臺灣社政領域基礎實作指引
0.0.1 - ci-build
臺灣社政領域基礎實作指引
0.0.1 - ci-build
臺灣社政領域基礎實作指引, published by 衛生福利部社會及家庭署. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/sfaassn2025-source/base/ and changes regularly. See the Directory of published versions
| Official URL: https://sfaa.gov.tw/base/StructureDefinition/Condition-twss-base | Version: 0.0.1 | |||
| Draft as of 2026-10-20 | Computable Name: ConditionTWSSBase | |||
健康與障礙狀況-Condition TWSS Base Profile 表達衛生福利部社會及家庭署業務中的健康、障礙或診斷狀況。本 Profile 因 TWSS Base 的基數需求與 reference target 與 TW Core Condition 0.3.2 限制不同，故繼承原生 Condition，並沿用相容的 TW Core 0.3.2 規則。
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:  | ||||
|---|---|---|---|---|---|---|---|---|
  Condition |
C | 0..* | Condition | 有關病情、問題或診斷的詳細資訊 Constraints: con-3, con-4, con-5 | ||||
  id |
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。 | |||||
 meta |
0..1 | Meta | 此Condition Resource的metadata | |||||
| implicitRules |
0..1 | uri | 創建此內容所依據的一組規則 | |||||
| language |
0..1 | code | 用以表述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。
| |||||
| 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 | |||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
 identifier |
0..* | Identifier | 此病情、問題或診斷的外部識別碼 | |||||
 use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
| type |
0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | |||||
| system |
0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |||||
 value |
0..1 | string | The value that is unique Example General: 123456 | |||||
| clinicalStatus |
C | 0..1 | CodeableConceptTW | active | recurrence | relapse | inactive | remission | resolved ，病情、問題或診斷的臨床狀態。 Binding: ConditionClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。 | ||||
| verificationStatus |
C | 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。 | ||||
| category |
0..* | 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。 | |||||
| severity |
0..1 | CodeableConceptTW | 病情、問題或診斷的主觀嚴重程度 Binding: TWSS-FHIR Condition Severity與健康及障礙分級值集 (extensible): 身心障礙障礙等級或病情嚴重程度；輕度、中度、重度應優先使用 FHIR Condition severity 原值集之 SNOMED CT 代碼，無適合代碼時可使用 TWSS 補充碼。 | |||||
| code |
0..1 | CodeableConceptTW | 病情、問題或診斷的識別 Binding: Condition/Problem/DiagnosisCodes (example): 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使用以下 slices 中的任一值集。障礙類別應使用 TWSS Base 障礙類別代碼；ICD 診斷應使用對應 ICD slice。 | |||||
 Slices for coding |
0..* | CodingTW  |
由專門術語系統（terminology system）定義的代碼。 Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
  coding:icd10-cm-2023 |
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) | |||||
  system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw (extensions allowed) | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
 display |
0..1 | string | 由系統定義的表示法 | |||||
| coding:icd10-cm-2021 |
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。 | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2021-tw (extensions allowed) | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| coding:icd10-cm-2014 |
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。 | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2014-tw (extensions allowed) | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| coding:icd9-cm-2001 |
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) | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-9-cm-2001-tw (extensions allowed) | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| coding:health-status |
0..1 | CodingTW |
身心健康狀況代碼。 Binding: TWSS-身心健康狀況值集 (required): 應填入身心健康狀況值集中的其中一個代碼。 | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-health-status (extensions allowed) | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| coding:health-and-disease-status |
0..* | CodingTW |
健康與疾病狀況代碼。 Binding: TWSS-健康與疾病狀況值集 (required) | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-health-status-option (extensions allowed) | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| coding:disease-type |
0..* | CodingTW |
疾病類型代碼。 Binding: TWSS-疾病類型值集 (required) | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-disease-type (extensions allowed) | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| coding:new-disability-type |
0..* | CodingTW |
新制障礙類別代碼。 Binding: TWSS-身心障礙新制障礙類別值集 (required) | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-disability-type-new-category (extensions allowed) | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| coding:old-disability-type |
0..* | CodingTW |
舊制障礙類別代碼。 Binding: TWSS-身心障礙舊制障礙類別值集 (required) | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-disability-type-legacy (extensions allowed) | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
 coding:absentOrUnknownProblem |
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。 | |||||
 coding:sct |
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。 | |||||
 system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://snomed.info/sct (extensions allowed) | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| text |
0..1 | string | 概念的文字表示法 | |||||
| bodySite |
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。 | |||||
 subject |
1..1 | Reference(個案資料-Patient TWSS Base) | 誰有此病情、問題或診斷？ | |||||
| encounter |
0..1 | Reference(Encounter) | 作為病情、問題或診斷紀錄的一部分的就醫（Encounter）紀錄 | |||||
 onset[x] |
0..1 | 估計的或實際的日期、日期—時間或年齡。 | ||||||
| onsetDateTime |
dateTime | |||||||
| onsetAge |
Age | |||||||
| onsetPeriod |
Period | |||||||
| onsetRange |
Range | |||||||
| onsetString |
string | |||||||
| abatement[x] |
C | 0..1 | 何時解決/緩解 | |||||
| abatementDateTime |
