# 就醫事件(Encounter TWCM) - 臺灣中醫實作指引 v0.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **就醫事件(Encounter TWCM)**

## Resource Profile: 就醫事件(Encounter TWCM) 

| | |
| :--- | :--- |
| *Official URL*:https://www.nricm.edu.tw/twcm/StructureDefinition/encounter-twcm | *Version*:0.1.0 |
| Draft as of 2026-08-31 | *Computable Name*:EncounterTWCM |

 
此就醫事件(Encounter TWCM)Profile說明本IG如何進一步定義臺灣核心-就醫事件(TW Core Encounter) Profile以呈現中醫門診單之就醫事件的詳細資料。 

**Usages:**

* Use this Profile: [中醫-資料交換基本單位(Bundle TWCM)](StructureDefinition-bundle-twcm.md)
* Refer to this Profile: [過敏或不耐症(AllergyIntolerance TWCM)](StructureDefinition-allergyintolerance-twcm.md), [關懷計畫(CarePlan TWCM)](StructureDefinition-careplan-twcm.md), [中醫-臨床文件架構(Composition TWCM)](StructureDefinition-composition-twcm.md), [病人主訴(ConditionChiefComplaint TWCM)](StructureDefinition-conditionchiefcomplaint-twcm.md)... Show 24 more, [病情、問題或診斷(ConditionDiagnosis TWCM)](StructureDefinition-conditiondiagnosis-twcm.md), [重大傷病(ConditionMajorIllness TWCM)](StructureDefinition-conditionmajorillness-twcm.md), [過去病史(ConditionPastMedicalHistory TWCM)](StructureDefinition-conditionpastmedicalhistory-twcm.md), [診斷報告(DiagnosticReport TWCM)](StructureDefinition-diagnosticreport-twcm.md), [文件參照(DocumentReference TWCM)](StructureDefinition-documentreference-twcm.md), [就醫事件(Encounter TWCM)](StructureDefinition-encounter-twcm.md), [中醫-藥品請求(MedicationRequest TWCM)](StructureDefinition-medicationrequest-twcm.md), [檢驗檢查(Observation TWCM)](StructureDefinition-observation-twcm.md), [血壓(ObservationBloodPressure TWCM)](StructureDefinition-observationbloodpressure-twcm.md), [血型(ObservationBloodtype TWCM)](StructureDefinition-observationbloodtype-twcm.md), [身高(ObservationBodyHeight TWCM)](StructureDefinition-observationbodyheight-twcm.md), [體溫(ObservationBodyTemp TWCM)](StructureDefinition-observationbodytemp-twcm.md), [體重(ObservationBodyWeight TWCM)](StructureDefinition-observationbodyweight-twcm.md), [教育程度(ObservationEducationLevel TWCM)](StructureDefinition-observationeducationlevel-twcm.md), [脈搏(ObservationHeartRate TWCM)](StructureDefinition-observationheartrate-twcm.md), [重大傷病註記(ObservationMajorIllness TWCM)](StructureDefinition-observationmajorillness-twcm.md), [職業(ObservationOccupation TWCM)](StructureDefinition-observationoccupation-twcm.md), [病人脈象(ObservationPulseCondition TWCM)](StructureDefinition-observationpulsecondition-twcm.md), [病人證型(ObservationSyndromeType TWCM)](StructureDefinition-observationsyndrometype-twcm.md), [病人治則(ObservationTherapeuticPrinciples TWCM)](StructureDefinition-observationtherapeuticprinciples-twcm.md), [病人舌象(ObservationTongueCondition TWCM)](StructureDefinition-observationtonguecondition-twcm.md), [生命徵象(ObservationVitalSigns TWCM)](StructureDefinition-observationvitalsign-twcm.md), [中醫-處置或手術(Procedure TWCM)](StructureDefinition-procedure-twcm.md) and [服務請求(ServiceRequest TWCM)](StructureDefinition-servicerequest-twcm.md)
* Examples for this Profile: [Encounter/EncounterTWCM-min](Encounter-EncounterTWCM-min.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/resource/tw.gov.mohw.nricm.twcm|current/StructureDefinition/StructureDefinition-encounter-twcm.json)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-encounter-twcm.csv), [Excel](StructureDefinition-encounter-twcm.xlsx), [Schematron](StructureDefinition-encounter-twcm.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "encounter-twcm",
  "url" : "https://www.nricm.edu.tw/twcm/StructureDefinition/encounter-twcm",
  "version" : "0.1.0",
  "name" : "EncounterTWCM",
  "title" : "就醫事件(Encounter TWCM)",
  "status" : "draft",
  "date" : "2026-08-31T12:11:57+00:00",
  "publisher" : "衛生福利部國家中醫藥研究所",
  "contact" : [{
    "name" : "衛生福利部國家中醫藥研究所",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.nricm.edu.tw/"
    }]
  }],
  "description" : "此就醫事件(Encounter TWCM)Profile說明本IG如何進一步定義臺灣核心-就醫事件(TW Core Encounter) Profile以呈現中醫門診單之就醫事件的詳細資料。",
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Encounter",
  "baseDefinition" : "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Encounter-twcore",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Encounter.extension",
      "path" : "Encounter.extension",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "url"
        }],
        "ordered" : false,
