Generated Narrative: StructureDefinition Condition-twss-base

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..*Condition有關病情、問題或診斷的詳細資訊
... id 0..1id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..1Meta此Condition Resource的metadata
... implicitRules 0..1uri創建此內容所依據的一組規則
... language 0..1code用以表述Condition Resource內容的語言。
Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeCondition Resource之內容摘要以供人閱讀
... identifier S0..*Identifier此病情、問題或診斷的外部識別碼
.... use S0..1codeusual | official | temp | secondary | old (If known)
.... type S0..1CodeableConceptDescription of identifier
.... system S0..1uriThe namespace for the identifier value
.... value S0..1stringThe value that is unique
... clinicalStatus S0..1CodeableConceptTWactive | 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 S0..1CodeableConceptTWunconfirmed | 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 S0..*CodeableConceptTWproblem-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 S0..1CodeableConceptTW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 S0..1CodeableConceptTW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
..... coding:icd10-cm-2023 S0..1CodingTW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)
..... coding:icd10-cm-2021 S0..1CodingTW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。
..... coding:icd10-cm-2014 S0..1CodingTW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。
..... coding:icd9-cm-2001 S0..1CodingTW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)
..... coding:health-status S0..1CodingTW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。
..... coding:health-status-option S0..*CodingTW健康狀況選項代碼。
Binding: TWSS-健康狀況選項值集 (required)
..... coding:disease-type S0..*CodingTW疾病類型代碼。
Binding: TWSS-疾病類型值集 (required)
..... coding:absentOrUnknownProblem S0..1CodingTW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 S0..1CodingTW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。
... bodySite S0..*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 S1..1Reference(個案資料-Patient TWSS Base)誰有此病情、問題或診斷？
... encounter S0..1Reference(Encounter)作為病情、問題或診斷紀錄的一部分的就醫（Encounter）紀錄
... onset[x] S0..1dateTime, Age, Period, Range, string估計的或實際的日期、日期—時間或年齡。
... abatement[x] S0..1dateTime, Age, Period, Range, string何時解決/緩解
... recordedDate S0..1dateTime記錄的日期
... recorder S0..1Reference(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 S0..1Reference(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..1CodeableConceptTW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..1CodeableConceptTW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 S0..*Annotation關於此Condition的附加資訊

doco Documentation for this format
 <status value="draft"/> <date value="2026-08-10T08:34:13+00:00"/> <publisher value="衛生福利部社會及家庭署"/> <contact> <name value="衛生福利部社會及家庭署"/> <telecom> <system value="url"/> <value value="https://www.twss.gov.tw/"/> </telecom> </contact> <description value="健康與障礙狀況-Condition TWSS Base Profile 表達社家署業務中的健康、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。"/> <fhirVersion value="4.0.1"/> <mapping> <identity value="workflow"/> <uri value="http://hl7.org/fhir/workflow"/> <name value="Workflow Pattern"/> </mapping> <mapping> <identity value="sct-concept"/> <uri value="http://snomed.info/conceptdomain"/> <name value="SNOMED CT Concept Domain Binding"/> </mapping> <mapping> <identity value="v2"/> <uri value="http://hl7.org/v2"/> <name value="HL7 v2 Mapping"/> </mapping> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/fivews"/> <name value="FiveWs Pattern Mapping"/> </mapping> <mapping> <identity value="sct-attr"/> <uri value="http://snomed.org/attributebinding"/> <name value="SNOMED CT Attribute Binding"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="Condition"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Condition"/> <derivation value="constraint"/> <snapshot> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"> <valueString value="4.0.1"/> </extension> <element id="Condition"> <path value="Condition"/> <short value="有關病情、問題或診斷的詳細資訊"/> <definition value="一個臨床病情、問題、診斷或其他事件、情況、或臨床概念，已上升到需要關注的程度。"/> <min value="0"/> <max value="*"/> <base> <path value="Condition"/> <min value="0"/> <max value="*"/> </base> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"> <valueMarkdown value="Most systems will expect a clinicalStatus to be valued for problem-list-items that are managed over time, but might not need a clinicalStatus for point in time encounter-diagnosis."/> </extension> <key value="con-3"/> <severity value="warning"/> <human value="Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item"/> <expression value="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()"/> <xpath value="exists(f:clinicalStatus) or exists(f:verificationStatus/f:coding/f:code/@value='entered-in-error') or not(exists(category[@value='problem-list-item']))"/> <source value="http://hl7.org/fhir/StructureDefinition/Condition"/> </constraint> <constraint> <key value="con-4"/> <severity value="error"/> <human value="If condition is abated, then clinicalStatus must be either inactive, resolved, or remission"/> <expression value="abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()"/> <xpath value="not(exists(*[starts-with(local-name(.), 'abatement')])) or exists(f:clinicalStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-clinical' and f:code/@value=('resolved', 'remission', 'inactive')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Condition"/> </constraint> <constraint> <key value="con-5"/> <severity value="error"/> <human value="Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error"/> <expression value="verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()"/> <xpath value="not(exists(f:verificationStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-ver-status' and f:code/@value='entered-in-error'])) or not(exists(f:clinicalStatus))"/> <source value="http://hl7.org/fhir/StructureDefinition/Condition"/> </constraint> <constraint> <key value="dom-2"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> <expression value="contained.contained.empty()"/> <xpath value="not(parent::f:contained and f:contained)"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-3"/> <severity value="error"/> <human value="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"/> <expression value="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()"/> <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-4"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-5"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> <expression value="contained.meta.security.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:security))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"> <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/> </extension> <key value="dom-6"/> <severity value="warning"/> <human value="A resource should have narrative for robust management"/> <expression value="text.`div`.exists()"/> <xpath value="exists(f:text/h:div)"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Entity. Role, or Act"/> </mapping> <mapping> <identity value="workflow"/> <map value="Event"/> </mapping> <mapping> <identity value="sct-concept"/> <map value="< 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 272379006 |Event|)"/> </mapping> <mapping> <identity value="v2"/> <map value="PPR message"/> </mapping> <mapping> <identity value="rim"/> <map value="Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]"/> </mapping> </element> <element id="Condition.id"> <path value="Condition.id"/> <short value="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。"