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

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: 病史(ConditionMedicalHistory TWCM)

此病史(ConditionMedicalHistory TWCM)Profile說明本IG如何進一步定義臺灣核心-病情、問題或診斷(TW Core Condition)Profile以呈現中醫門診單之過去病史、現病史、小兒病史、產科史、月經史及男科史的詳細資料。過去病史與現病史以category之LOINC代碼區分(過去病史：11348-0；現病史：10164-2)，現病史指目前仍在進行中且已有診斷之疾病，其clinicalStatus應為active；小兒病史、產科史、月經史及男科史另以中醫病史分類標示，未標示病史分類者為一般過去病史或現病史。發生時期(如兒童時期、懷孕期間)可記錄於onsetString。

Usages:

• Use this Profile: 中醫-資料交換基本單位(Bundle TWCM)
• Refer to this Profile: 中醫-臨床文件架構(Composition TWCM)
• Examples for this Profile: Condition/ConditionMedicalHistoryTWCM-menstrual, Condition/ConditionMedicalHistoryTWCM-min, Condition/ConditionMedicalHistoryTWCM-obstetric, Condition/ConditionMedicalHistoryTWCM-pediatric and Condition/ConditionMedicalHistoryTWCM-present
• CapabilityStatements using this Profile: 臺灣中醫實作指引-用戶端(TWCM Client) and 臺灣中醫實作指引-伺服端(TWCM Server)

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	TWCoreCondition	有關病情、問題或診斷的詳細資訊 Constraints: con-3, con-4, con-5, medicalhistory-present-active, medicalhistory-menstrual-vs, medicalhistory-obstetric-vs, medicalhistory-male-vs
Condition.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
Condition.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Condition.clinicalStatus	S This element must be supported.	1..1	CodeableConceptTW	[現病史應填入active] Binding: ConditionClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。
Condition.verificationStatus	S This element must be supported.	0..1	CodeableConceptTW	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error ，支持或拒絕病情、問題或診斷的臨床狀態的驗證狀態。 Binding: ConditionVerificationStatus (required): 應填入所綁定值集中的其中一個代碼。
Condition.category	S This element must be supported.	1..1	CodeableConceptTW	problem-list-item | encounter-diagnosis ，指定病情、問題或診斷的類別。 Binding: ConditionCategoryCodes (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。
Condition.category.Slices for coding	S This element must be supported.	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.category.Slices for coding.coding:recordType	S This element must be supported.	1..1	CodingTW	[應填入病史紀錄類型：過去病史(11348-0)或現病史(10164-2)] Binding: 病史紀錄類型值集 (required)
Condition.category.Slices for coding.coding:recordType.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	專門術語系統（terminology system）的識別 Fixed Value: http://loinc.org (no extensions allowed)
Condition.category.Slices for coding.coding:recordType.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	系統定義的語法之符號
Condition.category.Slices for coding.coding:recordType.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	由系統定義的表示法
Condition.category.Slices for coding.coding:historyType	S This element must be supported.	0..1	CodingTW	[應填入病史分類：小兒病史、產科史、月經史或男科史；一般過去病史或現病史不填] Binding: 中醫病史分類值集 (required)
Condition.category.Slices for coding.coding:historyType.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	專門術語系統（terminology system）的識別 Fixed Value: https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category (no extensions allowed)
Condition.category.Slices for coding.coding:historyType.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	系統定義的語法之符號
Condition.category.Slices for coding.coding:historyType.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	由系統定義的表示法
Condition.category.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字表示法
Condition.severity	S This element must be supported.	0..1	CodeableConceptTW	病情、問題或診斷的主觀嚴重程度 Binding: Condition/DiagnosisSeverity (extensible): 臨床醫生對病情、問題或診斷嚴重程度的主觀評價；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。
Condition.code	S This element must be supported.	1..1	CodeableConceptTW	病情、問題或診斷的識別。[應填入中醫門診單之過去病史History、現病史Present Illness、小兒病史、產科史Obstetric History、月經史Menstrual History或男科史] Binding: 病史臨床表現值集 (extensible)
Condition.code.Slices for coding	S This element must be supported.	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Slice: Unordered, Open by pattern:$this
Condition.code.Slices for coding.coding:icd10-cm-2023	S This element must be supported.	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (required)
Condition.code.Slices for coding.coding:icd10-cm-2021	S This element must be supported.	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署維護之2021年中文版ICD-10-CM代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
Condition.code.Slices for coding.coding:icd10-cm-2014	S This element must be supported.	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署維護之2014年中文版ICD-10-CM代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2014年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
Condition.code.Slices for coding.coding:icd9-cm-2001	S This element must be supported.	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2001年中文版ICD-9-CM值集 (required)
Condition.code.Slices for coding.coding:absentOrUnknownProblem	S This element must be supported.	0..1	CodingTW	不存在的問題或未知問題的代碼 Binding: Absent or Unknown Problems - IPS (required): 應填入所綁定值集中的其中一個代碼。
