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 0.3.2 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
Official URL: https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Encounter-twcore | Version: 0.3.2 | |||
Active as of 2024-12-20 | Computable Name: TWCoreEncounter |
此臺灣核心-就醫事件(TW Core Encounter) Profile說明本IG如何進一步定義FHIR的Encounter Resource以呈現就醫事件。
涉及病人和健康照護服務提供者之間的互動,目的是為了提供健康照護服務或評估病人的健康狀況。
病人的就醫事件根據發生的環境有所不同,包括門診、急診、家庭健康照護、住院和虛擬就醫。一次就醫事件涵蓋從入院前、實際的就醫事件(門診情況下)、入院、住院到出院的全過程(住院情況下)。期間,病人可能會接受不同健康照護服務提供者的照顧,並可能轉移至不同的地點。
由於就醫事件的範疇非常廣泛,不是所有資料項目在所有情況下都適用。因此,與入院/出院相關的資訊被分開存放在就醫事件的hospitalization
。利用 class
資料項目來區分這些不同的就醫環境,進而指導相關的驗證和業務規則的應用。
不同的機構(以及不同的行政管轄區和國家)在決定哪些業務事件應該視為一個新的Encounter的開始,或者如何聚合 Encounter,存在著顯著的差異。例如:在住院期間,每一次醫生的看診可能會記錄為一個新的 Encounter 實例,但根據當地的實務和系統的不同,也可能會將這些看診聚合為整個住院期間的單一事件。在一些行政管轄區,出於財務或其他原因,可能會對就醫事件進行更多的聚合。可以使用Encounter.partOf
資料項目將就醫事件聚合或分組於其他Encounter之下。參考下方(below)提供的範例。
Encounter 實例也可能在實際就醫發生之前就已經存在,用來傳達入院前資訊,包括計劃的開始日期或預計的就醫地點。在這種情況下,Encounter.status
資料項目會設定為 planned
。
Encounter.hospitalization
旨在存儲與住院相關的更多資訊。這些資訊通常與就醫事件本身的期間相同。如果住院期間與Encounter期間有所不同時,則應使用另一個就醫事件實例來記錄這些資訊,並將其作為這個就醫事件實例的一部分。
Procedure 和 Encounter相互參照,這些參照應該指向不同的 Procedures。一種情況是指在 Encounter 期間進行的 Procedure,這會儲存在Procedure.encounter
(Encounter)中;另一種情況是Encounter是另一個 Procedure 的結果,這會被記錄在Encounter.reasonReference
(Procedure),例如:為了解決之前 Procedure 出現的併發症而進行的後續 Encounter。
在一個就醫事件的生命週期內,它會經歷多個階段,這些階段通常是根據健康照護服務提供者的工作流程來排列的,比如「planned
」、「in-progress
」和「finished
/ cancelled
」。這些階段的資訊經常被用於其他目的,而且分析這些階段的歷史紀錄經常是必要的。這個分析可以透過檢查就醫事件的所有版本,確認每個版本的持續時間,然後進行一些後期的處理來完成。為了減輕這個負擔(或在系統不支援 resources 歷史紀錄的情況下),可善用 status 歷史紀錄元件(status history component)。
單靠Encounter.status
欄位本身,我們無法直接判斷一次就醫事件是否被視為「已入院(admitted
)」。就醫事件的具體情況和健康照護服務提供者的業務實務、政策、工作流程、類型都可能影響這一定義(例如:在急性照護機構、老人照護中心、門診診所、急診室或社區診所中)。「已到達(arrived
)」、「已檢傷分類(triaged
)」或「進行中(in progress
)」等狀態可能被視為入院的開始,此時還會引入填寫Encounter.hospitalization
。
「外出(onleave
)」狀態可能被包含在入院階段內,也可能不被包含,例如:如果病人被允許在周末或一些其他外出事件期間回家。此外,Encounter.location.status
通常會被更新為「在場(active
)」的狀態,如下範例。就如同在門診就醫的例子中,比如進行日間手術(如結腸鏡檢查),病人也可能被視為已入院,因此「已入院」的定義並不固定。但最起碼,我們認為當Encounter.status
為「進行中(in-progres
)」時,病人應被視為已入院。
{
"resourceType": "Encounter",
"status": "in-progress",
"location": [
{
"location": {
"display": "病房A"
},
"status": "active"
}
]
}
在FHIR中,Encounter resource不應被用來儲存有關預約的資訊;相反地,應該使用Appointmentresource 來處理這類資訊。值得一提的是,在許多系統裡,「門診就醫事件」(這是 Encounter resource 所涵蓋的範疇)和「Appointment」常常會被一起使用。在FHIR裡面,「Appointment」被用於安排就醫事件的日期,而「Encounter」則適用於關於實際就醫事件的資訊,也就是說,當病人真正到達時。
因此,一個處於「計劃中(planned
)」Encounter.status
的就醫事件與安排它的預約並不相同。它代表在實際就醫事件發生之前的階段,並帶有期望該就醫事件隨著時間進展而更新到完成(finished
)的意圖。病人抵達某地並不一定意味著就醫事件的開始。例如:病人可能比他實際被健康照護服務提供者看診的時間提早一小時到達。
Appointment resource 通常用於預約的規劃階段,包括尋找、確定一個可用的時間,然後進行預約。當這一流程完成且預約即將開始時,則會將該預約(Encounter.appointment
(Appointment)之Appointment.status
標記為已完成(fulfilled
),並將其與新創建的Encounter關聯起來。這個新的Encounter可能在病人被接收到機構的某一地點時,以Encounter.status
為「已到達(arrived
)」開始,之後可能會轉移到病房,此時另一部分的Encounter也許就會開始。
Communicationresource 用於在健康照護服務提供者與病人之間沒有直接接觸的情況下發生的即時互動。例如:透過電話留言或傳輸某些文件。雖然 Communication resource 不記錄持續時間,但它可能包含發送和接收的時間點。
標準擴充資料項目「相關就醫事件(Associated Encounter
)」應當被用來參照一個Encounter,特別是在沒有其他屬性已經定義這種關聯的情況下。
Medication resource 被以下 resources 所參照:醫療不良事件(AdverseEvent)、過敏或不耐症(AllergyIntolerance)、照護計畫(CarePlan)、照護團隊(CareTeam)、費用項目(ChargeItem)、理賠申請(Claim)、臨床臆斷(ClinicalImpression)、通訊(Communication)、通訊請求(CommunicationRequest)、臨床文件架構(Composition)、病情、問題或診斷(Condition)、合約(Contract)、設備請求(DeviceRequest)、診斷報告(DiagnosticReport)、文件參照(DocumentReference)、藥品(Medication)、利益說明(ExplanationOfBenefit)、標記(Flag)、指導回應GuidanceResponse)、影像檢查(ImagingStudy)、疫苗接種(Immunization)、清單(List)、多媒體(Media)、給藥(MedicationAdministration)、配藥或藥品調劑(MedicationDispense)、藥品請求(MedicationRequest)、用藥聲明(MedicationStatement)、營養醫令(NutritionOrder)、檢驗檢查(Observation)、處置(Procedure)、問卷題目回覆(QuestionnaireResponse)、一組請求(RequestGroup)、風險評估(RiskAssessment)、服務請求(ServiceRequest)、任務(Task)及視力處方(VisionPrescription)。
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Encounter
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Encounter | 0..* | Encounter | 提供病人服務的一種互動 | |||||
id | 0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的Encounter紀錄,通常又稱為邏輯性ID。 | |||||
meta | 0..1 | Meta | 此Encounter Resource的metadata | |||||
implicitRules | 0..1 | uri | 創建此內容所依據的一組規則 | |||||
language | 0..1 | code | 用以表述Encounter Resource內容的語言。 Binding: CommonLanguages (preferred): 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。
Example Value: zh-TW | |||||
text | 0..1 | Narrative | Encounter Resource之內容摘要以供人閱讀 | |||||
identifier | S | 0..* | Identifier | 此就醫事件的識別碼 | ||||
use | 0..1 | code | usual | official | temp | secondary | old (如果知道) Binding: IdentifierUse (required): 如果知道,請說明此識別碼的用途;應填入所綁定值集中的其中一個代碼。 | |||||
type | 0..1 | CodeableConceptTW | 識別碼(identifier)的型別說明 Binding: Identifier Type Codes (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。 | |||||
system | S | 1..1 | uri | 識別碼(identifier)的命名空間(namespace) | ||||
value | S | 1..1 | string | 唯一值 | ||||
period | 0..1 | Period | 此就醫事件識別碼(identifier)的使用效期 | |||||
assigner | 0..1 | Reference(TW Core Organization) | 簽發identifier的機構(可以只是文字表述) | |||||
status | S | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): 就醫現況的代碼;應填入所綁定值集中的其中一個代碼 | ||||
statusHistory | 0..* | BackboneElement | 過去的就醫狀態清單 | |||||
status | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): 就醫現狀的代碼;應填入所綁定值集中的其中一個代碼 | |||||
period | 1..1 | Period | 該事件處於特定狀態的時間 | |||||
class | S | 1..1 | CodingTW | 病人就醫的分類 Binding: ActEncounterCode (extensible): 就醫的分類;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。 | ||||
classHistory | 0..* | BackboneElement | 過去就醫類別的列表 | |||||
class | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): 就醫類別;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。 | |||||
period | 1..1 | Period | 此就醫事件處於特定類別的時間 | |||||
type | 0..* | CodeableConceptTW | 就醫的特定型別 Binding: EncounterType (example): 就醫的型別;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。 | |||||
serviceType | S | 0..1 | CodeableConceptTW | 服務的特定型別 Binding: ServiceType (example): 對提供的服務進行廣泛分類;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。 | ||||
Slices for coding | 0..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 Slice: Unordered, Open by pattern:system | |||||
coding:TWMedicalDepartmentSCT | S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 對應至 SNOMED CT之就醫科別 + 診療科別值集 (required) | ||||
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Required Pattern: http://snomed.info/sct | |||||
coding:TWMedicalConsultationDepartment | S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署就醫科別值集 (required) | ||||
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw | |||||
coding:TWMedicalTreatmentDepartment | S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署診療科別值集 (required) | ||||
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-nhi-tw | |||||
priority | 0..1 | CodeableConceptTW | 表明就醫的急迫性 Binding: ActPriority (example): 表明就醫的迫切性;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。 | |||||
subject | S | 0..1 | Reference(TW Core Patient | Group) | 在場就醫的病人或實體集合(Group) | ||||
episodeOfCare | 0..* | Reference(EpisodeOfCare) | 此次就醫應記錄的照護事件 | |||||
basedOn | 0..* | Reference(TW Core ServiceRequest) | 開始此次就醫的服務請求(ServiceRequest) | |||||
participant | S | 0..* | BackboneElement | 參與就醫的健康照護服務提供者之名單 | ||||
type | S | 0..* | CodeableConceptTW | 參與者在病人就醫事件中的角色 Binding: ParticipantType (extensible): 參與者在病人就醫事件中的角色;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。 | ||||
period | S | 0..1 | Period | 參與者在病人就醫期間參與的時段 | ||||
individual | S | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson) | 除病人外,參與病人就醫事件的人。 | ||||
appointment | 0..* | Reference(Appointment) | 這次就醫的預約紀錄 | |||||
period | S | 0..1 | Period | 就醫的開始和結束時間 | ||||
length | 0..1 | Duration | 就醫持續的時間(扣除缺席時間) | |||||
reasonCode | S | 0..* | CodeableConceptTW | 就醫發生的編碼原因 Binding: EncounterReasonCodes (preferred): 發生此就醫事件的原因;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。 | ||||
reasonReference | 0..* | Reference(TW Core Condition | TW Core Procedure | TW Core Observation Laboratory Result | ImmunizationRecommendation) | 就醫發生的原因(參照) | |||||
diagnosis | 0..* | BackboneElement | 與此就醫相關的診斷清單 | |||||
condition | 1..1 | Reference(TW Core Condition | TW Core Procedure) | 與就醫事件相關的診斷或處置 | |||||
use | 0..1 | CodeableConceptTW | 此診斷在病人就醫事件中的作用(例如:住院、收費、出院...)。 Binding: DiagnosisRole (preferred): 此情況所代表的診斷型別;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。 | |||||
rank | 0..1 | positiveInt | 診斷的排序(針對每個角色型別) | |||||
account | 0..* | Reference(Account) | 可用於為此病人就醫事件計費的一組帳戶 | |||||
hospitalization | S | 0..1 | BackboneElement | 關於入院接受健康照護服務的細節 | ||||
preAdmissionIdentifier | 0..1 | Identifier | 住院前識別碼 | |||||
origin | 0..1 | Reference(TW Core Organization | TW Core Location) | 病人住院前來自的地點/機構 | |||||
admitSource | 0..1 | CodeableConceptTW | 病人從哪裡住院(醫生轉介、轉院)? Binding: AdmitSource (preferred): 病人從哪裡住院;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。 | |||||
reAdmission | 0..1 | CodeableConceptTW | 已發生的醫院再入院型別(如果有的話)。如果該值不存在,則不被認定為再入院。 Binding: hl7VS-re-admissionIndicator (example): 這次住院就醫的再入院原因;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。 | |||||