/> <definition value="resource的邏輯ID，在resource的URL中使用。一旦指定，這個值永遠不會改變。"/> <comment value="一個resource使用新增操作（create operation）提交給伺服器時，此resource沒有id，它的id在resource被創建後由伺器分配/指定。"/> <min value="0"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="Condition.meta"> <path value="Condition.meta"/> <short value="此Condition Resource的metadata"/> <definition value="關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。"/> <min value="0"/> <max value="1"/> <base> <path value="Resource.meta"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Meta"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="Condition.implicitRules"> <path value="Condition.implicitRules"/> <short value="創建此內容所依據的一組規則"/> <definition value="構建resource時遵循的一系列規則的參照，在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。"/> <comment value="宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而，現有的健康生態體系高度分裂，還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能，實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時，此URL是對IG的參照，此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。"/> <min value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation"/> <isSummary value="true"/> </element> <element id="Condition.language"> <path value="Condition.language"/> <short value="用以表述Condition Resource內容的語言。"/> <definition value="編寫此resource的語言"/> <comment value="提供語言是為了支援索引和可存取性（通常，文字表述轉語音等服務使用此語言標籤）。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此語言。不應該假定Resource.language自動適用於敘述。如果指定語言，它也應該被指定在html中的div資料項目（關於xml:lang和html lang屬性之間的關係，見HTML5中的規則）。"/> <min value="0"/> <max value="1"/> <base> <path value="Resource.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="preferred"/> <description value="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。"/> <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> </binding> </element> <element id="Condition.text"> <path value="Condition.text"/> <short value="Condition Resource之內容摘要以供人閱讀"/> <definition value="人可讀的敘述，包含resource的摘要，可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼，但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義有哪些內容應該在敘述中表示，以確保臨床安全。"/> <comment value="內嵌（contained）的resource沒有敘述，非內嵌（contained）的resource則 **建議應該（SHOULD）** 有敘述。有時resource可能只有文字表述，很少或沒有額外的結構化資料（只要滿足所有minOccurs=1的資料項目）。這可能出現在舊系統的資料，當資訊以 「文字表述區塊（text blob） 」的形式被取得，或者文字表述是原始輸入或說明，而編碼資訊稍後再添加。"/> <alias value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="Condition.contained"> <path value="Condition.contained"/> <short value="Contained, inline Resources"/> <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/> <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."/> <alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Condition.extension"> <path value="Condition.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Condition.modifierExtension"> <path value="Condition.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Condition.identifier"> <path value="Condition.identifier"/> <short value="此病情、問題或診斷的外部識別碼"/> <definition value="由執行者或其他系統指定給此病情、問題或診斷的業務用識別碼，即使此resource作更新及在伺服器之間的傳遞，此識別碼仍保持不變。"/> <comment value="這是一個業務識別碼，不是一個resource識別碼（詳見討論）。最好的做法是該識別碼只出現在單個resource實例上，但是業務實務有可能會規定可以在多個resource實例中具有相同識別碼—甚至可能具有不同的resource型例。例如：多個 「Patient（病人）」和 「Person（個人）」resource實例可能共用同一個社會保險號碼。"/> <requirements value="允許識別各參與系統所知的此病情、問題或診斷資訊，並在各伺服器之間保持一致的方式。"/> <min value="0"/> <max value="*"/> <base> <path value="Condition.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.identifier"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.identifier"/> </mapping> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> </element> <element id="Condition.identifier.id"> <path value="Condition.identifier.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Condition.identifier.extension"> <path value="Condition.identifier.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Condition.identifier.use"> <path value="Condition.identifier.use"/> <short value="usual | official | temp | secondary | old (If known)"/> <definition value="The purpose of this identifier."/> <comment value="Applications can assume that an identifier is permanent unless it explicitly says that it is temporary."/> <requirements value="Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers."/> <min value="0"/> <max value="1"/> <base> <path value="Identifier.use"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="true"/> <isModifierReason value="This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one."/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="IdentifierUse"/> </extension> <strength value="required"/> <description value="Identifies the purpose for this identifier, if known ."/> <valueSet value="http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"/> </binding> <mapping> <identity value="v2"/> <map value="N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="Role.code or implied by context"/> </mapping> </element> <element id="Condition.identifier.type"> <path value="Condition.identifier.type"/> <short value="Description of identifier"/> <definition value="A coded type for the identifier that can be used to determine which identifier to use for a specific purpose."/> <comment value="This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type."/> <requirements value="Allows users to make use of identifiers when the identifier system is not known."/> <min value="0"/> <max value="1"/> <base> <path value="Identifier.type"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="IdentifierType"/> </extension> <strength value="extensible"/> <description value="A coded type for an identifier that can be used to determine which identifier to use for a specific purpose."/> <valueSet value="http://hl7.org/fhir/ValueSet/identifier-type|4.0.1"/> </binding> <mapping> <identity value="v2"/> <map value="CX.5"/> </mapping> <mapping> <identity value="rim"/> <map value="Role.code or implied by context"/> </mapping> </element> <element id="Condition.identifier.system"> <path value="Condition.identifier.system"/> <short value="The namespace for the identifier value"/> <definition value="Establishes the namespace for the value - that is, a URL that describes a set values that are unique."/> <comment value="Identifier.system is always case sensitive."/> <requirements value="There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers."/> <min value="0"/> <max value="1"/> <base> <path value="Identifier.system"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <example> <label value="General"/> <valueUri value="http://www.acme.com/identifiers/patient"/> </example> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="CX.4 / EI-2-4"/> </mapping> <mapping> <identity value="rim"/> <map value="II.root or Role.id.root"/> </mapping> <mapping> <identity value="servd"/> <map value="./IdentifierType"/> </mapping> </element> <element id="Condition.identifier.value"> <path value="Condition.identifier.value"/> <short value="The value that is unique"/> <definition value="The portion of the identifier typically relevant to the user and which is unique within the context of the system."/> <comment value="If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe."/> <min value="0"/> <max value="1"/> <base> <path value="Identifier.value"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <example> <label value="General"/> <valueString value="123456"/> </example> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="CX.1 / EI.1"/> </mapping> <mapping> <identity value="rim"/> <map value="II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"/> </mapping> <mapping> <identity value="servd"/> <map value="./Value"/> </mapping> </element> <element id="Condition.identifier.period"> <path value="Condition.identifier.period"/> <short value="Time period when id is/was valid for use"/> <definition value="Time period during which identifier is/was valid for use."