臺灣中醫實作指引
0.1.0 - ci-build
臺灣中醫實作指引
0.1.0 - ci-build
臺灣中醫實作指引, published by 衛生福利部國家中醫藥研究所. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nricmig/Nricm_TWCMIG/ and changes regularly. See the Directory of published versions
| Official URL: https://www.nricm.edu.tw/twcm/StructureDefinition/composition-twcm | Version: 0.1.0 | |||
| Draft as of 2026-10-07 | Computable Name: CompositionTWCM | |||
此Profile用於描述中醫門診單的報告文件
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  Composition |
C | 0..* | TWCoreComposition | 將一組resources組成一份連貫的臨床聲明，並附有臨床證明。 Constraints: majorIllness-condition-twcm |
  meta |
1..1 | Meta | 應填入於中醫門診單之病歷表單版本號Sheet Version | |
   versionId |
1..1 | id | Version specific identifier | |
 implicitRules |
0..1 | uri | 創建此內容所依據的一組規則 | |
 modifierExtension |
0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。 | |
| identifier |
1..1 | Identifier | 不分版本的臨床文件架構(Composition)識別碼。[應填入於中醫門診單之病歷表單編號] | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
| type |
1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
 coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: SNO | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| value |
1..1 | string | The value that is unique Example General: 123456 | |
 assigner |
0..1 | Reference(TW Core Organization) | Organization that issued id (may be just text) | |
| status |
1..1 | code | registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): Composition的工作流程/臨床狀態；應填入所綁定值集中的其中一個代碼。 Required Pattern: final | |
| type |
1..1 | CodeableConceptTW  |
Composition的種類（如果可能請使用LOINC） Binding: LOINC Code Document Type值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 34108-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Outpatient Note | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| subject |
0..1 | Reference(病人資料(Patient TWCM)) | Composition是關於誰和/或什麼 | |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| encounter |
0..1 | Reference(就醫事件(Encounter TWCM)) | Composition的情境 | |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| date |
1..1 | dateTime | [應填入文件產生時間Create Time] | |
| author |
1..* | Reference(醫事機構(Organization TWCM)) | 誰和/或什麼創建了這個Composition | |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| title |
1..1 | string | 固定值。[應填入病歷表單名稱Sheet Name] Fixed Value: 中醫門診單 | |
| confidentiality |
1..1 | code | [應填入文件敏感性Doc Confidentiality Code] Binding: v3.ConfidentialityClassification (2014-03-26) (required): 應填入所綁定值集中的其中一個代碼。 | |
| attester |
0..* | BackboneElement | 證明Composition的準確性 | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): 認證者提供的認證類型；應填入所綁定值集中的其中一個代碼。 | |
| party |
0..1 | Reference(病人資料(Patient TWCM) | TW Core RelatedPerson | 健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM)) | 誰證明了此Composition | |
| custodian |
0..1 | Reference(醫事機構(Organization TWCM)) | 維護Composition的機構 | |
  Slices for section |
C | 8..* | BackboneElement | Composition被分成一個或數個小節 Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
   section:All Slices |
Content/Rules for all slices | |||
  modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
 entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 |
 section:PatientInformation |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
 code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
 id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 79191-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Patient demographics panel | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
 entry |
C | 1..1 | Reference(病人資料(Patient TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:AllergyIntolerance |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Allergies and adverse reactions Document | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(過敏或不耐症(AllergyIntolerance TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:MedicalHistory |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Past illness note | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(病史(ConditionMedicalHistory TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:ConditionMajorIllness |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11338-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Major illnesses and injuries Narrative | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 1..1 | Reference(重大傷病註記(ObservationMajorIllness TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section |
C | 0..* | BackboneElement | 嵌套的小節 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11338-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Major illnesses and injuries Narrative | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| entry |
C | 0..* | Reference(重大傷病(ConditionMajorIllness TWCM)) | A reference to data that supports this section |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:Medication |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Medication use Narrative | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| Slices for section |
C | 0..* | See section (Composition) | 嵌套的小節 Slice: Unordered, Open by profile:entry.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
 section:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| Slices for section |
Content/Rules for all slices | |||
| section:medication |
C | 0..* | BackboneElement | 嵌套的小節 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 87232-5 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Medication administration.brief | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(藥品(Medication TWCM)) | A reference to data that supports this section |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:medicationrequest |
C | 0..* | BackboneElement | 嵌套的小節 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 57833-6 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Prescription for medication | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(中醫-藥品請求(MedicationRequest TWCM)) | A reference to data that supports this section |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:ConditionDiagnosis |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Problem list - Reported | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| Slices for section |
C | 2..* | See section (Composition) | 嵌套的小節 Slice: Unordered, Open by value:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| section:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| Slices for section |
Content/Rules for all slices | |||
| section:conditiondiagnosis |
C | 1..1 | BackboneElement | 診斷(診斷Condition與中醫證型Condition)；同一層section.code不可重複，故合併為單一section，由entry引用不同資源 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29548-5 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Diagnosis Narrative | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| Slices for entry |
C | 1..* | Reference(病情、問題或診斷(ConditionDiagnosis TWCM) | 病人證型(ConditionSyndromeType TWCM)) | A reference to data that supports this section Slice: Unordered, Closed by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Slices for entry |
Content/Rules for all slices | |||
| entry:conditiondiagnosis |
C | 1..* | Reference(病情、問題或診斷(ConditionDiagnosis TWCM)) | A reference to data that supports this section |
 reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| entry:conditionsyndrometype |
C | 0..1 | Reference(病人證型(ConditionSyndromeType TWCM)) | A reference to data that supports this section |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:practitioner |
C | 1..1 | BackboneElement | 嵌套的小節 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18600-7 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Primary practitioner identifier | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM)) | A reference to data that supports this section |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:PhysicalFindings |
C | 0..1 | BackboneElement | 四診：理學檢查發現(脈象) Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29545-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Physical findings note | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 1..2 | Reference(病人脈象(ObservationPulseCondition TWCM)) | 病人脈象（有記錄左右手時，左、右手各一筆） |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:PlanOfCare |
C | 1..1 | BackboneElement | 論治：照護計畫(CarePlan)與中醫治則 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Plan of care note | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| Slices for entry |
C | 1..* | Reference(關懷計畫(CarePlan TWCM) | 病人治則(ProcedureTherapeuticPrinciples TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 Slice: Unordered, Closed by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Slices for entry |
Content/Rules for all slices | |||
| entry:careplan |
C | 1..1 | Reference(關懷計畫(CarePlan TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| entry:proceduretherapeuticprinciples |
C | 0..1 | Reference(病人治則(ProcedureTherapeuticPrinciples TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:ConditionChiefComplaint |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10154-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Chief complaint Narrative - Reported | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(病人主訴(ConditionChiefComplaint TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:PresentIllness |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10164-2 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Present illness Narrative | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(病史(ConditionMedicalHistory TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:ObservationVitalSign |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Vital signs note | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(生命徵象(ObservationVitalSigns TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:Procedure |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29554-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Procedure Narrative | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 1..* | Reference(中醫-處置或手術(Procedure TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:ObservationLabResults |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data note | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| Slices for section |
C | 2..* | See section (Composition) | 嵌套的小節 Slice: Unordered, Open by profile:entry.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| section:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| Slices for section |
Content/Rules for all slices | |||
| section:observation |
C | 1..* | BackboneElement | 嵌套的小節 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 19146-0 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Referral lab test results | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(檢驗檢查(Observation TWCM)) | A reference to data that supports this section |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:servicerequest |
C | 1..* | BackboneElement | 嵌套的小節 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 77597-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Orders placed Document | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(服務請求(ServiceRequest TWCM)) | A reference to data that supports this section |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:diagnosticreport |
C | 0..* | BackboneElement | 嵌套的小節 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 50398-7 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Narrative diagnostic report [Interpretation] | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(診斷報告(DiagnosticReport TWCM)) | A reference to data that supports this section |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:bloodtype |
C | 0..1 | BackboneElement | 嵌套的小節 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 883-9 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: ABO group [Type] in Blood | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(血型(ObservationBloodtype TWCM)) | A reference to data that supports this section |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:DocumentReference |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 75310-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Health concerns Document | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 1..1 | Reference(文件參照(DocumentReference TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:FamilyMemberHistory |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10157-6 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of family member diseases note | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 1..* | Reference(家族史(FamilyMemberHistory TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:SocialHistory |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Social history note | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..1 | Reference(個人史(ObservationSocialHistory TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| Slices for section |
C | 0..* | See section (Composition) | 嵌套的小節 Slice: Unordered, Open by profile:entry.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| section:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| Slices for section |
Content/Rules for all slices | |||
| section:occupation |
C | 0..1 | BackboneElement | 嵌套的小節 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11341-5 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Occupation | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(職業(ObservationOccupation TWCM)) | A reference to data that supports this section |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:educationlevel |
C | 0..1 | BackboneElement | 嵌套的小節 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 82589-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Highest level of education | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(教育程度(ObservationEducationLevel TWCM)) | A reference to data that supports this section |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:Objective |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 61149-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Objective Narrative | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| Slices for entry |
C | 1..5 | Reference(中醫辨證評估(ClinicalImpression TWCM) | 望診(ObservationInspection TWCM) | 聞診(ObservationListeningSmelling TWCM) | 問診(ObservationInquiry TWCM) | 切診(ObservationPalpation TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| entry:All Slices |
Content/Rules for all slices | |||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| Slices for entry |
Content/Rules for all slices | |||
| entry:clinicalImpression |
C | 1..1 | Reference(中醫辨證評估(ClinicalImpression TWCM)) | 中醫辨證評估（含望聞問切客觀描述） |
| entry:inspection |
C | 0..1 | Reference(望診(ObservationInspection TWCM)) | 望診 |
| entry:listeningSmelling |
C | 0..1 | Reference(聞診(ObservationListeningSmelling TWCM)) | 聞診 |
| entry:inquiry |
C | 0..1 | Reference(問診(ObservationInquiry TWCM)) | 問診 |
| entry:palpation |