Condition.code.Slices for coding.coding:sct	S This element must be supported.	0..1	CodingTW	此為SNOMED CT診斷代碼，若機構已有購買相關授權，亦可使用。 Binding: SNOMED CT診斷代碼值集 (required): 應填入所綁定值集中的其中一個代碼。
Condition.code.Slices for coding.coding:twcmClinicalFinding	S This element must be supported. Σ This element is included in summaries.	0..*	Coding	[可填入本IG中醫臨床表現代碼(月經史、產科史及男科史之臨床表現詞彙)；月經史應使用月經史值集、產科史應使用產科史值集、男科史應使用問男性值集；無法對應代碼時不填coding，僅填code.text即可] Binding: 病史中醫臨床表現值集 (required) Required Pattern: { "system" : "https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-clinicalfinding" }
Condition.code.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字表示法
Condition.bodySite	S This element must be supported.	0..*	CodeableConceptTW	如果相關請填寫解剖位置 Binding: SNOMEDCTBodyStructures (extensible): 描述解剖位置的代碼。可包括側面；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。
Condition.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資料(Patient TWCM))	誰有此病情、問題或診斷？
Condition.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(就醫事件(Encounter TWCM))	作為病情、問題或診斷紀錄的一部分的就醫（Encounter）紀錄
Condition.Slices for onset[x]	S This element must be supported. Σ This element is included in summaries.	0..1		估計的或實際的日期、日期—時間或年齡。 Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Condition.Slices for onset[x].onsetDateTime			dateTime S This target must be supported.
Condition.Slices for onset[x].onsetAge			Age
Condition.Slices for onset[x].onsetPeriod			Period
Condition.Slices for onset[x].onsetRange			Range
Condition.Slices for onset[x].onsetString			string
Condition.Slices for onset[x].onset[x]:onsetString	S This element must be supported. Σ This element is included in summaries.	0..1	string	[可填入病史發生時期，如兒童時期、懷孕期間、產後；已知確切年齡時可改用onsetAge]
Condition.abatement[x]	S This element must be supported. C	0..1		何時解決/緩解
Condition.abatement[x].abatementDateTime			dateTime S This target must be supported.
Condition.abatement[x].abatementAge			Age
Condition.abatement[x].abatementPeriod			Period
Condition.abatement[x].abatementRange			Range
Condition.abatement[x].abatementString			string
Condition.recorder	Σ This element is included in summaries.	0..1	Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 病人資料(Patient TWCM) | TW Core RelatedPerson)	誰記錄此病情、問題或診斷
Condition.asserter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 病人資料(Patient TWCM) | TW Core RelatedPerson)	聲稱有此病情、問題或診斷的人
Condition.note	S This element must be supported.	0..*	Annotation	關於此Condition的附加資訊
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📍4.0.1	FHIR Std.
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📍4.0.1	FHIR Std.
Condition.category	Base	extensible	Condition Category Codes	📦4.0.1	FHIR Std.
Condition.category.coding:recordType	Base	required	病史紀錄類型值集	📦0.1.0	This IG
Condition.category.coding:historyType	Base	required	中醫病史分類值集	📦0.1.0	This IG
Condition.severity	Base	extensible	Condition/Diagnosis Severity	📦4.0.1	FHIR Std.
Condition.code	Base	extensible	病史臨床表現值集	📦0.1.0	This IG
Condition.code.coding:icd10-cm-2023	Base	required	臺灣健保署2023年中文版ICD-10-CM值集	📦2024-11-18	臺灣核心實作指引 v0.3
Condition.code.coding:icd10-cm-2021	Base	required	臺灣健保署2021年中文版ICD-10-CM值集	📦2022-07-29	臺灣核心實作指引 v0.3
Condition.code.coding:icd10-cm-2014	Base	required	臺灣健保署2014年中文版ICD-10-CM值集	📦2017-07-19	臺灣核心實作指引 v0.3
Condition.code.coding:icd9-cm-2001	Base	required	臺灣健保署2001年中文版ICD-9-CM值集	📦2023-05-09	臺灣核心實作指引 v0.3
Condition.code.coding:absentOrUnknownProblem	Base	required	Absent or Unknown Problems - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1
Condition.code.coding:sct	Base	required	SNOMED CT診斷代碼值集	📦2022-07-31	臺灣核心實作指引 v0.3
Condition.code.coding:twcmClinicalFinding	Base	required	病史中醫臨床表現值集	📦0.1.0	This IG
Condition.bodySite	Base	extensible	SNOMED CT Body Structures	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
medicalhistory-male-vs	error	Condition	男科史之中醫臨床表現代碼應取自問男性值集	category.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category' and code = '男科史').exists() implies code.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-clinicalfinding').all(memberOf('https://hitstdio.ntunhs.edu.tw/twcm/ValueSet/twcm-inquiry-male'))
medicalhistory-menstrual-vs	error	Condition	月經史之中醫臨床表現代碼應取自月經史值集	category.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category' and code = '月經史').exists() implies code.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-clinicalfinding').all(memberOf('https://hitstdio.ntunhs.edu.tw/twcm/ValueSet/twcm-menstrualhistory'))
medicalhistory-obstetric-vs	error	Condition	產科史之中醫臨床表現代碼應取自產科史值集	category.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category' and code = '產科史').exists() implies code.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-clinicalfinding').all(memberOf('https://hitstdio.ntunhs.edu.tw/twcm/ValueSet/twcm-obstetrichistory'))
medicalhistory-present-active	error	Condition	現病史(category為LOINC 10164-2)之clinicalStatus應為active	category.coding.where(system = 'http://loinc.org' and code = '10164-2').exists() implies clinicalStatus.coding.where(code = 'active').exists()

