電子病歷交換單張實作指引(EMR-IG)
0.1.0 - ci-build

This page is part of the 電子病歷交換單張實作指引(EMR-IG) (v0.1.0: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: 門診病歷-報告文件

Official URL: https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRComposition Version: 0.1.0
Draft as of 2024-08-19 Computable Name: PMRComposition

此Profile用於描述門診病歷的報告文件

Usage:

Formal Views of Profile Content

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

This structure is derived from TWCoreComposition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* TWCoreComposition 將一組resources組成一份連貫的臨床聲明,並附有臨床證明。
... status 1..1 code registered | partial | preliminary | final | amended | corrected +
Binding: CompositionStatus (required): 診斷報告狀態;應填入Composition的代碼表中的其中一個代碼


Fixed Value: final
... type
.... coding 1..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Required Pattern: At least the following
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18842-5
..... display 1..1 string Representation defined by the system
Fixed Value: Discharge summary
... subject 0..1 Reference(門診病歷-病人基本資料) 報告文件有關的對象及(或)事物。
.... reference S 1..1 string 關聯至門診病歷中的病人基本資料
.... reference S 1..1 string 關聯至門診病歷中的門診日期、科別
... date 1..1 dateTime 報告產生日期
... author 1..* Reference(門診病歷-醫事機構 | 門診病歷-醫師姓名) 報告文件有關的創作部分。關聯至門診病歷中的醫事機構或醫師姓名
... title 1..1 string 報告文件的名字或標題
Fixed Value: 門診病歷
... Slices for section 8..* BackboneElement 報告文件與哪些資料有關
Slice: Unordered, Open by value:code.coding.code
.... section:ObservationLabResults 1..* BackboneElement 門診病歷中的病人基本資料_實驗室檢查紀錄
..... title 0..1 string 此筆關聯的資料標題為何?
..... code 1..1 CodeableConceptTW 小節分類(建議)
...... coding 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code 1..1 code 系統定義的語法之符號
Fixed Value: 19146-0
....... display 0..1 string 由系統定義的表示法
Fixed Value: Referral lab test results
..... entry 1..* Reference(門診病歷-實驗室檢查紀錄) 此筆關聯的資料
...... reference 1..1 string 關聯至門診病歷中的病人基本資料_實驗室檢查紀錄
.... section:ConditionMajorIllness 1..* BackboneElement 門診病歷中的病人基本資料_重大傷病
..... title 0..1 string 此筆關聯的資料標題為何?
..... code 1..1 CodeableConceptTW 小節分類(建議)
...... coding 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code 1..1 code 系統定義的語法之符號
Fixed Value: 11338-1
....... display 0..1 string 由系統定義的表示法
Fixed Value: History of Major illnesses and injuries Narrative
..... entry 1..* Reference(門診病歷-重大傷病) 此筆關聯的資料
...... reference 1..1 string 關聯至門診病歷中的病人基本資料_重大傷病
.... section:AllergyIntolerance 1..* BackboneElement 門診病歷中的病人基本資料_過敏史
..... title 0..1 string 此筆關聯的資料標題為何?
..... code 1..1 CodeableConceptTW 小節分類(建議)
...... coding 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code 1..1 code 系統定義的語法之符號
Fixed Value: 10155-0
....... display 0..1 string 由系統定義的表示法
Fixed Value: History of allergies, reported
..... entry 1..* Reference(門診病歷-過敏史) 此筆關聯的資料
...... reference 1..1 string 關聯至門診病歷中的病人基本資料_過敏史
.... section:ObservationProfession 0..1 BackboneElement 門診病歷中的病人基本資料_職業
..... title 0..1 string 此筆關聯的資料標題為何?
..... code 1..1 CodeableConceptTW 小節分類(建議)
...... coding 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code 1..1 code 系統定義的語法之符號
Fixed Value: 21847-9
....... display 0..1 string 由系統定義的表示法
Fixed Value: Usual occupation Narrative
..... entry 1..* Reference(門診病歷-職業) 此筆關聯的資料
...... reference 1..1 string 關聯至門診病歷中的病人基本資料_職業
.... section:CoverageIdentifier 1..1 BackboneElement 門診病歷中的病人基本資料_就醫身分別
..... title 0..1 string 此筆關聯的資料標題為何?
..... code 1..1 CodeableConceptTW 小節分類(建議)
...... coding 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code 1..1 code 系統定義的語法之符號
Fixed Value: 63513-6
....... display 0..1 string 由系統定義的表示法
Fixed Value: Are you covered by health insurance or some other kind of health care plan [PhenX]
..... entry 1..* Reference(就醫身分別) 此筆關聯的資料
...... reference 1..1 string 關聯至門診病歷中的病人基本資料_就醫身分別
.... section:ConditionDiagnosis 1..* BackboneElement 門診病歷中的診斷
..... title 0..1 string 此筆關聯的資料標題為何?
..... code 1..1 CodeableConceptTW 小節分類(建議)
...... coding 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code 1..1 code 系統定義的語法之符號
Fixed Value: 29548-5
....... display 0..1 string 由系統定義的表示法
Fixed Value: Diagnosis Narrative
..... entry 1..* Reference(門診病歷-診斷) 此筆關聯的資料
...... reference 1..1 string 關聯至門診病歷中的診斷
.... section:ClinicalImpression 1..1 BackboneElement 門診病歷中的診斷病情摘要
..... title 0..1 string 此筆關聯的資料標題為何?
..... code 1..1 CodeableConceptTW 小節分類(建議)
...... coding 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code 1..1 code 系統定義的語法之符號
Fixed Value: 19824-2
....... display 0..1 string 由系統定義的表示法
Fixed Value: Return visit conditions
..... Slices for entry 3..* Reference(門診病歷-主觀描述_Subjective | 門診病歷-客觀描述_ Objective | 門診病歷-評估_ Assessment) 此筆關聯的資料
Slice: Unordered, Open by value:identifier.value
..... Slices for entry Content/Rules for all slices
...... entry:ClinicalImpression_Subjective 1..* Reference(門診病歷-主觀描述_Subjective) 提供一個連結用於參照或查看支持此小節內容的資料
....... reference 1..1 string 關聯至門診病歷中的診斷病情摘要_Subjective
....... identifier 1..1 Identifier Logical reference, when literal reference is not known
........ system 1..1 uri The namespace for the identifier value
Fixed Value: http://loinc.org
........ value 1..1 string The value that is unique
Fixed Value: 61150-9
..... Slices for entry Content/Rules for all slices
...... entry:ClinicalImpression_Objective 1..* Reference(門診病歷-客觀描述_ Objective) 提供一個連結用於參照或查看支持此小節內容的資料
....... reference 1..1 string 關聯至門診病歷中的病人基本資料_Objective
....... identifier 1..1 Identifier Logical reference, when literal reference is not known
........ system 1..1 uri The namespace for the identifier value
Fixed Value: http://loinc.org
........ value 1..1 string The value that is unique
Fixed Value: 61149-1
..... Slices for entry Content/Rules for all slices
...... entry:ClinicalImpression_Assessment 1..* Reference(門診病歷-評估_ Assessment) 提供一個連結用於參照或查看支持此小節內容的資料
....... reference 1..1 string 關聯至門診病歷中的病人基本資料_ Assessment
....... identifier 1..1 Identifier Logical reference, when literal reference is not known
........ system 1..1 uri The namespace for the identifier value
Fixed Value: http://loinc.org
........ value 1..1 string The value that is unique
Fixed Value: 11494-2
.... section:Procedure 1..* BackboneElement 門診病歷中的處置項目
..... title 0..1 string 此筆關聯的資料標題為何?
..... code 1..1 CodeableConceptTW 小節分類(建議)
...... coding 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code 1..1 code 系統定義的語法之符號
Fixed Value: 29554-3
....... display 0..1 string 由系統定義的表示法
Fixed Value: Procedure Narrative
..... entry 1..* Reference(門診病歷-處置項目) 此筆關聯的資料
...... reference 1..1 string 關聯至門診病歷中的處置項目
.... section:MedicationPrescribed 1..* BackboneElement 門診病歷中的處方內容(MedicationRequest)
..... title 0..1 string 此筆關聯的資料標題為何?
..... code 1..1 CodeableConceptTW 小節分類(建議)
...... coding 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code 1..1 code 系統定義的語法之符號
Fixed Value: 29551-9
....... display 0..1 string 由系統定義的表示法
Fixed Value: Medication prescribed Narrative
..... Slices for entry 2..* Reference(Resource) 此筆關聯的資料
Slice: Unordered, Open by profile:resolve()
..... Slices for entry Content/Rules for all slices
...... entry:MedicationRequest 1..* Reference(門診病歷-處方內容(MedicationRequest)) 提供一個連結用於參照或查看支持此小節內容的資料
....... reference 1..1 string 關聯至門診病歷中的處方內容(MedicationRequest)
..... Slices for entry Content/Rules for all slices
...... entry:Medication 1..* Reference(門診病歷-藥物處方內容(Medication)) 提供一個連結用於參照或查看支持此小節內容的資料
....... reference 1..1 string 門診病歷中的處方內容(Medication)
.... section:MediaFamilyTree 0..* BackboneElement 門診病歷中的家族圖譜
..... title 0..1 string 此筆關聯的資料標題為何?
..... code 1..1 CodeableConceptTW 小節分類(建議)
...... coding 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code 1..1 code 系統定義的語法之符號
Fixed Value: 74027-4
....... display 0..1 string 由系統定義的表示法
Fixed Value: Family pedigree identifier
..... entry 1..* Reference(門診病歷-家族圖譜) 此筆關聯的資料
...... reference 1..1 string 關聯至門診病歷中的家族圖譜
.... section:MediaOutpatientImage 0..* BackboneElement 門診病歷中的門診圖像
..... title 0..1 string 此筆關聯的資料標題為何?
..... code 1..1 CodeableConceptTW 小節分類(建議)
...... coding 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code 1..1 code 系統定義的語法之符號
Fixed Value: 19005-8
....... display 0..1 string 由系統定義的表示法
Fixed Value: Radiology Imaging study [Impression] (narrative)
..... entry 1..* Reference(門診病歷-門診圖像) 此筆關聯的資料
...... reference 1..1 string 關聯至門診病歷中的門診圖像

