填寫:「免疫檢查點抑制劑治療計畫/CAR-T多團隊會議紀錄/造血幹細胞移植計畫書」。
Must Supporttrue

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

0. DocumentReference
Definition

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。

Short文件的參照
Comments

通常,這用於除了由FHIR定義之外的文件。

Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-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())
report-title: 若category為「治療計畫文件(#careplan)」,請擇一填寫:「免疫檢查點抑制劑治療計畫/CAR-T多團隊會議紀錄/造血幹細胞移植計畫書」 (((category.coding.exists(code='careplan')) implies (content.attachment.title = '免疫檢查點抑制劑治療計畫' or content.attachment.title = 'CAR-T多團隊會議紀錄' or content.attachment.title = '造血幹細胞移植計畫書')))
2. DocumentReference.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DocumentReference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。

Control0..1
Typeid
Is Modifierfalse
Summarytrue
4. DocumentReference.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DocumentReference Resource的metadata
Control1..1
TypeMeta
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. DocumentReference.meta.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
8. DocumentReference.meta.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.

ShortAdditional 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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-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())
SlicingThis element introduces a set of slices on DocumentReference.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 10. DocumentReference.meta.versionId
    Definition

    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.

    ShortVersion specific identifier
    Comments

    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.

    Control0..1
    Typeid
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    12. DocumentReference.meta.lastUpdated
    Definition

    When the resource last changed - e.g. when the version changed.

    ShortWhen the resource version last changed
    Comments

    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 interaction.

    Control0..1
    Typeinstant
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    14. DocumentReference.meta.source
    Definition

    A uri that identifies the source system of the resource. This provides a minimal amount of Provenance 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.

    ShortIdentifies where the resource comes from
    Comments

    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.

    Control0..1
    Typeuri
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. DocumentReference.meta.profile
    Definition

    A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

    ShortProfiles this resource claims to conform to
    Comments

    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.

    Control1..1
    Typecanonical(StructureDefinition)
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Pattern Valuehttps://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    18. DocumentReference.meta.security
    Definition

    Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

    ShortSecurity Labels applied to this resource
    Comments

    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.

    Control0..*
    BindingUnless not suitable, these codes SHALL be taken from All Security Labels
    (extensible to http://hl7.org/fhir/ValueSet/security-labels)

    Security Labels from the Healthcare Privacy and Security Classification System.

    TypeCoding
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. DocumentReference.meta.tag
    Definition

    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.

    ShortTags applied to this resource
    Comments

    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.

    Control0..*
    BindingFor example codes, see CommonTags
    (example to http://hl7.org/fhir/ValueSet/common-tags)

    Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

    TypeCoding
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. DocumentReference.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。

    Control0..1
    Typeuri
    Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. DocumentReference.language
    Definition

    編寫此resource的語言

    Short用以表述DocumentReference 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)。

    Control0..1
    BindingThe 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 BindingsPurpose
    AllLanguagesMax Binding
    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    ExampleValue: zh-TW
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    26. DocumentReference.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。

    ShortDocumentReference 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。

    Control0..1
    TypeNarrative
    Is Modifierfalse
    Summaryfalse
    Alternate Namesnarrative, html, xhtml, display
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    28. DocumentReference.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.

    ShortContained, 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.

    Control0..*
    TypeResource
    Is Modifierfalse
    Summaryfalse
    Alternate Namesinline resources, anonymous resources, contained resources
    30. DocumentReference.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the resource. 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.

    ShortAdditional 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.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-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())
    32. DocumentReference.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).

    ShortExtensions 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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Summaryfalse
    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 Namesextensions, user content
    Invariantsele-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())
    34. DocumentReference.masterIdentifier
    Definition

    這個文件的唯一識別碼是由提供該文件的來源所賦予的。這個識別碼僅適用於該文件的特定版本。這個獨特的識別碼也可能在其他情況下用於辨認這一版本的文件

    Short主版本的識別碼
    Comments

    CDA 文件 Id extension及root

    Control0..1
    TypeIdentifier
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

    這個 Id 的結構和格式應與對應於 formatCode 屬性的規範一致。例如:對於 DICOM 標準文件,為64字元數字 UID;對於 HL7 CDA 格式,則為 CDA Document Id extension和 root 的序列化,格式為「oid^extension」,其中 OID 最多64位數字,Id 最多16位 UTF-8 字元。如果 OID 是不帶extension的編碼,則不應包含「^」字元。