/> <min value="0"/> <max value="1"/> <base> <path value="Identifier.period"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="CX.7 + CX.8"/> </mapping> <mapping> <identity value="rim"/> <map value="Role.effectiveTime or implied by context"/> </mapping> <mapping> <identity value="servd"/> <map value="./StartDate and ./EndDate"/> </mapping> </element> <element id="Condition.identifier.assigner"> <path value="Condition.identifier.assigner"/> <short value="Organization that issued id (may be just text)"/> <definition value="Organization that issued/manages the identifier."/> <comment value="The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization."/> <min value="0"/> <max value="1"/> <base> <path value="Identifier.assigner"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="CX.4 / (CX.4,CX.9,CX.10)"/> </mapping> <mapping> <identity value="rim"/> <map value="II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"/> </mapping> <mapping> <identity value="servd"/> <map value="./IdentifierIssuingAuthority"/> </mapping> </element> <element id="Condition.clinicalStatus"> <path value="Condition.clinicalStatus"/> <short value="active | recurrence | relapse | inactive | remission | resolved ，病情、問題或診斷的臨床狀態。"/> <definition value="此病情、問題或診斷的臨床狀態"/> <comment value="data type是CodeableConcept，因為clinicalStatus涉及到一些臨床判斷，例如：可能需要比所需的FHIR值集更多的特殊性。例如：SNOMED編碼可能允許更多的特殊性。"/> <min value="0"/> <max value="1"/> <base> <path value="Condition.clinicalStatus"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/> </type> <condition value="con-3"/> <condition value="con-4"/> <condition value="con-5"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because the status contains codes that mark the condition as no longer active."/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionClinicalStatus"/> </extension> <strength value="required"/> <description value="應填入所綁定值集中的其中一個代碼。"/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.status"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.status"/> </mapping> <mapping> <identity value="sct-concept"/> <map value="< 303105007 |Disease phases|"/> </mapping> <mapping> <identity value="v2"/> <map value="PRB-14"/> </mapping> <mapping> <identity value="rim"/> <map value="Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value"/> </mapping> </element> <element id="Condition.verificationStatus"> <path value="Condition.verificationStatus"/> <short value="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。"/> <definition value="支持此病情、問題或診斷的臨床狀態之驗證狀態"/> <comment value="verificationStatus不是必須的。例如：當病人在急診室出現腹痛時，不可能出現驗證狀態。資料類型是CodeableConcept，因為verificationStatus涉及到一些臨床判斷，因此可能需要比所需的FHIR值集更多的特殊性。例如：SNOMED編碼可能允許更多的特殊性。"/> <min value="0"/> <max value="1"/> <base> <path value="Condition.verificationStatus"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/> </type> <condition value="con-3"/> <condition value="con-5"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid."/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionVerificationStatus"/> </extension> <strength value="required"/> <description value="應填入所綁定值集中的其中一個代碼。"/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.status"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.status"/> </mapping> <mapping> <identity value="sct-concept"/> <map value="< 410514004 |Finding context value|"/> </mapping> <mapping> <identity value="v2"/> <map value="PRB-13"/> </mapping> <mapping> <identity value="rim"/> <map value="Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value"/> </mapping> <mapping> <identity value="sct-attr"/> <map value="408729009"/> </mapping> </element> <element id="Condition.category"> <path value="Condition.category"/> <short value="problem-list-item | encounter-diagnosis ，指定病情、問題或診斷的類別。"/> <definition value="指定此病情、問題或診斷的類別"/> <comment value="這種分類往往具有很強的情境性，在其他情境下可能顯得區分度不高，或沒有什麼用處。"/> <min value="0"/> <max value="*"/> <base> <path value="Condition.category"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionCategory"/> </extension> <strength value="extensible"/> <description value="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。"/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-category"/> </binding> <mapping> <identity value="w5"/> <map value="FiveWs.class"/> </mapping> <mapping> <identity value="sct-concept"/> <map value="< 404684003 |Clinical finding|"/> </mapping> <mapping> <identity value="v2"/> <map value="'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message"/> </mapping> <mapping> <identity value="rim"/> <map value=".code"/> </mapping> </element> <element id="Condition.severity"> <path value="Condition.severity"/> <short value="病情、問題或診斷的主觀嚴重程度"/> <definition value="臨床醫生對病情、問題或診斷嚴重程度的主觀評估"/> <comment value="如有可能，最好用專門術語對嚴重程度進行編碼。"/> <min value="0"/> <max value="1"/> <base> <path value="Condition.severity"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <description value="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。"/> <valueSet value="https://sfaa.gov.tw/base/ValueSet/twss-condition-severity-vs"/> </binding> <mapping> <identity value="w5"/> <map value="FiveWs.grade"/> </mapping> <mapping> <identity value="sct-concept"/> <map value="< 272141005 |Severities|"/> </mapping> <mapping> <identity value="v2"/> <map value="PRB-26 / ABS-3"/> </mapping> <mapping> <identity value="rim"/> <map value="Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="severity"].value"/> </mapping> <mapping> <identity value="sct-attr"/> <map value="246112005"/> </mapping> </element> <element id="Condition.code"> <path value="Condition.code"/> <short value="病情、問題或診斷的識別"/> <definition value="病情、問題或診斷的識別"/> <comment value="並非所有術語使用都適合此一般模式；某些情況可能需要直接使用 Coding 或另行管理文字、編碼、翻譯及元素間關係。"/> <requirements value="0..1，主要用於說明敘述性resource。"/> <alias value="type"/> <min value="0"/> <max value="1"/> <base> <path value="Condition.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionKind"/> </extension> <strength value="example"/> <description value="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。"/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-code"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.code"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.what[x]"/> </mapping> <mapping> <identity value="sct-concept"/> <map value="code 246090004 |Associated finding| (< 404684003 |Clinical finding| MINUS << 420134006 |Propensity to adverse reactions| MINUS << 473010000 |Hypersensitivity condition| MINUS << 79899007 |Drug interaction| MINUS << 69449002 |Drug action| MINUS << 441742003 |Evaluation finding| MINUS << 307824009 |Administrative status| MINUS << 385356007 |Tumor stage finding|) OR < 413350009 |Finding with explicit context| OR < 272379006 |Event|"/> </mapping> <mapping> <identity value="v2"/> <map value="PRB-3"/> </mapping> <mapping> <identity value="rim"/> <map value=".value"/> </mapping> <mapping> <identity value="sct-attr"/> <map value="246090004"/> </mapping> </element> <element id="Condition.code.id"> <path value="Condition.code.id"/> <representation value="xmlAttr"/> <short value="唯一可識別ID，以供資料項目間相互參照。"/> <definition value="resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。"/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Condition.code.extension"> <path value="Condition.code.