dietPreference | 0..* | CodeableConceptTW | 病人報告的飲食偏好 Binding: Diet (example): 醫療、文化或道德方面的食物偏好,以幫助滿足飲食要求;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。 | |||||
specialCourtesy | 0..* | CodeableConceptTW | 特別禮遇(貴賓、董事會成員) Binding: SpecialCourtesy (preferred): 特別禮遇;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。 | |||||
specialArrangement | 0..* | CodeableConceptTW | 輪椅、翻譯人員、擔架等。 Binding: SpecialArrangements (preferred): 特殊安排;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。 | |||||
destination | 0..1 | Reference(TW Core Location | TW Core Organization) | 病人出院地點/機構 | |||||
dischargeDisposition | S | 0..1 | CodeableConceptTW | 出院後的地點類別或種類 Binding: DischargeDisposition (example): 出院處置;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。 | ||||
location | S | 0..* | BackboneElement | 病人曾去過的一個或多個地點 | ||||
location | S | 1..1 | Reference(TW Core Location) | 就醫發生的地點 | ||||
status | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): 就醫地點的狀態;應填入所綁定值集中的其中一個代碼。 | |||||
physicalType | 0..1 | CodeableConceptTW | 地點的實體型別(通常是地點的層級—床位、房間、病房等)。 Binding: LocationType (example): 地點的實體型別;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 | 0..1 | Period | 病人出現在此地點的時段 | |||||
serviceProvider | S | 0..1 | Reference(TW Core Organization) | 負責這次就醫的機構 | ||||
partOf | 0..1 | Reference(TW Core Encounter) | 此就醫是哪次就醫的一部份? | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Encounter.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Encounter.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
Encounter.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | ||||
Encounter.statusHistory.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | ||||
Encounter.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
Encounter.classHistory.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
Encounter.type | example | EncounterTypehttp://hl7.org/fhir/ValueSet/encounter-type from the FHIR Standard | ||||
Encounter.serviceType | example | ServiceTypehttp://hl7.org/fhir/ValueSet/service-type from the FHIR Standard | ||||
Encounter.serviceType.coding:TWMedicalDepartmentSCT | required | TWMedicalDepartmentSCThttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-department-sct-tw from this IG | ||||
Encounter.serviceType.coding:TWMedicalConsultationDepartment | required | TWMedicalConsultationDepartmenthttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-consultation-department-tw from this IG | ||||
Encounter.serviceType.coding:TWMedicalTreatmentDepartment | required | TWMedicalTreatmentDepartmenthttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-treatment-department-tw from this IG | ||||
Encounter.priority | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | ||||
Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard | ||||
Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard | ||||
Encounter.diagnosis.use | preferred | DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard | ||||
Encounter.hospitalization.admitSource | preferred | AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-source from the FHIR Standard | ||||
Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092 | ||||
Encounter.hospitalization.dietPreference | example | Diethttp://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard | ||||
Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard | ||||
Encounter.hospitalization.specialArrangement | preferred | SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard | ||||
Encounter.hospitalization.dischargeDisposition | example | DischargeDispositionhttp://hl7.org/fhir/ValueSet/encounter-discharge-disposition from the FHIR Standard | ||||
Encounter.location.status | required | EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard | ||||
Encounter.location.physicalType | example | LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Encounter | 0..* | Encounter | 提供病人服務的一種互動 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |||||
id | Σ | 0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的Encounter紀錄,通常又稱為邏輯性ID。 | ||||
meta | Σ | 0..1 | Meta | 此Encounter Resource的metadata ele-1: All FHIR elements must have a @value or children | ||||
implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則 ele-1: All FHIR elements must have a @value or children | ||||
language | 0..1 | code | 用以表述Encounter Resource內容的語言。 Binding: CommonLanguages (preferred): 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。
ele-1: All FHIR elements must have a @value or children Example Value: zh-TW | |||||
text | 0..1 | Narrative | Encounter Resource之內容摘要以供人閱讀 ele-1: All FHIR elements must have a @value or children | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
identifier | SΣ | 0..* | Identifier | 此就醫事件的識別碼 ele-1: All FHIR elements must have a @value or children | ||||
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (如果知道) Binding: IdentifierUse (required): 如果知道,請說明此識別碼的用途;應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children | ||||
type | 0..1 | CodeableConceptTW | 識別碼(identifier)的型別說明 Binding: Identifier Type Codes (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。 ele-1: All FHIR elements must have a @value or children | |||||
system | SΣ | 1..1 | uri | 識別碼(identifier)的命名空間(namespace) ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient | ||||
value | SΣ | 1..1 | string | 唯一值 ele-1: All FHIR elements must have a @value or children Example General: 123456 | ||||
period | Σ | 0..1 | Period | 此就醫事件識別碼(identifier)的使用效期 ele-1: All FHIR elements must have a @value or children | ||||
assigner | Σ | 0..1 | Reference(TW Core Organization) | 簽發identifier的機構(可以只是文字表述) ele-1: All FHIR elements must have a @value or children | ||||
status | ?!SΣ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): 就醫現況的代碼;應填入所綁定值集中的其中一個代碼 ele-1: All FHIR elements must have a @value or children | ||||
statusHistory | 0..* | BackboneElement | 過去的就醫狀態清單 ele-1: All FHIR elements must have a @value or children | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
status | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): 就醫現狀的代碼;應填入所綁定值集中的其中一個代碼 ele-1: All FHIR elements must have a @value or children | |||||
period | 1..1 | Period | 該事件處於特定狀態的時間 ele-1: All FHIR elements must have a @value or children | |||||
class | S | 1..1 | CodingTW | 病人就醫的分類 Binding: ActEncounterCode (extensible): 就醫的分類;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。 ele-1: All FHIR elements must have a @value or children | ||||
classHistory | 0..* | BackboneElement | 過去就醫類別的列表 ele-1: All FHIR elements must have a @value or children | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
class | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): 就醫類別;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。 ele-1: All FHIR elements must have a @value or children | |||||
period | 1..1 | Period | 此就醫事件處於特定類別的時間 ele-1: All FHIR elements must have a @value or children | |||||
type | 0..* | CodeableConceptTW | 就醫的特定型別 Binding: EncounterType (example): 就醫的型別;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。 ele-1: All FHIR elements must have a @value or children | |||||
serviceType | S | 0..1 | CodeableConceptTW | 服務的特定型別 Binding: ServiceType (example): 對提供的服務進行廣泛分類;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。 ele-1: All FHIR elements must have a @value or children | ||||
Slices for coding | S | 0..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 Slice: Unordered, Open by pattern:system ele-1: All FHIR elements must have a @value or children | ||||
coding:TWMedicalDepartmentSCT | S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 對應至 SNOMED CT之就醫科別 + 診療科別值集 (required) ele-1: All FHIR elements must have a @value or children | ||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 ele-1: All FHIR elements must have a @value or children Required Pattern: http://snomed.info/sct | ||||
code | SΣ | 0..1 | code | 系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 ele-1: All FHIR elements must have a @value or children | ||||
coding:TWMedicalConsultationDepartment | S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署就醫科別值集 (required) ele-1: All FHIR elements must have a @value or children | ||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 ele-1: All FHIR elements must have a @value or children Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw | ||||
code | SΣ | 0..1 | code | 系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 ele-1: All FHIR elements must have a @value or children | ||||
coding:TWMedicalTreatmentDepartment | S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署診療科別值集 (required) ele-1: All FHIR elements must have a @value or children | ||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 ele-1: All FHIR elements must have a @value or children Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-nhi-tw | ||||
code | SΣ | 0..1 | code | 系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 ele-1: All FHIR elements must have a @value or children | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 ele-1: All FHIR elements must have a @value or children | ||||
