臺灣核心實作指引(TW Core IG)
0.2.0 - Trial Use
臺灣核心實作指引(TW Core IG)
0.2.0 - Trial Use
This page is part of the 臺灣核心實作指引(TW Core IG) (v0.2.0: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Active as of 2024-03-21 |
Definitions for the Composition-twcore resource profile.
Guidance on how to interpret the contents of this table can be found here
| 0. Composition | |||||
| Definition | 一組與健康照護相關的資訊，這些訊息被組合成一個單一的邏輯套件，提供一個單一的連貫的意義陳述，建立自己的上下文，並且提供有關於是誰做出陳述的臨床認證。 | ||||
| Short | 將一組resources組成一份連貫的臨床聲明，並附有臨床證明。 | ||||
| Comments | 雖然此規範的重點在於特定於病人的臨床聲明，但此resource也可適用於其他與健康照護相關的聲明，如研究方案設計、醫療發票和其他不必然與特定於病人或臨床相關的活動。 | ||||
| 2. Composition.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Composition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. Composition.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Composition Resource的metadata | ||||
| 6. Composition.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. Composition.language | |||||
| Definition | 編寫此resource的基礎語言 | ||||
| Short | 用以表述Composition 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)。 | ||||
| Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages)人類語言；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。
| ||||
| Example | <br/><b>Value</b>:zh-TW | ||||
| 10. Composition.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。 | ||||
| Short | Composition 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。 | ||||
| 12. Composition.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 | 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。 | ||||
| 14. Composition.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. Composition.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。 | ||||
| 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. Composition.identifier | |||||
| Definition | 與版本無關的Composition識別碼。隨著時間的推移，該識別碼將保持不變。 | ||||
| Short | 不分版本的臨床文件架構(Composition)識別碼。 | ||||
| Comments | 類似於 CDA 中的 ClinicalDocument/setId。請參閱resource定義中的討論，了解它們之間的關係。 | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Must Support | true | ||||
| 20. Composition.status | |||||
| Definition | 此composition的工作流程/臨床狀態。狀態是指文件的臨床狀態的標識。 | ||||
| Short | registered | partial | preliminary | final | amended | corrected + | ||||
| Comments | 如果一個composition被標記為撤回(withdraw)，那麼該系列中的composition/文件或者此composition或文件系列中的資料，若未被明確標記為(該撤回)不可信的情況下，則不應向用戶展示。「錯誤輸入 (entered-in-error)標籤是此composition為何被標記為修飾用資料項目(modifier)的原因。 某些報告工作流程要求最終文件的原始敘述永不更改；意即只能添加新的敘述。composition resource 沒有明確的狀態(status)來明確註明是否適用此業務規則。如有需要，這將透過擴充來處理。 | ||||
| Binding | The codes SHALL be taken from CompositionStatus (required to http://hl7.org/fhir/ValueSet/composition-status|4.0.1)Composition的工作流程/臨床狀態；應填入所綁定值集中的其中一個代碼。 | ||||
| Must Support | true | ||||
| Requirements | 需要能夠標記為臨時(interim)、修改(amended)或撤回(withdrawn)的composition或文件。 | ||||
| 22. Composition.type | |||||
| Definition | 指定特定類型的composition（如病史和體檢、出院摘要、病程紀錄）。這通常等同於製作composition的目的。 | ||||
| Short | Composition的種類（如果可能請使用LOINC） | ||||
| Binding | Unless not suitable, these codes SHALL be taken from FHIRDocumentTypeCodes (extensible to http://hl7.org/fhir/ValueSet/doc-typecodes)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。 | ||||
| Type | CodeableConcept(TW CodeableConcept) | ||||
| Must Support | true | ||||
| Requirements | 描述composition的關鍵metadata資料項目，用於查詢/篩選。 | ||||
| 24. Composition.category | |||||
| Definition | composition類型的分類 - 有助於索引和查詢。這可能是由 Composition Type 中指定的代碼隱含或衍生出來的。 | ||||
| Short | Composition的分類 | ||||
| Comments | "這是來自XDS/MHD的metadata欄位"。 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from DocumentClassValueSet (extensible to http://hl7.org/fhir/ValueSet/document-classcodes)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。 | ||||
| Type | CodeableConcept(TW CodeableConcept) | ||||
| Requirements | 幫助人類在檢視composition或規範文件時評估composition是否感興趣。 | ||||
| 26. Composition.subject | |||||
| Definition | composition是關於誰或什麼的。composition可以是關於一個人（病人或醫護人員）、一個設備（如機器），甚至是一群對象（如關於一群牲畜的文件，或一群有共同曝露的病人）。 | ||||
| Short | Composition是關於誰和/或什麼 | ||||
| Comments | 對於臨床文件來說，這通常是指病人。 | ||||
| Type | Reference(TW Core Patient, Group, Device, Substance, TW Core Location) | ||||
| Must Support | true | ||||
| Must Support Types | No must-support rules about the choice of types/profiles | ||||
| Requirements | 查詢composition的基本metadata，指明compoisition/文件的作者和/或內容。 | ||||
| 28. Composition.encounter | |||||
| Definition | 描述與該文件相關的臨床就醫事件或照護類型。 | ||||
| Short | Composition的情境 | ||||
| Type | Reference(TW Core Encounter) | ||||
| Requirements | 為composition提供情境並支持查詢。 | ||||
| 30. Composition.date | |||||
| Definition | composition編輯時間，即作者最後一次邏輯上更改composition的時間。 | ||||
| Short | Composition的編輯時間 | ||||
| Comments | composition上的最後修改日期可能在文件被證明日期之後而未更改。這意味著修改過的文件上的日期是修改日期，而非原始撰寫之日期。 | ||||
| Must Support | true | ||||
| Requirements | dateTime 用於追蹤、組織版本和查詢。請注意：這是創作此版本Composition的時間。打包成文檔時，Bundle.timestamp 是打包日期。 | ||||
| 32. Composition.author | |||||
| Definition | 指明誰對composition中的資訊負責，而不一定是誰輸入了它。 | ||||
| Short | 誰和/或什麼創建了這個Composition | ||||
| Type | Reference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, TW Core Patient, Device, RelatedPerson) | ||||
| Must Support | true | ||||
| Must Support Types | No must-support rules about the choice of types/profiles | ||||
| Requirements | 指明誰對內容負責 | ||||
| 34. Composition.title | |||||
| Definition | composition的正式可讀標籤 | ||||
| Short | 人類可讀的名稱/標題 | ||||
| Comments | 對於許多composition來說，標題與文本或 Composition.type 的顯示名稱相同（如 「會診﹙consultation﹚」或 「病程紀錄﹙progress note﹚」）。請注意：CDA 並不強制要求標題，但目前還沒有發現省略標題有用的情況，因此在此強制要求標題。歡迎在試用區間對這一要求提出反饋意見。 | ||||
| Must Support | true | ||||
| 36. Composition.confidentiality | |||||
| Definition | 具體說明Composition保密等級的代碼 | ||||
| Short | 根據特定技術領域的定義 | ||||
| Comments | 此資料項目的確切使用，以及與高度敏感文件相關的執行和問題超出了基本規範的範圍，並委託給實作Profiles（見安全小節）。 此資料項目被標記為修飾用，因為高度機密的文件不能被當作非機密文件處理。 | ||||
| Binding | The codes SHALL be taken from v3.ConfidentialityClassification (2014-03-26) (required to http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26)應填入所綁定值集中的其中一個代碼。 | ||||
| 38. Composition.attester | |||||
| Definition | 證明composition/文件準確無誤的參與者 | ||||
| Short | 證明Composition的準確性 | ||||
| Comments | 每位參與者只需每位證明者只列一次 | ||||
| Must Support | true | ||||
| Requirements | 指明對composition內容準確性的責任 | ||||
| 40. Composition.attester.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. Composition.attester.extension | |||||
| Definition | 擴充的資料項目 | ||||
| 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。 | ||||
| 44. Composition.attester.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。 | ||||
| 46. Composition.attester.mode | |||||
| Definition | 認證者提供的認證類型 | ||||
| Binding | The codes SHALL be taken from CompositionAttestationMode (required to http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1)認證者提供的認證類型；應填入所綁定值集中的其中一個代碼。 | ||||
| Requirements | 指明認證的權威程度 | ||||
| 48. Composition.attester.time | |||||
| Definition | 當composition被該方證實的時間 | ||||
| Short | 此Composition被證明的時間 | ||||
| Requirements | 指明composition中的資訊何時被認為是準確的。（自那時起可能發生了變化）。 | ||||
| 50. Composition.attester.party | |||||
| Definition | 誰以指定的方式證明了此composition | ||||
| Short | 誰證明了此Composition | ||||
| Type | Reference(TW Core Patient, RelatedPerson, TW Core Practitioner, TW Core PractitionerRole, TW Core Organization) | ||||
| Requirements | 指明由誰承擔composition內容準確性的責任 | ||||
| 52. Composition.custodian | |||||
| Definition | 指明負責持續維護和存取composition/文件資訊的機構或團體 | ||||
| Short | 維護Composition的機構 | ||||
| Comments | 當此文件是衍生自composition時非常有用。它提供了如何獲取文件的最新版本的指導。這是可選項，因為有時編寫系統並不知道可以根據情境推斷。不過，在處理派生文件時，了解這一資訊非常重要，因此鼓勵提供一個保管者。 | ||||
| Type | Reference(TW Core Organization) | ||||
| Must Support | true | ||||
| Requirements | 指明在哪裡可以找到當前版本、在哪裡可以報告問題等 | ||||
| 54. Composition.relatesTo | |||||
| Definition | 此composition與其他已有的composition或文件之間的關係 | ||||
| Short | 與其他Composition/文件之間的關係 | ||||
| Comments | 要參照（使用 relatesTo）「document」type的 Bundle 或其他只有識別碼的 Composition，請使用帶有識別碼的 resourceReference。 | ||||
| 56. Composition.relatesTo.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。 | ||||