This structure is derived from TWCoreCondition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	TWCoreCondition	有關病情、問題或診斷的詳細資訊 Constraints: medicalhistory-present-active, medicalhistory-menstrual-vs, medicalhistory-obstetric-vs, medicalhistory-male-vs
Condition.clinicalStatus		1..1	CodeableConceptTW	[現病史應填入active]
Condition.category
Condition.category.Slices for coding		1..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.category.Slices for coding.coding:recordType	S This element must be supported.	1..1	CodingTW	[應填入病史紀錄類型：過去病史(11348-0)或現病史(10164-2)] Binding: 病史紀錄類型值集 (required)
Condition.category.Slices for coding.coding:recordType.system		1..1	uri	專門術語系統（terminology system）的識別 Fixed Value: http://loinc.org (no extensions allowed)
Condition.category.Slices for coding.coding:recordType.code		1..1	code	系統定義的語法之符號
Condition.category.Slices for coding.coding:historyType	S This element must be supported.	0..1	CodingTW	[應填入病史分類：小兒病史、產科史、月經史或男科史；一般過去病史或現病史不填] Binding: 中醫病史分類值集 (required)
Condition.category.Slices for coding.coding:historyType.system		1..1	uri	專門術語系統（terminology system）的識別 Fixed Value: https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category (no extensions allowed)
Condition.category.Slices for coding.coding:historyType.code		1..1	code	系統定義的語法之符號
Condition.code		1..1	CodeableConceptTW	病情、問題或診斷的識別。[應填入中醫門診單之過去病史History、現病史Present Illness、小兒病史、產科史Obstetric History、月經史Menstrual History或男科史] Binding: 病史臨床表現值集 (extensible)
Condition.code.Slices for coding				Content/Rules for all slices
Condition.code.Slices for coding.coding:twcmClinicalFinding	S This element must be supported.	0..*	Coding	[可填入本IG中醫臨床表現代碼(月經史、產科史及男科史之臨床表現詞彙)；月經史應使用月經史值集、產科史應使用產科史值集、男科史應使用問男性值集；無法對應代碼時不填coding，僅填code.text即可] Binding: 病史中醫臨床表現值集 (required) Required Pattern: { "system" : "https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-clinicalfinding" }
Condition.subject		1..1	Reference(病人資料(Patient TWCM))	誰有此病情、問題或診斷？
Condition.encounter	S This element must be supported.	0..1	Reference(就醫事件(Encounter TWCM))	作為病情、問題或診斷紀錄的一部分的就醫（Encounter）紀錄
Condition.Slices for onset[x]		0..1	dateTime, Age, Period, Range, string	估計的或實際的日期、日期—時間或年齡。 Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Condition.Slices for onset[x].onset[x]:onsetString		0..1	string	[可填入病史發生時期，如兒童時期、懷孕期間、產後；已知確切年齡時可改用onsetAge]
Condition.recorder		0..1	Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 病人資料(Patient TWCM) | TW Core RelatedPerson)	誰記錄此病情、問題或診斷
Condition.asserter		0..1	Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 病人資料(Patient TWCM) | TW Core RelatedPerson)	聲稱有此病情、問題或診斷的人
Condition.stage
Condition.stage.assessment		0..*	Reference(ClinicalImpression | 診斷報告(DiagnosticReport TWCM) | 檢驗檢查(Observation TWCM) | TW Core Observation Vital Signs)	正式的評估記錄
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Condition.category.coding:recordType	Base	required	病史紀錄類型值集	📦0.1.0	This IG
Condition.category.coding:historyType	Base	required	中醫病史分類值集	📦0.1.0	This IG
Condition.code	Base	extensible	病史臨床表現值集	📦0.1.0	This IG
Condition.code.coding:twcmClinicalFinding	Base	required	病史中醫臨床表現值集	📦0.1.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
medicalhistory-male-vs	error	Condition	男科史之中醫臨床表現代碼應取自問男性值集	category.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category' and code = '男科史').exists() implies code.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-clinicalfinding').all(memberOf('https://hitstdio.ntunhs.edu.tw/twcm/ValueSet/twcm-inquiry-male'))
medicalhistory-menstrual-vs	error	Condition	月經史之中醫臨床表現代碼應取自月經史值集	category.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category' and code = '月經史').exists() implies code.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-clinicalfinding').all(memberOf('https://hitstdio.ntunhs.edu.tw/twcm/ValueSet/twcm-menstrualhistory'))
medicalhistory-obstetric-vs	error	Condition	產科史之中醫臨床表現代碼應取自產科史值集	category.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category' and code = '產科史').exists() implies code.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-clinicalfinding').all(memberOf('https://hitstdio.ntunhs.edu.tw/twcm/ValueSet/twcm-obstetrichistory'))
medicalhistory-present-active	error	Condition	現病史(category為LOINC 10164-2)之clinicalStatus應為active	category.coding.where(system = 'http://loinc.org' and code = '10164-2').exists() implies clinicalStatus.coding.where(code = 'active').exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	TWCoreCondition	有關病情、問題或診斷的詳細資訊 Constraints: con-3, con-4, con-5, medicalhistory-present-active, medicalhistory-menstrual-vs, medicalhistory-obstetric-vs, medicalhistory-male-vs
Condition.id	Σ This element is included in summaries.	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的Condition紀錄，通常又稱為邏輯性ID。
Condition.meta	Σ This element is included in summaries.	0..1	Meta	此Condition Resource的metadata
Condition.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
Condition.language		0..1	code	用以表述Condition Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
Condition.text		0..1	Narrative	Condition 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
Condition.contained		0..*	Resource	Contained, inline Resources
Condition.extension		0..*	Extension	Additional content defined by implementations
Condition.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Condition.identifier	Σ This element is included in summaries.	0..*	Identifier	此病情、問題或診斷的外部識別碼
Condition.clinicalStatus	S This element must be supported.	1..1	CodeableConceptTW	[現病史應填入active] Binding: ConditionClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。
Condition.verificationStatus	S This element must be supported.	0..1	CodeableConceptTW	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error ，支持或拒絕病情、問題或診斷的臨床狀態的驗證狀態。 Binding: ConditionVerificationStatus (required): 應填入所綁定值集中的其中一個代碼。
Condition.category	S This element must be supported.	1..1	CodeableConceptTW	problem-list-item | encounter-diagnosis ，指定病情、問題或診斷的類別。 Binding: ConditionCategoryCodes (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。
Condition.category.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
Condition.category.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Condition.category.Slices for coding	S This element must be supported.	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.category.Slices for coding.coding:recordType	S This element must be supported.	1..1	CodingTW	[應填入病史紀錄類型：過去病史(11348-0)或現病史(10164-2)] Binding: 病史紀錄類型值集 (required)
Condition.category.Slices for coding.coding:recordType.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
Condition.category.Slices for coding.coding:recordType.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Condition.category.Slices for coding.coding:recordType.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	專門術語系統（terminology system）的識別 Fixed Value: http://loinc.org (no extensions allowed)
Condition.category.Slices for coding.coding:recordType.version	Σ This element is included in summaries.	0..1	string	系統的版本—如果相關的話
Condition.category.Slices for coding.coding:recordType.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	系統定義的語法之符號
Condition.category.Slices for coding.coding:recordType.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	由系統定義的表示法
Condition.category.Slices for coding.coding:recordType.userSelected	Σ This element is included in summaries.	0..1	boolean	此編碼是否由使用者直接選擇？
Condition.category.Slices for coding.coding:historyType	S This element must be supported.	0..1	CodingTW	[應填入病史分類：小兒病史、產科史、月經史或男科史；一般過去病史或現病史不填] Binding: 中醫病史分類值集 (required)
Condition.category.Slices for coding.coding:historyType.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
Condition.category.Slices for coding.coding:historyType.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Condition.category.Slices for coding.coding:historyType.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	專門術語系統（terminology system）的識別 Fixed Value: https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category (no extensions allowed)
Condition.category.Slices for coding.coding:historyType.version	Σ This element is included in summaries.	0..1	string	系統的版本—如果相關的話
Condition.category.Slices for coding.coding:historyType.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	系統定義的語法之符號
Condition.category.Slices for coding.coding:historyType.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	由系統定義的表示法
Condition.category.Slices for coding.coding:historyType.userSelected	Σ This element is included in summaries.	0..1	boolean	此編碼是否由使用者直接選擇？
