臺灣核心實作指引(TW Core IG)
0.3.1 - 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 0.3.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cctwFHIRterm/MOHW_TWCoreIG_Build/ and changes regularly. See the Directory of published versions

Resource Profile: TWCorePatient - Detailed Descriptions

Active as of 2024-10-22

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。

Short接受健康照護服務的個人或動物之資訊
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。

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。
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。

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。

Short此Patient Resource的metadata
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。

Short創建此內容所依據的一組規則
Comments

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

8. Patient.language
Definition

編寫此resource的語言

Short用以表述Patient Resource內容的語言。
Comments

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

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

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

Additional BindingsPurpose
AllLanguagesMax Binding
Example<br/><b>Value</b>:zh-TW
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。

ShortPatient Resource之內容摘要以供人閱讀
Comments

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

12. Patient.extension
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
    Control0..1
    TypeExtension(Person Age) (Extension Type: Age)
    Must Supporttrue
    16. Patient.extension:nationality
    Slice Namenationality
    Short病人所屬國籍
    Control0..1
    TypeExtension(Patient Nationality) (Complex Extension)
    Must Supporttrue
    18. Patient.identifier
    Definition

    病人的唯一識別碼(identifier)

    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。
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control1..?
    Must Supporttrue
    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)

    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
    • 20. Patient.identifier.type
      TypeCodeableConcept(TW CodeableConcept)
      22. Patient.identifier.system
      Control1..?
      24. Patient.identifier.value
      Control1..?
      26. Patient.identifier:idCardNumber
      Slice NameidCardNumber
      Definition

      適用於身分證字號

      Short適用身分證字號
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..1
      Must Supporttrue
      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)

      Invariantsid-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}$'))
      28. Patient.identifier:idCardNumber.use
      Definition

      這個唯一識別碼(identifier)的用途

      Shortusual | official | temp | secondary | old (如果知道)
      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。

      BindingThe codes SHALL be taken from IdentifierUse
      (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。

      Must Supporttrue
      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

      Pattern Valueofficial
      30. 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。

      Short身份識別碼(identifier)的型別說明
      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。

      Control1..?
      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
      (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。

      Must Supporttrue
      Requirements

      允許使用者在不知道識別碼系統的情況下利用識別碼

      32. Patient.identifier:idCardNumber.type.coding
      Comments

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

      Control1..?
      34. Patient.identifier:idCardNumber.type.coding.system
      Control1..?
      Pattern Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
      36. Patient.identifier:idCardNumber.type.coding.code
      Control1..?
      Pattern ValueNNxxx
      38. Patient.identifier:idCardNumber.type.coding.code.extension
      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
      • 40. Patient.identifier:idCardNumber.type.coding.code.extension:identifier-suffix
        Slice Nameidentifier-suffix
        Control0..1
        TypeExtension(Identifier Suffix) (Complex Extension)
        Must Supporttrue
        42. 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

        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'
        Comments

        Identifier.system總是區分大小寫

        Must Supporttrue
        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。

        Pattern Valuehttp://www.moi.gov.tw
        44. 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。

        Short唯一值。 例如:身分證字號為A123456789
        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。

        Must Supporttrue
        46. Patient.identifier:idCardNumber.period
        Definition

        識別碼有效/曾經有效使用的時段或期間

        Short此身份識別碼(identifier)的使用效期
        48. Patient.identifier:idCardNumber.assigner
        Definition

        簽發/管理識別碼的機構

        Short簽發identifier的機構(可以只是文字表述)
        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。

        TypeReference(TW Core Organization)
        50. Patient.identifier:passportNumber
        Slice NamepassportNumber
        Definition

        適用於護照號碼

        Short適用護照號碼
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..1
        Must Supporttrue
        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)

        52. Patient.identifier:passportNumber.use
        Definition

        這個唯一識別碼(identifier)的用途

        Shortusual | official | temp | secondary | old (如果知道)
        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。

        BindingThe codes SHALL be taken from IdentifierUse
        (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。

        Must Supporttrue
        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

        Pattern Valueofficial
        54. 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。

        Short身份識別碼(identifier)的型別說明
        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。

        Control1..?
        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
        (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。

        Must Supporttrue
        Requirements

        允許使用者在不知道識別碼系統的情況下利用識別碼

        56. Patient.identifier:passportNumber.type.coding
        Comments

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

        Control1..?
        58. Patient.identifier:passportNumber.type.coding.system
        Control1..?
        Pattern Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
        60. Patient.identifier:passportNumber.type.coding.code
        Control1..?
        Pattern ValuePPN
        62. 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

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

        Identifier.system總是區分大小寫

        Must Supporttrue
        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。

        Pattern Valuehttp://hl7.org/fhir/sid/passport-TWN
        64. 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。

        Short唯一值。 例如:護照號碼為888800371
        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。

        Must Supporttrue
        66. Patient.identifier:passportNumber.period
        Definition

        識別碼有效/曾經有效使用的時段或期間

        Short此身份識別碼(identifier)的使用效期
        68. Patient.identifier:passportNumber.assigner
        Definition

        簽發/管理識別碼的機構

        Short簽發identifier的機構(可以只是文字表述)
        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。

        TypeReference(TW Core Organization)
        70. Patient.identifier:residentNumber
        Slice NameresidentNumber
        Definition

        適用於居留證號碼

        Short適用居留證號碼
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..1
        Must Supporttrue
        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)

        72. Patient.identifier:residentNumber.use
        Definition

        這個唯一識別碼(identifier)的用途

        Shortusual | official | temp | secondary | old (如果知道)
        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。

        BindingThe codes SHALL be taken from IdentifierUse
        (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。

        Must Supporttrue
        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

        Pattern Valueofficial
        74. 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。

        Short身份識別碼(identifier)的型別說明
        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。

        Control1..?
        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
        (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。

        Must Supporttrue
        Requirements

        允許使用者在不知道識別碼系統的情況下利用識別碼

        76. Patient.identifier:residentNumber.type.coding
        Comments

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

        Control1..?
        78. Patient.identifier:residentNumber.type.coding.system
        Control1..?
        Pattern Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
        80. Patient.identifier:residentNumber.type.coding.code
        Control1..?
        Pattern ValuePRC
        82. 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

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

        Identifier.system總是區分大小寫

        Must Supporttrue
        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。

        Pattern Valuehttp://www.immigration.gov.tw
        84. 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。

        Short唯一值。 例如:居留證號碼為A912345678
        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。

        Must Supporttrue
        86. Patient.identifier:residentNumber.period
        Definition

        識別碼有效/曾經有效使用的時段或期間

        Short此身份識別碼(identifier)的使用效期
        88. Patient.identifier:residentNumber.assigner
        Definition

        簽發/管理識別碼的機構

        Short簽發identifier的機構(可以只是文字表述)
        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。

        TypeReference(TW Core Organization)
        90. Patient.identifier:medicalRecord
        Slice NamemedicalRecord
        Definition

        適用於病歷號

        Short適用病歷號
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..1
        Must Supporttrue
        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)

        92. Patient.identifier:medicalRecord.use
        Definition

        這個唯一識別碼(identifier)的用途

        Shortusual | official | temp | secondary | old (如果知道)
        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。

