臺灣健保癌症用藥事前審查實作指引
1.0.1 - release

This page is part of the 臺灣癌症用藥事前審查實作指引(TWPAS IG) (v1.0.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: 就醫科別-Encounter TWPAS

Official URL: https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Encounter-twpas Version: 1.0.1
Active as of 2024-12-12 Computable Name: EncounterTWPAS

此就醫科別-Encounter TWPAS Profile說明本IG如何進一步定義臺灣核心-就醫事件(TW Core Encounter) Profile以呈現癌藥事前審查中院所資訊之就醫科別

Usage:

Formal Views of Profile Content

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

This structure is derived from TWCoreEncounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter TWCoreEncounter
... status 1..1 code 就醫現況。【因FHIR設計而需必填】
Required Pattern: planned
... class 1..1 CodingTW 就醫分類。【因FHIR設計而需必填】
Required Pattern: At least the following
.... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
.... code 1..1 code Symbol in syntax defined by the system
Fixed Value: AMB
... serviceType 1..1 CodeableConceptTW 就醫科別，完整代碼對應表請參照就醫科別對應表。
Binding: 對應至 SNOMED CT之就醫科別 + 診療科別值集 (preferred): 完整代碼對應表請參照就醫科別對應表。

.... Slices for coding 1..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Closed by pattern:system
..... coding:All Slices Content/Rules for all slices
...... code 1..1 code 系統定義的語法之符號
..... coding:TWMedicalDepartmentSCT 0..1 CodingTW 對應至SNOMED CT之就醫科別
...... code 1..1 code 系統定義的語法之符號
..... coding:TWMedicalConsultationDepartment 0..1 CodingTW 無法對應至SNOMED CT之臺灣健保署就醫科別
...... code 1..1 code 系統定義的語法之符號
..... coding:TWMedicalTreatmentDepartment 0..1 CodingTW 無法對應至SNOMED CT之臺灣健保署診療科別
...... code 1..1 code 系統定義的語法之符號

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Encounter.serviceTypepreferredTWMedicalDepartmentSCT
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-department-sct-tw
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* TWCoreEncounter 提供病人服務的一種互動
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... identifier SΣ 0..* Identifier 此就醫事件的識別碼
ele-1: All FHIR elements must have a @value or children
.... use ?!Σ 0..1 code usual ｜ official ｜ temp ｜ secondary ｜ old （如果知道）
Binding: IdentifierUse (required): 如果知道，請說明此識別碼的用途；應填入所綁定值集中的其中一個代碼。


ele-1: All FHIR elements must have a @value or children
.... system SΣ 1..1 uri 識別碼（identifier）的命名空間（namespace）
ele-1: All FHIR elements must have a @value or children
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string 唯一值
ele-1: All FHIR elements must have a @value or children
Example General: 123456
... class S 1..1 CodingTW 就醫分類。【因FHIR設計而需必填】
Binding: ActEncounterCode (extensible): 就醫的分類；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。


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
.... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
.... code 1..1 code Symbol in syntax defined by the system
Fixed Value: AMB
... serviceType S 1..1 CodeableConceptTW 就醫科別，完整代碼對應表請參照就醫科別對應表。
Binding: 對應至 SNOMED CT之就醫科別 + 診療科別值集 (preferred): 完整代碼對應表請參照就醫科別對應表。