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet / CodeURI
Composition.statusrequiredFixed Value: final
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* TWCoreComposition 將一組resources組成一份連貫的臨床聲明,並附有臨床證明。
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... modifierExtension ?! 0..* Extension 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。
... identifier SΣ 0..1 Identifier 不分版本的臨床文件架構(Composition)識別碼。
... type S 1..1 CodeableConceptTW Composition的種類(如果可能請使用LOINC)
Binding: FHIRDocumentTypeCodes (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。

.... coding S 1..1 CodingTW 由專門術語系統(terminology system)定義的代碼

Required Pattern: At least the following
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18842-5
..... display 1..1 string Representation defined by the system
Fixed Value: Discharge summary
.... text SΣ 0..1 string 概念的文字表示法
... subject SΣ 0..1 Reference(門診病歷-病人基本資料) 報告文件有關的對象及(或)事物。
.... reference SΣC 1..1 string 關聯至門診病歷中的病人基本資料
... encounter SΣ 1..1 Reference(門診病歷-門診日期、科別) 報告文件來自於哪次住院基本資料。
.... reference SΣC 1..1 string 關聯至門診病歷中的門診日期、科別
... date SΣ 1..1 dateTime 報告產生日期
... author SΣ 1..* Reference(門診病歷-醫事機構 | 門診病歷-醫師姓名) 報告文件有關的創作部分。關聯至門診病歷中的醫事機構或醫師姓名
... title SΣ 1..1 string 報告文件的名字或標題
Fixed Value: 門診病歷
... attester S 0..* BackboneElement 證明Composition的準確性
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): 認證者提供的認證類型;應填入所綁定值集中的其中一個代碼。

... custodian SΣ 0..1 Reference(TW Core Organization) 維護Composition的機構
... Slices for section SC 8..* BackboneElement 報告文件與哪些資料有關
Slice: Unordered, Open by value:code.coding.code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 0..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... entry SC 0..* Reference(Resource) 提供一個連結用於參照或查看支持此小節內容的資料
.... section:ObservationLabResults SC 1..* BackboneElement 門診病歷中的病人基本資料_實驗室檢查紀錄
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 19146-0
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Referral lab test results
...... text SΣ 0..1 string 概念的文字表示法
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... entry SC 1..* Reference(門診病歷-實驗室檢查紀錄) 此筆關聯的資料
...... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_實驗室檢查紀錄
.... section:ConditionMajorIllness SC 1..* BackboneElement 門診病歷中的病人基本資料_重大傷病
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 11338-1
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: History of Major illnesses and injuries Narrative
...... text SΣ 0..1 string 概念的文字表示法
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... entry SC 1..* Reference(門診病歷-重大傷病) 此筆關聯的資料
...... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_重大傷病
.... section:AllergyIntolerance SC 1..* BackboneElement 門診病歷中的病人基本資料_過敏史
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 10155-0
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: History of allergies, reported
...... text SΣ 0..1 string 概念的文字表示法
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... entry SC 1..* Reference(門診病歷-過敏史) 此筆關聯的資料
...... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_過敏史
.... section:ObservationProfession SC 0..1 BackboneElement 門診病歷中的病人基本資料_職業
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 21847-9
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Usual occupation Narrative
...... text SΣ 0..1 string 概念的文字表示法
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... entry SC 1..* Reference(門診病歷-職業) 此筆關聯的資料
...... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_職業
.... section:CoverageIdentifier SC 1..1 BackboneElement 門診病歷中的病人基本資料_就醫身分別
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 63513-6
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Are you covered by health insurance or some other kind of health care plan [PhenX]
...... text SΣ 0..1 string 概念的文字表示法
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... entry SC 1..* Reference(就醫身分別) 此筆關聯的資料
...... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_就醫身分別
.... section:ConditionDiagnosis SC 1..* BackboneElement 門診病歷中的診斷
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 29548-5
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Diagnosis Narrative
...... text SΣ 0..1 string 概念的文字表示法
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... entry SC 1..* Reference(門診病歷-診斷) 此筆關聯的資料
...... reference ΣC 1..1 string 關聯至門診病歷中的診斷
.... section:ClinicalImpression SC 1..1 BackboneElement 門診病歷中的診斷病情摘要
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 19824-2
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Return visit conditions
...... text SΣ 0..1 string 概念的文字表示法
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... Slices for entry SC 3..* Reference(門診病歷-主觀描述_Subjective | 門診病歷-客觀描述_ Objective | 門診病歷-評估_ Assessment) 此筆關聯的資料
Slice: Unordered, Open by value:identifier.value
..... Slices for entry Content/Rules for all slices
...... entry:ClinicalImpression_Subjective SC 1..* Reference(門診病歷-主觀描述_Subjective) 提供一個連結用於參照或查看支持此小節內容的資料
....... reference ΣC 1..1 string 關聯至門診病歷中的診斷病情摘要_Subjective
....... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
........ use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

........ system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://loinc.org
........ value Σ 1..1 string The value that is unique
Fixed Value: 61150-9
..... Slices for entry Content/Rules for all slices
...... entry:ClinicalImpression_Objective SC 1..* Reference(門診病歷-客觀描述_ Objective) 提供一個連結用於參照或查看支持此小節內容的資料
....... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_Objective
....... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
........ use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

........ system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://loinc.org
........ value Σ 1..1 string The value that is unique
Fixed Value: 61149-1
..... Slices for entry Content/Rules for all slices
...... entry:ClinicalImpression_Assessment SC 1..* Reference(門診病歷-評估_ Assessment) 提供一個連結用於參照或查看支持此小節內容的資料
....... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_ Assessment
....... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
........ use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

........ system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://loinc.org
........ value Σ 1..1 string The value that is unique
Fixed Value: 11494-2
.... section:Procedure SC 1..* BackboneElement 門診病歷中的處置項目
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 29554-3
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Procedure Narrative
...... text SΣ 0..1 string 概念的文字表示法
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... entry SC 1..* Reference(門診病歷-處置項目) 此筆關聯的資料
...... reference ΣC 1..1 string 關聯至門診病歷中的處置項目
.... section:MedicationPrescribed SC 1..* BackboneElement 門診病歷中的處方內容(MedicationRequest)
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 29551-9
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Medication prescribed Narrative
...... text SΣ 0..1 string 概念的文字表示法
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... Slices for entry SC 2..* Reference(Resource) 此筆關聯的資料
Slice: Unordered, Open by profile:resolve()
..... Slices for entry Content/Rules for all slices
...... entry:MedicationRequest SC 1..* Reference(門診病歷-處方內容(MedicationRequest)) 提供一個連結用於參照或查看支持此小節內容的資料
....... reference ΣC 1..1 string 關聯至門診病歷中的處方內容(MedicationRequest)
..... Slices for entry Content/Rules for all slices
...... entry:Medication SC 1..* Reference(門診病歷-藥物處方內容(Medication)) 提供一個連結用於參照或查看支持此小節內容的資料
....... reference ΣC 1..1 string 門診病歷中的處方內容(Medication)
.... section:MediaFamilyTree SC 0..* BackboneElement 門診病歷中的家族圖譜
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 74027-4
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Family pedigree identifier
...... text SΣ 0..1 string 概念的文字表示法
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... entry SC 1..* Reference(門診病歷-家族圖譜) 此筆關聯的資料
...... reference ΣC 1..1 string 關聯至門診病歷中的家族圖譜
.... section:MediaOutpatientImage SC 0..* BackboneElement 門診病歷中的門診圖像
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 19005-8
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Radiology Imaging study [Impression] (narrative)
...... text SΣ 0..1 string 概念的文字表示法
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... entry SC 1..* Reference(門診病歷-門診圖像) 此筆關聯的資料
...... reference ΣC 1..1 string 關聯至門診病歷中的門診圖像

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredFixed Value: final
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typeextensibleFHIRDocumentTypeCodes
http://hl7.org/fhir/ValueSet/doc-typecodes
from the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.section.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:ObservationLabResults.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:ConditionMajorIllness.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:AllergyIntolerance.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:ObservationProfession.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:CoverageIdentifier.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:ConditionDiagnosis.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:ClinicalImpression.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:ClinicalImpression.entry:ClinicalImpression_Subjective.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Composition.section:ClinicalImpression.entry:ClinicalImpression_Objective.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Composition.section:ClinicalImpression.entry:ClinicalImpression_Assessment.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Composition.section:Procedure.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:MedicationPrescribed.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:MediaFamilyTree.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:MediaOutpatientImage.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:ObservationLabResults, Composition.section:ConditionMajorIllness, Composition.section:AllergyIntolerance, Composition.section:ObservationProfession, Composition.section:CoverageIdentifier, Composition.section:ConditionDiagnosis, Composition.section:ClinicalImpression, Composition.section:Procedure, Composition.section:MedicationPrescribed, Composition.section:MediaFamilyTree, Composition.section:MediaOutpatientImageA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:ObservationLabResults, Composition.section:ConditionMajorIllness, Composition.section:AllergyIntolerance, Composition.section:ObservationProfession, Composition.section:CoverageIdentifier, Composition.section:ConditionDiagnosis, Composition.section:ClinicalImpression, Composition.section:Procedure, Composition.section:MedicationPrescribed, Composition.section:MediaFamilyTree, Composition.section:MediaOutpatientImageA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* TWCoreComposition 將一組resources組成一份連貫的臨床聲明,並附有臨床證明。
... id Σ 0..1 id 不重複的ID用以識別儲存在特定FHIR Server中的Composition紀錄,通常又稱為邏輯性ID。
... meta Σ 0..1 Meta 此Composition Resource的metadata
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... text 0..1 Narrative Composition Resource之內容摘要以供人閱讀
... contained 0..* Resource 內嵌的(contained)、行內的Resources
... extension 0..* Extension 擴充的資料項目
... modifierExtension ?! 0..* Extension 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。
... identifier SΣ 0..1 Identifier 不分版本的臨床文件架構(Composition)識別碼。
... status ?!SΣ 1..1 code registered | partial | preliminary | final | amended | corrected +
Binding: CompositionStatus (required): 診斷報告狀態;應填入Composition的代碼表中的其中一個代碼