C | 0..1 | Reference(切診(ObservationPalpation TWCM)) | 切診 |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Composition.identifier.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | extensible | LOINC Code Document Type值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std. |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.section.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:PatientInformation.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:AllergyIntolerance.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:MedicalHistory.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ConditionMajorIllness.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ConditionMajorIllness.section.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:Medication.section.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:Medication.section:medication.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.section:medicationrequest.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ConditionDiagnosis.section.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ConditionDiagnosis.section:conditiondiagnosis.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section:practitioner.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:PhysicalFindings.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:PlanOfCare.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ConditionChiefComplaint.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:PresentIllness.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ObservationVitalSign.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:Procedure.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ObservationLabResults.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ObservationLabResults.section.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ObservationLabResults.section:observation.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:servicerequest.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:diagnosticreport.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:bloodtype.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:DocumentReference.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:FamilyMemberHistory.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:SocialHistory.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:SocialHistory.section.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:SocialHistory.section:occupation.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section:educationlevel.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:Objective.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Id | Grade | Path(s) | Description | Expression |
| majorIllness-condition-twcm | error | Composition | 若重大傷病註記為「是」，則重大傷病代碼與病名必填 |
(Composition.section.where(code.coding.code.all($this = '11338-1')).entry.resolve().where(($this is Observation) and (code.coding.code.all($this = '11338-1')) and (value.ofType(boolean) = true)).exists()) implies (Composition.section.where(code.coding.code.all($this = '11338-1')).section.where(code.coding.code.all($this = '11338-1')).entry.resolve().where($this is Condition).exists())
|
This structure is derived from TWCoreComposition
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Composition |
C | 0..* | TWCoreComposition | 將一組resources組成一份連貫的臨床聲明，並附有臨床證明。 Constraints: majorIllness-condition-twcm |
| meta |
1..1 | Meta | 應填入於中醫門診單之病歷表單版本號Sheet Version | |
| versionId |
1..1 | id | Version specific identifier | |
| identifier |
1..1 | Identifier | 不分版本的臨床文件架構(Composition)識別碼。[應填入於中醫門診單之病歷表單編號] | |
| type |
1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: SNO | |
| value |
1..1 | string | The value that is unique | |
| assigner |
0..1 | Reference(TW Core Organization) | Organization that issued id (may be just text) | |
| status |
1..1 | code | registered | partial | preliminary | final | amended | corrected + Required Pattern: final | |
| type |
1..1 | CodeableConceptTW | Composition的種類（如果可能請使用LOINC） Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 34108-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Outpatient Note | |
| subject |
0..1 | Reference(病人資料(Patient TWCM)) | Composition是關於誰和/或什麼 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| encounter |
0..1 | Reference(就醫事件(Encounter TWCM)) | Composition的情境 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| date |
1..1 | dateTime | [應填入文件產生時間Create Time] | |
| author |
1..* | Reference(醫事機構(Organization TWCM)) | 誰和/或什麼創建了這個Composition | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| title |
1..1 | string | 固定值。[應填入病歷表單名稱Sheet Name] Fixed Value: 中醫門診單 | |
| confidentiality |
1..1 | code | [應填入文件敏感性Doc Confidentiality Code] | |
| attester |
||||
| party |
0..1 | Reference(病人資料(Patient TWCM) | TW Core RelatedPerson | 健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM)) | 誰證明了此Composition | |
| custodian |
0..1 | Reference(醫事機構(Organization TWCM)) | 維護Composition的機構 | |
| relatesTo |
||||
 target[x] |
1..1 | 此關係的目標文件 | ||
| targetIdentifier |
Identifier | |||
| targetReference |
Reference(中醫-臨床文件架構(Composition TWCM)) | |||
| Slices for section |
8..* | BackboneElement | Composition被分成一個或數個小節 Slice: Unordered, Open by value:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| section:All Slices |
Content/Rules for all slices | |||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| section:PatientInformation |
0..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 79191-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Patient demographics panel | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| entry |
1..1 | Reference(病人資料(Patient TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:AllergyIntolerance |
0..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Allergies and adverse reactions Document | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| entry |
0..* | Reference(過敏或不耐症(AllergyIntolerance TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:MedicalHistory |
0..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Past illness note | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| entry |
0..* | Reference(病史(ConditionMedicalHistory TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:ConditionMajorIllness |
1..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11338-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Major illnesses and injuries Narrative | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| entry |
1..1 | Reference(重大傷病註記(ObservationMajorIllness TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section |
0..* | BackboneElement | 嵌套的小節 | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11338-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Major illnesses and injuries Narrative | |
| entry |
0..* | Reference(重大傷病(ConditionMajorIllness TWCM)) | A reference to data that supports this section | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:Medication |
0..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Medication use Narrative | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| Slices for section |
0..* | 嵌套的小節 Slice: Unordered, Open by profile:entry.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||
| Slices for section |
Content/Rules for all slices | |||
| section:medication |
0..* | BackboneElement | 嵌套的小節 | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 87232-5 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Medication administration.brief | |
| entry |
0..* | Reference(藥品(Medication TWCM)) | A reference to data that supports this section | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:medicationrequest |
0..* | BackboneElement | 嵌套的小節 | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 57833-6 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Prescription for medication | |
| entry |
0..* | Reference(中醫-藥品請求(MedicationRequest TWCM)) | A reference to data that supports this section | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:ConditionDiagnosis |
1..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Problem list - Reported | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| Slices for section |
2..* | 嵌套的小節 Slice: Unordered, Open by value:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||
| Slices for section |
Content/Rules for all slices | |||
| section:conditiondiagnosis |
1..1 | BackboneElement | 診斷(診斷Condition與中醫證型Condition)；同一層section.code不可重複，故合併為單一section，由entry引用不同資源 | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29548-5 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Diagnosis Narrative | |
| Slices for entry |
1..* | Reference(病情、問題或診斷(ConditionDiagnosis TWCM) | 病人證型(ConditionSyndromeType TWCM)) | A reference to data that supports this section Slice: Unordered, Closed by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for entry |
Content/Rules for all slices | |||
| entry:conditiondiagnosis |
1..* | Reference(病情、問題或診斷(ConditionDiagnosis TWCM)) | A reference to data that supports this section | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| entry:conditionsyndrometype |
0..1 | Reference(病人證型(ConditionSyndromeType TWCM)) | A reference to data that supports this section | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:practitioner |
1..1 | BackboneElement | 嵌套的小節 | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18600-7 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Primary practitioner identifier | |
| entry |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM)) | A reference to data that supports this section | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:PhysicalFindings |
0..1 | BackboneElement | 四診：理學檢查發現(脈象) | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29545-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Physical findings note | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| entry |
1..2 | Reference(病人脈象(ObservationPulseCondition TWCM)) | 病人脈象（有記錄左右手時，左、右手各一筆） | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:PlanOfCare |
1..1 | BackboneElement | 論治：照護計畫(CarePlan)與中醫治則 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Plan of care note | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| Slices for entry |
1..* | Reference(關懷計畫(CarePlan TWCM) | 病人治則(ProcedureTherapeuticPrinciples TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 Slice: Unordered, Closed by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for entry |
Content/Rules for all slices | |||
| entry:careplan |
1..1 | Reference(關懷計畫(CarePlan TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| entry:proceduretherapeuticprinciples |
0..1 | Reference(病人治則(ProcedureTherapeuticPrinciples TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:ConditionChiefComplaint |
1..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10154-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Chief complaint Narrative - Reported | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| entry |
0..* | Reference(病人主訴(ConditionChiefComplaint TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:PresentIllness |
0..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10164-2 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Present illness Narrative | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| entry |
0..* | Reference(病史(ConditionMedicalHistory TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:ObservationVitalSign |
1..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Vital signs note | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| entry |
0..* | Reference(生命徵象(ObservationVitalSigns TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:Procedure |
1..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29554-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Procedure Narrative | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| entry |
1..* | Reference(中醫-處置或手術(Procedure TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:ObservationLabResults |
0..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data note | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| Slices for section |
2..* | 嵌套的小節 Slice: Unordered, Open by profile:entry.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||
| Slices for section |
Content/Rules for all slices | |||
| section:observation |
1..* | BackboneElement | 嵌套的小節 | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 19146-0 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Referral lab test results | |
| entry |
0..* | Reference(檢驗檢查(Observation TWCM)) | A reference to data that supports this section | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:servicerequest |
1..* | BackboneElement | 嵌套的小節 | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 77597-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Orders placed Document | |
| entry |
0..* | Reference(服務請求(ServiceRequest TWCM)) | A reference to data that supports this section | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:diagnosticreport |
0..* | BackboneElement | 嵌套的小節 | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 50398-7 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Narrative diagnostic report [Interpretation] | |
| entry |
0..* | Reference(診斷報告(DiagnosticReport TWCM)) | A reference to data that supports this section | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:bloodtype |
0..1 | BackboneElement | 嵌套的小節 | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 883-9 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: ABO group [Type] in Blood | |
| entry |
0..* | Reference(血型(ObservationBloodtype TWCM)) | A reference to data that supports this section | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:DocumentReference |
1..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 75310-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Health concerns Document | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| entry |
1..1 | Reference(文件參照(DocumentReference TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:FamilyMemberHistory |
0..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10157-6 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of family member diseases note | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| entry |
1..* | Reference(家族史(FamilyMemberHistory TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:SocialHistory |
0..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Social history note | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| entry |
0..1 | Reference(個人史(ObservationSocialHistory TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| Slices for section |
0..* | 嵌套的小節 Slice: Unordered, Open by profile:entry.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||
| Slices for section |
Content/Rules for all slices | |||
| section:occupation |
0..1 | BackboneElement | 嵌套的小節 | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11341-5 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Occupation | |
| entry |
0..* | Reference(職業(ObservationOccupation TWCM)) | A reference to data that supports this section | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:educationlevel |