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="擴充的資料項目"/> <definition value="擴充的資料項目"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Condition.code.coding"> <path value="Condition.code.coding"/> <slicing> <discriminator> <type value="pattern"/> <path value="$this"/> </discriminator> <rules value="open"/> </slicing> <short value="由專門術語系統（terminology system）定義的代碼。"/> <definition value="由專門術語系統（terminology system）所定義之代碼的參照。"/> <comment value="代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。"/> <requirements value="允許使用者在不知道識別碼系統的情況下利用識別碼"/> <min value="0"/> <max value="*"/> <base> <path value="CodeableConcept.coding"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/> </mapping> <mapping> <identity value="rim"/> <map value="CV"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/> </mapping> </element> <element id="Condition.code.coding:icd10-cm-2023"> <path value="Condition.code.coding"/> <sliceName value="icd10-cm-2023"/> <short value="由專門術語系統（terminology system）定義的代碼"/> <definition value="由專門術語系統（terminology system）所定義之代碼的參照"/> <comment value="代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。"/> <requirements value="允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。"/> <min value="0"/> <max value="1"/> <base> <path value="CodeableConcept.coding"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <binding> <strength value="required"/> <valueSet value="https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2023-tw"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/> </mapping> <mapping> <identity value="rim"/> <map value="CV"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/> </mapping> </element> <element id="Condition.code.coding:icd10-cm-2021"> <path value="Condition.code.coding"/> <sliceName value="icd10-cm-2021"/> <short value="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。"/> <definition value="由專門術語系統（terminology system）所定義之代碼的參照。"/> <comment value="代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。"/> <requirements value="允許使用者在不知道識別碼系統的情況下利用識別碼"/> <min value="0"/> <max value="1"/> <base> <path value="CodeableConcept.coding"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <binding> <strength value="required"/> <description value="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。"/> <valueSet value="https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2021-tw"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/> </mapping> <mapping> <identity value="rim"/> <map value="CV"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/> </mapping> </element> <element id="Condition.code.coding:icd10-cm-2014"> <path value="Condition.code.coding"/> <sliceName value="icd10-cm-2014"/> <short value="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。"/> <definition value="由專門術語系統（terminology system）所定義之代碼的參照。"/> <comment value="代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。"/> <requirements value="允許使用者在不知道識別碼系統的情況下利用識別碼"/> <min value="0"/> <max value="1"/> <base> <path value="CodeableConcept.coding"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <binding> <strength value="required"/> <description value="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。"/> <valueSet value="https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/> </mapping> <mapping> <identity value="rim"/> <map value="CV"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/> </mapping> </element> <element id="Condition.code.coding:icd9-cm-2001"> <path value="Condition.code.coding"/> <sliceName value="icd9-cm-2001"/> <short value="由專門術語系統（terminology system）定義的代碼"/> <definition value="由專門術語系統（terminology system）所定義之代碼的參照"/> <comment value="代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。"/> <requirements value="允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。"/> <min value="0"/> <max value="1"/> <base> <path value="CodeableConcept.coding"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <binding> <strength value="required"/> <valueSet value="https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-9-cm-2001-tw"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/> </mapping> <mapping> <identity value="rim"/> <map value="CV"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/> </mapping> </element> <element id="Condition.code.coding:health-status"> <path value="Condition.code.coding"/> <sliceName value="health-status"/> <short value="身心健康狀況代碼。"/> <definition value="以 TWSS Base 身心健康狀況代碼表示此 Condition 所描述的身心健康或障礙相關狀況。"/> <comment value="代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。"/> <requirements value="允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。"/> <min value="0"/> <max value="1"/> <base> <path value="CodeableConcept.coding"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <binding> <strength value="required"/> <description value="應填入身心健康狀況值集中的其中一個代碼。"/> <valueSet value="https://sfaa.gov.tw/base/ValueSet/twss-health-status-vs"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/> </mapping> <mapping> <identity value="rim"/> <map value="CV"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/> </mapping> </element> <element id="Condition.code.coding:health-status-option"> <path value="Condition.code.coding"/> <sliceName value="health-status-option"/> <short value="健康狀況選項代碼。"/> <definition value="以 TWSS Base 健康狀況選項代碼表示此 Condition 所描述的健康問題或狀況。"/> <comment value="代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。"/> <requirements value="允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。"/> <min value="0"/> <max value="*"/> <base> <path value="CodeableConcept.coding"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <binding> <strength value="required"/> <valueSet value="https://sfaa.gov.tw/base/ValueSet/twss-health-status-option-vs"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/> </mapping> <mapping> <identity value="rim"/> <map value="CV"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/> </mapping> </element> <element id="Condition.code.coding:disease-type"> <path value="Condition.code.coding"/> <sliceName value="disease-type"/> <short value="疾病類型代碼。"/> <definition value="由專門術語系統（terminology system）所定義之代碼的參照"/> <comment value="代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。"/> <requirements value="允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。"/> <min value="0"/> <max value="*"/> <base> <path value="CodeableConcept.coding"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <binding> <strength value="required"/> <valueSet value="https://sfaa.gov.tw/base/ValueSet/twss-disease-type-vs"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/> </mapping> <mapping> <identity value="rim"/> <map value="CV"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/> </mapping> </element> <element id="Condition.code.coding:absentOrUnknownProblem"> <path value="Condition.code.coding"/> <sliceName value="absentOrUnknownProblem"/> <short value="不存在的問題或未知問題的代碼"/> <definition value="表示「absent problem」或「problems unknown」的代碼"/> <comment value="代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。"/> <requirements value="允許使用者在不知道識別碼系統的情況下利用識別碼"/> <min value="0"/> <max value="1"/> <base> <path value="CodeableConcept.coding"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <binding> <strength value="required"/> <description value="應填入所綁定值集中的其中一個代碼。"/> <valueSet value="http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/> </mapping> <mapping> <identity value="rim"/> <map value="CV"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/> </mapping> </element> <element id="Condition.code.coding:sct"> <path value="Condition.code.coding"/> <sliceName value="sct"/> <short value="此為SNOMED CT診斷代碼，若機構已有購買相關授權，亦可使用。"