Fixed Value: final
... type S 1..1 CodeableConceptTW Composition的種類(如果可能請使用LOINC)
Binding: FHIRDocumentTypeCodes (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。

.... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... coding S 1..1 CodingTW 由專門術語系統(terminology system)定義的代碼

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18842-5
..... display 1..1 string Representation defined by the system
Fixed Value: Discharge summary
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string 概念的文字表示法
... category 0..* CodeableConceptTW Composition的分類
Binding: DocumentClassValueSet (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。


... subject SΣ 0..1 Reference(門診病歷-病人基本資料) 報告文件有關的對象及(或)事物。
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 關聯至門診病歷中的病人基本資料
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter SΣ 1..1 Reference(門診病歷-門診日期、科別) 報告文件來自於哪次住院基本資料。
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 關聯至門診病歷中的門診日期、科別
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... date SΣ 1..1 dateTime 報告產生日期
... author SΣ 1..* Reference(門診病歷-醫事機構 | 門診病歷-醫師姓名) 報告文件有關的創作部分。關聯至門診病歷中的醫事機構或醫師姓名
... title SΣ 1..1 string 報告文件的名字或標題
Fixed Value: 門診病歷
... confidentiality Σ 0..1 code 根據特定技術領域的定義
Binding: v3.ConfidentialityClassification (2014-03-26) (required): 應填入所綁定值集中的其中一個代碼。

... attester S 0..* BackboneElement 證明Composition的準確性
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): 認證者提供的認證類型;應填入所綁定值集中的其中一個代碼。

.... time 0..1 dateTime 此Composition被證明的時間
.... party 0..1 Reference(TW Core Patient | RelatedPerson | TW Core Practitioner | TW Core PractitionerRole | TW Core Organization) 誰證明了此Composition
... custodian SΣ 0..1 Reference(TW Core Organization) 維護Composition的機構
... relatesTo 0..* BackboneElement 與其他Composition/文件之間的關係
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): 檔案之間的關係型別;應填入所綁定值集中的其中一個代碼。

.... target[x] 1..1 此關係的目標文件
..... targetIdentifier Identifier
..... targetReference Reference(Composition)
... event Σ 0..* BackboneElement 正在記錄的臨床服務
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 0..* CodeableConceptTW 此代碼表代表了正在被記錄的主要臨床行為
Binding: v3 Code System ActCode (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。


.... period Σ 0..1 Period 文件所涵蓋的時間區間
.... detail Σ 0..* Reference(Resource) 在描述被記錄下來的事件,這些事件可以是以代碼的形式、參考資料的形式,或者兩者都有的形式來呈現。
... Slices for section SC 8..* BackboneElement 報告文件與哪些資料有關
Slice: Unordered, Open by value:code.coding.code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 小節標籤(例如:目錄ToC)
..... code S 0..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

..... author 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) 誰和/或什麼人撰寫了該小節
..... focus 0..1 Reference(Resource) 當小節與composition描述的對象無關時,此小節是關於誰/什麼。
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... mode 0..1 code 適用於此小節的處理模式
Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。

..... orderedBy 0..1 CodeableConceptTW 小節條目的順序
Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... entry SC 0..* Reference(Resource) 提供一個連結用於參照或查看支持此小節內容的資料
..... emptyReason 0..1 CodeableConceptTW 為什麼此小節是空的原因
Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... section C 0..* See section (Composition) 嵌套的小節
.... section:ObservationLabResults SC 1..* BackboneElement 門診病歷中的病人基本資料_實驗室檢查紀錄
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
....... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... version Σ 0..1 string 系統的版本—如果相關的話
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 19146-0
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Referral lab test results
....... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... author 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) 誰和/或什麼人撰寫了該小節
..... focus 0..1 Reference(Resource) 當小節與composition描述的對象無關時,此小節是關於誰/什麼。
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... mode 0..1 code 適用於此小節的處理模式
Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。

..... orderedBy 0..1 CodeableConceptTW 小節條目的順序
Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... entry SC 1..* Reference(門診病歷-實驗室檢查紀錄) 此筆關聯的資料
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_實驗室檢查紀錄
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... emptyReason 0..1 CodeableConceptTW 為什麼此小節是空的原因
Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... section C 0..* See section (Composition) 嵌套的小節
.... section:ConditionMajorIllness SC 1..* BackboneElement 門診病歷中的病人基本資料_重大傷病
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
....... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... version Σ 0..1 string 系統的版本—如果相關的話
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 11338-1
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: History of Major illnesses and injuries Narrative
....... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... author 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) 誰和/或什麼人撰寫了該小節
..... focus 0..1 Reference(Resource) 當小節與composition描述的對象無關時,此小節是關於誰/什麼。
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... mode 0..1 code 適用於此小節的處理模式
Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。

..... orderedBy 0..1 CodeableConceptTW 小節條目的順序
Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... entry SC 1..* Reference(門診病歷-重大傷病) 此筆關聯的資料
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_重大傷病
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... emptyReason 0..1 CodeableConceptTW 為什麼此小節是空的原因
Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... section C 0..* See section (Composition) 嵌套的小節
.... section:AllergyIntolerance SC 1..* BackboneElement 門診病歷中的病人基本資料_過敏史
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
....... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... version Σ 0..1 string 系統的版本—如果相關的話
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 10155-0
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: History of allergies, reported
....... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... author 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) 誰和/或什麼人撰寫了該小節
..... focus 0..1 Reference(Resource) 當小節與composition描述的對象無關時,此小節是關於誰/什麼。
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... mode 0..1 code 適用於此小節的處理模式
Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。

..... orderedBy 0..1 CodeableConceptTW 小節條目的順序
Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... entry SC 1..* Reference(門診病歷-過敏史) 此筆關聯的資料
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_過敏史
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... emptyReason 0..1 CodeableConceptTW 為什麼此小節是空的原因
Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... section C 0..* See section (Composition) 嵌套的小節
.... section:ObservationProfession SC 0..1 BackboneElement 門診病歷中的病人基本資料_職業
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
....... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... version Σ 0..1 string 系統的版本—如果相關的話
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 21847-9
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Usual occupation Narrative
....... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... author 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) 誰和/或什麼人撰寫了該小節
..... focus 0..1 Reference(Resource) 當小節與composition描述的對象無關時,此小節是關於誰/什麼。
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... mode 0..1 code 適用於此小節的處理模式
Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。

..... orderedBy 0..1 CodeableConceptTW 小節條目的順序
Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... entry SC 1..* Reference(門診病歷-職業) 此筆關聯的資料
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_職業
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... emptyReason 0..1 CodeableConceptTW 為什麼此小節是空的原因
Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... section C 0..* See section (Composition) 嵌套的小節
.... section:CoverageIdentifier SC 1..1 BackboneElement 門診病歷中的病人基本資料_就醫身分別
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
....... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... version Σ 0..1 string 系統的版本—如果相關的話
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 63513-6
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Are you covered by health insurance or some other kind of health care plan [PhenX]
....... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... author 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) 誰和/或什麼人撰寫了該小節
..... focus 0..1 Reference(Resource) 當小節與composition描述的對象無關時,此小節是關於誰/什麼。
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... mode 0..1 code 適用於此小節的處理模式
Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。

..... orderedBy 0..1 CodeableConceptTW 小節條目的順序
Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... entry SC 1..* Reference(就醫身分別) 此筆關聯的資料
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_就醫身分別
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... emptyReason 0..1 CodeableConceptTW 為什麼此小節是空的原因
Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... section C 0..* See section (Composition) 嵌套的小節
.... section:ConditionDiagnosis SC 1..* BackboneElement 門診病歷中的診斷
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
....... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... version Σ 0..1 string 系統的版本—如果相關的話
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 29548-5
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Diagnosis Narrative
....... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... author 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) 誰和/或什麼人撰寫了該小節
..... focus 0..1 Reference(Resource) 當小節與composition描述的對象無關時,此小節是關於誰/什麼。
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... mode 0..1 code 適用於此小節的處理模式
Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。

..... orderedBy 0..1 CodeableConceptTW 小節條目的順序
Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... entry SC 1..* Reference(門診病歷-診斷) 此筆關聯的資料
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string 關聯至門診病歷中的診斷
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... emptyReason 0..1 CodeableConceptTW 為什麼此小節是空的原因
Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... section C 0..* See section (Composition) 嵌套的小節
.... section:ClinicalImpression SC 1..1 BackboneElement 門診病歷中的診斷病情摘要
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
....... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... version Σ 0..1 string 系統的版本—如果相關的話
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 19824-2
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Return visit conditions
....... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... author 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) 誰和/或什麼人撰寫了該小節
..... focus 0..1 Reference(Resource) 當小節與composition描述的對象無關時,此小節是關於誰/什麼。
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... mode 0..1 code 適用於此小節的處理模式
Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。

