臺灣健保事前審查實作指引
1.1.0 - ci-build

臺灣健保事前審查實作指引, 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 1.1.0 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: 門診病歷-Composition OPD TWPAS

Official URL: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Composition-opd-twpas | Version: 1.1.0
Active as of 2025-12-29 | Computable Name: CompositionOpdTWPAS

此門診病歷-Composition OPD TWPAS Profile說明本IG如何進一步定義臺灣核心-臨床文件架構（TW Core Composition） Profile以呈現免疫製劑事前審查

Usages:

- Use this Profile: 免疫製劑事前審查-Bundle Immunologic Aagent TWPAS and 癌藥事前審查-Bundle TWPAS
- Refer to this Profile: 免疫製劑事前審查-Claim Immunologic Aagent TWPAS and 癌藥事前審查-Claim TWPAS
- Examples for this Profile: Composition/opd
- CapabilityStatements using this Profile: 臺灣事前審查-用戶端(TWPAS Client) and 臺灣事前審查-伺服端(TWPAS Server)

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | TWCoreComposition | 將一組resources組成一份連貫的臨床聲明，並附有臨床證明。
meta | Σ | 1..1 | Meta | 此Composition Resource的metadata
profile | Σ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Composition-opd-twpas
implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則
modifierExtension | ?! | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
identifier | S Σ | 0..1 | Identifier | 不分版本的臨床文件架構(Composition)識別碼。
status | ?!S Σ | 1..1 | code | registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): Composition的工作流程/臨床狀態；應填入所綁定值集中的其中一個代碼。 Required Pattern: final
type | S | 1..1 | CodeableConceptTW | Composition的種類（如果可能請使用LOINC） Binding: LOINC Code Document Type值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 34108-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(病人資訊-Patient TWPAS) | Composition是關於誰和/或什麼
encounter | Σ | 1..1 | Reference(門診病歷-Encounter OPD TWPAS) | Composition的情境
date | S Σ | 1..1 | dateTime | Composition的編輯時間
author | S Σ | 1..* | Reference(醫事人員-Practitioner TWPAS | 醫事機構-Organization TWPAS) | 誰和/或什麼創建了這個Composition
title | S Σ | 1..1 | string | 人類可讀的名稱/標題
attester | S | 0..* | BackboneElement | 證明Composition的準確性
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): 認證者提供的認證類型；應填入所綁定值集中的其中一個代碼。
custodian | S Σ | 0..1 | Reference(TW Core Organization) | 維護Composition的機構
Slices for section | S C | 4..* | BackboneElement | Composition被分成一個或數個小節 Slice: Unordered, Closed by value:code.coding.code Constraints: cmp-1, cmp-2
section:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
text | S C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料
section:subjective | S C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
coding | S | 1..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼
system | S Σ | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
code | S Σ | 1..1 | code | 系統定義的語法之符號 Required Pattern: 10154-3
display | S Σ | 0..1 | string | 由系統定義的表示法
text | S Σ | 0..1 | string | 概念的文字表示法
text | S C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 1..1 | Reference(主觀描述-Observation Subjective TWPAS) | 提供一個連結用於參照或查看支持此小節內容的資料
section:objective | S C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
coding | S | 1..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼
system | S Σ | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
code | S Σ | 1..1 | code | 系統定義的語法之符號 Required Pattern: 61149-1
display | S Σ | 0..1 | string | 由系統定義的表示法
text | S Σ | 0..1 | string | 概念的文字表示法
text | S C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 1..1 | Reference(客觀描述-Observation Objective TWPAS) | 提供一個連結用於參照或查看支持此小節內容的資料
section:assessment | S C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
coding | S | 1..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼
system | S Σ | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
code | S Σ | 1..1 | code | 系統定義的語法之符號 Required Pattern: 51848-0
display | S Σ | 0..1 | string | 由系統定義的表示法
text | S Σ | 0..1 | string | 概念的文字表示法
text | S C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 1..1 | Reference(評估-ClinicalImpression TWPAS) | 提供一個連結用於參照或查看支持此小節內容的資料
section:plan | S C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
coding | S | 1..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼
system | S Σ | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
code | S Σ | 1..1 | code | 系統定義的語法之符號 Required Pattern: 18776-5
display | S Σ | 0..1 | string | 由系統定義的表示法
text | S Σ | 0..1 | string | 概念的文字表示法
text | S C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 1..1 | Reference(計畫-CarePlan TWPAS) | 提供一個連結用於參照或查看支持此小節內容的資料
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std.
Composition.type | Base | extensible | LOINC Code Document Type值集 | 📦2.77 | 臺灣核心實作指引 v0.3
Composition.attester.​mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std.
Composition.section.​code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3
Composition.section:subjective.​code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3
Composition.section:objective.​code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3
Composition.section:assessment.​code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3
Composition.section:plan.​code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3