        BindingThe codes SHALL be taken from IdentifierUse
        (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。

        Must Supporttrue
        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

        Pattern Valueofficial
        94. 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。

        Short身份識別碼(identifier)的型別說明
        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。

        Control1..?
        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
        (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。

        Must Supporttrue
        Requirements

        允許使用者在不知道識別碼系統的情況下利用識別碼

        96. Patient.identifier:medicalRecord.type.coding
        Comments

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

        Control1..?
        98. Patient.identifier:medicalRecord.type.coding.system
        Control1..?
        Pattern Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
        100. Patient.identifier:medicalRecord.type.coding.code
        Control1..?
        Pattern ValueMR
        102. 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

        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。
        Comments

        Identifier.system總是區分大小寫

        Must Supporttrue
        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。

        104. 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。

        Short唯一值。 例如:病歷號為8862168
        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。

        Must Supporttrue
        106. Patient.identifier:medicalRecord.period
        Definition

        識別碼有效/曾經有效使用的時段或期間

        Short此身份識別碼(identifier)的使用效期
        108. Patient.identifier:medicalRecord.assigner
        Definition

        簽發/管理識別碼的機構

        Short簽發identifier的機構(可以只是文字表述)
        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。

        TypeReference(TW Core Organization)
        110. 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。

        Short病人的紀錄是否「使用中(true)」
        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。

        Must Supporttrue
        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

        112. Patient.name
        Definition

        個人名字

        Short病人的姓名
        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。

        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。

        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
        • 114. Patient.name:official
          Slice Nameofficial
          Definition

          個人名字

          Short病人的護照姓名
          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。

          Control0..1
          Must Supporttrue
          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。

          Invariantstw-core-1: Patient.name.text or Patient.name.family or both SHALL be present (text.exists() or family.exists())
          116. Patient.name:official.use
          Definition

          此姓名的用途

          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。

          Control1..?
          BindingThe codes SHALL be taken from NameUse
          (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。

          Must Supporttrue
          Requirements

          允許從一組姓名中為特定的使用情境選擇適當的姓名

          Pattern Valueofficial
          118. 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。

          Short完整的護照姓名
          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。

          Must Supporttrue
          Requirements

          一個可呈現的、未編碼的形式。

          Example<br/><b>General</b>:Chia-Lin Chan
          120. 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。

          Short護照中的姓
          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)

          Must Supporttrue
          Example<br/><b>General</b>:Chen
          122. Patient.name:official.given
          Definition

          姓名中的「名」

          Short護照中的名
          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。

          Must Supporttrue
          Example<br/><b>General</b>:Chia-Lin
          124. 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。

          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。
          126. 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。

          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。
          128. 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

          Short此姓名的使用效期
          Requirements

          允許多個姓名按其歷史情境(效期)儲存

          130. Patient.name:usual
          Slice Nameusual
          Definition

          個人名字

          Short病人所屬國籍的真實姓名
          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。

          Control0..1
          Must Supporttrue
          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。

          Invariantstw-core-1: Patient.name.text or Patient.name.family or both SHALL be present (text.exists() or family.exists())
          132. Patient.name:usual.use
          Definition

          此姓名的用途

          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。

          Control1..?
          BindingThe codes SHALL be taken from NameUse
          (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。

          Must Supporttrue
          Requirements

          允許從一組姓名中為特定的使用情境選擇適當的姓名

          Pattern Valueusual
          134. 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。

          Short完整的中文姓名
          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。

          Must Supporttrue
          Requirements

          一個可呈現的、未編碼的形式。

          Example<br/><b>General</b>:陳加玲
          136. 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。

          Short若所屬國籍可區分family及given,填入所屬國籍之姓(family)
          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)

          Must Supporttrue
          Example<br/><b>General</b>:陳
          138. Patient.name:usual.given
          Definition

          姓名中的「名」

          Short若所屬國籍可區分family及given,填入所屬國籍之名(given)
          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。

          Must Supporttrue
          Example<br/><b>General</b>:加玲
          140. 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。

          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。
          142. 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。

          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。
          144. 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

          Short此姓名的使用效期
          Requirements

          允許多個姓名按其歷史情境(效期)儲存

          146. Patient.name:temp
          Slice Nametemp
          Definition

          個人名字

          Short新生兒姓名,緊急救護未知病人姓名時亦可用。
          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。

          Control0..1
          Must Supporttrue
          Requirements

          需要能夠追踪病人的多個姓名。

          148. Patient.name:temp.use
          Definition

          此姓名的用途

          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。

          Control1..?
          BindingThe codes SHALL be taken from NameUse
          (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。

          Must Supporttrue
          Requirements

          允許從一組姓名中為特定的使用情境選擇適當的姓名

          Pattern Valuetemp
          150. 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。

          Short完整的中文姓名
          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。

          Control1..?
          Must Supporttrue
          Requirements

          一個可呈現的、未編碼的形式。

          152. Patient.name:temp.family
          Control0..0
          154. Patient.name:temp.given
          Control0..0
          156. Patient.name:temp.prefix
          Control0..0
          158. Patient.name:temp.suffix
          Control0..0
          160. 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

          Short此姓名的使用效期
          Requirements

          允許多個姓名按其歷史情境(效期)儲存

          162. Patient.name:anonymous
          Slice Nameanonymous
          Definition

          個人名字

          Short匿名供研究使用
          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。

          Control0..1
          Must Supporttrue
          Requirements

          需要能夠追踪病人的多個姓名。

          164. Patient.name:anonymous.use
          Definition

          此姓名的用途

          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。

          Control1..?
          BindingThe codes SHALL be taken from NameUse
          (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。

          Must Supporttrue
          Requirements

          允許從一組姓名中為特定的使用情境選擇適當的姓名

          Pattern Valueanonymous
          166. 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。

          Short完整的中文姓名
          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。

          Control1..?
          Must Supporttrue
          Requirements

          一個可呈現的、未編碼的形式。

          168. Patient.name:anonymous.family
          Control0..0
          170. Patient.name:anonymous.given
          Control0..0
          172. Patient.name:anonymous.prefix
          Control0..0
          174. Patient.name:anonymous.suffix
          Control0..0
          176. 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

          Short此姓名的使用效期
          Requirements

          允許多個姓名按其歷史情境(效期)儲存

          178. 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)

          Short病人的聯絡資訊(例如:電話、電子郵件等)
          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)。

          Must Supporttrue
          Requirements

          人們有(主要)方式與他們聯絡,如電話、電子郵件。

          180. 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

          Control1..?
          BindingThe codes SHALL be taken from ContactPointSystem
          (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。

          Must Supporttrue
          182. 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)

          Short實際的聯絡方式之細節
          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。

          Control1..?
          Must Supporttrue
          Requirements

          需支援非嚴格格式控制之舊有號碼

          184. Patient.telecom.use
          Definition

          確定聯絡方式的用途

          Shorthome | work | temp | old | mobile-此聯絡方式的用途
          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。

          BindingThe codes SHALL be taken from ContactPointUse
          (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。

          Must Supporttrue
          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。

