臺灣核心實作指引(TW Core IG)
0.1.1 - Trial Use

This page is part of the 臺灣核心實作指引(TW Core IG) (v0.1.1: Releases) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: TWCorePractitioner - Detailed Descriptions

Active as of 2023-08-30

Definitions for the Practitioner-twcore resource profile.

Guidance on how to interpret the contents of this table can be found here

0. Practitioner
Definition

直接或間接提供健康照護的人員

Short對於所提供之健康照護或相關服務負有正式責任的人員
2. Practitioner.id
Definition

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。

Short不重複的ID用以識別儲存在特定FHIR Server中的Practitioner紀錄,通常又稱為邏輯性ID。
Comments

一個resource使用新增操作(create operation)提交給伺服器時是此resource唯一沒有id的時刻

4. Practitioner.meta
Definition

關於resource的metadata。這是由基礎建設維護的內容。對內容的改變可能並不總是與resource的版本改變相關。

Short此PractitionerResource的metadata
6. Practitioner.implicitRules
Definition

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IG定義特殊規則及其他profiles的參照。

Short創建此內容所依據的一組規則
Comments

宣告這套規則限制了內容只能被有限的貿易夥伴所理解。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是對實作指引的參照,此指引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。

8. Practitioner.language
Definition

編寫此resource的基礎語言

Short用以表述Practitioner Resource內容的語言
Comments

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基礎語言。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元素(關於xml:lang和html lang屬性之間的關係,見HTML5中的規則)。

BindingThe codes SHOULD be taken from CommonLanguages: 人類語言;鼓勵使用CommonLanguages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。
Additional BindingsPurpose
AllLanguagesMax Binding
Example<br/><b>Value</b>:zh-TW
10. Practitioner.text
Definition

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定義可定義哪些內容應該在敘述中表示,以確保臨床安全。

ShortPractitioner Resource之內容摘要以供人閱讀
Comments

內嵌(contained)的resource沒有敘述,非內嵌(contained)的resource則 建議應該(SHOULD) 有敘述。在某些情況下,resource可能只有文字表述,很少或沒有額外的離散資料(只要滿足所有minOccurs=1的資料項目)。這對於來自舊有系統的資料可能是必要的,在這些系統中,從 「文字表述區塊(text blob) 」獲取訊息,或者文字表述是額外的原始輸入或敘述,而編碼訊息是後來添加的。

Must Supporttrue
12. Practitioner.contained
Definition

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。

Short內嵌的(contained)、行內的Resources
Comments

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,因為一旦識別丟失,要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(標籤),但 必須沒有(SHALL NOT) 資訊安全標號(security labels)。

14. Practitioner.extension
Definition

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。

Short擴充的資料項目
Comments

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。

16. Practitioner.modifierExtension
Definition

可以用來表示不屬於資料項目的基本定義的附加資訊,並且修改對它所內嵌(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。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。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。處理resource的應用程式被要求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)。

Short此擴充的資料項目可能會完全修改或改變其他資料項目的意涵,需特別留意。
Comments

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。

Requirements

修飾用的資料項目擴充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。透過消除禁止實作者擴充存在的需求來促進可互操作性。更多訊息,請參見修飾用的資料項目擴充之定義。

18. Practitioner.identifier
Definition

此人員於此角色的識別碼

Short此照護服務提供人員的識別碼
NoteThis is a business identifier, not a resource identifier (see discussion)
Must Supporttrue
Requirements

通常此人員會被指定特定識別碼

20. Practitioner.identifier.id
Definition

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。

Short唯一可識別ID,以供資料項目間相互參照。
22. Practitioner.identifier.extension
Definition

擴充的資料項目

Short擴充的資料項目
24. Practitioner.identifier.use
Definition

這個唯一識別碼(identifier)的用途

Shortusual | official | temp | secondary | old (如果知道)
Comments

應用程式可以假定一個識別碼是永久的,除非它明確說它是暫時的。

BindingThe codes SHALL be taken from IdentifierUse: 識別碼的型別,用於決定特定目的所適用的識別碼;應填入IdentifierUse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。
Must Supporttrue
Requirements

允許從一組識別碼中為特定的使用情境選擇適當的識別碼

Pattern Valueofficial
26. Practitioner.identifier.type
Definition

識別碼的代碼型別,用於決定特定目適用的識別碼。

Short照護服務提供人員的識別碼(identifier)的型別說明
Comments

這個資料項目只涉及識別碼的一般類別。它 必須沒有(SHALL NOT) 被用於與Identifier.system 1..1對應的代碼。一些識別碼可能由於常見的用法而屬於多個類別。在系統是已知的情況下,型別是不必要的,因為型別總是系統定義的一部分。然而,系統經常需要處理系統不為人知的識別碼。型別和系統之間不是1:1的關係,因為許多不同的系統有相同的型別。

TypeCodeableConcept(TW CodeableConcept)
Must Supporttrue
Requirements

允許使用者在不知道識別碼系統的情況下利用識別碼

28. Practitioner.identifier.system
Definition

建立值的命名空間-即一個描述一組值的唯一URL

Short照護服務提供人員識別碼(identifier)的命名空間(namespace)
Comments

Identifier.system總是區分大小寫

Control1..?
Must Supporttrue
Requirements

有許多識別碼的集合。為了進行兩個識別碼的對應,我們需要知道我們處理的是哪一組。系統指明了一個特定的唯一識別碼集。

30. Practitioner.identifier.value
Definition

識別碼中通常與使用者有關的部分,在系統情境內是唯一的。

Short唯一值。 例如:照護服務提供人員之員工編號為KP00017
Comments

如果此值是一個完整的URI,那麼此系統 必須(SHALL) 是urn:ietf:rfc:3986。此值的主要目的是為了可運算的對應。因此,為了比較的目的,它可能會被正規化(例如:去除不重要的空白、破折號等)。一個為人顯示的格式化的值可以使用Rendered Value擴充來傳達。除非對Identifier.system的了解使處理者確信不區分大小寫的處理是安全的,否則Identifier.value應被視為區分大小寫。

Control1..?
Must Supporttrue
32. Practitioner.identifier.period
Definition

識別碼有效/曾經有效使用的時段或期間

Short此身份識別碼(identifier)的使用效期
34. Practitioner.identifier.assigner
Definition

簽發/管理識別碼的機構

Short簽發identifier的機構(可以只是文字表述)
Comments

Identifier.assigner可以省略.reference資料項目,只包含一個.display資料項目,反映指定機構的名稱或其他文字表述資訊。

TypeReference(TW Core Organization)
36. Practitioner.active
Definition

此照護服務提供人員的紀錄是否在使用中

Short此照護服務提供人員的紀錄是否在使用中
Comments

如果機構未使用此照護服務提供人員紀錄,那麼應該在PractitonerRole上標註結束日期(即使他們是使用中的),因為他們可能以另一種角色存在。

Must Supporttrue
Requirements

由於照護服務提供人員的紀錄被錯誤建立,需能將其紀錄標註為非使用中。

38. Practitioner.name
Definition

照護服務提供人員的姓名

Short照護服務提供人員的姓名
Comments

使用屬性的選擇應確保有一個指定的常用名稱,其他名稱應根據需要使用暱稱(別名)、舊名或其他值。

Control1..?
Must Supporttrue
Requirements

Practitioner所使用的名稱。如果有多個名字,則應使用此健康照護服務提供人員常用的名字來顯示。

Invariantstw-core-1: Patient.name.text or Patient.name.family or both SHALL be present (text.exists() or family.exists())
40. Practitioner.name.id
Definition