0..1 | BackboneElement | 嵌套的小節 | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 82589-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Highest level of education | |
| entry |
0..* | Reference(教育程度(ObservationEducationLevel TWCM)) | A reference to data that supports this section | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:Objective |
1..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 61149-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Objective Narrative | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| Slices for entry |
1..5 | Reference(中醫辨證評估(ClinicalImpression TWCM) | 望診(ObservationInspection TWCM) | 聞診(ObservationListeningSmelling TWCM) | 問診(ObservationInquiry TWCM) | 切診(ObservationPalpation TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| entry:All Slices |
Content/Rules for all slices | |||
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| Slices for entry |
Content/Rules for all slices | |||
| entry:clinicalImpression |
1..1 | Reference(中醫辨證評估(ClinicalImpression TWCM)) | 中醫辨證評估（含望聞問切客觀描述） | |
| entry:inspection |
0..1 | Reference(望診(ObservationInspection TWCM)) | 望診 | |
| entry:listeningSmelling |
0..1 | Reference(聞診(ObservationListeningSmelling TWCM)) | 聞診 | |
| entry:inquiry |
0..1 | Reference(問診(ObservationInquiry TWCM)) | 問診 | |
| entry:palpation |
0..1 | Reference(切診(ObservationPalpation TWCM)) | 切診 | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| majorIllness-condition-twcm | error | Composition | 若重大傷病註記為「是」，則重大傷病代碼與病名必填 |
(Composition.section.where(code.coding.code.all($this = '11338-1')).entry.resolve().where(($this is Observation) and (code.coding.code.all($this = '11338-1')) and (value.ofType(boolean) = true)).exists()) implies (Composition.section.where(code.coding.code.all($this = '11338-1')).section.where(code.coding.code.all($this = '11338-1')).entry.resolve().where($this is Condition).exists())
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Composition |
C | 0..* | TWCoreComposition | 將一組resources組成一份連貫的臨床聲明，並附有臨床證明。 Constraints: majorIllness-condition-twcm | ||||
| id |
0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的Composition紀錄，通常又稱為邏輯性ID。 | |||||
| meta |
1..1 | Meta | 應填入於中醫門診單之病歷表單版本號Sheet Version | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
 extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| versionId |
1..1 | id | Version specific identifier | |||||
| lastUpdated |
0..1 | instant | When the resource version last changed | |||||
| source |
0..1 | uri | Identifies where the resource comes from | |||||
| profile |
0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | |||||
| security |
0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | |||||
| tag |
0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | |||||
| implicitRules |
0..1 | uri | 創建此內容所依據的一組規則 | |||||
| language |
0..1 | code | 用以表述Composition Resource內容的語言 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
Example Value: zh-TW | |||||
| text |
0..1 | Narrative | Composition Resource之內容摘要以供人閱讀 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | 內嵌的(contained)、行內的Resources | |||||
| extension |
0..* | Extension | 擴充的資料項目 | |||||
| modifierExtension |
0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。 | |||||
| identifier |
1..1 | Identifier | 不分版本的臨床文件架構(Composition)識別碼。[應填入於中醫門診單之病歷表單編號] | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
| type |
1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: SNO | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| system |
0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |||||
| value |
1..1 | string | The value that is unique Example General: 123456 | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(TW Core Organization) | Organization that issued id (may be just text) | |||||
| status |
1..1 | code | registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): Composition的工作流程/臨床狀態；應填入所綁定值集中的其中一個代碼。 Required Pattern: final | |||||
| type |
1..1 | CodeableConceptTW |
Composition的種類（如果可能請使用LOINC） Binding: LOINC Code Document Type值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 34108-1 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Outpatient Note | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| category |
0..* | CodeableConceptTW |
Composition的分類 Binding: LOINC Document Class值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| subject |
0..1 | Reference(病人資料(Patient TWCM)) | Composition是關於誰和/或什麼 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| encounter |
0..1 | Reference(就醫事件(Encounter TWCM)) | Composition的情境 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| date |
1..1 | dateTime | [應填入文件產生時間Create Time] | |||||
| author |
1..* | Reference(醫事機構(Organization TWCM)) | 誰和/或什麼創建了這個Composition | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| title |
1..1 | string | 固定值。[應填入病歷表單名稱Sheet Name] Fixed Value: 中醫門診單 | |||||
| confidentiality |
1..1 | code | [應填入文件敏感性Doc Confidentiality Code] Binding: v3.ConfidentialityClassification (2014-03-26) (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| attester |
0..* | BackboneElement | 證明Composition的準確性 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): 認證者提供的認證類型；應填入所綁定值集中的其中一個代碼。 | |||||
| time |
0..1 | dateTime | 此Composition被證明的時間 | |||||
| party |
0..1 | Reference(病人資料(Patient TWCM) | TW Core RelatedPerson | 健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM)) | 誰證明了此Composition | |||||
| custodian |
0..1 | Reference(醫事機構(Organization TWCM)) | 維護Composition的機構 | |||||
| relatesTo |
0..* | BackboneElement | 與其他Composition/文件之間的關係 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): 檔案之間的關係型別；應填入所綁定值集中的其中一個代碼。 | |||||
| target[x] |
1..1 | 此關係的目標文件 | ||||||
| targetIdentifier |
Identifier | |||||||
| targetReference |
Reference(中醫-臨床文件架構(Composition TWCM)) | |||||||
| event |
0..* | BackboneElement | 正在記錄的臨床服務 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
0..* | CodeableConceptTW |
此代碼表代表了正在被記錄的主要臨床行為 Binding: v3 Code System ActCode (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
| period |
0..1 | Period | 文件所涵蓋的時間區間 | |||||
| detail |
0..* | Reference(Resource) | 在描述被記錄下來的事件，這些事件可以是以代碼的形式、參考資料的形式，或者兩者都有的形式來呈現。 | |||||
| Slices for section |
C | 8..* | BackboneElement | Composition被分成一個或數個小節 Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| section:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
0..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| section:PatientInformation |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 79191-3 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Patient demographics panel | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 1..1 | Reference(病人資料(Patient TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| section:AllergyIntolerance |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Allergies and adverse reactions Document | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..* | Reference(過敏或不耐症(AllergyIntolerance TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| section:MedicalHistory |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Past illness note | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..* | Reference(病史(ConditionMedicalHistory TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| section:ConditionMajorIllness |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11338-1 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Major illnesses and injuries Narrative | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 1..1 | Reference(重大傷病註記(ObservationMajorIllness TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | BackboneElement | 嵌套的小節 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11338-1 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Major illnesses and injuries Narrative | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(重大傷病(ConditionMajorIllness TWCM)) | A reference to data that supports this section | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:Medication |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Medication use Narrative | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| Slices for section |
C | 0..* | See section (Composition) | 嵌套的小節 Slice: Unordered, Open by profile:entry.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| section:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
0..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| author |
0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| Slices for section |
Content/Rules for all slices | |||||||
| section:medication |
C | 0..* | BackboneElement | 嵌套的小節 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 87232-5 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Medication administration.brief | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(藥品(Medication TWCM)) | A reference to data that supports this section | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:medicationrequest |
C | 0..* | BackboneElement | 嵌套的小節 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 57833-6 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Prescription for medication | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(中醫-藥品請求(MedicationRequest TWCM)) | A reference to data that supports this section | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:ConditionDiagnosis |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Problem list - Reported | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| Slices for section |
C | 2..* | See section (Composition) | 嵌套的小節 Slice: Unordered, Open by value:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| section:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
0..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| author |
0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| Slices for section |
Content/Rules for all slices | |||||||
| section:conditiondiagnosis |
C | 1..1 | BackboneElement | 診斷(診斷Condition與中醫證型Condition)；同一層section.code不可重複，故合併為單一section，由entry引用不同資源 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29548-5 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Diagnosis Narrative | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
C | 1..* | Reference(病情、問題或診斷(ConditionDiagnosis TWCM) | 病人證型(ConditionSyndromeType TWCM)) | A reference to data that supports this section Slice: Unordered, Closed by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Slices for entry |
Content/Rules for all slices | |||||||
| entry:conditiondiagnosis |
C | 1..* | Reference(病情、問題或診斷(ConditionDiagnosis TWCM)) | A reference to data that supports this section | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| entry:conditionsyndrometype |
C | 0..1 | Reference(病人證型(ConditionSyndromeType TWCM)) | A reference to data that supports this section | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:practitioner |
C | 1..1 | BackboneElement | 嵌套的小節 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18600-7 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Primary practitioner identifier | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM)) | A reference to data that supports this section | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:PhysicalFindings |
C | 0..1 | BackboneElement | 四診：理學檢查發現(脈象) Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29545-1 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Physical findings note | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 1..2 | Reference(病人脈象(ObservationPulseCondition TWCM)) | 病人脈象（有記錄左右手時，左、右手各一筆） | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| section:PlanOfCare |
C | 1..1 | BackboneElement | 論治：照護計畫(CarePlan)與中醫治則 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Plan of care note | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| Slices for entry |
C | 1..* | Reference(關懷計畫(CarePlan TWCM) | 病人治則(ProcedureTherapeuticPrinciples TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 Slice: Unordered, Closed by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Slices for entry |
Content/Rules for all slices | |||||||
| entry:careplan |
C | 1..1 | Reference(關懷計畫(CarePlan TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| entry:proceduretherapeuticprinciples |
C | 0..1 | Reference(病人治則(ProcedureTherapeuticPrinciples TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| section:ConditionChiefComplaint |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10154-3 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Chief complaint Narrative - Reported | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..* | Reference(病人主訴(ConditionChiefComplaint TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| section:PresentIllness |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10164-2 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Present illness Narrative | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..* | Reference(病史(ConditionMedicalHistory TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| section:ObservationVitalSign |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Vital signs note | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..* | Reference(生命徵象(ObservationVitalSigns TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| section:Procedure |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29554-3 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Procedure Narrative | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 1..* | Reference(中醫-處置或手術(Procedure TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| section:ObservationLabResults |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data note | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| Slices for section |
C | 2..* | See section (Composition) | 嵌套的小節 Slice: Unordered, Open by profile:entry.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| section:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
0..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| author |
0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| Slices for section |
Content/Rules for all slices | |||||||
| section:observation |
C | 1..* | BackboneElement | 嵌套的小節 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 19146-0 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Referral lab test results | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(檢驗檢查(Observation TWCM)) | A reference to data that supports this section | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:servicerequest |
C | 1..* | BackboneElement | 嵌套的小節 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 77597-3 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Orders placed Document | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(服務請求(ServiceRequest TWCM)) | A reference to data that supports this section | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:diagnosticreport |