| 58. Composition.relatesTo.extension | |||||
| Definition | 擴充的資料項目 | ||||
| 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。 | ||||
| 60. Composition.relatesTo.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。 | ||||
| 62. Composition.relatesTo.code | |||||
| Definition | 此composition與另一個compoisition或文件的關系類型 | ||||
| Comments | 如果此文件附加了另一個文件，那麼如果不存取參照的文件，就無法完全理解此文件。 | ||||
| Binding | The codes SHALL be taken from DocumentRelationshipType (required to http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1)檔案之間的關係型別；應填入所綁定值集中的其中一個代碼。 | ||||
| 64. Composition.relatesTo.target[x] | |||||
| Definition | 此關係的目標composition/文件 | ||||
| Short | 此關係的目標文件 | ||||
| [x] Note | See Choice of Data Types for further information about how to use [x] | ||||
| 66. Composition.event | |||||
| Definition | 記錄的臨床服務，例如：結腸鏡檢查或闌尾切除術。 | ||||
| Short | 正在記錄的臨床服務 | ||||
| Comments | 事件需要與類型資料項目保持一致，但如果需求，也可以提供更多的詳細資訊。 | ||||
| Requirements | 為composition提供情境背景，並在描述事件的resource和為描述事件而創建的composition之間建立連結。 | ||||
| 68. Composition.event.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。 | ||||
| 70. Composition.event.extension | |||||
| Definition | 擴充的資料項目 | ||||
| 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。 | ||||
| 72. Composition.event.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。 | ||||
| 74. Composition.event.code | |||||
| Definition | 一個概念可能透過正式參照專門術語或本體論來定義，或者可以由文字提供。 | ||||
| Short | 此代碼表代表了正在被記錄的主要臨床行為 | ||||
| Comments | 一個事件可以進一步專門化 typeCode 中固有的行為，例如：當它僅僅是「處置報告」，而該處置是「結腸鏡檢查」。如果包含一個或多個事件，它們 必須沒有(SHALL NOT) 與 classCode、practiceSettingCode 或 typeCode 中固有的值相衝突，因為這樣的衝突會造成模糊不清的情況。這個簡短的代碼清單提供用作某些類型查詢的關鍵字。 | ||||
| Binding | For example codes, see v3 Code System ActCode (example to http://terminology.hl7.org/ValueSet/v3-ActCode)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。 | ||||
| Type | CodeableConcept(TW CodeableConcept) | ||||
| 76. Composition.event.period | |||||
| Definition | 此文件涵蓋的時間區間，這並不是聲明此文件是這一個時間區間的完整代表，而只是表明它記錄了這段時間內發生的事件。 | ||||
| Short | 文件所涵蓋的時間區間 | ||||
| 78. Composition.event.detail | |||||
| Definition | 它描述了正在被記錄的主要臨床活動，比如說進行一次結腸鏡檢查或是闌尾切除手術。在某些情況下，這些臨床事件本身就包含在其typeCode中，例如：在「病史與體檢報告」中，所記錄的過程就必然是進行「病史與體檢」的行為。這些臨床事件可以以代碼的形式被記錄，或者作為對其他resource的參照。 | ||||
| Short | 在描述被記錄下來的事件，這些事件可以是以代碼的形式、參考資料的形式，或者兩者都有的形式來呈現。 | ||||
| Comments | 事件可以進一步細化類型編碼中的固有行為，例如，事件只是程序報告，而程序是結腸鏡檢查。如果包含一個或多個事件，它們不得與類別編碼、診療設置編碼或類型代碼中固有的值相衝 突，因為這樣的衝突會造成模稜兩可的情況。本編碼簡表可用作某些類型查詢的關鍵詞。 | ||||
| 80. Composition.section | |||||
| Definition | 構成composition的各小節 | ||||
| Short | Composition被分成一個或數個小節 | ||||
| Must Support | true | ||||
| 82. Composition.section.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。 | ||||
| 84. Composition.section.extension | |||||
| Definition | 擴充的資料項目 | ||||
| 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。 | ||||
| 86. Composition.section.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。 | ||||
| 88. Composition.section.title | |||||
| Definition | 此特定小節的標籤。這將是文件呈現內容的一部分，通常用於建立目錄。 | ||||
| Short | 小節標籤(例如：目錄ToC) | ||||
| Comments | 標題為人類讀者指明小節。標題必須與作為 section.content 參照目標的resource的敘述一致。通常章節 建議應該(SHOULD) 有標題，但在某些文件中，這可能是不必要的或不適當的。通常情況下，當一個小節有其自己足夠區分的標題的子小節，或只有單一小節的文件時，就會這樣。大多數IG會要求小節標題是必填的資料項目。 | ||||
| Requirements | 不同類型的文件常常會有標準化的小節標題，這些標題為人們提供如何組織文件的指引。 | ||||
| 90. Composition.section.code | |||||
| Definition | 一個用於指明小節中所含內容種類的代碼，這個代碼必須與小節的標題相一致。 | ||||
| Short | 小節分類(建議) | ||||
| Binding | Unless not suitable, these codes SHALL be taken from DocumentSectionCodes (extensible to http://hl7.org/fhir/ValueSet/doc-section-codes)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。 | ||||
| Type | CodeableConcept(TW CodeableConcept) | ||||
| Must Support | true | ||||
| Requirements | 提供給文件中主題的標籤是標準化的，並且可以被電腦程式識別和處理。 | ||||
| 92. Composition.section.author | |||||
| Definition | 指明誰對小節中的資訊負責，而不一定是誰輸入了它。 | ||||
| Short | 誰和/或什麼人撰寫了該小節 | ||||
| Type | Reference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, TW Core Patient, Device, RelatedPerson) | ||||
| Requirements | 指明誰對內容負責 | ||||
| 94. Composition.section.focus | |||||
| Definition | 當小節的實際焦點不是composition描述的對象，而是代表與對象相關的某事物或某人時，例如：（對於病人對象）配偶、父母、胎兒或捐贈者。如果沒有指定焦點，則假定焦點為父小節的焦點，或者對於Composition本身中的小節，為Composition的對象。具有焦點的小節只 必須(SHALL) 包含對象（病人、對象、焦點等）與小節焦點相匹配的resources，或者是沒有對象的resources（少數resources）。 | ||||
| Short | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | ||||
| Comments | 通常，文件中的小節是關於該文件的描述對象，無論是病人、一群病人、位置、設備或其他。對於某些種類的文件，有些小節實際上包含有關的實體資料。典型的例子包括新生兒出院病摘中關於母親的小節，或者家族病史文件中關於每個家庭成員的小節，當然還有很多其他例子。 | ||||
| 96. Composition.section.text | |||||
| Definition | 一個供人閱讀的敘述，包含小節的核實內容，用以展現resource的內容供人類閱讀。這段敘述不需要涵蓋所有結構化的資料，但必須包含足夠的細節，確保僅透過閱讀這段敘述的人能夠在臨床上獲得安全且準確的資訊。 | ||||
| Short | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 | ||||
| Comments | 文件Profile可能會定義應在敘述中呈現哪些內容，以確保臨床安全。 | ||||
| Must Support | true | ||||
| 98. Composition.section.mode | |||||
| Definition | 條目清單是如何準備的 - 它是一個適合持續維護的工作清單，還是代表從另一個來源截取的項目清單的快照，或者是一個準備好的清單，在該清單中，項目可能被標記為已添加、修改或刪除。 | ||||
| Short | 適用於此小節的處理模式 | ||||
| Comments | 這個資料項目被標記為修飾用，是因為不應將變更清單(a change list)誤解為完整清單(a complete list)。 | ||||
| Binding | The codes SHALL be taken from ListMode (required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)應填入所綁定值集中的其中一個代碼。 | ||||
| Requirements | 小節有多種使用方式，因此必須清楚地了解如何安全地使用其中的條目。 | ||||
| 100. Composition.section.orderedBy | |||||
| Definition | 指定應用於小節條目的項目順序 | ||||
| Short | 小節條目的順序 | ||||
| Comments | 應用程式 建議應該(SHOULD) 按照給定的順序來顯示有序清單，但也可以允許用戶按照他們自己的偏好進行重新排序。如果沒有明確指定順序，則該順序是不確定的，雖然清單可能仍有某種排列順序。 | ||||
| Binding | The codes SHOULD be taken from ListOrderCodes (preferred to http://hl7.org/fhir/ValueSet/list-order)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。 | ||||
| Type | CodeableConcept(TW CodeableConcept) | ||||
| Requirements | 這對於展示和呈現是重要的，清單可能會進行排序，以便將重要的資訊放在前面，或將相關的條目分組。 | ||||
| 102. Composition.section.entry | |||||
| Definition | 指向那些提供小節中敘述內容的實際resource的參照 | ||||
| Short | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| Comments | 如果清單中沒有條目，則 建議應該(SHOULD) 提供 emptyReason。 | ||||
| Must Support | true | ||||
| 104. Composition.section.emptyReason | |||||
| Definition | 如果小節為空，則說明清單為空的原因。一個空的小節通常有一些文字說明空的原因。 | ||||
| Short | 為什麼此小節是空的原因 | ||||
| Comments | 當一個小節是空的，其空白的原因對於理解該小節非常重要。需要注意的是，這個代碼是用於當整個小節的內容都沒有被包括時，它並不適用於個別項目被省略的情形，若為個別項目被省略的情況，開發者可以考慮在該條目中添加文字說明或標記。 | ||||
| Binding | The codes SHOULD be taken from ListEmptyReasons (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)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。 | ||||
| Type | CodeableConcept(TW CodeableConcept) | ||||
| Requirements | 允許捕捉像是「不存在」或「未詢問」這樣的情況，這對於大多數清單來說可能很重要。 | ||||
| 106. Composition.section.section | |||||
| Definition | 此小節中嵌套的小節 | ||||
| Short | 嵌套的小節 | ||||
| Comments | 嵌套小節主要是為了幫助讀者快速找到文件中的特定內容 | ||||
Guidance on how to interpret the contents of this table can be found here
| 0. Composition | |||||
| Definition | 一組與健康照護相關的資訊，這些訊息被組合成一個單一的邏輯套件，提供一個單一的連貫的意義陳述，建立自己的上下文，並且提供有關於是誰做出陳述的臨床認證。 A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.). | ||||
| Short | 將一組resources組成一份連貫的臨床聲明，並附有臨床證明。A set of resources composed into a single coherent clinical statement with clinical attestation | ||||
| Comments | 雖然此規範的重點在於特定於病人的臨床聲明，但此resource也可適用於其他與健康照護相關的聲明，如研究方案設計、醫療發票和其他不必然與特定於病人或臨床相關的活動。 While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical. | ||||
| Control | 0..* | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | dom-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. Composition.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Composition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. | ||||
| Control | 0..1 | ||||
| Type | idstring | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| 4. Composition.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Composition Resource的metadataMetadata about the resource | ||||
| Control | 0..1 | ||||
| Type | Meta | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 6. Composition.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. | ||||
| Control | 0..1 | ||||
| Type | uri | ||||