          186. 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。

          Short具體說明偏好的使用順序(1=最高優先順序)
          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。

          188. Patient.telecom.period
          Definition

          此聯絡方式的使用效期

          Short此聯絡方式的使用效期
          Must Supporttrue
          190. Patient.gender
          Definition

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

          Shortmale | 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。

          Control1..?
          BindingThe codes SHALL be taken from AdministrativeGender
          (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。

          Must Supporttrue
          Requirements

          性別用於結合(至少)姓名和出生日期以識別個人身份

          192. Patient.birthDate
          Definition

          個人的出生日期

          Short病人出生日期
          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)。

          Control1..?
          Must Supporttrue
          Requirements

          個人的年齡驅動著許多臨床過程/進程

          LOINC Code
          194. Patient.deceased[x]
          Definition

          表示此人是否過世

          Short病人是否過世
          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。

          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          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。

          196. Patient.address
          Definition

          此人的地址

          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。
          Comments

          病人可能有多個地址,有不同的用途或適用期。

          TypeAddress(TW Core Address)
          Must Supporttrue
          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。

          198. Patient.maritalStatus
          Definition

          這個欄位包含病人的目前婚姻(民事)狀態

          Short病人的婚姻狀態
          BindingUnless not suitable, these codes SHALL be taken from Marital Status Codes
          (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。

          TypeCodeableConcept(TW CodeableConcept)
          Must Supporttrue
          Requirements

          如果不是所有的系統都能取得此資訊

          200. 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)

          Short病人是否為多胞胎;或多胞胎出生順序。
          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)。

          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          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。

          202. Patient.photo
          Definition

          病人的影像(照片)

          Short病人的影像(照片)
          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。

          Must Supporttrue
          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。

          204. Patient.contact
          Definition

          病人的聯絡人(如監護人、伴侶、朋友)。

          Short病人的聯絡人,例如:監護人、伴侶、朋友等。
          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。

          Must Supporttrue
          Requirements

          需能聯絡到的病人的人。

          206. 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。

          Short概念(Concept)-參照一個專門術語或只是文字表述
          BindingThe codes SHALL be taken from PatientRelationshipType
          (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。

          TypeCodeableConcept(TW CodeableConcept)
          Must Supporttrue
          Requirements

          根據情況決定哪位聯絡人最有關聯以作聯繫

          208. Patient.contact.name
          Definition

          與聯絡人有關的姓名

          Short聯絡人姓名
          Must Supporttrue
          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。

          210. Patient.contact.name.use
          Definition

          此姓名的用途

          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。

          BindingThe codes SHALL be taken from NameUse
          (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。

          Must Supporttrue
          Requirements

          允許從一組姓名中為特定的使用情境選擇適當的姓名

          212. 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。

          Short完整的中文姓名
          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。

          Must Supporttrue
          Requirements

          一個可呈現的、未編碼的形式。

          214. 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。

          Short英文姓
          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)

          Must Supporttrue
          216. Patient.contact.name.given
          Definition

          姓名中的「名」

          Short英文名
          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。

          Must Supporttrue
          218. 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。

          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。
          220. 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。

          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。
          222. 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

          Short此姓名的使用效期
          Requirements

          允許多個姓名按其歷史情境(效期)儲存

          224. 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。

          Short聯絡人的詳細聯絡資訊
          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。

          Must Supporttrue
          Requirements

          人們可透過(主要)方式與他們聯絡,例如電話、電子郵件。

          226. 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

          Control1..?
          BindingThe codes SHALL be taken from ContactPointSystem
          (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。

          Must Supporttrue
          228. 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)。

          Short實際的聯絡方式之細節
          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。

          Control1..?
          Must Supporttrue
          Requirements

          需支援非嚴格格式控制之舊有號碼

          230. Patient.contact.telecom.use
          Definition

          確定聯絡方式的用途

          Shorthome | work | temp | old | mobile-此聯絡方式的用途
          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。

          BindingThe codes SHALL be taken from ContactPointUse
          (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。

          Must Supporttrue
          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。

          232. 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。

          Short具體說明偏好的使用順序(1=最高優先順序)
          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。

          234. Patient.contact.telecom.period
          Definition

          此聯絡方式的使用效期

          Short此聯絡方式的使用效期
          236. Patient.contact.address
          Definition

          聯絡人的地址

          Short聯絡人的地址
          TypeAddress(TW Core Address)
          Requirements

          需要紀錄用以聯絡聯絡人的郵件地址或到訪地址

          238. 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

          Shortmale | female | other | unknown
          BindingThe codes SHALL be taken from AdministrativeGender
          (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。

          Requirements

          用以正確稱呼聯絡人

          240. Patient.contact.organization
          Definition

          聯絡人為機構或聯絡人為其工作的機構

          Short可聯絡到聯絡人的機構
          TypeReference(TW Core Organization)
          Requirements

          監護人或與業務相關聯絡與此機構有關

          242. Patient.contact.period
          Definition

          與此病人有關的聯絡人或機構的有效聯絡期

          Short聯絡人或其可聯絡機構之可聯絡期(時間區間)
          Must Supporttrue
          244. Patient.communication
          Definition

          可用於與病人溝通其健康狀況的語言。

          Short向病人說明健康狀態時所使用的語言
          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。

          Must Supporttrue
          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。

          246. 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。

          Short向病人說明健康狀況時所使用的語言
          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。

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

          應填入所綁定值集中的其中一個代碼。

          Additional BindingsPurpose
          AllLanguagesMax Binding
          TypeCodeableConcept(TW CodeableConcept)
          Must Supporttrue
          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。

          Example<br/><b>Value</b>:zh-TW
          248. 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)

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

          此語言專門用以溝通健康照護資訊

          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。

          250. Patient.generalPractitioner
          Definition

          病人指定的照護服務提供者

          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
          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。

          TypeReference(TW Core Organization, TW Core Practitioner, TW Core PractitionerRole)
          252. Patient.managingOrganization
          Definition

          病人紀錄的保管機構

          Short此紀錄的保管機構
          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)。

          TypeReference(TW Core Organization)
          Must Supporttrue
          Requirements

          需要知道誰識別、管理和更新這位病人的紀錄

          254. Patient.link
          Definition

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

          Short連結至此病人的其他Patient Resource
          Comments

          不存在連結的病人紀錄有相互連結的假設

          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。

          256. Patient.link.other
          Definition

          此連超所參照的另一個Patient resource

          Short連結至其他Patient或RelatedPerson Resource
          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。

          TypeReference(TW Core Patient, TW Core RelatedPerson)
          258. Patient.link.type
          Definition

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

          Shortreplaced-by | replaces | refer | seealso
          BindingThe codes SHALL be taken from LinkType
          (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。

          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 concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.


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

              Short概念(Concept)— 參照一個專門術語或只是文字表述Description of identifier
              Comments

              Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.