C | 0..* | BackboneElement | 嵌套的小節 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 50398-7 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Narrative diagnostic report [Interpretation] | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(診斷報告(DiagnosticReport TWCM)) | A reference to data that supports this section | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:bloodtype |
C | 0..1 | BackboneElement | 嵌套的小節 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 883-9 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: ABO group [Type] in Blood | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(血型(ObservationBloodtype TWCM)) | A reference to data that supports this section | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:DocumentReference |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 75310-3 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Health concerns Document | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 1..1 | Reference(文件參照(DocumentReference TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| section:FamilyMemberHistory |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10157-6 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: History of family member diseases note | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 1..* | Reference(家族史(FamilyMemberHistory TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| section:SocialHistory |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Social history note | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..1 | Reference(個人史(ObservationSocialHistory TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| Slices for section |
C | 0..* | See section (Composition) | 嵌套的小節 Slice: Unordered, Open by profile:entry.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| section:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
0..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| author |
0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| Slices for section |
Content/Rules for all slices | |||||||
| section:occupation |
C | 0..1 | BackboneElement | 嵌套的小節 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11341-5 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Occupation | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(職業(ObservationOccupation TWCM)) | A reference to data that supports this section | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:educationlevel |
C | 0..1 | BackboneElement | 嵌套的小節 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 82589-3 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Highest level of education | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(教育程度(ObservationEducationLevel TWCM)) | A reference to data that supports this section | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:Objective |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 61149-1 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Objective Narrative | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| Slices for entry |
C | 1..5 | Reference(中醫辨證評估(ClinicalImpression TWCM) | 望診(ObservationInspection TWCM) | 聞診(ObservationListeningSmelling TWCM) | 問診(ObservationInquiry TWCM) | 切診(ObservationPalpation TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| entry:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| Slices for entry |
Content/Rules for all slices | |||||||
| entry:clinicalImpression |
C | 1..1 | Reference(中醫辨證評估(ClinicalImpression TWCM)) | 中醫辨證評估（含望聞問切客觀描述） | ||||
| entry:inspection |
C | 0..1 | Reference(望診(ObservationInspection TWCM)) | 望診 | ||||
| entry:listeningSmelling |
C | 0..1 | Reference(聞診(ObservationListeningSmelling TWCM)) | 聞診 | ||||
| entry:inquiry |
C | 0..1 | Reference(問診(ObservationInquiry TWCM)) | 問診 | ||||
| entry:palpation |
C | 0..1 | Reference(切診(ObservationPalpation TWCM)) | 切診 | ||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std. |
| Composition.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| Composition.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Composition.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Composition.identifier.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | extensible | LOINC Code Document Type值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.category | Base | extensible | LOINC Document Class值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.encounter.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.author.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std. |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std. |
| Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.4 |
| Composition.section.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:PatientInformation.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:PatientInformation.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:PatientInformation.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:PatientInformation.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:PatientInformation.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:AllergyIntolerance.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:AllergyIntolerance.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:AllergyIntolerance.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:AllergyIntolerance.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:AllergyIntolerance.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:MedicalHistory.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:MedicalHistory.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:MedicalHistory.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:MedicalHistory.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:MedicalHistory.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:ConditionMajorIllness.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ConditionMajorIllness.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionMajorIllness.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:ConditionMajorIllness.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionMajorIllness.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:ConditionMajorIllness.section.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionMajorIllness.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionMajorIllness.section.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionMajorIllness.section.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionMajorIllness.section.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:Medication.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:Medication.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:Medication.section.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:Medication.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.section.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:Medication.section.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:Medication.section:medication.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.section:medication.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.section:medication.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.section:medication.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.section:medication.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.section:medicationrequest.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.section:medicationrequest.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.section:medicationrequest.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.section:medicationrequest.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.section:medicationrequest.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ConditionDiagnosis.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ConditionDiagnosis.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section:conditiondiagnosis.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section:conditiondiagnosis.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section:conditiondiagnosis.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section:conditiondiagnosis.entry:conditiondiagnosis.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section:conditiondiagnosis.entry:conditionsyndrometype.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section:conditiondiagnosis.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section:practitioner.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section:practitioner.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section:practitioner.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section:practitioner.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section:practitioner.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:PhysicalFindings.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:PhysicalFindings.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:PhysicalFindings.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:PhysicalFindings.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:PhysicalFindings.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:PlanOfCare.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:PlanOfCare.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:PlanOfCare.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:PlanOfCare.entry:careplan.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:PlanOfCare.entry:proceduretherapeuticprinciples.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:PlanOfCare.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:ConditionChiefComplaint.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ConditionChiefComplaint.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionChiefComplaint.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:ConditionChiefComplaint.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionChiefComplaint.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:PresentIllness.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:PresentIllness.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:PresentIllness.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:PresentIllness.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:PresentIllness.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:ObservationVitalSign.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ObservationVitalSign.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationVitalSign.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:ObservationVitalSign.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationVitalSign.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:Procedure.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:Procedure.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:Procedure.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:Procedure.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:Procedure.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ObservationLabResults.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ObservationLabResults.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:observation.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:observation.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:observation.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:observation.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:observation.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:servicerequest.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:servicerequest.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:servicerequest.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:servicerequest.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:servicerequest.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:diagnosticreport.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:diagnosticreport.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:diagnosticreport.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:diagnosticreport.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:diagnosticreport.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:bloodtype.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:bloodtype.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:bloodtype.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:bloodtype.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:bloodtype.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:DocumentReference.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:DocumentReference.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:DocumentReference.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:DocumentReference.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:DocumentReference.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:FamilyMemberHistory.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:FamilyMemberHistory.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:FamilyMemberHistory.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:FamilyMemberHistory.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:FamilyMemberHistory.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:SocialHistory.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:SocialHistory.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section:occupation.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section:occupation.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section:occupation.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section:occupation.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section:occupation.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section:educationlevel.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section:educationlevel.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section:educationlevel.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section:educationlevel.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section:educationlevel.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:Objective.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:Objective.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:Objective.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:Objective.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:Objective.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| majorIllness-condition-twcm | error | Composition | 若重大傷病註記為「是」，則重大傷病代碼與病名必填 |
(Composition.section.where(code.coding.code.all($this = '11338-1')).entry.resolve().where(($this is Observation) and (code.coding.code.all($this = '11338-1')) and (value.ofType(boolean) = true)).exists()) implies (Composition.section.where(code.coding.code.all($this = '11338-1')).section.where(code.coding.code.all($this = '11338-1')).entry.resolve().where($this is Condition).exists())
|
This structure is derived from TWCoreComposition
Summary
Mandatory: 50 elements(46 nested mandatory elements)
Must-Support: 24 elements
Fixed: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Composition |
C | 0..* | TWCoreComposition | 將一組resources組成一份連貫的臨床聲明，並附有臨床證明。 Constraints: majorIllness-condition-twcm |
| meta |
1..1 | Meta | 應填入於中醫門診單之病歷表單版本號Sheet Version | |
| versionId |