priority | 0..1 | CodeableConceptTW | 表明就醫的急迫性 Binding: ActPriority (example): 表明就醫的迫切性;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。 ele-1: All FHIR elements must have a @value or children | |||||
subject | SΣ | 0..1 | Reference(TW Core Patient | Group) | 在場就醫的病人或實體集合(Group) ele-1: All FHIR elements must have a @value or children | ||||
episodeOfCare | Σ | 0..* | Reference(EpisodeOfCare) | 此次就醫應記錄的照護事件 ele-1: All FHIR elements must have a @value or children | ||||
basedOn | 0..* | Reference(TW Core ServiceRequest) | 開始此次就醫的服務請求(ServiceRequest) ele-1: All FHIR elements must have a @value or children | |||||
participant | SΣ | 0..* | BackboneElement | 參與就醫的健康照護服務提供者之名單 ele-1: All FHIR elements must have a @value or children | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
type | S | 0..* | CodeableConceptTW | 參與者在病人就醫事件中的角色 Binding: ParticipantType (extensible): 參與者在病人就醫事件中的角色;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。 ele-1: All FHIR elements must have a @value or children | ||||
period | S | 0..1 | Period | 參與者在病人就醫期間參與的時段 ele-1: All FHIR elements must have a @value or children | ||||
individual | SΣ | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson) | 除病人外,參與病人就醫事件的人。 ele-1: All FHIR elements must have a @value or children | ||||
appointment | Σ | 0..* | Reference(Appointment) | 這次就醫的預約紀錄 ele-1: All FHIR elements must have a @value or children | ||||
period | S | 0..1 | Period | 就醫的開始和結束時間 ele-1: All FHIR elements must have a @value or children | ||||
length | 0..1 | Duration | 就醫持續的時間(扣除缺席時間) ele-1: All FHIR elements must have a @value or children | |||||
reasonCode | S | 0..* | CodeableConceptTW | 就醫發生的編碼原因 Binding: EncounterReasonCodes (preferred): 發生此就醫事件的原因;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。 ele-1: All FHIR elements must have a @value or children | ||||
reasonReference | Σ | 0..* | Reference(TW Core Condition | TW Core Procedure | TW Core Observation Laboratory Result | ImmunizationRecommendation) | 就醫發生的原因(參照) ele-1: All FHIR elements must have a @value or children | ||||
diagnosis | Σ | 0..* | BackboneElement | 與此就醫相關的診斷清單 ele-1: All FHIR elements must have a @value or children | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
condition | Σ | 1..1 | Reference(TW Core Condition | TW Core Procedure) | 與就醫事件相關的診斷或處置 ele-1: All FHIR elements must have a @value or children | ||||
use | 0..1 | CodeableConceptTW | 此診斷在病人就醫事件中的作用(例如:住院、收費、出院...)。 Binding: DiagnosisRole (preferred): 此情況所代表的診斷型別;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。 ele-1: All FHIR elements must have a @value or children | |||||
rank | 0..1 | positiveInt | 診斷的排序(針對每個角色型別) ele-1: All FHIR elements must have a @value or children | |||||
account | 0..* | Reference(Account) | 可用於為此病人就醫事件計費的一組帳戶 ele-1: All FHIR elements must have a @value or children | |||||
hospitalization | S | 0..1 | BackboneElement | 關於入院接受健康照護服務的細節 ele-1: All FHIR elements must have a @value or children | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
preAdmissionIdentifier | 0..1 | Identifier | 住院前識別碼 ele-1: All FHIR elements must have a @value or children | |||||
origin | 0..1 | Reference(TW Core Organization | TW Core Location) | 病人住院前來自的地點/機構 ele-1: All FHIR elements must have a @value or children | |||||
admitSource | 0..1 | CodeableConceptTW | 病人從哪裡住院(醫生轉介、轉院)? Binding: AdmitSource (preferred): 病人從哪裡住院;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。 ele-1: All FHIR elements must have a @value or children | |||||
reAdmission | 0..1 | CodeableConceptTW | 已發生的醫院再入院型別(如果有的話)。如果該值不存在,則不被認定為再入院。 Binding: hl7VS-re-admissionIndicator (example): 這次住院就醫的再入院原因;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。 ele-1: All FHIR elements must have a @value or children | |||||
dietPreference | 0..* | CodeableConceptTW | 病人報告的飲食偏好 Binding: Diet (example): 醫療、文化或道德方面的食物偏好,以幫助滿足飲食要求;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。 ele-1: All FHIR elements must have a @value or children | |||||
specialCourtesy | 0..* | CodeableConceptTW | 特別禮遇(貴賓、董事會成員) Binding: SpecialCourtesy (preferred): 特別禮遇;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。 ele-1: All FHIR elements must have a @value or children | |||||
specialArrangement | 0..* | CodeableConceptTW | 輪椅、翻譯人員、擔架等。 Binding: SpecialArrangements (preferred): 特殊安排;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。 ele-1: All FHIR elements must have a @value or children | |||||
destination | 0..1 | Reference(TW Core Location | TW Core Organization) | 病人出院地點/機構 ele-1: All FHIR elements must have a @value or children | |||||
dischargeDisposition | S | 0..1 | CodeableConceptTW | 出院後的地點類別或種類 Binding: DischargeDisposition (example): 出院處置;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。 ele-1: All FHIR elements must have a @value or children | ||||
location | S | 0..* | BackboneElement | 病人曾去過的一個或多個地點 ele-1: All FHIR elements must have a @value or children | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
location | S | 1..1 | Reference(TW Core Location) | 就醫發生的地點 ele-1: All FHIR elements must have a @value or children | ||||
status | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): 就醫地點的狀態;應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children | |||||
physicalType | 0..1 | CodeableConceptTW | 地點的實體型別(通常是地點的層級—床位、房間、病房等)。 Binding: LocationType (example): 地點的實體型別;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。 ele-1: All FHIR elements must have a @value or children | |||||
period | 0..1 | Period | 病人出現在此地點的時段 ele-1: All FHIR elements must have a @value or children | |||||
serviceProvider | S | 0..1 | Reference(TW Core Organization) | 負責這次就醫的機構 ele-1: All FHIR elements must have a @value or children | ||||
partOf | 0..1 | Reference(TW Core Encounter) | 此就醫是哪次就醫的一部份? ele-1: All FHIR elements must have a @value or children | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Encounter.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Encounter.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
Encounter.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | ||||
Encounter.statusHistory.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | ||||
Encounter.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
Encounter.classHistory.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
Encounter.type | example | EncounterTypehttp://hl7.org/fhir/ValueSet/encounter-type from the FHIR Standard | ||||
Encounter.serviceType | example | ServiceTypehttp://hl7.org/fhir/ValueSet/service-type from the FHIR Standard | ||||
Encounter.serviceType.coding:TWMedicalDepartmentSCT | required | TWMedicalDepartmentSCThttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-department-sct-tw from this IG | ||||
Encounter.serviceType.coding:TWMedicalConsultationDepartment | required | TWMedicalConsultationDepartmenthttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-consultation-department-tw from this IG | ||||
Encounter.serviceType.coding:TWMedicalTreatmentDepartment | required | TWMedicalTreatmentDepartmenthttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-treatment-department-tw from this IG | ||||
Encounter.priority | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | ||||
Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard | ||||
Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard | ||||
Encounter.diagnosis.use | preferred | DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard | ||||
Encounter.hospitalization.admitSource | preferred | AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-source from the FHIR Standard | ||||
Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092 | ||||
Encounter.hospitalization.dietPreference | example | Diethttp://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard | ||||
Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard | ||||
Encounter.hospitalization.specialArrangement | preferred | SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard | ||||
Encounter.hospitalization.dischargeDisposition | example | DischargeDispositionhttp://hl7.org/fhir/ValueSet/encounter-discharge-disposition from the FHIR Standard | ||||
Encounter.location.status | required | EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard | ||||
Encounter.location.physicalType | example | LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Encounter | 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 | Encounter | 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 | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Encounter | 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() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Encounter | 0..* | Encounter | 提供病人服務的一種互動 | |||||
id | Σ | 0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的Encounter紀錄,通常又稱為邏輯性ID。 | ||||
meta | Σ | 0..1 | Meta | 此Encounter Resource的metadata | ||||
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Encounter Resource內容的語言。 Binding: CommonLanguages (preferred): 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。