Condition.category.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字表示法
Condition.severity	S This element must be supported.	0..1	CodeableConceptTW	病情、問題或診斷的主觀嚴重程度 Binding: Condition/DiagnosisSeverity (extensible): 臨床醫生對病情、問題或診斷嚴重程度的主觀評價；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。
Condition.code	S This element must be supported.	1..1	CodeableConceptTW	病情、問題或診斷的識別。[應填入中醫門診單之過去病史History、現病史Present Illness、小兒病史、產科史Obstetric History、月經史Menstrual History或男科史] Binding: 病史臨床表現值集 (extensible)
Condition.code.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
Condition.code.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Condition.code.Slices for coding	S This element must be supported.	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Slice: Unordered, Open by pattern:$this
Condition.code.Slices for coding.coding:icd10-cm-2023	S This element must be supported.	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (required)
Condition.code.Slices for coding.coding:icd10-cm-2021	S This element must be supported.	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署維護之2021年中文版ICD-10-CM代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
Condition.code.Slices for coding.coding:icd10-cm-2014	S This element must be supported.	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署維護之2014年中文版ICD-10-CM代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2014年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
Condition.code.Slices for coding.coding:icd9-cm-2001	S This element must be supported.	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2001年中文版ICD-9-CM值集 (required)
Condition.code.Slices for coding.coding:absentOrUnknownProblem	S This element must be supported.	0..1	CodingTW	不存在的問題或未知問題的代碼 Binding: Absent or Unknown Problems - IPS (required): 應填入所綁定值集中的其中一個代碼。
Condition.code.Slices for coding.coding:sct	S This element must be supported.	0..1	CodingTW	此為SNOMED CT診斷代碼，若機構已有購買相關授權，亦可使用。 Binding: SNOMED CT診斷代碼值集 (required): 應填入所綁定值集中的其中一個代碼。
Condition.code.Slices for coding.coding:twcmClinicalFinding	S This element must be supported. Σ This element is included in summaries.	0..*	Coding	[可填入本IG中醫臨床表現代碼(月經史、產科史及男科史之臨床表現詞彙)；月經史應使用月經史值集、產科史應使用產科史值集、男科史應使用問男性值集；無法對應代碼時不填coding，僅填code.text即可] Binding: 病史中醫臨床表現值集 (required) Required Pattern: { "system" : "https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-clinicalfinding" }
Condition.code.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字表示法
Condition.bodySite	S This element must be supported.	0..*	CodeableConceptTW	如果相關請填寫解剖位置 Binding: SNOMEDCTBodyStructures (extensible): 描述解剖位置的代碼。可包括側面；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。
Condition.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資料(Patient TWCM))	誰有此病情、問題或診斷？
Condition.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(就醫事件(Encounter TWCM))	作為病情、問題或診斷紀錄的一部分的就醫（Encounter）紀錄
Condition.Slices for onset[x]	S This element must be supported. Σ This element is included in summaries.	0..1		估計的或實際的日期、日期—時間或年齡。 Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Condition.Slices for onset[x].onsetDateTime			dateTime S This target must be supported.
Condition.Slices for onset[x].onsetAge			Age
Condition.Slices for onset[x].onsetPeriod			Period
Condition.Slices for onset[x].onsetRange			Range
Condition.Slices for onset[x].onsetString			string
Condition.Slices for onset[x].onset[x]:onsetString	S This element must be supported. Σ This element is included in summaries.	0..1	string	[可填入病史發生時期，如兒童時期、懷孕期間、產後；已知確切年齡時可改用onsetAge]
Condition.abatement[x]	S This element must be supported. C	0..1		何時解決/緩解
Condition.abatement[x].abatementDateTime			dateTime S This target must be supported.
Condition.abatement[x].abatementAge			Age
Condition.abatement[x].abatementPeriod			Period
Condition.abatement[x].abatementRange			Range
Condition.abatement[x].abatementString			string
Condition.recordedDate	Σ This element is included in summaries.	0..1	dateTime	記錄的日期
Condition.recorder	Σ This element is included in summaries.	0..1	Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 病人資料(Patient TWCM) | TW Core RelatedPerson)	誰記錄此病情、問題或診斷
Condition.asserter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 病人資料(Patient TWCM) | TW Core RelatedPerson)	聲稱有此病情、問題或診斷的人
Condition.stage	C	0..*	BackboneElement	分期（stage）／分級（grade），通常是正式的評估。 Constraints: con-1
Condition.stage.id		0..1	string	Unique id for inter-element referencing
Condition.stage.extension		0..*	Extension	Additional content defined by implementations
Condition.stage.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Condition.stage.summary		0..1	CodeableConceptTW	簡單的摘要（特定疾病）。 Binding: ConditionStage (extensible): 描述病情、問題或診斷分期的代碼（例如：癌症分期）。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。
Condition.stage.assessment	C	0..*	Reference(ClinicalImpression | 診斷報告(DiagnosticReport TWCM) | 檢驗檢查(Observation TWCM) | TW Core Observation Vital Signs)	正式的評估記錄
Condition.stage.type		0..1	CodeableConceptTW	分期的種類 Binding: ConditionStageType (extensible): 病情、問題或診斷分期種類的代碼（如臨床或病理）；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。
Condition.evidence	C	0..*	BackboneElement	支持的證據 Constraints: con-2
Condition.evidence.id		0..1	string	Unique id for inter-element referencing
Condition.evidence.extension		0..*	Extension	Additional content defined by implementations
Condition.evidence.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Condition.evidence.code		0..*	CodeableConceptTW	表現／症狀 Binding: ManifestationAndSymptomCodes (extensible): 病情、問題或診斷的表現或症狀之代碼；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Condition.evidence.detail	Σ This element is included in summaries. C	0..*	Reference(Resource)	在其他地方找到的支持資訊
Condition.note	S This element must be supported.	0..*	Annotation	關於此Condition的附加資訊
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📍4.0.1	FHIR Std.
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📍4.0.1	FHIR Std.
Condition.category	Base	extensible	Condition Category Codes	📦4.0.1	FHIR Std.
Condition.category.coding:recordType	Base	required	病史紀錄類型值集	📦0.1.0	This IG
Condition.category.coding:historyType	Base	required	中醫病史分類值集	📦0.1.0	This IG
Condition.severity	Base	extensible	Condition/Diagnosis Severity	📦4.0.1	FHIR Std.
Condition.code	Base	extensible	病史臨床表現值集	📦0.1.0	This IG
Condition.code.coding:icd10-cm-2023	Base	required	臺灣健保署2023年中文版ICD-10-CM值集	📦2024-11-18	臺灣核心實作指引 v0.3
Condition.code.coding:icd10-cm-2021	Base	required	臺灣健保署2021年中文版ICD-10-CM值集	📦2022-07-29	臺灣核心實作指引 v0.3
Condition.code.coding:icd10-cm-2014	Base	required	臺灣健保署2014年中文版ICD-10-CM值集	📦2017-07-19	臺灣核心實作指引 v0.3
Condition.code.coding:icd9-cm-2001	Base	required	臺灣健保署2001年中文版ICD-9-CM值集	📦2023-05-09	臺灣核心實作指引 v0.3
Condition.code.coding:absentOrUnknownProblem	Base	required	Absent or Unknown Problems - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1
Condition.code.coding:sct	Base	required	SNOMED CT診斷代碼值集	📦2022-07-31	臺灣核心實作指引 v0.3
Condition.code.coding:twcmClinicalFinding	Base	required	病史中醫臨床表現值集	📦0.1.0	This IG
Condition.bodySite	Base	extensible	SNOMED CT Body Structures	📦4.0.1	FHIR Std.
Condition.stage.summary	Base	extensible	Condition Stage	📦4.0.1	FHIR Std.
Condition.stage.type	Base	extensible	Condition Stage Type	📦4.0.1	FHIR Std.
Condition.evidence.code	Base	extensible	Manifestation and Symptom Codes	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
medicalhistory-male-vs	error	Condition	男科史之中醫臨床表現代碼應取自問男性值集	category.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category' and code = '男科史').exists() implies code.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-clinicalfinding').all(memberOf('https://hitstdio.ntunhs.edu.tw/twcm/ValueSet/twcm-inquiry-male'))
medicalhistory-menstrual-vs	error	Condition	月經史之中醫臨床表現代碼應取自月經史值集	category.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category' and code = '月經史').exists() implies code.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-clinicalfinding').all(memberOf('https://hitstdio.ntunhs.edu.tw/twcm/ValueSet/twcm-menstrualhistory'))
medicalhistory-obstetric-vs	error	Condition	產科史之中醫臨床表現代碼應取自產科史值集	category.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category' and code = '產科史').exists() implies code.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-clinicalfinding').all(memberOf('https://hitstdio.ntunhs.edu.tw/twcm/ValueSet/twcm-obstetrichistory'))
medicalhistory-present-active	error	Condition	現病史(category為LOINC 10164-2)之clinicalStatus應為active	category.coding.where(system = 'http://loinc.org' and code = '10164-2').exists() implies clinicalStatus.coding.where(code = 'active').exists()