1..1 | id | Version specific identifier | |
| implicitRules |
0..1 | uri | 創建此內容所依據的一組規則 | |
| modifierExtension |
0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。 | |
| identifier |
1..1 | Identifier | 不分版本的臨床文件架構(Composition)識別碼。[應填入於中醫門診單之病歷表單編號] | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |
| type |
1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: SNO | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| value |
1..1 | string | The value that is unique Example General: 123456 | |
| assigner |
0..1 | Reference(TW Core Organization) | Organization that issued id (may be just text) | |
| status |
1..1 | code | registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): Composition的工作流程/臨床狀態；應填入所綁定值集中的其中一個代碼。 Required Pattern: final | |
| type |
1..1 | CodeableConceptTW |
Composition的種類（如果可能請使用LOINC） Binding: LOINC Code Document Type值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 34108-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Outpatient Note | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| subject |
0..1 | Reference(病人資料(Patient TWCM)) | Composition是關於誰和/或什麼 | |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| encounter |
0..1 | Reference(就醫事件(Encounter TWCM)) | Composition的情境 | |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| date |
1..1 | dateTime | [應填入文件產生時間Create Time] | |
| author |
1..* | Reference(醫事機構(Organization TWCM)) | 誰和/或什麼創建了這個Composition | |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| title |
1..1 | string | 固定值。[應填入病歷表單名稱Sheet Name] Fixed Value: 中醫門診單 | |
| confidentiality |
1..1 | code | [應填入文件敏感性Doc Confidentiality Code] Binding: v3.ConfidentialityClassification (2014-03-26) (required): 應填入所綁定值集中的其中一個代碼。 | |
| attester |
0..* | BackboneElement | 證明Composition的準確性 | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): 認證者提供的認證類型；應填入所綁定值集中的其中一個代碼。 | |
| party |
0..1 | Reference(病人資料(Patient TWCM) | TW Core RelatedPerson | 健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM)) | 誰證明了此Composition | |
| custodian |
0..1 | Reference(醫事機構(Organization TWCM)) | 維護Composition的機構 | |
| Slices for section |
C | 8..* | BackboneElement | Composition被分成一個或數個小節 Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| section:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| section:PatientInformation |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 79191-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Patient demographics panel | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 1..1 | Reference(病人資料(Patient TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:AllergyIntolerance |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Allergies and adverse reactions Document | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(過敏或不耐症(AllergyIntolerance TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:MedicalHistory |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Past illness note | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(病史(ConditionMedicalHistory TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:ConditionMajorIllness |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11338-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Major illnesses and injuries Narrative | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 1..1 | Reference(重大傷病註記(ObservationMajorIllness TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section |
C | 0..* | BackboneElement | 嵌套的小節 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11338-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Major illnesses and injuries Narrative | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| entry |
C | 0..* | Reference(重大傷病(ConditionMajorIllness TWCM)) | A reference to data that supports this section |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:Medication |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Medication use Narrative | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| Slices for section |
C | 0..* | See section (Composition) | 嵌套的小節 Slice: Unordered, Open by profile:entry.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| section:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| Slices for section |
Content/Rules for all slices | |||
| section:medication |
C | 0..* | BackboneElement | 嵌套的小節 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 87232-5 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Medication administration.brief | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(藥品(Medication TWCM)) | A reference to data that supports this section |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:medicationrequest |
C | 0..* | BackboneElement | 嵌套的小節 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 57833-6 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Prescription for medication | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(中醫-藥品請求(MedicationRequest TWCM)) | A reference to data that supports this section |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:ConditionDiagnosis |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Problem list - Reported | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| Slices for section |
C | 2..* | See section (Composition) | 嵌套的小節 Slice: Unordered, Open by value:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| section:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| Slices for section |
Content/Rules for all slices | |||
| section:conditiondiagnosis |
C | 1..1 | BackboneElement | 診斷(診斷Condition與中醫證型Condition)；同一層section.code不可重複，故合併為單一section，由entry引用不同資源 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29548-5 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Diagnosis Narrative | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| Slices for entry |
C | 1..* | Reference(病情、問題或診斷(ConditionDiagnosis TWCM) | 病人證型(ConditionSyndromeType TWCM)) | A reference to data that supports this section Slice: Unordered, Closed by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Slices for entry |
Content/Rules for all slices | |||
| entry:conditiondiagnosis |
C | 1..* | Reference(病情、問題或診斷(ConditionDiagnosis TWCM)) | A reference to data that supports this section |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| entry:conditionsyndrometype |
C | 0..1 | Reference(病人證型(ConditionSyndromeType TWCM)) | A reference to data that supports this section |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:practitioner |
C | 1..1 | BackboneElement | 嵌套的小節 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18600-7 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Primary practitioner identifier | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM)) | A reference to data that supports this section |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:PhysicalFindings |
C | 0..1 | BackboneElement | 四診：理學檢查發現(脈象) Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29545-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Physical findings note | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 1..2 | Reference(病人脈象(ObservationPulseCondition TWCM)) | 病人脈象（有記錄左右手時，左、右手各一筆） |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:PlanOfCare |
C | 1..1 | BackboneElement | 論治：照護計畫(CarePlan)與中醫治則 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Plan of care note | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| Slices for entry |
C | 1..* | Reference(關懷計畫(CarePlan TWCM) | 病人治則(ProcedureTherapeuticPrinciples TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 Slice: Unordered, Closed by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| Slices for entry |
Content/Rules for all slices | |||
| entry:careplan |
C | 1..1 | Reference(關懷計畫(CarePlan TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| entry:proceduretherapeuticprinciples |
C | 0..1 | Reference(病人治則(ProcedureTherapeuticPrinciples TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:ConditionChiefComplaint |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10154-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Chief complaint Narrative - Reported | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(病人主訴(ConditionChiefComplaint TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:PresentIllness |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10164-2 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Present illness Narrative | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(病史(ConditionMedicalHistory TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:ObservationVitalSign |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Vital signs note | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(生命徵象(ObservationVitalSigns TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:Procedure |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29554-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Procedure Narrative | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 1..* | Reference(中醫-處置或手術(Procedure TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:ObservationLabResults |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data note | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| Slices for section |
C | 2..* | See section (Composition) | 嵌套的小節 Slice: Unordered, Open by profile:entry.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| section:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| Slices for section |
Content/Rules for all slices | |||
| section:observation |
C | 1..* | BackboneElement | 嵌套的小節 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 19146-0 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Referral lab test results | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(檢驗檢查(Observation TWCM)) | A reference to data that supports this section |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:servicerequest |
C | 1..* | BackboneElement | 嵌套的小節 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 77597-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Orders placed Document | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(服務請求(ServiceRequest TWCM)) | A reference to data that supports this section |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:diagnosticreport |
C | 0..* | BackboneElement | 嵌套的小節 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 50398-7 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Narrative diagnostic report [Interpretation] | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(診斷報告(DiagnosticReport TWCM)) | A reference to data that supports this section |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:bloodtype |
C | 0..1 | BackboneElement | 嵌套的小節 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 883-9 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: ABO group [Type] in Blood | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(血型(ObservationBloodtype TWCM)) | A reference to data that supports this section |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:DocumentReference |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 75310-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Health concerns Document | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 1..1 | Reference(文件參照(DocumentReference TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:FamilyMemberHistory |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10157-6 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of family member diseases note | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 1..* | Reference(家族史(FamilyMemberHistory TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:SocialHistory |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Social history note | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..1 | Reference(個人史(ObservationSocialHistory TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| Slices for section |
C | 0..* | See section (Composition) | 嵌套的小節 Slice: Unordered, Open by profile:entry.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| section:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 |
| Slices for section |
Content/Rules for all slices | |||
| section:occupation |
C | 0..1 | BackboneElement | 嵌套的小節 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11341-5 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Occupation | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(職業(ObservationOccupation TWCM)) | A reference to data that supports this section |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:educationlevel |
C | 0..1 | BackboneElement | 嵌套的小節 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 82589-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Highest level of education | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| entry |
C | 0..* | Reference(教育程度(ObservationEducationLevel TWCM)) | A reference to data that supports this section |
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| section:Objective |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 61149-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Objective Narrative | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
| Slices for entry |
C | 1..5 | Reference(中醫辨證評估(ClinicalImpression TWCM) | 望診(ObservationInspection TWCM) | 聞診(ObservationListeningSmelling TWCM) | 問診(ObservationInquiry TWCM) | 切診(ObservationPalpation TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| entry:All Slices |
Content/Rules for all slices | |||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| Slices for entry |
Content/Rules for all slices | |||
| entry:clinicalImpression |
C | 1..1 | Reference(中醫辨證評估(ClinicalImpression TWCM)) | 中醫辨證評估（含望聞問切客觀描述） |
| entry:inspection |
C | 0..1 | Reference(望診(ObservationInspection TWCM)) | 望診 |
| entry:listeningSmelling |
C | 0..1 | Reference(聞診(ObservationListeningSmelling TWCM)) | 聞診 |
| entry:inquiry |
C | 0..1 | Reference(問診(ObservationInquiry TWCM)) | 問診 |
| entry:palpation |
