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

Resource Profile: 醫師簽章(Provenance TWCM)

Official URL: https://www.nricm.edu.tw/twcm/StructureDefinition/provenance-twcm Version: 0.1.0
Draft as of 2026-09-28 Computable Name: ProvenanceTWCM

此醫師簽章(Provenance TWCM)Profile說明本IG如何進一步定義臺灣核心-出處(TW Core Provenance) Profile以呈現中醫門診單之醫事人員電子病歷簽章。可包含多位醫事人員(如實習醫師/住院醫師R及主治醫師VS)之簽章。

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance 0..* TWCoreProvenance Who, What, When for a set of resources
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... target SΣ 1..* Reference(中醫-臨床文件架構(Composition TWCM)) 被簽章之中醫門診單(Composition)
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
... Slices for agent SC 1..* BackboneElement Actor involved
Slice: Unordered, Open by pattern:type
Constraints: provenance-1
.... agent:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type SΣ 0..1 CodeableConcept How the agent participated
Binding: HL7 Provenance participant type + 臺灣衛福部資訊處Provenance參與類型 (extensible)
..... who SΣ 1..1 Reference(TW Core Organization S | TW Core Practitioner | TW Core Patient | TW Core PractitionerRole | TW Core RelatedPerson | Device) Who participated
..... onBehalfOf S 0..1 Reference(TW Core Organization) Who the agent is representing
.... agent:ProvenanceAuthor S 1..* BackboneElement 簽章之醫事人員，可包含實習醫師/住院醫師R及主治醫師VS
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type 1..1 CodeableConceptTW 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity.
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/provenance-participant-type
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: author
....... 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
..... who SΣ 1..1 Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole) Who participated
..... onBehalfOf S 0..1 Reference(醫事機構(Organization TWCM)) 簽章醫事人員所屬之醫事機構(依TW Core規範，簽章者為醫事人員時必填)
.... agent:ProvenanceTransmitter S 0..* BackboneElement Actor involved
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type 1..1 CodeableConceptTW 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity.
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: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/provenance-participant-type-tw
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: transmitter
....... 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
..... who SΣ 1..1 Reference(TW Core Organization | TW Core Practitioner | TW Core Patient | TW Core PractitionerRole | TW Core RelatedPerson | Device) Who participated
..... onBehalfOf S 0..1 Reference(TW Core Organization) Who the agent is representing
... signature S 1..* Signature [應填入中醫門診單之醫師簽章Doctor Sign]
.... type SΣ 1..* Coding Indication of the reason the entity signed the object(s)
Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.
.... when SΣ 1..1 instant When the signature was created
.... who SΣ 1..1 Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole) Who signed
.... sigFormat S 0..1 code The technical format of the signature
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
.... data S 1..1 base64Binary The actual signature content (XML DigSig. JWS, picture, etc.)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Provenance.agent.type Base extensible HL7 Provenance participant type + 臺灣衛福部資訊處Provenance參與類型 📦0.3.0 臺灣核心實作指引 v0.3
Provenance.agent:ProvenanceAuthor.​type Base extensible Provenance participant type 📦4.0.1 FHIR Std.
Provenance.agent:ProvenanceTransmitter.​type Base extensible Provenance participant type 📦4.0.1 FHIR Std.
Provenance.signature.​type Base preferred Signature Type Codes 📍4.0.1 FHIR Std.
Provenance.signature.​sigFormat Base required MimeType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from TWCoreProvenance