Example Value: zh-TW | |||||
text | 0..1 | Narrative | Encounter Resource之內容摘要以供人閱讀 | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | SΣ | 0..* | Identifier | 此就醫事件的識別碼 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (如果知道) Binding: IdentifierUse (required): 如果知道,請說明此識別碼的用途;應填入所綁定值集中的其中一個代碼。 | ||||
type | 0..1 | CodeableConceptTW | 識別碼(identifier)的型別說明 Binding: Identifier Type Codes (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。 | |||||
system | SΣ | 1..1 | uri | 識別碼(identifier)的命名空間(namespace) Example General: http://www.acme.com/identifiers/patient | ||||
value | SΣ | 1..1 | string | 唯一值 Example General: 123456 | ||||
period | Σ | 0..1 | Period | 此就醫事件識別碼(identifier)的使用效期 | ||||
assigner | Σ | 0..1 | Reference(TW Core Organization) | 簽發identifier的機構(可以只是文字表述) | ||||
status | ?!SΣ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): 就醫現況的代碼;應填入所綁定值集中的其中一個代碼 | ||||
statusHistory | 0..* | BackboneElement | 過去的就醫狀態清單 | |||||
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 | ||||
status | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): 就醫現狀的代碼;應填入所綁定值集中的其中一個代碼 | |||||
period | 1..1 | Period | 該事件處於特定狀態的時間 | |||||
class | S | 1..1 | CodingTW | 病人就醫的分類 Binding: ActEncounterCode (extensible): 就醫的分類;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。 | ||||
classHistory | 0..* | BackboneElement | 過去就醫類別的列表 | |||||
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 | ||||
class | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): 就醫類別;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。 | |||||
period | 1..1 | Period | 此就醫事件處於特定類別的時間 | |||||
type | 0..* | CodeableConceptTW | 就醫的特定型別 Binding: EncounterType (example): 就醫的型別;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。 | |||||
serviceType | S | 0..1 | CodeableConceptTW | 服務的特定型別 Binding: ServiceType (example): 對提供的服務進行廣泛分類;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 | |||||
Slices for coding | S | 0..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 Slice: Unordered, Open by pattern:system | ||||
coding:TWMedicalDepartmentSCT | S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 對應至 SNOMED CT之就醫科別 + 診療科別值集 (required) | ||||
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 | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Required Pattern: http://snomed.info/sct | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 0..1 | code | 系統定義的語法之符號 | ||||
display | SΣ | 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? | ||||
coding:TWMedicalConsultationDepartment | S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署就醫科別值集 (required) | ||||
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 | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 0..1 | code | 系統定義的語法之符號 | ||||
display | SΣ | 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? | ||||
coding:TWMedicalTreatmentDepartment | S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署診療科別值集 (required) | ||||
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 | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-nhi-tw | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 0..1 | code | 系統定義的語法之符號 | ||||
display | SΣ | 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 | SΣ | 0..1 | string | 概念的文字表示法 | ||||
priority | 0..1 | CodeableConceptTW | 表明就醫的急迫性 Binding: ActPriority (example): 表明就醫的迫切性;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。 | |||||
subject | SΣ | 0..1 | Reference(TW Core Patient | Group) | 在場就醫的病人或實體集合(Group) | ||||
episodeOfCare | Σ | 0..* | Reference(EpisodeOfCare) | 此次就醫應記錄的照護事件 | ||||
basedOn | 0..* | Reference(TW Core ServiceRequest) | 開始此次就醫的服務請求(ServiceRequest) | |||||
participant | SΣ | 0..* | BackboneElement | 參與就醫的健康照護服務提供者之名單 | ||||
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 | ||||
type | S | 0..* | CodeableConceptTW | 參與者在病人就醫事件中的角色 Binding: ParticipantType (extensible): 參與者在病人就醫事件中的角色;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。 | ||||
period | S | 0..1 | Period | 參與者在病人就醫期間參與的時段 | ||||
individual | SΣ | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson) | 除病人外,參與病人就醫事件的人。 | ||||
appointment | Σ | 0..* | Reference(Appointment) | 這次就醫的預約紀錄 | ||||
period | S | 0..1 | Period | 就醫的開始和結束時間 | ||||
length | 0..1 | Duration | 就醫持續的時間(扣除缺席時間) | |||||
reasonCode | S | 0..* | CodeableConceptTW | 就醫發生的編碼原因 Binding: EncounterReasonCodes (preferred): 發生此就醫事件的原因;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。 | ||||
reasonReference | Σ | 0..* | Reference(TW Core Condition | TW Core Procedure | TW Core Observation Laboratory Result | ImmunizationRecommendation) | 就醫發生的原因(參照) | ||||
diagnosis | Σ | 0..* | BackboneElement | 與此就醫相關的診斷清單 | ||||
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 | ||||
condition | Σ | 1..1 | Reference(TW Core Condition | TW Core Procedure) | 與就醫事件相關的診斷或處置 | ||||
use | 0..1 | CodeableConceptTW | 此診斷在病人就醫事件中的作用(例如:住院、收費、出院...)。 Binding: DiagnosisRole (preferred): 此情況所代表的診斷型別;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。 | |||||
rank | 0..1 | positiveInt | 診斷的排序(針對每個角色型別) | |||||
account | 0..* | Reference(Account) | 可用於為此病人就醫事件計費的一組帳戶 | |||||
hospitalization | S | 0..1 | BackboneElement | 關於入院接受健康照護服務的細節 | ||||
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 | ||||
preAdmissionIdentifier | 0..1 | Identifier | 住院前識別碼 | |||||
origin | 0..1 | Reference(TW Core Organization | TW Core Location) | 病人住院前來自的地點/機構 | |||||
admitSource | 0..1 | CodeableConceptTW | 病人從哪裡住院(醫生轉介、轉院)? Binding: AdmitSource (preferred): 病人從哪裡住院;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。 | |||||
reAdmission | 0..1 | CodeableConceptTW | 已發生的醫院再入院型別(如果有的話)。如果該值不存在,則不被認定為再入院。 Binding: hl7VS-re-admissionIndicator (example): 這次住院就醫的再入院原因;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。 | |||||
dietPreference | 0..* | CodeableConceptTW | 病人報告的飲食偏好 Binding: Diet (example): 醫療、文化或道德方面的食物偏好,以幫助滿足飲食要求;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。 | |||||
specialCourtesy | 0..* | CodeableConceptTW | 特別禮遇(貴賓、董事會成員) Binding: SpecialCourtesy (preferred): 特別禮遇;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。 | |||||
specialArrangement | 0..* | CodeableConceptTW | 輪椅、翻譯人員、擔架等。 Binding: SpecialArrangements (preferred): 特殊安排;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。 | |||||
destination | 0..1 | Reference(TW Core Location | TW Core Organization) | 病人出院地點/機構 | |||||
dischargeDisposition | S | 0..1 | CodeableConceptTW | 出院後的地點類別或種類 Binding: DischargeDisposition (example): 出院處置;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。 | ||||
location | S | 0..* | BackboneElement | 病人曾去過的一個或多個地點 | ||||
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 | ||||
location | S | 1..1 | Reference(TW Core Location) | 就醫發生的地點 | ||||
status | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): 就醫地點的狀態;應填入所綁定值集中的其中一個代碼。 | |||||
physicalType | 0..1 | CodeableConceptTW | 地點的實體型別(通常是地點的層級—床位、房間、病房等)。 Binding: LocationType (example): 地點的實體型別;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 | 0..1 | Period | 病人出現在此地點的時段 | |||||
serviceProvider | S | 0..1 | Reference(TW Core Organization) | 負責這次就醫的機構 | ||||
partOf | 0..1 | Reference(TW Core Encounter) | 此就醫是哪次就醫的一部份? | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Encounter.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Encounter.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
Encounter.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | ||||
Encounter.statusHistory.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | ||||
Encounter.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
Encounter.classHistory.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
Encounter.type | example | EncounterTypehttp://hl7.org/fhir/ValueSet/encounter-type from the FHIR Standard | ||||
Encounter.serviceType | example | ServiceTypehttp://hl7.org/fhir/ValueSet/service-type from the FHIR Standard | ||||
Encounter.serviceType.coding:TWMedicalDepartmentSCT | required | TWMedicalDepartmentSCThttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-department-sct-tw from this IG | ||||
Encounter.serviceType.coding:TWMedicalConsultationDepartment | required | TWMedicalConsultationDepartmenthttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-consultation-department-tw from this IG | ||||
Encounter.serviceType.coding:TWMedicalTreatmentDepartment | required | TWMedicalTreatmentDepartmenthttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-treatment-department-tw from this IG | ||||
Encounter.priority | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | ||||
Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard | ||||
Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard | ||||
Encounter.diagnosis.use | preferred | DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard | ||||
Encounter.hospitalization.admitSource | preferred | AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-source from the FHIR Standard | ||||
Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092 | ||||