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。

Short唯一可識別ID,以供資料項目間相互參照。
42. Practitioner.name.extension
Definition

擴充的資料項目

Short擴充的資料項目
44. Practitioner.name.use
Definition

此姓名的用途

Comments

應用程式可以假定一個姓名是永久的,除非它明確說它是暫時或舊的。

BindingThe codes SHALL be taken from NameUse: 人名的使用情況;應填入NameUse值集中的其中一個代碼。
Must Supporttrue
Requirements

允許從一組姓名中為特定的使用情境選擇適當的姓名

Pattern Valueofficial
46. Practitioner.name.text
Definition

完整姓名的文字表述。由於世界各地的文化差異,取得資料的系統可能不知道如何正確地呈現姓名;此外,不是所有的名字部分都呈現予姓或名。因此,我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。

Short完整的中文姓名
Comments

可以同時提供文字表述(text)和部分(part)。更新姓名的應用程式 必須(SHALL) 確保當test和lpart都存在時,text中不包含part中沒有的內容。

Must Supporttrue
Requirements

一個可呈現的、未編碼的形式。

Example<br/><b>General</b>:王依昇
48. Practitioner.name.family
Definition

姓名中與族譜相關的部分。在一些文化中(如厄立特里亞),兒子的姓氏是其父親的名字。

Short英文姓
Comments

姓氏可以使用擴充名(de、nl、es相關文化)分解成具體的部分(part)

Must Supporttrue
Example<br/><b>General</b>:Wang
50. Practitioner.name.given
Definition

姓名中的「名」

Short英文名
Comments

如果只記錄首字母,可以用它們來代替完整姓名。首字母可以分為多個名,但由於實際情況的限制,通常不會這樣做。這個資料項目不被稱為 「first name」,因為「given name」並不總是排在前面。

Must Supporttrue
Example<br/><b>General</b>:Yi Sheng
52. Practitioner.name.prefix
Definition

由於學術、法規、就業或貴族身份等原因而獲得的名,並出現在姓名的開頭。

Short姓名前面的頭銜 由於學術,法律,職業或貴族身份等原因而獲得頭銜,出現在姓名開頭。
54. Practitioner.name.suffix
Definition

由於學術、法規、就業或貴族身份等原因而獲得的名,並出現在姓名的開頭。

Short姓名後面的稱謂 由於學術,法律,職業或貴族身份等原因而獲得頭銜,出現在姓名之後。
56. Practitioner.name.period
Definition

表明這個姓名對此病人有效的時間區間或期間

Short此姓名的使用效期
Requirements

允許多個姓名按其歷史情境(效期)儲存

58. Practitioner.telecom
Definition

照護服務提供人員的詳細聯絡方式,例如:電話號碼或電子郵件信箱。

Short照護服務提供人員的詳細聯絡方式(適用於所有角色)。
Comments

個人可能有多種聯繫方式,有不同的用途或適用期。可能需要有與該人緊急聯繫的選項,並幫助識別。這些通常會有家用電話號碼,或沒有特定角色的手機號碼。

Must Supporttrue
Requirements

不論照護服務提供人員的角色是什麼,需要知道如何與照護服務提供人員取得聯繫。

60. Practitioner.telecom.id
Definition

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。

Short唯一可識別ID,以供資料項目間相互參照。
62. Practitioner.telecom.extension
Definition

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。

Short擴充的資料項目
64. Practitioner.telecom.system
Definition

聯絡方式的通訊形式-需要什麼通訊系統進行聯絡

Control1..?
BindingThe codes SHALL be taken from ContactPointSystem: 應填入ContactPointSystem值集中的其中一個代碼。
Must Supporttrue
66. Practitioner.telecom.value
Definition

實際的聯絡方式之細節,針對指定的通訊系統提供有意義的形式(電話號碼或是電子郵件位址)。

Short實際的聯絡方式之細節
Comments

額外的文字資料,例如電話分機號碼、或關於聯絡人的說明,有時也包括於此值。

Control1..?
Must Supporttrue
Requirements

需支援非嚴格格式控制之舊有號碼

68. Practitioner.telecom.use
Definition

確定聯絡方式的用途

Shorthome | work | temp | old | mobile-此聯絡方式的用途
Comments

應用程式可以假定一個聯絡方法是目前使用中,除非它明確說它是暫時的或舊的。

BindingThe codes SHALL be taken from ContactPointUse: 應填入ContactPointUse值集中的其中一個代碼。
Must Supporttrue
Requirements

需要追蹤此人使用這種聯絡的方式,使用者可以選擇適合他們用途的聯絡方式。

70. Practitioner.telecom.rank
Definition

具體說明使用一組聯絡方式的優先順序,較小排名序位的聯絡方式比較大排名序位的聯絡方式之序位還要前面。

Short具體說明偏好的使用順序(1=最高優先順序)
Comments

請注意,排名序位沒有一定要遵循聯絡方式在實例中呈現的順序。

72. Practitioner.telecom.period
Definition

此聯絡方式的使用效期

Short此聯絡方式的使用效期
Must Supporttrue
74. Practitioner.address
Definition

不限特定角色的健康照護服務提供人員的地址(通常是住家地址),工作地址通常不在此屬性中輸入,因為它們通常取決於此人員的角色。

Short不限特定角色的照護服務提供人員的地址(通常是住家地址)
Comments

PractitionerRole上沒有address但有location屬性(它有一個地址)用於這個目的。

TypeAddress(TW Core Address)
Must Supporttrue
Requirements

Administrative Gender為行政管理的及保存紀錄目的之健康照護服務提供人員性別

76. Practitioner.gender
Definition

Administrative Gender為行政管理的及保存紀錄目的之健康照護服務提供人員性別

Shortmale | female | other | unknown
BindingThe codes SHALL be taken from AdministrativeGender: 性別;應填入AdministrativeGender值集中的其中一個代碼。
Must Supporttrue
Requirements

用以正確稱呼健康照護服務提供人員

78. Practitioner.birthDate
Definition

照護服務提供人員的出生日期

Short照護服務提供人員的出生日期
Must Supporttrue
Requirements

為了識別身份而需要

80. Practitioner.photo
Definition

人員的影像(照片)