This structure is derived from TWCoreCondition

Summary

Mandatory: 5 elements(2 nested mandatory elements)
Must-Support: 4 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

• 病人資料(Patient TWCM) (https://hitstdio.ntunhs.edu.tw/twcm/StructureDefinition/patient-twcm)
• 就醫事件(Encounter TWCM) (https://hitstdio.ntunhs.edu.tw/twcm/StructureDefinition/encounter-twcm)
• 健康照護服務提供人員資料(Practitioner TWCM) (https://hitstdio.ntunhs.edu.tw/twcm/StructureDefinition/practitioner-twcm)
• TW Core PractitionerRole (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore)
• TW Core RelatedPerson (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore)
• 診斷報告(DiagnosticReport TWCM) (https://hitstdio.ntunhs.edu.tw/twcm/StructureDefinition/diagnosticreport-twcm)
• 檢驗檢查(Observation TWCM) (https://hitstdio.ntunhs.edu.tw/twcm/StructureDefinition/observation-twcm)
• TW Core Observation Vital Signs (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-vitalSigns-twcore)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.category.coding
• The element 1 is sliced based on the value of Condition.onset[x]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	TWCoreCondition	有關病情、問題或診斷的詳細資訊 Constraints: con-3, con-4, con-5, medicalhistory-present-active, medicalhistory-menstrual-vs, medicalhistory-obstetric-vs, medicalhistory-male-vs
Condition.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
Condition.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Condition.clinicalStatus	S This element must be supported.	1..1	CodeableConceptTW	[現病史應填入active] Binding: ConditionClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。
Condition.verificationStatus	S This element must be supported.	0..1	CodeableConceptTW	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error ，支持或拒絕病情、問題或診斷的臨床狀態的驗證狀態。 Binding: ConditionVerificationStatus (required): 應填入所綁定值集中的其中一個代碼。
Condition.category	S This element must be supported.	1..1	CodeableConceptTW	problem-list-item | encounter-diagnosis ，指定病情、問題或診斷的類別。 Binding: ConditionCategoryCodes (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。
Condition.category.Slices for coding	S This element must be supported.	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.category.Slices for coding.coding:recordType	S This element must be supported.	1..1	CodingTW	[應填入病史紀錄類型：過去病史(11348-0)或現病史(10164-2)] Binding: 病史紀錄類型值集 (required)
Condition.category.Slices for coding.coding:recordType.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	專門術語系統（terminology system）的識別 Fixed Value: http://loinc.org (no extensions allowed)
Condition.category.Slices for coding.coding:recordType.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	系統定義的語法之符號
Condition.category.Slices for coding.coding:recordType.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	由系統定義的表示法
Condition.category.Slices for coding.coding:historyType	S This element must be supported.	0..1	CodingTW	[應填入病史分類：小兒病史、產科史、月經史或男科史；一般過去病史或現病史不填] Binding: 中醫病史分類值集 (required)
Condition.category.Slices for coding.coding:historyType.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	專門術語系統（terminology system）的識別 Fixed Value: https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category (no extensions allowed)
Condition.category.Slices for coding.coding:historyType.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	系統定義的語法之符號
Condition.category.Slices for coding.coding:historyType.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	由系統定義的表示法
Condition.category.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字表示法
Condition.severity	S This element must be supported.	0..1	CodeableConceptTW	病情、問題或診斷的主觀嚴重程度 Binding: Condition/DiagnosisSeverity (extensible): 臨床醫生對病情、問題或診斷嚴重程度的主觀評價；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。
Condition.code	S This element must be supported.	1..1	CodeableConceptTW	病情、問題或診斷的識別。[應填入中醫門診單之過去病史History、現病史Present Illness、小兒病史、產科史Obstetric History、月經史Menstrual History或男科史] Binding: 病史臨床表現值集 (extensible)
Condition.code.Slices for coding	S This element must be supported.	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Slice: Unordered, Open by pattern:$this
Condition.code.Slices for coding.coding:icd10-cm-2023	S This element must be supported.	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (required)
Condition.code.Slices for coding.coding:icd10-cm-2021	S This element must be supported.	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署維護之2021年中文版ICD-10-CM代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
Condition.code.Slices for coding.coding:icd10-cm-2014	S This element must be supported.	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署維護之2014年中文版ICD-10-CM代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2014年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
Condition.code.Slices for coding.coding:icd9-cm-2001	S This element must be supported.	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2001年中文版ICD-9-CM值集 (required)
Condition.code.Slices for coding.coding:absentOrUnknownProblem	S This element must be supported.	0..1	CodingTW	不存在的問題或未知問題的代碼 Binding: Absent or Unknown Problems - IPS (required): 應填入所綁定值集中的其中一個代碼。
Condition.code.Slices for coding.coding:sct	S This element must be supported.	0..1	CodingTW	此為SNOMED CT診斷代碼，若機構已有購買相關授權，亦可使用。 Binding: SNOMED CT診斷代碼值集 (required): 應填入所綁定值集中的其中一個代碼。
Condition.code.Slices for coding.coding:twcmClinicalFinding	S This element must be supported. Σ This element is included in summaries.	0..*	Coding	[可填入本IG中醫臨床表現代碼(月經史、產科史及男科史之臨床表現詞彙)；月經史應使用月經史值集、產科史應使用產科史值集、男科史應使用問男性值集；無法對應代碼時不填coding，僅填code.text即可] Binding: 病史中醫臨床表現值集 (required) Required Pattern: { "system" : "https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-clinicalfinding" }
Condition.code.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字表示法
Condition.bodySite	S This element must be supported.	0..*	CodeableConceptTW	如果相關請填寫解剖位置 Binding: SNOMEDCTBodyStructures (extensible): 描述解剖位置的代碼。可包括側面；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。
Condition.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資料(Patient TWCM))	誰有此病情、問題或診斷？
Condition.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(就醫事件(Encounter TWCM))	作為病情、問題或診斷紀錄的一部分的就醫（Encounter）紀錄
Condition.Slices for onset[x]	S This element must be supported. Σ This element is included in summaries.	0..1		估計的或實際的日期、日期—時間或年齡。 Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Condition.Slices for onset[x].onsetDateTime			dateTime S This target must be supported.
Condition.Slices for onset[x].onsetAge			Age
Condition.Slices for onset[x].onsetPeriod			Period
Condition.Slices for onset[x].onsetRange			Range
Condition.Slices for onset[x].onsetString			string
Condition.Slices for onset[x].onset[x]:onsetString	S This element must be supported. Σ This element is included in summaries.	0..1	string	[可填入病史發生時期，如兒童時期、懷孕期間、產後；已知確切年齡時可改用onsetAge]
Condition.abatement[x]	S This element must be supported. C	0..1		何時解決/緩解
Condition.abatement[x].abatementDateTime			dateTime S This target must be supported.
Condition.abatement[x].abatementAge			Age
Condition.abatement[x].abatementPeriod			Period
Condition.abatement[x].abatementRange			Range
Condition.abatement[x].abatementString			string
Condition.recorder	Σ This element is included in summaries.	0..1	Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 病人資料(Patient TWCM) | TW Core RelatedPerson)	誰記錄此病情、問題或診斷
Condition.asserter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 病人資料(Patient TWCM) | TW Core RelatedPerson)	聲稱有此病情、問題或診斷的人
Condition.note	S This element must be supported.	0..*	Annotation	關於此Condition的附加資訊
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📍4.0.1	FHIR Std.
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📍4.0.1	FHIR Std.
Condition.category	Base	extensible	Condition Category Codes	📦4.0.1	FHIR Std.
Condition.category.coding:recordType	Base	required	病史紀錄類型值集	📦0.1.0	This IG
Condition.category.coding:historyType	Base	required	中醫病史分類值集	📦0.1.0	This IG
Condition.severity	Base	extensible	Condition/Diagnosis Severity	📦4.0.1	FHIR Std.
Condition.code	Base	extensible	病史臨床表現值集	📦0.1.0	This IG
Condition.code.coding:icd10-cm-2023	Base	required	臺灣健保署2023年中文版ICD-10-CM值集	📦2024-11-18	臺灣核心實作指引 v0.3
Condition.code.coding:icd10-cm-2021	Base	required	臺灣健保署2021年中文版ICD-10-CM值集	📦2022-07-29	臺灣核心實作指引 v0.3
Condition.code.coding:icd10-cm-2014	Base	required	臺灣健保署2014年中文版ICD-10-CM值集	📦2017-07-19	臺灣核心實作指引 v0.3
Condition.code.coding:icd9-cm-2001	Base	required	臺灣健保署2001年中文版ICD-9-CM值集	📦2023-05-09	臺灣核心實作指引 v0.3
Condition.code.coding:absentOrUnknownProblem	Base	required	Absent or Unknown Problems - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1
Condition.code.coding:sct	Base	required	SNOMED CT診斷代碼值集	📦2022-07-31	臺灣核心實作指引 v0.3
Condition.code.coding:twcmClinicalFinding	Base	required	病史中醫臨床表現值集	📦0.1.0	This IG
Condition.bodySite	Base	extensible	SNOMED CT Body Structures	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
medicalhistory-male-vs	error	Condition	男科史之中醫臨床表現代碼應取自問男性值集	category.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category' and code = '男科史').exists() implies code.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-clinicalfinding').all(memberOf('https://hitstdio.ntunhs.edu.tw/twcm/ValueSet/twcm-inquiry-male'))
medicalhistory-menstrual-vs	error	Condition	月經史之中醫臨床表現代碼應取自月經史值集	category.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category' and code = '月經史').exists() implies code.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-clinicalfinding').all(memberOf('https://hitstdio.ntunhs.edu.tw/twcm/ValueSet/twcm-menstrualhistory'))
medicalhistory-obstetric-vs	error	Condition	產科史之中醫臨床表現代碼應取自產科史值集	category.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category' and code = '產科史').exists() implies code.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-clinicalfinding').all(memberOf('https://hitstdio.ntunhs.edu.tw/twcm/ValueSet/twcm-obstetrichistory'))
medicalhistory-present-active	error	Condition	現病史(category為LOINC 10164-2)之clinicalStatus應為active	category.coding.where(system = 'http://loinc.org' and code = '10164-2').exists() implies clinicalStatus.coding.where(code = 'active').exists()