| Is Modifier | true 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 Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 8. Composition.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Composition 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). | ||||
| Control | 0..1 | ||||
| Binding | The codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages (preferred to http://hl7.org/fhir/ValueSet/languages)人類語言；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。 A human language.
| ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Example | <br/><b>Value</b>:zh-TW | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 10. Composition.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. | ||||
| Short | Composition 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. | ||||
| Control | 0..1 | ||||
| Type | Narrative | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | narrative, html, xhtml, display | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 12. Composition.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 | 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。 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. | ||||
| Control | 0..* | ||||
| Type | Resource | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | inline resources, anonymous resources, contained resources | ||||
| 14. Composition.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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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. Composition.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。 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正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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
| Summary | false | ||||
| 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 Names | extensions, user content | ||||
| Invariants | ele-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. Composition.identifier | |||||
| Definition | 與版本無關的Composition識別碼。隨著時間的推移，該識別碼將保持不變。 A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time. | ||||
| Short | 不分版本的臨床文件架構(Composition)識別碼。Version-independent identifier for the Composition | ||||
| Comments | 類似於 CDA 中的 ClinicalDocument/setId。請參閱resource定義中的討論，了解它們之間的關係。 Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate. | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 20. Composition.status | |||||
| Definition | 此composition的工作流程/臨床狀態。狀態是指文件的臨床狀態的標識。 The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document. | ||||
| Short | registered | partial | preliminary | final | amended | corrected +preliminary | final | amended | entered-in-error | ||||
| Comments | 如果一個composition被標記為撤回(withdraw)，那麼該系列中的composition/文件或者此composition或文件系列中的資料，若未被明確標記為(該撤回)不可信的情況下，則不應向用戶展示。「錯誤輸入 (entered-in-error)標籤是此composition為何被標記為修飾用資料項目(modifier)的原因。 某些報告工作流程要求最終文件的原始敘述永不更改；意即只能添加新的敘述。composition resource 沒有明確的狀態(status)來明確註明是否適用此業務規則。如有需要，這將透過擴充來處理。 If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag "entered-in-error" is why this element is labeled as a modifier of other elements. Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required. | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1 (required to http://hl7.org/fhir/ValueSet/composition-status|4.0.1)Composition的工作流程/臨床狀態；應填入所綁定值集中的其中一個代碼。 The workflow/clinical status of the composition. | ||||
| Type | code | ||||
| Is Modifier | true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 需要能夠標記為臨時(interim)、修改(amended)或撤回(withdrawn)的composition或文件。 Need to be able to mark interim, amended, or withdrawn compositions or documents. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 22. Composition.type | |||||
| Definition | 指定特定類型的composition（如病史和體檢、出院摘要、病程紀錄）。這通常等同於製作composition的目的。 Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition. | ||||
| Short | Composition的種類（如果可能請使用LOINC）Kind of composition (LOINC if possible) | ||||
| 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. For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding. | ||||
| Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from The codes SHOULD be taken from FHIRDocumentTypeCodeshttp://hl7.org/fhir/ValueSet/doc-typecodes (extensible to http://hl7.org/fhir/ValueSet/doc-typecodes)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。 Type of a composition. | ||||
| Type | CodeableConcept(TW CodeableConcept) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Requirements | 描述composition的關鍵metadata資料項目，用於查詢/篩選。 Key metadata element describing the composition, used in searching/filtering. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 24. Composition.category | |||||
| Definition | composition類型的分類 - 有助於索引和查詢。這可能是由 Composition Type 中指定的代碼隱含或衍生出來的。 A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type. | ||||
| Short | Composition的分類Categorization of Composition | ||||
| Comments | "這是來自XDS/MHD的metadata欄位"。 This is a metadata field from XDS/MHD. | ||||
| Control | 0..* This element is affected by the following invariants: ele-1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from For example codes, see DocumentClassValueSethttp://hl7.org/fhir/ValueSet/document-classcodes (extensible to http://hl7.org/fhir/ValueSet/document-classcodes)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。 High-level kind of a clinical document at a macro level. | ||||
| Type | CodeableConcept(TW CodeableConcept) | ||||
| Is Modifier | false | ||||
| Requirements | 幫助人類在檢視composition或規範文件時評估composition是否感興趣。 Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 26. Composition.subject | |||||
| Definition | composition是關於誰或什麼的。composition可以是關於一個人（病人或醫護人員）、一個設備（如機器），甚至是一群對象（如關於一群牲畜的文件，或一群有共同曝露的病人）。 Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure). | ||||
| Short | Composition是關於誰和/或什麼Who and/or what the composition is about | ||||
| Comments | 對於臨床文件來說，這通常是指病人。 For clinical documents, this is usually the patient. | ||||
| Control | 0..1 | ||||
| Type | Reference(TW Core Patient, Group, Device, Substance, TW Core Location, Resource) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Must Support Types | No must-support rules about the choice of types/profiles | ||||
| Summary | true | ||||
| Requirements | 查詢composition的基本metadata，指明compoisition/文件的作者和/或內容。 Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 28. Composition.encounter | |||||
| Definition | 描述與該文件相關的臨床就醫事件或照護類型。 Describes the clinical encounter or type of care this documentation is associated with. | ||||
| Short | Composition的情境Context of the Composition | ||||
| Control | 0..1 | ||||
| Type | Reference(TW Core Encounter, Encounter) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | 為composition提供情境並支持查詢。 Provides context for the composition and supports searching. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 30. Composition.date | |||||
| Definition | composition編輯時間，即作者最後一次邏輯上更改composition的時間。 The composition editing time, when the composition was last logically changed by the author. | ||||
| Short | Composition的編輯時間Composition editing time | ||||
| Comments | composition上的最後修改日期可能在文件被證明日期之後而未更改。這意味著修改過的文件上的日期是修改日期，而非原始撰寫之日期。 The Last Modified Date on the composition may be after the date of the document was attested without being changed. | ||||
| Control | 1..1 | ||||
| Type | dateTime | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | dateTime 用於追蹤、組織版本和查詢。請注意：這是創作此版本Composition的時間。打包成文檔時，Bundle.timestamp 是打包日期。 dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring. When packaged in a document, Bundle.timestamp is the date of packaging. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 32. Composition.author | |||||
| Definition | 指明誰對composition中的資訊負責，而不一定是誰輸入了它。 Identifies who is responsible for the information in the composition, not necessarily who typed it in. | ||||
| Short | 誰和/或什麼創建了這個CompositionWho and/or what authored the composition | ||||
| Control | 1..* | ||||