Short人員的影像(照片)
Must Supporttrue
Requirements

許多EHR系統有能力取得健康照護服務提供人員的影像(照片),這也符合較新的社群媒體的使用。

82. Practitioner.qualification
Definition

授權或其他與照護服務提供人員提供照護有關的官方證書、執照和培訓。例如:由衛生福利部頒發的醫師證書。

Short與照護服務相關的證書、執照或培訓
84. Practitioner.qualification.id
Definition

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。

Short唯一可識別ID,以供資料項目間相互參照。
86. Practitioner.qualification.extension
Definition

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。

Short擴充的資料項目
Comments

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汙名(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。

88. Practitioner.qualification.modifierExtension
Definition

可以用來表示不屬於資料項目的基本定義的附加資訊,並且修改對它所內嵌(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。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。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,有一組要求 必須(SHALL) 滿足。處理resource的應用程式被要求檢查修飾用的擴充資料項目。

Short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。
Comments

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汙名(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。

Requirements

修飾用的資料項目擴充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。透過消除禁止實作者擴充存在的需求來促進可互通性。更多訊息,請參見修飾用的資料項目擴充之定義

90. Practitioner.qualification.identifier
Definition

此人在此角色的資格證書之識別碼

Short照護服務提供人員的資格證書識別碼
NoteThis is a business identifier, not a resource identifier (see discussion)
Requirements

通常此資格證書會被指定特定識別碼

92. Practitioner.qualification.code
Definition

資格證書的編碼表示法

Short資格證書的編碼表示法
BindingThe codes SHALL be taken from 臺灣醫事人員類別值集: 照護服務提供人員提供服務所具有的具體資格證書;應填入臺灣醫事人員類別值集值集中的其中一個代碼。
TypeCodeableConcept(TW CodeableConcept)
94. Practitioner.qualification.period
Definition

資格證書的有效期限

Short資格證書的有效期限
Requirements

資格證書通常是有期限的,並且可以被撤銷。

96. Practitioner.qualification.issuer
Definition

監管和頒發資格證書的機構

Short監管和頒發資格證書的機構
TypeReference(TW Core Organization)
98. Practitioner.communication
Definition

健康照護服務提供人員與病人溝通時可使用的語言

Short健康照護服務提供人員與病人溝通時可使用的語言
Comments

帶有這種精確字母大小寫的aa-BB結構是最廣泛使用的地方性符號之一。但並不是所有的系統都對其進行編碼,而是將其作為純文字表述。因此,data type為CodeableConcept而不是code。

BindingThe codes SHOULD be taken from CommonLanguages: 人類語言;鼓勵使用CommonLanguages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。
Additional BindingsPurpose
AllLanguagesMax Binding
TypeCodeableConcept(TW CodeableConcept)
Requirements

知道照護服務提供人員講哪種語言有助於促進與病人的溝通

Example<br/><b>Value</b>:zh-TW

Guidance on how to interpret the contents of this table can be found here

0. Practitioner
Definition

直接或間接提供健康照護的人員


A person who is directly or indirectly involved in the provisioning of healthcare.

Short對於所提供之健康照護或相關服務負有正式責任的人員A person with a formal responsibility in the provisioning of healthcare or related services
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
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 (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Practitioner.id
Definition

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。


The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Short不重複的ID用以識別儲存在特定FHIR Server中的Practitioner紀錄,通常又稱為邏輯性ID。Logical id of this artifact
Comments

一個resource使用新增操作(create operation)提交給伺服器時是此resource唯一沒有id的時刻


The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Control0..1
Typeidstring
Is Modifierfalse
Summarytrue
4. Practitioner.meta
Definition

關於resource的metadata。這是由基礎建設維護的內容。對內容的改變可能並不總是與resource的版本改變相關。


The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Short此PractitionerResource的metadataMetadata about the resource
Control0..1
TypeMeta
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Practitioner.implicitRules
Definition

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IG定義特殊規則及其他profiles的參照。


A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Short創建此內容所依據的一組規則A set of rules under which this content was created
Comments

宣告這套規則限制了內容只能被有限的貿易夥伴所理解。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是對實作指引的參照,此指引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。


Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because 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
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Practitioner.language
Definition

編寫此resource的基礎語言


The base language in which the resource is written.

Short用以表述Practitioner Resource內容的語言Language of the resource content
Comments

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基礎語言。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元素(關於xml:lang和html lang屬性之間的關係,見HTML5中的規則)。


Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Control0..1
BindingThe codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages

人類語言;鼓勵使用CommonLanguages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。


A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Example<br/><b>Value</b>:zh-TW
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Practitioner.text
Definition

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定義可定義哪些內容應該在敘述中表示,以確保臨床安全。


A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

ShortPractitioner Resource之內容摘要以供人閱讀Text summary of the resource, for human interpretation
Comments

內嵌(contained)的resource沒有敘述,非內嵌(contained)的resource則 建議應該(SHOULD) 有敘述。在某些情況下,resource可能只有文字表述,很少或沒有額外的離散資料(只要滿足所有minOccurs=1的資料項目)。這對於來自舊有系統的資料可能是必要的,在這些系統中,從 「文字表述區塊(text blob) 」獲取訊息,或者文字表述是額外的原始輸入或敘述,而編碼訊息是後來添加的。


Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Control0..1
TypeNarrative
Is Modifierfalse
Must Supporttrue
Summaryfalse
Alternate Namesnarrative, html, xhtml, display
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Practitioner.contained
Definition

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。


These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Short內嵌的(contained)、行內的ResourcesContained, inline Resources
Comments

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,因為一旦識別丟失,要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(標籤),但 必須沒有(SHALL NOT) 資訊安全標號(security labels)。


This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Control0..*
TypeResource
Is Modifierfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
14. Practitioner.extension
Definition

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。


May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Short擴充的資料項目Additional content defined by implementations
Comments

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。


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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. Practitioner.modifierExtension
Definition

可以用來表示不屬於資料項目的基本定義的附加資訊,並且修改對它所內嵌(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。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。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。處理resource的應用程式被要求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)。


May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short此擴充的資料項目可能會完全修改或改變其他資料項目的意涵,需特別留意。Extensions that cannot be ignored
Comments

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。


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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

修飾用的資料項目擴充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。透過消除禁止實作者擴充存在的需求來促進可互操作性。更多訊息,請參見修飾用的資料項目擴充之定義。


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.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
18. Practitioner.identifier
Definition

此人員於此角色的識別碼


An identifier that applies to this person in this role.

Short此照護服務提供人員的識別碼An identifier for the person as this agent
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

通常此人員會被指定特定識別碼


Often, specific identities are assigned for the agent.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Practitioner.identifier.id
Definition

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。


Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short唯一可識別ID,以供資料項目間相互參照。Unique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
22. Practitioner.identifier.extension
Definition

擴充的資料項目


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.

Short擴充的資料項目Additional content defined by implementations
Comments

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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Practitioner.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
24. Practitioner.identifier.use
Definition

這個唯一識別碼(identifier)的用途


The purpose of this identifier.

Shortusual | official | temp | secondary | old (如果知道)usual | official | temp | secondary | old (If known)
Comments

應用程式可以假定一個識別碼是永久的,除非它明確說它是暫時的。


Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control0..1
BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1

識別碼的型別,用於決定特定目的所適用的識別碼;應填入IdentifierUse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。


Identifies the purpose for this identifier, if known .