Differential View

This structure is derived from TWCoreCondition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	TWCoreCondition	有關病情、問題或診斷的詳細資訊 Constraints: medicalhistory-present-active, medicalhistory-menstrual-vs, medicalhistory-obstetric-vs, medicalhistory-male-vs
Condition.clinicalStatus		1..1	CodeableConceptTW	[現病史應填入active]
Condition.category
Condition.category.Slices for coding		1..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.category.Slices for coding.coding:recordType	S This element must be supported.	1..1	CodingTW	[應填入病史紀錄類型：過去病史(11348-0)或現病史(10164-2)] Binding: 病史紀錄類型值集 (required)
Condition.category.Slices for coding.coding:recordType.system		1..1	uri	專門術語系統（terminology system）的識別 Fixed Value: http://loinc.org (no extensions allowed)
Condition.category.Slices for coding.coding:recordType.code		1..1	code	系統定義的語法之符號
Condition.category.Slices for coding.coding:historyType	S This element must be supported.	0..1	CodingTW	[應填入病史分類：小兒病史、產科史、月經史或男科史；一般過去病史或現病史不填] Binding: 中醫病史分類值集 (required)
Condition.category.Slices for coding.coding:historyType.system		1..1	uri	專門術語系統（terminology system）的識別 Fixed Value: https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category (no extensions allowed)
Condition.category.Slices for coding.coding:historyType.code		1..1	code	系統定義的語法之符號
Condition.code		1..1	CodeableConceptTW	病情、問題或診斷的識別。[應填入中醫門診單之過去病史History、現病史Present Illness、小兒病史、產科史Obstetric History、月經史Menstrual History或男科史] Binding: 病史臨床表現值集 (extensible)
Condition.code.Slices for coding				Content/Rules for all slices
Condition.code.Slices for coding.coding:twcmClinicalFinding	S This element must be supported.	0..*	Coding	[可填入本IG中醫臨床表現代碼(月經史、產科史及男科史之臨床表現詞彙)；月經史應使用月經史值集、產科史應使用產科史值集、男科史應使用問男性值集；無法對應代碼時不填coding，僅填code.text即可] Binding: 病史中醫臨床表現值集 (required) Required Pattern: { "system" : "https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-clinicalfinding" }
Condition.subject		1..1	Reference(病人資料(Patient TWCM))	誰有此病情、問題或診斷？
Condition.encounter	S This element must be supported.	0..1	Reference(就醫事件(Encounter TWCM))	作為病情、問題或診斷紀錄的一部分的就醫（Encounter）紀錄
Condition.Slices for onset[x]		0..1	dateTime, Age, Period, Range, string	估計的或實際的日期、日期—時間或年齡。 Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Condition.Slices for onset[x].onset[x]:onsetString		0..1	string	[可填入病史發生時期，如兒童時期、懷孕期間、產後；已知確切年齡時可改用onsetAge]
Condition.recorder		0..1	Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 病人資料(Patient TWCM) | TW Core RelatedPerson)	誰記錄此病情、問題或診斷
Condition.asserter		0..1	Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 病人資料(Patient TWCM) | TW Core RelatedPerson)	聲稱有此病情、問題或診斷的人
Condition.stage
Condition.stage.assessment		0..*	Reference(ClinicalImpression | 診斷報告(DiagnosticReport TWCM) | 檢驗檢查(Observation TWCM) | TW Core Observation Vital Signs)	正式的評估記錄
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Condition.category.coding:recordType	Base	required	病史紀錄類型值集	📦0.1.0	This IG
Condition.category.coding:historyType	Base	required	中醫病史分類值集	📦0.1.0	This IG
Condition.code	Base	extensible	病史臨床表現值集	📦0.1.0	This IG
Condition.code.coding:twcmClinicalFinding	Base	required	病史中醫臨床表現值集	📦0.1.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
medicalhistory-male-vs	error	Condition	男科史之中醫臨床表現代碼應取自問男性值集	category.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category' and code = '男科史').exists() implies code.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-clinicalfinding').all(memberOf('https://hitstdio.ntunhs.edu.tw/twcm/ValueSet/twcm-inquiry-male'))
medicalhistory-menstrual-vs	error	Condition	月經史之中醫臨床表現代碼應取自月經史值集	category.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category' and code = '月經史').exists() implies code.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-clinicalfinding').all(memberOf('https://hitstdio.ntunhs.edu.tw/twcm/ValueSet/twcm-menstrualhistory'))
medicalhistory-obstetric-vs	error	Condition	產科史之中醫臨床表現代碼應取自產科史值集	category.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category' and code = '產科史').exists() implies code.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-clinicalfinding').all(memberOf('https://hitstdio.ntunhs.edu.tw/twcm/ValueSet/twcm-obstetrichistory'))
medicalhistory-present-active	error	Condition	現病史(category為LOINC 10164-2)之clinicalStatus應為active	category.coding.where(system = 'http://loinc.org' and code = '10164-2').exists() implies clinicalStatus.coding.where(code = 'active').exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	TWCoreCondition	有關病情、問題或診斷的詳細資訊 Constraints: con-3, con-4, con-5, medicalhistory-present-active, medicalhistory-menstrual-vs, medicalhistory-obstetric-vs, medicalhistory-male-vs
Condition.id	Σ This element is included in summaries.	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的Condition紀錄，通常又稱為邏輯性ID。
Condition.meta	Σ This element is included in summaries.	0..1	Meta	此Condition Resource的metadata
Condition.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
Condition.language		0..1	code	用以表述Condition Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
Condition.text		0..1	Narrative	Condition 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
Condition.contained		0..*	Resource	Contained, inline Resources
Condition.extension		0..*	Extension	Additional content defined by implementations
Condition.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Condition.identifier	Σ This element is included in summaries.	0..*	Identifier	此病情、問題或診斷的外部識別碼
Condition.clinicalStatus	S This element must be supported.	1..1	CodeableConceptTW	[現病史應填入active] Binding: ConditionClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。
Condition.verificationStatus	S This element must be supported.	0..1	CodeableConceptTW	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error ，支持或拒絕病情、問題或診斷的臨床狀態的驗證狀態。 Binding: ConditionVerificationStatus (required): 應填入所綁定值集中的其中一個代碼。
Condition.category	S This element must be supported.	1..1	CodeableConceptTW	problem-list-item | encounter-diagnosis ，指定病情、問題或診斷的類別。 Binding: ConditionCategoryCodes (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。
Condition.category.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
