臺灣癌症用藥事前審查實作指引
0.1.1 - ci-build
臺灣癌症用藥事前審查實作指引
0.1.1 - ci-build
This page is part of the 臺灣癌症用藥事前審查實作指引(TWPAS IG) (v0.1.1: 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
| Active as of 2024-08-02 |
XML representation of the DocumentReference-twpas resource profile.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="DocumentReference-twpas"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition DocumentReference-twpas</b></p><a name="DocumentReference-twpas"> </a><a name="hcDocumentReference-twpas"> </a><a name="DocumentReference-twpas-en-US"> </a><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-DocumentReference-twpas-definitions.html#DocumentReference">DocumentReference</a><a name="DocumentReference"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="This element has or is affected by constraints ( report-title )">C</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://twcore.mohw.gov.tw/ig/twcore/0.2.2/StructureDefinition-DocumentReference-twcore.html">TWCoreDocumentReference</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">文件的參照</span><br/><span style="font-weight:bold">report-title: </span>若category為「治療計畫文件(#careplan)」，請擇一填寫：「免疫檢查點抑制劑治療計畫／CAR-T多團隊會議紀錄／造血幹細胞移植計畫書」</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-DocumentReference-twpas-definitions.html#DocumentReference.status">status</a><a name="DocumentReference.status"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">current | superseded | entered-in-error</span><br/><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">current</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-DocumentReference-twpas-definitions.html#DocumentReference.category">category</a><a name="DocumentReference.category"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://twcore.mohw.gov.tw/ig/twcore/0.2.2/StructureDefinition-CodeableConcept-tw.html" title="CodeableConcept">CodeableConceptTW</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">文件的類別</span><br/><span style="font-weight:bold">Binding: </span><a href="ValueSet-nhi-pdf-type.html" title="https://twcore.mohw.gov.tw/ig/pas/ValueSet/nhi-pdf-type">NHI-文件類型值集</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-DocumentReference-twpas-definitions.html#DocumentReference.category.coding">coding</a><a name="DocumentReference.category.coding"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://twcore.mohw.gov.tw/ig/twcore/0.2.2/StructureDefinition-Coding-tw.html" title="Coding">CodingTW</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">由專門術語系統（terminology system）定義的代碼</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-DocumentReference-twpas-definitions.html#DocumentReference.category.coding.code">code</a><a name="DocumentReference.category.coding.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">系統定義的語法之符號</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-DocumentReference-twpas-definitions.html#DocumentReference.subject">subject</a><a name="DocumentReference.subject"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-Patient-twpas.html">病人資訊-Patient TWPAS</a>)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">文件描述的對象是誰/是什麼？</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-DocumentReference-twpas-definitions.html#DocumentReference.content">content</a><a name="DocumentReference.content"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck001.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-DocumentReference-twpas-definitions.html#DocumentReference.content.attachment">attachment</a><a name="DocumentReference.content.attachment"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="This element has or is affected by constraints ( UploadContent )">C</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#Attachment">Attachment</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">存取文件的位置</span><br/><span style="font-weight:bold">UploadContent: </span>填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-DocumentReference-twpas-definitions.html#DocumentReference.content.attachment.contentType">contentType</a><a name="DocumentReference.content.attachment.contentType"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">報告結果-MIMEType<br/><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">application/pdf</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-DocumentReference-twpas-definitions.html#DocumentReference.content.attachment.url">url</a><a name="DocumentReference.content.attachment.url"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#url">url</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">基因報告／治療計畫文件／檢驗(查)附件／病歷資料。（請填寫完整檔案路徑）<br/><span style="font-weight:bold">Example General: </span><span style="color: darkgreen">file://PathologyReport01.pdf</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-DocumentReference-twpas-definitions.html#DocumentReference.content.attachment.title">title</a><a name="DocumentReference.content.attachment.title"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">基因報告名稱／治療計畫文件名稱／檢驗(查)附件名稱／病歷資料名稱。若category為「治療計畫文件(#careplan)」，請擇一填寫：「免疫檢查點抑制劑治療計畫／CAR-T多團隊會議紀錄／造血幹細胞移植計畫書」。</td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
</text>
<url
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/DocumentReference-twpas"/>
<version value="0.1.1"/>
<name value="DocumentReferenceTWPAS"/>
<title value="文件參照-DocumentReference TWPAS"/>
<status value="active"/>
<date value="2024-08-02T22:27:37+08:00"/>
<publisher value="衛生福利部中央健康保險署"/>
<contact>
<name value="衛生福利部中央健康保險署"/>
<telecom>
<system value="url"/>
<value value="https://www.nhi.gov.tw"/>
</telecom>
</contact>
<description
value="此文件參照-DocumentReference TWPAS Profile說明本IG如何進一步定義臺灣核心-文件參照(TW Core DocumentReference) Profile以呈現癌藥事前審查之治療計畫文件及基因報告"/>
<fhirVersion value="4.0.1"/>
<mapping>
<identity value="workflow"/>
<uri value="http://hl7.org/fhir/workflow"/>
<name value="Workflow Pattern"/>
</mapping>
<mapping>
<identity value="fhircomposition"/>
<uri value="http://hl7.org/fhir/composition"/>
<name value="FHIR Composition"/>
</mapping>
<mapping>
<identity value="rim"/>
<uri value="http://hl7.org/v3"/>
<name value="RIM Mapping"/>
</mapping>
<mapping>
<identity value="cda"/>
<uri value="http://hl7.org/v3/cda"/>
<name value="CDA (R2)"/>
</mapping>
<mapping>
<identity value="w5"/>
<uri value="http://hl7.org/fhir/fivews"/>
<name value="FiveWs Pattern Mapping"/>
</mapping>
<mapping>
<identity value="v2"/>
<uri value="http://hl7.org/v2"/>
<name value="HL7 v2 Mapping"/>
</mapping>
<mapping>
<identity value="xds"/>
<uri value="http://ihe.net/xds"/>
<name value="XDS metadata equivalent"/>
</mapping>
<kind value="resource"/>
<abstract value="false"/>
<type value="DocumentReference"/>
<baseDefinition
value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/DocumentReference-twcore"/>
<derivation value="constraint"/>
<snapshot>
<element id="DocumentReference">
<path value="DocumentReference"/>
<short value="文件的參照"/>
<definition
value="這是對任何目的文件的參照。它提供了有關文件的metadata，以便能夠找到並管理此文件。文件的範圍包括任何具有MIME類型的序列物件(seralized object)，例如：以病人為中心的文件（CDA）、臨床註釋、掃描的紙張，以及非與病人有關的文件，像是政策文字表述。"/>
<comment value="通常，這用於除了由FHIR定義之外的文件。"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DocumentReference"/>
<min value="0"/>
<max value="*"/>