/> <definition value="由專門術語系統（terminology system）所定義之代碼的參照。"/> <comment value="代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。"/> <requirements value="允許使用者在不知道識別碼系統的情況下利用識別碼"/> <min value="0"/> <max value="1"/> <base> <path value="CodeableConcept.coding"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <binding> <strength value="required"/> <description value="應填入所綁定值集中的其中一個代碼。"/> <valueSet value="https://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw"/> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/> </mapping> <mapping> <identity value="rim"/> <map value="CV"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/> </mapping> </element> <element id="Condition.code.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Condition.code.text"/> <short value="概念的文字表示法"/> <definition value="輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。"/> <comment value="很多時候，此文字表述與其中一個代碼的顯示名稱相同。"/> <requirements value="專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。"/> <min value="0"/> <max value="1"/> <base> <path value="CodeableConcept.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.9. But note many systems use C*E.2 for this"/> </mapping> <mapping> <identity value="rim"/> <map value="./originalText[mediaType/code="text/plain"]/data"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/> </mapping> </element> <element id="Condition.bodySite"> <path value="Condition.bodySite"/> <short value="如果相關請填寫解剖位置"/> <definition value="此病情、問題或診斷表現出來的解剖位置"/> <comment value="只有在Condition.code中找到的代碼未隱含此資料項目概念時才使用。如果使用案例（use-case）要求將BodySite作為一個單獨的resource來處理（例如：識別和追踪），那麼就使用標準的資料項目擴充方式來擴充bodySite。可以是一個摘要代碼，也可以是對一個非常精確位置定義的參照，或者兩者都是。"/> <min value="0"/> <max value="*"/> <base> <path value="Condition.bodySite"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <strength value="extensible"/> <description value="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。"/> <valueSet value="http://hl7.org/fhir/ValueSet/body-site"/> </binding> <mapping> <identity value="sct-concept"/> <map value="< 442083009 |Anatomical or acquired body structure|"/> </mapping> <mapping> <identity value="rim"/> <map value=".targetBodySiteCode"/> </mapping> <mapping> <identity value="sct-attr"/> <map value="363698007"/> </mapping> </element> <element id="Condition.subject"> <path value="Condition.subject"/> <short value="誰有此病情、問題或診斷？"/> <definition value="表示與此病情、問題或診斷紀錄相關的病人或實體集合（Group resource）"/> <requirements value="實體集合（Group resource）通常用於獸醫或公共衛生的案例"/> <alias value="patient"/> <min value="1"/> <max value="1"/> <base> <path value="Condition.subject"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="https://sfaa.gov.tw/base/StructureDefinition/Patient-twss-base"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.subject"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject[x]"/> </mapping> <mapping> <identity value="v2"/> <map value="PID-3"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=SBJ].role[classCode=PAT]"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject"/> </mapping> </element> <element id="Condition.encounter"> <path value="Condition.encounter"/> <short value="作為病情、問題或診斷紀錄的一部分的就醫（Encounter）紀錄"/> <definition value="此病情、問題或診斷記載在哪次的「就醫（Encounter）」紀錄或者與此病情、問題或診斷紀錄密切相關的「就醫（Encounter）」紀錄"/> <comment value="通常是此病情、問題或診斷發生的就醫事件，雖然有些活動可能在就醫結束之前或之後開始，但仍與就醫事件的情境有關。這筆紀錄表明與此病情、問題或診斷紀錄相關的就醫事件（Encounter）。「新的」診斷的情況下，反映病情、問題或診斷的持續/修訂資訊可能與首次就醫所知道的病情、問題或診斷不同。"/> <min value="0"/> <max value="1"/> <base> <path value="Condition.encounter"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.context"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.context"/> </mapping> <mapping> <identity value="v2"/> <map value="PV1-19 (+PV1-54)"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/> </mapping> </element> <element id="Condition.onset[x]"> <path value="Condition.onset[x]"/> <short value="估計的或實際的日期、日期—時間或年齡。"/> <definition value="醫師認為此病情、問題或診斷之推估或實際發生時間或日期時間等"/> <comment value="onsetAge通常是指病人說明病情何時開始發生的年齡"/> <min value="0"/> <max value="1"/> <base> <path value="Condition.onset[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <type> <code value="Age"/> </type> <type> <code value="Period"/> </type> <type> <code value="Range"/> </type> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.occurrence[x]"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.init"/> </mapping> <mapping> <identity value="v2"/> <map value="PRB-16"/> </mapping> <mapping> <identity value="rim"/> <map value=".effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at onset"].value"/> </mapping> </element> <element id="Condition.abatement[x]"> <path value="Condition.abatement[x]"/> <short value="何時解決/緩解"/> <definition value="病情、問題或診斷緩解或開始緩解的日期或估計日期。因為與「緩解（remissio）」或 「解決（resolution）」相關的許多過多含義—病情、問題或診斷不會真正解決，但它們可以緩解，所以稱為「緩解 （abatement）」，"/> <comment value="解決（resolution）和緩解（remission）之間沒有明確的區別，因為在許多情況下，兩者的區別並不明顯。當病人說明病情、問題或診斷緩解的年齡時，一般使用onsetAge。如果沒有abatement這個資料項目，就不知道狀況是否已經解決或緩解；應用程式和使用者一般應假定病情、問題或診斷仍存在。當abatementString存在時，它意味著病情、問題或診斷已緩解。"/> <min value="0"/> <max value="1"/> <base> <path value="Condition.abatement[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <type> <code value="Age"/> </type> <type> <code value="Period"/> </type> <type> <code value="Range"/> </type> <type> <code value="string"/> </type> <condition value="con-4"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="w5"/> <map value="FiveWs.done[x]"/> </mapping> <mapping> <identity value="rim"/> <map value=".effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at remission"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed"/> </mapping> </element> <element id="Condition.recordedDate"> <path value="Condition.recordedDate"/> <short value="記錄的日期"/> <definition value="recordedDate表述此Condition記錄何時於系統中建立，這通常是系統產生的日期。"/> <min value="0"/> <max value="1"/> <base> <path value="Condition.recordedDate"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.recorded"/> </mapping> <mapping> <identity value="v2"/> <map value="REL-11"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].time"/> </mapping> </element> <element id="Condition.recorder"> <path value="Condition.recorder"/> <short value="誰記錄此病情、問題或診斷"/> <definition value="記錄病情、問題或診斷內容並對其內容負責的個人"/> <min value="0"/> <max value="1"/> <base> <path value="Condition.recorder"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="https://sfaa.gov.tw/base/StructureDefinition/Practitioner-twss-base"/> <targetProfile value="https://sfaa.gov.tw/base/StructureDefinition/PractitionerRole-twss-base"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.author"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].role"/> </mapping> </element> <element id="Condition.asserter"> <path value="Condition.asserter"/> <short value="聲稱有此病情、問題或診斷的人"/> <definition value="提出此病情、問題或診斷說明的人"/> <min value="0"/> <max value="1"/> <base> <path value="Condition.asserter"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="https://sfaa.gov.tw/base/StructureDefinition/Patient-twss-base"/> <targetProfile value="https://sfaa.gov.tw/base/StructureDefinition/RelatedPerson-twss-base"/> <targetProfile value="https://sfaa.gov.tw/base/StructureDefinition/Practitioner-twss-base"/> <targetProfile value="https://sfaa.gov.tw/base/StructureDefinition/PractitionerRole-twss-base"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.source"/> </mapping> <mapping> <identity value="v2"/> <map value="REL-7.1 identifier + REL-7.12 type code"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=INF].role"/> </mapping> </element> <element id="Condition.stage"> <path value="Condition.stage"/> <short value="分期（stage）／分級（grade），通常是正式的評估。"