dateTime | |||||||
| abatementAge |
Age | |||||||
| abatementPeriod |
Period | |||||||
| abatementRange |
Range | |||||||
| abatementString |
string | |||||||
| recordedDate |
0..1 | dateTime | 記錄的日期 | |||||
| recorder |
0..1 | Reference(人員資料-Practitioner TWSS Base | 人員角色-PractitionerRole TWSS Base) | 誰記錄此病情、問題或診斷 | |||||
| asserter |
0..1 | Reference(個案資料-Patient TWSS Base | 關係人資料-RelatedPerson TWSS Base | 人員資料-Practitioner TWSS Base | 人員角色-PractitionerRole TWSS Base) | 聲稱有此病情、問題或診斷的人 | |||||
| stage |
C | 0..* | BackboneElement | 分期（stage）／分級（grade），通常是正式的評估。 Constraints: con-1 | ||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| summary |
C | 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。 | ||||
| assessment |
C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | 正式的評估記錄 | ||||
| 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。 | |||||
| evidence |
C | 0..* | BackboneElement | 支持的證據 Constraints: con-2 | ||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
C | 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。 | ||||
| detail |
C | 0..* | Reference(Resource) | 在其他地方找到的支持資訊 | ||||
| note |
0..* | Annotation | 關於此Condition的附加資訊 | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Condition.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Condition.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Condition.identifier.type | Base | extensible | IdentifierType | 📍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.severity | Base | extensible | TWSS-FHIR Condition Severity與健康及障礙分級值集 | 📦0.0.1 | This IG |
| Condition.code | Base | example | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std. |
| 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:health-status | Base | required | TWSS-身心健康狀況值集 | 📦0.0.1 | This IG |
| Condition.code.coding:health-and-disease-status | Base | required | TWSS-健康與疾病狀況值集 | 📦0.0.1 | This IG |
| Condition.code.coding:disease-type | Base | required | TWSS-疾病類型值集 | 📦0.0.1 | This IG |
| Condition.code.coding:new-disability-type | Base | required | TWSS-身心障礙新制障礙類別值集 | 📦0.0.1 | This IG |
| Condition.code.coding:old-disability-type | Base | required | TWSS-身心障礙舊制障礙類別值集 | 📦0.0.1 | This IG |
| 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.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. |
| Id | Grade | Path(s) | Description | Expression |
| con-1 | error | Condition.stage | Stage SHALL have summary or assessment |
summary.exists() or assessment.exists()
|
| con-2 | error | Condition.evidence | evidence SHALL have code or details |
code.exists() or detail.exists()
|
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Condition
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Condition |
0..* | Condition | 有關病情、問題或診斷的詳細資訊 | |||||
 id |
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。 | |||||
| meta |
0..1 | Meta | 此Condition Resource的metadata | |||||
| implicitRules |
0..1 | uri | 創建此內容所依據的一組規則 | |||||
| language |
0..1 | code | 用以表述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。
| |||||
| text |
0..1 | Narrative | Condition Resource之內容摘要以供人閱讀 | |||||
| identifier |
0..* | Identifier | 此病情、問題或診斷的外部識別碼 | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) | |||||
| type |
0..1 | CodeableConcept | Description of identifier | |||||
| system |
0..1 | uri | The namespace for the identifier value | |||||
| value |
0..1 | string | The value that is unique | |||||
| clinicalStatus |
0..1 | CodeableConceptTW | active | recurrence | relapse | inactive | remission | resolved ，病情、問題或診斷的臨床狀態。 Binding: ConditionClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| verificationStatus |
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。 | |||||
| category |
0..* | 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。 | |||||
| severity |
0..1 | CodeableConceptTW | 病情、問題或診斷的主觀嚴重程度 Binding: TWSS-FHIR Condition Severity與健康及障礙分級值集 (extensible): 身心障礙障礙等級或病情嚴重程度；輕度、中度、重度應優先使用 FHIR Condition severity 原值集之 SNOMED CT 代碼，無適合代碼時可使用 TWSS 補充碼。 | |||||
| code |
0..1 | CodeableConceptTW | 病情、問題或診斷的識別 Binding: Condition/Problem/DiagnosisCodes (example): 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使用以下 slices 中的任一值集。障礙類別應使用 TWSS Base 障礙類別代碼；ICD 診斷應使用對應 ICD slice。 | |||||
 Slices for coding |
0..* | CodingTW | 由專門術語系統（terminology system）定義的代碼。 Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| coding:icd10-cm-2023 |
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) | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw (extensions allowed) | |||||
| coding:icd10-cm-2021 |
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。 | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2021-tw (extensions allowed) | |||||
| coding:icd10-cm-2014 |
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。 | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2014-tw (extensions allowed) | |||||
| coding:icd9-cm-2001 |
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) | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-9-cm-2001-tw (extensions allowed) | |||||
| coding:health-status |
0..1 | CodingTW | 身心健康狀況代碼。 Binding: TWSS-身心健康狀況值集 (required): 應填入身心健康狀況值集中的其中一個代碼。 | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-health-status (extensions allowed) | |||||
| coding:health-and-disease-status |
0..* | CodingTW | 健康與疾病狀況代碼。 Binding: TWSS-健康與疾病狀況值集 (required) | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-health-status-option (extensions allowed) | |||||
| coding:disease-type |