#### Constraints

Id | Grade | Path(s) | Description | Expression
cmp-1 | error | Composition.section, Composition.section:subjective, Composition.section:objective, Composition.section:assessment, Composition.section:plan | A section must contain at least one of text, entries, or sub-sections | `text.exists() or entry.exists() or section.exists()`
cmp-2 | error | Composition.section, Composition.section:subjective, Composition.section:objective, Composition.section:assessment, Composition.section:plan | A section can only have an emptyReason if it is empty | `emptyReason.empty() or entry.empty()`
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Composition | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from TWCoreComposition

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  |  | TWCoreComposition |
meta |  | 1..1 | Meta | 此Composition Resource的metadata
profile |  | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Composition-opd-twpas
status |  | 1..1 | code | registered | partial | preliminary | final | amended | corrected + Required Pattern: final
type |  | 1..1 | CodeableConceptTW | Composition的種類（如果可能請使用LOINC） Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 34108-1
subject |  | 1..1 | Reference(病人資訊-Patient TWPAS) | Composition是關於誰和/或什麼
encounter |  | 1..1 | Reference(門診病歷-Encounter OPD TWPAS) | Composition的情境
author |  | 1..* | Reference(醫事人員-Practitioner TWPAS | 醫事機構-Organization TWPAS) | 誰和/或什麼創建了這個Composition
Slices for section |  | 4..* | BackboneElement | Composition被分成一個或數個小節 Slice: Unordered, Closed by value:code.coding.code
section:subjective | S | 1..1 | BackboneElement | Composition被分成一個或數個小節
code |  | 1..1 | CodeableConceptTW | 小節分類(建議)
coding |  | 1..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼
system |  | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
code |  | 1..1 | code | 系統定義的語法之符號 Required Pattern: 10154-3
entry |  | 1..1 | Reference(主觀描述-Observation Subjective TWPAS) | 提供一個連結用於參照或查看支持此小節內容的資料
section:objective | S | 1..1 | BackboneElement | Composition被分成一個或數個小節
code |  | 1..1 | CodeableConceptTW | 小節分類(建議)
coding |  | 1..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼
system |  | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
code |  | 1..1 | code | 系統定義的語法之符號 Required Pattern: 61149-1
entry |  | 1..1 | Reference(客觀描述-Observation Objective TWPAS) | 提供一個連結用於參照或查看支持此小節內容的資料
section:assessment | S | 1..1 | BackboneElement | Composition被分成一個或數個小節
code |  | 1..1 | CodeableConceptTW | 小節分類(建議)
coding |  | 1..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼
system |  | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
code |  | 1..1 | code | 系統定義的語法之符號 Required Pattern: 51848-0
entry |  | 1..1 | Reference(評估-ClinicalImpression TWPAS) | 提供一個連結用於參照或查看支持此小節內容的資料
section:plan | S | 1..1 | BackboneElement | Composition被分成一個或數個小節
code |  | 1..1 | CodeableConceptTW | 小節分類(建議)
coding |  | 1..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼
system |  | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
code |  | 1..1 | code | 系統定義的語法之符號 Required Pattern: 18776-5
entry |  | 1..1 | Reference(計畫-CarePlan TWPAS) | 提供一個連結用於參照或查看支持此小節內容的資料
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | TWCoreComposition | 將一組resources組成一份連貫的臨床聲明，並附有臨床證明。
id | Σ | 0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的Composition紀錄，通常又稱為邏輯性ID。
meta | Σ | 1..1 | Meta | 此Composition Resource的metadata
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Composition-opd-twpas
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則
language |  | 0..1 | code | 用以表述Composition Resource內容的語言 Binding: CommonLanguages (preferred): 人類語言；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。
Additional Bindings | Purpose
AllLanguages | Max Binding
Example Value: zh-TW
text |  | 0..1 | Narrative | Composition Resource之內容摘要以供人閱讀 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | 內嵌的(contained)、行內的Resources
extension |  | 0..* | Extension | 擴充的資料項目
modifierExtension | ?! | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
identifier | S Σ | 0..1 | Identifier | 不分版本的臨床文件架構(Composition)識別碼。
status | ?!S Σ | 1..1 | code | registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): Composition的工作流程/臨床狀態；應填入所綁定值集中的其中一個代碼。 Required Pattern: final
type | S | 1..1 | CodeableConceptTW | Composition的種類（如果可能請使用LOINC） Binding: LOINC Code Document Type值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 34108-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
category |  | 0..* | CodeableConceptTW | Composition的分類 Binding: LOINC Document Class值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
subject | S Σ | 1..1 | Reference(病人資訊-Patient TWPAS) | Composition是關於誰和/或什麼
encounter | Σ | 1..1 | Reference(門診病歷-Encounter OPD TWPAS) | Composition的情境
date | S Σ | 1..1 | dateTime | Composition的編輯時間