..... orderedBy 0..1 CodeableConceptTW 小節條目的順序
Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... Slices for entry SC 3..* Reference(門診病歷-主觀描述_Subjective | 門診病歷-客觀描述_ Objective | 門診病歷-評估_ Assessment) 此筆關聯的資料
Slice: Unordered, Open by value:identifier.value
..... Slices for entry Content/Rules for all slices
...... entry:ClinicalImpression_Subjective SC 1..* Reference(門診病歷-主觀描述_Subjective) 提供一個連結用於參照或查看支持此小節內容的資料
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... reference ΣC 1..1 string 關聯至門診病歷中的診斷病情摘要_Subjective
....... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

....... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

........ type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

........ system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://loinc.org
........ value Σ 1..1 string The value that is unique
Fixed Value: 61150-9
........ period Σ 0..1 Period Time period when id is/was valid for use
........ assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
....... display Σ 0..1 string Text alternative for the resource
..... Slices for entry Content/Rules for all slices
...... entry:ClinicalImpression_Objective SC 1..* Reference(門診病歷-客觀描述_ Objective) 提供一個連結用於參照或查看支持此小節內容的資料
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_Objective
....... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

....... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

........ type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

........ system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://loinc.org
........ value Σ 1..1 string The value that is unique
Fixed Value: 61149-1
........ period Σ 0..1 Period Time period when id is/was valid for use
........ assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
....... display Σ 0..1 string Text alternative for the resource
..... Slices for entry Content/Rules for all slices
...... entry:ClinicalImpression_Assessment SC 1..* Reference(門診病歷-評估_ Assessment) 提供一個連結用於參照或查看支持此小節內容的資料
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_ Assessment
....... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

....... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

........ type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

........ system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://loinc.org
........ value Σ 1..1 string The value that is unique
Fixed Value: 11494-2
........ period Σ 0..1 Period Time period when id is/was valid for use
........ assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
....... display Σ 0..1 string Text alternative for the resource
..... emptyReason 0..1 CodeableConceptTW 為什麼此小節是空的原因
Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... section C 0..* See section (Composition) 嵌套的小節
.... section:Procedure SC 1..* BackboneElement 門診病歷中的處置項目
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
....... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... version Σ 0..1 string 系統的版本—如果相關的話
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 29554-3
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Procedure Narrative
....... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... author 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) 誰和/或什麼人撰寫了該小節
..... focus 0..1 Reference(Resource) 當小節與composition描述的對象無關時,此小節是關於誰/什麼。
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... mode 0..1 code 適用於此小節的處理模式
Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。

..... orderedBy 0..1 CodeableConceptTW 小節條目的順序
Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... entry SC 1..* Reference(門診病歷-處置項目) 此筆關聯的資料
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string 關聯至門診病歷中的處置項目
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... emptyReason 0..1 CodeableConceptTW 為什麼此小節是空的原因
Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... section C 0..* See section (Composition) 嵌套的小節
.... section:MedicationPrescribed SC 1..* BackboneElement 門診病歷中的處方內容(MedicationRequest)
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
....... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... version Σ 0..1 string 系統的版本—如果相關的話
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 29551-9
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Medication prescribed Narrative
....... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... author 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) 誰和/或什麼人撰寫了該小節
..... focus 0..1 Reference(Resource) 當小節與composition描述的對象無關時,此小節是關於誰/什麼。
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... mode 0..1 code 適用於此小節的處理模式
Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。

..... orderedBy 0..1 CodeableConceptTW 小節條目的順序
Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... Slices for entry SC 2..* Reference(Resource) 此筆關聯的資料
Slice: Unordered, Open by profile:resolve()
..... Slices for entry Content/Rules for all slices
...... entry:MedicationRequest SC 1..* Reference(門診病歷-處方內容(MedicationRequest)) 提供一個連結用於參照或查看支持此小節內容的資料
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... reference ΣC 1..1 string 關聯至門診病歷中的處方內容(MedicationRequest)
....... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

....... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
....... display Σ 0..1 string Text alternative for the resource
..... Slices for entry Content/Rules for all slices
...... entry:Medication SC 1..* Reference(門診病歷-藥物處方內容(Medication)) 提供一個連結用於參照或查看支持此小節內容的資料
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... reference ΣC 1..1 string 門診病歷中的處方內容(Medication)
....... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

....... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
....... display Σ 0..1 string Text alternative for the resource
..... emptyReason 0..1 CodeableConceptTW 為什麼此小節是空的原因
Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... section C 0..* See section (Composition) 嵌套的小節
.... section:MediaFamilyTree SC 0..* BackboneElement 門診病歷中的家族圖譜
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
....... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... version Σ 0..1 string 系統的版本—如果相關的話
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 74027-4
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Family pedigree identifier
....... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... author 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) 誰和/或什麼人撰寫了該小節
..... focus 0..1 Reference(Resource) 當小節與composition描述的對象無關時,此小節是關於誰/什麼。
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... mode 0..1 code 適用於此小節的處理模式
Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。

..... orderedBy 0..1 CodeableConceptTW 小節條目的順序
Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... entry SC 1..* Reference(門診病歷-家族圖譜) 此筆關聯的資料
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string 關聯至門診病歷中的家族圖譜
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... emptyReason 0..1 CodeableConceptTW 為什麼此小節是空的原因
Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... section C 0..* See section (Composition) 嵌套的小節
.... section:MediaOutpatientImage SC 0..* BackboneElement 門診病歷中的門診圖像
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
....... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... version Σ 0..1 string 系統的版本—如果相關的話
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 19005-8
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Radiology Imaging study [Impression] (narrative)
....... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... author 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) 誰和/或什麼人撰寫了該小節
..... focus 0..1 Reference(Resource) 當小節與composition描述的對象無關時,此小節是關於誰/什麼。
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... mode 0..1 code 適用於此小節的處理模式
Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。

..... orderedBy 0..1 CodeableConceptTW 小節條目的順序
Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... entry SC 1..* Reference(門診病歷-門診圖像) 此筆關聯的資料
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string 關聯至門診病歷中的門診圖像
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... emptyReason 0..1 CodeableConceptTW 為什麼此小節是空的原因
Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... section C 0..* See section (Composition) 嵌套的小節

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Composition.statusrequiredFixed Value: final
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typeextensibleFHIRDocumentTypeCodes
http://hl7.org/fhir/ValueSet/doc-typecodes
from the FHIR Standard
Composition.categoryextensibleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
from the FHIR Standard
Composition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.encounter.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.confidentialityrequiredv3.ConfidentialityClassification
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
from the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:ObservationLabResults.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:ObservationLabResults.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:ObservationLabResults.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:ObservationLabResults.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:ObservationLabResults.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:ConditionMajorIllness.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:ConditionMajorIllness.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:ConditionMajorIllness.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:ConditionMajorIllness.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:ConditionMajorIllness.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:AllergyIntolerance.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:AllergyIntolerance.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:AllergyIntolerance.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:AllergyIntolerance.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:AllergyIntolerance.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:ObservationProfession.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:ObservationProfession.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:ObservationProfession.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:ObservationProfession.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:ObservationProfession.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:CoverageIdentifier.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:CoverageIdentifier.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:CoverageIdentifier.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:CoverageIdentifier.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:CoverageIdentifier.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:ConditionDiagnosis.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:ConditionDiagnosis.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:ConditionDiagnosis.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:ConditionDiagnosis.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:ConditionDiagnosis.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:ClinicalImpression.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:ClinicalImpression.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:ClinicalImpression.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:ClinicalImpression.entry:ClinicalImpression_Subjective.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:ClinicalImpression.entry:ClinicalImpression_Subjective.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Composition.section:ClinicalImpression.entry:ClinicalImpression_Subjective.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Composition.section:ClinicalImpression.entry:ClinicalImpression_Objective.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:ClinicalImpression.entry:ClinicalImpression_Objective.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Composition.section:ClinicalImpression.entry:ClinicalImpression_Objective.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Composition.section:ClinicalImpression.entry:ClinicalImpression_Assessment.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:ClinicalImpression.entry:ClinicalImpression_Assessment.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Composition.section:ClinicalImpression.entry:ClinicalImpression_Assessment.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Composition.section:ClinicalImpression.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:Procedure.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:Procedure.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:Procedure.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:Procedure.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:Procedure.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:MedicationPrescribed.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:MedicationPrescribed.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:MedicationPrescribed.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:MedicationPrescribed.entry:MedicationRequest.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:MedicationPrescribed.entry:Medication.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:MedicationPrescribed.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:MediaFamilyTree.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:MediaFamilyTree.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:MediaFamilyTree.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:MediaFamilyTree.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:MediaFamilyTree.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:MediaOutpatientImage.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:MediaOutpatientImage.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:MediaOutpatientImage.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:MediaOutpatientImage.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:MediaOutpatientImage.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:ObservationLabResults, Composition.section:ConditionMajorIllness, Composition.section:AllergyIntolerance, Composition.section:ObservationProfession, Composition.section:CoverageIdentifier, Composition.section:ConditionDiagnosis, Composition.section:ClinicalImpression, Composition.section:Procedure, Composition.section:MedicationPrescribed, Composition.section:MediaFamilyTree, Composition.section:MediaOutpatientImageA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:ObservationLabResults, Composition.section:ConditionMajorIllness, Composition.section:AllergyIntolerance, Composition.section:ObservationProfession, Composition.section:CoverageIdentifier, Composition.section:ConditionDiagnosis, Composition.section:ClinicalImpression, Composition.section:Procedure, Composition.section:MedicationPrescribed, Composition.section:MediaFamilyTree, Composition.section:MediaOutpatientImageA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from TWCoreComposition

Summary

Mandatory: 74 elements(19 nested mandatory elements)
Must-Support: 3 elements
Fixed: 41 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Composition.section
  • The element 1 is sliced based on the value of Composition.section.entry

