臺灣核心實作指引(TW Core IG)
0.3.2 - Ci-Build Trial Use

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

Resource Profile: TWCorePatient - Detailed Descriptions

Active as of 2025-02-04

Definitions for the Patient-twcore resource profile.

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

0. Patient
Definition

關於接受照護或其他健康相關服務的個人或動物的人口統計學和其他行政資訊。


Demographics and other administrative information about an individual or animal receiving care or other health-related services.

Short接受健康照護服務的個人或動物之資訊Information about an individual or animal receiving health care services
Control0..*
Is Modifierfalse
Summaryfalse
Alternate NamesSubjectOfCare Client Resident
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Patient.id
Definition

resource的邏輯ID,在resource的URL中使用。一旦指定,這個值永遠不會改變。


The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Short不重複的ID用以識別儲存在特定FHIR Server中的Patient紀錄,通常又稱為邏輯性ID。Logical id of this artifact
Comments

一個resource使用新增操作(create operation)提交給伺服器時,此resource沒有id,它的id在resource被創建後由伺器分配/指定。


The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Control0..1
Typeidstring
Is Modifierfalse
Summarytrue
4. Patient.meta
Definition

關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。


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

Short此Patient Resource的metadataMetadata about the resource
Control0..1
TypeMeta
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Patient.implicitRules
Definition

構建resource時遵循的一系列規則的參照,在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。


A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Short創建此內容所依據的一組規則A set of rules under which this content was created
Comments

宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而,現有的健康生態體系高度分裂,還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能,實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時,此URL是對IG的參照,此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。


Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Patient.language
Definition

編寫此resource的語言


The base language in which the resource is written.

Short用以表述Patient Resource內容的語言。Language of the resource content
Comments

提供語言是為了支援索引和可存取性(通常,文字表述轉語音等服務使用此語言標籤)。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此語言。不應該假定Resource.language自動適用於敘述。如果指定語言,它也應該被指定在html中的div資料項目(關於xml:lang和html lang屬性之間的關係,見HTML5中的規則)。


Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

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

人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。


A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Example<br/><b>Value</b>:zh-TW
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Patient.text
Definition

人可讀的敘述,包含resource的摘要,可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼,但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義有哪些內容應該在敘述中表示,以確保臨床安全。


A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

ShortPatient Resource之內容摘要以供人閱讀Text summary of the resource, for human interpretation
Comments

內嵌(contained)的resource沒有敘述,非內嵌(contained)的resource則 建議應該(SHOULD) 有敘述。有時resource可能只有文字表述,很少或沒有額外的結構化資料(只要滿足所有minOccurs=1的資料項目)。這可能出現在舊系統的資料,當資訊以 「文字表述區塊(text blob) 」的形式被取得,或者文字表述是原始輸入或說明,而編碼資訊稍後再添加。


Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

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

An Extension


May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortExtensionAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Patient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 14. Patient.extension:age
    Slice Nameage
    Definition

    年齡

    Short年齡
    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(Person Age) (Extension Type: Age)
    Is Modifierfalse
    Must Supporttrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    16. Patient.extension:nationality
    Slice Namenationality
    Definition

    The nationality of the patient.

    Short病人所屬國籍
    Control0..1
    TypeExtension(Patient Nationality) (Complex Extension)
    Is Modifierfalse
    Must Supporttrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    18. Patient.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Summaryfalse
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    20. Patient.identifier
    Definition

    病人的唯一識別碼(identifier)


    An identifier for this patient.

    Short病人的身份識別碼(identifier),通常為業務目的所使用的識別碼,例如病歷號。An identifier for this patient
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control10..*
    TypeIdentifier
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

    病人幾乎總是被指定一個特定的數值型的唯一識別碼(identifier)


    Patients are almost always assigned specific numerical identifiers.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on Patient.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ type.coding.code
    • value @ type.coding.system
    • 22. Patient.identifier.use
      Definition

      The purpose of this identifier.

      Shortusual | official | temp | secondary | old (If known)
      Comments

      Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

      Control0..1
      BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
      (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

      Identifies the purpose for this identifier, if known .

      Typecode
      Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

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

      A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

      ShortDescription of identifier
      Comments

      This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

      Control0..1
      BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type
      (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

      A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Summarytrue
      Requirements

      Allows users to make use of identifiers when the identifier system is not known.

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

      Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

      ShortThe namespace for the identifier value
      Comments

      Identifier.system is always case sensitive.

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

      There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

      Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      28. Patient.identifier.value
      Definition

      The portion of the identifier typically relevant to the user and which is unique within the context of the system.

      ShortThe value that is unique
      Comments

      If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

      Control10..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Example<br/><b>General</b>:123456
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      30. Patient.identifier.assigner
      Definition

      Organization that issued/manages the identifier.

      ShortOrganization that issued id (may be just text)
      Comments

      The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

      Control0..1
      TypeReference(TW Core Organization, Organization)
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      32. Patient.identifier:idCardNumber
      Slice NameidCardNumber
      Definition

      適用於身分證字號


      An identifier for this patient.

      Short適用身分證字號An identifier for this patient
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..1*
      TypeIdentifier
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Requirements

      病人幾乎總是被指定一個特定的數值型的唯一識別碼(identifier)


      Patients are almost always assigned specific numerical identifiers.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      id-card-number: 身分證號共十碼,首碼以英文字母代表直轄市、縣(市)別,第二碼至第十碼為數字碼。 (value.matches('^[A-Za-z][0-9]{9}$'))
      34. Patient.identifier:idCardNumber.use
      Definition

      這個唯一識別碼(identifier)的用途


      The purpose of this identifier.

      Shortusual | official | temp | secondary | old (如果知道)usual | official | temp | secondary | old (If known)
      Comments

      應用程式可以假定一個識別碼是永久的,除非它明確說它是暫時的。


      Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

      Control0..1
      BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
      (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

      如果知道,請說明此識別碼的目的;應填入所綁定值集中的其中一個代碼。


      Identifies the purpose for this identifier, if known .

      Typecode
      Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Requirements

      允許從一組識別碼中為特定的使用情境選擇適當的識別碼


      Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

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

      識別碼的代碼型別,用於決定特定目適用的識別碼。


      A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

      Short身份識別碼(identifier)的型別說明Description of identifier
      Comments

      這個資料項目只涉及識別碼的一般類別。它 必須沒有(SHALL NOT) 被用於與Identifier.system 1..1對應的代碼。一些識別碼可能由於常見的用法而屬於多個類別。在系統是已知的情況下,型別是不必要的,因為型別總是系統定義的一部分。然而,系統經常需要處理系統不為人知的識別碼。型別和系統之間不是1:1的關係,因為許多不同的系統有相同的型別。


      This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

      Control10..1
      BindingUnless not suitable, these codes SHALL be taken from IdentifierType + 臺灣衛福部資訊處識別碼類型值集http://hl7.org/fhir/ValueSet/identifier-type
      (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/identifier-type-tw)

      識別碼的型別,用於決定特定目的所適用的識別碼;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。


      A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

      TypeCodeableConcept
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Requirements

      允許使用者在不知道識別碼系統的情況下利用識別碼


      Allows users to make use of identifiers when the identifier system is not known.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      38. Patient.identifier:idCardNumber.type.coding
      Definition

      A reference to a code defined by a terminology system.

      ShortCode defined by a terminology system
      Comments

      代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

      Control10..*
      TypeCoding
      Is Modifierfalse
      Summarytrue
      Requirements

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

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      40. Patient.identifier:idCardNumber.type.coding.system
      Definition

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

      ShortIdentity of the terminology system
      Comments

      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

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

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

      Pattern Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      42. Patient.identifier:idCardNumber.type.coding.code
      Definition

      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

      ShortSymbol in syntax defined by the system
      Control10..1
      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      Need to refer to a particular code in the system.