C | 0..1 | Reference(切診(ObservationPalpation TWCM)) | 切診 |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Composition.identifier.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | extensible | LOINC Code Document Type值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std. |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.section.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:PatientInformation.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:AllergyIntolerance.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:MedicalHistory.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ConditionMajorIllness.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ConditionMajorIllness.section.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:Medication.section.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:Medication.section:medication.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.section:medicationrequest.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ConditionDiagnosis.section.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ConditionDiagnosis.section:conditiondiagnosis.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section:practitioner.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:PhysicalFindings.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:PlanOfCare.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ConditionChiefComplaint.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:PresentIllness.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ObservationVitalSign.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:Procedure.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ObservationLabResults.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ObservationLabResults.section.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ObservationLabResults.section:observation.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:servicerequest.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:diagnosticreport.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:bloodtype.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:DocumentReference.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:FamilyMemberHistory.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:SocialHistory.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:SocialHistory.section.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:SocialHistory.section:occupation.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section:educationlevel.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:Objective.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Id | Grade | Path(s) | Description | Expression |
| majorIllness-condition-twcm | error | Composition | 若重大傷病註記為「是」，則重大傷病代碼與病名必填 |
(Composition.section.where(code.coding.code.all($this = '11338-1')).entry.resolve().where(($this is Observation) and (code.coding.code.all($this = '11338-1')) and (value.ofType(boolean) = true)).exists()) implies (Composition.section.where(code.coding.code.all($this = '11338-1')).section.where(code.coding.code.all($this = '11338-1')).entry.resolve().where($this is Condition).exists())
|
Differential View
This structure is derived from TWCoreComposition
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Composition |
C | 0..* | TWCoreComposition | 將一組resources組成一份連貫的臨床聲明，並附有臨床證明。 Constraints: majorIllness-condition-twcm |
| meta |
1..1 | Meta | 應填入於中醫門診單之病歷表單版本號Sheet Version | |
| versionId |
1..1 | id | Version specific identifier | |
| identifier |
1..1 | Identifier | 不分版本的臨床文件架構(Composition)識別碼。[應填入於中醫門診單之病歷表單編號] | |
| type |
1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: SNO | |
| value |
1..1 | string | The value that is unique | |
| assigner |
0..1 | Reference(TW Core Organization) | Organization that issued id (may be just text) | |
| status |
1..1 | code | registered | partial | preliminary | final | amended | corrected + Required Pattern: final | |
| type |
1..1 | CodeableConceptTW | Composition的種類（如果可能請使用LOINC） Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 34108-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Outpatient Note | |
| subject |
0..1 | Reference(病人資料(Patient TWCM)) | Composition是關於誰和/或什麼 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| encounter |
0..1 | Reference(就醫事件(Encounter TWCM)) | Composition的情境 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| date |
1..1 | dateTime | [應填入文件產生時間Create Time] | |
| author |
1..* | Reference(醫事機構(Organization TWCM)) | 誰和/或什麼創建了這個Composition | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| title |
1..1 | string | 固定值。[應填入病歷表單名稱Sheet Name] Fixed Value: 中醫門診單 | |
| confidentiality |
1..1 | code | [應填入文件敏感性Doc Confidentiality Code] | |
| attester |
||||
| party |
0..1 | Reference(病人資料(Patient TWCM) | TW Core RelatedPerson | 健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM)) | 誰證明了此Composition | |
| custodian |
0..1 | Reference(醫事機構(Organization TWCM)) | 維護Composition的機構 | |
| relatesTo |
||||
| target[x] |
1..1 | 此關係的目標文件 | ||
| targetIdentifier |
Identifier | |||
| targetReference |
Reference(中醫-臨床文件架構(Composition TWCM)) | |||
| Slices for section |
8..* | BackboneElement | Composition被分成一個或數個小節 Slice: Unordered, Open by value:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| section:All Slices |
Content/Rules for all slices | |||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| section:PatientInformation |
0..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 79191-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Patient demographics panel | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| entry |
1..1 | Reference(病人資料(Patient TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:AllergyIntolerance |
0..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Allergies and adverse reactions Document | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| entry |
0..* | Reference(過敏或不耐症(AllergyIntolerance TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:MedicalHistory |
0..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Past illness note | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| entry |
0..* | Reference(病史(ConditionMedicalHistory TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:ConditionMajorIllness |
1..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11338-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Major illnesses and injuries Narrative | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| entry |
1..1 | Reference(重大傷病註記(ObservationMajorIllness TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section |
0..* | BackboneElement | 嵌套的小節 | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11338-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Major illnesses and injuries Narrative | |
| entry |
0..* | Reference(重大傷病(ConditionMajorIllness TWCM)) | A reference to data that supports this section | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:Medication |
0..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Medication use Narrative | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| Slices for section |
0..* | 嵌套的小節 Slice: Unordered, Open by profile:entry.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||
| Slices for section |
Content/Rules for all slices | |||
| section:medication |
0..* | BackboneElement | 嵌套的小節 | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 87232-5 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Medication administration.brief | |
| entry |
0..* | Reference(藥品(Medication TWCM)) | A reference to data that supports this section | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:medicationrequest |
0..* | BackboneElement | 嵌套的小節 | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 57833-6 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Prescription for medication | |
| entry |
0..* | Reference(中醫-藥品請求(MedicationRequest TWCM)) | A reference to data that supports this section | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:ConditionDiagnosis |
1..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Problem list - Reported | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| Slices for section |
2..* | 嵌套的小節 Slice: Unordered, Open by value:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||
| Slices for section |
Content/Rules for all slices | |||
| section:conditiondiagnosis |
1..1 | BackboneElement | 診斷(診斷Condition與中醫證型Condition)；同一層section.code不可重複，故合併為單一section，由entry引用不同資源 | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29548-5 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Diagnosis Narrative | |
| Slices for entry |
1..* | Reference(病情、問題或診斷(ConditionDiagnosis TWCM) | 病人證型(ConditionSyndromeType TWCM)) | A reference to data that supports this section Slice: Unordered, Closed by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for entry |
Content/Rules for all slices | |||
| entry:conditiondiagnosis |
1..* | Reference(病情、問題或診斷(ConditionDiagnosis TWCM)) | A reference to data that supports this section | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| entry:conditionsyndrometype |
0..1 | Reference(病人證型(ConditionSyndromeType TWCM)) | A reference to data that supports this section | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:practitioner |
1..1 | BackboneElement | 嵌套的小節 | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18600-7 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Primary practitioner identifier | |
| entry |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM)) | A reference to data that supports this section | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:PhysicalFindings |
0..1 | BackboneElement | 四診：理學檢查發現(脈象) | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29545-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Physical findings note | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| entry |
1..2 | Reference(病人脈象(ObservationPulseCondition TWCM)) | 病人脈象（有記錄左右手時，左、右手各一筆） | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:PlanOfCare |
1..1 | BackboneElement | 論治：照護計畫(CarePlan)與中醫治則 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Plan of care note | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| Slices for entry |
1..* | Reference(關懷計畫(CarePlan TWCM) | 病人治則(ProcedureTherapeuticPrinciples TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 Slice: Unordered, Closed by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for entry |
Content/Rules for all slices | |||
| entry:careplan |
1..1 | Reference(關懷計畫(CarePlan TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| entry:proceduretherapeuticprinciples |
0..1 | Reference(病人治則(ProcedureTherapeuticPrinciples TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:ConditionChiefComplaint |
1..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10154-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Chief complaint Narrative - Reported | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| entry |
0..* | Reference(病人主訴(ConditionChiefComplaint TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:PresentIllness |
0..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10164-2 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Present illness Narrative | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| entry |
0..* | Reference(病史(ConditionMedicalHistory TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:ObservationVitalSign |
1..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Vital signs note | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| entry |
0..* | Reference(生命徵象(ObservationVitalSigns TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:Procedure |
1..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29554-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Procedure Narrative | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| entry |
1..* | Reference(中醫-處置或手術(Procedure TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:ObservationLabResults |
0..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data note | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| Slices for section |
2..* | 嵌套的小節 Slice: Unordered, Open by profile:entry.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||
| Slices for section |
Content/Rules for all slices | |||
| section:observation |
1..* | BackboneElement | 嵌套的小節 | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 19146-0 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Referral lab test results | |
| entry |
0..* | Reference(檢驗檢查(Observation TWCM)) | A reference to data that supports this section | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:servicerequest |
1..* | BackboneElement | 嵌套的小節 | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 77597-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Orders placed Document | |
| entry |
0..* | Reference(服務請求(ServiceRequest TWCM)) | A reference to data that supports this section | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:diagnosticreport |
0..* | BackboneElement | 嵌套的小節 | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 50398-7 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Narrative diagnostic report [Interpretation] | |
| entry |
0..* | Reference(診斷報告(DiagnosticReport TWCM)) | A reference to data that supports this section | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:bloodtype |
0..1 | BackboneElement | 嵌套的小節 | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 883-9 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: ABO group [Type] in Blood | |
| entry |
0..* | Reference(血型(ObservationBloodtype TWCM)) | A reference to data that supports this section | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:DocumentReference |
1..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 75310-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Health concerns Document | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| entry |
1..1 | Reference(文件參照(DocumentReference TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:FamilyMemberHistory |
0..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10157-6 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of family member diseases note | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| entry |
1..* | Reference(家族史(FamilyMemberHistory TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:SocialHistory |
0..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Social history note | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| entry |
0..1 | Reference(個人史(ObservationSocialHistory TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| Slices for section |
0..* | 嵌套的小節 Slice: Unordered, Open by profile:entry.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||
| Slices for section |
Content/Rules for all slices | |||
| section:occupation |
0..1 | BackboneElement | 嵌套的小節 | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11341-5 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Occupation | |
| entry |
0..* | Reference(職業(ObservationOccupation TWCM)) | A reference to data that supports this section | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:educationlevel |
0..1 | BackboneElement | 嵌套的小節 | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 82589-3 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Highest level of education | |
| entry |
0..* | Reference(教育程度(ObservationEducationLevel TWCM)) | A reference to data that supports this section | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| section:Objective |
1..1 | BackboneElement | Composition被分成一個或數個小節 | |
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |
| code |
1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 61149-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Objective Narrative | |
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
| Slices for entry |
1..5 | Reference(中醫辨證評估(ClinicalImpression TWCM) | 望診(ObservationInspection TWCM) | 聞診(ObservationListeningSmelling TWCM) | 問診(ObservationInquiry TWCM) | 切診(ObservationPalpation TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| entry:All Slices |