Differential View

This structure is derived from TWCoreComposition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* TWCoreComposition 將一組resources組成一份連貫的臨床聲明,並附有臨床證明。
... status 1..1 code registered | partial | preliminary | final | amended | corrected +
Binding: CompositionStatus (required): 診斷報告狀態;應填入Composition的代碼表中的其中一個代碼


Fixed Value: final
... type
.... coding 1..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Required Pattern: At least the following
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18842-5
..... display 1..1 string Representation defined by the system
Fixed Value: Discharge summary
... subject 0..1 Reference(門診病歷-病人基本資料) 報告文件有關的對象及(或)事物。
.... reference S 1..1 string 關聯至門診病歷中的病人基本資料
.... reference S 1..1 string 關聯至門診病歷中的門診日期、科別
... date 1..1 dateTime 報告產生日期
... author 1..* Reference(門診病歷-醫事機構 | 門診病歷-醫師姓名) 報告文件有關的創作部分。關聯至門診病歷中的醫事機構或醫師姓名
... title 1..1 string 報告文件的名字或標題
Fixed Value: 門診病歷
... Slices for section 8..* BackboneElement 報告文件與哪些資料有關
Slice: Unordered, Open by value:code.coding.code
.... section:ObservationLabResults 1..* BackboneElement 門診病歷中的病人基本資料_實驗室檢查紀錄
..... title 0..1 string 此筆關聯的資料標題為何?
..... code 1..1 CodeableConceptTW 小節分類(建議)
...... coding 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code 1..1 code 系統定義的語法之符號
Fixed Value: 19146-0
....... display 0..1 string 由系統定義的表示法
Fixed Value: Referral lab test results
..... entry 1..* Reference(門診病歷-實驗室檢查紀錄) 此筆關聯的資料
...... reference 1..1 string 關聯至門診病歷中的病人基本資料_實驗室檢查紀錄
.... section:ConditionMajorIllness 1..* BackboneElement 門診病歷中的病人基本資料_重大傷病
..... title 0..1 string 此筆關聯的資料標題為何?
..... code 1..1 CodeableConceptTW 小節分類(建議)
...... coding 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code 1..1 code 系統定義的語法之符號
Fixed Value: 11338-1
....... display 0..1 string 由系統定義的表示法
Fixed Value: History of Major illnesses and injuries Narrative
..... entry 1..* Reference(門診病歷-重大傷病) 此筆關聯的資料
...... reference 1..1 string 關聯至門診病歷中的病人基本資料_重大傷病
.... section:AllergyIntolerance 1..* BackboneElement 門診病歷中的病人基本資料_過敏史
..... title 0..1 string 此筆關聯的資料標題為何?
..... code 1..1 CodeableConceptTW 小節分類(建議)
...... coding 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code 1..1 code 系統定義的語法之符號
Fixed Value: 10155-0
....... display 0..1 string 由系統定義的表示法
Fixed Value: History of allergies, reported
..... entry 1..* Reference(門診病歷-過敏史) 此筆關聯的資料
...... reference 1..1 string 關聯至門診病歷中的病人基本資料_過敏史
.... section:ObservationProfession 0..1 BackboneElement 門診病歷中的病人基本資料_職業
..... title 0..1 string 此筆關聯的資料標題為何?
..... code 1..1 CodeableConceptTW 小節分類(建議)
...... coding 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code 1..1 code 系統定義的語法之符號
Fixed Value: 21847-9
....... display 0..1 string 由系統定義的表示法
Fixed Value: Usual occupation Narrative
..... entry 1..* Reference(門診病歷-職業) 此筆關聯的資料
...... reference 1..1 string 關聯至門診病歷中的病人基本資料_職業
.... section:CoverageIdentifier 1..1 BackboneElement 門診病歷中的病人基本資料_就醫身分別
..... title 0..1 string 此筆關聯的資料標題為何?
..... code 1..1 CodeableConceptTW 小節分類(建議)
...... coding 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code 1..1 code 系統定義的語法之符號
Fixed Value: 63513-6
....... display 0..1 string 由系統定義的表示法
Fixed Value: Are you covered by health insurance or some other kind of health care plan [PhenX]
..... entry 1..* Reference(就醫身分別) 此筆關聯的資料
...... reference 1..1 string 關聯至門診病歷中的病人基本資料_就醫身分別
.... section:ConditionDiagnosis 1..* BackboneElement 門診病歷中的診斷
..... title 0..1 string 此筆關聯的資料標題為何?
..... code 1..1 CodeableConceptTW 小節分類(建議)
...... coding 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code 1..1 code 系統定義的語法之符號
Fixed Value: 29548-5
....... display 0..1 string 由系統定義的表示法
Fixed Value: Diagnosis Narrative
..... entry 1..* Reference(門診病歷-診斷) 此筆關聯的資料
...... reference 1..1 string 關聯至門診病歷中的診斷
.... section:ClinicalImpression 1..1 BackboneElement 門診病歷中的診斷病情摘要
..... title 0..1 string 此筆關聯的資料標題為何?
..... code 1..1 CodeableConceptTW 小節分類(建議)
...... coding 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code 1..1 code 系統定義的語法之符號
Fixed Value: 19824-2
....... display 0..1 string 由系統定義的表示法
Fixed Value: Return visit conditions
..... Slices for entry 3..* Reference(門診病歷-主觀描述_Subjective | 門診病歷-客觀描述_ Objective | 門診病歷-評估_ Assessment) 此筆關聯的資料
Slice: Unordered, Open by value:identifier.value
..... Slices for entry Content/Rules for all slices
...... entry:ClinicalImpression_Subjective 1..* Reference(門診病歷-主觀描述_Subjective) 提供一個連結用於參照或查看支持此小節內容的資料
....... reference 1..1 string 關聯至門診病歷中的診斷病情摘要_Subjective
....... identifier 1..1 Identifier Logical reference, when literal reference is not known
........ system 1..1 uri The namespace for the identifier value
Fixed Value: http://loinc.org
........ value 1..1 string The value that is unique
Fixed Value: 61150-9
..... Slices for entry Content/Rules for all slices
...... entry:ClinicalImpression_Objective 1..* Reference(門診病歷-客觀描述_ Objective) 提供一個連結用於參照或查看支持此小節內容的資料
....... reference 1..1 string 關聯至門診病歷中的病人基本資料_Objective
....... identifier 1..1 Identifier Logical reference, when literal reference is not known
........ system 1..1 uri The namespace for the identifier value
Fixed Value: http://loinc.org
........ value 1..1 string The value that is unique
Fixed Value: 61149-1
..... Slices for entry Content/Rules for all slices
...... entry:ClinicalImpression_Assessment 1..* Reference(門診病歷-評估_ Assessment) 提供一個連結用於參照或查看支持此小節內容的資料
....... reference 1..1 string 關聯至門診病歷中的病人基本資料_ Assessment
....... identifier 1..1 Identifier Logical reference, when literal reference is not known
........ system 1..1 uri The namespace for the identifier value
Fixed Value: http://loinc.org
........ value 1..1 string The value that is unique
Fixed Value: 11494-2
.... section:Procedure 1..* BackboneElement 門診病歷中的處置項目
..... title 0..1 string 此筆關聯的資料標題為何?
..... code 1..1 CodeableConceptTW 小節分類(建議)
...... coding 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code 1..1 code 系統定義的語法之符號
Fixed Value: 29554-3
....... display 0..1 string 由系統定義的表示法
Fixed Value: Procedure Narrative
..... entry 1..* Reference(門診病歷-處置項目) 此筆關聯的資料
...... reference 1..1 string 關聯至門診病歷中的處置項目
.... section:MedicationPrescribed 1..* BackboneElement 門診病歷中的處方內容(MedicationRequest)
..... title 0..1 string 此筆關聯的資料標題為何?
..... code 1..1 CodeableConceptTW 小節分類(建議)
...... coding 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code 1..1 code 系統定義的語法之符號
Fixed Value: 29551-9
....... display 0..1 string 由系統定義的表示法
Fixed Value: Medication prescribed Narrative
..... Slices for entry 2..* Reference(Resource) 此筆關聯的資料
Slice: Unordered, Open by profile:resolve()
..... Slices for entry Content/Rules for all slices
...... entry:MedicationRequest 1..* Reference(門診病歷-處方內容(MedicationRequest)) 提供一個連結用於參照或查看支持此小節內容的資料
....... reference 1..1 string 關聯至門診病歷中的處方內容(MedicationRequest)
..... Slices for entry Content/Rules for all slices
...... entry:Medication 1..* Reference(門診病歷-藥物處方內容(Medication)) 提供一個連結用於參照或查看支持此小節內容的資料
....... reference 1..1 string 門診病歷中的處方內容(Medication)
.... section:MediaFamilyTree 0..* BackboneElement 門診病歷中的家族圖譜
..... title 0..1 string 此筆關聯的資料標題為何?
..... code 1..1 CodeableConceptTW 小節分類(建議)
...... coding 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code 1..1 code 系統定義的語法之符號
Fixed Value: 74027-4
....... display 0..1 string 由系統定義的表示法
Fixed Value: Family pedigree identifier
..... entry 1..* Reference(門診病歷-家族圖譜) 此筆關聯的資料
...... reference 1..1 string 關聯至門診病歷中的家族圖譜
.... section:MediaOutpatientImage 0..* BackboneElement 門診病歷中的門診圖像
..... title 0..1 string 此筆關聯的資料標題為何?
..... code 1..1 CodeableConceptTW 小節分類(建議)
...... coding 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code 1..1 code 系統定義的語法之符號
Fixed Value: 19005-8
....... display 0..1 string 由系統定義的表示法
Fixed Value: Radiology Imaging study [Impression] (narrative)
..... entry 1..* Reference(門診病歷-門診圖像) 此筆關聯的資料
...... reference 1..1 string 關聯至門診病歷中的門診圖像

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet / CodeURI
Composition.statusrequiredFixed Value: final