      Pattern ValueNNxxx
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      44. Patient.identifier:idCardNumber.type.coding.code.extension
      Definition

      An Extension


      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortExtensionAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on Patient.identifier.type.coding.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 46. Patient.identifier:idCardNumber.type.coding.code.extension:identifier-suffix
        Slice Nameidentifier-suffix
        Definition
        • 增加Practitioner.identifier.type.coding.code欄位也可使用此Extension,以利實務專案使用

        識別碼後綴詞

        Short識別碼後綴詞
        Control0..1
        This element is affected by the following invariants: ele-1
        TypeExtension(Identifier Suffix) (Complex Extension)
        Is Modifierfalse
        Must Supporttrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        48. Patient.identifier:idCardNumber.system
        Definition

        建立值的命名空間-即一個描述一組值的唯一URL


        Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

        Short身份識別碼(identifier)的命名空間(namespace) 例如:身分證字號='http://www.moi.gov.tw'The namespace for the identifier value
        Comments

        Identifier.system總是區分大小寫


        Identifier.system is always case sensitive.

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

        有許多識別碼的集合。為了進行兩個識別碼的對應,我們需要知道我們處理的是哪一組。系統指明了一個特定的唯一識別碼集。


        There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

        Pattern Valuehttp://www.moi.gov.tw
        Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        50. Patient.identifier:idCardNumber.value
        Definition

        識別碼中通常與使用者有關的部分,在系統情境內是唯一的。


        The portion of the identifier typically relevant to the user and which is unique within the context of the system.

        Short唯一值。 例如:身分證字號為A123456789The value that is unique
        Comments

        如果此值是一個完整的URI,那麼此系統 必須(SHALL) 是urn:ietf:rfc:3986。此值的主要目的是為了可運算的對應。因此,為了比較的目的,它可能會被正規化(例如:去除不重要的空白、破折號等)。一個為人顯示的格式化的值可以使用Rendered Value擴充來傳達。除非對Identifier.system的了解使處理者確信不區分大小寫的處理是安全的,否則Identifier.value應被視為區分大小寫。


        If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

        Control0..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Example<br/><b>General</b>:123456
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        52. Patient.identifier:idCardNumber.period
        Definition

        識別碼有效/曾經有效使用的時段或期間


        Time period during which identifier is/was valid for use.

        Short此身份識別碼(identifier)的使用效期Time period when id is/was valid for use
        Control0..1
        TypePeriod
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        54. Patient.identifier:idCardNumber.assigner
        Definition

        簽發/管理識別碼的機構


        Organization that issued/manages the identifier.

        Short簽發identifier的機構(可以只是文字表述)Organization that issued id (may be just text)
        Comments

        Identifier.assigner可以省略.reference資料項目,只包含一個.display資料項目,反映指定機構的名稱或其他文字表述資訊。


        The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

        Control0..1
        TypeReference(TW Core Organization, Organization)
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        56. Patient.identifier:passportNumber
        Slice NamepassportNumber
        Definition

        適用於護照號碼


        An identifier for this patient.

        Short適用護照號碼An identifier for this patient
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..1*
        TypeIdentifier
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Requirements

        病人幾乎總是被指定一個特定的數值型的唯一識別碼(identifier)


        Patients are almost always assigned specific numerical identifiers.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        58. Patient.identifier:passportNumber.use
        Definition

        這個唯一識別碼(identifier)的用途


        The purpose of this identifier.

        Shortusual | official | temp | secondary | old (如果知道)usual | official | temp | secondary | old (If known)
        Comments

        應用程式可以假定一個識別碼是永久的,除非它明確說它是暫時的。


        Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

        Control0..1
        BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
        (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

        如果知道,請說明此識別碼的目的;應填入所綁定值集中的其中一個代碼。


        Identifies the purpose for this identifier, if known .

        Typecode
        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Requirements

        允許從一組識別碼中為特定的使用情境選擇適當的識別碼


        Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

        Pattern Valueofficial
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        60. Patient.identifier:passportNumber.type
        Definition

        識別碼的代碼型別,用於決定特定目適用的識別碼。


        A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

        Short身份識別碼(identifier)的型別說明Description of identifier
        Comments

        這個資料項目只涉及識別碼的一般類別。它 必須沒有(SHALL NOT) 被用於與Identifier.system 1..1對應的代碼。一些識別碼可能由於常見的用法而屬於多個類別。在系統是已知的情況下,型別是不必要的,因為型別總是系統定義的一部分。然而,系統經常需要處理系統不為人知的識別碼。型別和系統之間不是1:1的關係,因為許多不同的系統有相同的型別。


        This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

        Control10..1
        BindingUnless not suitable, these codes SHALL be taken from IdentifierType + 臺灣衛福部資訊處識別碼類型值集http://hl7.org/fhir/ValueSet/identifier-type
        (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/identifier-type-tw)

        識別碼的型別,用於決定特定目的所適用的識別碼;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。


        A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

        TypeCodeableConcept
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Requirements

        允許使用者在不知道識別碼系統的情況下利用識別碼


        Allows users to make use of identifiers when the identifier system is not known.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        62. Patient.identifier:passportNumber.type.coding
        Definition

        A reference to a code defined by a terminology system.

        ShortCode defined by a terminology system
        Comments

        代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

        Control10..*
        TypeCoding
        Is Modifierfalse
        Summarytrue
        Requirements

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

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        64. Patient.identifier:passportNumber.type.coding.system
        Definition

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

        ShortIdentity of the terminology system
        Comments

        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

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

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

        Pattern Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        66. Patient.identifier:passportNumber.type.coding.code
        Definition

        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

        ShortSymbol in syntax defined by the system
        Control10..1
        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        Need to refer to a particular code in the system.

        Pattern ValuePPN
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        68. Patient.identifier:passportNumber.system
        Definition

        建立值的命名空間-即一個描述一組值的唯一URL


        Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

        Short身份識別碼(identifier)的命名空間(namespace) 例如:護照號碼='http://www.boca.gov.tw。The namespace for the identifier value
        Comments

        Identifier.system總是區分大小寫


        Identifier.system is always case sensitive.

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

        有許多識別碼的集合。為了進行兩個識別碼的對應,我們需要知道我們處理的是哪一組。系統指明了一個特定的唯一識別碼集。


        There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

        Pattern Valuehttp://hl7.org/fhir/sid/passport-TWN
        Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        70. Patient.identifier:passportNumber.value
        Definition

        識別碼中通常與使用者有關的部分,在系統情境內是唯一的。


        The portion of the identifier typically relevant to the user and which is unique within the context of the system.

        Short唯一值。 例如:護照號碼為888800371The value that is unique
        Comments

        如果此值是一個完整的URI,那麼此系統 必須(SHALL) 是urn:ietf:rfc:3986。此值的主要目的是為了可運算的對應。因此,為了比較的目的,它可能會被正規化(例如:去除不重要的空白、破折號等)。一個為人顯示的格式化的值可以使用Rendered Value擴充來傳達。除非對Identifier.system的了解使處理者確信不區分大小寫的處理是安全的,否則Identifier.value應被視為區分大小寫。


        If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

        Control0..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Example<br/><b>General</b>:123456
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        72. Patient.identifier:passportNumber.period
        Definition

        識別碼有效/曾經有效使用的時段或期間


        Time period during which identifier is/was valid for use.

        Short此身份識別碼(identifier)的使用效期Time period when id is/was valid for use
        Control0..1
        TypePeriod
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        74. Patient.identifier:passportNumber.assigner
        Definition

        簽發/管理識別碼的機構


        Organization that issued/manages the identifier.

        Short簽發identifier的機構(可以只是文字表述)Organization that issued id (may be just text)
        Comments

        Identifier.assigner可以省略.reference資料項目,只包含一個.display資料項目,反映指定機構的名稱或其他文字表述資訊。


        The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

        Control0..1
        TypeReference(TW Core Organization, Organization)
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        76. Patient.identifier:residentNumber
        Slice NameresidentNumber
        Definition

        適用於居留證號碼


        An identifier for this patient.

        Short適用居留證號碼An identifier for this patient
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..1*
        TypeIdentifier
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Requirements

        病人幾乎總是被指定一個特定的數值型的唯一識別碼(identifier)


        Patients are almost always assigned specific numerical identifiers.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        78. Patient.identifier:residentNumber.use
        Definition

        這個唯一識別碼(identifier)的用途


        The purpose of this identifier.