| Type | Reference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, TW Core Patient, Device, RelatedPerson, Practitioner, PractitionerRole, Patient, Organization) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Must Support Types | No must-support rules about the choice of types/profiles | ||||
| Summary | true | ||||
| Requirements | 指明誰對內容負責 Identifies who is responsible for the content. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 34. Composition.title | |||||
| Definition | composition的正式可讀標籤 Official human-readable label for the composition. | ||||
| Short | 人類可讀的名稱/標題Human Readable name/title | ||||
| Comments | 對於許多composition來說，標題與文本或 Composition.type 的顯示名稱相同（如 「會診﹙consultation﹚」或 「病程紀錄﹙progress note﹚」）。請注意：CDA 並不強制要求標題，但目前還沒有發現省略標題有用的情況，因此在此強制要求標題。歡迎在試用區間對這一要求提出反饋意見。 For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a "consultation" or "progress note"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period. | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 36. Composition.confidentiality | |||||
| Definition | 具體說明Composition保密等級的代碼 The code specifying the level of confidentiality of the Composition. | ||||
| Short | 根據特定技術領域的定義As defined by affinity domain | ||||
| Comments | 此資料項目的確切使用，以及與高度敏感文件相關的執行和問題超出了基本規範的範圍，並委託給實作Profiles（見安全小節）。 此資料項目被標記為修飾用，因為高度機密的文件不能被當作非機密文件處理。 The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not. | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from v3.ConfidentialityClassification (2014-03-26)http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 (required to http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26)應填入所綁定值集中的其中一個代碼。 Codes specifying the level of confidentiality of the composition. | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 38. Composition.attester | |||||
| Definition | 證明composition/文件準確無誤的參與者 A participant who has attested to the accuracy of the composition/document. | ||||
| Short | 證明Composition的準確性Attests to accuracy of composition | ||||
| Comments | 每位參與者只需每位證明者只列一次 Only list each attester once. | ||||
| Control | 0..* | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Requirements | 指明對composition內容準確性的責任 Identifies responsibility for the accuracy of the composition content. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 40. Composition.attester.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 | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 42. Composition.attester.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 | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| 44. Composition.attester.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 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| 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 Names | extensions, user content, modifiers | ||||
| Invariants | ele-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()) | ||||
| 46. Composition.attester.mode | |||||
| Definition | 認證者提供的認證類型 The type of attestation the authenticator offers. | ||||
| Short | personal | professional | legal | official | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 (required to http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1)認證者提供的認證類型；應填入所綁定值集中的其中一個代碼。 The way in which a person authenticated a composition. | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Requirements | 指明認證的權威程度 Indicates the level of authority of the attestation. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 48. Composition.attester.time | |||||
| Definition | 當composition被該方證實的時間 When the composition was attested by the party. | ||||
| Short | 此Composition被證明的時間When the composition was attested | ||||
| Control | 0..1 | ||||
| Type | dateTime | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Requirements | 指明composition中的資訊何時被認為是準確的。（自那時起可能發生了變化）。 Identifies when the information in the composition was deemed accurate. (Things may have changed since then.). | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 50. Composition.attester.party | |||||
| Definition | 誰以指定的方式證明了此composition Who attested the composition in the specified way. | ||||
| Short | 誰證明了此CompositionWho attested the composition | ||||
| Control | 0..1 | ||||
| Type | Reference(TW Core Patient, RelatedPerson, TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, Patient, Practitioner, PractitionerRole, Organization) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | 指明由誰承擔composition內容準確性的責任 Identifies who has taken on the responsibility for accuracy of the composition content. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 52. Composition.custodian | |||||
| Definition | 指明負責持續維護和存取composition/文件資訊的機構或團體 Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information. | ||||
| Short | 維護Composition的機構Organization which maintains the composition | ||||
| Comments | 當此文件是衍生自composition時非常有用。它提供了如何獲取文件的最新版本的指導。這是可選項，因為有時編寫系統並不知道可以根據情境推斷。不過，在處理派生文件時，了解這一資訊非常重要，因此鼓勵提供一個保管者。 This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However, it is important that this information be known when working with a derived document, so providing a custodian is encouraged. | ||||
| Control | 0..1 | ||||
| Type | Reference(TW Core Organization, Organization) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 指明在哪裡可以找到當前版本、在哪裡可以報告問題等 Identifies where to go to find the current version, where to report issues, etc. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 54. Composition.relatesTo | |||||
| Definition | 此composition與其他已有的composition或文件之間的關係 Relationships that this composition has with other compositions or documents that already exist. | ||||
| Short | 與其他Composition/文件之間的關係Relationships to other compositions/documents | ||||
| Comments | 要參照（使用 relatesTo）「document」type的 Bundle 或其他只有識別碼的 Composition，請使用帶有識別碼的 resourceReference。 A document is a version specific composition. | ||||
| Control | 0..* | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 56. Composition.relatesTo.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 | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 58. Composition.relatesTo.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 | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| 60. Composition.relatesTo.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 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| 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 Names | extensions, user content, modifiers | ||||
| Invariants | ele-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()) | ||||
| 62. Composition.relatesTo.code | |||||
| Definition | 此composition與另一個compoisition或文件的關系類型 The type of relationship that this composition has with anther composition or document. | ||||
| Short | replaces | transforms | signs | appends | ||||
| Comments | 如果此文件附加了另一個文件，那麼如果不存取參照的文件，就無法完全理解此文件。 If this document appends another document, then the document cannot be fully understood without also accessing the referenced document. | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 (required to http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1)檔案之間的關係型別；應填入所綁定值集中的其中一個代碼。 The type of relationship between documents. | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 64. Composition.relatesTo.target[x] | |||||
| Definition | 此關係的目標composition/文件 The target composition/document of this relationship. | ||||
| Short | 此關係的目標文件Target of the relationship | ||||
| Control | 1..1 | ||||
| Type | Choice of: Identifier, Reference(Composition) | ||||
| [x] Note | See Choice of Data Types for further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 66. Composition.event | |||||
| Definition | 記錄的臨床服務，例如：結腸鏡檢查或闌尾切除術。 The clinical service, such as a colonoscopy or an appendectomy, being documented. | ||||
| Short | 正在記錄的臨床服務The clinical service(s) being documented | ||||
| Comments | 事件需要與類型資料項目保持一致，但如果需求，也可以提供更多的詳細資訊。 The event needs to be consistent with the type element, though can provide further information if desired. | ||||