</base>
<constraint>
<key value="dom-2"/>
<severity value="error"/>
<human
value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
<expression value="contained.contained.empty()"/>
<xpath value="not(parent::f:contained and f:contained)"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
</constraint>
<constraint>
<key value="dom-3"/>
<severity value="error"/>
<human
value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"/>
<expression
value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"/>
<xpath
value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
</constraint>
<constraint>
<key value="dom-4"/>
<severity value="error"/>
<human
value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
<expression
value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
<xpath
value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
</constraint>
<constraint>
<key value="dom-5"/>
<severity value="error"/>
<human
value="If a resource is contained in another resource, it SHALL NOT have a security label"/>
<expression value="contained.meta.security.empty()"/>
<xpath value="not(exists(f:contained/*/f:meta/f:security))"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
</constraint>
<constraint>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
<valueBoolean value="true"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
<valueMarkdown
value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/>
</extension>
<key value="dom-6"/>
<severity value="warning"/>
<human
value="A resource should have narrative for robust management"/>
<expression value="text.`div`.exists()"/>
<xpath value="exists(f:text/h:div)"/>
<source
value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
</constraint>
<constraint>
<key value="report-title"/>
<severity value="error"/>
<human
value="若category為「治療計畫文件(#careplan)」，請擇一填寫：「免疫檢查點抑制劑治療計畫／CAR-T多團隊會議紀錄／造血幹細胞移植計畫書」"/>
<expression
value="((category.coding.exists(code='careplan')) implies (content.attachment.title = '免疫檢查點抑制劑治療計畫' or content.attachment.title = 'CAR-T多團隊會議紀錄' or content.attachment.title = '造血幹細胞移植計畫書'))"/>
<source
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/DocumentReference-twpas"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="Entity. Role, or Act"/>
</mapping>
<mapping>
<identity value="workflow"/>
<map value="Event"/>
</mapping>
<mapping>
<identity value="fhircomposition"/>
<map value="when describing a Composition"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="Document[classCode="DOC" and moodCode="EVN"]"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value="when describing a CDA"/>
</mapping>
</element>
<element id="DocumentReference.id">
<path value="DocumentReference.id"/>
<short
value="不重複的ID用以識別儲存在特定FHIR Server中的DocumentReference紀錄，通常又稱為邏輯性ID。"/>
<definition value="resource的邏輯ID，在resource的URL中使用。一旦指定，這個值永遠不會改變。"/>
<comment
value="一個resource使用新增操作（create operation）提交給伺服器時，此resource沒有id，它的id在resource被創建後由伺器分配/指定。"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="id"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
<element id="DocumentReference.meta">
<path value="DocumentReference.meta"/>
<short value="此DocumentReference Resource的metadata"/>
<definition
value="關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.meta"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Meta"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
<element id="DocumentReference.implicitRules">
<path value="DocumentReference.implicitRules"/>
<short value="創建此內容所依據的一組規則"/>
<definition
value="構建resource時遵循的一系列規則的參照，在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。"/>
<comment
value="宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而，現有的健康生態體系高度分裂，還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能，實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時，此URL是對IG的參照，此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.implicitRules"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation"/>
<isSummary value="true"/>
</element>
<element id="DocumentReference.language">
<path value="DocumentReference.language"/>
<short value="用以表述DocumentReference Resource內容的語言。"/>
<definition value="編寫此resource的語言"/>
<comment
value="提供語言是為了支援索引和可存取性（通常，文字表述轉語音等服務使用此語言標籤）。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此語言。不應該假定Resource.language自動適用於敘述。如果指定語言，它也應該被指定在html中的div資料項目（關於xml:lang和html lang屬性之間的關係，見HTML5中的規則）。"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.language"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<example>
<label value="Value"/>
<valueString value="zh-TW"/>
</example>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
<valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Language"/>
</extension>
<strength value="preferred"/>
<description
value="人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。"/>
<valueSet value="http://hl7.org/fhir/ValueSet/languages"/>
</binding>
</element>
<element id="DocumentReference.text">
<path value="DocumentReference.text"/>
<short value="DocumentReference Resource之內容摘要以供人閱讀"/>
<definition
value="人可讀的敘述，包含resource的摘要，可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼，但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義有哪些內容應該在敘述中表示，以確保臨床安全。"/>
<comment
value="內嵌（contained）的resource沒有敘述，非內嵌（contained）的resource則 **建議應該（SHOULD）** 有敘述。有時resource可能只有文字表述，很少或沒有額外的結構化資料（只要滿足所有minOccurs=1的資料項目）。這可能出現在舊系統的資料，當資訊以 「文字表述區塊（text blob） 」的形式被取得，或者文字表述是原始輸入或說明，而編碼資訊稍後再添加。"/>
<alias value="narrative"/>
<alias value="html"/>
<alias value="xhtml"/>
<alias value="display"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Narrative"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="Act.text?"/>
</mapping>
</element>
<element id="DocumentReference.contained">
<path value="DocumentReference.contained"/>
<short value="內嵌的（contained）、行內的Resources"/>
<definition
value="這些resource內嵌（contains）的resource不會另外存於任何FHIR伺服器，意即它們無法在任何FHIR伺服器中被找到，也無法有自己獨立的資料異動／交易（transaction）範圍。"/>
<comment
value="當內容可以從任何FHIR伺服器找到時，不應該以內嵌（contained）resource的方式呈現，因為一旦失去識別，再次恢復它是非常困難的（並且取決於情境）。內嵌（contained）的resource可在它們的meta資料項目中表述profiles和tag，但不應該有安全標號（security labels）。"/>
<alias value="inline resources"/>
<alias value="anonymous resources"/>
<alias value="contained resources"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.contained"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Resource"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="DocumentReference.extension">
<path value="DocumentReference.extension"/>
<short value="擴充的資料項目"/>
<definition
value="可用於表示不屬於此resource基本定義的額外資訊。為了擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，**必須（SHALL）** 滿足一系列要求。"/>
<comment
value="任何應用程式、專案或標準使用擴充時，都不應該帶有任何負面的聯想。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="DocumentReference.modifierExtension">
<path value="DocumentReference.modifierExtension"/>
<short value="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。"/>
<definition
value="可以用來表示不屬於此resource的基本定義的額外資訊，並修改包含它所內嵌（contained）的資料項目的理解和/或對包含資料項目之後續使用的理解。通常修飾用的資料項目提供否定或限定的資訊。為了使擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。雖然任何實作者都可以定義一個擴充，但在定義擴充時 **必須（SHALL）** 滿足一組要求。處理resource的應用程式需要檢查修飾用的擴充資料項目。
修飾用的擴充資料項目 **必須沒有（SHALL NOT）** 改變resource或DomainResource上任何資料項目的含義（包括不能改變modifierExtension本身的含義）。"/>