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    36. DocumentReference.identifier
    Definition

    與文件相關的其他識別碼,包括不分版本的識別碼。

    Short文件的其他的識別碼
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..*
    TypeIdentifier
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    38. DocumentReference.status
    Definition

    此文件參照的狀態

    Shortcurrent | superseded | entered-in-error
    Comments

    DocumentReference 物件的狀態,可能與 docStatus 資料項目無關,兩者可以是獨立設定。 此資料項目被標記為修飾用(modifier),因為狀態包含標記 resource 為當前無效的代碼。

    Control1..1
    BindingThe codes SHALL be taken from DocumentReferenceStatus
    (required to http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1)

    文件參照的狀態;應填入所綁定值集中的其中一個代碼。

    Typecode
    Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Pattern Valuecurrent
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    40. DocumentReference.docStatus
    Definition

    基礎文件的狀態

    Shortpreliminary | final | amended | entered-in-error
    Comments

    被參照的文件可能會處在不同的階段或狀態中,例如初稿、完稿等不同的生命週期階段。

    Control0..1
    BindingThe codes SHALL be taken from CompositionStatus
    (required to http://hl7.org/fhir/ValueSet/composition-status|4.0.1)

    基礎文件的狀態;應填入所綁定值集中的其中一個代碼。

    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    42. DocumentReference.type
    Definition

    被參照文件的具體類型,例如是關於病人的病史和體檢報告、出院摘要、病程摘要等。這樣的類型通常與文件被創建和使用的目的是一致的。

    Short文件的類型(如果可能,使用 LOINC 代碼)
    Comments

    關鍵metadata描述了文件的確切類型,有助於人們在查看文件清單時判斷該文件是否感興趣。

    Control0..1
    This element is affected by the following invariants: ele-1
    BindingUnless not suitable, these codes SHALL be taken from LOINC Code Document Type值集
    (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-type-doc-code)

    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。

    TypeCodeableConcept(TW CodeableConcept)
    Is Modifierfalse
    Must Supporttrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    44. DocumentReference.category
    Definition

    文件的一個分類標準,用於幫助對文件進行索引和查詢。這個分類可能直接基於或是由 DocumentReference.type 指定的代碼來確定。

    Short文件的類別
    Comments

    關鍵metadata描述文件的大類或類型。這種分類是基於文件可能的用途或功能,將具有相似用途的文件劃分為同一組。在進行文件查詢時,這個分類作為一個主要的查詢條件。

    Control1..1
    This element is affected by the following invariants: ele-1
    BindingThe codes SHALL be taken from NHI-健保事前審查-文件類型值集
    (required to https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-pdf-type)
    TypeCodeableConcept(TW CodeableConcept)
    Is Modifierfalse
    Must Supporttrue
    Alternate Namesclaxs
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    46. DocumentReference.category.id
    Definition

    resource中資料項目的唯一ID(用於內部參照)。這可以是任何不含空格的字串。

    Short唯一可識別ID,以供資料項目間相互參照。
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    48. DocumentReference.category.extension
    Definition

    擴充的資料項目

    Short擴充的資料項目
    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Invariantsele-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())
    SlicingThis element introduces a set of slices on DocumentReference.category.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 50. DocumentReference.category.coding
      Definition

      由專門術語系統(terminology system)所定義之代碼的參照

      Short由專門術語系統(terminology system)定義的代碼
      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。

      Control1..1
      This element is affected by the following invariants: ele-1
      TypeCoding(TW Coding)
      Is Modifierfalse
      Must Supporttrue
      Requirements

      允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      52. DocumentReference.category.coding.id
      Definition

      resource中資料項目的唯一ID(用於內部參照),這可以是任何不含空格的字串。

      Short唯一可識別ID,以供資料項目間相互參照。
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      54. DocumentReference.category.coding.extension
      Definition

      可用於表示不屬於此資料項目基本定義的附加資訊。為了擴充的使用安全和可管理,對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充,但作為擴充定義的一部分,有一套要求 必須(SHALL) 滿足。

      Short擴充的資料項目
      Comments

      無論使用或定義擴充的機構或管轄區,任何應用程式、專案或標準使用擴充都不背負任何污名(stigma)。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Invariantsele-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())
      SlicingThis element introduces a set of slices on DocumentReference.category.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 56. DocumentReference.category.coding.system
        Definition