| Control | 0..* | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | 為composition提供情境背景，並在描述事件的resource和為描述事件而創建的composition之間建立連結。 Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 68. Composition.event.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 | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 70. Composition.event.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 | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| 72. Composition.event.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 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| 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 Names | extensions, user content, modifiers | ||||
| Invariants | ele-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()) | ||||
| 74. Composition.event.code | |||||
| Definition | 一個概念可能透過正式參照專門術語或本體論來定義，或者可以由文字提供。 This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which the procedure being documented is necessarily a "History and Physical" act. | ||||
| Short | 此代碼表代表了正在被記錄的主要臨床行為Code(s) that apply to the event being documented | ||||
| Comments | 一個事件可以進一步專門化 typeCode 中固有的行為，例如：當它僅僅是「處置報告」，而該處置是「結腸鏡檢查」。如果包含一個或多個事件，它們 必須沒有(SHALL NOT) 與 classCode、practiceSettingCode 或 typeCode 中固有的值相衝突，因為這樣的衝突會造成模糊不清的情況。這個簡短的代碼清單提供用作某些類型查詢的關鍵字。 An event can further specialize the act inherent in the typeCode, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries. | ||||
| Control | 0..* This element is affected by the following invariants: ele-1 | ||||
| Binding | For example codes, see v3 Code System ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode (example to http://terminology.hl7.org/ValueSet/v3-ActCode)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。 This list of codes represents the main clinical acts being documented. | ||||
| Type | CodeableConcept(TW CodeableConcept) | ||||
| Is Modifier | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 76. Composition.event.period | |||||
| Definition | 此文件涵蓋的時間區間，這並不是聲明此文件是這一個時間區間的完整代表，而只是表明它記錄了這段時間內發生的事件。 The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time. | ||||
| Short | 文件所涵蓋的時間區間The period covered by the documentation | ||||
| Control | 0..1 | ||||
| Type | Period | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 78. Composition.event.detail | |||||
| Definition | 它描述了正在被記錄的主要臨床活動，比如說進行一次結腸鏡檢查或是闌尾切除手術。在某些情況下，這些臨床事件本身就包含在其typeCode中，例如：在「病史與體檢報告」中，所記錄的過程就必然是進行「病史與體檢」的行為。這些臨床事件可以以代碼的形式被記錄，或者作為對其他resource的參照。 The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy. | ||||
| Short | 在描述被記錄下來的事件，這些事件可以是以代碼的形式、參考資料的形式，或者兩者都有的形式來呈現。The event(s) being documented | ||||
| Comments | 事件可以進一步細化類型編碼中的固有行為，例如，事件只是程序報告，而程序是結腸鏡檢查。如果包含一個或多個事件，它們不得與類別編碼、診療設置編碼或類型代碼中固有的值相衝 突，因為這樣的衝突會造成模稜兩可的情況。本編碼簡表可用作某些類型查詢的關鍵詞。 | ||||
| Control | 0..* | ||||
| Type | Reference(Resource) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 80. Composition.section | |||||
| Definition | 構成composition的各小節 The root of the sections that make up the composition. | ||||
| Short | Composition被分成一個或數個小節Composition is broken into sections | ||||
| Control | 0..* | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())cmp-2: A section can only have an emptyReason if it is empty ( emptyReason.empty() or entry.empty())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists()) cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty()) | ||||
| 82. Composition.section.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 | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 84. Composition.section.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 | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-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()) | ||||
| 86. Composition.section.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 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| 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 Names | extensions, user content, modifiers | ||||
| Invariants | ele-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. Composition.section.title | |||||
| Definition | 此特定小節的標籤。這將是文件呈現內容的一部分，通常用於建立目錄。 The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents. | ||||
| Short | 小節標籤(例如：目錄ToC)Label for section (e.g. for ToC) | ||||
| Comments | 標題為人類讀者指明小節。標題必須與作為 section.content 參照目標的resource的敘述一致。通常章節 建議應該(SHOULD) 有標題，但在某些文件中，這可能是不必要的或不適當的。通常情況下，當一個小節有其自己足夠區分的標題的子小節，或只有單一小節的文件時，就會這樣。大多數IG會要求小節標題是必填的資料項目。 The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Requirements | 不同類型的文件常常會有標準化的小節標題，這些標題為人們提供如何組織文件的指引。 Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized. | ||||
| Alternate Names | header, label, caption | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 90. Composition.section.code | |||||
| Definition | 一個用於指明小節中所含內容種類的代碼，這個代碼必須與小節的標題相一致。 A code identifying the kind of content contained within the section. This must be consistent with the section title. | ||||
| Short | 小節分類(建議)Classification of section (recommended) | ||||
| 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. The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code. | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from For example codes, see DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes (extensible to http://hl7.org/fhir/ValueSet/doc-section-codes)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。 Classification of a section of a composition/document. | ||||
| Type | CodeableConcept(TW CodeableConcept) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Requirements | 提供給文件中主題的標籤是標準化的，並且可以被電腦程式識別和處理。 Provides computable standardized labels to topics within the document. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 92. Composition.section.author | |||||
| Definition | 指明誰對小節中的資訊負責，而不一定是誰輸入了它。 Identifies who is responsible for the information in this section, not necessarily who typed it in. | ||||
| Short | 誰和/或什麼人撰寫了該小節Who and/or what authored the section | ||||
| Control | 0..* | ||||
| Type | Reference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, TW Core Patient, Device, RelatedPerson, Practitioner, PractitionerRole, Patient, Organization) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | 指明誰對內容負責 Identifies who is responsible for the content. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 94. Composition.section.focus | |||||
| Definition | 當小節的實際焦點不是composition描述的對象，而是代表與對象相關的某事物或某人時，例如：（對於病人對象）配偶、父母、胎兒或捐贈者。如果沒有指定焦點，則假定焦點為父小節的焦點，或者對於Composition本身中的小節，為Composition的對象。具有焦點的小節只 必須(SHALL) 包含對象（病人、對象、焦點等）與小節焦點相匹配的resources，或者是沒有對象的resources（少數resources）。 The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources). | ||||
| Short | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。Who/what the section is about, when it is not about the subject of composition | ||||
| Comments | 通常，文件中的小節是關於該文件的描述對象，無論是病人、一群病人、位置、設備或其他。對於某些種類的文件，有些小節實際上包含有關的實體資料。典型的例子包括新生兒出院病摘中關於母親的小節，或者家族病史文件中關於每個家庭成員的小節，當然還有很多其他例子。 Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples. | ||||
| Control | 0..1 | ||||
| Type | Reference(Resource) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 96. Composition.section.text | |||||
| Definition | 一個供人閱讀的敘述，包含小節的核實內容，用以展現resource的內容供人類閱讀。這段敘述不需要涵蓋所有結構化的資料，但必須包含足夠的細節，確保僅透過閱讀這段敘述的人能夠在臨床上獲得安全且準確的資訊。 A human-readable narrative that contains the attested content of the section, 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. | ||||
| Short | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。Text summary of the section, for human interpretation | ||||
| Comments | 文件Profile可能會定義應在敘述中呈現哪些內容，以確保臨床安全。 Document profiles may define what content should be represented in the narrative to ensure clinical safety. | ||||
| Control | 0..1 This element is affected by the following invariants: cmp-1 | ||||
| Type | Narrative | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 98. Composition.section.mode | |||||
| Definition | 條目清單是如何準備的 - 它是一個適合持續維護的工作清單，還是代表從另一個來源截取的項目清單的快照，或者是一個準備好的清單，在該清單中，項目可能被標記為已添加、修改或刪除。 How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted. | ||||
| Short | 適用於此小節的處理模式working | snapshot | changes | ||||
