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

臺灣核心實作指引(TW Core IG), published by 衛生福利部. This guide is not an authorized publication; it is the continuous build for version 0.3.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cctwFHIRterm/MOHW_TWCoreIG_Build/ and changes regularly. See the Directory of published versions

Resource Profile: TWCorePractitionerRole - Detailed Descriptions

Active as of 2025-02-04

Definitions for the PractitionerRole-twcore resource profile.

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

0. PractitionerRole
Definition

健康照護服務提供者可能在一個機構內,一段時間內可能承擔的一系列職務角色(Roles)/工作地點(Locations)/專業領域(specialties)/所提供的服務(services)。


A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.

Short健康照護服務提供者所關聯的角色/機構Roles/organizations the practitioner is associated with
Control0..*
Is Modifierfalse
Summaryfalse
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. PractitionerRole.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PractitionerRole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. PractitionerRole.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PractitionerRole 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. PractitionerRole.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. PractitionerRole.language
Definition

編寫此resource的語言


The base language in which the resource is written.

Short用以表述PractitionerRole 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. PractitionerRole.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.

ShortPractitionerRole 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. PractitionerRole.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())
14. PractitionerRole.identifier
Definition

與角色(role)/地點(location)相關的特定業務識別碼


Business Identifiers that are specific to a role/location.

Short與角色(role)/地點(location)相關的特定業務識別碼Business Identifiers that are specific to a role/location
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

通常會為代理人指派特定的身份識別


Often, specific identities are assigned for the agent.

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

此健康照護服務提供者角色紀錄是否有效


Whether this practitioner role record is in active use.

Short此健康照護服務提供者角色紀錄是否有效Whether this practitioner role record is in active use
Comments

如果此值為 false,則可以參考period資料項目來了解角色的有效時間。如果沒有指定eriod,則無法推斷角色的有效時間。


If this value is false, you may refer to the period to see when the role was in active use. If there is no period specified, no inference can be made about when it was active.

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

需要能夠將健康照護服務提供者角色紀錄標記為無效,因為該記錄是錯誤創建的,或已不再有效。


Need to be able to mark a practitioner role record as not to be used because it was created in error, or otherwise no longer in active use.

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()))
18. PractitionerRole.period
Definition

健康照護服務提供者被授權在這些角色中為機構執行工作的時間範圍


The period during which the person is authorized to act as a practitioner in these role(s) for the organization.

Short健康照護服務提供者在這些角色裡被授權執行工作的時間範圍The period during which the practitioner is authorized to perform in these role(s)
Control0..1
TypePeriod
Is Modifierfalse
Summarytrue
Requirements

即使授權被撤銷,仍需記錄該授權曾經存在的事實。


Even after the agencies is revoked, the fact that it existed must still be recorded.

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

能夠為機構提供所定義服務的健康照護服務提供者


Practitioner that is able to provide the defined services for the organization.

Short能夠為機構提供所定義服務的健康照護服務提供者Practitioner that is able to provide the defined services for the organization
Control0..1
TypeReference(TW Core Practitioner, Practitioner)
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. PractitionerRole.organization
Definition

此健康照護服務提供者履行相關角色職責的機構


The organization where the Practitioner performs the roles associated.

Short提供這此健康照護服務提供者角色的機構Organization where the roles are available
Control0..1
TypeReference(TW Core Organization, Organization)
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. PractitionerRole.code
Definition

此健康照護服務提供者被授權為機構執行的角色


Roles which this practitioner is authorized to perform for the organization.

Short此健康照護服務提供者可能執行的角色Roles which this practitioner may perform
Comments

一個人可能有不止一個角色


A person may have more than one role.

Control0..*
BindingUnless not suitable, these codes SHALL be taken from For example codes, see SNOMED CT + 臺灣醫事司醫事人員類別值集http://hl7.org/fhir/ValueSet/practitioner-role
(extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/health-professional-sct-tw)

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 role a person plays representing an organization.

TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

需要了解健康照護服務提供者的權限 - 他們可以做什麽?


Need to know what authority the practitioner has - what can they do?

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

健康照護服務提供者的特定專業


Specific specialty of the practitioner.