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* TWCoreComposition 將一組resources組成一份連貫的臨床聲明,並附有臨床證明。
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... modifierExtension ?! 0..* Extension 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。
... identifier SΣ 0..1 Identifier 不分版本的臨床文件架構(Composition)識別碼。
... type S 1..1 CodeableConceptTW Composition的種類(如果可能請使用LOINC)
Binding: FHIRDocumentTypeCodes (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。

.... coding S 1..1 CodingTW 由專門術語系統(terminology system)定義的代碼

Required Pattern: At least the following
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18842-5
..... display 1..1 string Representation defined by the system
Fixed Value: Discharge summary
.... text SΣ 0..1 string 概念的文字表示法
... subject SΣ 0..1 Reference(門診病歷-病人基本資料) 報告文件有關的對象及(或)事物。
.... reference SΣC 1..1 string 關聯至門診病歷中的病人基本資料
... encounter SΣ 1..1 Reference(門診病歷-門診日期、科別) 報告文件來自於哪次住院基本資料。
.... reference SΣC 1..1 string 關聯至門診病歷中的門診日期、科別
... date SΣ 1..1 dateTime 報告產生日期
... author SΣ 1..* Reference(門診病歷-醫事機構 | 門診病歷-醫師姓名) 報告文件有關的創作部分。關聯至門診病歷中的醫事機構或醫師姓名
... title SΣ 1..1 string 報告文件的名字或標題
Fixed Value: 門診病歷
... attester S 0..* BackboneElement 證明Composition的準確性
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): 認證者提供的認證類型;應填入所綁定值集中的其中一個代碼。

... custodian SΣ 0..1 Reference(TW Core Organization) 維護Composition的機構
... Slices for section SC 8..* BackboneElement 報告文件與哪些資料有關
Slice: Unordered, Open by value:code.coding.code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 0..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... entry SC 0..* Reference(Resource) 提供一個連結用於參照或查看支持此小節內容的資料
.... section:ObservationLabResults SC 1..* BackboneElement 門診病歷中的病人基本資料_實驗室檢查紀錄
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 19146-0
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Referral lab test results
...... text SΣ 0..1 string 概念的文字表示法
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... entry SC 1..* Reference(門診病歷-實驗室檢查紀錄) 此筆關聯的資料
...... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_實驗室檢查紀錄
.... section:ConditionMajorIllness SC 1..* BackboneElement 門診病歷中的病人基本資料_重大傷病
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 11338-1
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: History of Major illnesses and injuries Narrative
...... text SΣ 0..1 string 概念的文字表示法
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... entry SC 1..* Reference(門診病歷-重大傷病) 此筆關聯的資料
...... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_重大傷病
.... section:AllergyIntolerance SC 1..* BackboneElement 門診病歷中的病人基本資料_過敏史
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 10155-0
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: History of allergies, reported
...... text SΣ 0..1 string 概念的文字表示法
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... entry SC 1..* Reference(門診病歷-過敏史) 此筆關聯的資料
...... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_過敏史
.... section:ObservationProfession SC 0..1 BackboneElement 門診病歷中的病人基本資料_職業
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 21847-9
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Usual occupation Narrative
...... text SΣ 0..1 string 概念的文字表示法
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... entry SC 1..* Reference(門診病歷-職業) 此筆關聯的資料
...... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_職業
.... section:CoverageIdentifier SC 1..1 BackboneElement 門診病歷中的病人基本資料_就醫身分別
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 63513-6
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Are you covered by health insurance or some other kind of health care plan [PhenX]
...... text SΣ 0..1 string 概念的文字表示法
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... entry SC 1..* Reference(就醫身分別) 此筆關聯的資料
...... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_就醫身分別
.... section:ConditionDiagnosis SC 1..* BackboneElement 門診病歷中的診斷
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 29548-5
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Diagnosis Narrative
...... text SΣ 0..1 string 概念的文字表示法
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... entry SC 1..* Reference(門診病歷-診斷) 此筆關聯的資料
...... reference ΣC 1..1 string 關聯至門診病歷中的診斷
.... section:ClinicalImpression SC 1..1 BackboneElement 門診病歷中的診斷病情摘要
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 19824-2
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Return visit conditions
...... text SΣ 0..1 string 概念的文字表示法
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... Slices for entry SC 3..* Reference(門診病歷-主觀描述_Subjective | 門診病歷-客觀描述_ Objective | 門診病歷-評估_ Assessment) 此筆關聯的資料
Slice: Unordered, Open by value:identifier.value
..... Slices for entry Content/Rules for all slices
...... entry:ClinicalImpression_Subjective SC 1..* Reference(門診病歷-主觀描述_Subjective) 提供一個連結用於參照或查看支持此小節內容的資料
....... reference ΣC 1..1 string 關聯至門診病歷中的診斷病情摘要_Subjective
....... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
........ use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

........ system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://loinc.org
........ value Σ 1..1 string The value that is unique
Fixed Value: 61150-9
..... Slices for entry Content/Rules for all slices
...... entry:ClinicalImpression_Objective SC 1..* Reference(門診病歷-客觀描述_ Objective) 提供一個連結用於參照或查看支持此小節內容的資料
....... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_Objective
....... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
........ use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

........ system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://loinc.org
........ value Σ 1..1 string The value that is unique
Fixed Value: 61149-1
..... Slices for entry Content/Rules for all slices
...... entry:ClinicalImpression_Assessment SC 1..* Reference(門診病歷-評估_ Assessment) 提供一個連結用於參照或查看支持此小節內容的資料
....... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_ Assessment
....... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
........ use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

........ system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://loinc.org
........ value Σ 1..1 string The value that is unique
Fixed Value: 11494-2
.... section:Procedure SC 1..* BackboneElement 門診病歷中的處置項目
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 29554-3
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Procedure Narrative
...... text SΣ 0..1 string 概念的文字表示法
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... entry SC 1..* Reference(門診病歷-處置項目) 此筆關聯的資料
...... reference ΣC 1..1 string 關聯至門診病歷中的處置項目
.... section:MedicationPrescribed SC 1..* BackboneElement 門診病歷中的處方內容(MedicationRequest)
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 29551-9
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Medication prescribed Narrative
...... text SΣ 0..1 string 概念的文字表示法
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... Slices for entry SC 2..* Reference(Resource) 此筆關聯的資料
Slice: Unordered, Open by profile:resolve()
..... Slices for entry Content/Rules for all slices
...... entry:MedicationRequest SC 1..* Reference(門診病歷-處方內容(MedicationRequest)) 提供一個連結用於參照或查看支持此小節內容的資料
....... reference ΣC 1..1 string 關聯至門診病歷中的處方內容(MedicationRequest)
..... Slices for entry Content/Rules for all slices
...... entry:Medication SC 1..* Reference(門診病歷-藥物處方內容(Medication)) 提供一個連結用於參照或查看支持此小節內容的資料
....... reference ΣC 1..1 string 門診病歷中的處方內容(Medication)
.... section:MediaFamilyTree SC 0..* BackboneElement 門診病歷中的家族圖譜
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 74027-4
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Family pedigree identifier
...... text SΣ 0..1 string 概念的文字表示法
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... entry SC 1..* Reference(門診病歷-家族圖譜) 此筆關聯的資料
...... reference ΣC 1..1 string 關聯至門診病歷中的家族圖譜
.... section:MediaOutpatientImage SC 0..* BackboneElement 門診病歷中的門診圖像
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 19005-8
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Radiology Imaging study [Impression] (narrative)
...... text SΣ 0..1 string 概念的文字表示法
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... entry SC 1..* Reference(門診病歷-門診圖像) 此筆關聯的資料
...... reference ΣC 1..1 string 關聯至門診病歷中的門診圖像

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredFixed Value: final
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typeextensibleFHIRDocumentTypeCodes
http://hl7.org/fhir/ValueSet/doc-typecodes
from the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.section.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:ObservationLabResults.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:ConditionMajorIllness.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:AllergyIntolerance.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:ObservationProfession.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:CoverageIdentifier.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:ConditionDiagnosis.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:ClinicalImpression.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:ClinicalImpression.entry:ClinicalImpression_Subjective.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Composition.section:ClinicalImpression.entry:ClinicalImpression_Objective.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Composition.section:ClinicalImpression.entry:ClinicalImpression_Assessment.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Composition.section:Procedure.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:MedicationPrescribed.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:MediaFamilyTree.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:MediaOutpatientImage.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:ObservationLabResults, Composition.section:ConditionMajorIllness, Composition.section:AllergyIntolerance, Composition.section:ObservationProfession, Composition.section:CoverageIdentifier, Composition.section:ConditionDiagnosis, Composition.section:ClinicalImpression, Composition.section:Procedure, Composition.section:MedicationPrescribed, Composition.section:MediaFamilyTree, Composition.section:MediaOutpatientImageA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:ObservationLabResults, Composition.section:ConditionMajorIllness, Composition.section:AllergyIntolerance, Composition.section:ObservationProfession, Composition.section:CoverageIdentifier, Composition.section:ConditionDiagnosis, Composition.section:ClinicalImpression, Composition.section:Procedure, Composition.section:MedicationPrescribed, Composition.section:MediaFamilyTree, Composition.section:MediaOutpatientImageA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* TWCoreComposition 將一組resources組成一份連貫的臨床聲明,並附有臨床證明。
... id Σ 0..1 id 不重複的ID用以識別儲存在特定FHIR Server中的Composition紀錄,通常又稱為邏輯性ID。
... meta Σ 0..1 Meta 此Composition Resource的metadata
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... text 0..1 Narrative Composition Resource之內容摘要以供人閱讀
... contained 0..* Resource 內嵌的(contained)、行內的Resources
... extension 0..* Extension 擴充的資料項目
... modifierExtension ?! 0..* Extension 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。
... identifier SΣ 0..1 Identifier 不分版本的臨床文件架構(Composition)識別碼。
... status ?!SΣ 1..1 code registered | partial | preliminary | final | amended | corrected +
Binding: CompositionStatus (required): 診斷報告狀態;應填入Composition的代碼表中的其中一個代碼