/> <definition value="病情、問題或診斷的臨床分期或分級，可能包括正式的嚴重程度評估。"/> <min value="0"/> <max value="*"/> <base> <path value="Condition.stage"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="con-1"/> <severity value="error"/> <human value="Stage SHALL have summary or assessment"/> <expression value="summary.exists() or assessment.exists()"/> <xpath value="exists(f:summary) or exists(f:assessment)"/> <source value="http://hl7.org/fhir/StructureDefinition/Condition"/> </constraint> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"]"/> </mapping> </element> <element id="Condition.stage.id"> <path value="Condition.stage.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Condition.stage.extension"> <path value="Condition.stage.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Condition.stage.modifierExtension"> <path value="Condition.stage.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Condition.stage.summary"> <path value="Condition.stage.summary"/> <short value="簡單的摘要（特定疾病）。"/> <definition value="對分期的簡單摘要，如「第3期」。針對特定疾病的分期測定。"/> <min value="0"/> <max value="1"/> <base> <path value="Condition.stage.summary"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/> </type> <condition value="con-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <description value="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。"/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-stage"/> </binding> <mapping> <identity value="sct-concept"/> <map value="< 254291000 |Staging and scales|"/> </mapping> <mapping> <identity value="v2"/> <map value="PRB-14"/> </mapping> <mapping> <identity value="rim"/> <map value=".value"/> </mapping> </element> <element id="Condition.stage.assessment"> <path value="Condition.stage.assessment"/> <short value="正式的評估記錄"/> <definition value="分期評估所依據的證據之正式記錄"/> <min value="0"/> <max value="*"/> <base> <path value="Condition.stage.assessment"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClinicalImpression|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"/> </type> <condition value="con-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".self"/> </mapping> </element> <element id="Condition.stage.type"> <path value="Condition.stage.type"/> <short value="分期的種類"/> <definition value="分期的種類，如病理分期或臨床分期。"/> <min value="0"/> <max value="1"/> <base> <path value="Condition.stage.type"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <description value="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。"/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-stage-type"/> </binding> <mapping> <identity value="rim"/> <map value="./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage type"]"/> </mapping> </element> <element id="Condition.evidence"> <path value="Condition.evidence"/> <short value="支持的證據"/> <definition value="作為病情、問題或診斷驗證狀態基礎的支持證據／臨床表現，如證實或反駁病情、問題或診斷的證據。"/> <comment value="證據可以是一個簡單的編碼症狀／臨床表現的清單，或參考檢驗檢查或者正式評估，或者兩者都是。"/> <min value="0"/> <max value="*"/> <base> <path value="Condition.evidence"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="con-2"/> <severity value="error"/> <human value="evidence SHALL have code or details"/> <expression value="code.exists() or detail.exists()"/> <xpath value="exists(f:code) or exists(f:detail)"/> <source value="http://hl7.org/fhir/StructureDefinition/Condition"/> </constraint> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="Condition.evidence.id"> <path value="Condition.evidence.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Condition.evidence.extension"> <path value="Condition.evidence.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Condition.evidence.modifierExtension"> <path value="Condition.evidence.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Condition.evidence.code"> <path value="Condition.evidence.code"/> <short value="表現／症狀"/> <definition value="導致記錄此病情、問題或診斷的表現或症狀"/> <min value="0"/> <max value="*"/> <base> <path value="Condition.evidence.code"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/> </type> <condition value="con-2"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <binding> <strength value="extensible"/> <description value="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。"/> <valueSet value="http://hl7.org/fhir/ValueSet/manifestation-or-symptom"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.reasonCode"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.why[x]"/> </mapping> <mapping> <identity value="sct-concept"/> <map value="< 404684003 |Clinical finding|"/> </mapping> <mapping> <identity value="rim"/> <map value="[code="diagnosis"].value"/> </mapping> </element> <element id="Condition.evidence.detail"> <path value="Condition.evidence.detail"/> <short value="在其他地方找到的支持資訊"/> <definition value="其他相關資訊的連接，包括病理報告。"/> <min value="0"/> <max value="*"/> <base> <path value="Condition.evidence.detail"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/> </type> <condition value="con-2"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.why[x]"/> </mapping> <mapping> <identity value="rim"/> <map value=".self"/> </mapping> </element> <element id="Condition.note"> <path value="Condition.note"/> <short value="關於此Condition的附加資訊"/> <definition value="關於此Condition的附加資訊。這是一個一般的註釋／意見紀錄，用於描述病情、問題或診斷、其診斷和預後。"/> <min value="0"/> <max value="*"/> <base> <path value="Condition.note"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Annotation"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.note"/> </mapping> <mapping> <identity value="v2"/> <map value="NTE child of PRB"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value"/> </mapping> </element> </snapshot> <differential> <element id="Condition"> <path value="Condition"/> <short value="有關病情、問題或診斷的詳細資訊"/> <definition value="一個臨床病情、問題、診斷或其他事件、情況、或臨床概念，已上升到需要關注的程度。"/> </element> <element id="Condition.id"> <path value="Condition.id"/> <short value="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。"/> <definition value="resource的邏輯ID，在resource的URL中使用。一旦指定，這個值永遠不會改變。"/> <comment value="一個resource使用新增操作（create operation）提交給伺服器時，此resource沒有id，它的id在resource被創建後由伺器分配/指定。"/> </element> <element id="Condition.meta"> <path value="Condition.meta"/> <short value="此Condition Resource的metadata"/> <definition value="關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。"/> </element> <element id="Condition.implicitRules"> <path value="Condition.implicitRules"/> <short value="創建此內容所依據的一組規則"/> <definition value="構建resource時遵循的一系列規則的參照，在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。"/> <comment value="宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而，現有的健康生態體系高度分裂，還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能，實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時，此URL是對IG的參照，此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。"/> </element> <element id="Condition.language"> <path value="Condition.language"/> <short value="用以表述Condition Resource內容的語言。"/> <definition value="編寫此resource的語言"/> <comment value="提供語言是為了支援索引和可存取性（通常，文字表述轉語音等服務使用此語言標籤）。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此語言。不應該假定Resource.language自動適用於敘述。如果指定語言，它也應該被指定在html中的div資料項目（關於xml:lang和html lang屬性之間的關係，見HTML5中的規則）。"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="preferred"/> <description value="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。"