        定義代碼中符號意義的代碼系統識別

        Short專門術語系統(terminology system)的識別
        Comments

        URI可以是一個OID(urn:oid:...)或一個UUID(urn:uuid:...);OID和UUID 必須(SHALL) 參照HL7 OID註冊中心;否則,URI應該來自HL7的FHIR定義的特殊URI列表,或者它應該參照一些明確建立的系统定義。

        Control0..1
        Typeuri
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Requirements

        需要明確說明符號定義的來源

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        58. DocumentReference.category.coding.version
        Definition

        選擇此代碼時使用的代碼系統版本;請注意,一個維護良好的代碼系統不需要版本報告,因為代碼的意義在不同系統版本中是一致的;然而,不能始終保證這點,當不能保證意義一致時, 必須(SHALL) 將版本資訊也一併作交換。

        Short系統的版本—如果相關的話
        Comments

        如果專門術語沒有明確定義應該使用什麼字串來識別代碼系統的版本,建議使用版本正式發布的日期(用FHIR日期格式表示)作為版本日期。

        NoteThis is a business version Id, not a resource version Id (see discussion)
        Control0..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        60. DocumentReference.category.coding.code
        Definition

        系統定義的語法之符號;符號可能是一個預先定義的代碼,也可能是代碼系統定義的語法中的表達式(如後組合配對/後組合式)。

        Short系統定義的語法之符號
        Control1..1
        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Requirements

        需要參照系統中的一個特定代碼

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        62. DocumentReference.category.coding.display
        Definition

        遵循系統的規則以呈現代碼含義的表示法

        Short由系統定義的表示法
        Control0..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Requirements

        需要能為不了解此系統的讀者呈現可讀的代碼含義

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        64. DocumentReference.category.coding.userSelected
        Definition

        表明此編碼是由使用者直接選擇,例如:從可用項目(代碼或顯示名稱)的清單中選擇。

        Short此編碼是否由使用者直接選擇?
        Comments

        在一系列備選方案中,直接選擇的代碼是新翻譯最合適的起點;關於「直接選擇」的確切意義,存在模糊不清之處,可能需要貿易夥伴的同意,以更完整澄清此資料項目的使用及其後果。

        Control0..1
        Typeboolean
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        已被確定為一個臨床安全準則—此確切的系統/代碼對(code pair)是被明確選擇的,而不是由系統根據一些規則或是程式語言處理判斷。

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        66. DocumentReference.category.text
        Definition

        輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。

        Short概念的文字表示法
        Comments

        很多時候,此文字表述與其中一個代碼的顯示名稱相同。

        Control0..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Requirements

        專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        68. DocumentReference.subject
        Definition

        文件可能涉及的對象範圍。這意味著文件可能描述的是一個人(例如病人或健康照護服務提供者)、一個設備(比如某種醫療機構),或者是一組特定的對象,比如一群農場動物或者一批有著相同健康風險的病人。

        Short文件描述的對象是誰/是什麼?
        Control1..1
        TypeReference(病人資訊-Patient TWPAS)
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        70. DocumentReference.date
        Definition

        文件參照的創建時間是何時?

        Short文件參照的創建時間是何時?
        Comments

        文件的參照或索引時間被用於來追蹤文件的歷史、組織不同的版本及需要時查詢特定文件。

        Control0..1
        Typeinstant
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Alternate Namesindexed
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        72. DocumentReference.author
        Definition

        識別誰負責將資訊添加到文件中

        Short誰以及/或什麼創建了文件
        Comments

        未必是輸入資料的人(例如:打字員),也不必是提供資訊的人(例如:資訊提供者)。

        Control0..*
        TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, Device, TW Core Patient, TW Core RelatedPerson)
        Is Modifierfalse
        Must Supporttrue
        Must Support TypesNo must-support rules about the choice of types/profiles
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        74. DocumentReference.authenticator
        Definition

        哪個人或機構認證這份文件是有效的

        Short誰/什麼對文件進行了認證
        Comments

        代表在作者機構內,一位已經合法認證或證實文件的參與者。合法認證意味著一份文件已經被法律認證人手動或電子簽章。

        Control0..1
        TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization)
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        76. DocumentReference.custodian
        Definition