              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
              This element is affected by the following invariants: ele-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
              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: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}$'))
              32. 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()))
              34. 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()))
              36. 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()))
              38. 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()))
              40. 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()))
              42. 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
              • 44. 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())
                46. 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()))
                48. 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()))
                50. 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()))
                52. 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()))
                54. 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()))
                56. 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()))
                58. 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()))
                60. 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()))
                62. 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()))
                64. 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()))
                66. 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()))
                68. 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()))
                70. 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()))
                72. 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()))
                74. 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()))
                76. 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()))
                78. 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()))
                80. 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()))
                82. 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()))
                84. 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()))
                86. 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()))
                88. 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()))
                90. 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()))
                92. 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()))
                94. 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()))
                96. 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()))
                98. 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()))
                100. 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()))
                102. 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()))
                104. 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()))
                106. 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()))
                108. 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()))
                110. 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()))
                112. 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()))
                114. 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()))
                116. 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
                • 118. 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())
                  120. 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()))
                  122. 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()))
                  124. 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()))
                  126. 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()))
                  128. 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()))
                  130. 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()))
                  132. 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()))
                  134. 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())
                  136. 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()))
                  138. 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()))
                  140. 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()))
                  142. 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()))
                  144. 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()))
                  146. 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()))
                  148. 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()))
                  150. 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()))
                  152. 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()))
                  154. 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()))
                  156. 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()))
                  158. 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()))
                  160. 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()))
                  162. 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()))
                  164. 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()))
                  166. 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()))
                  168. 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()))
                  170. 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()))
                  172. 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()))
                  174. 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()))
                  176. 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()))
                  178. 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()))
                  180. 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()))
                  182. 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()))
                  184. 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()))
                  186. 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()))
                  188. 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()))
                  190. 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()))
                  192. 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()))
                  194. 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()))
                  196. 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
                  198. 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()))
                  200. 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..*
                  This element is affected by the following invariants: ele-1
                  TypeAddress(TW Core Address)
                  Is Modifierfalse
                  Must Supporttrue
                  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()))
                  202. 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
                  Comments

                  Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

                  Control0..1
                  This element is affected by the following invariants: ele-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
                  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()))
                  204. 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()))
                  206. 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()))
                  208. 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())
                  210. 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())
                  212. 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
                  Comments

                  Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

                  Control0..*
                  This element is affected by the following invariants: ele-1
                  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
                  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()))
                  214. 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()))
                  216. 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()))
                  218. 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()))
                  220. 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()))
                  222. 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()))
                  224. 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()))
                  226. 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()))
                  228. 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()))
                  230. 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()))
                  232. 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()))
                  234. 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()))
                  236. 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()))
                  238. 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()))
                  240. 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()))
                  242. 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
                  Comments

                  注意:地址的目的是描述用於管理目的之郵政地址,而不是描述絕對的地理座標。郵政地址經常被用作實體位置的代表(亦可見Locationresource)。

                  Control0..1
                  This element is affected by the following invariants: ele-1
                  TypeAddress(TW Core Address)
                  Is Modifierfalse
                  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()))
                  244. 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()))
                  246. 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()))
                  248. 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()))
                  250. 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()))
                  252. 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())
                  254. 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
                  This element is affected by the following invariants: ele-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
                  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()))
                  256. 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()))
                  258. 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()))
                  260. 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()))
                  262. 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()))
                  264. 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())
                  266. 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()))
                  268. 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()))

                  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。

                  Short接受健康照護服務的個人或動物之資訊
                  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。

                  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。
                  Comments

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

                  Control0..1
                  Typeid
                  Is Modifierfalse
                  Summarytrue
                  4. 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。

                  Short此Patient Resource的metadata
                  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。

                  Short創建此內容所依據的一組規則
                  Comments

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

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

                  編寫此resource的語言

                  Short用以表述Patient Resource內容的語言。
                  Comments

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

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

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

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

                  ShortPatient Resource之內容摘要以供人閱讀
                  Comments

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

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

                  These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

                  ShortContained, inline Resources
                  Comments

                  This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

                  Control0..*
                  TypeResource
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesinline resources, anonymous resources, contained resources
                  14. Patient.extension
                  Definition

                  An Extension

                  ShortExtension
                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on Patient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 16. 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())
                    18. 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())
                    20. 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())
                    22. Patient.identifier
                    Definition

                    病人的唯一識別碼(identifier)

                    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。
                    NoteThis is a business identifier, not a resource identifier (see discussion)
                    Control1..*
                    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)

                    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
                    • 24. Patient.identifier.id
                      Definition

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

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      26. Patient.identifier.extension
                      Definition

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

                      ShortAdditional content defined by implementations
                      Comments

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

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

                        A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.

                        Short概念(Concept)— 參照一個專門術語或只是文字表述
                        Comments

                        Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

                        Control0..1
                        This element is affected by the following invariants: ele-1
                        BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                        (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
                        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()))
                        32. 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.

                        Control1..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()))
                        34. 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.

                        Control1..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()))
                        36. Patient.identifier.period
                        Definition

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

                        ShortTime 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()))
                        38. 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(Organization)
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        40. Patient.identifier:idCardNumber
                        Slice NameidCardNumber
                        Definition

                        適用於身分證字號

                        Short適用身分證字號
                        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)

                        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}$'))
                        42. Patient.identifier:idCardNumber.id
                        Definition

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

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        44. Patient.identifier:idCardNumber.extension
                        Definition

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

                        ShortAdditional content defined by implementations
                        Comments

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

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

                          這個唯一識別碼(identifier)的用途

                          Shortusual | official | temp | secondary | old (如果知道)
                          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。

                          Control0..1
                          BindingThe codes SHALL be taken from IdentifierUse
                          (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。

                          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

                          Pattern Valueofficial
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          48. 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。

                          Short身份識別碼(identifier)的型別說明
                          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。

                          Control1..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
                          (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。

                          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

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

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          52. Patient.identifier:idCardNumber.type.extension
                          Definition

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

                          ShortAdditional content defined by implementations
                          Comments

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

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          SlicingThis element introduces a set of slices on Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 54. 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。

                            Control1..*
                            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()))
                            56. Patient.identifier:idCardNumber.type.coding.id
                            Definition

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

                            ShortUnique id for inter-element referencing
                            Control0..1
                            Typestring
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            58. Patient.identifier:idCardNumber.type.coding.extension
                            Definition

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

                            ShortAdditional content defined by implementations
                            Comments

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

                            Control0..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Alternate Namesextensions, user content
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            SlicingThis element introduces a set of slices on Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 60. 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.