Short健康照護服務提供者的特定專業Specific specialty of the practitioner
Control0..*
BindingThe codes SHOULD be taken from PracticeSettingCodeValueSethttp://hl7.org/fhir/ValueSet/c80-practice-codes
(preferred to http://hl7.org/fhir/ValueSet/c80-practice-codes)

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。


Specific specialty associated with the agency.

TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. PractitionerRole.specialty.coding
Definition

由專門術語系統(terminology system)所定義之代碼的參照


A reference to a code defined by a terminology system.

Short由專門術語系統(terminology system)定義的代碼Code 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.

Control0..*
TypeCoding(TW Coding)
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


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()))
SlicingThis element introduces a set of slices on PractitionerRole.specialty.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • pattern @ system
  • 30. PractitionerRole.specialty.coding:TWMedicalDepartmentSCT
    Slice NameTWMedicalDepartmentSCT
    Definition

    由專門術語系統(terminology system)所定義之代碼的參照


    A reference to a code defined by a terminology system.

    Short由專門術語系統(terminology system)定義的代碼Code 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.

    Control0..1*
    BindingThe codes SHALL be taken from For codes, see 對應至 SNOMED CT之就醫科別 + 診療科別值集
    (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-department-sct-tw)
    TypeCoding(TW Coding)
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

    允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


    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()))
    32. PractitionerRole.specialty.coding:TWMedicalDepartmentSCT.system
    Definition

    定義代碼中符號意義的代碼系統識別


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

    Short專門術語系統(terminology system)的識別Identity of the terminology system
    Comments

    URI可以是一個OID(urn:oid:...)或一個UUID(urn:uuid:...);OID和UUID 必須(SHALL) 參照HL7 OID註冊中心;否則,URI應該來自HL7的FHIR定義的特殊URI列表,或者它應該參照一些明確建立的系统定義。


    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
    Must Supporttrue
    Summarytrue
    Requirements

    需要明確說明符號定義的來源


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

    Pattern Valuehttp://snomed.info/sct
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    34. PractitionerRole.specialty.coding:TWMedicalDepartmentSCT.code
    Definition

    系統定義的語法之符號;符號可能是一個預先定義的代碼,也可能是代碼系統定義的語法中的表達式(如後組合配對/後組合式)。


    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).

    Short系統定義的語法之符號Symbol in syntax defined by the system
    Control0..1
    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    需要參照系統中的一個特定代碼


    Need to refer to a particular code in the system.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    36. PractitionerRole.specialty.coding:TWMedicalDepartmentSCT.display
    Definition

    遵循系統的規則以呈現代碼含義的表示法


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

    Short由系統定義的表示法Representation defined by the system
    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    需要能為不了解此系統的讀者呈現可讀的代碼含義


    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()))
    38. PractitionerRole.specialty.coding:TWMedicalConsultationDepartment
    Slice NameTWMedicalConsultationDepartment
    Definition

    由專門術語系統(terminology system)所定義之代碼的參照


    A reference to a code defined by a terminology system.

    Short由專門術語系統(terminology system)定義的代碼Code 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.

    Control0..1*
    BindingThe codes SHALL be taken from For codes, see 無法對應至SNOMED CT之臺灣健保署就醫科別值集
    (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-consultation-department-tw)
    TypeCoding(TW Coding)
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

    允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


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

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    40. PractitionerRole.specialty.coding:TWMedicalConsultationDepartment.system
    Definition

    定義代碼中符號意義的代碼系統識別


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

    Short專門術語系統(terminology system)的識別Identity of the terminology system
    Comments

    URI可以是一個OID(urn:oid:...)或一個UUID(urn:uuid:...);OID和UUID 必須(SHALL) 參照HL7 OID註冊中心;否則,URI應該來自HL7的FHIR定義的特殊URI列表,或者它應該參照一些明確建立的系统定義。


    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
    Must Supporttrue
    Summarytrue
    Requirements

    需要明確說明符號定義的來源


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

    Pattern Valuehttps://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-tw
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    42. PractitionerRole.specialty.coding:TWMedicalConsultationDepartment.code
    Definition

    系統定義的語法之符號;符號可能是一個預先定義的代碼,也可能是代碼系統定義的語法中的表達式(如後組合配對/後組合式)。


    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).