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance TWCoreProvenance
... target 1..* Reference(中醫-臨床文件架構(Composition TWCM)) 被簽章之中醫門診單(Composition)
... recorded 1..1 instant 簽章時間
... Slices for agent Content/Rules for all slices
.... agent:ProvenanceAuthor 1..* BackboneElement 簽章之醫事人員，可包含實習醫師/住院醫師R及主治醫師VS
..... who 1..1 Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole) Who participated
..... onBehalfOf 0..1 Reference(醫事機構(Organization TWCM)) 簽章醫事人員所屬之醫事機構(依TW Core規範，簽章者為醫事人員時必填)
.... type S 1..* Coding Indication of the reason the entity signed the object(s)
.... when S 1..1 instant When the signature was created
.... who S 1..1 Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole) Who signed
.... sigFormat S 0..1 code The technical format of the signature
.... data S 1..1 base64Binary The actual signature content (XML DigSig. JWS, picture, etc.)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance 0..* TWCoreProvenance Who, What, When for a set of resources
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... target SΣ 1..* Reference(中醫-臨床文件架構(Composition TWCM)) 被簽章之中醫門診單(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 SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 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 Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... occurred[x] 0..1 When the activity occurred
.... occurredPeriod Period
.... occurredDateTime dateTime
... recorded SΣ 1..1 instant 簽章時間
... policy 0..* uri Policy or plan the activity was defined by
... location 0..1 Reference(TW Core Location) Where the activity occurred, if relevant
... reason 0..* CodeableConcept Reason the activity is occurring
Binding: PurposeOfUse (extensible): The reason the activity took place.
... activity 0..1 CodeableConcept Activity that occurred
Binding: ProvenanceActivityType (extensible): The activity that took place.
... Slices for agent SC 1..* BackboneElement Actor involved
Slice: Unordered, Open by pattern:type
Constraints: provenance-1
.... agent: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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type SΣ 0..1 CodeableConcept How the agent participated
Binding: HL7 Provenance participant type + 臺灣衛福部資訊處Provenance參與類型 (extensible)
..... role 0..* CodeableConcept What the agents role was
Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
..... who SΣ 1..1 Reference(TW Core Organization S | TW Core Practitioner | TW Core Patient | TW Core PractitionerRole | TW Core RelatedPerson | Device) Who participated
..... onBehalfOf S 0..1 Reference(TW Core Organization) Who the agent is representing
.... agent:ProvenanceAuthor S 1..* BackboneElement 簽章之醫事人員，可包含實習醫師/住院醫師R及主治醫師VS
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type 1..1 CodeableConceptTW 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity.
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/provenance-participant-type
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: author
....... 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
..... role 0..* CodeableConcept What the agents role was
Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
..... who SΣ 1..1 Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole) Who participated
..... onBehalfOf S 0..1 Reference(醫事機構(Organization TWCM)) 簽章醫事人員所屬之醫事機構(依TW Core規範，簽章者為醫事人員時必填)
.... agent:ProvenanceTransmitter S 0..* BackboneElement Actor involved
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type 1..1 CodeableConceptTW 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity.
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: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/provenance-participant-type-tw
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: transmitter
....... 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
..... role 0..* CodeableConcept What the agents role was
Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
..... who SΣ 1..1 Reference(TW Core Organization | TW Core Practitioner | TW Core Patient | TW Core PractitionerRole | TW Core RelatedPerson | Device) Who participated
..... onBehalfOf S 0..1 Reference(TW Core Organization) Who the agent is representing
... entity 0..* BackboneElement An entity used in this activity
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... role Σ 1..1 code derivation | revision | quotation | source | removal
Binding: ProvenanceEntityRole (required): How an entity was used in an activity.
.... what Σ 1..1 Reference(Resource) Identity of entity
.... agent 0..* See agent (Provenance) Entity is attributed to this agent
... signature S 1..* Signature [應填入中醫門診單之醫師簽章Doctor Sign]
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... type SΣ 1..* Coding Indication of the reason the entity signed the object(s)
Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.
.... when SΣ 1..1 instant When the signature was created
.... who SΣ 1..1 Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole) Who signed