0..* | CodingTW | 疾病類型代碼。 Binding: TWSS-疾病類型值集 (required) | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-disease-type (extensions allowed) | |||||
| coding:new-disability-type |
0..* | CodingTW | 新制障礙類別代碼。 Binding: TWSS-身心障礙新制障礙類別值集 (required) | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-disability-type-new-category (extensions allowed) | |||||
| coding:old-disability-type |
0..* | CodingTW | 舊制障礙類別代碼。 Binding: TWSS-身心障礙舊制障礙類別值集 (required) | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-disability-type-legacy (extensions allowed) | |||||
| coding:absentOrUnknownProblem |
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。 | |||||
| coding:sct |
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。 | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://snomed.info/sct (extensions allowed) | |||||
| bodySite |
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。 | |||||
| subject |
1..1 | Reference(個案資料-Patient TWSS Base) | 誰有此病情、問題或診斷？ | |||||
| encounter |
0..1 | Reference(Encounter) | 作為病情、問題或診斷紀錄的一部分的就醫（Encounter）紀錄 | |||||
| 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。 | |||||
| abatement[x] |
0..1 | dateTime, Age, Period, Range, string | 何時解決/緩解 | |||||
| recordedDate |
0..1 | dateTime | 記錄的日期 | |||||
| recorder |
0..1 | Reference(人員資料-Practitioner TWSS Base | 人員角色-PractitionerRole TWSS Base) | 誰記錄此病情、問題或診斷 | |||||
| asserter |
0..1 | Reference(個案資料-Patient TWSS Base | 關係人資料-RelatedPerson TWSS Base | 人員資料-Practitioner TWSS Base | 人員角色-PractitionerRole TWSS Base) | 聲稱有此病情、問題或診斷的人 | |||||
| stage |
0..* | BackboneElement | 分期（stage）／分級（grade），通常是正式的評估。 | |||||
| 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。 | |||||
| assessment |
0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | 正式的評估記錄 | |||||
| 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。 | |||||
| evidence |
0..* | BackboneElement | 支持的證據 | |||||
| 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。 | |||||
| detail |
0..* | Reference(Resource) | 在其他地方找到的支持資訊 | |||||
| note |
0..* | Annotation | 關於此Condition的附加資訊 | |||||
| Documentation for this format | ||||||||
| 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.severity | Base | extensible | TWSS-FHIR Condition Severity與健康及障礙分級值集 | 📦0.0.1 | This IG |
| Condition.code | Base | example | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std. |
| 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:health-status | Base | required | TWSS-身心健康狀況值集 | 📦0.0.1 | This IG |
| Condition.code.coding:health-and-disease-status | Base | required | TWSS-健康與疾病狀況值集 | 📦0.0.1 | This IG |
| Condition.code.coding:disease-type | Base | required | TWSS-疾病類型值集 | 📦0.0.1 | This IG |
| Condition.code.coding:new-disability-type | Base | required | TWSS-身心障礙新制障礙類別值集 | 📦0.0.1 | This IG |
| Condition.code.coding:old-disability-type | Base | required | TWSS-身心障礙舊制障礙類別值集 | 📦0.0.1 | This IG |
| 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.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. |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Condition |
C | 0..* | Condition | 有關病情、問題或診斷的詳細資訊 Constraints: con-3, con-4, con-5 | ||||
| id |
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。 | |||||
| meta |
0..1 | Meta | 此Condition Resource的metadata | |||||
| implicitRules |
0..1 | uri | 創建此內容所依據的一組規則 | |||||
| language |
0..1 | code | 用以表述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。
| |||||
| 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 | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | 此病情、問題或診斷的外部識別碼 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
| type |
0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | |||||
| system |
0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |||||
| value |
0..1 | string | The value that is unique Example General: 123456 | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| clinicalStatus |
C | 0..1 | CodeableConceptTW | active | recurrence | relapse | inactive | remission | resolved ，病情、問題或診斷的臨床狀態。 Binding: ConditionClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。 | ||||
| verificationStatus |
C | 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。 | ||||
| category |
0..* | 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。 | |||||
| severity |
0..1 | CodeableConceptTW | 病情、問題或診斷的主觀嚴重程度 Binding: TWSS-FHIR Condition Severity與健康及障礙分級值集 (extensible): 身心障礙障礙等級或病情嚴重程度；輕度、中度、重度應優先使用 FHIR Condition severity 原值集之 SNOMED CT 代碼，無適合代碼時可使用 TWSS 補充碼。 | |||||
| code |
0..1 | CodeableConceptTW | 病情、問題或診斷的識別 Binding: Condition/Problem/DiagnosisCodes (example): 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使用以下 slices 中的任一值集。障礙類別應使用 TWSS Base 障礙類別代碼；ICD 診斷應使用對應 ICD slice。 | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| Slices for coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼。 Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| coding:icd10-cm-2023 |
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) | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw (extensions allowed) | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| coding:icd10-cm-2021 |
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。 | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2021-tw (extensions allowed) | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| coding:icd10-cm-2014 |
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。 | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2014-tw (extensions allowed) | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| coding:icd9-cm-2001 |