/> <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> </binding> </element> <element id="Condition.text"> <path value="Condition.text"/> <short value="Condition Resource之內容摘要以供人閱讀"/> <definition value="人可讀的敘述，包含resource的摘要，可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼，但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義有哪些內容應該在敘述中表示，以確保臨床安全。"/> <comment value="內嵌（contained）的resource沒有敘述，非內嵌（contained）的resource則 **建議應該（SHOULD）** 有敘述。有時resource可能只有文字表述，很少或沒有額外的結構化資料（只要滿足所有minOccurs=1的資料項目）。這可能出現在舊系統的資料，當資訊以 「文字表述區塊（text blob） 」的形式被取得，或者文字表述是原始輸入或說明，而編碼資訊稍後再添加。"/> </element> <element id="Condition.identifier"> <path value="Condition.identifier"/> <short value="此病情、問題或診斷的外部識別碼"/> <definition value="由執行者或其他系統指定給此病情、問題或診斷的業務用識別碼，即使此resource作更新及在伺服器之間的傳遞，此識別碼仍保持不變。"/> <comment value="這是一個業務識別碼，不是一個resource識別碼（詳見討論）。最好的做法是該識別碼只出現在單個resource實例上，但是業務實務有可能會規定可以在多個resource實例中具有相同識別碼—甚至可能具有不同的resource型例。例如：多個 「Patient（病人）」和 「Person（個人）」resource實例可能共用同一個社會保險號碼。"/> <requirements value="允許識別各參與系統所知的此病情、問題或診斷資訊，並在各伺服器之間保持一致的方式。"/> <mustSupport value="true"/> </element> <element id="Condition.identifier.use"> <path value="Condition.identifier.use"/> <mustSupport value="true"/> </element> <element id="Condition.identifier.type"> <path value="Condition.identifier.type"/> <mustSupport value="true"/> </element> <element id="Condition.identifier.system"> <path value="Condition.identifier.system"/> <mustSupport value="true"/> </element> <element id="Condition.identifier.value"> <path value="Condition.identifier.value"/> <mustSupport value="true"/> </element> <element id="Condition.clinicalStatus"> <path value="Condition.clinicalStatus"/> <short value="active | recurrence | relapse | inactive | remission | resolved ，病情、問題或診斷的臨床狀態。"/> <definition value="此病情、問題或診斷的臨床狀態"/> <comment value="data type是CodeableConcept，因為clinicalStatus涉及到一些臨床判斷，例如：可能需要比所需的FHIR值集更多的特殊性。例如：SNOMED編碼可能允許更多的特殊性。"/> <type> <code value="CodeableConcept"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/> </type> <mustSupport value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionClinicalStatus"/> </extension> <strength value="required"/> <description value="應填入所綁定值集中的其中一個代碼。"/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1"/> </binding> </element> <element id="Condition.verificationStatus"> <path value="Condition.verificationStatus"/> <short value="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。"/> <definition value="支持此病情、問題或診斷的臨床狀態之驗證狀態"/> <comment value="verificationStatus不是必須的。例如：當病人在急診室出現腹痛時，不可能出現驗證狀態。資料類型是CodeableConcept，因為verificationStatus涉及到一些臨床判斷，因此可能需要比所需的FHIR值集更多的特殊性。例如：SNOMED編碼可能允許更多的特殊性。"/> <type> <code value="CodeableConcept"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/> </type> <mustSupport value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionVerificationStatus"/> </extension> <strength value="required"/> <description value="應填入所綁定值集中的其中一個代碼。"/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1"/> </binding> </element> <element id="Condition.category"> <path value="Condition.category"/> <short value="problem-list-item | encounter-diagnosis ，指定病情、問題或診斷的類別。"/> <definition value="指定此病情、問題或診斷的類別"/> <comment value="這種分類往往具有很強的情境性，在其他情境下可能顯得區分度不高，或沒有什麼用處。"/> <type> <code value="CodeableConcept"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/> </type> <mustSupport value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionCategory"/> </extension> <strength value="extensible"/> <description value="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。"/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-category"/> </binding> </element> <element id="Condition.severity"> <path value="Condition.severity"/> <short value="病情、問題或診斷的主觀嚴重程度"/> <definition value="臨床醫生對病情、問題或診斷嚴重程度的主觀評估"/> <comment value="如有可能，最好用專門術語對嚴重程度進行編碼。"/> <type> <code value="CodeableConcept"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/> </type> <mustSupport value="true"/> <binding> <strength value="extensible"/> <description value="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。"/> <valueSet value="https://sfaa.gov.tw/base/ValueSet/twss-condition-severity-vs"/> </binding> </element> <element id="Condition.code"> <path value="Condition.code"/> <short value="病情、問題或診斷的識別"/> <definition value="病情、問題或診斷的識別"/> <comment value="並非所有術語使用都適合此一般模式；某些情況可能需要直接使用 Coding 或另行管理文字、編碼、翻譯及元素間關係。"/> <requirements value="0..1，主要用於說明敘述性resource。"/> <type> <code value="CodeableConcept"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/> </type> <mustSupport value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionKind"/> </extension> <strength value="example"/> <description value="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。"/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-code"/> </binding> </element> <element id="Condition.code.coding"> <path value="Condition.code.coding"/> <slicing> <discriminator> <type value="pattern"/> <path value="$this"/> </discriminator> <rules value="open"/> </slicing> <short value="由專門術語系統（terminology system）定義的代碼。"/> <definition value="由專門術語系統（terminology system）所定義之代碼的參照。"/> <comment value="代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。"/> <requirements value="允許使用者在不知道識別碼系統的情況下利用識別碼"/> </element> <element id="Condition.code.coding:icd10-cm-2023"> <path value="Condition.code.coding"/> <sliceName value="icd10-cm-2023"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> <binding> <strength value="required"/> <valueSet value="https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2023-tw"/> </binding> </element> <element id="Condition.code.coding:icd10-cm-2021"> <path value="Condition.code.coding"/> <sliceName value="icd10-cm-2021"/> <short value="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。"/> <definition value="由專門術語系統（terminology system）所定義之代碼的參照。"/> <comment value="代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。"/> <requirements value="允許使用者在不知道識別碼系統的情況下利用識別碼"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> <binding> <strength value="required"/> <description value="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。"/> <valueSet value="https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2021-tw"/> </binding> </element> <element id="Condition.code.coding:icd10-cm-2014"> <path value="Condition.code.coding"/> <sliceName value="icd10-cm-2014"/> <short value="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。"/> <definition value="由專門術語系統（terminology system）所定義之代碼的參照。"/> <comment value="代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。"/> <requirements value="允許使用者在不知道識別碼系統的情況下利用識別碼"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> <binding> <strength value="required"/> <description value="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。"/> <valueSet value="https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw"/> </binding> </element> <element id="Condition.code.coding:icd9-cm-2001"> <path value="Condition.code.coding"/> <sliceName value="icd9-cm-2001"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> <binding> <strength value="required"/> <valueSet value="https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-9-cm-2001-tw"/> </binding> </element> <element id="Condition.code.coding:health-status"> <path value="Condition.code.coding"/> <sliceName value="health-status"/> <short value="身心健康狀況代碼。"/> <definition value="以 TWSS Base 身心健康狀況代碼表示此 Condition 所描述的身心健康或障礙相關狀況。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> <binding> <strength value="required"/> <description value="應填入身心健康狀況值集中的其中一個代碼。"/> <valueSet value="https://sfaa.gov.tw/base/ValueSet/twss-health-status-vs"/> </binding> </element> <element id="Condition.code.coding:health-status-option"> <path value="Condition.code.coding"/> <sliceName value="health-status-option"/> <short value="健康狀況選項代碼。"