author | S Σ | 1..* | Reference(醫事人員-Practitioner TWPAS | 醫事機構-Organization TWPAS) | 誰和/或什麼創建了這個Composition
title | S Σ | 1..1 | string | 人類可讀的名稱/標題
confidentiality | Σ | 0..1 | code | 根據特定技術領域的定義 Binding: v3.ConfidentialityClassification (2014-03-26) (required): 應填入所綁定值集中的其中一個代碼。
attester | S | 0..* | BackboneElement | 證明Composition的準確性
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): 認證者提供的認證類型；應填入所綁定值集中的其中一個代碼。
time |  | 0..1 | dateTime | 此Composition被證明的時間
party |  | 0..1 | Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | TW Core PractitionerRole | TW Core Organization) | 誰證明了此Composition
custodian | S Σ | 0..1 | Reference(TW Core Organization) | 維護Composition的機構
relatesTo |  | 0..* | BackboneElement | 與其他Composition/文件之間的關係
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): 檔案之間的關係型別；應填入所綁定值集中的其中一個代碼。
target[x] |  | 1..1 |  | 此關係的目標文件
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition) |
event | Σ | 0..* | BackboneElement | 正在記錄的臨床服務
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 0..* | CodeableConceptTW | 此代碼表代表了正在被記錄的主要臨床行為 Binding: v3 Code System ActCode (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
period | Σ | 0..1 | Period | 文件所涵蓋的時間區間
detail | Σ | 0..* | Reference(Resource) | 在描述被記錄下來的事件，這些事件可以是以代碼的形式、參考資料的形式，或者兩者都有的形式來呈現。
Slices for section | S C | 4..* | BackboneElement | Composition被分成一個或數個小節 Slice: Unordered, Closed by value:code.coding.code Constraints: cmp-1, cmp-2
section:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | 小節標籤(例如：目錄ToC)
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
author |  | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節
focus |  | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text | S C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy |  | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。
entry | S C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料
emptyReason |  | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。
section | C | 0..* | See section (Composition) | 嵌套的小節
section:subjective | S C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | 小節標籤(例如：目錄ToC)
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id |  | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。
extension |  | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url
coding | S | 1..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼
id |  | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。
extension |  | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
version | Σ | 0..1 | string | 系統的版本—如果相關的話
code | S Σ | 1..1 | code | 系統定義的語法之符號 Required Pattern: 10154-3
display | S Σ | 0..1 | string | 由系統定義的表示法
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇？
text | S Σ | 0..1 | string | 概念的文字表示法
author |  | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節
focus |  | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text | S C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy |  | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。
entry | S C | 1..1 | Reference(主觀描述-Observation Subjective TWPAS) | 提供一個連結用於參照或查看支持此小節內容的資料
emptyReason |  | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。
section | C | 0..* | See section (Composition) | 嵌套的小節
section:objective | S C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | 小節標籤(例如：目錄ToC)
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id |  | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。
extension |  | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url
coding | S | 1..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼
id |  | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。
extension |  | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
version | Σ | 0..1 | string | 系統的版本—如果相關的話
code | S Σ | 1..1 | code | 系統定義的語法之符號 Required Pattern: 61149-1
display | S Σ | 0..1 | string | 由系統定義的表示法
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇？
text | S Σ | 0..1 | string | 概念的文字表示法
author |  | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節
focus |  | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text | S C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy |  | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。
entry | S C | 1..1 | Reference(客觀描述-Observation Objective TWPAS) | 提供一個連結用於參照或查看支持此小節內容的資料
emptyReason |  | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。
section | C | 0..* | See section (Composition) | 嵌套的小節
section:assessment | S C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | 小節標籤(例如：目錄ToC)
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id |  | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。
extension |  | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url
coding | S | 1..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼
id |  | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。
extension |  | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