Typecode
Is Modifiertrue because This is labeled as &quot;Is Modifier&quot; because applications should not mistake a temporary id for a permanent one.
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

允許從一組識別碼中為特定的使用情境選擇適當的識別碼


Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Pattern Valueofficial
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Practitioner.identifier.type
Definition

識別碼的代碼型別,用於決定特定目適用的識別碼。


A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short照護服務提供人員的識別碼(identifier)的型別說明Description of identifier
Comments

這個資料項目只涉及識別碼的一般類別。它 必須沒有(SHALL NOT) 被用於與Identifier.system 1..1對應的代碼。一些識別碼可能由於常見的用法而屬於多個類別。在系統是已知的情況下,型別是不必要的,因為型別總是系統定義的一部分。然而,系統經常需要處理系統不為人知的識別碼。型別和系統之間不是1:1的關係,因為許多不同的系統有相同的型別。


This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Control0..1
This element is affected by the following invariants: ele-1
BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Must Supporttrue
Requirements

允許使用者在不知道識別碼系統的情況下利用識別碼


Allows users to make use of identifiers when the identifier system is not known.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Practitioner.identifier.system
Definition

建立值的命名空間-即一個描述一組值的唯一URL


Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short照護服務提供人員識別碼(identifier)的命名空間(namespace)The namespace for the identifier value
Comments

Identifier.system總是區分大小寫


Identifier.system is always case sensitive.

Control10..1
Typeuri
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

有許多識別碼的集合。為了進行兩個識別碼的對應,我們需要知道我們處理的是哪一組。系統指明了一個特定的唯一識別碼集。


There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Practitioner.identifier.value
Definition

識別碼中通常與使用者有關的部分,在系統情境內是唯一的。


The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short唯一值。 例如:照護服務提供人員之員工編號為KP00017The value that is unique
Comments

如果此值是一個完整的URI,那麼此系統 必須(SHALL) 是urn:ietf:rfc:3986。此值的主要目的是為了可運算的對應。因此,為了比較的目的,它可能會被正規化(例如:去除不重要的空白、破折號等)。一個為人顯示的格式化的值可以使用Rendered Value擴充來傳達。除非對Identifier.system的了解使處理者確信不區分大小寫的處理是安全的,否則Identifier.value應被視為區分大小寫。


If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Control10..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Example<br/><b>General</b>:123456
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Practitioner.identifier.period
Definition

識別碼有效/曾經有效使用的時段或期間


Time period during which identifier is/was valid for use.

Short此身份識別碼(identifier)的使用效期Time period when id is/was valid for use
Control0..1
TypePeriod
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Practitioner.identifier.assigner
Definition

簽發/管理識別碼的機構


Organization that issued/manages the identifier.

Short簽發identifier的機構(可以只是文字表述)Organization that issued id (may be just text)
Comments

Identifier.assigner可以省略.reference資料項目,只包含一個.display資料項目,反映指定機構的名稱或其他文字表述資訊。


The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control0..1
TypeReference(TW Core Organization, Organization)
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Practitioner.active
Definition

此照護服務提供人員的紀錄是否在使用中


Whether this practitioner's record is in active use.

Short此照護服務提供人員的紀錄是否在使用中Whether this practitioner's record is in active use
Comments

如果機構未使用此照護服務提供人員紀錄,那麼應該在PractitonerRole上標註結束日期(即使他們是使用中的),因為他們可能以另一種角色存在。


If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.

Control0..1
Typeboolean
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

由於照護服務提供人員的紀錄被錯誤建立,需能將其紀錄標註為非使用中。


Need to be able to mark a practitioner record as not to be used because it was created in error.

Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. Practitioner.name
Definition

照護服務提供人員的姓名


The name(s) associated with the practitioner.

Short照護服務提供人員的姓名The name(s) associated with the practitioner
Comments

使用屬性的選擇應確保有一個指定的常用名稱,其他名稱應根據需要使用暱稱(別名)、舊名或其他值。

一般來說,根據以下條件決定要在ResourceReference.display中使用的值:

  1. 有一個以上的名字
  2. Use=usual
  3. Period(使用期間)是目前日期至使用截止日期
  4. Use=official
  5. 其他順序則由內部業務規則決定

The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate.

In general, select the value to be used in the ResourceReference.display based on this:

  1. There is more than 1 name
  2. Use = usual
  3. Period is current to the date of the usage
  4. Use = official
  5. Other order as decided by internal business rules.
Control10..*
TypeHumanName
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

Practitioner所使用的名稱。如果有多個名字,則應使用此健康照護服務提供人員常用的名字來顯示。


The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
tw-core-1: Patient.name.text or Patient.name.family or both SHALL be present (text.exists() or family.exists())
40. Practitioner.name.id
Definition

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。


Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short唯一可識別ID,以供資料項目間相互參照。Unique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
42. Practitioner.name.extension
Definition

擴充的資料項目


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.

Short擴充的資料項目Additional content defined by implementations
Comments

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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Practitioner.name.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
44. Practitioner.name.use
Definition

此姓名的用途


Identifies the purpose for this name.

Shortusual | official | temp | nickname | anonymous | old | maiden
Comments

應用程式可以假定一個姓名是永久的,除非它明確說它是暫時或舊的。


Applications can assume that a name is current unless it explicitly says that it is temporary or old.

Control0..1
BindingThe codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1

人名的使用情況;應填入NameUse值集中的其中一個代碼。


The use of a human name.

Typecode
Is Modifiertrue because This is labeled as &quot;Is Modifier&quot; because applications should not mistake a temporary or old name etc.for a current/permanent one
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

允許從一組姓名中為特定的使用情境選擇適當的姓名


Allows the appropriate name for a particular context of use to be selected from among a set of names.

Pattern Valueofficial
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. Practitioner.name.text
Definition

完整姓名的文字表述。由於世界各地的文化差異,取得資料的系統可能不知道如何正確地呈現姓名;此外,不是所有的名字部分都呈現予姓或名。因此,我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。


Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

Short完整的中文姓名Text representation of the full name
Comments

可以同時提供文字表述(text)和部分(part)。更新姓名的應用程式 必須(SHALL) 確保當test和lpart都存在時,text中不包含part中沒有的內容。


Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

Control0..1
This element is affected by the following invariants: tw-core-1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

一個可呈現的、未編碼的形式。


A renderable, unencoded form.

Example<br/><b>General</b>:王依昇
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. Practitioner.name.family
Definition

姓名中與族譜相關的部分。在一些文化中(如厄立特里亞),兒子的姓氏是其父親的名字。


The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

Short英文姓Family name (often called 'Surname')
Comments

姓氏可以使用擴充名(de、nl、es相關文化)分解成具體的部分(part)


Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

Control0..1
This element is affected by the following invariants: tw-core-1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Alternate Namessurname
Example<br/><b>General</b>:Wang
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. Practitioner.name.given
Definition

姓名中的「名」


Given name.