/> <definition value="以 TWSS Base 健康狀況選項代碼表示此 Condition 所描述的健康問題或狀況。"/> <min value="0"/> <max value="*"/> <mustSupport value="true"/> <binding> <strength value="required"/> <valueSet value="https://sfaa.gov.tw/base/ValueSet/twss-health-status-option-vs"/> </binding> </element> <element id="Condition.code.coding:disease-type"> <path value="Condition.code.coding"/> <sliceName value="disease-type"/> <short value="疾病類型代碼。"/> <min value="0"/> <max value="*"/> <mustSupport value="true"/> <binding> <strength value="required"/> <valueSet value="https://sfaa.gov.tw/base/ValueSet/twss-disease-type-vs"/> </binding> </element> <element id="Condition.code.coding:absentOrUnknownProblem"> <path value="Condition.code.coding"/> <sliceName value="absentOrUnknownProblem"/> <short value="不存在的問題或未知問題的代碼"/> <definition value="表示「absent problem」或「problems unknown」的代碼"/> <comment value="代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。"/> <requirements value="允許使用者在不知道識別碼系統的情況下利用識別碼"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> <binding> <strength value="required"/> <description value="應填入所綁定值集中的其中一個代碼。"/> <valueSet value="http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips"/> </binding> </element> <element id="Condition.code.coding:sct"> <path value="Condition.code.coding"/> <sliceName value="sct"/> <short value="此為SNOMED CT診斷代碼，若機構已有購買相關授權，亦可使用。"/> <definition value="由專門術語系統（terminology system）所定義之代碼的參照。"/> <comment value="代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。"/> <requirements value="允許使用者在不知道識別碼系統的情況下利用識別碼"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> <binding> <strength value="required"/> <description value="應填入所綁定值集中的其中一個代碼。"/> <valueSet value="https://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw"/> </binding> </element> <element id="Condition.bodySite"> <path value="Condition.bodySite"/> <short value="如果相關請填寫解剖位置"/> <definition value="此病情、問題或診斷表現出來的解剖位置"/> <comment value="只有在Condition.code中找到的代碼未隱含此資料項目概念時才使用。如果使用案例（use-case）要求將BodySite作為一個單獨的resource來處理（例如：識別和追踪），那麼就使用標準的資料項目擴充方式來擴充bodySite。可以是一個摘要代碼，也可以是對一個非常精確位置定義的參照，或者兩者都是。"/> <type> <code value="CodeableConcept"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/> </type> <mustSupport value="true"/> <binding> <strength value="extensible"/> <description value="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。"/> <valueSet value="http://hl7.org/fhir/ValueSet/body-site"/> </binding> </element> <element id="Condition.subject"> <path value="Condition.subject"/> <short value="誰有此病情、問題或診斷？"/> <definition value="表示與此病情、問題或診斷紀錄相關的病人或實體集合（Group resource）"/> <requirements value="實體集合（Group resource）通常用於獸醫或公共衛生的案例"/> <type> <code value="Reference"/> <targetProfile value="https://sfaa.gov.tw/base/StructureDefinition/Patient-twss-base"/> </type> <mustSupport value="true"/> </element> <element id="Condition.encounter"> <path value="Condition.encounter"/> <short value="作為病情、問題或診斷紀錄的一部分的就醫（Encounter）紀錄"/> <definition value="此病情、問題或診斷記載在哪次的「就醫（Encounter）」紀錄或者與此病情、問題或診斷紀錄密切相關的「就醫（Encounter）」紀錄"/> <comment value="通常是此病情、問題或診斷發生的就醫事件，雖然有些活動可能在就醫結束之前或之後開始，但仍與就醫事件的情境有關。這筆紀錄表明與此病情、問題或診斷紀錄相關的就醫事件（Encounter）。「新的」診斷的情況下，反映病情、問題或診斷的持續/修訂資訊可能與首次就醫所知道的病情、問題或診斷不同。"/> <mustSupport value="true"/> </element> <element id="Condition.onset[x]"> <path value="Condition.onset[x]"/> <short value="估計的或實際的日期、日期—時間或年齡。"/> <definition value="醫師認為此病情、問題或診斷之推估或實際發生時間或日期時間等"/> <comment value="onsetAge通常是指病人說明病情何時開始發生的年齡"/> <mustSupport value="true"/> </element> <element id="Condition.abatement[x]"> <path value="Condition.abatement[x]"/> <short value="何時解決/緩解"/> <definition value="病情、問題或診斷緩解或開始緩解的日期或估計日期。因為與「緩解（remissio）」或 「解決（resolution）」相關的許多過多含義—病情、問題或診斷不會真正解決，但它們可以緩解，所以稱為「緩解 （abatement）」，"/> <comment value="解決（resolution）和緩解（remission）之間沒有明確的區別，因為在許多情況下，兩者的區別並不明顯。當病人說明病情、問題或診斷緩解的年齡時，一般使用onsetAge。如果沒有abatement這個資料項目，就不知道狀況是否已經解決或緩解；應用程式和使用者一般應假定病情、問題或診斷仍存在。當abatementString存在時，它意味著病情、問題或診斷已緩解。"/> <mustSupport value="true"/> </element> <element id="Condition.recordedDate"> <path value="Condition.recordedDate"/> <short value="記錄的日期"/> <definition value="recordedDate表述此Condition記錄何時於系統中建立，這通常是系統產生的日期。"/> <mustSupport value="true"/> </element> <element id="Condition.recorder"> <path value="Condition.recorder"/> <short value="誰記錄此病情、問題或診斷"/> <definition value="記錄病情、問題或診斷內容並對其內容負責的個人"/> <type> <code value="Reference"/> <targetProfile value="https://sfaa.gov.tw/base/StructureDefinition/Practitioner-twss-base"/> <targetProfile value="https://sfaa.gov.tw/base/StructureDefinition/PractitionerRole-twss-base"/> </type> <mustSupport value="true"/> </element> <element id="Condition.asserter"> <path value="Condition.asserter"/> <short value="聲稱有此病情、問題或診斷的人"/> <definition value="提出此病情、問題或診斷說明的人"/> <type> <code value="Reference"/> <targetProfile value="https://sfaa.gov.tw/base/StructureDefinition/Patient-twss-base"/> <targetProfile value="https://sfaa.gov.tw/base/StructureDefinition/RelatedPerson-twss-base"/> <targetProfile value="https://sfaa.gov.tw/base/StructureDefinition/Practitioner-twss-base"/> <targetProfile value="https://sfaa.gov.tw/base/StructureDefinition/PractitionerRole-twss-base"/> </type> <mustSupport value="true"/> </element> <element id="Condition.stage"> <path value="Condition.stage"/> <short value="分期（stage）／分級（grade），通常是正式的評估。"/> <definition value="病情、問題或診斷的臨床分期或分級，可能包括正式的嚴重程度評估。"/> </element> <element id="Condition.stage.summary"> <path value="Condition.stage.summary"/> <short value="簡單的摘要（特定疾病）。"/> <definition value="對分期的簡單摘要，如「第3期」。針對特定疾病的分期測定。"/> <type> <code value="CodeableConcept"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/> </type> <binding> <strength value="extensible"/> <description value="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。"/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-stage"/> </binding> </element> <element id="Condition.stage.assessment"> <path value="Condition.stage.assessment"/> <short value="正式的評估記錄"/> <definition value="分期評估所依據的證據之正式記錄"/> </element> <element id="Condition.stage.type"> <path value="Condition.stage.type"/> <short value="分期的種類"/> <definition value="分期的種類，如病理分期或臨床分期。"/> <type> <code value="CodeableConcept"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/> </type> <binding> <strength value="extensible"/> <description value="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。"/> <valueSet value="http://hl7.org/fhir/ValueSet/condition-stage-type"/> </binding> </element> <element id="Condition.evidence"> <path value="Condition.evidence"/> <short value="支持的證據"/> <definition value="作為病情、問題或診斷驗證狀態基礎的支持證據／臨床表現，如證實或反駁病情、問題或診斷的證據。"/> <comment value="證據可以是一個簡單的編碼症狀／臨床表現的清單，或參考檢驗檢查或者正式評估，或者兩者都是。"/> </element> <element id="Condition.evidence.code"> <path value="Condition.evidence.code"/> <short value="表現／症狀"/> <definition value="導致記錄此病情、問題或診斷的表現或症狀"/> <type> <code value="CodeableConcept"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/> </type> <binding> <strength value="extensible"/> <description value="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。"/> <valueSet value="http://hl7.org/fhir/ValueSet/manifestation-or-symptom"/> </binding> </element> <element id="Condition.evidence.detail"> <path value="Condition.evidence.detail"/> <short value="在其他地方找到的支持資訊"/> <definition value="其他相關資訊的連接，包括病理報告。"/> </element> <element id="Condition.note"> <path value="Condition.note"/> <short value="關於此Condition的附加資訊"/> <definition value="關於此Condition的附加資訊。這是一個一般的註釋／意見紀錄，用於描述病情、問題或診斷、其診斷和預後。"/> <mustSupport value="true"/> </element> </differential> </StructureDefinition>