version | Σ | 0..1 | string | 系統的版本—如果相關的話
code | S Σ | 1..1 | code | 系統定義的語法之符號 Required Pattern: 51848-0
display | S Σ | 0..1 | string | 由系統定義的表示法
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇？
text | S Σ | 0..1 | string | 概念的文字表示法
author |  | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節
focus |  | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text | S C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy |  | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。
entry | S C | 1..1 | Reference(評估-ClinicalImpression TWPAS) | 提供一個連結用於參照或查看支持此小節內容的資料
emptyReason |  | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。
section | C | 0..* | See section (Composition) | 嵌套的小節
section:plan | S C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | 小節標籤(例如：目錄ToC)
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id |  | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。
extension |  | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url
coding | S | 1..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼
id |  | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。
extension |  | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
version | Σ | 0..1 | string | 系統的版本—如果相關的話
code | S Σ | 1..1 | code | 系統定義的語法之符號 Required Pattern: 18776-5
display | S Σ | 0..1 | string | 由系統定義的表示法
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇？
text | S Σ | 0..1 | string | 概念的文字表示法
author |  | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節
focus |  | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text | S C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy |  | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。
entry | S C | 1..1 | Reference(計畫-CarePlan TWPAS) | 提供一個連結用於參照或查看支持此小節內容的資料
emptyReason |  | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。
section | C | 0..* | See section (Composition) | 嵌套的小節
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
Composition.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std.
Composition.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std.
Composition.type | Base | extensible | LOINC Code Document Type值集 | 📦2.77 | 臺灣核心實作指引 v0.3
Composition.category | Base | extensible | LOINC Document Class值集 | 📦2.77 | 臺灣核心實作指引 v0.3
Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std.
Composition.attester.​mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std.
Composition.relatesTo.​code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std.
Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.0
Composition.section.​code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3
Composition.section.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section.​orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std.
Composition.section.​emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std.
Composition.section:subjective.​code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3
Composition.section:subjective.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:subjective.​orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std.
Composition.section:subjective.​emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std.
Composition.section:objective.​code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3
Composition.section:objective.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:objective.​orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std.
Composition.section:objective.​emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std.
Composition.section:assessment.​code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3
Composition.section:assessment.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:assessment.​orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std.
Composition.section:assessment.​emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std.
Composition.section:plan.​code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3
Composition.section:plan.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:plan.​orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std.
Composition.section:plan.​emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cmp-1 | error | Composition.section, Composition.section:subjective, Composition.section:objective, Composition.section:assessment, Composition.section:plan | A section must contain at least one of text, entries, or sub-sections | `text.exists() or entry.exists() or section.exists()`
cmp-2 | error | Composition.section, Composition.section:subjective, Composition.section:objective, Composition.section:assessment, Composition.section:plan | A section can only have an emptyReason if it is empty | `emptyReason.empty() or entry.empty()`
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Composition | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from TWCoreComposition