        負責文件持續維護和存取的機構或團體

        Short維護此文件的機構
        Comments

        為了找到文件的最新版本或是報告問題等,需要知道哪個組織(可能是某個軟體系統、供應商或部門)負責。這與文件實際存儲的實體位置(如網路地址、硬碟或伺服器)是不同的。實體位置指的是文件存放的地方,這個位置可能被授權給其他組織來進行管理。簡單來說,就是指明負責文件更新和問題反饋的機構,和文件存放位置之間的區別。

        Control0..1
        TypeReference(TW Core Organization)
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        78. DocumentReference.relatesTo
        Definition

        此文件與已經存在的其他文件參照之間的關係

        Short與其他文件的關係
        Comments

        這個資料項目被標記為修飾用(modifier),因為附加到其他文件上的文件本身是不完整的。

        Control0..*
        TypeBackboneElement
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        80. DocumentReference.relatesTo.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        82. DocumentReference.relatesTo.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.

        ShortAdditional 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.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-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())
        84. DocumentReference.relatesTo.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).

        ShortExtensions 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.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        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 Namesextensions, user content, modifiers
        Invariantsele-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())
        86. DocumentReference.relatesTo.code
        Definition

        此文件與另一文件的關係類型

        Shortreplaces | transforms | signs | appends
        Comments

        如果此文件是對另一份文件進行附加,那麼不存取被參照的文件,此文件就無法被完全理解。

        Control1..1
        BindingThe codes SHALL be taken from DocumentRelationshipType
        (required to http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1)

        文件之間的關係類型;應填入所綁定值集中的其中一個代碼。

        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        88. DocumentReference.relatesTo.target
        Definition

        存在此關係的目標文件

        Short存在此關係的目標文件
        Control1..1
        TypeReference(TW Core DocumentReference)
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        90. DocumentReference.description
        Definition

        來源文件的人可讀描述

        Short人可讀的描述。
        Comments

        文件的內容簡介,提供了一個關於文件主要內容的簡明扼要的總結。

        Control0..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        有助於人們判斷文件是否具有興趣價值

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        92. DocumentReference.securityLabel
        Definition

        在文件的參照資訊中,會使用一系列的安全標籤代碼來指明該文件的隱私和安全等級。其中,DocumentReference.meta.security 用來表示參照這份文件本身的安全標籤,也就是說明參照資訊的安全等級;而 DocumentReference.securityLabel 則展示了被參照文件在那一刻的安全標籤狀態,即原始文件的安全等級。簡單來說,就是有兩種標籤,一種用於標示參照的安全性,另一種用於顯示原文件的安全性。

        Short文件的安全標籤(security-tags)
        Comments

        一種用於文件共享環境中的安全性和隱私標籤系統,即HL7醫療隱私和安全分類系統(HCS)。這套系統包括多種與文件保密性、敏感度、資料完整性和特定處理要求相關的標籤或代碼,這些代碼有的是通用的,有的則可能是特定於某一機構或項目的。雖然這套系統被推薦使用於如XDS Affinity Domain這樣的政策領域中,但具體是否採用,以及如何採用,則取決於該領域的管理政策和規範。簡言之,這是一套幫助確定文件如何被標記和處理的標籤系統,但使用與否由各自的政策領域決定。

        Control0..*
        This element is affected by the following invariants: ele-1
        BindingUnless not suitable, these codes SHALL be taken from All Security Labels
        (extensible to http://hl7.org/fhir/ValueSet/security-labels)

        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。

        TypeCodeableConcept(TW CodeableConcept)
        Is Modifierfalse
        Requirements

        Use of the Health Care Privacy/Security Classification (HCS) system of security-tag use is recommended.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        94. DocumentReference.content
        Definition

        參照的文件和格式。可能存在多個content資料項目,每個資料項目都有不同的格式。

        Short被參照的文件
        Control1..*
        TypeBackboneElement
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        96. DocumentReference.content.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        98. DocumentReference.content.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.

        ShortAdditional 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.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-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())
        100. DocumentReference.content.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).