ele-1: All FHIR elements must have a @value or children
.... Slices for coding S 1..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Closed by pattern:system
ele-1: All FHIR elements must have a @value or children
..... coding:All Slices Content/Rules for all slices
...... system SΣ 0..1 uri 專門術語系統（terminology system）的識別
ele-1: All FHIR elements must have a @value or children
...... code SΣ 1..1 code 系統定義的語法之符號
ele-1: All FHIR elements must have a @value or children
...... display SΣ 0..1 string 由系統定義的表示法
ele-1: All FHIR elements must have a @value or children
..... coding:TWMedicalDepartmentSCT S 0..1 CodingTW 對應至SNOMED CT之就醫科別
Binding: 對應至 SNOMED CT之就醫科別 + 診療科別值集 (required)
ele-1: All FHIR elements must have a @value or children
...... system SΣ 1..1 uri 專門術語系統（terminology system）的識別
ele-1: All FHIR elements must have a @value or children
Required Pattern: http://snomed.info/sct
...... code SΣ 1..1 code 系統定義的語法之符號
ele-1: All FHIR elements must have a @value or children
...... display SΣ 0..1 string 由系統定義的表示法
ele-1: All FHIR elements must have a @value or children
..... coding:TWMedicalConsultationDepartment S 0..1 CodingTW 無法對應至SNOMED CT之臺灣健保署就醫科別
Binding: 無法對應至SNOMED CT之臺灣健保署就醫科別值集 (required)
ele-1: All FHIR elements must have a @value or children
...... system SΣ 1..1 uri 專門術語系統（terminology system）的識別
ele-1: All FHIR elements must have a @value or children
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw
...... code SΣ 1..1 code 系統定義的語法之符號
ele-1: All FHIR elements must have a @value or children
...... display SΣ 0..1 string 由系統定義的表示法
ele-1: All FHIR elements must have a @value or children
..... coding:TWMedicalTreatmentDepartment S 0..1 CodingTW 無法對應至SNOMED CT之臺灣健保署診療科別
Binding: 無法對應至SNOMED CT之臺灣健保署診療科別值集 (required)
ele-1: All FHIR elements must have a @value or children
...... system SΣ 1..1 uri 專門術語系統（terminology system）的識別
ele-1: All FHIR elements must have a @value or children
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-nhi-tw
...... code SΣ 1..1 code 系統定義的語法之符號
ele-1: All FHIR elements must have a @value or children
...... display SΣ 0..1 string 由系統定義的表示法
ele-1: All FHIR elements must have a @value or children
.... text SΣ 0..1 string 概念的文字表示法
ele-1: All FHIR elements must have a @value or children
... subject SΣ 0..1 Reference(病人資訊-Patient TWPAS) 在場就醫的病人或實體集合（Group）
ele-1: All FHIR elements must have a @value or children
... participant SΣ 0..* BackboneElement 參與就醫的健康照護服務提供者之名單
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... type S 0..* CodeableConceptTW 參與者在病人就醫事件中的角色
Binding: ParticipantType (extensible): 參與者在病人就醫事件中的角色；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。


ele-1: All FHIR elements must have a @value or children
.... period S 0..1 Period 參與者在病人就醫期間參與的時段
ele-1: All FHIR elements must have a @value or children
.... individual SΣ 0..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson) 除病人外，參與病人就醫事件的人。
ele-1: All FHIR elements must have a @value or children
... period S 0..1 Period 就醫的開始和結束時間
ele-1: All FHIR elements must have a @value or children
... reasonCode S 0..* CodeableConceptTW 就醫發生的編碼原因
Binding: EncounterReasonCodes (preferred): 發生此就醫事件的原因；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。


ele-1: All FHIR elements must have a @value or children
... hospitalization S 0..1 BackboneElement 關於入院接受健康照護服務的細節
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... dischargeDisposition S 0..1 CodeableConceptTW 出院後的地點類別或種類
Binding: DischargeDisposition (example): 出院處置；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。


ele-1: All FHIR elements must have a @value or children
... location S 0..* BackboneElement 病人曾去過的一個或多個地點
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... location S 1..1 Reference(TW Core Location) 就醫發生的地點
ele-1: All FHIR elements must have a @value or children
... serviceProvider S 0..1 Reference(TW Core Organization) 負責這次就醫的機構
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Encounter.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Encounter.statusrequiredPattern: planned
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classextensiblePattern: AMB
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.serviceTypepreferredTWMedicalDepartmentSCT
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-department-sct-tw
Encounter.serviceType.coding:TWMedicalDepartmentSCTrequiredTWMedicalDepartmentSCT
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-department-sct-tw
Encounter.serviceType.coding:TWMedicalConsultationDepartmentrequiredTWMedicalConsultationDepartment
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-consultation-department-tw
Encounter.serviceType.coding:TWMedicalTreatmentDepartmentrequiredTWMedicalTreatmentDepartment
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-treatment-department-tw
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.reasonCodepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard
Encounter.hospitalization.dischargeDispositionexampleDischargeDisposition
http://hl7.org/fhir/ValueSet/encounter-discharge-disposition
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorEncounterIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* TWCoreEncounter 提供病人服務的一種互動
... id Σ 0..1 id 不重複的ID用以識別儲存在特定FHIR Server中的Encounter紀錄，通常又稱為邏輯性ID。
... meta Σ 0..1 Meta 此Encounter Resource的metadata
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... language 0..1 code 用以表述Encounter Resource內容的語言。
Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。

Additional BindingsPurpose
AllLanguages Max Binding

Example Value: zh-TW
... text 0..1 Narrative Encounter Resource之內容摘要以供人閱讀
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier 此就醫事件的識別碼
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual ｜ official ｜ temp ｜ secondary ｜ old （如果知道）
Binding: IdentifierUse (required): 如果知道，請說明此識別碼的用途；應填入所綁定值集中的其中一個代碼。

.... type 0..1 CodeableConceptTW 識別碼（identifier）的型別說明
Binding: Identifier Type Codes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。

.... system SΣ 1..1 uri 識別碼（identifier）的命名空間（namespace）
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string 唯一值
Example General: 123456
.... period Σ 0..1 Period 此就醫事件識別碼（identifier）的使用效期
.... assigner Σ 0..1 Reference(TW Core Organization) 簽發identifier的機構（可以只是文字表述）
... status ?!SΣ 1..1 code 就醫現況。【因FHIR設計而需必填】
Binding: EncounterStatus (required): 就醫現況的代碼；應填入所綁定值集中的其中一個代碼