Summary

Mandatory: 28 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

- 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)
- 門診病歷-Encounter OPD TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Encounter-opd-twpas)
- 醫事人員-Practitioner TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Practitioner-twpas)
- 醫事機構-Organization TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Organization-twpas)
- 主觀描述-Observation Subjective TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-subjective-twpas)
- 客觀描述-Observation Objective TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-objective-twpas)
- 評估-ClinicalImpression TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/ClinicalImpression-twpas)
- 計畫-CarePlan TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/CarePlan-twpas)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Composition.section (Closed)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | TWCoreComposition | 將一組resources組成一份連貫的臨床聲明，並附有臨床證明。
meta | Σ | 1..1 | Meta | 此Composition Resource的metadata
profile | Σ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Composition-opd-twpas
implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則
modifierExtension | ?! | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
identifier | S Σ | 0..1 | Identifier | 不分版本的臨床文件架構(Composition)識別碼。
status | ?!S Σ | 1..1 | code | registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): Composition的工作流程/臨床狀態；應填入所綁定值集中的其中一個代碼。 Required Pattern: final
type | S | 1..1 | CodeableConceptTW | Composition的種類（如果可能請使用LOINC） Binding: LOINC Code Document Type值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 34108-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(病人資訊-Patient TWPAS) | Composition是關於誰和/或什麼
encounter | Σ | 1..1 | Reference(門診病歷-Encounter OPD TWPAS) | Composition的情境
date | S Σ | 1..1 | dateTime | Composition的編輯時間
author | S Σ | 1..* | Reference(醫事人員-Practitioner TWPAS | 醫事機構-Organization TWPAS) | 誰和/或什麼創建了這個Composition
title | S Σ | 1..1 | string | 人類可讀的名稱/標題
attester | S | 0..* | BackboneElement | 證明Composition的準確性
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): 認證者提供的認證類型；應填入所綁定值集中的其中一個代碼。
custodian | S Σ | 0..1 | Reference(TW Core Organization) | 維護Composition的機構
Slices for section | S C | 4..* | BackboneElement | Composition被分成一個或數個小節 Slice: Unordered, Closed by value:code.coding.code Constraints: cmp-1, cmp-2
section:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
text | S C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料
section:subjective | S C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
coding | S | 1..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼
system | S Σ | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
code | S Σ | 1..1 | code | 系統定義的語法之符號 Required Pattern: 10154-3
display | S Σ | 0..1 | string | 由系統定義的表示法
text | S Σ | 0..1 | string | 概念的文字表示法
text | S C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 1..1 | Reference(主觀描述-Observation Subjective TWPAS) | 提供一個連結用於參照或查看支持此小節內容的資料
section:objective | S C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
coding | S | 1..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼
system | S Σ | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
code | S Σ | 1..1 | code | 系統定義的語法之符號 Required Pattern: 61149-1
display | S Σ | 0..1 | string | 由系統定義的表示法
text | S Σ | 0..1 | string | 概念的文字表示法
text | S C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 1..1 | Reference(客觀描述-Observation Objective TWPAS) | 提供一個連結用於參照或查看支持此小節內容的資料
section:assessment | S C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
coding | S | 1..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼
system | S Σ | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
code | S Σ | 1..1 | code | 系統定義的語法之符號 Required Pattern: 51848-0
display | S Σ | 0..1 | string | 由系統定義的表示法
text | S Σ | 0..1 | string | 概念的文字表示法
text | S C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 1..1 | Reference(評估-ClinicalImpression TWPAS) | 提供一個連結用於參照或查看支持此小節內容的資料
section:plan | S C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
coding | S | 1..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼
system | S Σ | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
code | S Σ | 1..1 | code | 系統定義的語法之符號 Required Pattern: 18776-5
display | S Σ | 0..1 | string | 由系統定義的表示法
text | S Σ | 0..1 | string | 概念的文字表示法
text | S C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 1..1 | Reference(計畫-CarePlan TWPAS) | 提供一個連結用於參照或查看支持此小節內容的資料
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std.
Composition.type | Base | extensible | LOINC Code Document Type值集 | 📦2.77 | 臺灣核心實作指引 v0.3
Composition.attester.​mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std.
Composition.section.​code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3
Composition.section:subjective.​code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3
Composition.section:objective.​code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3
Composition.section:assessment.​code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3
Composition.section:plan.​code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3