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) | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-9-cm-2001-tw (extensions allowed) | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| coding:health-status |
0..1 | CodingTW |
身心健康狀況代碼。 Binding: TWSS-身心健康狀況值集 (required): 應填入身心健康狀況值集中的其中一個代碼。 | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-health-status (extensions allowed) | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| coding:health-and-disease-status |
0..* | CodingTW |
健康與疾病狀況代碼。 Binding: TWSS-健康與疾病狀況值集 (required) | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-health-status-option (extensions allowed) | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| coding:disease-type |
0..* | CodingTW |
疾病類型代碼。 Binding: TWSS-疾病類型值集 (required) | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-disease-type (extensions allowed) | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| coding:new-disability-type |
0..* | CodingTW |
新制障礙類別代碼。 Binding: TWSS-身心障礙新制障礙類別值集 (required) | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-disability-type-new-category (extensions allowed) | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| coding:old-disability-type |
0..* | CodingTW |
舊制障礙類別代碼。 Binding: TWSS-身心障礙舊制障礙類別值集 (required) | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-disability-type-legacy (extensions allowed) | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| coding:absentOrUnknownProblem |
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。 | |||||
| coding:sct |
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。 | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://snomed.info/sct (extensions allowed) | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| text |
0..1 | string | 概念的文字表示法 | |||||
| bodySite |
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。 | |||||
| subject |
1..1 | Reference(個案資料-Patient TWSS Base) | 誰有此病情、問題或診斷？ | |||||
| encounter |
0..1 | Reference(Encounter) | 作為病情、問題或診斷紀錄的一部分的就醫（Encounter）紀錄 | |||||
| onset[x] |
0..1 | 估計的或實際的日期、日期—時間或年齡。 | ||||||
| onsetDateTime |
dateTime | |||||||
| onsetAge |
Age | |||||||
| onsetPeriod |
Period | |||||||
| onsetRange |
Range | |||||||
| onsetString |
string | |||||||
| abatement[x] |
C | 0..1 | 何時解決/緩解 | |||||
| abatementDateTime |
dateTime | |||||||
| abatementAge |
Age | |||||||
| abatementPeriod |
Period | |||||||
| abatementRange |
Range | |||||||
| abatementString |
string | |||||||
| recordedDate |
0..1 | dateTime | 記錄的日期 | |||||
| recorder |
0..1 | Reference(人員資料-Practitioner TWSS Base | 人員角色-PractitionerRole TWSS Base) | 誰記錄此病情、問題或診斷 | |||||
| asserter |
0..1 | Reference(個案資料-Patient TWSS Base | 關係人資料-RelatedPerson TWSS Base | 人員資料-Practitioner TWSS Base | 人員角色-PractitionerRole TWSS Base) | 聲稱有此病情、問題或診斷的人 | |||||
| stage |
C | 0..* | BackboneElement | 分期（stage）／分級（grade），通常是正式的評估。 Constraints: con-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| summary |
C | 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。 | ||||
| assessment |
C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | 正式的評估記錄 | ||||
| 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。 | |||||
| evidence |
C | 0..* | BackboneElement | 支持的證據 Constraints: con-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
C | 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。 | ||||
| detail |
C | 0..* | Reference(Resource) | 在其他地方找到的支持資訊 | ||||
| note |
0..* | Annotation | 關於此Condition的附加資訊 | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Condition.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Condition.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Condition.identifier.type | Base | extensible | IdentifierType | 📍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.severity | Base | extensible | TWSS-FHIR Condition Severity與健康及障礙分級值集 | 📦0.0.1 | This IG |
| Condition.code | Base | example | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std. |
| 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:health-status | Base | required | TWSS-身心健康狀況值集 | 📦0.0.1 | This IG |
| Condition.code.coding:health-and-disease-status | Base | required | TWSS-健康與疾病狀況值集 | 📦0.0.1 | This IG |
| Condition.code.coding:disease-type | Base | required | TWSS-疾病類型值集 | 📦0.0.1 | This IG |
| Condition.code.coding:new-disability-type | Base | required | TWSS-身心障礙新制障礙類別值集 | 📦0.0.1 | This IG |
| Condition.code.coding:old-disability-type | Base | required | TWSS-身心障礙舊制障礙類別值集 | 📦0.0.1 | This IG |
| 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.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. |
| Id | Grade | Path(s) | Description | Expression |
| con-1 | error | Condition.stage | Stage SHALL have summary or assessment |
summary.exists() or assessment.exists()
|
| con-2 | error | Condition.evidence | evidence SHALL have code or details |
code.exists() or detail.exists()
|
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Condition
Summary
Must-Support: 30 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Condition |
C | 0..* | Condition | 有關病情、問題或診斷的詳細資訊 Constraints: con-3, con-4, con-5 | ||||
| id |
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。 | |||||
| meta |
0..1 | Meta | 此Condition Resource的metadata | |||||
| implicitRules |
0..1 | uri | 創建此內容所依據的一組規則 | |||||
| language |
0..1 | code | 用以表述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。
| |||||
| 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 | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | 此病情、問題或診斷的外部識別碼 | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