Short英文名Given names (not always 'first'). Includes middle names
Comments

如果只記錄首字母,可以用它們來代替完整姓名。首字母可以分為多個名,但由於實際情況的限制,通常不會這樣做。這個資料項目不被稱為 「first name」,因為「given name」並不總是排在前面。


If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

Control0..*
This element is affected by the following invariants: tw-core-1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Alternate Namesfirst name, middle name
Example<br/><b>General</b>:Yi Sheng
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. Practitioner.name.prefix
Definition

由於學術、法規、就業或貴族身份等原因而獲得的名,並出現在姓名的開頭。


Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

Short姓名前面的頭銜 由於學術,法律,職業或貴族身份等原因而獲得頭銜,出現在姓名開頭。Parts that come before the name
Control0..*
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. Practitioner.name.suffix
Definition

由於學術、法規、就業或貴族身份等原因而獲得的名,並出現在姓名的開頭。


Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

Short姓名後面的稱謂 由於學術,法律,職業或貴族身份等原因而獲得頭銜,出現在姓名之後。Parts that come after the name
Control0..*
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. Practitioner.name.period
Definition

表明這個姓名對此病人有效的時間區間或期間


Indicates the period of time when this name was valid for the named person.

Short此姓名的使用效期Time period when name was/is in use
Control0..1
TypePeriod
Is Modifierfalse
Summarytrue
Requirements

允許多個姓名按其歷史情境(效期)儲存


Allows names to be placed in historical context.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. Practitioner.telecom
Definition

照護服務提供人員的詳細聯絡方式,例如:電話號碼或電子郵件信箱。


A contact detail for the practitioner, e.g. a telephone number or an email address.

Short照護服務提供人員的詳細聯絡方式(適用於所有角色)。A contact detail for the practitioner (that apply to all roles)
Comments

個人可能有多種聯繫方式,有不同的用途或適用期。可能需要有與該人緊急聯繫的選項,並幫助識別。這些通常會有家用電話號碼,或沒有特定角色的手機號碼。


Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific.

Control0..*
TypeContactPoint
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

不論照護服務提供人員的角色是什麼,需要知道如何與照護服務提供人員取得聯繫。


Need to know how to reach a practitioner independent to any roles the practitioner may have.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. Practitioner.telecom.id
Definition

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。


Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short唯一可識別ID,以供資料項目間相互參照。Unique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
62. Practitioner.telecom.extension
Definition

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。


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.

Short擴充的資料項目Additional content defined by implementations
Comments

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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Practitioner.telecom.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
64. Practitioner.telecom.system
Definition

聯絡方式的通訊形式-需要什麼通訊系統進行聯絡


Telecommunications form for contact point - what communications system is required to make use of the contact.

Shortphone | fax | email | pager | url | sms | other
Control10..1
This element is affected by the following invariants: cpt-2
BindingThe codes SHALL be taken from ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1

應填入ContactPointSystem值集中的其中一個代碼。


Telecommunications form for contact point.

Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. Practitioner.telecom.value
Definition

實際的聯絡方式之細節,針對指定的通訊系統提供有意義的形式(電話號碼或是電子郵件位址)。


The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

Short實際的聯絡方式之細節The actual contact point details
Comments

額外的文字資料,例如電話分機號碼、或關於聯絡人的說明,有時也包括於此值。


Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

Control10..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

需支援非嚴格格式控制之舊有號碼


Need to support legacy numbers that are not in a tightly controlled format.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
68. Practitioner.telecom.use
Definition

確定聯絡方式的用途


Identifies the purpose for the contact point.

Shorthome | work | temp | old | mobile-此聯絡方式的用途home | work | temp | old | mobile - purpose of this contact point
Comments

應用程式可以假定一個聯絡方法是目前使用中,除非它明確說它是暫時的或舊的。


Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

Control0..1
BindingThe codes SHALL be taken from ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1

應填入ContactPointUse值集中的其中一個代碼。


Use of contact point.

Typecode
Is Modifiertrue because This is labeled as &quot;Is Modifier&quot; because applications should not mistake a temporary or old contact etc.for a current/permanent one
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

需要追蹤此人使用這種聯絡的方式,使用者可以選擇適合他們用途的聯絡方式。


Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
70. Practitioner.telecom.rank
Definition

具體說明使用一組聯絡方式的優先順序,較小排名序位的聯絡方式比較大排名序位的聯絡方式之序位還要前面。


Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

Short具體說明偏好的使用順序(1=最高優先順序)Specify preferred order of use (1 = highest)
Comments

請注意,排名序位沒有一定要遵循聯絡方式在實例中呈現的順序。


Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

Control0..1
TypepositiveInt
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. Practitioner.telecom.period
Definition

此聯絡方式的使用效期


Time period when the contact point was/is in use.

Short此聯絡方式的使用效期Time period when the contact point was/is in use
Control0..1
TypePeriod
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. Practitioner.address
Definition

不限特定角色的健康照護服務提供人員的地址(通常是住家地址),工作地址通常不在此屬性中輸入,因為它們通常取決於此人員的角色。


Address(es) of the practitioner that are not role specific (typically home address). Work addresses are not typically entered in this property as they are usually role dependent.

Short不限特定角色的照護服務提供人員的地址(通常是住家地址)Address(es) of the practitioner that are not role specific (typically home address)
Comments

PractitionerRole上沒有address但有location屬性(它有一個地址)用於這個目的。


The PractitionerRole does not have an address value on it, as it is expected that the location property be used for this purpose (which has an address).

Control0..*
This element is affected by the following invariants: ele-1
TypeAddress(TW Core Address)
Is Modifierfalse
Must Supporttrue
Requirements

Administrative Gender為行政管理的及保存紀錄目的之健康照護服務提供人員性別


The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
76. Practitioner.gender
Definition

Administrative Gender為行政管理的及保存紀錄目的之健康照護服務提供人員性別


Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.

Shortmale | female | other | unknownmale | female | other | unknown
Control0..1
BindingThe codes SHALL be taken from AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1

性別;應填入AdministrativeGender值集中的其中一個代碼。


The gender of a person used for administrative purposes.

Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

用以正確稱呼健康照護服務提供人員


Needed to address the person correctly.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
78. Practitioner.birthDate
Definition

照護服務提供人員的出生日期


The date of birth for the practitioner.

Short照護服務提供人員的出生日期The date on which the practitioner was born
Control0..1
Typedate
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

為了識別身份而需要


Needed for identification.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
80. Practitioner.photo
Definition

人員的影像(照片)


Image of the person.

Short人員的影像(照片)Image of the person
Control0..*
TypeAttachment
Is Modifierfalse
Must Supporttrue
Summaryfalse
Requirements

許多EHR系統有能力取得健康照護服務提供人員的影像(照片),這也符合較新的社群媒體的使用。


Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
82. Practitioner.qualification
Definition

授權或其他與照護服務提供人員提供照護有關的官方證書、執照和培訓。例如:由衛生福利部頒發的醫師證書。


The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner. For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality.

