臺灣核心實作指引(TW Core IG), published by 衛生福利部. This guide is not an authorized publication; it is the continuous build for version 0.3.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cctwFHIRterm/MOHW_TWCoreIG_Build/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: TWCoreEncounter - Mappings

Active as of 2024-11-11

Mappings for the Encounter-twcore resource profile.

Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

TWCoreEncounter
Encounter	Event
identifier	Event.identifier
status	Event.status
subject	Event.subject
episodeOfCare	Event.context
basedOn	Event.basedOn
participant	Event.performer
individual	Event.performer.actor
appointment	Event.basedOn
period	Event.occurrence[x]
length	Event.occurrence[x]
reasonReference	Event.reasonCode
diagnosis
condition	Event.reasonReference
location
location	Event.location
serviceProvider	Event.performer.actor
partOf	Event.partOf

Mappings for RIM Mapping (http://hl7.org/v3)

TWCoreEncounter
Encounter	Entity. Role, or Act, Encounter[@moodCode='EVN']
text	Act.text?
contained	N/A
extension	N/A
modifierExtension	N/A
identifier	.id
id	n/a
extension	n/a
use	Role.code or implied by context
type	n/a, CD
system	II.root or Role.id.root
value	II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
period	Role.effectiveTime or implied by context
assigner	II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
status	.statusCode
statusHistory	n/a
id	n/a
extension	n/a
modifierExtension	N/A
status	n/a
period	n/a
class	n/a, CV
classHistory	n/a
id	n/a
extension	n/a
modifierExtension	N/A
class	n/a
period	n/a
type	n/a, CD
serviceType	n/a, CD
id	n/a
coding	n/a, CV
coding (TWMedicalDepartmentSCT)	n/a, CV
id	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
coding (TWMedicalConsultationDepartment)	n/a, CV
id	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
coding (TWMedicalTreatmentDepartment)	n/a, CV
id	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
priority	n/a, CD
subject	.participation[typeCode=SBJ]/role[classCode=PAT]
episodeOfCare	n/a
basedOn	.reason.ClinicalDocument
participant	.participation[typeCode=PFM]
id	n/a
extension	n/a
modifierExtension	N/A
type	n/a, CD
period	.time
individual	.role
appointment	.outboundRelationship[typeCode=FLFS].target[classCode=ENC, moodCode=APT]
period	.effectiveTime (low & high)
length	.lengthOfStayQuantity
reasonCode	n/a, CD
reasonReference	.reasonCode
diagnosis	.outboundRelationship[typeCode=RSON]
id	n/a
extension	n/a
modifierExtension	N/A
condition	.outboundRelationship[typeCode=RSON].target
use	n/a, CD
rank	.outboundRelationship[typeCode=RSON].priority
account	.pertains.A_Account
hospitalization	.outboundRelationship[typeCode=COMP].target[classCode=ENC, moodCode=EVN]
id	n/a
extension	n/a
modifierExtension	N/A
preAdmissionIdentifier	.id
origin	.participation[typeCode=ORG].role
admitSource	n/a, CD
reAdmission	n/a, CD
dietPreference	n/a, CD
specialCourtesy	n/a, CD
specialArrangement	n/a, CD
destination	.participation[typeCode=DST]
dischargeDisposition	n/a, CD
location	.participation[typeCode=LOC]
id	n/a
extension	n/a
modifierExtension	N/A
location	.role
status	.role.statusCode
physicalType	n/a, CD
period	.time
serviceProvider	.particiaption[typeCode=PFM].role
partOf	.inboundRelationship[typeCode=COMP].source[classCode=COMP, moodCode=EVN]

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

TWCoreEncounter
Encounter
identifier	FiveWs.identifier
status	FiveWs.status
subject	FiveWs.subject[x], FiveWs.subject
episodeOfCare	FiveWs.context
participant
individual	FiveWs.who
period	FiveWs.done[x]
reasonReference	FiveWs.why[x]
diagnosis
condition	FiveWs.why[x]
location
location	FiveWs.where[x]

Mappings for HL7 v2 Mapping (http://hl7.org/v2)

TWCoreEncounter
Encounter
identifier	PV1-19
use	N/A
type	CE/CNE/CWE
system	CX.4 / EI-2-4
value	CX.1 / EI.1
period	CX.7 + CX.8
assigner	CX.4 / (CX.4,CX.9,CX.10)
status	No clear equivalent in HL7 v2; active/finished could be inferred from PV1-44, PV1-45, PV2-24; inactive could be inferred from PV2-16
class	CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
type	CE/CNE/CWE
serviceType	CE/CNE/CWE
coding	CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
coding (TWMedicalDepartmentSCT)	CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
system	C*E.3
version	C*E.7
code	C*E.1
display	C*E.2 - but note this is not well followed
userSelected	Sometimes implied by being first
coding (TWMedicalConsultationDepartment)	CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
system	C*E.3
version	C*E.7
code	C*E.1
display	C*E.2 - but note this is not well followed
userSelected	Sometimes implied by being first
coding (TWMedicalTreatmentDepartment)	CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
system	C*E.3
version	C*E.7
code	C*E.1
display	C*E.2 - but note this is not well followed
userSelected	Sometimes implied by being first
text	C*E.9. But note many systems use C*E.2 for this
priority	CE/CNE/CWE
subject	PID-3
episodeOfCare	PV1-54, PV1-53
participant	ROL
type	CE/CNE/CWE
period	ROL-5, ROL-6 (or maybe PRT-5)
individual	ROL-4
appointment	SCH-1 / SCH-2
period	PV1-44, PV1-45
length	(PV1-45 less PV1-44) iff ( (PV1-44 not empty) and (PV1-45 not empty) ); units in minutes
reasonCode	CE/CNE/CWE
reasonReference	EVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations )
diagnosis
condition	Resources that would commonly referenced at Encounter.indication would be Condition and/or Procedure. These most closely align with DG1/PRB and PR1 respectively.
use	CE/CNE/CWE
hospitalization
preAdmissionIdentifier	PV1-5
admitSource	CE/CNE/CWE
reAdmission	CE/CNE/CWE
dietPreference	CE/CNE/CWE
specialCourtesy	CE/CNE/CWE
specialArrangement	CE/CNE/CWE
destination	PV1-37
dischargeDisposition	CE/CNE/CWE
location
location	PV1-3 / PV1-6 / PV1-11 / PV1-42 / PV1-43
physicalType	CE/CNE/CWE
serviceProvider	PL.6 & PL.1