<comment
value="任何應用程式、專案或標準使用擴充時，都不應該帶有任何負面的聯想。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。"/>
<requirements
value="修飾用的資料項目擴充允許將不能安全地忽略的擴充，與絕大多數可以安全地忽略的擴充明確區分開來。這樣做有助於促進可互操作性，因為無需禁止實作者使用擴充，想要瞭解更多資訊，請參見[修飾用的資料項目擴充之定義]（http://hl7.org/fhir/R4/extensibility.html#modifierExtension）。"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/>
<isSummary value="false"/>
</element>
<element id="DocumentReference.masterIdentifier">
<path value="DocumentReference.masterIdentifier"/>
<short value="主版本的識別碼"/>
<definition
value="這個文件的唯一識別碼是由提供該文件的來源所賦予的。這個識別碼僅適用於該文件的特定版本。這個獨特的識別碼也可能在其他情況下用於辨認這一版本的文件"/>
<comment value="CDA 文件 Id extension及root"/>
<requirements
value="這個 Id 的結構和格式應與對應於 formatCode 屬性的規範一致。例如：對於 DICOM 標準文件，為64字元數字 UID；對於 HL7 CDA 格式，則為 CDA Document Id extension和 root 的序列化，格式為「oid^extension」，其中 OID 最多64位數字，Id 最多16位 UTF-8 字元。如果 OID 是不帶extension的編碼，則不應包含「^」字元。"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DocumentReference.masterIdentifier"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Event.identifier"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.identifier"/>
</mapping>
<mapping>
<identity value="fhircomposition"/>
<map value="Composition.identifier"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="TXA-12"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".id"/>
</mapping>
<mapping>
<identity value="xds"/>
<map value="DocumentEntry.uniqueId"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value="ClinicalDocument/id"/>
</mapping>
</element>
<element id="DocumentReference.identifier">
<path value="DocumentReference.identifier"/>
<short value="文件的其他的識別碼"/>
<definition value="與文件相關的其他識別碼，包括不分版本的識別碼。"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DocumentReference.identifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Event.identifier"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.identifier"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="TXA-16?"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".id / .setId"/>
</mapping>
<mapping>
<identity value="xds"/>
<map value="DocumentEntry.entryUUID"/>
</mapping>
</element>
<element id="DocumentReference.status">
<path value="DocumentReference.status"/>
<short value="current | superseded | entered-in-error"/>
<definition value="此文件參照的狀態"/>
<comment
value=" DocumentReference 物件的狀態，可能與 docStatus 資料項目無關，兩者可以是獨立設定。
此資料項目被標記為修飾用(modifier)，因為狀態包含標記 resource 為當前無效的代碼。"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="DocumentReference.status"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<patternCode value="current"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="true"/>
<isModifierReason
value="This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="DocumentReferenceStatus"/>
</extension>
<strength value="required"/>
<description value="文件參照的狀態；應填入所綁定值集中的其中一個代碼。"/>
<valueSet
value="http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1"/>
</binding>
<mapping>
<identity value="workflow"/>
<map value="Event.status"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.status"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="TXA-19"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="interim: .completionCode="IN" & ./statusCode[isNormalDatatype()]="active"; final: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and not(./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseDocument", code) and isNormalAct()]); amended: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseDocument", code) and isNormalAct() and statusCode="completed"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete""/>
</mapping>
<mapping>
<identity value="xds"/>
<map value="DocumentEntry.availabilityStatus"/>
</mapping>
</element>
<element id="DocumentReference.docStatus">
<path value="DocumentReference.docStatus"/>
<short value="preliminary | final | amended | entered-in-error"/>
<definition value="基礎文件的狀態"/>
<comment value="被參照的文件可能會處在不同的階段或狀態中，例如初稿、完稿等不同的生命週期階段。"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DocumentReference.docStatus"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ReferredDocumentStatus"/>
</extension>
<strength value="required"/>
<description value="基礎文件的狀態；應填入所綁定值集中的其中一個代碼。"/>
<valueSet
value="http://hl7.org/fhir/ValueSet/composition-status|4.0.1"/>
</binding>
<mapping>
<identity value="w5"/>
<map value="FiveWs.status"/>
</mapping>
<mapping>
<identity value="fhircomposition"/>
<map value="Composition.status"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="TXA-17"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".statusCode"/>
</mapping>
</element>
<element id="DocumentReference.type">
<path value="DocumentReference.type"/>
<short value="文件的類型（如果可能，使用 LOINC 代碼）"/>
<definition
value="被參照文件的具體類型，例如是關於病人的病史和體檢報告、出院摘要、病程摘要等。這樣的類型通常與文件被創建和使用的目的是一致的。"/>
<comment value="關鍵metadata描述了文件的確切類型，有助於人們在查看文件清單時判斷該文件是否感興趣。"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DocumentReference.type"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
<profile
value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/>
</type>
<condition value="ele-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<binding>
<strength value="extensible"/>
<description value="應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。"/>
<valueSet value="http://hl7.org/fhir/ValueSet/c80-doc-typecodes"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="CE/CNE/CWE"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CD"/>
</mapping>
<mapping>
<identity value="orim"/>
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
</mapping>
</element>
<element id="DocumentReference.category">
<path value="DocumentReference.category"/>
<short value="文件的類別"/>
<definition
value="文件的一個分類標準，用於幫助對文件進行索引和查詢。這個分類可能直接基於或是由 DocumentReference.type 指定的代碼來確定。"/>
<comment
value="關鍵metadata描述文件的大類或類型。這種分類是基於文件可能的用途或功能，將具有相似用途的文件劃分為同一組。在進行文件查詢時，這個分類作為一個主要的查詢條件。"/>
<alias value="claxs"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="DocumentReference.category"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
<profile
value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/>
</type>
<condition value="ele-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<binding>
<strength value="required"/>
<valueSet
value="https://twcore.mohw.gov.tw/ig/pas/ValueSet/nhi-pdf-type"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="CE/CNE/CWE"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CD"/>
</mapping>
<mapping>
<identity value="orim"/>
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
</mapping>
</element>
<element id="DocumentReference.category.id">
<path value="DocumentReference.category.id"/>
<representation value="xmlAttr"/>
<short value="唯一可識別ID，以供資料項目間相互參照。"/>
<definition value="resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="DocumentReference.category.extension">
<path value="DocumentReference.category.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="擴充的資料項目"/>
<definition value="擴充的資料項目"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="DocumentReference.category.coding">
<path value="DocumentReference.category.coding"/>
<short value="由專門術語系統（terminology system）定義的代碼"/>
<definition value="由專門術語系統（terminology system）所定義之代碼的參照"/>