Encounter.hospitalization.dietPreference | example | Diethttp://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard | ||||
Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard | ||||
Encounter.hospitalization.specialArrangement | preferred | SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard | ||||
Encounter.hospitalization.dischargeDisposition | example | DischargeDispositionhttp://hl7.org/fhir/ValueSet/encounter-discharge-disposition from the FHIR Standard | ||||
Encounter.location.status | required | EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard | ||||
Encounter.location.physicalType | example | LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Encounter | 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 | Encounter | 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 | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Encounter | 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 Encounter
Summary
Mandatory: 0 element(5 nested mandatory elements)
Must-Support: 21 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Encounter
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Encounter | 0..* | Encounter | 提供病人服務的一種互動 | |||||
id | 0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的Encounter紀錄,通常又稱為邏輯性ID。 | |||||
meta | 0..1 | Meta | 此Encounter Resource的metadata | |||||
implicitRules | 0..1 | uri | 創建此內容所依據的一組規則 | |||||
language | 0..1 | code | 用以表述Encounter Resource內容的語言。 Binding: CommonLanguages (preferred): 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。
Example Value: zh-TW | |||||
text | 0..1 | Narrative | Encounter Resource之內容摘要以供人閱讀 | |||||
identifier | S | 0..* | Identifier | 此就醫事件的識別碼 | ||||
use | 0..1 | code | usual | official | temp | secondary | old (如果知道) Binding: IdentifierUse (required): 如果知道,請說明此識別碼的用途;應填入所綁定值集中的其中一個代碼。 | |||||
type | 0..1 | CodeableConceptTW | 識別碼(identifier)的型別說明 Binding: Identifier Type Codes (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。 | |||||
system | S | 1..1 | uri | 識別碼(identifier)的命名空間(namespace) | ||||
value | S | 1..1 | string | 唯一值 | ||||
period | 0..1 | Period | 此就醫事件識別碼(identifier)的使用效期 | |||||
assigner | 0..1 | Reference(TW Core Organization) | 簽發identifier的機構(可以只是文字表述) | |||||
status | S | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): 就醫現況的代碼;應填入所綁定值集中的其中一個代碼 | ||||
statusHistory | 0..* | BackboneElement | 過去的就醫狀態清單 | |||||
status | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): 就醫現狀的代碼;應填入所綁定值集中的其中一個代碼 | |||||
period | 1..1 | Period | 該事件處於特定狀態的時間 | |||||
class | S | 1..1 | CodingTW | 病人就醫的分類 Binding: ActEncounterCode (extensible): 就醫的分類;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。 | ||||
classHistory | 0..* | BackboneElement | 過去就醫類別的列表 | |||||
class | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): 就醫類別;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。 | |||||
period | 1..1 | Period | 此就醫事件處於特定類別的時間 | |||||
type | 0..* | CodeableConceptTW | 就醫的特定型別 Binding: EncounterType (example): 就醫的型別;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。 | |||||
serviceType | S | 0..1 | CodeableConceptTW | 服務的特定型別 Binding: ServiceType (example): 對提供的服務進行廣泛分類;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。 | ||||
Slices for coding | 0..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 Slice: Unordered, Open by pattern:system | |||||
coding:TWMedicalDepartmentSCT | S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 對應至 SNOMED CT之就醫科別 + 診療科別值集 (required) | ||||
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Required Pattern: http://snomed.info/sct | |||||
coding:TWMedicalConsultationDepartment | S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署就醫科別值集 (required) | ||||
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw | |||||
coding:TWMedicalTreatmentDepartment | S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署診療科別值集 (required) | ||||
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-nhi-tw | |||||
priority | 0..1 | CodeableConceptTW | 表明就醫的急迫性 Binding: ActPriority (example): 表明就醫的迫切性;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。 | |||||
subject | S | 0..1 | Reference(TW Core Patient | Group) | 在場就醫的病人或實體集合(Group) | ||||
episodeOfCare | 0..* | Reference(EpisodeOfCare) | 此次就醫應記錄的照護事件 | |||||
basedOn | 0..* | Reference(TW Core ServiceRequest) | 開始此次就醫的服務請求(ServiceRequest) | |||||
participant | S | 0..* | BackboneElement | 參與就醫的健康照護服務提供者之名單 | ||||
type | S | 0..* | CodeableConceptTW | 參與者在病人就醫事件中的角色 Binding: ParticipantType (extensible): 參與者在病人就醫事件中的角色;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。 | ||||
period | S | 0..1 | Period | 參與者在病人就醫期間參與的時段 | ||||
individual | S | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson) | 除病人外,參與病人就醫事件的人。 | ||||
appointment | 0..* | Reference(Appointment) | 這次就醫的預約紀錄 | |||||
period | S | 0..1 | Period | 就醫的開始和結束時間 | ||||
length | 0..1 | Duration | 就醫持續的時間(扣除缺席時間) | |||||
reasonCode | S | 0..* | CodeableConceptTW | 就醫發生的編碼原因 Binding: EncounterReasonCodes (preferred): 發生此就醫事件的原因;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。 | ||||
reasonReference | 0..* | Reference(TW Core Condition | TW Core Procedure | TW Core Observation Laboratory Result | ImmunizationRecommendation) | 就醫發生的原因(參照) | |||||
diagnosis | 0..* | BackboneElement | 與此就醫相關的診斷清單 | |||||
condition | 1..1 | Reference(TW Core Condition | TW Core Procedure) | 與就醫事件相關的診斷或處置 | |||||
use | 0..1 | CodeableConceptTW | 此診斷在病人就醫事件中的作用(例如:住院、收費、出院...)。 Binding: DiagnosisRole (preferred): 此情況所代表的診斷型別;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。 | |||||
rank | 0..1 | positiveInt | 診斷的排序(針對每個角色型別) | |||||
account | 0..* | Reference(Account) | 可用於為此病人就醫事件計費的一組帳戶 | |||||
hospitalization | S | 0..1 | BackboneElement | 關於入院接受健康照護服務的細節 | ||||
preAdmissionIdentifier | 0..1 | Identifier | 住院前識別碼 | |||||
origin | 0..1 | Reference(TW Core Organization | TW Core Location) | 病人住院前來自的地點/機構 | |||||
admitSource | 0..1 | CodeableConceptTW | 病人從哪裡住院(醫生轉介、轉院)? Binding: AdmitSource (preferred): 病人從哪裡住院;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。 | |||||
reAdmission | 0..1 | CodeableConceptTW | 已發生的醫院再入院型別(如果有的話)。如果該值不存在,則不被認定為再入院。 Binding: hl7VS-re-admissionIndicator (example): 這次住院就醫的再入院原因;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。 | |||||
dietPreference | 0..* | CodeableConceptTW | 病人報告的飲食偏好 Binding: Diet (example): 醫療、文化或道德方面的食物偏好,以幫助滿足飲食要求;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。 | |||||
specialCourtesy | 0..* | CodeableConceptTW | 特別禮遇(貴賓、董事會成員) Binding: SpecialCourtesy (preferred): 特別禮遇;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。 | |||||
specialArrangement | 0..* | CodeableConceptTW | 輪椅、翻譯人員、擔架等。 Binding: SpecialArrangements (preferred): 特殊安排;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。 | |||||
destination | 0..1 | Reference(TW Core Location | TW Core Organization) | 病人出院地點/機構 | |||||
dischargeDisposition | S | 0..1 | CodeableConceptTW | 出院後的地點類別或種類 Binding: DischargeDisposition (example): 出院處置;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。 | ||||
location | S | 0..* | BackboneElement | 病人曾去過的一個或多個地點 | ||||
location | S | 1..1 | Reference(TW Core Location) | 就醫發生的地點 | ||||
status | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): 就醫地點的狀態;應填入所綁定值集中的其中一個代碼。 | |||||
physicalType | 0..1 | CodeableConceptTW | 地點的實體型別(通常是地點的層級—床位、房間、病房等)。 Binding: LocationType (example): 地點的實體型別;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 | 0..1 | Period | 病人出現在此地點的時段 | |||||
serviceProvider | S | 0..1 | Reference(TW Core Organization) | 負責這次就醫的機構 | ||||
partOf | 0..1 | Reference(TW Core Encounter) | 此就醫是哪次就醫的一部份? | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Encounter.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Encounter.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
Encounter.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | ||||
Encounter.statusHistory.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | ||||
Encounter.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
Encounter.classHistory.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
Encounter.type | example | EncounterTypehttp://hl7.org/fhir/ValueSet/encounter-type from the FHIR Standard | ||||
Encounter.serviceType | example | ServiceTypehttp://hl7.org/fhir/ValueSet/service-type from the FHIR Standard | ||||
Encounter.serviceType.coding:TWMedicalDepartmentSCT | required | TWMedicalDepartmentSCThttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-department-sct-tw from this IG | ||||
Encounter.serviceType.coding:TWMedicalConsultationDepartment | required | TWMedicalConsultationDepartmenthttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-consultation-department-tw from this IG | ||||
Encounter.serviceType.coding:TWMedicalTreatmentDepartment | required | TWMedicalTreatmentDepartmenthttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-treatment-department-tw from this IG | ||||
Encounter.priority | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | ||||
Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard | ||||
Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard | ||||