Short與照護服務相關的證書、執照或培訓Certification, licenses, or training pertaining to the provision of care
Control0..*
TypeBackboneElement
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
84. Practitioner.qualification.id
Definition

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。


Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Short唯一可識別ID,以供資料項目間相互參照。Unique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
86. Practitioner.qualification.extension
Definition

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。


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.

Short擴充的資料項目Additional content defined by implementations
Comments

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汙名(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。


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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
88. Practitioner.qualification.modifierExtension
Definition

可以用來表示不屬於資料項目的基本定義的附加資訊,並且修改對它所內嵌(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。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。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,有一組要求 必須(SHALL) 滿足。處理resource的應用程式被要求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)。


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).

Short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。Extensions that cannot be ignored even if unrecognized
Comments

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汙名(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。


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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

修飾用的資料項目擴充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。透過消除禁止實作者擴充存在的需求來促進可互通性。更多訊息,請參見修飾用的資料項目擴充之定義


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.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
90. Practitioner.qualification.identifier
Definition

此人在此角色的資格證書之識別碼


An identifier that applies to this person's qualification in this role.

Short照護服務提供人員的資格證書識別碼An identifier for this qualification for the practitioner
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Is Modifierfalse
Summaryfalse
Requirements

通常此資格證書會被指定特定識別碼


Often, specific identities are assigned for the qualification.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
92. Practitioner.qualification.code
Definition

資格證書的編碼表示法


Coded representation of the qualification.

Short資格證書的編碼表示法Coded representation of the qualification
Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Control1..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For example codes, see 臺灣醫事人員類別值集http://terminology.hl7.org/ValueSet/v2-2.7-0360

照護服務提供人員提供服務所具有的具體資格證書;應填入臺灣醫事人員類別值集值集中的其中一個代碼。


Specific qualification the practitioner has to provide a service.

TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
94. Practitioner.qualification.period
Definition

資格證書的有效期限


Period during which the qualification is valid.

Short資格證書的有效期限Period during which the qualification is valid
Control0..1
TypePeriod
Is Modifierfalse
Summaryfalse
Requirements

資格證書通常是有期限的,並且可以被撤銷。


Qualifications are often for a limited period of time, and can be revoked.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
96. Practitioner.qualification.issuer
Definition

監管和頒發資格證書的機構


Organization that regulates and issues the qualification.

Short監管和頒發資格證書的機構Organization that regulates and issues the qualification
Control0..1
TypeReference(TW Core Organization, Organization)
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
98. Practitioner.communication
Definition

健康照護服務提供人員與病人溝通時可使用的語言


A language the practitioner can use in patient communication.

Short健康照護服務提供人員與病人溝通時可使用的語言A language the practitioner can use in patient communication
Comments

帶有這種精確字母大小寫的aa-BB結構是最廣泛使用的地方性符號之一。但並不是所有的系統都對其進行編碼,而是將其作為純文字表述。因此,data type為CodeableConcept而不是code。


The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.

Control0..*
This element is affected by the following invariants: ele-1
BindingThe codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages

人類語言;鼓勵使用CommonLanguages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。


A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Requirements

知道照護服務提供人員講哪種語言有助於促進與病人的溝通


Knowing which language a practitioner speaks can help in facilitating communication with patients.

Example<br/><b>Value</b>:zh-TW
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be found here

0. Practitioner
Definition

直接或間接提供健康照護的人員

Short對於所提供之健康照護或相關服務負有正式責任的人員
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
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 (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Practitioner.id
Definition

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。

Short不重複的ID用以識別儲存在特定FHIR Server中的Practitioner紀錄,通常又稱為邏輯性ID。
Comments

一個resource使用新增操作(create operation)提交給伺服器時是此resource唯一沒有id的時刻

Control0..1
Typeid
Is Modifierfalse
Summarytrue
4. Practitioner.meta
Definition

關於resource的metadata。這是由基礎建設維護的內容。對內容的改變可能並不總是與resource的版本改變相關。

Short此PractitionerResource的metadata
Control0..1
TypeMeta
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Practitioner.implicitRules
Definition

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IG定義特殊規則及其他profiles的參照。

Short創建此內容所依據的一組規則
Comments

宣告這套規則限制了內容只能被有限的貿易夥伴所理解。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是對實作指引的參照,此指引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。

Control0..1
Typeuri
Is Modifiertrue because 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
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Practitioner.language
Definition

編寫此resource的基礎語言

Short用以表述Practitioner Resource內容的語言
Comments

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基礎語言。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元素(關於xml:lang和html lang屬性之間的關係,見HTML5中的規則)。

Control0..1
BindingThe codes SHOULD be taken from CommonLanguages: 人類語言;鼓勵使用CommonLanguages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。
Additional BindingsPurpose
AllLanguagesMax Binding
Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Example<br/><b>Value</b>:zh-TW
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Practitioner.text
Definition

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定義可定義哪些內容應該在敘述中表示,以確保臨床安全。

ShortPractitioner Resource之內容摘要以供人閱讀
Comments

內嵌(contained)的resource沒有敘述,非內嵌(contained)的resource則 建議應該(SHOULD) 有敘述。在某些情況下,resource可能只有文字表述,很少或沒有額外的離散資料(只要滿足所有minOccurs=1的資料項目)。這對於來自舊有系統的資料可能是必要的,在這些系統中,從 「文字表述區塊(text blob) 」獲取訊息,或者文字表述是額外的原始輸入或敘述,而編碼訊息是後來添加的。

Control0..1
TypeNarrative
Is Modifierfalse
Must Supporttrue
Summaryfalse
Alternate Namesnarrative, html, xhtml, display
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Practitioner.contained
Definition

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。

Short內嵌的(contained)、行內的Resources
Comments

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,因為一旦識別丟失,要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(標籤),但 必須沒有(SHALL NOT) 資訊安全標號(security labels)。

Control0..*
TypeResource
Is Modifierfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
14. Practitioner.extension
Definition

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。

Short擴充的資料項目
Comments

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。

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. Practitioner.modifierExtension
Definition

可以用來表示不屬於資料項目的基本定義的附加資訊,並且修改對它所內嵌(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。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。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。處理resource的應用程式被要求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)。

Short此擴充的資料項目可能會完全修改或改變其他資料項目的意涵,需特別留意。
Comments

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。

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

修飾用的資料項目擴充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。透過消除禁止實作者擴充存在的需求來促進可互操作性。更多訊息,請參見修飾用的資料項目擴充之定義。

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
18. Practitioner.identifier
Definition

此人員於此角色的識別碼

Short此照護服務提供人員的識別碼
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

通常此人員會被指定特定識別碼

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Practitioner.identifier.id
Definition

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。

Short唯一可識別ID,以供資料項目間相互參照。
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
22. Practitioner.identifier.extension
Definition

擴充的資料項目

Short擴充的資料項目
Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Practitioner.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
24. Practitioner.identifier.use
Definition