        Shortusual | official | temp | secondary | old (如果知道)usual | official | temp | secondary | old (If known)
        Comments

        應用程式可以假定一個識別碼是永久的,除非它明確說它是暫時的。


        Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

        Control0..1
        BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
        (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

        如果知道,請說明此識別碼的目的;應填入所綁定值集中的其中一個代碼。


        Identifies the purpose for this identifier, if known .

        Typecode
        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Requirements

        允許從一組識別碼中為特定的使用情境選擇適當的識別碼


        Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

        Pattern Valueofficial
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        80. Patient.identifier:residentNumber.type
        Definition

        識別碼的代碼型別,用於決定特定目適用的識別碼。


        A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

        Short身份識別碼(identifier)的型別說明Description of identifier
        Comments

        這個資料項目只涉及識別碼的一般類別。它 必須沒有(SHALL NOT) 被用於與Identifier.system 1..1對應的代碼。一些識別碼可能由於常見的用法而屬於多個類別。在系統是已知的情況下,型別是不必要的,因為型別總是系統定義的一部分。然而,系統經常需要處理系統不為人知的識別碼。型別和系統之間不是1:1的關係,因為許多不同的系統有相同的型別。


        This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

        Control10..1
        BindingUnless not suitable, these codes SHALL be taken from IdentifierType + 臺灣衛福部資訊處識別碼類型值集http://hl7.org/fhir/ValueSet/identifier-type
        (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/identifier-type-tw)

        識別碼的型別,用於決定特定目的所適用的識別碼;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。


        A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

        TypeCodeableConcept
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Requirements

        允許使用者在不知道識別碼系統的情況下利用識別碼


        Allows users to make use of identifiers when the identifier system is not known.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        82. Patient.identifier:residentNumber.type.coding
        Definition

        A reference to a code defined by a terminology system.

        ShortCode defined by a terminology system
        Comments

        代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

        Control10..*
        TypeCoding
        Is Modifierfalse
        Summarytrue
        Requirements

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

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        84. Patient.identifier:residentNumber.type.coding.system
        Definition

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

        ShortIdentity of the terminology system
        Comments

        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

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

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

        Pattern Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        86. Patient.identifier:residentNumber.type.coding.code
        Definition

        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

        ShortSymbol in syntax defined by the system
        Control10..1
        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        Need to refer to a particular code in the system.

        Pattern ValuePRC
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        88. Patient.identifier:residentNumber.system
        Definition

        建立值的命名空間-即一個描述一組值的唯一URL


        Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

        Short身份識別碼(identifier)的命名空間(namespace) 例如:居留證號='http://www.immigration.gov.tw'。The namespace for the identifier value
        Comments

        Identifier.system總是區分大小寫


        Identifier.system is always case sensitive.

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

        有許多識別碼的集合。為了進行兩個識別碼的對應,我們需要知道我們處理的是哪一組。系統指明了一個特定的唯一識別碼集。


        There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

        Pattern Valuehttp://www.immigration.gov.tw
        Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        90. Patient.identifier:residentNumber.value
        Definition

        識別碼中通常與使用者有關的部分,在系統情境內是唯一的。


        The portion of the identifier typically relevant to the user and which is unique within the context of the system.

        Short唯一值。 例如:居留證號碼為A912345678The value that is unique
        Comments

        如果此值是一個完整的URI,那麼此系統 必須(SHALL) 是urn:ietf:rfc:3986。此值的主要目的是為了可運算的對應。因此,為了比較的目的,它可能會被正規化(例如:去除不重要的空白、破折號等)。一個為人顯示的格式化的值可以使用Rendered Value擴充來傳達。除非對Identifier.system的了解使處理者確信不區分大小寫的處理是安全的,否則Identifier.value應被視為區分大小寫。


        If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

        Control0..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Example<br/><b>General</b>:123456
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        92. Patient.identifier:residentNumber.period
        Definition

        識別碼有效/曾經有效使用的時段或期間


        Time period during which identifier is/was valid for use.

        Short此身份識別碼(identifier)的使用效期Time period when id is/was valid for use
        Control0..1
        TypePeriod
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        94. Patient.identifier:residentNumber.assigner
        Definition

        簽發/管理識別碼的機構


        Organization that issued/manages the identifier.

        Short簽發identifier的機構(可以只是文字表述)Organization that issued id (may be just text)
        Comments

        Identifier.assigner可以省略.reference資料項目,只包含一個.display資料項目,反映指定機構的名稱或其他文字表述資訊。


        The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

        Control0..1
        TypeReference(TW Core Organization, Organization)
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        96. Patient.identifier:medicalRecord
        Slice NamemedicalRecord
        Definition

        適用於病歷號


        An identifier for this patient.

        Short適用病歷號An identifier for this patient
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..1*
        TypeIdentifier
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Requirements

        病人幾乎總是被指定一個特定的數值型的唯一識別碼(identifier)


        Patients are almost always assigned specific numerical identifiers.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        98. Patient.identifier:medicalRecord.use
        Definition

        這個唯一識別碼(identifier)的用途


        The purpose of this identifier.

        Shortusual | official | temp | secondary | old (如果知道)usual | official | temp | secondary | old (If known)
        Comments

        應用程式可以假定一個識別碼是永久的,除非它明確說它是暫時的。


        Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

        Control0..1
        BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
        (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

        如果知道,請說明此識別碼的目的;應填入所綁定值集中的其中一個代碼。


        Identifies the purpose for this identifier, if known .

        Typecode
        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Requirements

        允許從一組識別碼中為特定的使用情境選擇適當的識別碼


        Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

        Pattern Valueofficial
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        100. Patient.identifier:medicalRecord.type
        Definition

        識別碼的代碼型別,用於決定特定目適用的識別碼。


        A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

        Short身份識別碼(identifier)的型別說明Description of identifier
        Comments

        這個資料項目只涉及識別碼的一般類別。它 必須沒有(SHALL NOT) 被用於與Identifier.system 1..1對應的代碼。一些識別碼可能由於常見的用法而屬於多個類別。在系統是已知的情況下,型別是不必要的,因為型別總是系統定義的一部分。然而,系統經常需要處理系統不為人知的識別碼。型別和系統之間不是1:1的關係,因為許多不同的系統有相同的型別。


        This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

        Control10..1
        BindingUnless not suitable, these codes SHALL be taken from IdentifierType + 臺灣衛福部資訊處識別碼類型值集http://hl7.org/fhir/ValueSet/identifier-type
        (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/identifier-type-tw)

        識別碼的型別,用於決定特定目的所適用的識別碼;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。


        A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

        TypeCodeableConcept
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Requirements

        允許使用者在不知道識別碼系統的情況下利用識別碼


        Allows users to make use of identifiers when the identifier system is not known.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        102. Patient.identifier:medicalRecord.type.coding
        Definition

        A reference to a code defined by a terminology system.

        ShortCode defined by a terminology system
        Comments

        代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

        Control10..*
        TypeCoding
        Is Modifierfalse
        Summarytrue
        Requirements

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

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        104. Patient.identifier:medicalRecord.type.coding.system
        Definition

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

        ShortIdentity of the terminology system
        Comments

        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

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

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

        Pattern Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        106. Patient.identifier:medicalRecord.type.coding.code
        Definition

        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

        ShortSymbol in syntax defined by the system
        Control10..1
        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        Need to refer to a particular code in the system.

        Pattern ValueMR
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        108. Patient.identifier:medicalRecord.system
        Definition

        建立值的命名空間-即一個描述一組值的唯一URL


        Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

        Short身份識別碼(identifier)的命名空間(namespace),可至[twTerminology](https://fhir.mohw.gov.tw/ts/namingsystem.jsp?status=active&amp;type=0)申請或查詢命名系統。The namespace for the identifier value
        Comments

        Identifier.system總是區分大小寫


        Identifier.system is always case sensitive.

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

        有許多識別碼的集合。為了進行兩個識別碼的對應,我們需要知道我們處理的是哪一組。系統指明了一個特定的唯一識別碼集。


        There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

        Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        110. Patient.identifier:medicalRecord.value
        Definition

        識別碼中通常與使用者有關的部分,在系統情境內是唯一的。


        The portion of the identifier typically relevant to the user and which is unique within the context of the system.