| Comments | 這個資料項目被標記為修飾用，是因為不應將變更清單(a change list)誤解為完整清單(a complete list)。 This element is labeled as a modifier because a change list must not be misunderstood as a complete list. | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 (required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)應填入所綁定值集中的其中一個代碼。 The processing mode that applies to this section. | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Requirements | 小節有多種使用方式，因此必須清楚地了解如何安全地使用其中的條目。 Sections are used in various ways, and it must be known in what way it is safe to use the entries in them. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 100. Composition.section.orderedBy | |||||
| Definition | 指定應用於小節條目的項目順序 Specifies the order applied to the items in the section entries. | ||||
| Short | 小節條目的順序Order of section entries | ||||
| Comments | 應用程式 建議應該(SHOULD) 按照給定的順序來顯示有序清單，但也可以允許用戶按照他們自己的偏好進行重新排序。如果沒有明確指定順序，則該順序是不確定的，雖然清單可能仍有某種排列順序。 Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order. | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Binding | The codes SHOULD be taken from ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order (preferred to http://hl7.org/fhir/ValueSet/list-order)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。 What order applies to the items in the entry. | ||||
| Type | CodeableConcept(TW CodeableConcept) | ||||
| Is Modifier | false | ||||
| Requirements | 這對於展示和呈現是重要的，清單可能會進行排序，以便將重要的資訊放在前面，或將相關的條目分組。 Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 102. Composition.section.entry | |||||
| Definition | 指向那些提供小節中敘述內容的實際resource的參照 A reference to the actual resource from which the narrative in the section is derived. | ||||
| Short | 提供一個連結用於參照或查看支持此小節內容的資料A reference to data that supports this section | ||||
| Comments | 如果清單中沒有條目，則 建議應該(SHOULD) 提供 emptyReason。 If there are no entries in the list, an emptyReason SHOULD be provided. | ||||
| Control | 0..* This element is affected by the following invariants: cmp-2 | ||||
| Type | Reference(Resource) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 104. Composition.section.emptyReason | |||||
| Definition | 如果小節為空，則說明清單為空的原因。一個空的小節通常有一些文字說明空的原因。 If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason. | ||||
| Short | 為什麼此小節是空的原因Why the section is empty | ||||
| Comments | 當一個小節是空的，其空白的原因對於理解該小節非常重要。需要注意的是，這個代碼是用於當整個小節的內容都沒有被包括時，它並不適用於個別項目被省略的情形，若為個別項目被省略的情況，開發者可以考慮在該條目中添加文字說明或標記。 The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases. | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1, cmp-2 | ||||
| Binding | The codes SHOULD be taken from ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)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。 If a section is empty, why it is empty. | ||||
| Type | CodeableConcept(TW CodeableConcept) | ||||
| Is Modifier | false | ||||
| Requirements | 允許捕捉像是「不存在」或「未詢問」這樣的情況，這對於大多數清單來說可能很重要。 Allows capturing things like "none exist" or "not asked" which can be important for most lists. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 106. Composition.section.section | |||||
| Definition | 此小節中嵌套的小節 A nested sub-section within this section. | ||||
| Short | 嵌套的小節Nested Section | ||||
| Comments | 嵌套小節主要是為了幫助讀者快速找到文件中的特定內容 Nested sections are primarily used to help human readers navigate to particular portions of the document. | ||||
| Control | 0..* This element is affected by the following invariants: cmp-1 | ||||
| Type | See ttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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. Composition | |||||
| Definition | 一組與健康照護相關的資訊，這些訊息被組合成一個單一的邏輯套件，提供一個單一的連貫的意義陳述，建立自己的上下文，並且提供有關於是誰做出陳述的臨床認證。 | ||||
| Short | 將一組resources組成一份連貫的臨床聲明，並附有臨床證明。 | ||||
| Comments | 雖然此規範的重點在於特定於病人的臨床聲明，但此resource也可適用於其他與健康照護相關的聲明，如研究方案設計、醫療發票和其他不必然與特定於病人或臨床相關的活動。 | ||||
| Control | 0..* | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | dom-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. Composition.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Composition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 | ||||
| Control | 0..1 | ||||
| Type | id | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| 4. Composition.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Composition Resource的metadata | ||||
| Control | 0..1 | ||||
| Type | Meta | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 6. Composition.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。 | ||||
| Control | 0..1 | ||||
| Type | uri | ||||
| Is Modifier | true 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 Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 8. Composition.language | |||||
| Definition | 編寫此resource的基礎語言 | ||||
| Short | 用以表述Composition 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)。 | ||||
| Control | 0..1 | ||||
| Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages)人類語言；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。
| ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Example | <br/><b>Value</b>:zh-TW | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 10. Composition.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。 | ||||
| Short | Composition 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。 | ||||
| Control | 0..1 | ||||
| Type | Narrative | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | narrative, html, xhtml, display | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 12. Composition.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 | 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。 | ||||
| Control | 0..* | ||||
| Type | Resource | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | inline resources, anonymous resources, contained resources | ||||
| 14. Composition.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。 | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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. Composition.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。 | ||||
| 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。 | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
| Summary | false | ||||
| 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。 | ||||
| Invariants | ele-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. Composition.identifier | |||||
| Definition | 與版本無關的Composition識別碼。隨著時間的推移，該識別碼將保持不變。 | ||||
| Short | 不分版本的臨床文件架構(Composition)識別碼。 | ||||
| Comments | 類似於 CDA 中的 ClinicalDocument/setId。請參閱resource定義中的討論，了解它們之間的關係。 | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 20. Composition.status | |||||
| Definition | 此composition的工作流程/臨床狀態。狀態是指文件的臨床狀態的標識。 | ||||
| Short | registered | partial | preliminary | final | amended | corrected + | ||||
| Comments | 如果一個composition被標記為撤回(withdraw)，那麼該系列中的composition/文件或者此composition或文件系列中的資料，若未被明確標記為(該撤回)不可信的情況下，則不應向用戶展示。「錯誤輸入 (entered-in-error)標籤是此composition為何被標記為修飾用資料項目(modifier)的原因。 某些報告工作流程要求最終文件的原始敘述永不更改；意即只能添加新的敘述。composition resource 沒有明確的狀態(status)來明確註明是否適用此業務規則。如有需要，這將透過擴充來處理。 | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from CompositionStatus (required to http://hl7.org/fhir/ValueSet/composition-status|4.0.1)Composition的工作流程/臨床狀態；應填入所綁定值集中的其中一個代碼。 | ||||
| Type | code | ||||
| Is Modifier | true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 需要能夠標記為臨時(interim)、修改(amended)或撤回(withdrawn)的composition或文件。 | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 22. Composition.type | |||||
| Definition | 指定特定類型的composition（如病史和體檢、出院摘要、病程紀錄）。這通常等同於製作composition的目的。 | ||||
| Short | Composition的種類（如果可能請使用LOINC） | ||||
| 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. | ||||
| Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from FHIRDocumentTypeCodes (extensible to http://hl7.org/fhir/ValueSet/doc-typecodes)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。 | ||||
| Type | CodeableConcept(TW CodeableConcept) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Requirements | 描述composition的關鍵metadata資料項目，用於查詢/篩選。 | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 24. Composition.category | |||||
| Definition | composition類型的分類 - 有助於索引和查詢。這可能是由 Composition Type 中指定的代碼隱含或衍生出來的。 | ||||
| Short | Composition的分類 | ||||