        "rules" : "open"
      },
      "min" : 1
    },
    {
      "id" : "Encounter.extension:medicalIdentity",
      "path" : "Encounter.extension",
      "sliceName" : "medicalIdentity",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://www.nricm.edu.tw/twcm/StructureDefinition/medicalidentity-twcm"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Encounter.identifier",
      "path" : "Encounter.identifier",
      "min" : 1,
      "max" : "1"
    },
    {
      "id" : "Encounter.identifier.type",
      "path" : "Encounter.identifier.type",
      "min" : 1,
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
          "code" : "SNO"
        }]
      },
      "mustSupport" : true
    },
    {
      "id" : "Encounter.identifier.value",
      "path" : "Encounter.identifier.value",
      "short" : "唯一值。[應填入門診病摘之掛號序號Visit Seq]"
    },
    {
      "id" : "Encounter.status",
      "path" : "Encounter.status",
      "patternCode" : "finished"
    },
    {
      "id" : "Encounter.class",
      "path" : "Encounter.class",
      "patternCoding" : {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "AMB"
      }
    },
    {
      "id" : "Encounter.serviceType",
      "path" : "Encounter.serviceType",
      "short" : "服務的特定型別。[應填入門診病摘之看診科別Dpartment]",
      "min" : 1
    },
    {
      "id" : "Encounter.serviceType.coding",
      "path" : "Encounter.serviceType.coding",
      "min" : 1,
      "max" : "1",
      "patternCoding" : {
        "system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-nhi-tw",
        "code" : "60"
      }
    },
    {
      "id" : "Encounter.subject",
      "path" : "Encounter.subject",
      "min" : 1,
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://www.nricm.edu.tw/twcm/StructureDefinition/patient-twcm"]
      }]
    },
    {
      "id" : "Encounter.basedOn",
      "path" : "Encounter.basedOn",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://www.nricm.edu.tw/twcm/StructureDefinition/servicerequest-twcm"]
      }]
    },
    {
      "id" : "Encounter.participant",
      "path" : "Encounter.participant",
      "min" : 1
    },
    {
      "id" : "Encounter.participant.individual",
      "path" : "Encounter.participant.individual",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://www.nricm.edu.tw/twcm/StructureDefinition/practitioner-twcm",
        "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore",
        "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore"]
      }]
    },
    {
      "id" : "Encounter.period",
      "path" : "Encounter.period",
      "min" : 1
    },
    {
      "id" : "Encounter.period.start",
      "path" : "Encounter.period.start",
      "short" : "就醫的開始時間。[應填入門診病摘之掛號(報到)日期時間Visit Date]",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Encounter.reasonReference",
      "path" : "Encounter.reasonReference",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://www.nricm.edu.tw/twcm/StructureDefinition/procedure-twcm",
        "https://www.nricm.edu.tw/twcm/StructureDefinition/observation-twcm",
        "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"]
      }]
    },
    {
      "id" : "Encounter.hospitalization.origin",
      "path" : "Encounter.hospitalization.origin",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://www.nricm.edu.tw/twcm/StructureDefinition/organization-twcm",
        "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Location-twcore"]
      }]
    },
    {
      "id" : "Encounter.hospitalization.destination",
      "path" : "Encounter.hospitalization.destination",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Location-twcore",
        "https://www.nricm.edu.tw/twcm/StructureDefinition/organization-twcm"]
      }]
    },
    {
      "id" : "Encounter.serviceProvider",
      "path" : "Encounter.serviceProvider",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://www.nricm.edu.tw/twcm/StructureDefinition/organization-twcm"]
      }]
    },
    {
      "id" : "Encounter.partOf",
      "path" : "Encounter.partOf",
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
          "valueBoolean" : true
        }],
        "code" : "Reference",
        "targetProfile" : ["https://www.nricm.edu.tw/twcm/StructureDefinition/encounter-twcm"]
      }]
    }]
  }
}

```