| type |
0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | |||||
| system |
0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |||||
| value |
0..1 | string | The value that is unique Example General: 123456 | |||||
| clinicalStatus |
C | 0..1 | CodeableConceptTW | active | recurrence | relapse | inactive | remission | resolved ，病情、問題或診斷的臨床狀態。 Binding: ConditionClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。 | ||||
| verificationStatus |
C | 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。 | ||||
| category |
0..* | 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。 | |||||
| severity |
0..1 | CodeableConceptTW | 病情、問題或診斷的主觀嚴重程度 Binding: TWSS-FHIR Condition Severity與健康及障礙分級值集 (extensible): 身心障礙障礙等級或病情嚴重程度；輕度、中度、重度應優先使用 FHIR Condition severity 原值集之 SNOMED CT 代碼，無適合代碼時可使用 TWSS 補充碼。 | |||||
| code |
0..1 | CodeableConceptTW | 病情、問題或診斷的識別 Binding: Condition/Problem/DiagnosisCodes (example): 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使用以下 slices 中的任一值集。障礙類別應使用 TWSS Base 障礙類別代碼；ICD 診斷應使用對應 ICD slice。 | |||||
| Slices for coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼。 Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| coding:icd10-cm-2023 |
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) | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw (extensions allowed) | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| coding:icd10-cm-2021 |
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。 | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2021-tw (extensions allowed) | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| coding:icd10-cm-2014 |
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。 | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2014-tw (extensions allowed) | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| coding:icd9-cm-2001 |
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) | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-9-cm-2001-tw (extensions allowed) | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| coding:health-status |
0..1 | CodingTW |
身心健康狀況代碼。 Binding: TWSS-身心健康狀況值集 (required): 應填入身心健康狀況值集中的其中一個代碼。 | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-health-status (extensions allowed) | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| coding:health-and-disease-status |
0..* | CodingTW |
健康與疾病狀況代碼。 Binding: TWSS-健康與疾病狀況值集 (required) | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-health-status-option (extensions allowed) | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| coding:disease-type |
0..* | CodingTW |
疾病類型代碼。 Binding: TWSS-疾病類型值集 (required) | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-disease-type (extensions allowed) | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| coding:new-disability-type |
0..* | CodingTW |
新制障礙類別代碼。 Binding: TWSS-身心障礙新制障礙類別值集 (required) | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-disability-type-new-category (extensions allowed) | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| coding:old-disability-type |
0..* | CodingTW |
舊制障礙類別代碼。 Binding: TWSS-身心障礙舊制障礙類別值集 (required) | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-disability-type-legacy (extensions allowed) | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| coding:absentOrUnknownProblem |
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。 | |||||
| coding:sct |
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。 | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://snomed.info/sct (extensions allowed) | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| text |
0..1 | string | 概念的文字表示法 | |||||
| bodySite |
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。 | |||||
| subject |
1..1 | Reference(個案資料-Patient TWSS Base) | 誰有此病情、問題或診斷？ | |||||
| encounter |
0..1 | Reference(Encounter) | 作為病情、問題或診斷紀錄的一部分的就醫（Encounter）紀錄 | |||||
| onset[x] |
0..1 | 估計的或實際的日期、日期—時間或年齡。 | ||||||
| onsetDateTime |
dateTime | |||||||
| onsetAge |
Age | |||||||
| onsetPeriod |
Period | |||||||
| onsetRange |
Range | |||||||
| onsetString |
string | |||||||
| abatement[x] |
C | 0..1 | 何時解決/緩解 | |||||
| abatementDateTime |
dateTime | |||||||
| abatementAge |
Age | |||||||
| abatementPeriod |
Period | |||||||
| abatementRange |
Range | |||||||
| abatementString |
string | |||||||
| recordedDate |
0..1 | dateTime | 記錄的日期 | |||||
| recorder |
0..1 | Reference(人員資料-Practitioner TWSS Base | 人員角色-PractitionerRole TWSS Base) | 誰記錄此病情、問題或診斷 | |||||
| asserter |
0..1 | Reference(個案資料-Patient TWSS Base | 關係人資料-RelatedPerson TWSS Base | 人員資料-Practitioner TWSS Base | 人員角色-PractitionerRole TWSS Base) | 聲稱有此病情、問題或診斷的人 | |||||
| stage |
C | 0..* | BackboneElement | 分期（stage）／分級（grade），通常是正式的評估。 Constraints: con-1 | ||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| summary |
C | 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。 | ||||
| assessment |
C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | 正式的評估記錄 | ||||
| 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。 | |||||
| evidence |
C | 0..* | BackboneElement | 支持的證據 Constraints: con-2 | ||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
C | 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。 | ||||
| detail |
C | 0..* | Reference(Resource) | 在其他地方找到的支持資訊 | ||||
| note |