<comment
value="代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。"/>
<requirements value="允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="CodeableConcept.coding"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Coding"/>
<profile
value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"/>
</type>
<condition value="ele-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
<mapping>
<identity value="v2"/>
<map
value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CV"/>
</mapping>
<mapping>
<identity value="orim"/>
<map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/>
</mapping>
</element>
<element id="DocumentReference.category.coding.id">
<path value="DocumentReference.category.coding.id"/>
<representation value="xmlAttr"/>
<short value="唯一可識別ID，以供資料項目間相互參照。"/>
<definition value="resource中資料項目的唯一ID（用於內部參照），這可以是任何不含空格的字串。"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="DocumentReference.category.coding.extension">
<path value="DocumentReference.category.coding.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="擴充的資料項目"/>
<definition
value="可用於表示不屬於此資料項目基本定義的附加資訊。為了擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，有一套要求 **必須（SHALL）** 滿足。"/>
<comment
value="無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何污名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="DocumentReference.category.coding.system">
<path value="DocumentReference.category.coding.system"/>
<short value="專門術語系統（terminology system）的識別"/>
<definition value="定義代碼中符號意義的代碼系統識別"/>
<comment
value="URI可以是一個OID（urn:oid:...）或一個UUID（urn:uuid:...）；OID和UUID **必須（SHALL）** 參照HL7 OID註冊中心；否則，URI應該來自HL7的FHIR定義的特殊URI列表，或者它應該參照一些明確建立的系统定義。"/>
<requirements value="需要明確說明符號定義的來源"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Coding.system"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="C*E.3"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./codeSystem"/>
</mapping>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/>
</mapping>
</element>
<element id="DocumentReference.category.coding.version">
<path value="DocumentReference.category.coding.version"/>
<short value="系統的版本—如果相關的話"/>
<definition
value="選擇此代碼時使用的代碼系統版本；請注意，一個維護良好的代碼系統不需要版本報告，因為代碼的意義在不同系統版本中是一致的；然而，不能始終保證這點，當不能保證意義一致時， **必須（SHALL）** 將版本資訊也一併作交換。"/>
<comment
value="如果專門術語沒有明確定義應該使用什麼字串來識別代碼系統的版本，建議使用版本正式發布的日期（用FHIR日期格式表示）作為版本日期。"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Coding.version"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="C*E.7"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./codeSystemVersion"/>
</mapping>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/>
</mapping>
</element>
<element id="DocumentReference.category.coding.code">
<path value="DocumentReference.category.coding.code"/>
<short value="系統定義的語法之符號"/>
<definition
value="系統定義的語法之符號；符號可能是一個預先定義的代碼，也可能是代碼系統定義的語法中的表達式（如後組合配對／後組合式）。"/>
<requirements value="需要參照系統中的一個特定代碼"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Coding.code"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="C*E.1"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./code"/>
</mapping>
<mapping>
<identity value="orim"/>
<map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/>
</mapping>
</element>
<element id="DocumentReference.category.coding.display">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<path value="DocumentReference.category.coding.display"/>
<short value="由系統定義的表示法"/>
<definition value="遵循系統的規則以呈現代碼含義的表示法"/>
<requirements value="需要能為不了解此系統的讀者呈現可讀的代碼含義"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Coding.display"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="C*E.2 - but note this is not well followed"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CV.displayName"/>
</mapping>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/>
</mapping>
</element>
<element id="DocumentReference.category.coding.userSelected">
<path value="DocumentReference.category.coding.userSelected"/>
<short value="此編碼是否由使用者直接選擇？"/>
<definition value="表明此編碼是由使用者直接選擇，例如：從可用項目（代碼或顯示名稱）的清單中選擇。"/>
<comment
value="在一系列備選方案中，直接選擇的代碼是新翻譯最合適的起點；關於「直接選擇」的確切意義，存在模糊不清之處，可能需要貿易夥伴的同意，以更完整澄清此資料項目的使用及其後果。"/>
<requirements
value="已被確定為一個臨床安全準則—此確切的系統／代碼對(code pair)是被明確選擇的，而不是由系統根據一些規則或是程式語言處理判斷。"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Coding.userSelected"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="Sometimes implied by being first"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CD.codingRationale"/>
</mapping>
<mapping>
<identity value="orim"/>
<map
value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]"/>
</mapping>
</element>
<element id="DocumentReference.category.text">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<path value="DocumentReference.category.text"/>
<short value="概念的文字表示法"/>
<definition value="輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。"/>
<comment value="很多時候，此文字表述與其中一個代碼的顯示名稱相同。"/>
<requirements
value="專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="CodeableConcept.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="C*E.9. But note many systems use C*E.2 for this"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="./originalText[mediaType/code="text/plain"]/data"/>
</mapping>
<mapping>
<identity value="orim"/>
<map
value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
</mapping>
</element>
<element id="DocumentReference.subject">
<path value="DocumentReference.subject"/>
<short value="文件描述的對象是誰/是什麼？"/>
<definition
value="文件可能涉及的對象範圍。這意味著文件可能描述的是一個人（例如病人或健康照護服務提供者）、一個設備（比如某種醫療機構），或者是一組特定的對象，比如一群農場動物或者一批有著相同健康風險的病人。"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="DocumentReference.subject"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Patient-twpas"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Event.subject"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.subject[x]"/>
</mapping>
<mapping>
<identity value="fhircomposition"/>
<map value="Composition.subject"/>
</mapping>
<mapping>
<identity value="v2"/>
<map
value="PID-3 (No standard way to define a Practitioner or Group subject in HL7 v2 MDM message)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".participation[typeCode="SBJ"].role[typeCode="PAT"]"/>
</mapping>
<mapping>
<identity value="xds"/>
<map value="DocumentEntry.patientId"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value="ClinicalDocument/recordTarget/"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.subject"/>
</mapping>
</element>
<element id="DocumentReference.date">
<path value="DocumentReference.date"/>
<short value="文件參照的創建時間是何時？"/>
<definition value="文件參照的創建時間是何時？"/>
<comment value="文件的參照或索引時間被用於來追蹤文件的歷史、組織不同的版本及需要時查詢特定文件。"/>
<alias value="indexed"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DocumentReference.date"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="instant"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Event.occurrence[x]"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.recorded"/>
</mapping>
<mapping>
<identity value="fhircomposition"/>
<map value="Composition.date"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".availabilityTime[type="TS"]"/>
</mapping>
</element>
<element id="DocumentReference.author">
<path value="DocumentReference.author"/>