        ShortExtensions 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.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        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 Namesextensions, user content, modifiers
        Invariantsele-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())
        102. DocumentReference.content.attachment
        Definition

        文件或文件的URL以及證明內容具有完整性的關鍵metadata

        Short存取文件的位置
        Control1..1
        TypeAttachment
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        UploadContent: 填寫格式:file://檔名.副檔名,例如:file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf (url.matches('^file://[a-zA-Z0-9_一-龥()()-]+.[a-zA-Z]{2,5}$'))
        104. DocumentReference.content.attachment.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        106. DocumentReference.content.attachment.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.

        ShortAdditional 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.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-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())
        SlicingThis element introduces a set of slices on DocumentReference.content.attachment.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 108. DocumentReference.content.attachment.contentType
          Definition

          Identifies the type of the data in the attachment and allows a method to be chosen to interpret or render the data. Includes mime type parameters such as charset where appropriate.

          Short報告結果-MIMEType
          Control1..1
          BindingThe codes SHALL be taken from Mime Types
          (required to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1)

          The mime type of an attachment. Any valid mime type is allowed.

          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Processors of the data need to be able to know how to interpret the data.

          Pattern Valueapplication/pdf
          ExampleGeneral: text/plain; charset=UTF-8, image/png
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          110. DocumentReference.content.attachment.language
          Definition

          The human language of the content. The value can be any valid value according to BCP 47.

          ShortHuman language of the content (BCP-47)
          Control0..1
          BindingThe codes SHOULD be taken from CommonLanguages
          (preferred to http://hl7.org/fhir/ValueSet/languages)

          A human language.

          Additional BindingsPurpose
          AllLanguagesMax Binding
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Users need to be able to choose between the languages in a set of attachments.

          ExampleGeneral: en-AU
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          112. DocumentReference.content.attachment.data
          Definition

          The actual data of the attachment - a sequence of bytes, base64 encoded.

          ShortData inline, base64ed
          Comments

          The base64-encoded data SHALL be expressed in the same character set as the base resource XML or JSON.

          Control0..1
          Typebase64Binary
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Requirements

          The data needs to able to be transmitted inline.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          114. DocumentReference.content.attachment.url
          Definition

          A location where the data can be accessed.

          Short基因報告/治療計畫文件/檢驗(查)附件/病歷資料。(請填寫完整檔案路徑)
          Comments

          If both data and url are provided, the url SHALL point to the same content as the data contains. Urls may be relative references or may reference transient locations such as a wrapping envelope using cid: though this has ramifications for using signatures. Relative URLs are interpreted relative to the service url, like a resource reference, rather than relative to the resource itself. If a URL is provided, it SHALL resolve to actual data.

          Control1..1
          Typeurl
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          The data needs to be transmitted by reference.

          ExampleGeneral: http://www.acme.com/logo-small.png
          General: file://PathologyReport01.pdf
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          116. DocumentReference.content.attachment.size
          Definition

          The number of bytes of data that make up this attachment (before base64 encoding, if that is done).

          ShortNumber of bytes of content (if url provided)
          Comments

          The number of bytes is redundant if the data is provided as a base64binary, but is useful if the data is provided as a url reference.

          Control0..1
          TypeunsignedInt
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Representing the size allows applications to determine whether they should fetch the content automatically in advance, or refuse to fetch it at all.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          118. DocumentReference.content.attachment.hash
          Definition

          The calculated hash of the data using SHA-1. Represented using base64.

          ShortHash of the data (sha-1, base64ed)
          Comments

          The hash is calculated on the data prior to base64 encoding, if the data is based64 encoded. The hash is not intended to support digital signatures. Where protection against malicious threats a digital signature should be considered, see Provenance.signature for mechanism to protect a resource with a digital signature.

          Control0..1
          Typebase64Binary
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Included so that applications can verify that the contents of a location have not changed due to technical failures (e.g., storage rot, transport glitch, incorrect version).

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          120. DocumentReference.content.attachment.title
          Definition

          A label or set of text to display in place of the data.

          Short基因報告名稱/治療計畫文件名稱/檢驗(查)附件名稱/病歷資料名稱。若category為「治療計畫文件(#careplan)」,請擇一填寫:「免疫檢查點抑制劑治療計畫/CAR-T多團隊會議紀錄/造血幹細胞移植計畫書」。
          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Applications need a label to display to a human user in place of the actual data if the data cannot be rendered or perceived by the viewer.

          ExampleGeneral: Official Corporate Logo
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          122. DocumentReference.content.attachment.creation
          Definition

          The date that the attachment was first created.