Content/Rules for all slices | |||
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| Slices for entry |
Content/Rules for all slices | |||
| entry:clinicalImpression |
1..1 | Reference(中醫辨證評估(ClinicalImpression TWCM)) | 中醫辨證評估（含望聞問切客觀描述） | |
| entry:inspection |
0..1 | Reference(望診(ObservationInspection TWCM)) | 望診 | |
| entry:listeningSmelling |
0..1 | Reference(聞診(ObservationListeningSmelling TWCM)) | 聞診 | |
| entry:inquiry |
0..1 | Reference(問診(ObservationInquiry TWCM)) | 問診 | |
| entry:palpation |
0..1 | Reference(切診(ObservationPalpation TWCM)) | 切診 | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| majorIllness-condition-twcm | error | Composition | 若重大傷病註記為「是」，則重大傷病代碼與病名必填 |
(Composition.section.where(code.coding.code.all($this = '11338-1')).entry.resolve().where(($this is Observation) and (code.coding.code.all($this = '11338-1')) and (value.ofType(boolean) = true)).exists()) implies (Composition.section.where(code.coding.code.all($this = '11338-1')).section.where(code.coding.code.all($this = '11338-1')).entry.resolve().where($this is Condition).exists())
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Composition |
C | 0..* | TWCoreComposition | 將一組resources組成一份連貫的臨床聲明，並附有臨床證明。 Constraints: majorIllness-condition-twcm | ||||
| id |
0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的Composition紀錄，通常又稱為邏輯性ID。 | |||||
| meta |
1..1 | Meta | 應填入於中醫門診單之病歷表單版本號Sheet Version | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| versionId |
1..1 | id | Version specific identifier | |||||
| lastUpdated |
0..1 | instant | When the resource version last changed | |||||
| source |
0..1 | uri | Identifies where the resource comes from | |||||
| profile |
0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | |||||
| security |
0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | |||||
| tag |
0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | |||||
| implicitRules |
0..1 | uri | 創建此內容所依據的一組規則 | |||||
| language |
0..1 | code | 用以表述Composition Resource內容的語言 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
Example Value: zh-TW | |||||
| text |
0..1 | Narrative | Composition Resource之內容摘要以供人閱讀 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | 內嵌的(contained)、行內的Resources | |||||
| extension |
0..* | Extension | 擴充的資料項目 | |||||
| modifierExtension |
0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。 | |||||
| identifier |
1..1 | Identifier | 不分版本的臨床文件架構(Composition)識別碼。[應填入於中醫門診單之病歷表單編號] | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
| type |
1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: SNO | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| system |
0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |||||
| value |
1..1 | string | The value that is unique Example General: 123456 | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(TW Core Organization) | Organization that issued id (may be just text) | |||||
| status |
1..1 | code | registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): Composition的工作流程/臨床狀態；應填入所綁定值集中的其中一個代碼。 Required Pattern: final | |||||
| type |
1..1 | CodeableConceptTW |
Composition的種類（如果可能請使用LOINC） Binding: LOINC Code Document Type值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 34108-1 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Outpatient Note | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| category |
0..* | CodeableConceptTW |
Composition的分類 Binding: LOINC Document Class值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| subject |
0..1 | Reference(病人資料(Patient TWCM)) | Composition是關於誰和/或什麼 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| encounter |
0..1 | Reference(就醫事件(Encounter TWCM)) | Composition的情境 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| date |
1..1 | dateTime | [應填入文件產生時間Create Time] | |||||
| author |
1..* | Reference(醫事機構(Organization TWCM)) | 誰和/或什麼創建了這個Composition | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| title |
1..1 | string | 固定值。[應填入病歷表單名稱Sheet Name] Fixed Value: 中醫門診單 | |||||
| confidentiality |
1..1 | code | [應填入文件敏感性Doc Confidentiality Code] Binding: v3.ConfidentialityClassification (2014-03-26) (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| attester |
0..* | BackboneElement | 證明Composition的準確性 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): 認證者提供的認證類型；應填入所綁定值集中的其中一個代碼。 | |||||
| time |
0..1 | dateTime | 此Composition被證明的時間 | |||||
| party |
0..1 | Reference(病人資料(Patient TWCM) | TW Core RelatedPerson | 健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM)) | 誰證明了此Composition | |||||
| custodian |
0..1 | Reference(醫事機構(Organization TWCM)) | 維護Composition的機構 | |||||
| relatesTo |
0..* | BackboneElement | 與其他Composition/文件之間的關係 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): 檔案之間的關係型別；應填入所綁定值集中的其中一個代碼。 | |||||
| target[x] |
1..1 | 此關係的目標文件 | ||||||
| targetIdentifier |
Identifier | |||||||
| targetReference |
Reference(中醫-臨床文件架構(Composition TWCM)) | |||||||
| event |
0..* | BackboneElement | 正在記錄的臨床服務 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
0..* | CodeableConceptTW |
此代碼表代表了正在被記錄的主要臨床行為 Binding: v3 Code System ActCode (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
| period |
0..1 | Period | 文件所涵蓋的時間區間 | |||||
| detail |
0..* | Reference(Resource) | 在描述被記錄下來的事件，這些事件可以是以代碼的形式、參考資料的形式，或者兩者都有的形式來呈現。 | |||||
| Slices for section |
C | 8..* | BackboneElement | Composition被分成一個或數個小節 Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| section:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
0..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| section:PatientInformation |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 79191-3 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Patient demographics panel | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 1..1 | Reference(病人資料(Patient TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| section:AllergyIntolerance |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Allergies and adverse reactions Document | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..* | Reference(過敏或不耐症(AllergyIntolerance TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| section:MedicalHistory |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Past illness note | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..* | Reference(病史(ConditionMedicalHistory TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| section:ConditionMajorIllness |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11338-1 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Major illnesses and injuries Narrative | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 1..1 | Reference(重大傷病註記(ObservationMajorIllness TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | BackboneElement | 嵌套的小節 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11338-1 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Major illnesses and injuries Narrative | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(重大傷病(ConditionMajorIllness TWCM)) | A reference to data that supports this section | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:Medication |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Medication use Narrative | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| Slices for section |
C | 0..* | See section (Composition) | 嵌套的小節 Slice: Unordered, Open by profile:entry.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| section:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
0..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| author |
0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| Slices for section |
Content/Rules for all slices | |||||||
| section:medication |
C | 0..* | BackboneElement | 嵌套的小節 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 87232-5 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Medication administration.brief | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(藥品(Medication TWCM)) | A reference to data that supports this section | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:medicationrequest |
C | 0..* | BackboneElement | 嵌套的小節 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 57833-6 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Prescription for medication | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(中醫-藥品請求(MedicationRequest TWCM)) | A reference to data that supports this section | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:ConditionDiagnosis |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Problem list - Reported | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| Slices for section |
C | 2..* | See section (Composition) | 嵌套的小節 Slice: Unordered, Open by value:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| section:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
0..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| author |
0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| Slices for section |
Content/Rules for all slices | |||||||
| section:conditiondiagnosis |
C | 1..1 | BackboneElement | 診斷(診斷Condition與中醫證型Condition)；同一層section.code不可重複，故合併為單一section，由entry引用不同資源 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29548-5 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Diagnosis Narrative | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
C | 1..* | Reference(病情、問題或診斷(ConditionDiagnosis TWCM) | 病人證型(ConditionSyndromeType TWCM)) | A reference to data that supports this section Slice: Unordered, Closed by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Slices for entry |
Content/Rules for all slices | |||||||
| entry:conditiondiagnosis |
C | 1..* | Reference(病情、問題或診斷(ConditionDiagnosis TWCM)) | A reference to data that supports this section | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| entry:conditionsyndrometype |
C | 0..1 | Reference(病人證型(ConditionSyndromeType TWCM)) | A reference to data that supports this section | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:practitioner |
C | 1..1 | BackboneElement | 嵌套的小節 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18600-7 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Primary practitioner identifier | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM)) | A reference to data that supports this section | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:PhysicalFindings |
C | 0..1 | BackboneElement | 四診：理學檢查發現(脈象) Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29545-1 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Physical findings note | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 1..2 | Reference(病人脈象(ObservationPulseCondition TWCM)) | 病人脈象（有記錄左右手時，左、右手各一筆） | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| section:PlanOfCare |
C | 1..1 | BackboneElement | 論治：照護計畫(CarePlan)與中醫治則 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Plan of care note | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| Slices for entry |
C | 1..* | Reference(關懷計畫(CarePlan TWCM) | 病人治則(ProcedureTherapeuticPrinciples TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 Slice: Unordered, Closed by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| Slices for entry |
Content/Rules for all slices | |||||||
| entry:careplan |
C | 1..1 | Reference(關懷計畫(CarePlan TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| entry:proceduretherapeuticprinciples |
C | 0..1 | Reference(病人治則(ProcedureTherapeuticPrinciples TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| section:ConditionChiefComplaint |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10154-3 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Chief complaint Narrative - Reported | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..* | Reference(病人主訴(ConditionChiefComplaint TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| section:PresentIllness |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10164-2 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Present illness Narrative | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..* | Reference(病史(ConditionMedicalHistory TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| section:ObservationVitalSign |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Vital signs note | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..* | Reference(生命徵象(ObservationVitalSigns TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| section:Procedure |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29554-3 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Procedure Narrative | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 1..* | Reference(中醫-處置或手術(Procedure TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| section:ObservationLabResults |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data note | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| Slices for section |
C | 2..* | See section (Composition) | 嵌套的小節 Slice: Unordered, Open by profile:entry.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| section:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
0..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| author |
0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| Slices for section |
Content/Rules for all slices | |||||||
| section:observation |
C | 1..* | BackboneElement | 嵌套的小節 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 19146-0 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Referral lab test results | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(檢驗檢查(Observation TWCM)) | A reference to data that supports this section | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:servicerequest |
C | 1..* | BackboneElement | 嵌套的小節 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 77597-3 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Orders placed Document | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(服務請求(ServiceRequest TWCM)) | A reference to data that supports this section | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:diagnosticreport |
C | 0..* | BackboneElement | 嵌套的小節 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 50398-7 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Narrative diagnostic report [Interpretation] | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(診斷報告(DiagnosticReport TWCM)) | A reference to data that supports this section | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:bloodtype |
C | 0..1 | BackboneElement | 嵌套的小節 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 883-9 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: ABO group [Type] in Blood | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(血型(ObservationBloodtype TWCM)) | A reference to data that supports this section | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:DocumentReference |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 75310-3 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Health concerns Document | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 1..1 | Reference(文件參照(DocumentReference TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| section:FamilyMemberHistory |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10157-6 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: History of family member diseases note | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 1..* | Reference(家族史(FamilyMemberHistory TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| section:SocialHistory |