Fixed Value: final
... type S 1..1 CodeableConceptTW Composition的種類(如果可能請使用LOINC)
Binding: FHIRDocumentTypeCodes (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。

.... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... coding S 1..1 CodingTW 由專門術語系統(terminology system)定義的代碼

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18842-5
..... display 1..1 string Representation defined by the system
Fixed Value: Discharge summary
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string 概念的文字表示法
... category 0..* CodeableConceptTW Composition的分類
Binding: DocumentClassValueSet (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。


... subject SΣ 0..1 Reference(門診病歷-病人基本資料) 報告文件有關的對象及(或)事物。
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 關聯至門診病歷中的病人基本資料
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter SΣ 1..1 Reference(門診病歷-門診日期、科別) 報告文件來自於哪次住院基本資料。
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 關聯至門診病歷中的門診日期、科別
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... date SΣ 1..1 dateTime 報告產生日期
... author SΣ 1..* Reference(門診病歷-醫事機構 | 門診病歷-醫師姓名) 報告文件有關的創作部分。關聯至門診病歷中的醫事機構或醫師姓名
... title SΣ 1..1 string 報告文件的名字或標題
Fixed Value: 門診病歷
... confidentiality Σ 0..1 code 根據特定技術領域的定義
Binding: v3.ConfidentialityClassification (2014-03-26) (required): 應填入所綁定值集中的其中一個代碼。

... attester S 0..* BackboneElement 證明Composition的準確性
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): 認證者提供的認證類型;應填入所綁定值集中的其中一個代碼。

.... time 0..1 dateTime 此Composition被證明的時間
.... party 0..1 Reference(TW Core Patient | RelatedPerson | TW Core Practitioner | TW Core PractitionerRole | TW Core Organization) 誰證明了此Composition
... custodian SΣ 0..1 Reference(TW Core Organization) 維護Composition的機構
... relatesTo 0..* BackboneElement 與其他Composition/文件之間的關係
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): 檔案之間的關係型別;應填入所綁定值集中的其中一個代碼。

.... target[x] 1..1 此關係的目標文件
..... targetIdentifier Identifier
..... targetReference Reference(Composition)
... event Σ 0..* BackboneElement 正在記錄的臨床服務
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 0..* CodeableConceptTW 此代碼表代表了正在被記錄的主要臨床行為
Binding: v3 Code System ActCode (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。


.... period Σ 0..1 Period 文件所涵蓋的時間區間
.... detail Σ 0..* Reference(Resource) 在描述被記錄下來的事件,這些事件可以是以代碼的形式、參考資料的形式,或者兩者都有的形式來呈現。
... Slices for section SC 8..* BackboneElement 報告文件與哪些資料有關
Slice: Unordered, Open by value:code.coding.code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 小節標籤(例如:目錄ToC)
..... code S 0..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

..... author 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) 誰和/或什麼人撰寫了該小節
..... focus 0..1 Reference(Resource) 當小節與composition描述的對象無關時,此小節是關於誰/什麼。
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... mode 0..1 code 適用於此小節的處理模式
Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。

..... orderedBy 0..1 CodeableConceptTW 小節條目的順序
Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... entry SC 0..* Reference(Resource) 提供一個連結用於參照或查看支持此小節內容的資料
..... emptyReason 0..1 CodeableConceptTW 為什麼此小節是空的原因
Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... section C 0..* See section (Composition) 嵌套的小節
.... section:ObservationLabResults SC 1..* BackboneElement 門診病歷中的病人基本資料_實驗室檢查紀錄
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
....... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... version Σ 0..1 string 系統的版本—如果相關的話
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 19146-0
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Referral lab test results
....... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... author 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) 誰和/或什麼人撰寫了該小節
..... focus 0..1 Reference(Resource) 當小節與composition描述的對象無關時,此小節是關於誰/什麼。
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... mode 0..1 code 適用於此小節的處理模式
Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。

..... orderedBy 0..1 CodeableConceptTW 小節條目的順序
Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... entry SC 1..* Reference(門診病歷-實驗室檢查紀錄) 此筆關聯的資料
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_實驗室檢查紀錄
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... emptyReason 0..1 CodeableConceptTW 為什麼此小節是空的原因
Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... section C 0..* See section (Composition) 嵌套的小節
.... section:ConditionMajorIllness SC 1..* BackboneElement 門診病歷中的病人基本資料_重大傷病
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
....... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... version Σ 0..1 string 系統的版本—如果相關的話
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 11338-1
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: History of Major illnesses and injuries Narrative
....... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... author 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) 誰和/或什麼人撰寫了該小節
..... focus 0..1 Reference(Resource) 當小節與composition描述的對象無關時,此小節是關於誰/什麼。
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... mode 0..1 code 適用於此小節的處理模式
Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。

..... orderedBy 0..1 CodeableConceptTW 小節條目的順序
Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... entry SC 1..* Reference(門診病歷-重大傷病) 此筆關聯的資料
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_重大傷病
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... emptyReason 0..1 CodeableConceptTW 為什麼此小節是空的原因
Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... section C 0..* See section (Composition) 嵌套的小節
.... section:AllergyIntolerance SC 1..* BackboneElement 門診病歷中的病人基本資料_過敏史
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
....... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... version Σ 0..1 string 系統的版本—如果相關的話
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 10155-0
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: History of allergies, reported
....... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... author 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) 誰和/或什麼人撰寫了該小節
..... focus 0..1 Reference(Resource) 當小節與composition描述的對象無關時,此小節是關於誰/什麼。
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... mode 0..1 code 適用於此小節的處理模式
Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。

..... orderedBy 0..1 CodeableConceptTW 小節條目的順序
Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... entry SC 1..* Reference(門診病歷-過敏史) 此筆關聯的資料
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_過敏史
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... emptyReason 0..1 CodeableConceptTW 為什麼此小節是空的原因
Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... section C 0..* See section (Composition) 嵌套的小節
.... section:ObservationProfession SC 0..1 BackboneElement 門診病歷中的病人基本資料_職業
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
....... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... version Σ 0..1 string 系統的版本—如果相關的話
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 21847-9
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Usual occupation Narrative
....... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... author 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) 誰和/或什麼人撰寫了該小節
..... focus 0..1 Reference(Resource) 當小節與composition描述的對象無關時,此小節是關於誰/什麼。
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... mode 0..1 code 適用於此小節的處理模式
Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。

..... orderedBy 0..1 CodeableConceptTW 小節條目的順序
Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... entry SC 1..* Reference(門診病歷-職業) 此筆關聯的資料
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_職業
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... emptyReason 0..1 CodeableConceptTW 為什麼此小節是空的原因
Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... section C 0..* See section (Composition) 嵌套的小節
.... section:CoverageIdentifier SC 1..1 BackboneElement 門診病歷中的病人基本資料_就醫身分別
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
....... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... version Σ 0..1 string 系統的版本—如果相關的話
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 63513-6
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Are you covered by health insurance or some other kind of health care plan [PhenX]
....... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... author 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) 誰和/或什麼人撰寫了該小節
..... focus 0..1 Reference(Resource) 當小節與composition描述的對象無關時,此小節是關於誰/什麼。
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... mode 0..1 code 適用於此小節的處理模式
Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。

..... orderedBy 0..1 CodeableConceptTW 小節條目的順序
Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... entry SC 1..* Reference(就醫身分別) 此筆關聯的資料
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_就醫身分別
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... emptyReason 0..1 CodeableConceptTW 為什麼此小節是空的原因
Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... section C 0..* See section (Composition) 嵌套的小節
.... section:ConditionDiagnosis SC 1..* BackboneElement 門診病歷中的診斷
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
....... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... version Σ 0..1 string 系統的版本—如果相關的話
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 29548-5
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Diagnosis Narrative
....... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... author 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) 誰和/或什麼人撰寫了該小節
..... focus 0..1 Reference(Resource) 當小節與composition描述的對象無關時,此小節是關於誰/什麼。
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... mode 0..1 code 適用於此小節的處理模式
Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。

..... orderedBy 0..1 CodeableConceptTW 小節條目的順序
Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... entry SC 1..* Reference(門診病歷-診斷) 此筆關聯的資料
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string 關聯至門診病歷中的診斷
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... emptyReason 0..1 CodeableConceptTW 為什麼此小節是空的原因
Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... section C 0..* See section (Composition) 嵌套的小節
.... section:ClinicalImpression SC 1..1 BackboneElement 門診病歷中的診斷病情摘要
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
....... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... version Σ 0..1 string 系統的版本—如果相關的話
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 19824-2
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Return visit conditions
....... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... author 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) 誰和/或什麼人撰寫了該小節
..... focus 0..1 Reference(Resource) 當小節與composition描述的對象無關時,此小節是關於誰/什麼。
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... mode 0..1 code 適用於此小節的處理模式
Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。

..... orderedBy 0..1 CodeableConceptTW 小節條目的順序
Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... Slices for entry SC 3..* Reference(門診病歷-主觀描述_Subjective | 門診病歷-客觀描述_ Objective | 門診病歷-評估_ Assessment) 此筆關聯的資料
Slice: Unordered, Open by value:identifier.value
..... Slices for entry Content/Rules for all slices
...... entry:ClinicalImpression_Subjective SC 1..* Reference(門診病歷-主觀描述_Subjective) 提供一個連結用於參照或查看支持此小節內容的資料
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... reference ΣC 1..1 string 關聯至門診病歷中的診斷病情摘要_Subjective
....... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

....... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

........ type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

........ system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://loinc.org
........ value Σ 1..1 string The value that is unique
Fixed Value: 61150-9
........ period Σ 0..1 Period Time period when id is/was valid for use
........ assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
....... display Σ 0..1 string Text alternative for the resource
..... Slices for entry Content/Rules for all slices
...... entry:ClinicalImpression_Objective SC 1..* Reference(門診病歷-客觀描述_ Objective) 提供一個連結用於參照或查看支持此小節內容的資料
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_Objective
....... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

....... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

........ type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

........ system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://loinc.org
........ value Σ 1..1 string The value that is unique
Fixed Value: 61149-1
........ period Σ 0..1 Period Time period when id is/was valid for use
........ assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
....... display Σ 0..1 string Text alternative for the resource
..... Slices for entry Content/Rules for all slices
...... entry:ClinicalImpression_Assessment SC 1..* Reference(門診病歷-評估_ Assessment) 提供一個連結用於參照或查看支持此小節內容的資料
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... reference ΣC 1..1 string 關聯至門診病歷中的病人基本資料_ Assessment
....... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

....... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

........ type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

........ system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://loinc.org
........ value Σ 1..1 string The value that is unique
Fixed Value: 11494-2
........ period Σ 0..1 Period Time period when id is/was valid for use
........ assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
....... display Σ 0..1 string Text alternative for the resource
..... emptyReason 0..1 CodeableConceptTW 為什麼此小節是空的原因
Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... section C 0..* See section (Composition) 嵌套的小節
.... section:Procedure SC 1..* BackboneElement 門診病歷中的處置項目
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
....... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... version Σ 0..1 string 系統的版本—如果相關的話
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 29554-3
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Procedure Narrative
....... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... author 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) 誰和/或什麼人撰寫了該小節
..... focus 0..1 Reference(Resource) 當小節與composition描述的對象無關時,此小節是關於誰/什麼。
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... mode 0..1 code 適用於此小節的處理模式
Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。

..... orderedBy 0..1 CodeableConceptTW 小節條目的順序
Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... entry SC 1..* Reference(門診病歷-處置項目) 此筆關聯的資料
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string 關聯至門診病歷中的處置項目
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... emptyReason 0..1 CodeableConceptTW 為什麼此小節是空的原因
Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... section C 0..* See section (Composition) 嵌套的小節
.... section:MedicationPrescribed SC 1..* BackboneElement 門診病歷中的處方內容(MedicationRequest)
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
....... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... version Σ 0..1 string 系統的版本—如果相關的話
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 29551-9
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Medication prescribed Narrative
....... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... author 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) 誰和/或什麼人撰寫了該小節
..... focus 0..1 Reference(Resource) 當小節與composition描述的對象無關時,此小節是關於誰/什麼。
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... mode 0..1 code 適用於此小節的處理模式
Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。

..... orderedBy 0..1 CodeableConceptTW 小節條目的順序
Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... Slices for entry SC 2..* Reference(Resource) 此筆關聯的資料
Slice: Unordered, Open by profile:resolve()
..... Slices for entry Content/Rules for all slices
...... entry:MedicationRequest SC 1..* Reference(門診病歷-處方內容(MedicationRequest)) 提供一個連結用於參照或查看支持此小節內容的資料
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... reference ΣC 1..1 string 關聯至門診病歷中的處方內容(MedicationRequest)
....... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

....... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
....... display Σ 0..1 string Text alternative for the resource
..... Slices for entry Content/Rules for all slices
...... entry:Medication SC 1..* Reference(門診病歷-藥物處方內容(Medication)) 提供一個連結用於參照或查看支持此小節內容的資料
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... reference ΣC 1..1 string 門診病歷中的處方內容(Medication)
....... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

....... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
....... display Σ 0..1 string Text alternative for the resource
..... emptyReason 0..1 CodeableConceptTW 為什麼此小節是空的原因
Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... section C 0..* See section (Composition) 嵌套的小節
.... section:MediaFamilyTree SC 0..* BackboneElement 門診病歷中的家族圖譜
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
....... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... version Σ 0..1 string 系統的版本—如果相關的話
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 74027-4
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Family pedigree identifier
....... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... author 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) 誰和/或什麼人撰寫了該小節
..... focus 0..1 Reference(Resource) 當小節與composition描述的對象無關時,此小節是關於誰/什麼。
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... mode 0..1 code 適用於此小節的處理模式
Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。

..... orderedBy 0..1 CodeableConceptTW 小節條目的順序
Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... entry SC 1..* Reference(門診病歷-家族圖譜) 此筆關聯的資料
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string 關聯至門診病歷中的家族圖譜
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... emptyReason 0..1 CodeableConceptTW 為什麼此小節是空的原因
Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... section C 0..* See section (Composition) 嵌套的小節
.... section:MediaOutpatientImage SC 0..* BackboneElement 門診病歷中的門診圖像
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string 此筆關聯的資料標題為何?
..... code S 1..1 CodeableConceptTW 小節分類(建議)
Binding: DocumentSectionCodes (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。

...... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... coding S 1..* CodingTW 由專門術語系統(terminology system)定義的代碼
....... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
....... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri 專門術語系統(terminology system)的識別
Fixed Value: http://loinc.org
....... version Σ 0..1 string 系統的版本—如果相關的話
....... code SΣ 1..1 code 系統定義的語法之符號
Fixed Value: 19005-8
....... display SΣ 0..1 string 由系統定義的表示法
Fixed Value: Radiology Imaging study [Impression] (narrative)
....... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇?
...... text SΣ 0..1 string 概念的文字表示法
..... author 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) 誰和/或什麼人撰寫了該小節
..... focus 0..1 Reference(Resource) 當小節與composition描述的對象無關時,此小節是關於誰/什麼。
..... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。
..... mode 0..1 code 適用於此小節的處理模式
Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。

..... orderedBy 0..1 CodeableConceptTW 小節條目的順序
Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... entry SC 1..* Reference(門診病歷-門診圖像) 此筆關聯的資料
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string 關聯至門診病歷中的門診圖像
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... emptyReason 0..1 CodeableConceptTW 為什麼此小節是空的原因
Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

..... section C 0..* See section (Composition) 嵌套的小節

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Composition.statusrequiredFixed Value: final
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typeextensibleFHIRDocumentTypeCodes
http://hl7.org/fhir/ValueSet/doc-typecodes
from the FHIR Standard
Composition.categoryextensibleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
from the FHIR Standard
Composition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.encounter.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.confidentialityrequiredv3.ConfidentialityClassification
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
from the FHIR Standard
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:ObservationLabResults.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:ObservationLabResults.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:ObservationLabResults.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:ObservationLabResults.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:ObservationLabResults.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:ConditionMajorIllness.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:ConditionMajorIllness.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:ConditionMajorIllness.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:ConditionMajorIllness.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:ConditionMajorIllness.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:AllergyIntolerance.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:AllergyIntolerance.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:AllergyIntolerance.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:AllergyIntolerance.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:AllergyIntolerance.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:ObservationProfession.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:ObservationProfession.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:ObservationProfession.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:ObservationProfession.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:ObservationProfession.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:CoverageIdentifier.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:CoverageIdentifier.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:CoverageIdentifier.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:CoverageIdentifier.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:CoverageIdentifier.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:ConditionDiagnosis.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:ConditionDiagnosis.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:ConditionDiagnosis.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:ConditionDiagnosis.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:ConditionDiagnosis.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:ClinicalImpression.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:ClinicalImpression.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:ClinicalImpression.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:ClinicalImpression.entry:ClinicalImpression_Subjective.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:ClinicalImpression.entry:ClinicalImpression_Subjective.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Composition.section:ClinicalImpression.entry:ClinicalImpression_Subjective.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Composition.section:ClinicalImpression.entry:ClinicalImpression_Objective.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:ClinicalImpression.entry:ClinicalImpression_Objective.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Composition.section:ClinicalImpression.entry:ClinicalImpression_Objective.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Composition.section:ClinicalImpression.entry:ClinicalImpression_Assessment.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:ClinicalImpression.entry:ClinicalImpression_Assessment.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Composition.section:ClinicalImpression.entry:ClinicalImpression_Assessment.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Composition.section:ClinicalImpression.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:Procedure.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:Procedure.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:Procedure.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:Procedure.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:Procedure.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:MedicationPrescribed.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:MedicationPrescribed.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:MedicationPrescribed.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:MedicationPrescribed.entry:MedicationRequest.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:MedicationPrescribed.entry:Medication.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:MedicationPrescribed.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:MediaFamilyTree.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:MediaFamilyTree.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:MediaFamilyTree.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:MediaFamilyTree.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:MediaFamilyTree.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:MediaOutpatientImage.codeextensibleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:MediaOutpatientImage.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:MediaOutpatientImage.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:MediaOutpatientImage.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:MediaOutpatientImage.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:ObservationLabResults, Composition.section:ConditionMajorIllness, Composition.section:AllergyIntolerance, Composition.section:ObservationProfession, Composition.section:CoverageIdentifier, Composition.section:ConditionDiagnosis, Composition.section:ClinicalImpression, Composition.section:Procedure, Composition.section:MedicationPrescribed, Composition.section:MediaFamilyTree, Composition.section:MediaOutpatientImageA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:ObservationLabResults, Composition.section:ConditionMajorIllness, Composition.section:AllergyIntolerance, Composition.section:ObservationProfession, Composition.section:CoverageIdentifier, Composition.section:ConditionDiagnosis, Composition.section:ClinicalImpression, Composition.section:Procedure, Composition.section:MedicationPrescribed, Composition.section:MediaFamilyTree, Composition.section:MediaOutpatientImageA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from TWCoreComposition

Summary

Mandatory: 74 elements(19 nested mandatory elements)
Must-Support: 3 elements
Fixed: 41 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Composition.section
  • The element 1 is sliced based on the value of Composition.section.entry

 

Other representations of profile: CSV, Excel, Schematron