這個唯一識別碼(identifier)的用途

Shortusual | official | temp | secondary | old (如果知道)
Comments

應用程式可以假定一個識別碼是永久的,除非它明確說它是暫時的。

Control0..1
BindingThe codes SHALL be taken from IdentifierUse: 識別碼的型別,用於決定特定目的所適用的識別碼;應填入IdentifierUse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。
Typecode
Is Modifiertrue because This is labeled as &quot;Is Modifier&quot; because applications should not mistake a temporary id for a permanent one.
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

允許從一組識別碼中為特定的使用情境選擇適當的識別碼

Pattern Valueofficial
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Practitioner.identifier.type
Definition

識別碼的代碼型別,用於決定特定目適用的識別碼。

Short照護服務提供人員的識別碼(identifier)的型別說明
Comments

這個資料項目只涉及識別碼的一般類別。它 必須沒有(SHALL NOT) 被用於與Identifier.system 1..1對應的代碼。一些識別碼可能由於常見的用法而屬於多個類別。在系統是已知的情況下,型別是不必要的,因為型別總是系統定義的一部分。然而,系統經常需要處理系統不為人知的識別碼。型別和系統之間不是1:1的關係,因為許多不同的系統有相同的型別。

Control0..1
This element is affected by the following invariants: ele-1
BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes: A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Must Supporttrue
Requirements

允許使用者在不知道識別碼系統的情況下利用識別碼

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Practitioner.identifier.system
Definition

建立值的命名空間-即一個描述一組值的唯一URL

Short照護服務提供人員識別碼(identifier)的命名空間(namespace)
Comments

Identifier.system總是區分大小寫

Control1..1
Typeuri
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

有許多識別碼的集合。為了進行兩個識別碼的對應,我們需要知道我們處理的是哪一組。系統指明了一個特定的唯一識別碼集。

Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Practitioner.identifier.value
Definition

識別碼中通常與使用者有關的部分,在系統情境內是唯一的。

Short唯一值。 例如:照護服務提供人員之員工編號為KP00017
Comments

如果此值是一個完整的URI,那麼此系統 必須(SHALL) 是urn:ietf:rfc:3986。此值的主要目的是為了可運算的對應。因此,為了比較的目的,它可能會被正規化(例如:去除不重要的空白、破折號等)。一個為人顯示的格式化的值可以使用Rendered Value擴充來傳達。除非對Identifier.system的了解使處理者確信不區分大小寫的處理是安全的,否則Identifier.value應被視為區分大小寫。

Control1..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Example<br/><b>General</b>:123456
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Practitioner.identifier.period
Definition

識別碼有效/曾經有效使用的時段或期間

Short此身份識別碼(identifier)的使用效期
Control0..1
TypePeriod
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Practitioner.identifier.assigner
Definition

簽發/管理識別碼的機構

Short簽發identifier的機構(可以只是文字表述)
Comments

Identifier.assigner可以省略.reference資料項目,只包含一個.display資料項目,反映指定機構的名稱或其他文字表述資訊。

Control0..1
TypeReference(TW Core Organization)
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Practitioner.active
Definition

此照護服務提供人員的紀錄是否在使用中

Short此照護服務提供人員的紀錄是否在使用中
Comments

如果機構未使用此照護服務提供人員紀錄,那麼應該在PractitonerRole上標註結束日期(即使他們是使用中的),因為他們可能以另一種角色存在。

Control0..1
Typeboolean
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

由於照護服務提供人員的紀錄被錯誤建立,需能將其紀錄標註為非使用中。

Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. Practitioner.name
Definition

照護服務提供人員的姓名

Short照護服務提供人員的姓名
Comments

使用屬性的選擇應確保有一個指定的常用名稱,其他名稱應根據需要使用暱稱(別名)、舊名或其他值。

Control1..*
TypeHumanName
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

Practitioner所使用的名稱。如果有多個名字,則應使用此健康照護服務提供人員常用的名字來顯示。

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
tw-core-1: Patient.name.text or Patient.name.family or both SHALL be present (text.exists() or family.exists())
40. Practitioner.name.id
Definition

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。

Short唯一可識別ID,以供資料項目間相互參照。
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
42. Practitioner.name.extension
Definition

擴充的資料項目

Short擴充的資料項目
Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Practitioner.name.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
44. Practitioner.name.use
Definition

此姓名的用途

Shortusual | official | temp | nickname | anonymous | old | maiden
Comments

應用程式可以假定一個姓名是永久的,除非它明確說它是暫時或舊的。

Control0..1
BindingThe codes SHALL be taken from NameUse: 人名的使用情況;應填入NameUse值集中的其中一個代碼。
Typecode
Is Modifiertrue because This is labeled as &quot;Is Modifier&quot; because applications should not mistake a temporary or old name etc.for a current/permanent one
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

允許從一組姓名中為特定的使用情境選擇適當的姓名

Pattern Valueofficial
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. Practitioner.name.text
Definition

完整姓名的文字表述。由於世界各地的文化差異,取得資料的系統可能不知道如何正確地呈現姓名;此外,不是所有的名字部分都呈現予姓或名。因此,我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。

Short完整的中文姓名
Comments

可以同時提供文字表述(text)和部分(part)。更新姓名的應用程式 必須(SHALL) 確保當test和lpart都存在時,text中不包含part中沒有的內容。

Control0..1
This element is affected by the following invariants: tw-core-1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

一個可呈現的、未編碼的形式。

Example<br/><b>General</b>:王依昇
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. Practitioner.name.family
Definition

姓名中與族譜相關的部分。在一些文化中(如厄立特里亞),兒子的姓氏是其父親的名字。

Short英文姓
Comments

姓氏可以使用擴充名(de、nl、es相關文化)分解成具體的部分(part)

Control0..1
This element is affected by the following invariants: tw-core-1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Alternate Namessurname
Example<br/><b>General</b>:Wang
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. Practitioner.name.given
Definition

姓名中的「名」

Short英文名
Comments

如果只記錄首字母,可以用它們來代替完整姓名。首字母可以分為多個名,但由於實際情況的限制,通常不會這樣做。這個資料項目不被稱為 「first name」,因為「given name」並不總是排在前面。

Control0..*
This element is affected by the following invariants: tw-core-1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Alternate Namesfirst name, middle name
Example<br/><b>General</b>:Yi Sheng
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. Practitioner.name.prefix
Definition

由於學術、法規、就業或貴族身份等原因而獲得的名,並出現在姓名的開頭。

Short姓名前面的頭銜 由於學術,法律,職業或貴族身份等原因而獲得頭銜,出現在姓名開頭。
Control0..*
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. Practitioner.name.suffix
Definition

由於學術、法規、就業或貴族身份等原因而獲得的名,並出現在姓名的開頭。

Short姓名後面的稱謂 由於學術,法律,職業或貴族身份等原因而獲得頭銜,出現在姓名之後。
Control0..*
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. Practitioner.name.period
Definition

表明這個姓名對此病人有效的時間區間或期間

Short此姓名的使用效期
Control0..1
TypePeriod
Is Modifierfalse
Summarytrue
Requirements

允許多個姓名按其歷史情境(效期)儲存

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. Practitioner.telecom
Definition