                              Control1..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()))
                              62. Patient.identifier:idCardNumber.type.coding.version
                              Definition

                              The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                              ShortVersion of the system - if relevant
                              Comments

                              Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                              NoteThis is a business version Id, not a resource version Id (see discussion)
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              64. 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
                              Control1..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()))
                              66. Patient.identifier:idCardNumber.type.coding.code.id
                              Definition

                              unique id for the element within a resource (for internal references)

                              Shortxml:id (or equivalent in JSON)
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              68. Patient.identifier:idCardNumber.type.coding.code.extension
                              Definition

                              An Extension

                              ShortExtension
                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              SlicingThis element introduces a set of slices on Patient.identifier.type.coding.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 70. 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())
                                72. Patient.identifier:idCardNumber.type.coding.code.value
                                Definition

                                Primitive value for code

                                ShortPrimitive value for code
                                Control0..1
                                Typestring
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                74. Patient.identifier:idCardNumber.type.coding.display
                                Definition

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

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

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

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

                                Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                ShortIf this coding was chosen directly by the user
                                Comments

                                Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

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

                                This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

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

                                A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                ShortPlain text representation of the concept
                                Comments

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

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

                                The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                80. 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

                                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'
                                Comments

                                Identifier.system總是區分大小寫

                                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。

                                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()))
                                82. 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。

                                Short唯一值。 例如:身分證字號為A123456789
                                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。

                                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()))
                                84. Patient.identifier:idCardNumber.period
                                Definition

                                識別碼有效/曾經有效使用的時段或期間

                                Short此身份識別碼(identifier)的使用效期
                                Control0..1
                                TypePeriod
                                Is Modifierfalse
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                86. Patient.identifier:idCardNumber.assigner
                                Definition

                                簽發/管理識別碼的機構

                                Short簽發identifier的機構(可以只是文字表述)
                                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。

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

                                適用於護照號碼

                                Short適用護照號碼
                                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)

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

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

                                ShortUnique id for inter-element referencing
                                Control0..1
                                Typestring
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                92. Patient.identifier:passportNumber.extension
                                Definition

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

                                ShortAdditional content defined by implementations
                                Comments

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

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

                                  這個唯一識別碼(identifier)的用途

                                  Shortusual | official | temp | secondary | old (如果知道)
                                  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。

                                  Control0..1
                                  BindingThe codes SHALL be taken from IdentifierUse
                                  (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。

                                  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

                                  Pattern Valueofficial
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  96. 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。

                                  Short身份識別碼(identifier)的型別說明
                                  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。

                                  Control1..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
                                  (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。

                                  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

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

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

                                  ShortUnique id for inter-element referencing
                                  Control0..1
                                  Typestring
                                  Is Modifierfalse
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Summaryfalse
                                  100. Patient.identifier:passportNumber.type.extension
                                  Definition

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

                                  ShortAdditional content defined by implementations
                                  Comments

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

                                  Control0..*
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate Namesextensions, user content
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  SlicingThis element introduces a set of slices on Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                  • value @ url
                                  • 102. 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。

                                    Control1..*
                                    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:passportNumber.type.coding.id
                                    Definition

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

                                    ShortUnique id for inter-element referencing
                                    Control0..1
                                    Typestring
                                    Is Modifierfalse
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    Summaryfalse
                                    106. Patient.identifier:passportNumber.type.coding.extension
                                    Definition

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

                                    ShortAdditional content defined by implementations
                                    Comments

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

                                    Control0..*
                                    TypeExtension
                                    Is Modifierfalse
                                    Summaryfalse
                                    Alternate Namesextensions, user content
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    SlicingThis element introduces a set of slices on Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • value @ url
                                    • 108. 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.

                                      Control1..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()))
                                      110. Patient.identifier:passportNumber.type.coding.version
                                      Definition

                                      The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                      ShortVersion of the system - if relevant
                                      Comments

                                      Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                      NoteThis is a business version Id, not a resource version Id (see discussion)
                                      Control0..1
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      112. 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
                                      Control1..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()))
                                      114. Patient.identifier:passportNumber.type.coding.display
                                      Definition

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

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

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

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

                                      Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                      ShortIf this coding was chosen directly by the user
                                      Comments

                                      Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

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

                                      This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

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

                                      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                      ShortPlain text representation of the concept
                                      Comments

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

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

                                      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

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

                                      Identifier.system總是區分大小寫

                                      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。

                                      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()))
                                      122. 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。

                                      Short唯一值。 例如:護照號碼為888800371
                                      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。

                                      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()))
                                      124. Patient.identifier:passportNumber.period
                                      Definition

                                      識別碼有效/曾經有效使用的時段或期間

                                      Short此身份識別碼(identifier)的使用效期
                                      Control0..1
                                      TypePeriod
                                      Is Modifierfalse
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      126. Patient.identifier:passportNumber.assigner
                                      Definition

                                      簽發/管理識別碼的機構

                                      Short簽發identifier的機構(可以只是文字表述)
                                      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。

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

                                      適用於居留證號碼

                                      Short適用居留證號碼
                                      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)

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

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

                                      ShortUnique id for inter-element referencing
                                      Control0..1
                                      Typestring
                                      Is Modifierfalse
                                      XML FormatIn the XML format, this property is represented as an attribute.
                                      Summaryfalse
                                      132. Patient.identifier:residentNumber.extension
                                      Definition

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

                                      ShortAdditional content defined by implementations
                                      Comments

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

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

                                        這個唯一識別碼(identifier)的用途

                                        Shortusual | official | temp | secondary | old (如果知道)
                                        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。

                                        Control0..1
                                        BindingThe codes SHALL be taken from IdentifierUse
                                        (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。

                                        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

                                        Pattern Valueofficial
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        136. 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。

                                        Short身份識別碼(identifier)的型別說明
                                        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。

                                        Control1..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
                                        (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。

                                        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

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

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

                                        ShortUnique id for inter-element referencing
                                        Control0..1
                                        Typestring
                                        Is Modifierfalse
                                        XML FormatIn the XML format, this property is represented as an attribute.
                                        Summaryfalse
                                        140. Patient.identifier:residentNumber.type.extension
                                        Definition

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

                                        ShortAdditional content defined by implementations
                                        Comments

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

                                        Control0..*
                                        TypeExtension
                                        Is Modifierfalse
                                        Summaryfalse
                                        Alternate Namesextensions, user content
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        SlicingThis element introduces a set of slices on Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                        • value @ url
                                        • 142. 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。

                                          Control1..*
                                          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()))
                                          144. Patient.identifier:residentNumber.type.coding.id
                                          Definition

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

                                          ShortUnique id for inter-element referencing
                                          Control0..1
                                          Typestring
                                          Is Modifierfalse
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Summaryfalse
                                          146. Patient.identifier:residentNumber.type.coding.extension
                                          Definition

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

                                          ShortAdditional content defined by implementations
                                          Comments

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

                                          Control0..*
                                          TypeExtension
                                          Is Modifierfalse
                                          Summaryfalse
                                          Alternate Namesextensions, user content
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          SlicingThis element introduces a set of slices on Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                          • value @ url
                                          • 148. 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.