0..* | Annotation | 關於此Condition的附加資訊 | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Condition.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Condition.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Condition.identifier.type | Base | extensible | IdentifierType | 📍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.severity | Base | extensible | TWSS-FHIR Condition Severity與健康及障礙分級值集 | 📦0.0.1 | This IG |
| Condition.code | Base | example | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std. |
| 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:health-status | Base | required | TWSS-身心健康狀況值集 | 📦0.0.1 | This IG |
| Condition.code.coding:health-and-disease-status | Base | required | TWSS-健康與疾病狀況值集 | 📦0.0.1 | This IG |
| Condition.code.coding:disease-type | Base | required | TWSS-疾病類型值集 | 📦0.0.1 | This IG |
| Condition.code.coding:new-disability-type | Base | required | TWSS-身心障礙新制障礙類別值集 | 📦0.0.1 | This IG |
| Condition.code.coding:old-disability-type | Base | required | TWSS-身心障礙舊制障礙類別值集 | 📦0.0.1 | This IG |
| 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.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. |
| Id | Grade | Path(s) | Description | Expression |
| con-1 | error | Condition.stage | Stage SHALL have summary or assessment |
summary.exists() or assessment.exists()
|
| con-2 | error | Condition.evidence | evidence SHALL have code or details |
code.exists() or detail.exists()
|
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from Condition
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Condition |
0..* | Condition | 有關病情、問題或診斷的詳細資訊 | |||||
| id |
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。 | |||||
| meta |
0..1 | Meta | 此Condition Resource的metadata | |||||
| implicitRules |
0..1 | uri | 創建此內容所依據的一組規則 | |||||
| language |
0..1 | code | 用以表述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。
| |||||
| text |
0..1 | Narrative | Condition Resource之內容摘要以供人閱讀 | |||||
| identifier |
0..* | Identifier | 此病情、問題或診斷的外部識別碼 | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) | |||||
| type |
0..1 | CodeableConcept | Description of identifier | |||||
| system |
0..1 | uri | The namespace for the identifier value | |||||
| value |
0..1 | string | The value that is unique | |||||
| clinicalStatus |
0..1 | CodeableConceptTW | active | recurrence | relapse | inactive | remission | resolved ，病情、問題或診斷的臨床狀態。 Binding: ConditionClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。 | |||||
| verificationStatus |
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。 | |||||
| category |
0..* | 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。 | |||||
| severity |
0..1 | CodeableConceptTW | 病情、問題或診斷的主觀嚴重程度 Binding: TWSS-FHIR Condition Severity與健康及障礙分級值集 (extensible): 身心障礙障礙等級或病情嚴重程度；輕度、中度、重度應優先使用 FHIR Condition severity 原值集之 SNOMED CT 代碼，無適合代碼時可使用 TWSS 補充碼。 | |||||
| code |
0..1 | CodeableConceptTW | 病情、問題或診斷的識別 Binding: Condition/Problem/DiagnosisCodes (example): 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使用以下 slices 中的任一值集。障礙類別應使用 TWSS Base 障礙類別代碼；ICD 診斷應使用對應 ICD slice。 | |||||
| Slices for coding |
0..* | CodingTW | 由專門術語系統（terminology system）定義的代碼。 Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| coding:icd10-cm-2023 |
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) | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw (extensions allowed) | |||||
| coding:icd10-cm-2021 |
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。 | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2021-tw (extensions allowed) | |||||
| coding:icd10-cm-2014 |
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。 | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2014-tw (extensions allowed) | |||||
| coding:icd9-cm-2001 |
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) | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-9-cm-2001-tw (extensions allowed) | |||||
| coding:health-status |
0..1 | CodingTW | 身心健康狀況代碼。 Binding: TWSS-身心健康狀況值集 (required): 應填入身心健康狀況值集中的其中一個代碼。 | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-health-status (extensions allowed) | |||||
| coding:health-and-disease-status |
0..* | CodingTW | 健康與疾病狀況代碼。 Binding: TWSS-健康與疾病狀況值集 (required) | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-health-status-option (extensions allowed) | |||||
| coding:disease-type |
0..* | CodingTW | 疾病類型代碼。 Binding: TWSS-疾病類型值集 (required) | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-disease-type (extensions allowed) | |||||
| coding:new-disability-type |
0..* | CodingTW | 新制障礙類別代碼。 Binding: TWSS-身心障礙新制障礙類別值集 (required) | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-disability-type-new-category (extensions allowed) | |||||
| coding:old-disability-type |
0..* | CodingTW | 舊制障礙類別代碼。 Binding: TWSS-身心障礙舊制障礙類別值集 (required) | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-disability-type-legacy (extensions allowed) | |||||
| coding:absentOrUnknownProblem |
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。 | |||||
| coding:sct |
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。 | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://snomed.info/sct (extensions allowed) | |||||
| bodySite |
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。 | |||||
| subject |
1..1 | Reference(個案資料-Patient TWSS Base) | 誰有此病情、問題或診斷？ | |||||
| encounter |
0..1 | Reference(Encounter) | 作為病情、問題或診斷紀錄的一部分的就醫（Encounter）紀錄 | |||||
| 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。 | |||||
| abatement[x] |
0..1 | dateTime, Age, Period, Range, string | 何時解決/緩解 | |||||
| recordedDate |
0..1 | dateTime | 記錄的日期 | |||||
| recorder |
0..1 | Reference(人員資料-Practitioner TWSS Base | 人員角色-PractitionerRole TWSS Base) | 誰記錄此病情、問題或診斷 | |||||