#### Constraints

Id | Grade | Path(s) | Description | Expression
cmp-1 | error | Composition.section, Composition.section:subjective, Composition.section:objective, Composition.section:assessment, Composition.section:plan | A section must contain at least one of text, entries, or sub-sections | `text.exists() or entry.exists() or section.exists()`
cmp-2 | error | Composition.section, Composition.section:subjective, Composition.section:objective, Composition.section:assessment, Composition.section:plan | A section can only have an emptyReason if it is empty | `emptyReason.empty() or entry.empty()`
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Composition | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from TWCoreComposition

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  |  | TWCoreComposition |
meta |  | 1..1 | Meta | 此Composition Resource的metadata
profile |  | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Composition-opd-twpas
status |  | 1..1 | code | registered | partial | preliminary | final | amended | corrected + Required Pattern: final
type |  | 1..1 | CodeableConceptTW | Composition的種類（如果可能請使用LOINC） Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 34108-1
subject |  | 1..1 | Reference(病人資訊-Patient TWPAS) | Composition是關於誰和/或什麼
encounter |  | 1..1 | Reference(門診病歷-Encounter OPD TWPAS) | Composition的情境
author |  | 1..* | Reference(醫事人員-Practitioner TWPAS | 醫事機構-Organization TWPAS) | 誰和/或什麼創建了這個Composition
Slices for section |  | 4..* | BackboneElement | Composition被分成一個或數個小節 Slice: Unordered, Closed by value:code.coding.code
section:subjective | S | 1..1 | BackboneElement | Composition被分成一個或數個小節
code |  | 1..1 | CodeableConceptTW | 小節分類(建議)
coding |  | 1..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼
system |  | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
code |  | 1..1 | code | 系統定義的語法之符號 Required Pattern: 10154-3
entry |  | 1..1 | Reference(主觀描述-Observation Subjective TWPAS) | 提供一個連結用於參照或查看支持此小節內容的資料
section:objective | S | 1..1 | BackboneElement | Composition被分成一個或數個小節
code |  | 1..1 | CodeableConceptTW | 小節分類(建議)
coding |  | 1..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼
system |  | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
code |  | 1..1 | code | 系統定義的語法之符號 Required Pattern: 61149-1
entry |  | 1..1 | Reference(客觀描述-Observation Objective TWPAS) | 提供一個連結用於參照或查看支持此小節內容的資料
section:assessment | S | 1..1 | BackboneElement | Composition被分成一個或數個小節
code |  | 1..1 | CodeableConceptTW | 小節分類(建議)
coding |  | 1..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼
system |  | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
code |  | 1..1 | code | 系統定義的語法之符號 Required Pattern: 51848-0
entry |  | 1..1 | Reference(評估-ClinicalImpression TWPAS) | 提供一個連結用於參照或查看支持此小節內容的資料
section:plan | S | 1..1 | BackboneElement | Composition被分成一個或數個小節
code |  | 1..1 | CodeableConceptTW | 小節分類(建議)
coding |  | 1..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼
system |  | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
code |  | 1..1 | code | 系統定義的語法之符號 Required Pattern: 18776-5
entry |  | 1..1 | Reference(計畫-CarePlan TWPAS) | 提供一個連結用於參照或查看支持此小節內容的資料
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | TWCoreComposition | 將一組resources組成一份連貫的臨床聲明，並附有臨床證明。
id | Σ | 0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的Composition紀錄，通常又稱為邏輯性ID。
meta | Σ | 1..1 | Meta | 此Composition Resource的metadata
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Composition-opd-twpas
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則
language |  | 0..1 | code | 用以表述Composition Resource內容的語言 Binding: CommonLanguages (preferred): 人類語言；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。
Additional Bindings | Purpose
AllLanguages | Max Binding
Example Value: zh-TW
text |  | 0..1 | Narrative | Composition Resource之內容摘要以供人閱讀 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | 內嵌的(contained)、行內的Resources
extension |  | 0..* | Extension | 擴充的資料項目
modifierExtension | ?! | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
identifier | S Σ | 0..1 | Identifier | 不分版本的臨床文件架構(Composition)識別碼。
status | ?!S Σ | 1..1 | code | registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): Composition的工作流程/臨床狀態；應填入所綁定值集中的其中一個代碼。 Required Pattern: final
type | S | 1..1 | CodeableConceptTW | Composition的種類（如果可能請使用LOINC） Binding: LOINC Code Document Type值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 34108-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
category |  | 0..* | CodeableConceptTW | Composition的分類 Binding: LOINC Document Class值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
subject | S Σ | 1..1 | Reference(病人資訊-Patient TWPAS) | Composition是關於誰和/或什麼
encounter | Σ | 1..1 | Reference(門診病歷-Encounter OPD TWPAS) | Composition的情境
date | S Σ | 1..1 | dateTime | Composition的編輯時間
author | S Σ | 1..* | Reference(醫事人員-Practitioner TWPAS | 醫事機構-Organization TWPAS) | 誰和/或什麼創建了這個Composition
title | S Σ | 1..1 | string | 人類可讀的名稱/標題
confidentiality | Σ | 0..1 | code | 根據特定技術領域的定義 Binding: v3.ConfidentialityClassification (2014-03-26) (required): 應填入所綁定值集中的其中一個代碼。
attester | S | 0..* | BackboneElement | 證明Composition的準確性