Encounter.diagnosis.use | preferred | DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard | ||||
Encounter.hospitalization.admitSource | preferred | AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-source from the FHIR Standard | ||||
Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092 | ||||
Encounter.hospitalization.dietPreference | example | Diethttp://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard | ||||
Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard | ||||
Encounter.hospitalization.specialArrangement | preferred | SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard | ||||
Encounter.hospitalization.dischargeDisposition | example | DischargeDispositionhttp://hl7.org/fhir/ValueSet/encounter-discharge-disposition from the FHIR Standard | ||||
Encounter.location.status | required | EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard | ||||
Encounter.location.physicalType | example | LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Encounter | 0..* | Encounter | 提供病人服務的一種互動 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |||||
id | Σ | 0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的Encounter紀錄,通常又稱為邏輯性ID。 | ||||
meta | Σ | 0..1 | Meta | 此Encounter Resource的metadata ele-1: All FHIR elements must have a @value or children | ||||
implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則 ele-1: All FHIR elements must have a @value or children | ||||
language | 0..1 | code | 用以表述Encounter Resource內容的語言。 Binding: CommonLanguages (preferred): 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。
ele-1: All FHIR elements must have a @value or children Example Value: zh-TW | |||||
text | 0..1 | Narrative | Encounter Resource之內容摘要以供人閱讀 ele-1: All FHIR elements must have a @value or children | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
identifier | SΣ | 0..* | Identifier | 此就醫事件的識別碼 ele-1: All FHIR elements must have a @value or children | ||||
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (如果知道) Binding: IdentifierUse (required): 如果知道,請說明此識別碼的用途;應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children | ||||
type | 0..1 | CodeableConceptTW | 識別碼(identifier)的型別說明 Binding: Identifier Type Codes (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。 ele-1: All FHIR elements must have a @value or children | |||||
system | SΣ | 1..1 | uri | 識別碼(identifier)的命名空間(namespace) ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient | ||||
value | SΣ | 1..1 | string | 唯一值 ele-1: All FHIR elements must have a @value or children Example General: 123456 | ||||
period | Σ | 0..1 | Period | 此就醫事件識別碼(identifier)的使用效期 ele-1: All FHIR elements must have a @value or children | ||||
assigner | Σ | 0..1 | Reference(TW Core Organization) | 簽發identifier的機構(可以只是文字表述) ele-1: All FHIR elements must have a @value or children | ||||
status | ?!SΣ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): 就醫現況的代碼;應填入所綁定值集中的其中一個代碼 ele-1: All FHIR elements must have a @value or children | ||||
statusHistory | 0..* | BackboneElement | 過去的就醫狀態清單 ele-1: All FHIR elements must have a @value or children | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
status | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): 就醫現狀的代碼;應填入所綁定值集中的其中一個代碼 ele-1: All FHIR elements must have a @value or children | |||||
period | 1..1 | Period | 該事件處於特定狀態的時間 ele-1: All FHIR elements must have a @value or children | |||||
class | S | 1..1 | CodingTW | 病人就醫的分類 Binding: ActEncounterCode (extensible): 就醫的分類;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。 ele-1: All FHIR elements must have a @value or children | ||||
classHistory | 0..* | BackboneElement | 過去就醫類別的列表 ele-1: All FHIR elements must have a @value or children | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
class | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): 就醫類別;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。 ele-1: All FHIR elements must have a @value or children | |||||
period | 1..1 | Period | 此就醫事件處於特定類別的時間 ele-1: All FHIR elements must have a @value or children | |||||
type | 0..* | CodeableConceptTW | 就醫的特定型別 Binding: EncounterType (example): 就醫的型別;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。 ele-1: All FHIR elements must have a @value or children | |||||
serviceType | S | 0..1 | CodeableConceptTW | 服務的特定型別 Binding: ServiceType (example): 對提供的服務進行廣泛分類;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。 ele-1: All FHIR elements must have a @value or children | ||||
Slices for coding | S | 0..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 Slice: Unordered, Open by pattern:system ele-1: All FHIR elements must have a @value or children | ||||
coding:TWMedicalDepartmentSCT | S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 對應至 SNOMED CT之就醫科別 + 診療科別值集 (required) ele-1: All FHIR elements must have a @value or children | ||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 ele-1: All FHIR elements must have a @value or children Required Pattern: http://snomed.info/sct | ||||
code | SΣ | 0..1 | code | 系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 ele-1: All FHIR elements must have a @value or children | ||||
coding:TWMedicalConsultationDepartment | S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署就醫科別值集 (required) ele-1: All FHIR elements must have a @value or children | ||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 ele-1: All FHIR elements must have a @value or children Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw | ||||
code | SΣ | 0..1 | code | 系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 ele-1: All FHIR elements must have a @value or children | ||||
coding:TWMedicalTreatmentDepartment | S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署診療科別值集 (required) ele-1: All FHIR elements must have a @value or children | ||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 ele-1: All FHIR elements must have a @value or children Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-nhi-tw | ||||
code | SΣ | 0..1 | code | 系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 ele-1: All FHIR elements must have a @value or children | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 ele-1: All FHIR elements must have a @value or children | ||||
priority | 0..1 | CodeableConceptTW | 表明就醫的急迫性 Binding: ActPriority (example): 表明就醫的迫切性;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。 ele-1: All FHIR elements must have a @value or children | |||||
subject | SΣ | 0..1 | Reference(TW Core Patient | Group) | 在場就醫的病人或實體集合(Group) ele-1: All FHIR elements must have a @value or children | ||||
episodeOfCare | Σ | 0..* | Reference(EpisodeOfCare) | 此次就醫應記錄的照護事件 ele-1: All FHIR elements must have a @value or children | ||||
basedOn | 0..* | Reference(TW Core ServiceRequest) | 開始此次就醫的服務請求(ServiceRequest) ele-1: All FHIR elements must have a @value or children | |||||
participant | SΣ | 0..* | BackboneElement | 參與就醫的健康照護服務提供者之名單 ele-1: All FHIR elements must have a @value or children | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
type | S | 0..* | CodeableConceptTW | 參與者在病人就醫事件中的角色 Binding: ParticipantType (extensible): 參與者在病人就醫事件中的角色;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。 ele-1: All FHIR elements must have a @value or children | ||||
period | S | 0..1 | Period | 參與者在病人就醫期間參與的時段 ele-1: All FHIR elements must have a @value or children | ||||
individual | SΣ | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson) | 除病人外,參與病人就醫事件的人。 ele-1: All FHIR elements must have a @value or children | ||||
appointment | Σ | 0..* | Reference(Appointment) | 這次就醫的預約紀錄 ele-1: All FHIR elements must have a @value or children | ||||
period | S | 0..1 | Period | 就醫的開始和結束時間 ele-1: All FHIR elements must have a @value or children | ||||
length | 0..1 | Duration | 就醫持續的時間(扣除缺席時間) ele-1: All FHIR elements must have a @value or children | |||||
reasonCode | S | 0..* | CodeableConceptTW | 就醫發生的編碼原因 Binding: EncounterReasonCodes (preferred): 發生此就醫事件的原因;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。 ele-1: All FHIR elements must have a @value or children | ||||
reasonReference | Σ | 0..* | Reference(TW Core Condition | TW Core Procedure | TW Core Observation Laboratory Result | ImmunizationRecommendation) | 就醫發生的原因(參照) ele-1: All FHIR elements must have a @value or children | ||||
diagnosis | Σ | 0..* | BackboneElement | 與此就醫相關的診斷清單 ele-1: All FHIR elements must have a @value or children | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
condition | Σ | 1..1 | Reference(TW Core Condition | TW Core Procedure) | 與就醫事件相關的診斷或處置 ele-1: All FHIR elements must have a @value or children | ||||
use | 0..1 | CodeableConceptTW | 此診斷在病人就醫事件中的作用(例如:住院、收費、出院...)。 Binding: DiagnosisRole (preferred): 此情況所代表的診斷型別;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。 ele-1: All FHIR elements must have a @value or children | |||||
rank | 0..1 | positiveInt | 診斷的排序(針對每個角色型別) ele-1: All FHIR elements must have a @value or children | |||||
account | 0..* | Reference(Account) | 可用於為此病人就醫事件計費的一組帳戶 ele-1: All FHIR elements must have a @value or children | |||||