.... onBehalfOf Σ 0..1 Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) The party represented
.... targetFormat 0..1 code The technical format of the signed resources
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
.... sigFormat S 0..1 code The technical format of the signature
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
.... data S 1..1 base64Binary The actual signature content (XML DigSig. JWS, picture, etc.)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Provenance.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Provenance.target.type Base extensible ResourceType 📦4.0.1 FHIR Std.
Provenance.reason Base extensible PurposeOfUse 📦3.1.0 THO v7.4
Provenance.activity Base extensible Provenance activity type 📦4.0.1 FHIR Std.
Provenance.agent.type Base extensible HL7 Provenance participant type + 臺灣衛福部資訊處Provenance參與類型 📦0.3.0 臺灣核心實作指引 v0.3
Provenance.agent.role Base example SecurityRoleType 📦4.0.1 FHIR Std.
Provenance.agent:ProvenanceAuthor.​type Base extensible Provenance participant type 📦4.0.1 FHIR Std.
Provenance.agent:ProvenanceAuthor.​role Base example SecurityRoleType 📦4.0.1 FHIR Std.
Provenance.agent:ProvenanceTransmitter.​type Base extensible Provenance participant type 📦4.0.1 FHIR Std.
Provenance.agent:ProvenanceTransmitter.​role Base example SecurityRoleType 📦4.0.1 FHIR Std.
Provenance.entity.role Base required ProvenanceEntityRole 📍4.0.1 FHIR Std.
Provenance.signature.​type Base preferred Signature Type Codes 📍4.0.1 FHIR Std.
Provenance.signature.​targetFormat Base required MimeType 📍4.0.1 FHIR Std.
Provenance.signature.​sigFormat Base required MimeType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance 0..* TWCoreProvenance Who, What, When for a set of resources
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... target SΣ 1..* Reference(中醫-臨床文件架構(Composition TWCM)) 被簽章之中醫門診單(Composition)
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
... Slices for agent SC 1..* BackboneElement Actor involved
Slice: Unordered, Open by pattern:type
Constraints: provenance-1
.... agent:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type SΣ 0..1 CodeableConcept How the agent participated
Binding: HL7 Provenance participant type + 臺灣衛福部資訊處Provenance參與類型 (extensible)
..... who SΣ 1..1 Reference(TW Core Organization S | TW Core Practitioner | TW Core Patient | TW Core PractitionerRole | TW Core RelatedPerson | Device) Who participated
..... onBehalfOf S 0..1 Reference(TW Core Organization) Who the agent is representing
.... agent:ProvenanceAuthor S 1..* BackboneElement 簽章之醫事人員，可包含實習醫師/住院醫師R及主治醫師VS
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type 1..1 CodeableConceptTW 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity.
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/provenance-participant-type
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: author
....... 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
..... who SΣ 1..1 Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole) Who participated
..... onBehalfOf S 0..1 Reference(醫事機構(Organization TWCM)) 簽章醫事人員所屬之醫事機構(依TW Core規範，簽章者為醫事人員時必填)
.... agent:ProvenanceTransmitter S 0..* BackboneElement Actor involved
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type 1..1 CodeableConceptTW 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity.
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: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/provenance-participant-type-tw
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: transmitter
....... 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
..... who SΣ 1..1 Reference(TW Core Organization | TW Core Practitioner | TW Core Patient | TW Core PractitionerRole | TW Core RelatedPerson | Device) Who participated
..... onBehalfOf S 0..1 Reference(TW Core Organization) Who the agent is representing
... signature S 1..* Signature [應填入中醫門診單之醫師簽章Doctor Sign]
.... type SΣ 1..* Coding Indication of the reason the entity signed the object(s)
Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.
.... when SΣ 1..1 instant When the signature was created
.... who SΣ 1..1 Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole) Who signed
.... sigFormat S 0..1 code The technical format of the signature
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
.... data S 1..1 base64Binary The actual signature content (XML DigSig. JWS, picture, etc.)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Provenance.agent.type Base extensible HL7 Provenance participant type + 臺灣衛福部資訊處Provenance參與類型 📦0.3.0 臺灣核心實作指引 v0.3
Provenance.agent:ProvenanceAuthor.​type Base extensible Provenance participant type 📦4.0.1 FHIR Std.
Provenance.agent:ProvenanceTransmitter.​type Base extensible Provenance participant type 📦4.0.1 FHIR Std.
Provenance.signature.​type Base preferred Signature Type Codes 📍4.0.1 FHIR Std.
Provenance.signature.​sigFormat Base required MimeType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