        Short唯一值。 例如:病歷號為8862168The value that is unique
        Comments

        如果此值是一個完整的URI,那麼此系統 必須(SHALL) 是urn:ietf:rfc:3986。此值的主要目的是為了可運算的對應。因此,為了比較的目的,它可能會被正規化(例如:去除不重要的空白、破折號等)。一個為人顯示的格式化的值可以使用Rendered Value擴充來傳達。除非對Identifier.system的了解使處理者確信不區分大小寫的處理是安全的,否則Identifier.value應被視為區分大小寫。


        If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

        Control0..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Example<br/><b>General</b>:123456
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        112. Patient.identifier:medicalRecord.period
        Definition

        識別碼有效/曾經有效使用的時段或期間


        Time period during which identifier is/was valid for use.

        Short此身份識別碼(identifier)的使用效期Time period when id is/was valid for use
        Control0..1
        TypePeriod
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        114. Patient.identifier:medicalRecord.assigner
        Definition

        簽發/管理識別碼的機構


        Organization that issued/manages the identifier.

        Short簽發identifier的機構(可以只是文字表述)Organization that issued id (may be just text)
        Comments

        Identifier.assigner可以省略.reference資料項目,只包含一個.display資料項目,反映指定機構的名稱或其他文字表述資訊。


        The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

        Control0..1
        TypeReference(TW Core Organization, Organization)
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        116. Patient.active
        Definition

        這位病人的紀錄是否在使用中(active)。許多系統使用這個屬性來標記為非現有(non-current)病人,例如那些根據機構的業務規則在一段時間內沒有被看到的病人。

        它經常被用來過濾病人清單以排除inactive的病人

        已過世的病人也可能因為同樣的原因被標記為inactive,但在過世後的一段時間內可能是active。


        Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.

        It is often used to filter patient lists to exclude inactive patients

        Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.

        Short病人的紀錄是否「使用中(true)」Whether this patient's record is in active use
        Comments

        如果一筆病人紀錄沒有在使用,但與另一筆使用中的病人紀錄相連結,那麼未來的病人/紀錄更新應該發生在另一筆病人紀錄。


        If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.

        Control0..1
        Typeboolean
        Is Modifiertrue because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Requirements

        若紀錄因為錯誤而創建,需要能夠將這位病人紀錄標記為不使用


        Need to be able to mark a patient record as not to be used because it was created in error.

        Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        118. Patient.name
        Definition

        個人名字


        A name associated with the individual.

        Short病人的姓名A name associated with the patient
        Comments

        一位病人可能有多個姓名,有不同的用途或適用期。對於動物來說,這個姓名是一個「HumanName」,它是人類指定和使用的,具有相同的模式。


        A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

        Control0..*
        TypeHumanName
        Is Modifierfalse
        Summarytrue
        Requirements

        需要能夠追踪病人的多個姓名。例如:正式姓名及配偶姓名。 必須(SHALL) 總是提供姓名的完整拼法。


        Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on Patient.name. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • pattern @ use
        • 120. Patient.name:official
          Slice Nameofficial
          Definition

          個人名字


          A name associated with the individual.

          Short病人的護照姓名A name associated with the patient
          Comments

          一位病人可能有多個姓名,有不同的用途或適用期。對於動物來說,這個姓名是一個「HumanName」,它是人類指定和使用的,具有相同的模式。


          A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

          Control0..1*
          TypeHumanName
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          需要能夠追踪病人的多個姓名。例如:正式姓名及配偶姓名。 必須(SHALL) 總是提供姓名的完整拼法。


          Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          tw-core-1: Patient.name.text or Patient.name.family or both SHALL be present (text.exists() or family.exists())
          122. Patient.name:official.use
          Definition

          此姓名的用途


          Identifies the purpose for this name.

          Shortusual | official | temp | nickname | anonymous | old | maiden
          Comments

          應用程式可以假定一個姓名是永久的,除非它明確說它是暫時或舊的。


          Applications can assume that a name is current unless it explicitly says that it is temporary or old.

          Control10..1
          BindingThe codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1
          (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

          人名的使用情況;應填入所綁定值集中的其中一個代碼。


          The use of a human name.

          Typecode
          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          允許從一組姓名中為特定的使用情境選擇適當的姓名


          Allows the appropriate name for a particular context of use to be selected from among a set of names.

          Pattern Valueofficial
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          124. Patient.name:official.text
          Definition

          完整姓名的文字表述。由於世界各地的文化差異,取得資料的系統可能不知道如何正確地呈現姓名;此外,不是所有的名字部分都呈現予姓或名。因此,我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。


          Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

          Short完整的護照姓名Text representation of the full name
          Comments

          可以同時提供文字表述(text)和部分(part)。更新姓名的應用程式 必須(SHALL) 確保當test和lpart都存在時,text中不包含part中沒有的內容。


          Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

          Control0..1
          This element is affected by the following invariants: tw-core-1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          一個可呈現的、未編碼的形式。


          A renderable, unencoded form.

          Example<br/><b>General</b>:Chia-Lin Chan
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          126. Patient.name:official.family
          Definition

          姓名中與族譜相關的部分。在一些文化中(如厄立特里亞),兒子的姓氏是其父親的名字。


          The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

          Short護照中的姓Family name (often called 'Surname')
          Comments

          姓氏可以使用擴充名(de、nl、es相關文化)分解成具體的部分(part)


          Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

          Control0..1
          This element is affected by the following invariants: tw-core-1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Alternate Namessurname
          Example<br/><b>General</b>:Chen
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          128. Patient.name:official.given
          Definition

          姓名中的「名」


          Given name.

          Short護照中的名Given names (not always 'first'). Includes middle names
          Comments

          如果只記錄首字母,可以用它們來代替完整姓名。首字母可以分為多個名,但由於實際情況的限制,通常不會這樣做。這個資料項目不被稱為 「first name」,因為「given name」並不總是排在前面。


          If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

          Control0..*
          This element is affected by the following invariants: tw-core-1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Alternate Namesfirst name, middle name
          Example<br/><b>General</b>:Chia-Lin
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          130. Patient.name:official.prefix
          Definition

          由於學術、法規、就業或貴族身份等原因而獲得的名,並出現在姓名的開頭。


          Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

          Short姓名前面的頭銜 由於學術,法律,職業或貴族身份等原因而獲得頭銜,出現在姓名開頭。Parts that come before the name
          Control0..*
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          132. Patient.name:official.suffix
          Definition

          由於學術、法規、就業或貴族身份等原因而獲得的名,並出現在姓名的開頭。


          Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

          Short姓名後面的稱謂 由於學術,法律,職業或貴族身份等原因而獲得頭銜,出現在姓名之後。Parts that come after the name
          Control0..*
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          134. Patient.name:official.period
          Definition

          表明這個姓名對此病人有效的時間區間或期間


          Indicates the period of time when this name was valid for the named person.

          Short此姓名的使用效期Time period when name was/is in use
          Control0..1
          TypePeriod
          Is Modifierfalse
          Summarytrue
          Requirements

          允許多個姓名按其歷史情境(效期)儲存


          Allows names to be placed in historical context.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          136. Patient.name:usual
          Slice Nameusual
          Definition

          個人名字


          A name associated with the individual.

          Short病人所屬國籍的真實姓名A name associated with the patient
          Comments

          一位病人可能有多個姓名,有不同的用途或適用期。對於動物來說,這個姓名是一個「HumanName」,它是人類指定和使用的,具有相同的模式。


          A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

          Control0..1*
          TypeHumanName
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          需要能夠追踪病人的多個姓名。例如:正式姓名及配偶姓名。 必須(SHALL) 總是提供姓名的完整拼法。


          Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          tw-core-1: Patient.name.text or Patient.name.family or both SHALL be present (text.exists() or family.exists())
          138. Patient.name:usual.use
          Definition

          此姓名的用途


          Identifies the purpose for this name.

          Shortusual | official | temp | nickname | anonymous | old | maiden
          Comments

          應用程式可以假定一個姓名是永久的,除非它明確說它是暫時或舊的。


          Applications can assume that a name is current unless it explicitly says that it is temporary or old.

          Control10..1
          BindingThe codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1
          (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

          人名的使用情況;應填入所綁定值集中的其中一個代碼。


          The use of a human name.