Required Pattern: planned
... statusHistory 0..* BackboneElement 過去的就醫狀態清單
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): 就醫現狀的代碼；應填入所綁定值集中的其中一個代碼

.... period 1..1 Period 該事件處於特定狀態的時間
... class S 1..1 CodingTW 就醫分類。【因FHIR設計而需必填】
Binding: ActEncounterCode (extensible): 就醫的分類；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。


Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
.... version 0..1 string Version of the system - if relevant
.... code 1..1 code Symbol in syntax defined by the system
Fixed Value: AMB
.... display 0..1 string Representation defined by the system
.... userSelected 0..1 boolean If this coding was chosen directly by the user
... classHistory 0..* BackboneElement 過去就醫類別的列表
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... class 1..1 Coding inpatient ｜ outpatient ｜ ambulatory ｜ emergency +
Binding: ActEncounterCode (extensible): 就醫類別；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。

.... period 1..1 Period 此就醫事件處於特定類別的時間
... type 0..* CodeableConceptTW 就醫的特定型別
Binding: EncounterType (example): 就醫的型別；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。


... serviceType S 1..1 CodeableConceptTW 就醫科別，完整代碼對應表請參照就醫科別對應表。
Binding: 對應至 SNOMED CT之就醫科別 + 診療科別值集 (preferred): 完整代碼對應表請參照就醫科別對應表。

.... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... Slices for coding S 1..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Closed by pattern:system
..... coding:All Slices Content/Rules for all slices
...... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... system SΣ 0..1 uri 專門術語系統（terminology system）的識別
...... version Σ 0..1 string 系統的版本—如果相關的話
...... code SΣ 1..1 code 系統定義的語法之符號
...... display SΣ 0..1 string 由系統定義的表示法
...... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇？
..... coding:TWMedicalDepartmentSCT S 0..1 CodingTW 對應至SNOMED CT之就醫科別
Binding: 對應至 SNOMED CT之就醫科別 + 診療科別值集 (required)
...... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: http://snomed.info/sct
...... version Σ 0..1 string 系統的版本—如果相關的話
...... code SΣ 1..1 code 系統定義的語法之符號
...... display SΣ 0..1 string 由系統定義的表示法
...... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇？
..... coding:TWMedicalConsultationDepartment S 0..1 CodingTW 無法對應至SNOMED CT之臺灣健保署就醫科別
Binding: 無法對應至SNOMED CT之臺灣健保署就醫科別值集 (required)
...... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw
...... version Σ 0..1 string 系統的版本—如果相關的話
...... code SΣ 1..1 code 系統定義的語法之符號
...... display SΣ 0..1 string 由系統定義的表示法
...... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇？
..... coding:TWMedicalTreatmentDepartment S 0..1 CodingTW 無法對應至SNOMED CT之臺灣健保署診療科別
Binding: 無法對應至SNOMED CT之臺灣健保署診療科別值集 (required)
...... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-nhi-tw
...... version Σ 0..1 string 系統的版本—如果相關的話
...... code SΣ 1..1 code 系統定義的語法之符號
...... display SΣ 0..1 string 由系統定義的表示法
...... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇？
.... text SΣ 0..1 string 概念的文字表示法
... priority 0..1 CodeableConceptTW 表明就醫的急迫性
Binding: ActPriority (example): 表明就醫的迫切性；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。

... subject SΣ 0..1 Reference(病人資訊-Patient TWPAS) 在場就醫的病人或實體集合（Group）
... episodeOfCare Σ 0..* Reference(EpisodeOfCare) 此次就醫應記錄的照護事件
... basedOn 0..* Reference(TW Core ServiceRequest) 開始此次就醫的服務請求（ServiceRequest）
... participant SΣ 0..* BackboneElement 參與就醫的健康照護服務提供者之名單
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type S 0..* CodeableConceptTW 參與者在病人就醫事件中的角色
Binding: ParticipantType (extensible): 參與者在病人就醫事件中的角色；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。


.... period S 0..1 Period 參與者在病人就醫期間參與的時段
.... individual SΣ 0..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson) 除病人外，參與病人就醫事件的人。
... appointment Σ 0..* Reference(Appointment) 這次就醫的預約紀錄
... period S 0..1 Period 就醫的開始和結束時間
... length 0..1 Duration 就醫持續的時間（扣除缺席時間）
... reasonCode S 0..* CodeableConceptTW 就醫發生的編碼原因
Binding: EncounterReasonCodes (preferred): 發生此就醫事件的原因；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。