<short value="誰以及/或什麼創建了文件"/>
<definition value="識別誰負責將資訊添加到文件中"/>
<comment value="未必是輸入資料的人（例如：打字員），也不必是提供資訊的人（例如：資訊提供者）。"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DocumentReference.author"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore"/>
<targetProfile
value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore"/>
<targetProfile
value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-twcore"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Device"/>
<targetProfile
value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Event.performer.actor"/>
</mapping>
<mapping>
<identity value="fhircomposition"/>
<map value="Composition.author"/>
</mapping>
<mapping>
<identity value="v2"/>
<map
value="TXA-9 (No standard way to indicate a Device in HL7 v2 MDM message)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".participation[typeCode="AUT"].role[classCode="ASSIGNED"]"/>
</mapping>
<mapping>
<identity value="xds"/>
<map value="DocumentEntry.author"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value="ClinicalDocument/author"/>
</mapping>
</element>
<element id="DocumentReference.authenticator">
<path value="DocumentReference.authenticator"/>
<short value="誰/什麼對文件進行了認證"/>
<definition value="哪個人或機構認證這份文件是有效的"/>
<comment
value="代表在作者機構內，一位已經合法認證或證實文件的參與者。合法認證意味著一份文件已經被法律認證人手動或電子簽章。"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DocumentReference.authenticator"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore"/>
<targetProfile
value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore"/>
<targetProfile
value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-twcore"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Event.performer.actor"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.witness"/>
</mapping>
<mapping>
<identity value="fhircomposition"/>
<map value="Composition.attester"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="TXA-10"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]"/>
</mapping>
<mapping>
<identity value="xds"/>
<map value="DocumentEntry.legalAuthenticator"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value="ClinicalDocument/legalAuthenticator"/>
</mapping>
</element>
<element id="DocumentReference.custodian">
<path value="DocumentReference.custodian"/>
<short value="維護此文件的機構"/>
<definition value="負責文件持續維護和存取的機構或團體"/>
<comment
value="為了找到文件的最新版本或是報告問題等，需要知道哪個組織（可能是某個軟體系統、供應商或部門）負責。這與文件實際存儲的實體位置（如網路地址、硬碟或伺服器）是不同的。實體位置指的是文件存放的地方，這個位置可能被授權給其他組織來進行管理。簡單來說，就是指明負責文件更新和問題反饋的機構，和文件存放位置之間的區別。"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DocumentReference.custodian"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-twcore"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Event.performer.actor"/>
</mapping>
<mapping>
<identity value="fhircomposition"/>
<map value="Composition.custodian"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"]"/>
</mapping>
</element>
<element id="DocumentReference.relatesTo">
<path value="DocumentReference.relatesTo"/>
<short value="與其他文件的關係"/>
<definition value="此文件與已經存在的其他文件參照之間的關係"/>
<comment value="這個資料項目被標記為修飾用(modifier)，因為附加到其他文件上的文件本身是不完整的。"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DocumentReference.relatesTo"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="fhircomposition"/>
<map value="Composition.relatesTo"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".outboundRelationship"/>
</mapping>
<mapping>
<identity value="xds"/>
<map value="DocumentEntry Associations"/>
</mapping>
</element>
<element id="DocumentReference.relatesTo.id">
<path value="DocumentReference.relatesTo.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="DocumentReference.relatesTo.extension">
<path value="DocumentReference.relatesTo.extension"/>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="DocumentReference.relatesTo.modifierExtension">
<path value="DocumentReference.relatesTo.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="DocumentReference.relatesTo.code">
<path value="DocumentReference.relatesTo.code"/>
<short value="replaces | transforms | signs | appends"/>
<definition value="此文件與另一文件的關係類型"/>
<comment value="如果此文件是對另一份文件進行附加，那麼不存取被參照的文件，此文件就無法被完全理解。"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="DocumentReference.relatesTo.code"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="DocumentRelationshipType"/>
</extension>
<strength value="required"/>
<description value="文件之間的關係類型；應填入所綁定值集中的其中一個代碼。"/>
<valueSet
value="http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1"/>
</binding>
<mapping>
<identity value="fhircomposition"/>
<map value="Composition.relatesTo.code"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".outboundRelationship.typeCode"/>
</mapping>
<mapping>
<identity value="xds"/>
<map value="DocumentEntry Associations type"/>
</mapping>
</element>
<element id="DocumentReference.relatesTo.target">
<path value="DocumentReference.relatesTo.target"/>
<short value="存在此關係的目標文件"/>
<definition value="存在此關係的目標文件"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="DocumentReference.relatesTo.target"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/DocumentReference-twcore"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="fhircomposition"/>
<map value="Composition.relatesTo.target"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".target[classCode="DOC", moodCode="EVN"].id"/>
</mapping>
<mapping>
<identity value="xds"/>
<map value="DocumentEntry Associations reference"/>
</mapping>
</element>
<element id="DocumentReference.description">
<path value="DocumentReference.description"/>
<short value="人可讀的描述。"/>
<definition value="來源文件的人可讀描述"/>
<comment value="文件的內容簡介，提供了一個關於文件主要內容的簡明扼要的總結。"/>
<requirements value="有助於人們判斷文件是否具有興趣價值"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DocumentReference.description"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="TXA-25"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".outboundRelationship[typeCode="SUBJ"].target.text"/>
</mapping>
<mapping>
<identity value="xds"/>
<map value="DocumentEntry.comments"/>
</mapping>
</element>
<element id="DocumentReference.securityLabel">
<path value="DocumentReference.securityLabel"/>
<short value="文件的安全標籤(security-tags)"/>
<definition
value="在文件的參照資訊中，會使用一系列的安全標籤代碼來指明該文件的隱私和安全等級。其中，DocumentReference.meta.security 用來表示參照這份文件本身的安全標籤，也就是說明參照資訊的安全等級；而 DocumentReference.securityLabel 則展示了被參照文件在那一刻的安全標籤狀態，即原始文件的安全等級。簡單來說，就是有兩種標籤，一種用於標示參照的安全性，另一種用於顯示原文件的安全性。"/>
<comment
value="一種用於文件共享環境中的安全性和隱私標籤系統，即HL7醫療隱私和安全分類系統（HCS）。這套系統包括多種與文件保密性、敏感度、資料完整性和特定處理要求相關的標籤或代碼，這些代碼有的是通用的，有的則可能是特定於某一機構或項目的。雖然這套系統被推薦使用於如XDS Affinity Domain這樣的政策領域中，但具體是否採用，以及如何採用，則取決於該領域的管理政策和規範。簡言之，這是一套幫助確定文件如何被標記和處理的標籤系統，但使用與否由各自的政策領域決定。"/>
<requirements
value="Use of the Health Care Privacy/Security Classification (HCS) system of security-tag use is recommended."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DocumentReference.securityLabel"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
<profile
value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/>
</type>
<condition value="ele-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="SecurityLabels"/>
</extension>
<strength value="extensible"/>