          Typecode
          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          允許從一組姓名中為特定的使用情境選擇適當的姓名


          Allows the appropriate name for a particular context of use to be selected from among a set of names.

          Pattern Valueusual
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          140. Patient.name:usual.text
          Definition

          完整姓名的文字表述。由於世界各地的文化差異,取得資料的系統可能不知道如何正確地呈現姓名;此外,不是所有的名字部分都呈現予姓或名。因此,我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。


          Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

          Short完整的中文姓名Text representation of the full name
          Comments

          可以同時提供文字表述(text)和部分(part)。更新姓名的應用程式 必須(SHALL) 確保當test和lpart都存在時,text中不包含part中沒有的內容。


          Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

          Control0..1
          This element is affected by the following invariants: tw-core-1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          一個可呈現的、未編碼的形式。


          A renderable, unencoded form.

          Example<br/><b>General</b>:陳加玲
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          142. Patient.name:usual.family
          Definition

          姓名中與族譜相關的部分。在一些文化中(如厄立特里亞),兒子的姓氏是其父親的名字。


          The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

          Short若所屬國籍可區分family及given,填入所屬國籍之姓(family)Family name (often called 'Surname')
          Comments

          姓氏可以使用擴充名(de、nl、es相關文化)分解成具體的部分(part)


          Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

          Control0..1
          This element is affected by the following invariants: tw-core-1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Alternate Namessurname
          Example<br/><b>General</b>:陳
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          144. Patient.name:usual.given
          Definition

          姓名中的「名」


          Given name.

          Short若所屬國籍可區分family及given,填入所屬國籍之名(given)Given names (not always 'first'). Includes middle names
          Comments

          如果只記錄首字母,可以用它們來代替完整姓名。首字母可以分為多個名,但由於實際情況的限制,通常不會這樣做。這個資料項目不被稱為 「first name」,因為「given name」並不總是排在前面。


          If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

          Control0..*
          This element is affected by the following invariants: tw-core-1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Alternate Namesfirst name, middle name
          Example<br/><b>General</b>:加玲
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          146. Patient.name:usual.prefix
          Definition

          由於學術、法規、就業或貴族身份等原因而獲得的名,並出現在姓名的開頭。


          Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

          Short姓名前面的頭銜 由於學術,法律,職業或貴族身份等原因而獲得頭銜,出現在姓名開頭。Parts that come before the name
          Control0..*
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          148. Patient.name:usual.suffix
          Definition

          由於學術、法規、就業或貴族身份等原因而獲得的名,並出現在姓名的開頭。


          Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

          Short姓名後面的稱謂 由於學術,法律,職業或貴族身份等原因而獲得頭銜,出現在姓名之後。Parts that come after the name
          Control0..*
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          150. Patient.name:usual.period
          Definition

          表明這個姓名對此病人有效的時間區間或期間


          Indicates the period of time when this name was valid for the named person.

          Short此姓名的使用效期Time period when name was/is in use
          Control0..1
          TypePeriod
          Is Modifierfalse
          Summarytrue
          Requirements

          允許多個姓名按其歷史情境(效期)儲存


          Allows names to be placed in historical context.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          152. Patient.name:temp
          Slice Nametemp
          Definition

          個人名字


          A name associated with the individual.

          Short新生兒姓名,緊急救護未知病人姓名時亦可用。A name associated with the patient
          Comments

          一位病人可能有多個姓名,有不同的用途或適用期。對於動物來說,這個姓名是一個「HumanName」,它是人類指定和使用的,具有相同的模式。


          A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

          Control0..1*
          TypeHumanName
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          需要能夠追踪病人的多個姓名。


          Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          154. Patient.name:temp.use
          Definition

          此姓名的用途


          Identifies the purpose for this name.

          Shortusual | official | temp | nickname | anonymous | old | maiden
          Comments

          應用程式可以假定一個姓名是永久的,除非它明確說它是暫時或舊的。


          Applications can assume that a name is current unless it explicitly says that it is temporary or old.

          Control10..1
          BindingThe codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1
          (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

          人名的使用情況;應填入所綁定值集中的其中一個代碼。


          The use of a human name.

          Typecode
          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          允許從一組姓名中為特定的使用情境選擇適當的姓名


          Allows the appropriate name for a particular context of use to be selected from among a set of names.

          Pattern Valuetemp
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          156. Patient.name:temp.text
          Definition

          完整姓名的文字表述。由於世界各地的文化差異,取得資料的系統可能不知道如何正確地呈現姓名;此外,不是所有的名字部分都呈現予姓或名。因此,我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。


          Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

          Short完整的中文姓名Text representation of the full name
          Comments

          可以同時提供文字表述(text)和部分(part)。更新姓名的應用程式 必須(SHALL) 確保當test和lpart都存在時,text中不包含part中沒有的內容。


          Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

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

          一個可呈現的、未編碼的形式。


          A renderable, unencoded form.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          158. Patient.name:temp.family
          Definition

          The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

          ShortFamily name (often called 'Surname')
          Comments

          Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

          Control0..01
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Alternate Namessurname
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          160. Patient.name:temp.given
          Definition

          Given name.

          ShortGiven names (not always 'first'). Includes middle names
          Comments

          If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

          Control0..0*
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Alternate Namesfirst name, middle name
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          162. Patient.name:temp.prefix
          Definition

          Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

          ShortParts that come before the name
          Control0..0*
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          164. Patient.name:temp.suffix
          Definition

          Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

          ShortParts that come after the name
          Control0..0*
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          166. Patient.name:temp.period
          Definition

          表明這個姓名對此病人有效的時間區間或期間


          Indicates the period of time when this name was valid for the named person.

          Short此姓名的使用效期Time period when name was/is in use
          Control0..1
          TypePeriod
          Is Modifierfalse
          Summarytrue
          Requirements

          允許多個姓名按其歷史情境(效期)儲存


          Allows names to be placed in historical context.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          168. Patient.name:anonymous
          Slice Nameanonymous
          Definition

          個人名字


          A name associated with the individual.

          Short匿名供研究使用A name associated with the patient
          Comments

          一位病人可能有多個姓名,有不同的用途或適用期。對於動物來說,這個姓名是一個「HumanName」,它是人類指定和使用的,具有相同的模式。


          A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

          Control0..1*
          TypeHumanName
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          需要能夠追踪病人的多個姓名。


          Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          170. Patient.name:anonymous.use
          Definition

          此姓名的用途


          Identifies the purpose for this name.

          Shortusual | official | temp | nickname | anonymous | old | maiden
          Comments

          應用程式可以假定一個姓名是永久的,除非它明確說它是暫時或舊的。


          Applications can assume that a name is current unless it explicitly says that it is temporary or old.

          Control10..1
          BindingThe codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1
          (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

          人名的使用情況;應填入所綁定值集中的其中一個代碼。


          The use of a human name.

          Typecode
          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          允許從一組姓名中為特定的使用情境選擇適當的姓名


          Allows the appropriate name for a particular context of use to be selected from among a set of names.

          Pattern Valueanonymous
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          172. Patient.name:anonymous.text
          Definition

          完整姓名的文字表述。由於世界各地的文化差異,取得資料的系統可能不知道如何正確地呈現姓名;此外,不是所有的名字部分都呈現予姓或名。因此,我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。


          Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

          Short完整的中文姓名Text representation of the full name
          Comments

          可以同時提供文字表述(text)和部分(part)。更新姓名的應用程式 必須(SHALL) 確保當test和lpart都存在時,text中不包含part中沒有的內容。


          Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

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

          一個可呈現的、未編碼的形式。


          A renderable, unencoded form.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          174. Patient.name:anonymous.family
          Definition

          The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

          ShortFamily name (often called 'Surname')
          Comments

          Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

          Control0..01
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Alternate Namessurname
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          176. Patient.name:anonymous.given
          Definition

          Given name.

          ShortGiven names (not always 'first'). Includes middle names
          Comments

          If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

          Control0..0*
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Alternate Namesfirst name, middle name
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          178. Patient.name:anonymous.prefix
          Definition

          Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

          ShortParts that come before the name
          Control0..0*
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          180. Patient.name:anonymous.suffix
          Definition

          Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

          ShortParts that come after the name
          Control0..0*
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          182. Patient.name:anonymous.period
          Definition

          表明這個姓名對此病人有效的時間區間或期間


          Indicates the period of time when this name was valid for the named person.