... reasonReference Σ 0..* Reference(TW Core Condition | TW Core Procedure | TW Core Observation Laboratory Result | ImmunizationRecommendation) 就醫發生的原因（參照）
... diagnosis Σ 0..* BackboneElement 與此就醫相關的診斷清單
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 1..1 Reference(TW Core Condition | TW Core Procedure) 與就醫事件相關的診斷或處置
.... use 0..1 CodeableConceptTW 此診斷在病人就醫事件中的作用（例如：住院、收費、出院...）。
Binding: DiagnosisRole (preferred): 此情況所代表的診斷型別；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。

.... rank 0..1 positiveInt 診斷的排序（針對每個角色型別）
... account 0..* Reference(Account) 可用於為此病人就醫事件計費的一組帳戶
... hospitalization S 0..1 BackboneElement 關於入院接受健康照護服務的細節
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1 Identifier 住院前識別碼
.... origin 0..1 Reference(TW Core Organization | TW Core Location) 病人住院前來自的地點／機構
.... admitSource 0..1 CodeableConceptTW 病人從哪裡住院（醫生轉介、轉院）？
Binding: AdmitSource (preferred): 病人從哪裡住院；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。

.... reAdmission 0..1 CodeableConceptTW 已發生的醫院再入院型別（如果有的話）。如果該值不存在，則不被認定為再入院。
Binding: hl7VS-re-admissionIndicator (example): 這次住院就醫的再入院原因；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。

.... dietPreference 0..* CodeableConceptTW 病人報告的飲食偏好
Binding: Diet (example): 醫療、文化或道德方面的食物偏好，以幫助滿足飲食要求；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。


.... specialCourtesy 0..* CodeableConceptTW 特別禮遇（貴賓、董事會成員）
Binding: SpecialCourtesy (preferred): 特別禮遇；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。


.... specialArrangement 0..* CodeableConceptTW 輪椅、翻譯人員、擔架等。
Binding: SpecialArrangements (preferred): 特殊安排；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。


.... destination 0..1 Reference(TW Core Location | TW Core Organization) 病人出院地點／機構
.... dischargeDisposition S 0..1 CodeableConceptTW 出院後的地點類別或種類
Binding: DischargeDisposition (example): 出院處置；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。

... location S 0..* BackboneElement 病人曾去過的一個或多個地點
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location S 1..1 Reference(TW Core Location) 就醫發生的地點
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): 就醫地點的狀態；應填入所綁定值集中的其中一個代碼。

.... physicalType 0..1 CodeableConceptTW 地點的實體型別（通常是地點的層級—床位、房間、病房等）。
Binding: LocationType (example): 地點的實體型別；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。

.... period 0..1 Period 病人出現在此地點的時段
... serviceProvider S 0..1 Reference(TW Core Organization) 負責這次就醫的機構
... partOf 0..1 Reference(TW Core Encounter) 此就醫是哪次就醫的一部份？

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Encounter.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Encounter.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Encounter.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Encounter.statusrequiredPattern: planned
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.statusHistory.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classextensiblePattern: AMB
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.classHistory.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.typeexampleEncounterType
http://hl7.org/fhir/ValueSet/encounter-type
from the FHIR Standard
Encounter.serviceTypepreferredTWMedicalDepartmentSCT
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-department-sct-tw
Encounter.serviceType.coding:TWMedicalDepartmentSCTrequiredTWMedicalDepartmentSCT
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-department-sct-tw
Encounter.serviceType.coding:TWMedicalConsultationDepartmentrequiredTWMedicalConsultationDepartment
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-consultation-department-tw
Encounter.serviceType.coding:TWMedicalTreatmentDepartmentrequiredTWMedicalTreatmentDepartment
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-treatment-department-tw
Encounter.priorityexampleActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.reasonCodepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard
Encounter.diagnosis.usepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
from the FHIR Standard
Encounter.hospitalization.admitSourcepreferredAdmitSource
http://hl7.org/fhir/ValueSet/encounter-admit-source
from the FHIR Standard
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreferenceexampleDiet
http://hl7.org/fhir/ValueSet/encounter-diet
from the FHIR Standard
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
http://hl7.org/fhir/ValueSet/encounter-special-courtesy
from the FHIR Standard
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
http://hl7.org/fhir/ValueSet/encounter-special-arrangements
from the FHIR Standard
Encounter.hospitalization.dischargeDispositionexampleDischargeDisposition
http://hl7.org/fhir/ValueSet/encounter-discharge-disposition
from the FHIR Standard
Encounter.location.statusrequiredEncounterLocationStatus
http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1
from the FHIR Standard
Encounter.location.physicalTypeexampleLocationType
http://hl7.org/fhir/ValueSet/location-physical-type
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorEncounterIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from TWCoreEncounter

Summary

Mandatory: 3 elements(3 nested mandatory elements)

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Encounter.serviceType.coding (Closed)