<description value="應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。"/>
<valueSet value="http://hl7.org/fhir/ValueSet/security-labels"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="CE/CNE/CWE"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CD"/>
</mapping>
<mapping>
<identity value="orim"/>
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
</mapping>
</element>
<element id="DocumentReference.content">
<path value="DocumentReference.content"/>
<short value="被參照的文件"/>
<definition value="參照的文件和格式。可能存在多個content資料項目，每個資料項目都有不同的格式。"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="DocumentReference.content"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="fhircomposition"/>
<map value="Bundle(Composition+*)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="document.text"/>
</mapping>
</element>
<element id="DocumentReference.content.id">
<path value="DocumentReference.content.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="DocumentReference.content.extension">
<path value="DocumentReference.content.extension"/>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="DocumentReference.content.modifierExtension">
<path value="DocumentReference.content.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="DocumentReference.content.attachment">
<path value="DocumentReference.content.attachment"/>
<short value="存取文件的位置"/>
<definition value="文件或文件的URL以及證明內容具有完整性的關鍵metadata"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="DocumentReference.content.attachment"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Attachment"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="UploadContent"/>
<severity value="error"/>
<human
value="填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf"/>
<expression
value="url.matches('^file://[a-zA-Z0-9]+.[a-zA-Z]{2,5}$')"/>
<source
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/DocumentReference-twpas"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="fhircomposition"/>
<map
value="Composition.language,
Composition.title,
Composition.date"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="TXA-3 for mime type"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="document.text"/>
</mapping>
<mapping>
<identity value="xds"/>
<map
value="DocumentEntry.mimeType, DocumentEntry.languageCode, DocumentEntry.URI, DocumentEntry.size, DocumentEntry.hash, DocumentEntry.title, DocumentEntry.creationTime"/>
</mapping>
<mapping>
<identity value="cda"/>
<map
value="ClinicalDocument/languageCode, ClinicalDocument/title, ClinicalDocument/date"/>
</mapping>
</element>
<element id="DocumentReference.content.attachment.id">
<path value="DocumentReference.content.attachment.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="DocumentReference.content.attachment.extension">
<path value="DocumentReference.content.attachment.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="DocumentReference.content.attachment.contentType">
<path value="DocumentReference.content.attachment.contentType"/>
<short value="報告結果-MIMEType"/>
<definition
value="Identifies the type of the data in the attachment and allows a method to be chosen to interpret or render the data. Includes mime type parameters such as charset where appropriate."/>
<requirements
value="Processors of the data need to be able to know how to interpret the data."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Attachment.contentType"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<patternCode value="application/pdf"/>
<example>
<label value="General"/>
<valueCode value="text/plain; charset=UTF-8, image/png"/>
</example>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="MimeType"/>
</extension>
<strength value="required"/>
<description
value="The mime type of an attachment. Any valid mime type is allowed."/>
<valueSet value="http://hl7.org/fhir/ValueSet/mimetypes|4.0.1"/>
</binding>
<mapping>
<identity value="v2"/>
<map
value="ED.2+ED.3/RP.2+RP.3. Note conversion may be needed if old style values are being used"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./mediaType, ./charset"/>
</mapping>
</element>
<element id="DocumentReference.content.attachment.language">
<path value="DocumentReference.content.attachment.language"/>
<short value="Human language of the content (BCP-47)"/>
<definition
value="The human language of the content. The value can be any valid value according to BCP 47."/>
<requirements
value="Users need to be able to choose between the languages in a set of attachments."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Attachment.language"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<example>
<label value="General"/>
<valueCode value="en-AU"/>
</example>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
<valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Language"/>
</extension>
<strength value="preferred"/>
<description value="A human language."/>
<valueSet value="http://hl7.org/fhir/ValueSet/languages"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="./language"/>
</mapping>
</element>
<element id="DocumentReference.content.attachment.data">
<path value="DocumentReference.content.attachment.data"/>
<short value="Data inline, base64ed"/>
<definition
value="The actual data of the attachment - a sequence of bytes, base64 encoded."/>
<comment
value="The base64-encoded data SHALL be expressed in the same character set as the base resource XML or JSON."/>
<requirements value="The data needs to able to be transmitted inline."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Attachment.data"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="base64Binary"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="ED.5"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./data"/>
</mapping>
</element>
<element id="DocumentReference.content.attachment.url">
<path value="DocumentReference.content.attachment.url"/>
<short value="基因報告／治療計畫文件／檢驗(查)附件／病歷資料。（請填寫完整檔案路徑）"/>
<definition value="A location where the data can be accessed."/>
<comment
value="If both data and url are provided, the url SHALL point to the same content as the data contains. Urls may be relative references or may reference transient locations such as a wrapping envelope using cid: though this has ramifications for using signatures. Relative URLs are interpreted relative to the service url, like a resource reference, rather than relative to the resource itself. If a URL is provided, it SHALL resolve to actual data."/>
<requirements value="The data needs to be transmitted by reference."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Attachment.url"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="url"/>
</type>
<example>
<label value="General"/>
<valueUrl value="http://www.acme.com/logo-small.png"/>
</example>
<example>
<label value="General"/>
<valueUrl value="file://PathologyReport01.pdf"/>
</example>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="RP.1+RP.2 - if they refer to a URL (see v2.6)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="./reference/literal"/>
</mapping>
</element>
<element id="DocumentReference.content.attachment.size">
<path value="DocumentReference.content.attachment.size"/>
<short value="Number of bytes of content (if url provided)"/>