    Short系統定義的語法之符號Symbol in syntax defined by the system
    Control0..1
    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    需要參照系統中的一個特定代碼


    Need to refer to a particular code in the system.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    44. PractitionerRole.specialty.coding:TWMedicalConsultationDepartment.display
    Definition

    遵循系統的規則以呈現代碼含義的表示法


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

    Short由系統定義的表示法Representation defined by the system
    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    需要能為不了解此系統的讀者呈現可讀的代碼含義


    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()))
    46. PractitionerRole.specialty.coding:TWMedicalTreatmentDepartment
    Slice NameTWMedicalTreatmentDepartment
    Definition

    由專門術語系統(terminology system)所定義之代碼的參照


    A reference to a code defined by a terminology system.

    Short由專門術語系統(terminology system)定義的代碼Code 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.

    Control0..1*
    BindingThe codes SHALL be taken from For codes, see 無法對應至SNOMED CT之臺灣健保署診療科別值集
    (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-treatment-department-tw)
    TypeCoding(TW Coding)
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

    允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


    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()))
    48. PractitionerRole.specialty.coding:TWMedicalTreatmentDepartment.system
    Definition

    定義代碼中符號意義的代碼系統識別


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

    Short專門術語系統(terminology system)的識別Identity of the terminology system
    Comments

    URI可以是一個OID(urn:oid:...)或一個UUID(urn:uuid:...);OID和UUID 必須(SHALL) 參照HL7 OID註冊中心;否則,URI應該來自HL7的FHIR定義的特殊URI列表,或者它應該參照一些明確建立的系统定義。


    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
    Must Supporttrue
    Summarytrue
    Requirements

    需要明確說明符號定義的來源


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

    Pattern Valuehttps://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-tw
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    50. PractitionerRole.specialty.coding:TWMedicalTreatmentDepartment.code
    Definition

    系統定義的語法之符號;符號可能是一個預先定義的代碼,也可能是代碼系統定義的語法中的表達式(如後組合配對/後組合式)。


    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).

    Short系統定義的語法之符號Symbol in syntax defined by the system
    Control0..1
    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    需要參照系統中的一個特定代碼


    Need to refer to a particular code in the system.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    52. PractitionerRole.specialty.coding:TWMedicalTreatmentDepartment.display
    Definition

    遵循系統的規則以呈現代碼含義的表示法


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

    Short由系統定義的表示法Representation defined by the system
    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    需要能為不了解此系統的讀者呈現可讀的代碼含義


    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()))
    54. PractitionerRole.specialty.text
    Definition

    輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。


    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.

    Short概念的文字表示法Plain text representation of the concept
    Comments

    很多時候,此文字表述與其中一個代碼的顯示名稱相同。


    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
    Must Supporttrue
    Summarytrue
    Requirements

    專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。


    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()))
    56. PractitionerRole.location
    Definition

    此健康照護服務提供者提供照護的地點


    The location(s) at which this practitioner provides care.

    Short此健康照護服務提供者提供照護的地點The location(s) at which this practitioner provides care
    Control0..*
    TypeReference(TW Core Location, Location)
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    58. PractitionerRole.healthcareService
    Definition

    此工作者為此角色的機構(Organizatoin)/地點(Location)提供的健康照護服務清單


    The list of healthcare services that this worker provides for this role's Organization/Location(s).

    Short此工作者為此角色的機構(Organizatoin)/地點(Location)提供的健康照護服務清單The list of healthcare services that this worker provides for this role's Organization/Location(s)
    Control0..*
    TypeReference(HealthcareService)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    60. PractitionerRole.telecom
    Definition

    與角色(role)/地點(location)/服務(service)相關的聯絡細節


    Contact details that are specific to the role/location/service.

    Short與角色(role)/地點(location)/服務(service)相關的聯絡細節Contact details that are specific to the role/location/service
    Control0..*
    TypeContactPoint
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

    健康照護服務提供者通常在工作的每個地點(或服務)都有專用的聯絡方式,需要能夠為每個地點(或服務)定義不同的聯絡資訊


    Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    62. PractitionerRole.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()))
    64. PractitionerRole.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()))
    66. PractitionerRole.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()))
    68. PractitionerRole.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()))
    70. PractitionerRole.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()))
    72. PractitionerRole.availableTime
    Definition

    健康照護服務提供者在該地點和/或健康照護服務以履行該角色職責的時間集合


    A collection of times the practitioner is available or performing this role at the location and/or healthcareservice.