                                            Control1..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()))
                                            150. Patient.identifier:residentNumber.type.coding.version
                                            Definition

                                            The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                            ShortVersion of the system - if relevant
                                            Comments

                                            Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                            NoteThis is a business version Id, not a resource version Id (see discussion)
                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            152. 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
                                            Control1..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()))
                                            154. Patient.identifier:residentNumber.type.coding.display
                                            Definition

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

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

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

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

                                            Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                            ShortIf this coding was chosen directly by the user
                                            Comments

                                            Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

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

                                            This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

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

                                            A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                            ShortPlain text representation of the concept
                                            Comments

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

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

                                            The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            160. 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

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

                                            Identifier.system總是區分大小寫

                                            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。

                                            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()))
                                            162. 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。

                                            Short唯一值。 例如:居留證號碼為A912345678
                                            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。

                                            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()))
                                            164. Patient.identifier:residentNumber.period
                                            Definition

                                            識別碼有效/曾經有效使用的時段或期間

                                            Short此身份識別碼(identifier)的使用效期
                                            Control0..1
                                            TypePeriod
                                            Is Modifierfalse
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            166. Patient.identifier:residentNumber.assigner
                                            Definition

                                            簽發/管理識別碼的機構

                                            Short簽發identifier的機構(可以只是文字表述)
                                            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。

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

                                            適用於病歷號

                                            Short適用病歷號
                                            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)

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

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

                                            ShortUnique id for inter-element referencing
                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            XML FormatIn the XML format, this property is represented as an attribute.
                                            Summaryfalse
                                            172. Patient.identifier:medicalRecord.extension
                                            Definition

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

                                            ShortAdditional content defined by implementations
                                            Comments

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

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

                                              這個唯一識別碼(identifier)的用途

                                              Shortusual | official | temp | secondary | old (如果知道)
                                              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。

                                              Control0..1
                                              BindingThe codes SHALL be taken from IdentifierUse
                                              (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。

                                              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

                                              Pattern Valueofficial
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              176. 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。

                                              Short身份識別碼(identifier)的型別說明
                                              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。

                                              Control1..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
                                              (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。

                                              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

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

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

                                              ShortUnique id for inter-element referencing
                                              Control0..1
                                              Typestring
                                              Is Modifierfalse
                                              XML FormatIn the XML format, this property is represented as an attribute.
                                              Summaryfalse
                                              180. Patient.identifier:medicalRecord.type.extension
                                              Definition

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

                                              ShortAdditional content defined by implementations
                                              Comments

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

                                              Control0..*
                                              TypeExtension
                                              Is Modifierfalse
                                              Summaryfalse
                                              Alternate Namesextensions, user content
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              SlicingThis element introduces a set of slices on Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                              • value @ url
                                              • 182. 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。

                                                Control1..*
                                                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()))
                                                184. Patient.identifier:medicalRecord.type.coding.id
                                                Definition

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

                                                ShortUnique id for inter-element referencing
                                                Control0..1
                                                Typestring
                                                Is Modifierfalse
                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                Summaryfalse
                                                186. Patient.identifier:medicalRecord.type.coding.extension
                                                Definition

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

                                                ShortAdditional content defined by implementations
                                                Comments

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

                                                Control0..*
                                                TypeExtension
                                                Is Modifierfalse
                                                Summaryfalse
                                                Alternate Namesextensions, user content
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                SlicingThis element introduces a set of slices on Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                • value @ url
                                                • 188. 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.

                                                  Control1..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()))
                                                  190. Patient.identifier:medicalRecord.type.coding.version
                                                  Definition

                                                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                  ShortVersion of the system - if relevant
                                                  Comments

                                                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                  NoteThis is a business version Id, not a resource version Id (see discussion)
                                                  Control0..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  192. 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
                                                  Control1..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()))
                                                  194. Patient.identifier:medicalRecord.type.coding.display
                                                  Definition

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

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

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

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

                                                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                  ShortIf this coding was chosen directly by the user
                                                  Comments

                                                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

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

                                                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

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

                                                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                  ShortPlain text representation of the concept
                                                  Comments

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

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

                                                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  200. 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

                                                  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。
                                                  Comments

                                                  Identifier.system總是區分大小寫

                                                  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。

                                                  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()))
                                                  202. 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。

                                                  Short唯一值。 例如:病歷號為8862168
                                                  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。

                                                  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()))
                                                  204. Patient.identifier:medicalRecord.period
                                                  Definition

                                                  識別碼有效/曾經有效使用的時段或期間

                                                  Short此身份識別碼(identifier)的使用效期
                                                  Control0..1
                                                  TypePeriod
                                                  Is Modifierfalse
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  206. Patient.identifier:medicalRecord.assigner
                                                  Definition

                                                  簽發/管理識別碼的機構

                                                  Short簽發identifier的機構(可以只是文字表述)
                                                  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。

                                                  Control0..1
                                                  TypeReference(TW Core Organization)
                                                  Is Modifierfalse
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  208. 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。

                                                  Short病人的紀錄是否「使用中(true)」
                                                  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。

                                                  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

                                                  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()))
                                                  210. Patient.name
                                                  Definition

                                                  個人名字

                                                  Short病人的姓名
                                                  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。

                                                  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。

                                                  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
                                                  • 212. Patient.name:official
                                                    Slice Nameofficial
                                                    Definition

                                                    個人名字

                                                    Short病人的護照姓名
                                                    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。

                                                    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。

                                                    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())
                                                    214. Patient.name:official.id
                                                    Definition

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

                                                    ShortUnique id for inter-element referencing
                                                    Control0..1
                                                    Typestring
                                                    Is Modifierfalse
                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                    Summaryfalse
                                                    216. Patient.name:official.extension
                                                    Definition

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

                                                    ShortAdditional content defined by implementations
                                                    Comments

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

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

                                                      此姓名的用途

                                                      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。

                                                      Control1..1
                                                      BindingThe codes SHALL be taken from NameUse
                                                      (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。

                                                      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

                                                      Pattern Valueofficial
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      220. 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。

                                                      Short完整的護照姓名
                                                      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。

                                                      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。

                                                      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()))
                                                      222. 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。

                                                      Short護照中的姓
                                                      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)

                                                      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()))
                                                      224. Patient.name:official.given
                                                      Definition

                                                      姓名中的「名」

                                                      Short護照中的名
                                                      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。

                                                      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()))
                                                      226. 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。

                                                      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。
                                                      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.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。

                                                      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。
                                                      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.name:official.period
                                                      Definition

                                                      表明這個姓名對此病人有效的時間區間或期間

                                                      Short此姓名的使用效期
                                                      Control0..1
                                                      TypePeriod
                                                      Is Modifierfalse
                                                      Summarytrue
                                                      Requirements

                                                      允許多個姓名按其歷史情境(效期)儲存

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

                                                      個人名字

                                                      Short病人所屬國籍的真實姓名
                                                      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。

                                                      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。

                                                      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())
                                                      234. Patient.name:usual.id
                                                      Definition

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

                                                      ShortUnique id for inter-element referencing
                                                      Control0..1
                                                      Typestring
                                                      Is Modifierfalse
                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                      Summaryfalse
                                                      236. Patient.name:usual.extension
                                                      Definition

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

                                                      ShortAdditional content defined by implementations
                                                      Comments

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

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

                                                        此姓名的用途

                                                        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。

                                                        Control1..1
                                                        BindingThe codes SHALL be taken from NameUse
                                                        (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。

                                                        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

                                                        Pattern Valueusual
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        240. 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。

                                                        Short完整的中文姓名
                                                        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。

                                                        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。

                                                        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()))
                                                        242. 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。

                                                        Short若所屬國籍可區分family及given,填入所屬國籍之姓(family)
                                                        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)

                                                        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()))
                                                        244. Patient.name:usual.given
                                                        Definition

                                                        姓名中的「名」

                                                        Short若所屬國籍可區分family及given,填入所屬國籍之名(given)
                                                        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。

                                                        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()))
                                                        246. 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。