照護服務提供人員的詳細聯絡方式,例如:電話號碼或電子郵件信箱。

Short照護服務提供人員的詳細聯絡方式(適用於所有角色)。
Comments

個人可能有多種聯繫方式,有不同的用途或適用期。可能需要有與該人緊急聯繫的選項,並幫助識別。這些通常會有家用電話號碼,或沒有特定角色的手機號碼。

Control0..*
TypeContactPoint
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

不論照護服務提供人員的角色是什麼,需要知道如何與照護服務提供人員取得聯繫。

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. Practitioner.telecom.id
Definition

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。

Short唯一可識別ID,以供資料項目間相互參照。
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
62. Practitioner.telecom.extension
Definition

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。

Short擴充的資料項目
Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Practitioner.telecom.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
64. Practitioner.telecom.system
Definition

聯絡方式的通訊形式-需要什麼通訊系統進行聯絡

Shortphone | fax | email | pager | url | sms | other
Control1..1
This element is affected by the following invariants: cpt-2
BindingThe codes SHALL be taken from ContactPointSystem: 應填入ContactPointSystem值集中的其中一個代碼。
Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. Practitioner.telecom.value
Definition

實際的聯絡方式之細節,針對指定的通訊系統提供有意義的形式(電話號碼或是電子郵件位址)。

Short實際的聯絡方式之細節
Comments

額外的文字資料,例如電話分機號碼、或關於聯絡人的說明,有時也包括於此值。

Control1..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

需支援非嚴格格式控制之舊有號碼

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
68. Practitioner.telecom.use
Definition

確定聯絡方式的用途

Shorthome | work | temp | old | mobile-此聯絡方式的用途
Comments

應用程式可以假定一個聯絡方法是目前使用中,除非它明確說它是暫時的或舊的。

Control0..1
BindingThe codes SHALL be taken from ContactPointUse: 應填入ContactPointUse值集中的其中一個代碼。
Typecode
Is Modifiertrue because This is labeled as &quot;Is Modifier&quot; because applications should not mistake a temporary or old contact etc.for a current/permanent one
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

需要追蹤此人使用這種聯絡的方式,使用者可以選擇適合他們用途的聯絡方式。

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
70. Practitioner.telecom.rank
Definition

具體說明使用一組聯絡方式的優先順序,較小排名序位的聯絡方式比較大排名序位的聯絡方式之序位還要前面。

Short具體說明偏好的使用順序(1=最高優先順序)
Comments

請注意,排名序位沒有一定要遵循聯絡方式在實例中呈現的順序。

Control0..1
TypepositiveInt
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. Practitioner.telecom.period
Definition

此聯絡方式的使用效期

Short此聯絡方式的使用效期
Control0..1
TypePeriod
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. Practitioner.address
Definition

不限特定角色的健康照護服務提供人員的地址(通常是住家地址),工作地址通常不在此屬性中輸入,因為它們通常取決於此人員的角色。

Short不限特定角色的照護服務提供人員的地址(通常是住家地址)
Comments

PractitionerRole上沒有address但有location屬性(它有一個地址)用於這個目的。

Control0..*
This element is affected by the following invariants: ele-1
TypeAddress(TW Core Address)
Is Modifierfalse
Must Supporttrue
Requirements

Administrative Gender為行政管理的及保存紀錄目的之健康照護服務提供人員性別

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
76. Practitioner.gender
Definition

Administrative Gender為行政管理的及保存紀錄目的之健康照護服務提供人員性別

Shortmale | female | other | unknown
Control0..1
BindingThe codes SHALL be taken from AdministrativeGender: 性別;應填入AdministrativeGender值集中的其中一個代碼。
Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

用以正確稱呼健康照護服務提供人員

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
78. Practitioner.birthDate
Definition

照護服務提供人員的出生日期

Short照護服務提供人員的出生日期
Control0..1
Typedate
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

為了識別身份而需要

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
80. Practitioner.photo
Definition

人員的影像(照片)

Short人員的影像(照片)
Control0..*
TypeAttachment
Is Modifierfalse
Must Supporttrue
Summaryfalse
Requirements

許多EHR系統有能力取得健康照護服務提供人員的影像(照片),這也符合較新的社群媒體的使用。

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
82. Practitioner.qualification
Definition

授權或其他與照護服務提供人員提供照護有關的官方證書、執照和培訓。例如:由衛生福利部頒發的醫師證書。

Short與照護服務相關的證書、執照或培訓
Control0..*
TypeBackboneElement
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
84. Practitioner.qualification.id
Definition

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。

Short唯一可識別ID,以供資料項目間相互參照。
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
86. Practitioner.qualification.extension
Definition

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。

Short擴充的資料項目
Comments

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汙名(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。

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
88. Practitioner.qualification.modifierExtension
Definition

可以用來表示不屬於資料項目的基本定義的附加資訊,並且修改對它所內嵌(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。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。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,有一組要求 必須(SHALL) 滿足。處理resource的應用程式被要求檢查修飾用的擴充資料項目。

Short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。
Comments

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汙名(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。

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

修飾用的資料項目擴充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。透過消除禁止實作者擴充存在的需求來促進可互通性。更多訊息,請參見修飾用的資料項目擴充之定義

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
90. Practitioner.qualification.identifier
Definition

此人在此角色的資格證書之識別碼

Short照護服務提供人員的資格證書識別碼
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Is Modifierfalse
Summaryfalse
Requirements

通常此資格證書會被指定特定識別碼

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
92. Practitioner.qualification.code
Definition

資格證書的編碼表示法

Short資格證書的編碼表示法
Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Control1..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from 臺灣醫事人員類別值集: 照護服務提供人員提供服務所具有的具體資格證書;應填入臺灣醫事人員類別值集值集中的其中一個代碼。
TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
94. Practitioner.qualification.period
Definition

資格證書的有效期限

Short資格證書的有效期限
Control0..1
TypePeriod
Is Modifierfalse
Summaryfalse
Requirements

資格證書通常是有期限的,並且可以被撤銷。

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
96. Practitioner.qualification.issuer
Definition

監管和頒發資格證書的機構

Short監管和頒發資格證書的機構
Control0..1
TypeReference(TW Core Organization)
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
98. Practitioner.communication
Definition

健康照護服務提供人員與病人溝通時可使用的語言

Short健康照護服務提供人員與病人溝通時可使用的語言
Comments

帶有這種精確字母大小寫的aa-BB結構是最廣泛使用的地方性符號之一。但並不是所有的系統都對其進行編碼,而是將其作為純文字表述。因此,data type為CodeableConcept而不是code。

Control0..*
This element is affected by the following invariants: ele-1
BindingThe codes SHOULD be taken from CommonLanguages: 人類語言;鼓勵使用CommonLanguages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。
Additional BindingsPurpose
AllLanguagesMax Binding
TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Requirements

知道照護服務提供人員講哪種語言有助於促進與病人的溝通

Example<br/><b>Value</b>:zh-TW
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))