    Short服務地點可用的時間Times the Service Site is available
    Comments

    更詳細的可用性訊息可在相關的時間表/時隙resource中提供。


    More detailed availability information may be provided in associated Schedule/Slot resources.

    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    74. PractitionerRole.availableTime.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())
    76. PractitionerRole.availableTime.daysOfWeek
    Definition

    此服務地點,在規定的開始和結束時間內,一週中哪些天是開放的。


    Indicates which days of the week are available between the start and end Times.

    Shortmon | tue | wed | thu | fri | sat | sun
    Control0..*
    BindingThe codes SHALL be taken from DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1
    (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1)

    應填入所綁定值集中的其中一個代碼。


    The days of the week.

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

    此服務地點是否始終開放?(因此時間並不重要),例如 24 小時服務。


    Is this always available? (hence times are irrelevant) e.g. 24 hour service.

    Short隨時可用? 例如:24 小時服務。Always available? e.g. 24 hour service
    Control0..1
    Typeboolean
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    80. PractitionerRole.availableTime.availableStartTime
    Definition

    每天的開放時間(如果 allDay = true,則忽略。)


    The opening time of day. Note: If the AllDay flag is set, then this time is ignored.

    Short每天的開放時間(如果 allDay = true,則忽略。)Opening time of day (ignored if allDay = true)
    Comments

    預計時區為提供該醫療保健服務的地點的時區。


    The timezone is expected to be for where this HealthcareService is provided at.

    Control0..1
    Typetime
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    82. PractitionerRole.availableTime.availableEndTime
    Definition

    每天的關閉時間(如果 allDay = true,則忽略。)


    The closing time of day. Note: If the AllDay flag is set, then this time is ignored.

    Short每天的關閉時間(如果 allDay = true,則忽略。)Closing time of day (ignored if allDay = true)
    Comments

    預計時區為提供該醫療保健服務的地點的時區。


    The timezone is expected to be for where this HealthcareService is provided at.

    Control0..1
    Typetime
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    84. PractitionerRole.notAvailable
    Definition

    由於所提供的原因,此健康照護服務提供者在此期間無法上班或無法履行此角色職責。


    The practitioner is not available or performing this role during this period of time due to the provided reason.

    Short由於提供的原因,在此期間無法使用。Not available during this time due to provided reason
    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    86. PractitionerRole.notAvailable.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())
    88. PractitionerRole.notAvailable.description
    Definition

    向使用者說明為什麽沒有這個時間的原因


    The reason that can be presented to the user as to why this time is not available.

    Short向使用者說明為什麼此期間無法使用的原因Reason presented to the user explaining why time not available
    Control1..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    90. PractitionerRole.notAvailable.during
    Definition

    此服務從此日期起暫時無法提供(季節性或國定假日)


    Service is not available (seasonally or for a public holiday) from this date.

    Short從這個日期起,服務將不再提供。Service not available from this date
    Control0..1
    TypePeriod
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    92. PractitionerRole.availabilityExceptions
    Definition

    對於服務地點可用性的所有例外情況進行描述,例如國定假日的可用性。簡要描述了所有可能影響可用性的例外情況,包括可用時間和不可用時間的細節。


    A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times.

    Short描述在特定情況下服務不可用的特例Description of availability exceptions
    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    94. PractitionerRole.endpoint
    Definition

    提供用於此健康照護服務提供者角色運營服務的技術端點


    Technical endpoints providing access to services operated for the practitioner with this role.

    Short提供用於此健康照護服務提供者角色運營服務的技術端點Technical endpoints providing access to services operated for the practitioner with this role
    Control0..*
    TypeReference(Endpoint)
    Is Modifierfalse
    Summaryfalse
    Requirements

    機構在不同健康照護服務提供者角色有提供各種服務的不同系統,需要明確怎樣以及為了什麼目的來連接這些系統的技術詳情。


    Organizations have multiple systems that provide various services and ,ay also be different for practitioners too.

    So the endpoint satisfies the need to be able to define the technical connection details for how to connect to them, and for what purpose.

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