Differential View

This structure is derived from TWCoreEncounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter TWCoreEncounter
... status 1..1 code 就醫現況。【因FHIR設計而需必填】
Required Pattern: planned
... class 1..1 CodingTW 就醫分類。【因FHIR設計而需必填】
Required Pattern: At least the following
.... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
.... code 1..1 code Symbol in syntax defined by the system
Fixed Value: AMB
... serviceType 1..1 CodeableConceptTW 就醫科別，完整代碼對應表請參照就醫科別對應表。
Binding: 對應至 SNOMED CT之就醫科別 + 診療科別值集 (preferred): 完整代碼對應表請參照就醫科別對應表。

.... Slices for coding 1..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Closed by pattern:system
..... coding:All Slices Content/Rules for all slices
...... code 1..1 code 系統定義的語法之符號
..... coding:TWMedicalDepartmentSCT 0..1 CodingTW 對應至SNOMED CT之就醫科別
...... code 1..1 code 系統定義的語法之符號
..... coding:TWMedicalConsultationDepartment 0..1 CodingTW 無法對應至SNOMED CT之臺灣健保署就醫科別
...... code 1..1 code 系統定義的語法之符號
..... coding:TWMedicalTreatmentDepartment 0..1 CodingTW 無法對應至SNOMED CT之臺灣健保署診療科別
...... code 1..1 code 系統定義的語法之符號

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Encounter.serviceTypepreferredTWMedicalDepartmentSCT
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-department-sct-tw

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* TWCoreEncounter 提供病人服務的一種互動
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... identifier SΣ 0..* Identifier 此就醫事件的識別碼
ele-1: All FHIR elements must have a @value or children
.... use ?!Σ 0..1 code usual ｜ official ｜ temp ｜ secondary ｜ old （如果知道）
Binding: IdentifierUse (required): 如果知道，請說明此識別碼的用途；應填入所綁定值集中的其中一個代碼。


ele-1: All FHIR elements must have a @value or children
.... system SΣ 1..1 uri 識別碼（identifier）的命名空間（namespace）
ele-1: All FHIR elements must have a @value or children
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string 唯一值
ele-1: All FHIR elements must have a @value or children
Example General: 123456
... class S 1..1 CodingTW 就醫分類。【因FHIR設計而需必填】
Binding: ActEncounterCode (extensible): 就醫的分類；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。


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
.... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
.... code 1..1 code Symbol in syntax defined by the system
Fixed Value: AMB
... serviceType S 1..1 CodeableConceptTW 就醫科別，完整代碼對應表請參照就醫科別對應表。
Binding: 對應至 SNOMED CT之就醫科別 + 診療科別值集 (preferred): 完整代碼對應表請參照就醫科別對應表。


ele-1: All FHIR elements must have a @value or children
.... Slices for coding S 1..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Closed by pattern:system
ele-1: All FHIR elements must have a @value or children
..... coding:All Slices Content/Rules for all slices
...... system SΣ 0..1 uri 專門術語系統（terminology system）的識別
ele-1: All FHIR elements must have a @value or children
...... code SΣ 1..1 code 系統定義的語法之符號
ele-1: All FHIR elements must have a @value or children
...... display SΣ 0..1 string 由系統定義的表示法
ele-1: All FHIR elements must have a @value or children
..... coding:TWMedicalDepartmentSCT S 0..1 CodingTW 對應至SNOMED CT之就醫科別
Binding: 對應至 SNOMED CT之就醫科別 + 診療科別值集 (required)
ele-1: All FHIR elements must have a @value or children
...... system SΣ 1..1 uri 專門術語系統（terminology system）的識別
ele-1: All FHIR elements must have a @value or children
Required Pattern: http://snomed.info/sct
...... code SΣ 1..1 code 系統定義的語法之符號
ele-1: All FHIR elements must have a @value or children
...... display SΣ 0..1 string 由系統定義的表示法
ele-1: All FHIR elements must have a @value or children
..... coding:TWMedicalConsultationDepartment S 0..1 CodingTW 無法對應至SNOMED CT之臺灣健保署就醫科別
Binding: 無法對應至SNOMED CT之臺灣健保署就醫科別值集 (required)
ele-1: All FHIR elements must have a @value or children
...... system SΣ 1..1 uri 專門術語系統（terminology system）的識別
ele-1: All FHIR elements must have a @value or children
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw
...... code SΣ 1..1 code 系統定義的語法之符號
ele-1: All FHIR elements must have a @value or children
...... display SΣ 0..1 string 由系統定義的表示法
ele-1: All FHIR elements must have a @value or children
..... coding:TWMedicalTreatmentDepartment S 0..1 CodingTW 無法對應至SNOMED CT之臺灣健保署診療科別
Binding: 無法對應至SNOMED CT之臺灣健保署診療科別值集 (required)
ele-1: All FHIR elements must have a @value or children
...... system SΣ 1..1 uri 專門術語系統（terminology system）的識別
ele-1: All FHIR elements must have a @value or children
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-nhi-tw
...... code SΣ 1..1 code 系統定義的語法之符號
ele-1: All FHIR elements must have a @value or children
...... display SΣ 0..1 string 由系統定義的表示法
ele-1: All FHIR elements must have a @value or children
.... text SΣ 0..1 string 概念的文字表示法
ele-1: All FHIR elements must have a @value or children
... subject SΣ 0..1 Reference(病人資訊-Patient TWPAS) 在場就醫的病人或實體集合（Group）
ele-1: All FHIR elements must have a @value or children
... participant SΣ 0..* BackboneElement 參與就醫的健康照護服務提供者之名單
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... type S 0..* CodeableConceptTW 參與者在病人就醫事件中的角色
Binding: ParticipantType (extensible): 參與者在病人就醫事件中的角色；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。