hospitalization | S | 0..1 | BackboneElement | 關於入院接受健康照護服務的細節 ele-1: All FHIR elements must have a @value or children | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
preAdmissionIdentifier | 0..1 | Identifier | 住院前識別碼 ele-1: All FHIR elements must have a @value or children | |||||
origin | 0..1 | Reference(TW Core Organization | TW Core Location) | 病人住院前來自的地點/機構 ele-1: All FHIR elements must have a @value or children | |||||
admitSource | 0..1 | CodeableConceptTW | 病人從哪裡住院(醫生轉介、轉院)? Binding: AdmitSource (preferred): 病人從哪裡住院;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。 ele-1: All FHIR elements must have a @value or children | |||||
reAdmission | 0..1 | CodeableConceptTW | 已發生的醫院再入院型別(如果有的話)。如果該值不存在,則不被認定為再入院。 Binding: hl7VS-re-admissionIndicator (example): 這次住院就醫的再入院原因;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。 ele-1: All FHIR elements must have a @value or children | |||||
dietPreference | 0..* | CodeableConceptTW | 病人報告的飲食偏好 Binding: Diet (example): 醫療、文化或道德方面的食物偏好,以幫助滿足飲食要求;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。 ele-1: All FHIR elements must have a @value or children | |||||
specialCourtesy | 0..* | CodeableConceptTW | 特別禮遇(貴賓、董事會成員) Binding: SpecialCourtesy (preferred): 特別禮遇;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。 ele-1: All FHIR elements must have a @value or children | |||||
specialArrangement | 0..* | CodeableConceptTW | 輪椅、翻譯人員、擔架等。 Binding: SpecialArrangements (preferred): 特殊安排;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。 ele-1: All FHIR elements must have a @value or children | |||||
destination | 0..1 | Reference(TW Core Location | TW Core Organization) | 病人出院地點/機構 ele-1: All FHIR elements must have a @value or children | |||||
dischargeDisposition | S | 0..1 | CodeableConceptTW | 出院後的地點類別或種類 Binding: DischargeDisposition (example): 出院處置;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。 ele-1: All FHIR elements must have a @value or children | ||||
location | S | 0..* | BackboneElement | 病人曾去過的一個或多個地點 ele-1: All FHIR elements must have a @value or children | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
location | S | 1..1 | Reference(TW Core Location) | 就醫發生的地點 ele-1: All FHIR elements must have a @value or children | ||||
status | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): 就醫地點的狀態;應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children | |||||
physicalType | 0..1 | CodeableConceptTW | 地點的實體型別(通常是地點的層級—床位、房間、病房等)。 Binding: LocationType (example): 地點的實體型別;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。 ele-1: All FHIR elements must have a @value or children | |||||
period | 0..1 | Period | 病人出現在此地點的時段 ele-1: All FHIR elements must have a @value or children | |||||
serviceProvider | S | 0..1 | Reference(TW Core Organization) | 負責這次就醫的機構 ele-1: All FHIR elements must have a @value or children | ||||
partOf | 0..1 | Reference(TW Core Encounter) | 此就醫是哪次就醫的一部份? ele-1: All FHIR elements must have a @value or children | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Encounter.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Encounter.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
Encounter.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | ||||
Encounter.statusHistory.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | ||||
Encounter.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
Encounter.classHistory.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
Encounter.type | example | EncounterTypehttp://hl7.org/fhir/ValueSet/encounter-type from the FHIR Standard | ||||
Encounter.serviceType | example | ServiceTypehttp://hl7.org/fhir/ValueSet/service-type from the FHIR Standard | ||||
Encounter.serviceType.coding:TWMedicalDepartmentSCT | required | TWMedicalDepartmentSCThttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-department-sct-tw from this IG | ||||
Encounter.serviceType.coding:TWMedicalConsultationDepartment | required | TWMedicalConsultationDepartmenthttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-consultation-department-tw from this IG | ||||
Encounter.serviceType.coding:TWMedicalTreatmentDepartment | required | TWMedicalTreatmentDepartmenthttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-treatment-department-tw from this IG | ||||
Encounter.priority | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | ||||
Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard | ||||
Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard | ||||
Encounter.diagnosis.use | preferred | DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard | ||||
Encounter.hospitalization.admitSource | preferred | AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-source from the FHIR Standard | ||||
Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092 | ||||
Encounter.hospitalization.dietPreference | example | Diethttp://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard | ||||
Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard | ||||
Encounter.hospitalization.specialArrangement | preferred | SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard | ||||
Encounter.hospitalization.dischargeDisposition | example | DischargeDispositionhttp://hl7.org/fhir/ValueSet/encounter-discharge-disposition from the FHIR Standard | ||||
Encounter.location.status | required | EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard | ||||
Encounter.location.physicalType | example | LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Encounter | 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 | Encounter | 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 | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Encounter | 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() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Encounter | 0..* | Encounter | 提供病人服務的一種互動 | |||||
id | Σ | 0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的Encounter紀錄,通常又稱為邏輯性ID。 | ||||
meta | Σ | 0..1 | Meta | 此Encounter Resource的metadata | ||||
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Encounter Resource內容的語言。 Binding: CommonLanguages (preferred): 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。
Example Value: zh-TW | |||||
text | 0..1 | Narrative | Encounter Resource之內容摘要以供人閱讀 | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | SΣ | 0..* | Identifier | 此就醫事件的識別碼 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (如果知道) Binding: IdentifierUse (required): 如果知道,請說明此識別碼的用途;應填入所綁定值集中的其中一個代碼。 | ||||
type | 0..1 | CodeableConceptTW | 識別碼(identifier)的型別說明 Binding: Identifier Type Codes (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。 | |||||
system | SΣ | 1..1 | uri | 識別碼(identifier)的命名空間(namespace) Example General: http://www.acme.com/identifiers/patient | ||||
value | SΣ | 1..1 | string | 唯一值 Example General: 123456 | ||||
period | Σ | 0..1 | Period | 此就醫事件識別碼(identifier)的使用效期 | ||||
assigner | Σ | 0..1 | Reference(TW Core Organization) | 簽發identifier的機構(可以只是文字表述) | ||||
status | ?!SΣ | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): 就醫現況的代碼;應填入所綁定值集中的其中一個代碼 | ||||
statusHistory | 0..* | BackboneElement | 過去的就醫狀態清單 | |||||
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 | ||||
status | 1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): 就醫現狀的代碼;應填入所綁定值集中的其中一個代碼 | |||||
period | 1..1 | Period | 該事件處於特定狀態的時間 | |||||
class | S | 1..1 | CodingTW | 病人就醫的分類 Binding: ActEncounterCode (extensible): 就醫的分類;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。 | ||||
classHistory | 0..* | BackboneElement | 過去就醫類別的列表 | |||||
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 | ||||
class | 1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (extensible): 就醫類別;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。 | |||||
period | 1..1 | Period | 此就醫事件處於特定類別的時間 | |||||
type | 0..* | CodeableConceptTW | 就醫的特定型別 Binding: EncounterType (example): 就醫的型別;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。 | |||||
serviceType | S | 0..1 | CodeableConceptTW | 服務的特定型別 Binding: ServiceType (example): 對提供的服務進行廣泛分類;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 | |||||
Slices for coding | S | 0..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 Slice: Unordered, Open by pattern:system | ||||
coding:TWMedicalDepartmentSCT | S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 對應至 SNOMED CT之就醫科別 + 診療科別值集 (required) | ||||
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 | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Required Pattern: http://snomed.info/sct | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 0..1 | code | 系統定義的語法之符號 | ||||
display | SΣ | 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? | ||||
coding:TWMedicalConsultationDepartment | S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署就醫科別值集 (required) | ||||
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 | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 0..1 | code | 系統定義的語法之符號 | ||||
display | SΣ | 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? | ||||