          Short此姓名的使用效期Time period when name was/is in use
          Control0..1
          TypePeriod
          Is Modifierfalse
          Summarytrue
          Requirements

          允許多個姓名按其歷史情境(效期)儲存


          Allows names to be placed in historical context.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          184. Patient.telecom
          Definition

          可與此人聯絡的詳細聯絡方式(如電話或電子郵件地址等)


          A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.

          Short病人的聯絡資訊(例如:電話、電子郵件等)A contact detail for the individual
          Comments

          一位病人可能有多種聯絡方式,有不同的用途或適用期。可能需要有緊急聯絡此人的選項,也需要幫忙識別身份。地址可能不會直接聯絡到此人,但可能到透過他人代為聯絡(意即家中的電話)。


          A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

          Control0..*
          TypeContactPoint
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          人們有(主要)方式與他們聯絡,如電話、電子郵件。


          People have (primary) ways to contact them in some way such as phone, email.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          186. Patient.telecom.system
          Definition

          聯絡方式的通訊形式-需要什麼通訊系統進行聯絡


          Telecommunications form for contact point - what communications system is required to make use of the contact.

          Shortphone | fax | email | pager | url | sms | other
          Control10..1
          This element is affected by the following invariants: cpt-2
          BindingThe codes SHALL be taken from ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
          (required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

          應填入所綁定值集中的其中一個代碼。


          Telecommunications form for contact point.

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

          實際的聯絡方式之細節,針對指定的通訊系統提供有意義的形式(電話號碼或是電子郵件位址)


          The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

          Short實際的聯絡方式之細節The actual contact point details
          Comments

          額外的文字資料,例如電話分機號碼、或關於聯絡人的說明,有時也包括於此值。


          Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

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

          需支援非嚴格格式控制之舊有號碼


          Need to support legacy numbers that are not in a tightly controlled format.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          190. Patient.telecom.use
          Definition

          確定聯絡方式的用途


          Identifies the purpose for the contact point.

          Shorthome | work | temp | old | mobile-此聯絡方式的用途home | work | temp | old | mobile - purpose of this contact point
          Comments

          應用程式可以假定一個聯絡方法是目前使用中,除非它明確說它是暫時的或舊的。


          Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

          Control0..1
          BindingThe codes SHALL be taken from ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
          (required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)

          應填入所綁定值集中的其中一個代碼。


          Use of contact point.

          Typecode
          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          需要追蹤此人使用這種聯絡的方式,使用者可以選擇適合他們用途的聯絡方式。


          Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          192. Patient.telecom.rank
          Definition

          具體說明使用一組聯繫方式的優先順序,較小排名序位的聯絡方式比較大排名序位的聯絡方式之序位還要前面。


          Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

          Short具體說明偏好的使用順序(1=最高優先順序)Specify preferred order of use (1 = highest)
          Comments

          請注意,排名序位沒有一定要遵循聯絡方式在實例中呈現的順序。


          Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

          Control0..1
          TypepositiveInt
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          194. Patient.telecom.period
          Definition

          此聯絡方式的使用效期


          Time period when the contact point was/is in use.

          Short此聯絡方式的使用效期Time period when the contact point was/is in use
          Control0..1
          TypePeriod
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          196. Patient.gender
          Definition

          Administrative Gender 為行政管理及保存紀錄目的之病人性別


          Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.

          Shortmale | female | other | unknownmale | female | other | unknown
          Comments

          行政管理用之性別可能不符合由遺傳學或個人偏好的識別所決定的生物性別。請注意,對於人類,特別是動物,除了男性和女性,還有其他合法歸類的可能性,儘管絕大多數系統和情境只支持男性和女性。提供決策支援或執行業務規則的系統最好以檢驗檢查(Observation)呈現特定性別或感興趣的性別(解剖學、染色體、社會等)。然而,由於這些檢驗檢驗不常被記錄,預設為行政管理用之性別是常見的做法。在這種預設的情況下,規則的執行應該允許行政管理用和生物、染色體和其他性別方面的差異。例如:關於男性子宮切除的警訊應該作為警告或可推翻的錯誤來處理,而不是 「硬(hard) 」錯誤。關於溝通病人性別的更多資訊,請參閱Patient Gender及Sex的部分。


          The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.

          Control10..1
          BindingThe codes SHALL be taken from AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
          (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)

          病人性別;應填入所綁定值集中的其中一個代碼。


          The gender of a person used for administrative purposes.

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

          性別用於結合(至少)姓名和出生日期以識別個人身份


          Needed for identification of the individual, in combination with (at least) name and birth date.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          198. Patient.birthDate
          Definition

          個人的出生日期


          The date of birth for the individual.

          Short病人出生日期The date of birth for the individual
          Comments

          如果真實的出生日期未知,至少應該提供一個估計的出生年份作為猜測。有一個標準的擴充 「patient-birthTime」,應該於需要出生時間(Time)資訊時使用(例如:在產科/新生兒照護系統中)。


          At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).

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

          個人的年齡驅動著許多臨床過程/進程


          Age of the individual drives many clinical processes.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          LOINC Code21112-8
          200. Patient.deceased[x]
          Definition

          表示此人是否過世


          Indicates if the individual is deceased or not.

          Short病人是否過世Indicates if the individual is deceased or not
          Comments

          如果實例中沒有值,就意味著沒有關於此人是否過世的聲明。大多數系統會把沒有數值解釋為這個人還活著的標誌。


          If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.

          Control0..1
          TypeChoice of: boolean, dateTime
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifiertrue because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          病人已經過世的事實影響了臨床過程/進度。另外,在人際溝通和關係管理中,有必要知道這個人是否活著。


          The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          202. Patient.address
          Definition

          此人的地址


          An address for the individual.

          Short病人聯絡地址 pat-cnt-2or3-char:如果有國家名,則必須(SHALL)從[ISO Country Alpha-2](http://hl7.org/fhir/valueset/iso3166-1-2)找出相對代碼作呈現。 如果未在ISO Country Alpha-2 中找到此一國家的代碼,則可能可以(MAY)從[ISO Country Alpha-3](http://hl7.org/fhir/valueset/iso3166-1-3)找出相對代碼作呈現。An address for the individual
          Comments

          病人可能有多個地址,有不同的用途或適用期。


          Patient may have multiple addresses with different uses or applicable periods.

          Control0..*
          TypeAddress(TW Core Address)
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          可能需要記錄病人的地址,以便聯繫、結算或報告的要求,也有助於識別身份。


          May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          204. Patient.maritalStatus
          Definition

          這個欄位包含病人的目前婚姻(民事)狀態


          This field contains a patient's most recent marital (civil) status.

          Short病人的婚姻狀態Marital (civil) status of a patient
          Control0..1
          BindingUnless not suitable, these codes SHALL be taken from Marital Status Codeshttp://hl7.org/fhir/ValueSet/marital-status
          (extensible to http://hl7.org/fhir/ValueSet/marital-status)

          病人的婚姻狀態;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。


          The domestic partnership status of a person.

          TypeCodeableConcept(TW CodeableConcept)
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Requirements

          如果不是所有的系統都能取得此資訊


          Most, if not all systems capture it.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          206. Patient.multipleBirth[x]
          Definition

          表示病人是否是為多胞胎(佈林值)或表示實際的出生順序(整數值)


          Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).

          Short病人是否為多胞胎;或多胞胎出生順序。Whether patient is part of a multiple birth
          Comments

          在提供valueInteger的情況下,這個數字是序列中的出生序。例如:三胞胎中的中間胎兒是valueInteger=2,第三胎兒是valueInteger=3,如果是為三胞胎提供布林值,那麼所有3位病人的紀錄都是valueBoolean=true(沒有指明出生序)。


          Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).

          Control0..1
          TypeChoice of: boolean, integer
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Requirements

          用於消除多胎孩童的歧義,特別是在照護人員沒有見到病人的情況下,例如:在實驗室。


          For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          208. Patient.photo
          Definition

          病人的影像(照片)


          Image of the patient.