| Comments | "這是來自XDS/MHD的metadata欄位"。 | ||||
| Control | 0..* This element is affected by the following invariants: ele-1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from DocumentClassValueSet (extensible to http://hl7.org/fhir/ValueSet/document-classcodes)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。 | ||||
| Type | CodeableConcept(TW CodeableConcept) | ||||
| Is Modifier | false | ||||
| Requirements | 幫助人類在檢視composition或規範文件時評估composition是否感興趣。 | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 26. Composition.subject | |||||
| Definition | composition是關於誰或什麼的。composition可以是關於一個人（病人或醫護人員）、一個設備（如機器），甚至是一群對象（如關於一群牲畜的文件，或一群有共同曝露的病人）。 | ||||
| Short | Composition是關於誰和/或什麼 | ||||
| Comments | 對於臨床文件來說，這通常是指病人。 | ||||
| Control | 0..1 | ||||
| Type | Reference(TW Core Patient, Group, Device, Substance, TW Core Location) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Must Support Types | No must-support rules about the choice of types/profiles | ||||
| Summary | true | ||||
| Requirements | 查詢composition的基本metadata，指明compoisition/文件的作者和/或內容。 | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 28. Composition.encounter | |||||
| Definition | 描述與該文件相關的臨床就醫事件或照護類型。 | ||||
| Short | Composition的情境 | ||||
| Control | 0..1 | ||||
| Type | Reference(TW Core Encounter) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | 為composition提供情境並支持查詢。 | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 30. Composition.date | |||||
| Definition | composition編輯時間，即作者最後一次邏輯上更改composition的時間。 | ||||
| Short | Composition的編輯時間 | ||||
| Comments | composition上的最後修改日期可能在文件被證明日期之後而未更改。這意味著修改過的文件上的日期是修改日期，而非原始撰寫之日期。 | ||||
| Control | 1..1 | ||||
| Type | dateTime | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | dateTime 用於追蹤、組織版本和查詢。請注意：這是創作此版本Composition的時間。打包成文檔時，Bundle.timestamp 是打包日期。 | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 32. Composition.author | |||||
| Definition | 指明誰對composition中的資訊負責，而不一定是誰輸入了它。 | ||||
| Short | 誰和/或什麼創建了這個Composition | ||||
| Control | 1..* | ||||
| Type | Reference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, TW Core Patient, Device, RelatedPerson) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Must Support Types | No must-support rules about the choice of types/profiles | ||||
| Summary | true | ||||
| Requirements | 指明誰對內容負責 | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 34. Composition.title | |||||
| Definition | composition的正式可讀標籤 | ||||
| Short | 人類可讀的名稱/標題 | ||||
| Comments | 對於許多composition來說，標題與文本或 Composition.type 的顯示名稱相同（如 「會診﹙consultation﹚」或 「病程紀錄﹙progress note﹚」）。請注意：CDA 並不強制要求標題，但目前還沒有發現省略標題有用的情況，因此在此強制要求標題。歡迎在試用區間對這一要求提出反饋意見。 | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 36. Composition.confidentiality | |||||
| Definition | 具體說明Composition保密等級的代碼 | ||||
| Short | 根據特定技術領域的定義 | ||||
| Comments | 此資料項目的確切使用，以及與高度敏感文件相關的執行和問題超出了基本規範的範圍，並委託給實作Profiles（見安全小節）。 此資料項目被標記為修飾用，因為高度機密的文件不能被當作非機密文件處理。 | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from v3.ConfidentialityClassification (2014-03-26) (required to http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26)應填入所綁定值集中的其中一個代碼。 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 38. Composition.attester | |||||
| Definition | 證明composition/文件準確無誤的參與者 | ||||
| Short | 證明Composition的準確性 | ||||
| Comments | 每位參與者只需每位證明者只列一次 | ||||
| Control | 0..* | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Requirements | 指明對composition內容準確性的責任 | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 40. Composition.attester.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。 | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 42. Composition.attester.extension | |||||
| Definition | 擴充的資料項目 | ||||
| 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。 | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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()) | ||||
| 44. Composition.attester.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。 | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| 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。 | ||||
| Invariants | ele-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()) | ||||
| 46. Composition.attester.mode | |||||
| Definition | 認證者提供的認證類型 | ||||
| Short | personal | professional | legal | official | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from CompositionAttestationMode (required to http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1)認證者提供的認證類型；應填入所綁定值集中的其中一個代碼。 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Requirements | 指明認證的權威程度 | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 48. Composition.attester.time | |||||
| Definition | 當composition被該方證實的時間 | ||||
| Short | 此Composition被證明的時間 | ||||
| Control | 0..1 | ||||
| Type | dateTime | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Requirements | 指明composition中的資訊何時被認為是準確的。（自那時起可能發生了變化）。 | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 50. Composition.attester.party | |||||
| Definition | 誰以指定的方式證明了此composition | ||||
| Short | 誰證明了此Composition | ||||
| Control | 0..1 | ||||
| Type | Reference(TW Core Patient, RelatedPerson, TW Core Practitioner, TW Core PractitionerRole, TW Core Organization) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | 指明由誰承擔composition內容準確性的責任 | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 52. Composition.custodian | |||||
| Definition | 指明負責持續維護和存取composition/文件資訊的機構或團體 | ||||
| Short | 維護Composition的機構 | ||||
| Comments | 當此文件是衍生自composition時非常有用。它提供了如何獲取文件的最新版本的指導。這是可選項，因為有時編寫系統並不知道可以根據情境推斷。不過，在處理派生文件時，了解這一資訊非常重要，因此鼓勵提供一個保管者。 | ||||
| Control | 0..1 | ||||
| Type | Reference(TW Core Organization) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 指明在哪裡可以找到當前版本、在哪裡可以報告問題等 | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 54. Composition.relatesTo | |||||
| Definition | 此composition與其他已有的composition或文件之間的關係 | ||||
| Short | 與其他Composition/文件之間的關係 | ||||
| Comments | 要參照（使用 relatesTo）「document」type的 Bundle 或其他只有識別碼的 Composition，請使用帶有識別碼的 resourceReference。 | ||||
| Control | 0..* | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 56. Composition.relatesTo.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。 | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 58. Composition.relatesTo.extension | |||||
| Definition | 擴充的資料項目 | ||||
| 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。 | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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()) | ||||
| 60. Composition.relatesTo.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。 | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| 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。 | ||||
| Invariants | ele-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()) | ||||
| 62. Composition.relatesTo.code | |||||
| Definition | 此composition與另一個compoisition或文件的關系類型 | ||||
| Short | replaces | transforms | signs | appends | ||||
| Comments | 如果此文件附加了另一個文件，那麼如果不存取參照的文件，就無法完全理解此文件。 | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from DocumentRelationshipType (required to http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1)檔案之間的關係型別；應填入所綁定值集中的其中一個代碼。 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 64. Composition.relatesTo.target[x] | |||||
| Definition | 此關係的目標composition/文件 | ||||
| Short | 此關係的目標文件 | ||||
| Control | 1..1 | ||||
| Type | Choice of: Identifier, Reference(Composition) | ||||
| [x] Note | See Choice of Data Types for further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 66. Composition.event | |||||
| Definition | 記錄的臨床服務，例如：結腸鏡檢查或闌尾切除術。 | ||||
| Short | 正在記錄的臨床服務 | ||||
| Comments | 事件需要與類型資料項目保持一致，但如果需求，也可以提供更多的詳細資訊。 | ||||
| Control | 0..* | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | 為composition提供情境背景，並在描述事件的resource和為描述事件而創建的composition之間建立連結。 | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 68. Composition.event.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。 | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 70. Composition.event.extension | |||||