| asserter |
0..1 | Reference(個案資料-Patient TWSS Base | 關係人資料-RelatedPerson TWSS Base | 人員資料-Practitioner TWSS Base | 人員角色-PractitionerRole TWSS Base) | 聲稱有此病情、問題或診斷的人 | |||||
| stage |
0..* | BackboneElement | 分期（stage）／分級（grade），通常是正式的評估。 | |||||
| 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。 | |||||
| assessment |
0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | 正式的評估記錄 | |||||
| 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。 | |||||
| evidence |
0..* | BackboneElement | 支持的證據 | |||||
| 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。 | |||||
| detail |
0..* | Reference(Resource) | 在其他地方找到的支持資訊 | |||||
| note |
0..* | Annotation | 關於此Condition的附加資訊 | |||||
| Documentation for this format | ||||||||
| 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.severity | Base | extensible | TWSS-FHIR Condition Severity與健康及障礙分級值集 | 📦0.0.1 | This IG |
| Condition.code | Base | example | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std. |
| 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:health-status | Base | required | TWSS-身心健康狀況值集 | 📦0.0.1 | This IG |
| Condition.code.coding:health-and-disease-status | Base | required | TWSS-健康與疾病狀況值集 | 📦0.0.1 | This IG |
| Condition.code.coding:disease-type | Base | required | TWSS-疾病類型值集 | 📦0.0.1 | This IG |
| Condition.code.coding:new-disability-type | Base | required | TWSS-身心障礙新制障礙類別值集 | 📦0.0.1 | This IG |
| Condition.code.coding:old-disability-type | Base | required | TWSS-身心障礙舊制障礙類別值集 | 📦0.0.1 | This IG |
| 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.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. |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Condition |
C | 0..* | Condition | 有關病情、問題或診斷的詳細資訊 Constraints: con-3, con-4, con-5 | ||||
| id |
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。 | |||||
| meta |
0..1 | Meta | 此Condition Resource的metadata | |||||
| implicitRules |
0..1 | uri | 創建此內容所依據的一組規則 | |||||
| language |
0..1 | code | 用以表述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。
| |||||
| 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 | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | 此病情、問題或診斷的外部識別碼 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||
| type |
0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | |||||
| system |
0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |||||
| value |
0..1 | string | The value that is unique Example General: 123456 | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| clinicalStatus |
C | 0..1 | CodeableConceptTW | active | recurrence | relapse | inactive | remission | resolved ，病情、問題或診斷的臨床狀態。 Binding: ConditionClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。 | ||||
| verificationStatus |
C | 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。 | ||||
| category |
0..* | 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。 | |||||
| severity |
0..1 | CodeableConceptTW | 病情、問題或診斷的主觀嚴重程度 Binding: TWSS-FHIR Condition Severity與健康及障礙分級值集 (extensible): 身心障礙障礙等級或病情嚴重程度；輕度、中度、重度應優先使用 FHIR Condition severity 原值集之 SNOMED CT 代碼，無適合代碼時可使用 TWSS 補充碼。 | |||||
| code |
0..1 | CodeableConceptTW | 病情、問題或診斷的識別 Binding: Condition/Problem/DiagnosisCodes (example): 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使用以下 slices 中的任一值集。障礙類別應使用 TWSS Base 障礙類別代碼；ICD 診斷應使用對應 ICD slice。 | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| Slices for coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼。 Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| coding:icd10-cm-2023 |
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) | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw (extensions allowed) | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| coding:icd10-cm-2021 |
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。 | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2021-tw (extensions allowed) | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| coding:icd10-cm-2014 |
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。 | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2014-tw (extensions allowed) | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| coding:icd9-cm-2001 |
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) | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-9-cm-2001-tw (extensions allowed) | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| coding:health-status |
0..1 | CodingTW |
身心健康狀況代碼。 Binding: TWSS-身心健康狀況值集 (required): 應填入身心健康狀況值集中的其中一個代碼。 | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-health-status (extensions allowed) | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| coding:health-and-disease-status |
0..* | CodingTW |
健康與疾病狀況代碼。 Binding: TWSS-健康與疾病狀況值集 (required) | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-health-status-option (extensions allowed) | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| coding:disease-type |
0..* | CodingTW |
疾病類型代碼。 Binding: TWSS-疾病類型值集 (required) | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-disease-type (extensions allowed) | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| coding:new-disability-type |
0..* | CodingTW |
新制障礙類別代碼。 Binding: TWSS-身心障礙新制障礙類別值集 (required) | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-disability-type-new-category (extensions allowed) | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| coding:old-disability-type |
0..* | CodingTW |