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): 認證者提供的認證類型；應填入所綁定值集中的其中一個代碼。
time |  | 0..1 | dateTime | 此Composition被證明的時間
party |  | 0..1 | Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | TW Core PractitionerRole | TW Core Organization) | 誰證明了此Composition
custodian | S Σ | 0..1 | Reference(TW Core Organization) | 維護Composition的機構
relatesTo |  | 0..* | BackboneElement | 與其他Composition/文件之間的關係
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): 檔案之間的關係型別；應填入所綁定值集中的其中一個代碼。
target[x] |  | 1..1 |  | 此關係的目標文件
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition) |
event | Σ | 0..* | BackboneElement | 正在記錄的臨床服務
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 0..* | CodeableConceptTW | 此代碼表代表了正在被記錄的主要臨床行為 Binding: v3 Code System ActCode (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
period | Σ | 0..1 | Period | 文件所涵蓋的時間區間
detail | Σ | 0..* | Reference(Resource) | 在描述被記錄下來的事件，這些事件可以是以代碼的形式、參考資料的形式，或者兩者都有的形式來呈現。
Slices for section | S C | 4..* | BackboneElement | Composition被分成一個或數個小節 Slice: Unordered, Closed by value:code.coding.code Constraints: cmp-1, cmp-2
section:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | 小節標籤(例如：目錄ToC)
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
author |  | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節
focus |  | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text | S C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy |  | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。
entry | S C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料
emptyReason |  | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。
section | C | 0..* | See section (Composition) | 嵌套的小節
section:subjective | S C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | 小節標籤(例如：目錄ToC)
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id |  | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。
extension |  | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url
coding | S | 1..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼
id |  | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。
extension |  | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
version | Σ | 0..1 | string | 系統的版本—如果相關的話
code | S Σ | 1..1 | code | 系統定義的語法之符號 Required Pattern: 10154-3
display | S Σ | 0..1 | string | 由系統定義的表示法
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇？
text | S Σ | 0..1 | string | 概念的文字表示法
author |  | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節
focus |  | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text | S C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy |  | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。
entry | S C | 1..1 | Reference(主觀描述-Observation Subjective TWPAS) | 提供一個連結用於參照或查看支持此小節內容的資料
emptyReason |  | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。
section | C | 0..* | See section (Composition) | 嵌套的小節
section:objective | S C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | 小節標籤(例如：目錄ToC)
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id |  | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。
extension |  | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url
coding | S | 1..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼
id |  | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。
extension |  | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
version | Σ | 0..1 | string | 系統的版本—如果相關的話
code | S Σ | 1..1 | code | 系統定義的語法之符號 Required Pattern: 61149-1
display | S Σ | 0..1 | string | 由系統定義的表示法
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇？
text | S Σ | 0..1 | string | 概念的文字表示法
author |  | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節
focus |  | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text | S C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy |  | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。
entry | S C | 1..1 | Reference(客觀描述-Observation Objective TWPAS) | 提供一個連結用於參照或查看支持此小節內容的資料
emptyReason |  | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。
section | C | 0..* | See section (Composition) | 嵌套的小節
section:assessment | S C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | 小節標籤(例如：目錄ToC)
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id |  | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。
extension |  | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url
coding | S | 1..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼
id |  | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。
extension |  | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
version | Σ | 0..1 | string | 系統的版本—如果相關的話
code | S Σ | 1..1 | code | 系統定義的語法之符號 Required Pattern: 51848-0
display | S Σ | 0..1 | string | 由系統定義的表示法
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇？
text | S Σ | 0..1 | string | 概念的文字表示法
author |  | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節
focus |  | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text | S C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy |  | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。
entry | S C | 1..1 | Reference(評估-ClinicalImpression TWPAS) | 提供一個連結用於參照或查看支持此小節內容的資料
emptyReason |  | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。