          ShortDate attachment was first created
          Control0..1
          TypedateTime
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          This is often tracked as an integrity issue for use of the attachment.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          124. DocumentReference.content.format
          Definition

          這個識別碼用來表明文件符合的編碼方式、結構和模板,這些特性是除了在 mimeType(文件類型)裡已指明的基本格式之外的部分。

          Short文件的格式/內容規則。
          Comments

          請注意,雖然 IHE 通常為不同格式類型發布統一資源名稱( URN),但並非所有文件都能透過 統一資源識別碼(URI) 來識別。

          Control0..1
          BindingThe codes SHOULD be taken from DocumentReferenceFormatCodeSet
          (preferred to http://hl7.org/fhir/ValueSet/formatcodes)

          鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

          TypeCoding
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          126. DocumentReference.context
          Definition

          文件所涉及的臨床情境或背景

          Short文件的臨床背景
          Comments

          這些值主要用於幫助查詢感興趣/相關的文件而添加的

          Control0..1
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          128. DocumentReference.context.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          130. DocumentReference.context.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.

          ShortAdditional 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.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-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())
          132. DocumentReference.context.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).

          ShortExtensions 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.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          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 Namesextensions, user content, modifiers
          Invariantsele-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())
          134. DocumentReference.context.encounter
          Definition

          描述文件內容所關聯的臨床就醫事件或類型

          Short文件內容的臨床背景
          Control0..*
          TypeReference(TW Core Encounter, EpisodeOfCare)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          136. DocumentReference.context.event
          Definition

          這個代碼清單代表了正在記錄的主要臨床行為,例如:結腸鏡檢查或闌尾切除手術。在某些情況下,事件已經隱含在類型代碼中,例如在「病史和體檢報告」中,正在記錄的必然是「病史和體檢」行為。

          Short正在記錄的主要臨床行為
          Comments

          事件可以進一步專注於類型中所隱含的行為,例如當它僅為「處置報告」,而該處置是「結腸鏡檢查」。如果包括一個或多個事件代碼,則它們不應與class或type資料項目中的值相衝突,因為這樣的衝突會導致情況變得模糊不清。

          Control0..*
          This element is affected by the following invariants: ele-1
          BindingFor example codes, see v3 Code System ActCode
          (example to http://terminology.hl7.org/ValueSet/v3-ActCode)

          可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。

          TypeCodeableConcept(TW CodeableConcept)
          Is Modifierfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          138. DocumentReference.context.period
          Definition

          文件描述的是提供服務的時間範圍

          Short被記錄的服務時間
          Control0..1
          TypePeriod
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          140. DocumentReference.context.facilityType
          Definition

          病人接受治療的機構類型

          Short病人接受治療的機構類型
          Control0..1
          BindingFor example codes, see FacilityTypeCodeValueSet
          (example to http://hl7.org/fhir/ValueSet/c80-facilitycodes)

          可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。

          TypeCodeableConcept
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          142. DocumentReference.context.practiceSetting
          Definition

          此屬性可能提供有關創建內容的實務環境細節,通常反映了臨床專業。

          Short內容創建的額外細節(例如:臨床專業)
          Comments

          此資料項目應基於一個粗略的專業實務分類系統,建議使用實務環境(Practice Setting)的分類系統,例如:LOINC中的主題領域(Subject Matter Domain)所描述的。

          Control0..1
          This element is affected by the following invariants: ele-1
          BindingFor example codes, see PracticeSettingCodeValueSet
          (example to http://hl7.org/fhir/ValueSet/c80-practice-codes)

          可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。

          TypeCodeableConcept(TW CodeableConcept)
          Is Modifierfalse
          Requirements

          這是健康照護服務提供者(provider)經常依賴的重要metadata之一,他們通常會用來快速排序和/或篩選以找到特定的內容。

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          144. DocumentReference.context.sourcePatientInfo
          Definition

          文件發佈時已知的病人資訊。可以是對特定版本的參照,也可以是包含在文件中的資訊。

          Short來源的病人人口統計資料
          Control0..1
          TypeReference(TW Core Patient)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          146. DocumentReference.context.related
          Definition

          與DocumentReference相關聯的相關識別碼或resources

          Short相關的識別碼或resources
          Comments

          可能是導致創建 DocumentReference 或參照文件的識別碼或resources

          Control0..*
          TypeReference(Resource)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))