<definition
value="The number of bytes of data that make up this attachment (before base64 encoding, if that is done)."/>
<comment
value="The number of bytes is redundant if the data is provided as a base64binary, but is useful if the data is provided as a url reference."/>
<requirements
value="Representing the size allows applications to determine whether they should fetch the content automatically in advance, or refuse to fetch it at all."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Attachment.size"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="unsignedInt"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A (needs data type R3 proposal)"/>
</mapping>
</element>
<element id="DocumentReference.content.attachment.hash">
<path value="DocumentReference.content.attachment.hash"/>
<short value="Hash of the data (sha-1, base64ed)"/>
<definition
value="The calculated hash of the data using SHA-1. Represented using base64."/>
<comment
value="The hash is calculated on the data prior to base64 encoding, if the data is based64 encoded. The hash is not intended to support digital signatures. Where protection against malicious threats a digital signature should be considered, see [Provenance.signature](provenance-definitions.html#Provenance.signature) for mechanism to protect a resource with a digital signature."/>
<requirements
value="Included so that applications can verify that the contents of a location have not changed due to technical failures (e.g., storage rot, transport glitch, incorrect version)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Attachment.hash"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="base64Binary"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map
value=".integrityCheck[parent::ED/integrityCheckAlgorithm="SHA-1"]"/>
</mapping>
</element>
<element id="DocumentReference.content.attachment.title">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<path value="DocumentReference.content.attachment.title"/>
<short
value="基因報告名稱／治療計畫文件名稱／檢驗(查)附件名稱／病歷資料名稱。若category為「治療計畫文件(#careplan)」，請擇一填寫：「免疫檢查點抑制劑治療計畫／CAR-T多團隊會議紀錄／造血幹細胞移植計畫書」。"/>
<definition
value="A label or set of text to display in place of the data."/>
<requirements
value="Applications need a label to display to a human user in place of the actual data if the data cannot be rendered or perceived by the viewer."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Attachment.title"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<example>
<label value="General"/>
<valueString value="Official Corporate Logo"/>
</example>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="./title/data"/>
</mapping>
</element>
<element id="DocumentReference.content.attachment.creation">
<path value="DocumentReference.content.attachment.creation"/>
<short value="Date attachment was first created"/>
<definition value="The date that the attachment was first created."/>
<requirements
value="This is often tracked as an integrity issue for use of the attachment."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Attachment.creation"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A (needs data type R3 proposal)"/>
</mapping>
</element>
<element id="DocumentReference.content.format">
<path value="DocumentReference.content.format"/>
<short value="文件的格式/內容規則。"/>
<definition
value="這個識別碼用來表明文件符合的編碼方式、結構和模板，這些特性是除了在 mimeType（文件類型）裡已指明的基本格式之外的部分。"/>
<comment
value="請注意，雖然 IHE 通常為不同格式類型發布統一資源名稱( URN)，但並非所有文件都能透過 統一資源識別碼(URI) 來識別。"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DocumentReference.content.format"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Coding"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="DocumentFormat"/>
</extension>
<strength value="preferred"/>
<description
value="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。"/>
<valueSet value="http://hl7.org/fhir/ValueSet/formatcodes"/>
</binding>
<mapping>
<identity value="fhircomposition"/>
<map value="Composition.meta.profile"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="document.text"/>
</mapping>
<mapping>
<identity value="xds"/>
<map value="DocumentEntry.formatCode"/>
</mapping>
<mapping>
<identity value="cda"/>
<map
value="derived from the IHE Profile or Implementation Guide templateID"/>
</mapping>
</element>
<element id="DocumentReference.context">
<path value="DocumentReference.context"/>
<short value="文件的臨床背景"/>
<definition value="文件所涉及的臨床情境或背景"/>
<comment value="這些值主要用於幫助查詢感興趣/相關的文件而添加的"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DocumentReference.context"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map
value="outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT']"/>
</mapping>
</element>
<element id="DocumentReference.context.id">
<path value="DocumentReference.context.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="DocumentReference.context.extension">
<path value="DocumentReference.context.extension"/>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="DocumentReference.context.modifierExtension">
<path value="DocumentReference.context.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="DocumentReference.context.encounter">
<path value="DocumentReference.context.encounter"/>
<short value="文件內容的臨床背景"/>
<definition value="描述文件內容所關聯的臨床就醫事件或類型"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DocumentReference.context.encounter"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Encounter-twcore"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Event.context"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.context"/>
</mapping>
<mapping>
<identity value="fhircomposition"/>
<map value="Composition.encounter"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="unique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()], priorityNumber)/target[moodCode="EVN" and classCode=("ENC", "PCPR") and isNormalAct])"/>
</mapping>
</element>
<element id="DocumentReference.context.event">
<path value="DocumentReference.context.event"/>
<short value="正在記錄的主要臨床行為"/>
<definition
value="這個代碼清單代表了正在記錄的主要臨床行為，例如：結腸鏡檢查或闌尾切除手術。在某些情況下，事件已經隱含在類型代碼中，例如在「病史和體檢報告」中，正在記錄的必然是「病史和體檢」行為。"/>
<comment
value="事件可以進一步專注於類型中所隱含的行為，例如當它僅為「處置報告」，而該處置是「結腸鏡檢查」。如果包括一個或多個事件代碼，則它們不應與class或type資料項目中的值相衝突，因為這樣的衝突會導致情況變得模糊不清。"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DocumentReference.context.event"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
<profile
value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/>
</type>
<condition value="ele-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="DocumentEventType"/>
</extension>
<strength value="example"/>
<description
value="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。"/>
<valueSet value="http://terminology.hl7.org/ValueSet/v3-ActCode"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="CE/CNE/CWE"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CD"/>
</mapping>
<mapping>
<identity value="orim"/>
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
</mapping>
</element>
<element id="DocumentReference.context.period">
<path value="DocumentReference.context.period"/>
<short value="被記錄的服務時間"/>