section | C | 0..* | See section (Composition) | 嵌套的小節
section:plan | S C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | 小節標籤(例如：目錄ToC)
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id |  | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。
extension |  | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url
coding | S | 1..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼
id |  | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。
extension |  | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org
version | Σ | 0..1 | string | 系統的版本—如果相關的話
code | S Σ | 1..1 | code | 系統定義的語法之符號 Required Pattern: 18776-5
display | S Σ | 0..1 | string | 由系統定義的表示法
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇？
text | S Σ | 0..1 | string | 概念的文字表示法
author |  | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節
focus |  | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text | S C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy |  | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。
entry | S C | 1..1 | Reference(計畫-CarePlan TWPAS) | 提供一個連結用於參照或查看支持此小節內容的資料
emptyReason |  | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。
section | C | 0..* | See section (Composition) | 嵌套的小節
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
Composition.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std.
Composition.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std.
Composition.type | Base | extensible | LOINC Code Document Type值集 | 📦2.77 | 臺灣核心實作指引 v0.3
Composition.category | Base | extensible | LOINC Document Class值集 | 📦2.77 | 臺灣核心實作指引 v0.3
Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std.
Composition.attester.​mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std.
Composition.relatesTo.​code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std.
Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.0
Composition.section.​code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3
Composition.section.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section.​orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std.
Composition.section.​emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std.
Composition.section:subjective.​code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3
Composition.section:subjective.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:subjective.​orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std.
Composition.section:subjective.​emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std.
Composition.section:objective.​code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3
Composition.section:objective.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:objective.​orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std.
Composition.section:objective.​emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std.
Composition.section:assessment.​code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3
Composition.section:assessment.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:assessment.​orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std.
Composition.section:assessment.​emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std.
Composition.section:plan.​code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3
Composition.section:plan.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:plan.​orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std.
Composition.section:plan.​emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cmp-1 | error | Composition.section, Composition.section:subjective, Composition.section:objective, Composition.section:assessment, Composition.section:plan | A section must contain at least one of text, entries, or sub-sections | `text.exists() or entry.exists() or section.exists()`
cmp-2 | error | Composition.section, Composition.section:subjective, Composition.section:objective, Composition.section:assessment, Composition.section:plan | A section can only have an emptyReason if it is empty | `emptyReason.empty() or entry.empty()`
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Composition | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from TWCoreComposition

Summary

Mandatory: 28 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

- 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)
- 門診病歷-Encounter OPD TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Encounter-opd-twpas)
- 醫事人員-Practitioner TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Practitioner-twpas)
- 醫事機構-Organization TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Organization-twpas)
- 主觀描述-Observation Subjective TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-subjective-twpas)
- 客觀描述-Observation Objective TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-objective-twpas)
- 評估-ClinicalImpression TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/ClinicalImpression-twpas)
- 計畫-CarePlan TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/CarePlan-twpas)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Composition.section (Closed)

Other representations of profile: CSV, Excel, Schematron