| Definition | 擴充的資料項目 | ||||
| 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。 | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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()) | ||||
| 72. Composition.event.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。 | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| 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。 | ||||
| Invariants | ele-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()) | ||||
| 74. Composition.event.code | |||||
| Definition | 一個概念可能透過正式參照專門術語或本體論來定義，或者可以由文字提供。 | ||||
| Short | 此代碼表代表了正在被記錄的主要臨床行為 | ||||
| Comments | 一個事件可以進一步專門化 typeCode 中固有的行為，例如：當它僅僅是「處置報告」，而該處置是「結腸鏡檢查」。如果包含一個或多個事件，它們 必須沒有(SHALL NOT) 與 classCode、practiceSettingCode 或 typeCode 中固有的值相衝突，因為這樣的衝突會造成模糊不清的情況。這個簡短的代碼清單提供用作某些類型查詢的關鍵字。 | ||||
| Control | 0..* This element is affected by the following invariants: ele-1 | ||||
| Binding | For example codes, see v3 Code System ActCode (example to http://terminology.hl7.org/ValueSet/v3-ActCode)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。 | ||||
| Type | CodeableConcept(TW CodeableConcept) | ||||
| Is Modifier | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 76. Composition.event.period | |||||
| Definition | 此文件涵蓋的時間區間，這並不是聲明此文件是這一個時間區間的完整代表，而只是表明它記錄了這段時間內發生的事件。 | ||||
| Short | 文件所涵蓋的時間區間 | ||||
| Control | 0..1 | ||||
| Type | Period | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 78. Composition.event.detail | |||||
| Definition | 它描述了正在被記錄的主要臨床活動，比如說進行一次結腸鏡檢查或是闌尾切除手術。在某些情況下，這些臨床事件本身就包含在其typeCode中，例如：在「病史與體檢報告」中，所記錄的過程就必然是進行「病史與體檢」的行為。這些臨床事件可以以代碼的形式被記錄，或者作為對其他resource的參照。 | ||||
| Short | 在描述被記錄下來的事件，這些事件可以是以代碼的形式、參考資料的形式，或者兩者都有的形式來呈現。 | ||||
| Comments | 事件可以進一步細化類型編碼中的固有行為，例如，事件只是程序報告，而程序是結腸鏡檢查。如果包含一個或多個事件，它們不得與類別編碼、診療設置編碼或類型代碼中固有的值相衝 突，因為這樣的衝突會造成模稜兩可的情況。本編碼簡表可用作某些類型查詢的關鍵詞。 | ||||
| Control | 0..* | ||||
| Type | Reference(Resource) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 80. Composition.section | |||||
| Definition | 構成composition的各小節 | ||||
| Short | Composition被分成一個或數個小節 | ||||
| Control | 0..* | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())cmp-2: A section can only have an emptyReason if it is empty ( emptyReason.empty() or entry.empty())ele-1: All FHIR elements must have a @value or children ( hasValue() or (children().count() > id.count())) | ||||
| 82. Composition.section.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。 | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 84. Composition.section.extension | |||||
| Definition | 擴充的資料項目 | ||||
| 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。 | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-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()) | ||||
| 86. Composition.section.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。 | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| 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。 | ||||
| Invariants | ele-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. Composition.section.title | |||||
| Definition | 此特定小節的標籤。這將是文件呈現內容的一部分，通常用於建立目錄。 | ||||
| Short | 小節標籤(例如：目錄ToC) | ||||
| Comments | 標題為人類讀者指明小節。標題必須與作為 section.content 參照目標的resource的敘述一致。通常章節 建議應該(SHOULD) 有標題，但在某些文件中，這可能是不必要的或不適當的。通常情況下，當一個小節有其自己足夠區分的標題的子小節，或只有單一小節的文件時，就會這樣。大多數IG會要求小節標題是必填的資料項目。 | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Requirements | 不同類型的文件常常會有標準化的小節標題，這些標題為人們提供如何組織文件的指引。 | ||||
| Alternate Names | header, label, caption | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 90. Composition.section.code | |||||
| Definition | 一個用於指明小節中所含內容種類的代碼，這個代碼必須與小節的標題相一致。 | ||||
| Short | 小節分類(建議) | ||||
| 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. | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from DocumentSectionCodes (extensible to http://hl7.org/fhir/ValueSet/doc-section-codes)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。 | ||||
| Type | CodeableConcept(TW CodeableConcept) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Requirements | 提供給文件中主題的標籤是標準化的，並且可以被電腦程式識別和處理。 | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 92. Composition.section.author | |||||
| Definition | 指明誰對小節中的資訊負責，而不一定是誰輸入了它。 | ||||
| Short | 誰和/或什麼人撰寫了該小節 | ||||
| Control | 0..* | ||||
| Type | Reference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, TW Core Patient, Device, RelatedPerson) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | 指明誰對內容負責 | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 94. Composition.section.focus | |||||
| Definition | 當小節的實際焦點不是composition描述的對象，而是代表與對象相關的某事物或某人時，例如：（對於病人對象）配偶、父母、胎兒或捐贈者。如果沒有指定焦點，則假定焦點為父小節的焦點，或者對於Composition本身中的小節，為Composition的對象。具有焦點的小節只 必須(SHALL) 包含對象（病人、對象、焦點等）與小節焦點相匹配的resources，或者是沒有對象的resources（少數resources）。 | ||||
| Short | 當小節與composition描述的對象無關時，此小節是關於誰/什麼。 | ||||
| Comments | 通常，文件中的小節是關於該文件的描述對象，無論是病人、一群病人、位置、設備或其他。對於某些種類的文件，有些小節實際上包含有關的實體資料。典型的例子包括新生兒出院病摘中關於母親的小節，或者家族病史文件中關於每個家庭成員的小節，當然還有很多其他例子。 | ||||
| Control | 0..1 | ||||
| Type | Reference(Resource) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 96. Composition.section.text | |||||
| Definition | 一個供人閱讀的敘述，包含小節的核實內容，用以展現resource的內容供人類閱讀。這段敘述不需要涵蓋所有結構化的資料，但必須包含足夠的細節，確保僅透過閱讀這段敘述的人能夠在臨床上獲得安全且準確的資訊。 | ||||
| Short | 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 | ||||
| Comments | 文件Profile可能會定義應在敘述中呈現哪些內容，以確保臨床安全。 | ||||
| Control | 0..1 This element is affected by the following invariants: cmp-1 | ||||
| Type | Narrative | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 98. Composition.section.mode | |||||
| Definition | 條目清單是如何準備的 - 它是一個適合持續維護的工作清單，還是代表從另一個來源截取的項目清單的快照，或者是一個準備好的清單，在該清單中，項目可能被標記為已添加、修改或刪除。 | ||||
| Short | 適用於此小節的處理模式 | ||||
| Comments | 這個資料項目被標記為修飾用，是因為不應將變更清單(a change list)誤解為完整清單(a complete list)。 | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from ListMode (required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)應填入所綁定值集中的其中一個代碼。 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Requirements | 小節有多種使用方式，因此必須清楚地了解如何安全地使用其中的條目。 | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 100. Composition.section.orderedBy | |||||
| Definition | 指定應用於小節條目的項目順序 | ||||
| Short | 小節條目的順序 | ||||
| Comments | 應用程式 建議應該(SHOULD) 按照給定的順序來顯示有序清單，但也可以允許用戶按照他們自己的偏好進行重新排序。如果沒有明確指定順序，則該順序是不確定的，雖然清單可能仍有某種排列順序。 | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Binding | The codes SHOULD be taken from ListOrderCodes (preferred to http://hl7.org/fhir/ValueSet/list-order)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。 | ||||
| Type | CodeableConcept(TW CodeableConcept) | ||||
| Is Modifier | false | ||||
| Requirements | 這對於展示和呈現是重要的，清單可能會進行排序，以便將重要的資訊放在前面，或將相關的條目分組。 | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 102. Composition.section.entry | |||||
| Definition | 指向那些提供小節中敘述內容的實際resource的參照 | ||||
| Short | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
| Comments | 如果清單中沒有條目，則 建議應該(SHOULD) 提供 emptyReason。 | ||||
| Control | 0..* This element is affected by the following invariants: cmp-2 | ||||
| Type | Reference(Resource) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 104. Composition.section.emptyReason | |||||
| Definition | 如果小節為空，則說明清單為空的原因。一個空的小節通常有一些文字說明空的原因。 | ||||
| Short | 為什麼此小節是空的原因 | ||||
| Comments | 當一個小節是空的，其空白的原因對於理解該小節非常重要。需要注意的是，這個代碼是用於當整個小節的內容都沒有被包括時，它並不適用於個別項目被省略的情形，若為個別項目被省略的情況，開發者可以考慮在該條目中添加文字說明或標記。 | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Binding | The codes SHOULD be taken from ListEmptyReasons (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)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。 | ||||
| Type | CodeableConcept(TW CodeableConcept) | ||||
| Is Modifier | false | ||||
| Requirements | 允許捕捉像是「不存在」或「未詢問」這樣的情況，這對於大多數清單來說可能很重要。 | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 106. Composition.section.section | |||||
| Definition | 此小節中嵌套的小節 | ||||
| Short | 嵌套的小節 | ||||
| Comments | 嵌套小節主要是為了幫助讀者快速找到文件中的特定內容 | ||||
| Control | 0..* This element is affected by the following invariants: cmp-1 | ||||
| Type | See ttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||