舊制障礙類別代碼。 Binding: TWSS-身心障礙舊制障礙類別值集 (required) | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: https://sfaa.gov.tw/base/CodeSystem/twss-disability-type-legacy (extensions allowed) | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| coding:absentOrUnknownProblem |
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。 | |||||
| coding:sct |
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。 | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://snomed.info/sct (extensions allowed) | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
0..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| text |
0..1 | string | 概念的文字表示法 | |||||
| bodySite |
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。 | |||||
| subject |
1..1 | Reference(個案資料-Patient TWSS Base) | 誰有此病情、問題或診斷？ | |||||
| encounter |
0..1 | Reference(Encounter) | 作為病情、問題或診斷紀錄的一部分的就醫（Encounter）紀錄 | |||||
| onset[x] |
0..1 | 估計的或實際的日期、日期—時間或年齡。 | ||||||
| onsetDateTime |
dateTime | |||||||
| onsetAge |
Age | |||||||
| onsetPeriod |
Period | |||||||
| onsetRange |
Range | |||||||
| onsetString |
string | |||||||
| abatement[x] |
C | 0..1 | 何時解決/緩解 | |||||
| abatementDateTime |
dateTime | |||||||
| abatementAge |
Age | |||||||
| abatementPeriod |
Period | |||||||
| abatementRange |
Range | |||||||
| abatementString |
string | |||||||
| recordedDate |
0..1 | dateTime | 記錄的日期 | |||||
| recorder |
0..1 | Reference(人員資料-Practitioner TWSS Base | 人員角色-PractitionerRole TWSS Base) | 誰記錄此病情、問題或診斷 | |||||
| asserter |
0..1 | Reference(個案資料-Patient TWSS Base | 關係人資料-RelatedPerson TWSS Base | 人員資料-Practitioner TWSS Base | 人員角色-PractitionerRole TWSS Base) | 聲稱有此病情、問題或診斷的人 | |||||
| stage |
C | 0..* | BackboneElement | 分期（stage）／分級（grade），通常是正式的評估。 Constraints: con-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| summary |
C | 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。 | ||||
| assessment |
C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | 正式的評估記錄 | ||||
| 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。 | |||||
| evidence |
C | 0..* | BackboneElement | 支持的證據 Constraints: con-2 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
C | 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。 | ||||
| detail |
C | 0..* | Reference(Resource) | 在其他地方找到的支持資訊 | ||||
| note |
0..* | Annotation | 關於此Condition的附加資訊 | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Condition.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Condition.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Condition.identifier.type | Base | extensible | IdentifierType | 📍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.severity | Base | extensible | TWSS-FHIR Condition Severity與健康及障礙分級值集 | 📦0.0.1 | This IG |
| Condition.code | Base | example | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std. |
| 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:health-status | Base | required | TWSS-身心健康狀況值集 | 📦0.0.1 | This IG |
| Condition.code.coding:health-and-disease-status | Base | required | TWSS-健康與疾病狀況值集 | 📦0.0.1 | This IG |
| Condition.code.coding:disease-type | Base | required | TWSS-疾病類型值集 | 📦0.0.1 | This IG |
| Condition.code.coding:new-disability-type | Base | required | TWSS-身心障礙新制障礙類別值集 | 📦0.0.1 | This IG |
| Condition.code.coding:old-disability-type | Base | required | TWSS-身心障礙舊制障礙類別值集 | 📦0.0.1 | This IG |
| 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.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. |
| Id | Grade | Path(s) | Description | Expression |
| con-1 | error | Condition.stage | Stage SHALL have summary or assessment |
summary.exists() or assessment.exists()
|
| con-2 | error | Condition.evidence | evidence SHALL have code or details |
code.exists() or detail.exists()
|
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Condition
Summary
Must-Support: 30 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
此 Profile 使用 FHIR R4 Condition Resource；伺服端建議（SHOULD）支援以下 FHIR 原生查詢參數： 完整定義請參考 FHIR R4 Condition 原生查詢參數。
| 查詢參數 | 類型 | 查詢範例 |
|---|---|---|
_content |
string | GET [base]/_content=[value] |
_filter |
special | GET [base]/_filter=[value] |
_id |
token | GET [base]/Condition/[id] |
_lastUpdated |
date | GET [base]/_lastUpdated=[value] |
_profile |
uri | GET [base]/_profile=[value] |
_query |
token | GET [base]/_query=[value] |
_security |
token | GET [base]/_security=[value] |
_source |
uri | GET [base]/_source=[value] |
_tag |
token | GET [base]/_tag=[value] |
_text |
string | GET [base]/_text=[value] |
abatement-age |
quantity | GET [base]/abatement-age=[value] |
abatement-date |
date | GET [base]/abatement-date=[value] |
abatement-string |
string | GET [base]/abatement-string=[value] |
asserter |
reference | GET [base]/asserter=[value] |
body-site |
token | GET [base]/body-site=[value] |
category |
token | GET [base]/category=[value] |
clinical-status |
token | GET [base]/clinical-status=[value] |
code |
token | GET [base]/code=[value] |
encounter |
reference | GET [base]/encounter=[value] |
evidence |
token | GET [base]/evidence=[value] |
evidence-detail |
reference | GET [base]/evidence-detail=[value] |
identifier |
token | GET [base]/identifier=[value] |
onset-age |
quantity | GET [base]/onset-age=[value] |
onset-date |
date | GET [base]/onset-date=[value] |
onset-info |
string | GET [base]/onset-info=[value] |
patient |
reference | GET [base]/patient=[value] |
recorded-date |
date | GET [base]/recorded-date=[value] |
severity |
token | GET [base]/severity=[value] |
stage |
token | GET [base]/stage=[value] |
subject |
reference | GET [base]/subject=[value] |
verification-status |
token | GET [base]/verification-status=[value] |