                                                        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。
                                                        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()))
                                                        248. 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。

                                                        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。
                                                        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()))
                                                        250. 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

                                                        Short此姓名的使用效期
                                                        Control0..1
                                                        TypePeriod
                                                        Is Modifierfalse
                                                        Summarytrue
                                                        Requirements

                                                        允許多個姓名按其歷史情境(效期)儲存

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

                                                        個人名字

                                                        Short新生兒姓名,緊急救護未知病人姓名時亦可用。
                                                        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。

                                                        Control0..1
                                                        TypeHumanName
                                                        Is Modifierfalse
                                                        Must Supporttrue
                                                        Summarytrue
                                                        Requirements

                                                        需要能夠追踪病人的多個姓名。

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

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

                                                        ShortUnique id for inter-element referencing
                                                        Control0..1
                                                        Typestring
                                                        Is Modifierfalse
                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                        Summaryfalse
                                                        256. Patient.name:temp.extension
                                                        Definition

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

                                                        ShortAdditional content defined by implementations
                                                        Comments

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

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

                                                          此姓名的用途

                                                          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。

                                                          Control1..1
                                                          BindingThe codes SHALL be taken from NameUse
                                                          (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。

                                                          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

                                                          Pattern Valuetemp
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          260. 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。

                                                          Short完整的中文姓名
                                                          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。

                                                          Control1..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。

                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          262. 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..0
                                                          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()))
                                                          264. 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()))
                                                          266. 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()))
                                                          268. 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()))
                                                          270. 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

                                                          Short此姓名的使用效期
                                                          Control0..1
                                                          TypePeriod
                                                          Is Modifierfalse
                                                          Summarytrue
                                                          Requirements

                                                          允許多個姓名按其歷史情境(效期)儲存

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

                                                          個人名字

                                                          Short匿名供研究使用
                                                          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。

                                                          Control0..1
                                                          TypeHumanName
                                                          Is Modifierfalse
                                                          Must Supporttrue
                                                          Summarytrue
                                                          Requirements

                                                          需要能夠追踪病人的多個姓名。

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

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

                                                          ShortUnique id for inter-element referencing
                                                          Control0..1
                                                          Typestring
                                                          Is Modifierfalse
                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                          Summaryfalse
                                                          276. Patient.name:anonymous.extension
                                                          Definition

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

                                                          ShortAdditional content defined by implementations
                                                          Comments

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

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

                                                            此姓名的用途

                                                            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。

                                                            Control1..1
                                                            BindingThe codes SHALL be taken from NameUse
                                                            (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。

                                                            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

                                                            Pattern Valueanonymous
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            280. 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。

                                                            Short完整的中文姓名
                                                            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。

                                                            Control1..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。

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            282. 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..0
                                                            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()))
                                                            284. 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()))
                                                            286. 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()))
                                                            288. 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()))
                                                            290. 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

                                                            Short此姓名的使用效期
                                                            Control0..1
                                                            TypePeriod
                                                            Is Modifierfalse
                                                            Summarytrue
                                                            Requirements

                                                            允許多個姓名按其歷史情境(效期)儲存

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            292. 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)

                                                            Short病人的聯絡資訊(例如:電話、電子郵件等)
                                                            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)。

                                                            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。

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

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

                                                            ShortUnique id for inter-element referencing
                                                            Control0..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                            Summaryfalse
                                                            296. Patient.telecom.extension
                                                            Definition

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

                                                            ShortAdditional content defined by implementations
                                                            Comments

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

                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Alternate Namesextensions, user content
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            SlicingThis element introduces a set of slices on Patient.telecom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                            • value @ url
                                                            • 298. 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

                                                              Shortphone | fax | email | pager | url | sms | other
                                                              Control1..1
                                                              This element is affected by the following invariants: cpt-2
                                                              BindingThe codes SHALL be taken from ContactPointSystem
                                                              (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。

                                                              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()))
                                                              300. 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)

                                                              Short實際的聯絡方式之細節
                                                              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。

                                                              Control1..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

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

                                                              確定聯絡方式的用途

                                                              Shorthome | work | temp | old | mobile-此聯絡方式的用途
                                                              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。

                                                              Control0..1
                                                              BindingThe codes SHALL be taken from ContactPointUse
                                                              (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。

                                                              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。

                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              304. 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。

                                                              Short具體說明偏好的使用順序(1=最高優先順序)
                                                              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。

                                                              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()))
                                                              306. Patient.telecom.period
                                                              Definition

                                                              此聯絡方式的使用效期

                                                              Short此聯絡方式的使用效期
                                                              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()))
                                                              308. Patient.gender
                                                              Definition

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

                                                              Shortmale | 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。

                                                              Control1..1
                                                              BindingThe codes SHALL be taken from AdministrativeGender
                                                              (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。

                                                              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

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

                                                              個人的出生日期

                                                              Short病人出生日期
                                                              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)。

                                                              Control1..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

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

                                                              表示此人是否過世

                                                              Short病人是否過世
                                                              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。

                                                              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。

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

                                                              此人的地址

                                                              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。
                                                              Comments

                                                              病人可能有多個地址,有不同的用途或適用期。

                                                              Control0..*
                                                              This element is affected by the following invariants: ele-1
                                                              TypeAddress(TW Core Address)
                                                              Is Modifierfalse
                                                              Must Supporttrue
                                                              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。

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

                                                              這個欄位包含病人的目前婚姻(民事)狀態

                                                              Short病人的婚姻狀態
                                                              Comments

                                                              Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

                                                              Control0..1
                                                              This element is affected by the following invariants: ele-1
                                                              BindingUnless not suitable, these codes SHALL be taken from Marital Status Codes
                                                              (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。

                                                              TypeCodeableConcept(TW CodeableConcept)
                                                              Is Modifierfalse
                                                              Must Supporttrue
                                                              Requirements

                                                              如果不是所有的系統都能取得此資訊

                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              318. 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)

                                                              Short病人是否為多胞胎;或多胞胎出生順序。
                                                              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)。

                                                              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。

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

                                                              病人的影像(照片)

                                                              Short病人的影像(照片)
                                                              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。

                                                              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。

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

                                                              病人的聯絡人(如監護人、伴侶、朋友)。

                                                              Short病人的聯絡人,例如:監護人、伴侶、朋友等。
                                                              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。

                                                              Control0..*
                                                              TypeBackboneElement
                                                              Is Modifierfalse
                                                              Must Supporttrue
                                                              Summaryfalse
                                                              Requirements

                                                              需能聯絡到的病人的人。

                                                              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())
                                                              324. Patient.contact.id
                                                              Definition

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

                                                              ShortUnique id for inter-element referencing
                                                              Control0..1
                                                              Typestring
                                                              Is Modifierfalse
                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                              Summaryfalse
                                                              326. Patient.contact.extension
                                                              Definition

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

                                                              ShortAdditional content defined by implementations
                                                              Comments

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

                                                              Control0..*
                                                              TypeExtension
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Alternate Namesextensions, user content
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                              328. 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())
                                                              330. 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。

                                                              Short概念(Concept)-參照一個專門術語或只是文字表述
                                                              Comments