Differential View

This structure is derived from TWCoreProvenance

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance TWCoreProvenance
... target 1..* Reference(中醫-臨床文件架構(Composition TWCM)) 被簽章之中醫門診單(Composition)
... recorded 1..1 instant 簽章時間
... Slices for agent Content/Rules for all slices
.... agent:ProvenanceAuthor 1..* BackboneElement 簽章之醫事人員，可包含實習醫師/住院醫師R及主治醫師VS
..... who 1..1 Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole) Who participated
..... onBehalfOf 0..1 Reference(醫事機構(Organization TWCM)) 簽章醫事人員所屬之醫事機構(依TW Core規範，簽章者為醫事人員時必填)
.... type S 1..* Coding Indication of the reason the entity signed the object(s)
.... when S 1..1 instant When the signature was created
.... who S 1..1 Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole) Who signed
.... sigFormat S 0..1 code The technical format of the signature
.... data S 1..1 base64Binary The actual signature content (XML DigSig. JWS, picture, etc.)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance 0..* TWCoreProvenance Who, What, When for a set of resources
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... target SΣ 1..* Reference(中醫-臨床文件架構(Composition TWCM)) 被簽章之中醫門診單(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 SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 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 Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... occurred[x] 0..1 When the activity occurred
.... occurredPeriod Period
.... occurredDateTime dateTime
... recorded SΣ 1..1 instant 簽章時間
... policy 0..* uri Policy or plan the activity was defined by
... location 0..1 Reference(TW Core Location) Where the activity occurred, if relevant
... reason 0..* CodeableConcept Reason the activity is occurring
Binding: PurposeOfUse (extensible): The reason the activity took place.
... activity 0..1 CodeableConcept Activity that occurred
Binding: ProvenanceActivityType (extensible): The activity that took place.
... Slices for agent SC 1..* BackboneElement Actor involved
Slice: Unordered, Open by pattern:type
Constraints: provenance-1
.... agent: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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type SΣ 0..1 CodeableConcept How the agent participated
Binding: HL7 Provenance participant type + 臺灣衛福部資訊處Provenance參與類型 (extensible)
..... role 0..* CodeableConcept What the agents role was
Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
..... who SΣ 1..1 Reference(TW Core Organization S | TW Core Practitioner | TW Core Patient | TW Core PractitionerRole | TW Core RelatedPerson | Device) Who participated
..... onBehalfOf S 0..1 Reference(TW Core Organization) Who the agent is representing
.... agent:ProvenanceAuthor S 1..* BackboneElement 簽章之醫事人員，可包含實習醫師/住院醫師R及主治醫師VS
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type 1..1 CodeableConceptTW 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity.
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/provenance-participant-type
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: author
....... 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
..... role 0..* CodeableConcept What the agents role was
Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
..... who SΣ 1..1 Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole) Who participated
..... onBehalfOf S 0..1 Reference(醫事機構(Organization TWCM)) 簽章醫事人員所屬之醫事機構(依TW Core規範，簽章者為醫事人員時必填)
.... agent:ProvenanceTransmitter S 0..* BackboneElement Actor involved
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type 1..1 CodeableConceptTW 概念（Concept）— 參照一個專門術語或只是文字表述
Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity.
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: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/provenance-participant-type-tw
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: transmitter
....... 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
..... role 0..* CodeableConcept What the agents role was
Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
..... who SΣ 1..1 Reference(TW Core Organization | TW Core Practitioner | TW Core Patient | TW Core PractitionerRole | TW Core RelatedPerson | Device) Who participated
..... onBehalfOf S 0..1 Reference(TW Core Organization) Who the agent is representing
... entity 0..* BackboneElement An entity used in this activity
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... role Σ 1..1 code derivation | revision | quotation | source | removal
Binding: ProvenanceEntityRole (required): How an entity was used in an activity.
.... what Σ 1..1 Reference(Resource) Identity of entity
.... agent 0..* See agent (Provenance) Entity is attributed to this agent
... signature S 1..* Signature [應填入中醫門診單之醫師簽章Doctor Sign]
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... type SΣ 1..* Coding Indication of the reason the entity signed the object(s)
Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.
.... when SΣ 1..1 instant When the signature was created
.... who SΣ 1..1 Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole) Who signed
.... onBehalfOf Σ 0..1 Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) The party represented
.... targetFormat 0..1 code The technical format of the signed resources
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
.... sigFormat S 0..1 code The technical format of the signature
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
.... data S 1..1 base64Binary The actual signature content (XML DigSig. JWS, picture, etc.)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Provenance.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Provenance.target.type Base extensible ResourceType 📦4.0.1 FHIR Std.
Provenance.reason Base extensible PurposeOfUse 📦3.1.0 THO v7.4
Provenance.activity Base extensible Provenance activity type 📦4.0.1 FHIR Std.
Provenance.agent.type Base extensible HL7 Provenance participant type + 臺灣衛福部資訊處Provenance參與類型 📦0.3.0 臺灣核心實作指引 v0.3
Provenance.agent.role Base example SecurityRoleType 📦4.0.1 FHIR Std.
Provenance.agent:ProvenanceAuthor.​type Base extensible Provenance participant type 📦4.0.1 FHIR Std.
Provenance.agent:ProvenanceAuthor.​role Base example SecurityRoleType 📦4.0.1 FHIR Std.
Provenance.agent:ProvenanceTransmitter.​type Base extensible Provenance participant type 📦4.0.1 FHIR Std.
Provenance.agent:ProvenanceTransmitter.​role Base example SecurityRoleType 📦4.0.1 FHIR Std.
Provenance.entity.role Base required ProvenanceEntityRole 📍4.0.1 FHIR Std.
Provenance.signature.​type Base preferred Signature Type Codes 📍4.0.1 FHIR Std.
Provenance.signature.​targetFormat Base required MimeType 📍4.0.1 FHIR Std.
Provenance.signature.​sigFormat Base required MimeType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

 

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