          Short病人的影像(照片)Image of the patient
          Comments

          指引: 使用個人影像,而不是臨床影像。 限制尺寸為縮圖。 保持低位元組小檔案以便更新resource。


          Guidelines:

          • Use id photos, not clinical photos.
          • Limit dimensions to thumbnail.
          • Keep byte count low to ease resource updates.
          Control0..*
          TypeAttachment
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Requirements

          許多EHR系統有能力取得病人的影像,這也符合較新的社群媒體的使用。


          Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          210. Patient.contact
          Definition

          病人的聯絡人(如監護人、伴侶、朋友)。


          A contact party (e.g. guardian, partner, friend) for the patient.

          Short病人的聯絡人,例如:監護人、伴侶、朋友等。A contact party (e.g. guardian, partner, friend) for the patient
          Comments

          聯絡涵蓋所有種類的聯絡人:家人、業務聯絡、監護人、照顧者。不適用於登記血統和家庭關係,因這超出聯絡的目的。


          Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.

          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Requirements

          需能聯絡到的病人的人。


          Need to track people you can contact about the patient.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          pat-1: SHALL at least contain a contact's details or a reference to an organization (name.exists() or telecom.exists() or address.exists() or organization.exists())
          pat-1: SHALL at least contain a contact's details or a reference to an organization (name.exists() or telecom.exists() or address.exists() or organization.exists())
          212. Patient.contact.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          214. Patient.contact.relationship
          Definition

          可以透過正式參照一個專門術語或知識本體來定義一個概念,或者也可以文字表述此概念。


          The nature of the relationship between the patient and the contact person.

          Short概念(Concept)-參照一個專門術語或只是文字表述The kind of relationship
          Control0..*
          BindingThe codes SHALL be taken from Unless not suitable, these codes SHALL be taken from PatientRelationshipTypehttp://hl7.org/fhir/ValueSet/patient-contactrelationship
          (required to http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype)

          應填入所綁定值集中的其中一個代碼。


          The nature of the relationship between a patient and a contact person for that patient.

          TypeCodeableConcept(TW CodeableConcept)
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Requirements

          根據情況決定哪位聯絡人最有關聯以作聯繫


          Used to determine which contact person is the most relevant to approach, depending on circumstances.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          216. Patient.contact.name
          Definition

          與聯絡人有關的姓名


          A name associated with the contact person.

          Short聯絡人姓名A name associated with the contact person
          Control0..1
          TypeHumanName
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Requirements

          聯絡人需要以姓名來識別,但通常不需要此聯絡人的其他姓名的細節。


          Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          218. Patient.contact.name.use
          Definition

          此姓名的用途


          Identifies the purpose for this name.

          Shortusual | official | temp | nickname | anonymous | old | maiden
          Comments

          應用程式可以假定一個姓名是永久的,除非它明確說它是暫時或舊的。


          Applications can assume that a name is current unless it explicitly says that it is temporary or old.

          Control0..1
          BindingThe codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1
          (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

          人名的使用情況;應填入所綁定值集中的其中一個代碼。


          The use of a human name.

          Typecode
          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          允許從一組姓名中為特定的使用情境選擇適當的姓名


          Allows the appropriate name for a particular context of use to be selected from among a set of names.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          220. Patient.contact.name.text
          Definition

          完整姓名的文字表述。由於世界各地的文化差異,取得資料的系統可能不知道如何正確地呈現姓名;此外,不是所有的名字部分都呈現予姓或名。因此,我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。


          Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

          Short完整的中文姓名Text representation of the full name
          Comments

          可以同時提供文字表述(text)和部分(part)。更新姓名的應用程式 必須(SHALL) 確保當test和lpart都存在時,text中不包含part中沒有的內容。


          Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

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

          一個可呈現的、未編碼的形式。


          A renderable, unencoded form.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          222. Patient.contact.name.family
          Definition

          姓名中與族譜相關的部分。在一些文化中(如厄立特里亞),兒子的姓氏是其父親的名字。


          The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

          Short英文姓Family name (often called 'Surname')
          Comments

          姓氏可以使用擴充名(de、nl、es相關文化)分解成具體的部分(part)


          Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Alternate Namessurname
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          224. Patient.contact.name.given
          Definition

          姓名中的「名」


          Given name.

          Short英文名Given names (not always 'first'). Includes middle names
          Comments

          如果只記錄首字母,可以用它們來代替完整姓名。首字母可以分為多個名,但由於實際情況的限制,通常不會這樣做。這個資料項目不被稱為 「first name」,因為「given name」並不總是排在前面。


          If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

          Control0..*
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Alternate Namesfirst name, middle name
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          226. Patient.contact.name.prefix
          Definition

          由於學術、法規、就業或貴族身份等原因而獲得的名,並出現在姓名的開頭。


          Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

          Short姓名前面的頭銜 由於學術,法律,職業或貴族身份等原因而獲得頭銜,出現在姓名開頭。Parts that come before the name
          Control0..*
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          228. Patient.contact.name.suffix
          Definition

          由於學術、法規、就業或貴族身份等原因而獲得的名,並出現在姓名的開頭。


          Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

          Short姓名後面的稱謂 由於學術,法律,職業或貴族身份等原因而獲得頭銜,出現在姓名之後。Parts that come after the name
          Control0..*
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          230. Patient.contact.name.period
          Definition

          表明這個姓名對此病人有效的時間區間或期間


          Indicates the period of time when this name was valid for the named person.

          Short此姓名的使用效期Time period when name was/is in use
          Control0..1
          TypePeriod
          Is Modifierfalse
          Summarytrue
          Requirements

          允許多個姓名按其歷史情境(效期)儲存


          Allows names to be placed in historical context.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          232. Patient.contact.telecom
          Definition

          此人的詳細聯絡方式,例如:電話號碼或電子郵件地址。


          A contact detail for the person, e.g. a telephone number or an email address.

          Short聯絡人的詳細聯絡資訊A contact detail for the person
          Comments

          聯絡人可能有多種聯絡方式,有不同的用途或適用期。可能需要有緊急聯絡此人的選項,及需要幫忙身份識別。


          Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.

          Control0..*
          TypeContactPoint
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Requirements

          人們可透過(主要)方式與他們聯絡,例如電話、電子郵件。


          People have (primary) ways to contact them in some way such as phone, email.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          234. Patient.contact.telecom.system
          Definition

          聯絡方式的通訊形式-需要什麼通訊系統進行聯絡


          Telecommunications form for contact point - what communications system is required to make use of the contact.

          Shortphone | fax | email | pager | url | sms | other
          Control10..1
          This element is affected by the following invariants: cpt-2
          BindingThe codes SHALL be taken from ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
          (required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

          應填入所綁定值集中的其中一個代碼。


          Telecommunications form for contact point.

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

          實際的聯絡方式之細節,針對指定的通訊系統提供有意義的形式(電話號碼或是電子郵件位址)。


          The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

          Short實際的聯絡方式之細節The actual contact point details
          Comments

          額外的文字資料,例如電話分機號碼、或關於聯絡人的說明,有時也包括於此值。


          Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

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

          需支援非嚴格格式控制之舊有號碼


          Need to support legacy numbers that are not in a tightly controlled format.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          238. Patient.contact.telecom.use
          Definition

          確定聯絡方式的用途


          Identifies the purpose for the contact point.

          Shorthome | work | temp | old | mobile-此聯絡方式的用途home | work | temp | old | mobile - purpose of this contact point
          Comments

          應用程式可以假定一個聯絡方法是目前使用中,除非它明確說它是暫時的或舊的。


          Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

          Control0..1
          BindingThe codes SHALL be taken from ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
          (required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)

          應填入所綁定值集中的其中一個代碼。


          Use of contact point.

          Typecode
          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          需要追蹤此人使用這種聯絡的方式,使用者可以選擇適合他們用途的聯絡方式。


          Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          240. Patient.contact.telecom.rank
          Definition

          具體說明使用一組聯繫方式的優先順序,較小排名序位的聯絡方式比較大排名序位的聯絡方式之序位還要前面。


          Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

          Short具體說明偏好的使用順序(1=最高優先順序)Specify preferred order of use (1 = highest)
          Comments

          請注意,排名序位沒有一定要遵循聯絡方式在實例中呈現的順序。


          Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

          Control0..1
          TypepositiveInt
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          242. Patient.contact.telecom.period
          Definition

          此聯絡方式的使用效期


          Time period when the contact point was/is in use.