                                                              Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

                                                              Control0..*
                                                              This element is affected by the following invariants: ele-1
                                                              BindingThe codes SHALL be taken from PatientRelationshipType
                                                              (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。

                                                              TypeCodeableConcept(TW CodeableConcept)
                                                              Is Modifierfalse
                                                              Must Supporttrue
                                                              Requirements

                                                              根據情況決定哪位聯絡人最有關聯以作聯繫

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

                                                              與聯絡人有關的姓名

                                                              Short聯絡人姓名
                                                              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。

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

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

                                                              ShortUnique id for inter-element referencing
                                                              Control0..1
                                                              Typestring
                                                              Is Modifierfalse
                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                              Summaryfalse
                                                              336. Patient.contact.name.extension
                                                              Definition

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

                                                              ShortAdditional content defined by implementations
                                                              Comments

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

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

                                                                此姓名的用途

                                                                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。

                                                                Control0..1
                                                                BindingThe codes SHALL be taken from NameUse
                                                                (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。

                                                                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

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                340. 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。

                                                                Short完整的中文姓名
                                                                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。

                                                                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。

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                342. 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。

                                                                Short英文姓
                                                                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)

                                                                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()))
                                                                344. Patient.contact.name.given
                                                                Definition

                                                                姓名中的「名」

                                                                Short英文名
                                                                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。

                                                                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()))
                                                                346. 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。

                                                                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。
                                                                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()))
                                                                348. 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。

                                                                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。
                                                                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()))
                                                                350. 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

                                                                Short此姓名的使用效期
                                                                Control0..1
                                                                TypePeriod
                                                                Is Modifierfalse
                                                                Summarytrue
                                                                Requirements

                                                                允許多個姓名按其歷史情境(效期)儲存

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                352. 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。

                                                                Short聯絡人的詳細聯絡資訊
                                                                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。

                                                                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。

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

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

                                                                ShortUnique id for inter-element referencing
                                                                Control0..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                Summaryfalse
                                                                356. Patient.contact.telecom.extension
                                                                Definition

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

                                                                ShortAdditional content defined by implementations
                                                                Comments

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

                                                                Control0..*
                                                                TypeExtension
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Alternate Namesextensions, user content
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                SlicingThis element introduces a set of slices on Patient.contact.telecom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                • value @ url
                                                                • 358. 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

                                                                  Shortphone | fax | email | pager | url | sms | other
                                                                  Control1..1
                                                                  This element is affected by the following invariants: cpt-2
                                                                  BindingThe codes SHALL be taken from ContactPointSystem
                                                                  (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。

                                                                  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()))
                                                                  360. 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)。

                                                                  Short實際的聯絡方式之細節
                                                                  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。

                                                                  Control1..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

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

                                                                  確定聯絡方式的用途

                                                                  Shorthome | work | temp | old | mobile-此聯絡方式的用途
                                                                  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。

                                                                  Control0..1
                                                                  BindingThe codes SHALL be taken from ContactPointUse
                                                                  (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。

                                                                  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。

                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  364. 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。

                                                                  Short具體說明偏好的使用順序(1=最高優先順序)
                                                                  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。

                                                                  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()))
                                                                  366. Patient.contact.telecom.period
                                                                  Definition

                                                                  此聯絡方式的使用效期

                                                                  Short此聯絡方式的使用效期
                                                                  Control0..1
                                                                  TypePeriod
                                                                  Is Modifierfalse
                                                                  Summarytrue
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  368. Patient.contact.address
                                                                  Definition

                                                                  聯絡人的地址

                                                                  Short聯絡人的地址
                                                                  Comments

                                                                  注意:地址的目的是描述用於管理目的之郵政地址,而不是描述絕對的地理座標。郵政地址經常被用作實體位置的代表(亦可見Locationresource)。

                                                                  Control0..1
                                                                  This element is affected by the following invariants: ele-1
                                                                  TypeAddress(TW Core Address)
                                                                  Is Modifierfalse
                                                                  Requirements

                                                                  需要紀錄用以聯絡聯絡人的郵件地址或到訪地址

                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  370. 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

                                                                  Shortmale | female | other | unknown
                                                                  Control0..1
                                                                  BindingThe codes SHALL be taken from AdministrativeGender
                                                                  (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。

                                                                  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

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

                                                                  聯絡人為機構或聯絡人為其工作的機構

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

                                                                  監護人或與業務相關聯絡與此機構有關

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

                                                                  與此病人有關的聯絡人或機構的有效聯絡期

                                                                  Short聯絡人或其可聯絡機構之可聯絡期(時間區間)
                                                                  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()))
                                                                  376. Patient.communication
                                                                  Definition

                                                                  可用於與病人溝通其健康狀況的語言。

                                                                  Short向病人說明健康狀態時所使用的語言
                                                                  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。

                                                                  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。

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

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

                                                                  ShortUnique id for inter-element referencing
                                                                  Control0..1
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                  Summaryfalse
                                                                  380. Patient.communication.extension
                                                                  Definition

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

                                                                  ShortAdditional content defined by implementations
                                                                  Comments

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

                                                                  Control0..*
                                                                  TypeExtension
                                                                  Is Modifierfalse
                                                                  Summaryfalse
                                                                  Alternate Namesextensions, user content
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                  382. 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())
                                                                  384. 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。

                                                                  Short向病人說明健康狀況時所使用的語言
                                                                  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。

                                                                  Control1..1
                                                                  This element is affected by the following invariants: ele-1
                                                                  BindingThe codes SHOULD be taken from CommonLanguages
                                                                  (preferred to http://hl7.org/fhir/ValueSet/languages)

                                                                  應填入所綁定值集中的其中一個代碼。

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

                                                                  Example<br/><b>Value</b>:zh-TW
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  386. 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)

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

                                                                  此語言專門用以溝通健康照護資訊

                                                                  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。

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

                                                                  病人指定的照護服務提供者

                                                                  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
                                                                  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。

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

                                                                  病人紀錄的保管機構

                                                                  Short此紀錄的保管機構
                                                                  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)。

                                                                  Control0..1
                                                                  TypeReference(TW Core 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

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

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

                                                                  Short連結至此病人的其他Patient Resource
                                                                  Comments

                                                                  不存在連結的病人紀錄有相互連結的假設

                                                                  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。

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

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

                                                                  ShortUnique id for inter-element referencing
                                                                  Control0..1
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                  Summaryfalse
                                                                  396. Patient.link.extension
                                                                  Definition

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

                                                                  ShortAdditional content defined by implementations
                                                                  Comments

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

                                                                  Control0..*
                                                                  TypeExtension
                                                                  Is Modifierfalse
                                                                  Summaryfalse
                                                                  Alternate Namesextensions, user content
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                  398. 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())
                                                                  400. Patient.link.other
                                                                  Definition

                                                                  此連超所參照的另一個Patient resource

                                                                  Short連結至其他Patient或RelatedPerson Resource
                                                                  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。

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

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

                                                                  Shortreplaced-by | replaces | refer | seealso
                                                                  Control1..1
                                                                  BindingThe codes SHALL be taken from LinkType
                                                                  (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。

                                                                  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()))