ele-1: All FHIR elements must have a @value or children
.... period S 0..1 Period 參與者在病人就醫期間參與的時段
ele-1: All FHIR elements must have a @value or children
.... individual SΣ 0..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson) 除病人外，參與病人就醫事件的人。
ele-1: All FHIR elements must have a @value or children
... period S 0..1 Period 就醫的開始和結束時間
ele-1: All FHIR elements must have a @value or children
... reasonCode S 0..* CodeableConceptTW 就醫發生的編碼原因
Binding: EncounterReasonCodes (preferred): 發生此就醫事件的原因；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。


ele-1: All FHIR elements must have a @value or children
... hospitalization S 0..1 BackboneElement 關於入院接受健康照護服務的細節
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... dischargeDisposition S 0..1 CodeableConceptTW 出院後的地點類別或種類
Binding: DischargeDisposition (example): 出院處置；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。


ele-1: All FHIR elements must have a @value or children
... location S 0..* BackboneElement 病人曾去過的一個或多個地點
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... location S 1..1 Reference(TW Core Location) 就醫發生的地點
ele-1: All FHIR elements must have a @value or children
... serviceProvider S 0..1 Reference(TW Core Organization) 負責這次就醫的機構
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Encounter.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Encounter.statusrequiredPattern: planned
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classextensiblePattern: AMB
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.serviceTypepreferredTWMedicalDepartmentSCT
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-department-sct-tw
Encounter.serviceType.coding:TWMedicalDepartmentSCTrequiredTWMedicalDepartmentSCT
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-department-sct-tw
Encounter.serviceType.coding:TWMedicalConsultationDepartmentrequiredTWMedicalConsultationDepartment
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-consultation-department-tw
Encounter.serviceType.coding:TWMedicalTreatmentDepartmentrequiredTWMedicalTreatmentDepartment
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-treatment-department-tw
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.reasonCodepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard
Encounter.hospitalization.dischargeDispositionexampleDischargeDisposition
http://hl7.org/fhir/ValueSet/encounter-discharge-disposition
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorEncounterIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* TWCoreEncounter 提供病人服務的一種互動
... id Σ 0..1 id 不重複的ID用以識別儲存在特定FHIR Server中的Encounter紀錄，通常又稱為邏輯性ID。
... meta Σ 0..1 Meta 此Encounter Resource的metadata
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... language 0..1 code 用以表述Encounter Resource內容的語言。
Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。

Additional BindingsPurpose
AllLanguages Max Binding

Example Value: zh-TW
... text 0..1 Narrative Encounter Resource之內容摘要以供人閱讀
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier 此就醫事件的識別碼
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual ｜ official ｜ temp ｜ secondary ｜ old （如果知道）
Binding: IdentifierUse (required): 如果知道，請說明此識別碼的用途；應填入所綁定值集中的其中一個代碼。

.... type 0..1 CodeableConceptTW 識別碼（identifier）的型別說明
Binding: Identifier Type Codes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。

.... system SΣ 1..1 uri 識別碼（identifier）的命名空間（namespace）
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string 唯一值
Example General: 123456
.... period Σ 0..1 Period 此就醫事件識別碼（identifier）的使用效期
.... assigner Σ 0..1 Reference(TW Core Organization) 簽發identifier的機構（可以只是文字表述）
... status ?!SΣ 1..1 code 就醫現況。【因FHIR設計而需必填】
Binding: EncounterStatus (required): 就醫現況的代碼；應填入所綁定值集中的其中一個代碼


Required Pattern: planned
... statusHistory 0..* BackboneElement 過去的就醫狀態清單
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): 就醫現狀的代碼；應填入所綁定值集中的其中一個代碼

.... period 1..1 Period 該事件處於特定狀態的時間
... class S 1..1 CodingTW 就醫分類。【因FHIR設計而需必填】
Binding: ActEncounterCode (extensible): 就醫的分類；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。


Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
.... version 0..1 string Version of the system - if relevant
.... code 1..1 code Symbol in syntax defined by the system
Fixed Value: AMB
.... display 0..1 string Representation defined by the system
.... userSelected 0..1 boolean If this coding was chosen directly by the user
... classHistory 0..* BackboneElement 過去就醫類別的列表
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... class 1..1 Coding inpatient ｜ outpatient ｜ ambulatory ｜ emergency +
Binding: ActEncounterCode (extensible): 就醫類別；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。

.... period 1..1 Period 此就醫事件處於特定類別的時間
... type 0..* CodeableConceptTW 就醫的特定型別
Binding: EncounterType (example): 就醫的型別；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。


... serviceType S 1..1 CodeableConceptTW 就醫科別，完整代碼對應表請參照就醫科別對應表。
Binding: 對應至 SNOMED CT之就醫科別 + 診療科別值集 (preferred): 完整代碼對應表請參照就醫科別對應表。

.... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... Slices for coding S 1..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Closed by pattern:system
..... coding:All Slices Content/Rules for all slices
...... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... system SΣ 0..1 uri 專門術語系統（terminology system）的識別
...... version Σ 0..1 string 系統的版本—如果相關的話
...... code SΣ 1..1 code 系統定義的語法之符號
...... display SΣ 0..1 string 由系統定義的表示法
...... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇？
..... coding:TWMedicalDepartmentSCT S 0..1 CodingTW 對應至SNOMED CT之就醫科別
Binding: 對應至 SNOMED CT之就醫科別 + 診療科別值集 (required)
...... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: http://snomed.info/sct
...... version Σ 0..1 string 系統的版本—如果相關的話
...... code SΣ 1..1 code 系統定義的語法之符號
...... display SΣ 0..1 string 由系統定義的表示法
...... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇？
..... coding:TWMedicalConsultationDepartment S 0..1 CodingTW 無法對應至SNOMED CT之臺灣健保署就醫科別
Binding: 無法對應至SNOMED CT之臺灣健保署就醫科別值集 (required)
...... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw
...... version Σ 0..1 string 系統的版本—如果相關的話
...... code SΣ 1..1 code 系統定義的語法之符號
...... display SΣ 0..1 string 由系統定義的表示法
...... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇？
..... coding:TWMedicalTreatmentDepartment S 0..1 CodingTW 無法對應至SNOMED CT之臺灣健保署診療科別
Binding: 無法對應至SNOMED CT之臺灣健保署診療科別值集 (required)
...... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-nhi-tw
...... version Σ 0..1 string 系統的版本—如果相關的話
...... code SΣ 1..1 code 系統定義的語法之符號
...... display SΣ 0..1 string 由系統定義的表示法
...... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇？
.... text SΣ 0..1 string 概念的文字表示法
... priority 0..1 CodeableConceptTW 表明就醫的急迫性
Binding: ActPriority (example): 表明就醫的迫切性；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。

... subject SΣ 0..1 Reference(病人資訊-Patient TWPAS) 在場就醫的病人或實體集合（Group）
... episodeOfCare Σ 0..* Reference(EpisodeOfCare) 此次就醫應記錄的照護事件
... basedOn 0..* Reference(TW Core ServiceRequest) 開始此次就醫的服務請求（ServiceRequest）
... participant SΣ 0..* BackboneElement 參與就醫的健康照護服務提供者之名單
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type S 0..* CodeableConceptTW 參與者在病人就醫事件中的角色
Binding: ParticipantType (extensible): 參與者在病人就醫事件中的角色；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。


.... period S 0..1 Period 參與者在病人就醫期間參與的時段
.... individual SΣ 0..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson) 除病人外，參與病人就醫事件的人。
... appointment Σ 0..* Reference(Appointment) 這次就醫的預約紀錄
... period S 0..1 Period 就醫的開始和結束時間
... length 0..1 Duration 就醫持續的時間（扣除缺席時間）
... reasonCode S 0..* CodeableConceptTW 就醫發生的編碼原因
Binding: EncounterReasonCodes (preferred): 發生此就醫事件的原因；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。


... reasonReference Σ 0..* Reference(TW Core Condition | TW Core Procedure | TW Core Observation Laboratory Result | ImmunizationRecommendation) 就醫發生的原因（參照）
... diagnosis Σ 0..* BackboneElement 與此就醫相關的診斷清單
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 1..1 Reference(TW Core Condition | TW Core Procedure) 與就醫事件相關的診斷或處置
.... use 0..1 CodeableConceptTW 此診斷在病人就醫事件中的作用（例如：住院、收費、出院...）。
Binding: DiagnosisRole (preferred): 此情況所代表的診斷型別；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。