Condition.category.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Condition.category.Slices for coding	S This element must be supported.	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.category.Slices for coding.coding:recordType	S This element must be supported.	1..1	CodingTW	[應填入病史紀錄類型：過去病史(11348-0)或現病史(10164-2)] Binding: 病史紀錄類型值集 (required)
Condition.category.Slices for coding.coding:recordType.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
Condition.category.Slices for coding.coding:recordType.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Condition.category.Slices for coding.coding:recordType.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	專門術語系統（terminology system）的識別 Fixed Value: http://loinc.org (no extensions allowed)
Condition.category.Slices for coding.coding:recordType.version	Σ This element is included in summaries.	0..1	string	系統的版本—如果相關的話
Condition.category.Slices for coding.coding:recordType.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	系統定義的語法之符號
Condition.category.Slices for coding.coding:recordType.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	由系統定義的表示法
Condition.category.Slices for coding.coding:recordType.userSelected	Σ This element is included in summaries.	0..1	boolean	此編碼是否由使用者直接選擇？
Condition.category.Slices for coding.coding:historyType	S This element must be supported.	0..1	CodingTW	[應填入病史分類：小兒病史、產科史、月經史或男科史；一般過去病史或現病史不填] Binding: 中醫病史分類值集 (required)
Condition.category.Slices for coding.coding:historyType.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
Condition.category.Slices for coding.coding:historyType.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Condition.category.Slices for coding.coding:historyType.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	專門術語系統（terminology system）的識別 Fixed Value: https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category (no extensions allowed)
Condition.category.Slices for coding.coding:historyType.version	Σ This element is included in summaries.	0..1	string	系統的版本—如果相關的話
Condition.category.Slices for coding.coding:historyType.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	系統定義的語法之符號
Condition.category.Slices for coding.coding:historyType.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	由系統定義的表示法
Condition.category.Slices for coding.coding:historyType.userSelected	Σ This element is included in summaries.	0..1	boolean	此編碼是否由使用者直接選擇？
Condition.category.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字表示法
Condition.severity	S This element must be supported.	0..1	CodeableConceptTW	病情、問題或診斷的主觀嚴重程度 Binding: Condition/DiagnosisSeverity (extensible): 臨床醫生對病情、問題或診斷嚴重程度的主觀評價；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。
Condition.code	S This element must be supported.	1..1	CodeableConceptTW	病情、問題或診斷的識別。[應填入中醫門診單之過去病史History、現病史Present Illness、小兒病史、產科史Obstetric History、月經史Menstrual History或男科史] Binding: 病史臨床表現值集 (extensible)
Condition.code.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
Condition.code.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Condition.code.Slices for coding	S This element must be supported.	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Slice: Unordered, Open by pattern:$this
Condition.code.Slices for coding.coding:icd10-cm-2023	S This element must be supported.	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (required)
Condition.code.Slices for coding.coding:icd10-cm-2021	S This element must be supported.	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署維護之2021年中文版ICD-10-CM代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
Condition.code.Slices for coding.coding:icd10-cm-2014	S This element must be supported.	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署維護之2014年中文版ICD-10-CM代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2014年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
Condition.code.Slices for coding.coding:icd9-cm-2001	S This element must be supported.	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2001年中文版ICD-9-CM值集 (required)
Condition.code.Slices for coding.coding:absentOrUnknownProblem	S This element must be supported.	0..1	CodingTW	不存在的問題或未知問題的代碼 Binding: Absent or Unknown Problems - IPS (required): 應填入所綁定值集中的其中一個代碼。
Condition.code.Slices for coding.coding:sct	S This element must be supported.	0..1	CodingTW	此為SNOMED CT診斷代碼，若機構已有購買相關授權，亦可使用。 Binding: SNOMED CT診斷代碼值集 (required): 應填入所綁定值集中的其中一個代碼。
Condition.code.Slices for coding.coding:twcmClinicalFinding	S This element must be supported. Σ This element is included in summaries.	0..*	Coding	[可填入本IG中醫臨床表現代碼(月經史、產科史及男科史之臨床表現詞彙)；月經史應使用月經史值集、產科史應使用產科史值集、男科史應使用問男性值集；無法對應代碼時不填coding，僅填code.text即可] Binding: 病史中醫臨床表現值集 (required) Required Pattern: { "system" : "https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-clinicalfinding" }
Condition.code.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字表示法
Condition.bodySite	S This element must be supported.	0..*	CodeableConceptTW	如果相關請填寫解剖位置 Binding: SNOMEDCTBodyStructures (extensible): 描述解剖位置的代碼。可包括側面；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。
Condition.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資料(Patient TWCM))	誰有此病情、問題或診斷？
Condition.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(就醫事件(Encounter TWCM))	作為病情、問題或診斷紀錄的一部分的就醫（Encounter）紀錄
Condition.Slices for onset[x]	S This element must be supported. Σ This element is included in summaries.	0..1		估計的或實際的日期、日期—時間或年齡。 Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Condition.Slices for onset[x].onsetDateTime			dateTime S This target must be supported.
Condition.Slices for onset[x].onsetAge			Age
Condition.Slices for onset[x].onsetPeriod			Period
Condition.Slices for onset[x].onsetRange			Range
Condition.Slices for onset[x].onsetString			string
Condition.Slices for onset[x].onset[x]:onsetString	S This element must be supported. Σ This element is included in summaries.	0..1	string	[可填入病史發生時期，如兒童時期、懷孕期間、產後；已知確切年齡時可改用onsetAge]
Condition.abatement[x]	S This element must be supported. C	0..1		何時解決/緩解