coding:TWMedicalTreatmentDepartment | S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署診療科別值集 (required) | ||||
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 | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-nhi-tw | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 0..1 | code | 系統定義的語法之符號 | ||||
display | SΣ | 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 | SΣ | 0..1 | string | 概念的文字表示法 | ||||
priority | 0..1 | CodeableConceptTW | 表明就醫的急迫性 Binding: ActPriority (example): 表明就醫的迫切性;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。 | |||||
subject | SΣ | 0..1 | Reference(TW Core Patient | Group) | 在場就醫的病人或實體集合(Group) | ||||
episodeOfCare | Σ | 0..* | Reference(EpisodeOfCare) | 此次就醫應記錄的照護事件 | ||||
basedOn | 0..* | Reference(TW Core ServiceRequest) | 開始此次就醫的服務請求(ServiceRequest) | |||||
participant | SΣ | 0..* | BackboneElement | 參與就醫的健康照護服務提供者之名單 | ||||
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 | ||||
type | S | 0..* | CodeableConceptTW | 參與者在病人就醫事件中的角色 Binding: ParticipantType (extensible): 參與者在病人就醫事件中的角色;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。 | ||||
period | S | 0..1 | Period | 參與者在病人就醫期間參與的時段 | ||||
individual | SΣ | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson) | 除病人外,參與病人就醫事件的人。 | ||||
appointment | Σ | 0..* | Reference(Appointment) | 這次就醫的預約紀錄 | ||||
period | S | 0..1 | Period | 就醫的開始和結束時間 | ||||
length | 0..1 | Duration | 就醫持續的時間(扣除缺席時間) | |||||
reasonCode | S | 0..* | CodeableConceptTW | 就醫發生的編碼原因 Binding: EncounterReasonCodes (preferred): 發生此就醫事件的原因;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。 | ||||
reasonReference | Σ | 0..* | Reference(TW Core Condition | TW Core Procedure | TW Core Observation Laboratory Result | ImmunizationRecommendation) | 就醫發生的原因(參照) | ||||
diagnosis | Σ | 0..* | BackboneElement | 與此就醫相關的診斷清單 | ||||
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 | ||||
condition | Σ | 1..1 | Reference(TW Core Condition | TW Core Procedure) | 與就醫事件相關的診斷或處置 | ||||
use | 0..1 | CodeableConceptTW | 此診斷在病人就醫事件中的作用(例如:住院、收費、出院...)。 Binding: DiagnosisRole (preferred): 此情況所代表的診斷型別;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。 | |||||
rank | 0..1 | positiveInt | 診斷的排序(針對每個角色型別) | |||||
account | 0..* | Reference(Account) | 可用於為此病人就醫事件計費的一組帳戶 | |||||
hospitalization | S | 0..1 | BackboneElement | 關於入院接受健康照護服務的細節 | ||||
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 | ||||
preAdmissionIdentifier | 0..1 | Identifier | 住院前識別碼 | |||||
origin | 0..1 | Reference(TW Core Organization | TW Core Location) | 病人住院前來自的地點/機構 | |||||
admitSource | 0..1 | CodeableConceptTW | 病人從哪裡住院(醫生轉介、轉院)? Binding: AdmitSource (preferred): 病人從哪裡住院;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。 | |||||
reAdmission | 0..1 | CodeableConceptTW | 已發生的醫院再入院型別(如果有的話)。如果該值不存在,則不被認定為再入院。 Binding: hl7VS-re-admissionIndicator (example): 這次住院就醫的再入院原因;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。 | |||||
dietPreference | 0..* | CodeableConceptTW | 病人報告的飲食偏好 Binding: Diet (example): 醫療、文化或道德方面的食物偏好,以幫助滿足飲食要求;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。 | |||||
specialCourtesy | 0..* | CodeableConceptTW | 特別禮遇(貴賓、董事會成員) Binding: SpecialCourtesy (preferred): 特別禮遇;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。 | |||||
specialArrangement | 0..* | CodeableConceptTW | 輪椅、翻譯人員、擔架等。 Binding: SpecialArrangements (preferred): 特殊安排;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。 | |||||
destination | 0..1 | Reference(TW Core Location | TW Core Organization) | 病人出院地點/機構 | |||||
dischargeDisposition | S | 0..1 | CodeableConceptTW | 出院後的地點類別或種類 Binding: DischargeDisposition (example): 出院處置;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。 | ||||
location | S | 0..* | BackboneElement | 病人曾去過的一個或多個地點 | ||||
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 | ||||
location | S | 1..1 | Reference(TW Core Location) | 就醫發生的地點 | ||||
status | 0..1 | code | planned | active | reserved | completed Binding: EncounterLocationStatus (required): 就醫地點的狀態;應填入所綁定值集中的其中一個代碼。 | |||||
physicalType | 0..1 | CodeableConceptTW | 地點的實體型別(通常是地點的層級—床位、房間、病房等)。 Binding: LocationType (example): 地點的實體型別;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 | 0..1 | Period | 病人出現在此地點的時段 | |||||
serviceProvider | S | 0..1 | Reference(TW Core Organization) | 負責這次就醫的機構 | ||||
partOf | 0..1 | Reference(TW Core Encounter) | 此就醫是哪次就醫的一部份? | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Encounter.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Encounter.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
Encounter.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | ||||
Encounter.statusHistory.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | ||||
Encounter.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
Encounter.classHistory.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | ||||
Encounter.type | example | EncounterTypehttp://hl7.org/fhir/ValueSet/encounter-type from the FHIR Standard | ||||
Encounter.serviceType | example | ServiceTypehttp://hl7.org/fhir/ValueSet/service-type from the FHIR Standard | ||||
Encounter.serviceType.coding:TWMedicalDepartmentSCT | required | TWMedicalDepartmentSCThttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-department-sct-tw from this IG | ||||
Encounter.serviceType.coding:TWMedicalConsultationDepartment | required | TWMedicalConsultationDepartmenthttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-consultation-department-tw from this IG | ||||
Encounter.serviceType.coding:TWMedicalTreatmentDepartment | required | TWMedicalTreatmentDepartmenthttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-treatment-department-tw from this IG | ||||
Encounter.priority | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | ||||
Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard | ||||
Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard | ||||
Encounter.diagnosis.use | preferred | DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard | ||||
Encounter.hospitalization.admitSource | preferred | AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-source from the FHIR Standard | ||||
Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092 | ||||
Encounter.hospitalization.dietPreference | example | Diethttp://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard | ||||
Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard | ||||
Encounter.hospitalization.specialArrangement | preferred | SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard | ||||
Encounter.hospitalization.dischargeDisposition | example | DischargeDispositionhttp://hl7.org/fhir/ValueSet/encounter-discharge-disposition from the FHIR Standard | ||||
Encounter.location.status | required | EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard | ||||
Encounter.location.physicalType | example | LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Encounter | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Encounter | 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 | Encounter | 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 | Encounter | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Encounter | 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 Encounter
Summary
Mandatory: 0 element(5 nested mandatory elements)
Must-Support: 21 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
以下概述了此Profile所需的RESTful FHIR互動功能。有關TW Core IG支援的RESTful互動功能的完整清單,請參閱TW Core Server能力聲明。
建議應該(SHOULD) 支援透過查詢參數 _id
查詢所有Encounter:
(如何透過token查詢)
GET [base]/Encounter?_id=[id]
GET [base]/Encounter/[id]
例子:
(1) GET [base]/Encounter?_id=enc-example
(2) GET [base]/Encounter/enc-example
建議應該(SHOULD) 支援透過查詢參數 class
查詢所有Encounter:
(如何透過token查詢)
GET [base]/Encounter?class=[code]
例子:
(1) GET [base]/Encounter?class=PRENC
建議應該(SHOULD) 支援透過查詢參數 date
查詢所有Encounter:
(如何透過date查詢)
GET [base]/Encounter?date={gt|lt|ge|le}[date]
例子:
(1) GET [base]/Encounter?date=gt2022-08-01
建議應該(SHOULD) 支援透過查詢參數 identifier
查詢所有Encounter:
(如何透過token查詢)
GET [base]/Encounter?identifier={system|}[code]
GET [base]/Encounter?identifier=[code]
例子:
(1) GET [base]/Encounter?identifier=http://healthcare.example.org/identifiers/enocunter|E22081702
(2) GET [base]/Encounter?identifier=E22081702
建議應該(SHOULD) 支援透過查詢參數 location
查詢所有Encounter:
(如何透過reference查詢)
GET [base]/Encounter?location={Type/}[id]
例子:
(1) GET [base]/Encounter?location=Location/hospital-example
建議應該(SHOULD) 支援透過查詢參數 subject
查詢所有Encounter:
(如何透過reference查詢)
GET [base]/Encounter?subject={Type/}[id]
例子:
(1) GET [base]/Encounter?subject=Patient/pat-example
建議應該(SHOULD) 支援透過查詢參數 status
查詢所有Encounter:
(如何透過token查詢)
GET [base]/Encounter?status=[code]
例子:
(1) GET [base]/Encounter?status=finished
如上所述,Encounter 允許透過「partOf」資料項目來靈活組織嵌套就醫事件。這麼做的例子包括:
participant
來指定負責入院的醫生和住院期間的負責醫生。location
(兩次是住院病房,一次是加護病房)和該地點的一位或多位participant
。這些 Encounter 可能使用partOf
資料項目來表示這些移動發生在更長的整體就醫事件期間。participant
的Encounter。由於這些問診發生在住院的最後階段,partOf
資料項目可用來將這些短暫問診關聯到第三次病人移動或是整體的大型Encounter。Encounter 的具體使用方式取決於來源系統中的可用資訊、每個 Encounter 層級的交換相關性以及訊息交換夥伴的具體需求,期望透過使用特定交換領域的 profiles 來限制 Encounter 的靈活性,以滿足使用案例的要求。