.... rank 0..1 positiveInt 診斷的排序（針對每個角色型別）
... account 0..* Reference(Account) 可用於為此病人就醫事件計費的一組帳戶
... hospitalization S 0..1 BackboneElement 關於入院接受健康照護服務的細節
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1 Identifier 住院前識別碼
.... origin 0..1 Reference(TW Core Organization | TW Core Location) 病人住院前來自的地點／機構
.... admitSource 0..1 CodeableConceptTW 病人從哪裡住院（醫生轉介、轉院）？
Binding: AdmitSource (preferred): 病人從哪裡住院；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。

.... reAdmission 0..1 CodeableConceptTW 已發生的醫院再入院型別（如果有的話）。如果該值不存在，則不被認定為再入院。
Binding: hl7VS-re-admissionIndicator (example): 這次住院就醫的再入院原因；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。

.... dietPreference 0..* CodeableConceptTW 病人報告的飲食偏好
Binding: Diet (example): 醫療、文化或道德方面的食物偏好，以幫助滿足飲食要求；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。


.... specialCourtesy 0..* CodeableConceptTW 特別禮遇（貴賓、董事會成員）
Binding: SpecialCourtesy (preferred): 特別禮遇；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。


.... specialArrangement 0..* CodeableConceptTW 輪椅、翻譯人員、擔架等。
Binding: SpecialArrangements (preferred): 特殊安排；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。


.... destination 0..1 Reference(TW Core Location | TW Core Organization) 病人出院地點／機構
.... dischargeDisposition S 0..1 CodeableConceptTW 出院後的地點類別或種類
Binding: DischargeDisposition (example): 出院處置；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。

... location S 0..* BackboneElement 病人曾去過的一個或多個地點
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location S 1..1 Reference(TW Core Location) 就醫發生的地點
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): 就醫地點的狀態；應填入所綁定值集中的其中一個代碼。

.... physicalType 0..1 CodeableConceptTW 地點的實體型別（通常是地點的層級—床位、房間、病房等）。
Binding: LocationType (example): 地點的實體型別；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。

.... period 0..1 Period 病人出現在此地點的時段
... serviceProvider S 0..1 Reference(TW Core Organization) 負責這次就醫的機構
... partOf 0..1 Reference(TW Core Encounter) 此就醫是哪次就醫的一部份？

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Encounter.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Encounter.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Encounter.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Encounter.statusrequiredPattern: planned
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.statusHistory.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classextensiblePattern: AMB
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.classHistory.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.typeexampleEncounterType
http://hl7.org/fhir/ValueSet/encounter-type
from the FHIR Standard
Encounter.serviceTypepreferredTWMedicalDepartmentSCT
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-department-sct-tw
Encounter.serviceType.coding:TWMedicalDepartmentSCTrequiredTWMedicalDepartmentSCT
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-department-sct-tw
Encounter.serviceType.coding:TWMedicalConsultationDepartmentrequiredTWMedicalConsultationDepartment
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-consultation-department-tw
Encounter.serviceType.coding:TWMedicalTreatmentDepartmentrequiredTWMedicalTreatmentDepartment
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-treatment-department-tw
Encounter.priorityexampleActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.reasonCodepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard
Encounter.diagnosis.usepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
from the FHIR Standard
Encounter.hospitalization.admitSourcepreferredAdmitSource
http://hl7.org/fhir/ValueSet/encounter-admit-source
from the FHIR Standard
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreferenceexampleDiet
http://hl7.org/fhir/ValueSet/encounter-diet
from the FHIR Standard
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
http://hl7.org/fhir/ValueSet/encounter-special-courtesy
from the FHIR Standard
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
http://hl7.org/fhir/ValueSet/encounter-special-arrangements
from the FHIR Standard
Encounter.hospitalization.dischargeDispositionexampleDischargeDisposition
http://hl7.org/fhir/ValueSet/encounter-discharge-disposition
from the FHIR Standard
Encounter.location.statusrequiredEncounterLocationStatus
http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1
from the FHIR Standard
Encounter.location.physicalTypeexampleLocationType
http://hl7.org/fhir/ValueSet/location-physical-type
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorEncounterIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from TWCoreEncounter

Summary

Mandatory: 3 elements(3 nested mandatory elements)

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Encounter.serviceType.coding (Closed)

 

Other representations of profile: CSV, Excel, Schematron

Notes:

以下概述了此Profile所需的RESTful FHIR互動功能。有關TWPAS支援的RESTful互動功能的完整清單，請參閱TWPAS Server能力聲明。

建議應該支援以下查詢參數：

  1. 必須（SHALL） 支援透過查詢參數 service-type 查詢所有Encounter：
    (如何透過token查詢)
    GET [base]/Encounter?service-type={system|}[code]

    例子：
    (1) GET [base]/Encounter?service-type=AJ
    (2) GET [base]/Encounter?service-type=https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw|AJ