<definition value="文件描述的是提供服務的時間範圍"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DocumentReference.context.period"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Period"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="fhircomposition"/>
<map value="Composition.event.period"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".effectiveTime"/>
</mapping>
<mapping>
<identity value="xds"/>
<map
value="DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime"/>
</mapping>
<mapping>
<identity value="cda"/>
<map
value="ClinicalDocument/documentationOf/
serviceEvent/effectiveTime/low/
@value --> ClinicalDocument/documentationOf/
serviceEvent/effectiveTime/high/
@value"/>
</mapping>
</element>
<element id="DocumentReference.context.facilityType">
<path value="DocumentReference.context.facilityType"/>
<short value="病人接受治療的機構類型"/>
<definition value="病人接受治療的機構類型"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DocumentReference.context.facilityType"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="DocumentC80FacilityType"/>
</extension>
<strength value="example"/>
<description
value="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。"/>
<valueSet value="http://hl7.org/fhir/ValueSet/c80-facilitycodes"/>
</binding>
<mapping>
<identity value="fhircomposition"/>
<map value="usually from a mapping to a local ValueSet"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".participation[typeCode="LOC"].role[classCode="DSDLOC"].code"/>
</mapping>
<mapping>
<identity value="xds"/>
<map value="DocumentEntry.healthcareFacilityTypeCode"/>
</mapping>
<mapping>
<identity value="cda"/>
<map
value="usually a mapping to a local ValueSet. Must be consistent with /clinicalDocument/code"/>
</mapping>
</element>
<element id="DocumentReference.context.practiceSetting">
<path value="DocumentReference.context.practiceSetting"/>
<short value="內容創建的額外細節(例如：臨床專業)"/>
<definition value="此屬性可能提供有關創建內容的實務環境細節，通常反映了臨床專業。"/>
<comment
value="此資料項目應基於一個粗略的專業實務分類系統，建議使用實務環境(Practice Setting)的分類系統，例如：LOINC中的主題領域(Subject Matter Domain)所描述的。"/>
<requirements
value="這是健康照護服務提供者(provider)經常依賴的重要metadata之一，他們通常會用來快速排序和/或篩選以找到特定的內容。"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DocumentReference.context.practiceSetting"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
<profile
value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/>
</type>
<condition value="ele-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="DocumentC80PracticeSetting"/>
</extension>
<strength value="example"/>
<description
value="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。"/>
<valueSet value="http://hl7.org/fhir/ValueSet/c80-practice-codes"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="CE/CNE/CWE"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="CD"/>
</mapping>
<mapping>
<identity value="orim"/>
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
</mapping>
</element>
<element id="DocumentReference.context.sourcePatientInfo">
<path value="DocumentReference.context.sourcePatientInfo"/>
<short value="來源的病人人口統計資料"/>
<definition value="文件發佈時已知的病人資訊。可以是對特定版本的參照，也可以是包含在文件中的資訊。"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DocumentReference.context.sourcePatientInfo"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="fhircomposition"/>
<map value="Composition.subject"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".participation[typeCode="SBJ"].role[typeCode="PAT"]"/>
</mapping>
<mapping>
<identity value="xds"/>
<map
value="DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value="ClinicalDocument/recordTarget/"/>
</mapping>
</element>
<element id="DocumentReference.context.related">
<path value="DocumentReference.context.related"/>
<short value="相關的識別碼或resources"/>
<definition value="與DocumentReference相關聯的相關識別碼或resources"/>
<comment value="可能是導致創建 DocumentReference 或參照文件的識別碼或resources"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DocumentReference.context.related"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Resource"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="fhircomposition"/>
<map value="Composition.event.detail"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="./outboundRelationship[typeCode="PERT" and isNormalActRelationship()] / target[isNormalAct]"/>
</mapping>
<mapping>
<identity value="xds"/>
<map value="DocumentEntry.referenceIdList"/>
</mapping>
<mapping>
<identity value="cda"/>
<map value="ClinicalDocument/relatedDocument"/>
</mapping>
</element>
</snapshot>
<differential>
<element id="DocumentReference">
<path value="DocumentReference"/>
<constraint>
<key value="report-title"/>
<severity value="error"/>
<human
value="若category為「治療計畫文件(#careplan)」，請擇一填寫：「免疫檢查點抑制劑治療計畫／CAR-T多團隊會議紀錄／造血幹細胞移植計畫書」"/>
<expression
value="((category.coding.exists(code='careplan')) implies (content.attachment.title = '免疫檢查點抑制劑治療計畫' or content.attachment.title = 'CAR-T多團隊會議紀錄' or content.attachment.title = '造血幹細胞移植計畫書'))"/>
<source
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/DocumentReference-twpas"/>
</constraint>
</element>
<element id="DocumentReference.status">
<path value="DocumentReference.status"/>
<patternCode value="current"/>
</element>
<element id="DocumentReference.category">
<path value="DocumentReference.category"/>
<min value="1"/>
<max value="1"/>
<binding>
<strength value="required"/>
<valueSet
value="https://twcore.mohw.gov.tw/ig/pas/ValueSet/nhi-pdf-type"/>
</binding>
</element>
<element id="DocumentReference.category.coding">
<path value="DocumentReference.category.coding"/>
<min value="1"/>
<max value="1"/>
</element>
<element id="DocumentReference.category.coding.code">
<path value="DocumentReference.category.coding.code"/>
<min value="1"/>
</element>
<element id="DocumentReference.subject">
<path value="DocumentReference.subject"/>
<type>
<code value="Reference"/>
<targetProfile
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Patient-twpas"/>
</type>
</element>
<element id="DocumentReference.content.attachment">
<path value="DocumentReference.content.attachment"/>
<constraint>
<key value="UploadContent"/>
<severity value="error"/>
<human
value="填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf"/>
<expression
value="url.matches('^file://[a-zA-Z0-9]+.[a-zA-Z]{2,5}$')"/>
<source
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/DocumentReference-twpas"/>
</constraint>
<mustSupport value="true"/>
</element>
<element id="DocumentReference.content.attachment.contentType">
<path value="DocumentReference.content.attachment.contentType"/>
<short value="報告結果-MIMEType"/>
<min value="1"/>
<patternCode value="application/pdf"/>
<mustSupport value="true"/>
</element>
<element id="DocumentReference.content.attachment.url">
<path value="DocumentReference.content.attachment.url"/>
<short value="基因報告／治療計畫文件／檢驗(查)附件／病歷資料。（請填寫完整檔案路徑）"/>
<min value="1"/>
<example>
<label value="General"/>
<valueUrl value="file://PathologyReport01.pdf"/>
</example>
<mustSupport value="true"/>
</element>
<element id="DocumentReference.content.attachment.title">
<path value="DocumentReference.content.attachment.title"/>
<short
value="基因報告名稱／治療計畫文件名稱／檢驗(查)附件名稱／病歷資料名稱。若category為「治療計畫文件(#careplan)」，請擇一填寫：「免疫檢查點抑制劑治療計畫／CAR-T多團隊會議紀錄／造血幹細胞移植計畫書」。"/>
<mustSupport value="true"/>
</element>
</differential>
</StructureDefinition>