Condition.abatement[x].abatementDateTime			dateTime S This target must be supported.
Condition.abatement[x].abatementAge			Age
Condition.abatement[x].abatementPeriod			Period
Condition.abatement[x].abatementRange			Range
Condition.abatement[x].abatementString			string
Condition.recordedDate	Σ This element is included in summaries.	0..1	dateTime	記錄的日期
Condition.recorder	Σ This element is included in summaries.	0..1	Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 病人資料(Patient TWCM) | TW Core RelatedPerson)	誰記錄此病情、問題或診斷
Condition.asserter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 病人資料(Patient TWCM) | TW Core RelatedPerson)	聲稱有此病情、問題或診斷的人
Condition.stage	C	0..*	BackboneElement	分期（stage）／分級（grade），通常是正式的評估。 Constraints: con-1
Condition.stage.id		0..1	string	Unique id for inter-element referencing
Condition.stage.extension		0..*	Extension	Additional content defined by implementations
Condition.stage.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Condition.stage.summary		0..1	CodeableConceptTW	簡單的摘要（特定疾病）。 Binding: ConditionStage (extensible): 描述病情、問題或診斷分期的代碼（例如：癌症分期）。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。
Condition.stage.assessment	C	0..*	Reference(ClinicalImpression | 診斷報告(DiagnosticReport TWCM) | 檢驗檢查(Observation TWCM) | TW Core Observation Vital Signs)	正式的評估記錄
Condition.stage.type		0..1	CodeableConceptTW	分期的種類 Binding: ConditionStageType (extensible): 病情、問題或診斷分期種類的代碼（如臨床或病理）；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。
Condition.evidence	C	0..*	BackboneElement	支持的證據 Constraints: con-2
Condition.evidence.id		0..1	string	Unique id for inter-element referencing
Condition.evidence.extension		0..*	Extension	Additional content defined by implementations
Condition.evidence.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Condition.evidence.code		0..*	CodeableConceptTW	表現／症狀 Binding: ManifestationAndSymptomCodes (extensible): 病情、問題或診斷的表現或症狀之代碼；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Condition.evidence.detail	Σ This element is included in summaries. C	0..*	Reference(Resource)	在其他地方找到的支持資訊
Condition.note	S This element must be supported.	0..*	Annotation	關於此Condition的附加資訊
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📍4.0.1	FHIR Std.
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📍4.0.1	FHIR Std.
Condition.category	Base	extensible	Condition Category Codes	📦4.0.1	FHIR Std.
Condition.category.coding:recordType	Base	required	病史紀錄類型值集	📦0.1.0	This IG
Condition.category.coding:historyType	Base	required	中醫病史分類值集	📦0.1.0	This IG
Condition.severity	Base	extensible	Condition/Diagnosis Severity	📦4.0.1	FHIR Std.
Condition.code	Base	extensible	病史臨床表現值集	📦0.1.0	This IG
Condition.code.coding:icd10-cm-2023	Base	required	臺灣健保署2023年中文版ICD-10-CM值集	📦2024-11-18	臺灣核心實作指引 v0.3
Condition.code.coding:icd10-cm-2021	Base	required	臺灣健保署2021年中文版ICD-10-CM值集	📦2022-07-29	臺灣核心實作指引 v0.3
Condition.code.coding:icd10-cm-2014	Base	required	臺灣健保署2014年中文版ICD-10-CM值集	📦2017-07-19	臺灣核心實作指引 v0.3
Condition.code.coding:icd9-cm-2001	Base	required	臺灣健保署2001年中文版ICD-9-CM值集	📦2023-05-09	臺灣核心實作指引 v0.3
Condition.code.coding:absentOrUnknownProblem	Base	required	Absent or Unknown Problems - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1
Condition.code.coding:sct	Base	required	SNOMED CT診斷代碼值集	📦2022-07-31	臺灣核心實作指引 v0.3
Condition.code.coding:twcmClinicalFinding	Base	required	病史中醫臨床表現值集	📦0.1.0	This IG
Condition.bodySite	Base	extensible	SNOMED CT Body Structures	📦4.0.1	FHIR Std.
Condition.stage.summary	Base	extensible	Condition Stage	📦4.0.1	FHIR Std.
Condition.stage.type	Base	extensible	Condition Stage Type	📦4.0.1	FHIR Std.
Condition.evidence.code	Base	extensible	Manifestation and Symptom Codes	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
medicalhistory-male-vs	error	Condition	男科史之中醫臨床表現代碼應取自問男性值集	category.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category' and code = '男科史').exists() implies code.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-clinicalfinding').all(memberOf('https://hitstdio.ntunhs.edu.tw/twcm/ValueSet/twcm-inquiry-male'))
medicalhistory-menstrual-vs	error	Condition	月經史之中醫臨床表現代碼應取自月經史值集	category.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category' and code = '月經史').exists() implies code.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-clinicalfinding').all(memberOf('https://hitstdio.ntunhs.edu.tw/twcm/ValueSet/twcm-menstrualhistory'))
medicalhistory-obstetric-vs	error	Condition	產科史之中醫臨床表現代碼應取自產科史值集	category.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category' and code = '產科史').exists() implies code.coding.where(system = 'https://hitstdio.ntunhs.edu.tw/twcm/CodeSystem/twcm-clinicalfinding').all(memberOf('https://hitstdio.ntunhs.edu.tw/twcm/ValueSet/twcm-obstetrichistory'))
medicalhistory-present-active	error	Condition	現病史(category為LOINC 10164-2)之clinicalStatus應為active	category.coding.where(system = 'http://loinc.org' and code = '10164-2').exists() implies clinicalStatus.coding.where(code = 'active').exists()

This structure is derived from TWCoreCondition

Summary

Mandatory: 5 elements(2 nested mandatory elements)
Must-Support: 4 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

• 病人資料(Patient TWCM) (https://hitstdio.ntunhs.edu.tw/twcm/StructureDefinition/patient-twcm)
• 就醫事件(Encounter TWCM) (https://hitstdio.ntunhs.edu.tw/twcm/StructureDefinition/encounter-twcm)
• 健康照護服務提供人員資料(Practitioner TWCM) (https://hitstdio.ntunhs.edu.tw/twcm/StructureDefinition/practitioner-twcm)
• TW Core PractitionerRole (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore)
• TW Core RelatedPerson (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore)
• 診斷報告(DiagnosticReport TWCM) (https://hitstdio.ntunhs.edu.tw/twcm/StructureDefinition/diagnosticreport-twcm)
• 檢驗檢查(Observation TWCM) (https://hitstdio.ntunhs.edu.tw/twcm/StructureDefinition/observation-twcm)
• TW Core Observation Vital Signs (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-vitalSigns-twcore)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.category.coding
• The element 1 is sliced based on the value of Condition.onset[x]

Other representations of profile: CSV, Excel, Schematron