          Short此聯絡方式的使用效期Time period when the contact point was/is in use
          Control0..1
          TypePeriod
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          244. Patient.contact.address
          Definition

          聯絡人的地址


          Address for the contact person.

          Short聯絡人的地址Address for the contact person
          Control0..1
          TypeAddress(TW Core Address)
          Is Modifierfalse
          Summaryfalse
          Requirements

          需要紀錄用以聯絡聯絡人的郵件地址或到訪地址


          Need to keep track where the contact person can be contacted per postal mail or visited.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          246. Patient.contact.gender
          Definition

          Administrative Gender為行政管理的及保存紀錄目的之聯絡人性別


          Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.

          Shortmale | female | other | unknownmale | female | other | unknown
          Control0..1
          BindingThe codes SHALL be taken from AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
          (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)

          聯絡人的性別;應填入所綁定值集中的其中一個代碼。


          The gender of a person used for administrative purposes.

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

          用以正確稱呼聯絡人


          Needed to address the person correctly.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          248. Patient.contact.organization
          Definition

          聯絡人為機構或聯絡人為其工作的機構


          Organization on behalf of which the contact is acting or for which the contact is working.

          Short可聯絡到聯絡人的機構Organization that is associated with the contact
          Control0..1
          This element is affected by the following invariants: pat-1
          TypeReference(TW Core Organization, Organization)
          Is Modifierfalse
          Summaryfalse
          Requirements

          監護人或與業務相關聯絡與此機構有關


          For guardians or business related contacts, the organization is relevant.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          250. Patient.contact.period
          Definition

          與此病人有關的聯絡人或機構的有效聯絡期


          The period during which this contact person or organization is valid to be contacted relating to this patient.

          Short聯絡人或其可聯絡機構之可聯絡期(時間區間)The period during which this contact person or organization is valid to be contacted relating to this patient
          Control0..1
          TypePeriod
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          252. Patient.communication
          Definition

          可用於與病人溝通其健康狀況的語言。


          A language which may be used to communicate with the patient about his or her health.

          Short向病人說明健康狀態時所使用的語言A language which may be used to communicate with the patient about his or her health
          Comments

          如果沒有指定語言,這意味著預設使用當地語言。如果你需要多種模式的熟練程度,那麼你需要多個Patient.Communication關聯。對於動物來說,語言不是相關的欄位,應該不存在於實例中。如果病人不講預設的當地語言,那麼可以使用 「(Interpreter Required Standard)需要口譯員」來明確聲明需要口譯員。


          If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.

          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Requirements

          如果病人不會說當地語言,可能需要翻譯,因此,對於病人和其他相關人士來說,所講的語言和熟練程度都是需要記錄的重要內容。


          If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          254. Patient.communication.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          256. Patient.communication.language
          Definition

          小寫的ISO-639-1字母兩個代碼表示的語言,後面可以有連字符號,大寫的ISO-3166-1字母兩個代碼表示使用此語言的地區;例如「en 」代表英語,或者 「en-US 」代表美國英語,而 「en-EN 」代表英國英語。


          The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English.

          Short向病人說明健康狀況時所使用的語言The language which can be used to communicate with the patient about his or her health
          Comments

          帶有這種精確字母大小寫的aa-BB結構是最廣泛使用的地方性符號之一。但並不是所有的系統都對其進行編碼,而是將其作為純文字表述。因此,data type為CodeableConcept而不是code。


          The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.

          Control1..1
          BindingThe codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages
          (preferred to http://hl7.org/fhir/ValueSet/languages)

          應填入所綁定值集中的其中一個代碼。


          A human language.

          Additional BindingsPurpose
          AllLanguagesMax Binding
          TypeCodeableConcept(TW CodeableConcept)
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Requirements

          在多語言國家的大多數系統都會想要溝通語言。並非所有的系統實際上都需要區域方言。


          Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.

          Example<br/><b>Value</b>:zh-TW
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          258. Patient.communication.preferred
          Definition

          表示病人是否偏好此語言(相對於其他它已掌握到一定水平的語言)


          Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).

          Short病人是否偏好使用此語言Language preference indicator
          Comments

          此語言專門用以溝通健康照護資訊


          This language is specifically identified for communicating healthcare information.

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

          掌握多種語言達到一定水平的人可能更偏好一種或多種語言,也就是說,在用某一種語言溝通時感到更有信心,使其他語言成為一種備用語言。


          People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          260. Patient.generalPractitioner
          Definition

          病人指定的照護服務提供者


          Patient's nominated care provider.

          Short照護此病人的機構、照護服務提供者、或健康照護服務提供者的角色Patient's nominated primary care provider
          Comments

          這可能是基層健康照護提供者(在一般科醫生的情境下),也可能是在社區/失能環境中由病人提名的照護管理者,甚至是提供人力來履行照護提供者角色的機構。它不能用來記錄Care Teams,這些團隊應該在CareTeams resource中,可以連接到CarePlan或EpisodeOfCare。由於各種原因,病人可能會被記錄有多個一般科醫生,例如:一位學生在學校學期期間將他的家庭醫生與大學的醫生一起列出,或者一位至偏遠地區「飛進/飛出 」的工作者會有當地的醫師及其家庭醫生,以保持對醫療問題的瞭解。
          如果需要,各行政管轄區可決定將其規範為只有1位,或每種型別1位。


          This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues.

          Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.

          Control0..*
          TypeReference(TW Core Organization, TW Core Practitioner, TW Core PractitionerRole, Organization, Practitioner, PractitionerRole)
          Is Modifierfalse
          Summaryfalse
          Alternate NamescareProvider
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          262. Patient.managingOrganization
          Definition

          病人紀錄的保管機構


          Organization that is the custodian of the patient record.

          Short此紀錄的保管機構Organization that is the custodian of the patient record
          Comments

          僅有一個管理特定病人紀錄的機構。其他機構將擁有自己的「病人」紀錄,並可透過使用「Link」屬性將紀錄結合在一起(或可以包含關聯可信的「Person」resource)。


          There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).

          Control0..1
          TypeReference(TW Core Organization, Organization)
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          需要知道誰識別、管理和更新這位病人的紀錄


          Need to know who recognizes this patient record, manages and updates it.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          264. Patient.link
          Definition

          連結到另一個涉及同一實際病人的Patient resource。


          Link to another patient resource that concerns the same actual patient.

          Short連結至此病人的其他Patient ResourceLink to another patient resource that concerns the same actual person
          Comments

          不存在連結的病人紀錄有相互連結的假設


          There is no assumption that linked patient records have mutual links.

          Control0..*
          TypeBackboneElement
          Is Modifiertrue because This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'
          Summarytrue
          Requirements

          有多種使用案例:
          由於難以一致地指明與人相關的文件而錯誤地重複製作病人紀錄,並在多個伺服器上發佈病人的資訊。


          There are multiple use cases:

          • Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and
          • Distribution of patient information across multiple servers.
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          266. Patient.link.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          268. Patient.link.other
          Definition

          此連超所參照的另一個Patient resource


          The other patient resource that the link refers to.

          Short連結至其他Patient或RelatedPerson ResourceThe other patient or related person resource that the link refers to
          Comments

          在這裡參照一個RelatedPerson,就不需要另外使用Person來將Patient及RelatedPerson作為同一個人關聯起來。


          Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.

          Control1..1
          TypeReference(TW Core Patient, TW Core RelatedPerson, Patient, RelatedPerson)
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          270. Patient.link.type
          Definition

          這個Patient resource與另一個Patient resource之間的連結型別


          The type of link between this patient resource and another patient resource.

          Shortreplaced-by | replaces | refer | seealsoreplaced-by | replaces | refer | seealso
          Control1..1
          BindingThe codes SHALL be taken from LinkTypehttp://hl7.org/fhir/ValueSet/link-type|4.0.1
          (required to http://hl7.org/fhir/ValueSet/link-type|4.0.1)

          連結的型別;應填入所綁定值集中的其中一個代碼。


          The type of link between this patient resource and another patient resource.

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