C | 0..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Social history note | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..1 | Reference(個人史(ObservationSocialHistory TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| Slices for section |
C | 0..* | See section (Composition) | 嵌套的小節 Slice: Unordered, Open by profile:entry.resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| section:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
0..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| author |
0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| entry |
C | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| Slices for section |
Content/Rules for all slices | |||||||
| section:occupation |
C | 0..1 | BackboneElement | 嵌套的小節 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11341-5 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: History of Occupation | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(職業(ObservationOccupation TWCM)) | A reference to data that supports this section | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:educationlevel |
C | 0..1 | BackboneElement | 嵌套的小節 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 82589-3 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Highest level of education | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
C | 0..* | Reference(教育程度(ObservationEducationLevel TWCM)) | A reference to data that supports this section | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:Objective |
C | 1..1 | BackboneElement | Composition被分成一個或數個小節 Constraints: cmp-1, cmp-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| title |
1..1 | string | 小節標籤(例如：目錄ToC) | |||||
| code |
1..1 | CodeableConceptTW |
小節分類(建議) Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 61149-1 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Objective Narrative | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
| focus |
0..1 | Reference(Resource) | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | |||||
| text |
C | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | ||||
| mode |
0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| orderedBy |
0..1 | CodeableConceptTW |
小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| Slices for entry |
C | 1..5 | Reference(中醫辨證評估(ClinicalImpression TWCM) | 望診(ObservationInspection TWCM) | 聞診(ObservationListeningSmelling TWCM) | 問診(ObservationInquiry TWCM) | 切診(ObservationPalpation TWCM)) | 提供一個連結用於參照或查看支持此小節內容的資料 Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| entry:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| Slices for entry |
Content/Rules for all slices | |||||||
| entry:clinicalImpression |
C | 1..1 | Reference(中醫辨證評估(ClinicalImpression TWCM)) | 中醫辨證評估（含望聞問切客觀描述） | ||||
| entry:inspection |
C | 0..1 | Reference(望診(ObservationInspection TWCM)) | 望診 | ||||
| entry:listeningSmelling |
C | 0..1 | Reference(聞診(ObservationListeningSmelling TWCM)) | 聞診 | ||||
| entry:inquiry |
C | 0..1 | Reference(問診(ObservationInquiry TWCM)) | 問診 | ||||
| entry:palpation |
C | 0..1 | Reference(切診(ObservationPalpation TWCM)) | 切診 | ||||
| emptyReason |
0..1 | CodeableConceptTW |
為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 | |||||
| section |
C | 0..* | See section (Composition) | 嵌套的小節 | ||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std. |
| Composition.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| Composition.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Composition.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Composition.identifier.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | extensible | LOINC Code Document Type值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.category | Base | extensible | LOINC Document Class值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.encounter.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.author.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std. |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std. |
| Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.4 |
| Composition.section.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:PatientInformation.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:PatientInformation.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:PatientInformation.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:PatientInformation.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:PatientInformation.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:AllergyIntolerance.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:AllergyIntolerance.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:AllergyIntolerance.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:AllergyIntolerance.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:AllergyIntolerance.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:MedicalHistory.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:MedicalHistory.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:MedicalHistory.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:MedicalHistory.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:MedicalHistory.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:ConditionMajorIllness.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ConditionMajorIllness.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionMajorIllness.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:ConditionMajorIllness.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionMajorIllness.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:ConditionMajorIllness.section.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionMajorIllness.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionMajorIllness.section.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionMajorIllness.section.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionMajorIllness.section.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:Medication.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:Medication.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:Medication.section.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:Medication.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.section.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:Medication.section.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:Medication.section:medication.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.section:medication.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.section:medication.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.section:medication.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.section:medication.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.section:medicationrequest.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.section:medicationrequest.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.section:medicationrequest.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.section:medicationrequest.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:Medication.section:medicationrequest.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ConditionDiagnosis.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ConditionDiagnosis.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section:conditiondiagnosis.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section:conditiondiagnosis.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section:conditiondiagnosis.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section:conditiondiagnosis.entry:conditiondiagnosis.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section:conditiondiagnosis.entry:conditionsyndrometype.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section:conditiondiagnosis.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section:practitioner.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section:practitioner.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section:practitioner.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section:practitioner.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionDiagnosis.section:practitioner.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:PhysicalFindings.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:PhysicalFindings.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:PhysicalFindings.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:PhysicalFindings.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:PhysicalFindings.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:PlanOfCare.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:PlanOfCare.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:PlanOfCare.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:PlanOfCare.entry:careplan.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:PlanOfCare.entry:proceduretherapeuticprinciples.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:PlanOfCare.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:ConditionChiefComplaint.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ConditionChiefComplaint.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionChiefComplaint.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:ConditionChiefComplaint.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:ConditionChiefComplaint.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:PresentIllness.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:PresentIllness.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:PresentIllness.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:PresentIllness.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:PresentIllness.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:ObservationVitalSign.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ObservationVitalSign.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationVitalSign.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:ObservationVitalSign.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationVitalSign.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:Procedure.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:Procedure.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:Procedure.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:Procedure.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:Procedure.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ObservationLabResults.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:ObservationLabResults.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:observation.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:observation.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:observation.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:observation.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:observation.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:servicerequest.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:servicerequest.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:servicerequest.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:servicerequest.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:servicerequest.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:diagnosticreport.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:diagnosticreport.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:diagnosticreport.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:diagnosticreport.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:diagnosticreport.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:bloodtype.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:bloodtype.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:bloodtype.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:bloodtype.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:ObservationLabResults.section:bloodtype.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:DocumentReference.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:DocumentReference.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:DocumentReference.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:DocumentReference.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:DocumentReference.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:FamilyMemberHistory.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:FamilyMemberHistory.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:FamilyMemberHistory.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:FamilyMemberHistory.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:FamilyMemberHistory.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:SocialHistory.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:SocialHistory.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section:occupation.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section:occupation.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section:occupation.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section:occupation.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section:occupation.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section:educationlevel.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section:educationlevel.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section:educationlevel.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section:educationlevel.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:SocialHistory.section:educationlevel.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:Objective.code | Base | extensible | LOINC Code Document Section值集 | 📦2.77 | 臺灣核心實作指引 v0.3 |
| Composition.section:Objective.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:Objective.orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std. |
| Composition.section:Objective.entry.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Composition.section:Objective.emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| majorIllness-condition-twcm | error | Composition | 若重大傷病註記為「是」，則重大傷病代碼與病名必填 |
(Composition.section.where(code.coding.code.all($this = '11338-1')).entry.resolve().where(($this is Observation) and (code.coding.code.all($this = '11338-1')) and (value.ofType(boolean) = true)).exists()) implies (Composition.section.where(code.coding.code.all($this = '11338-1')).section.where(code.coding.code.all($this = '11338-1')).entry.resolve().where($this is Condition).exists())
|
This structure is derived from TWCoreComposition
Summary
Mandatory: 50 elements(46 nested mandatory elements)
Must-Support: 24 elements
Fixed: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron