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

This page is part of the 臺灣核心實作指引(TW Core IG) (v0.3.0: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: TWCoreEncounter - Detailed Descriptions

Active as of 2024-10-15

Definitions for the Encounter-twcore resource profile.

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

0. Encounter
Definition

病人和健康照護服務提供者之間的互動,目的是提供健康照護服務或評估病人的健康狀況。

Short提供病人服務的一種互動
2. Encounter.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Encounter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,此resource沒有id,它的id在resource被創建後由伺器分配/指定。

4. Encounter.meta
Definition

關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。

Short此Encounter Resource的metadata
6. Encounter.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。通常這是對IG所定義之特殊規則及其他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交易夥伴所理解。這從本質上限制了資料的長期有用性。然而,現有的健康生態體系高度分裂,還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能,實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時,此URL是對IG的參照,此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。

8. Encounter.language
Definition

編寫此resource的語言

Short用以表述Encounter 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語言。不應該假定Resource.language自動適用於敘述。如果指定語言,它也應該被指定在html中的div資料項目(關於xml:lang和html lang屬性之間的關係,見HTML5中的規則)。

BindingThe codes SHOULD be taken from CommonLanguages
(preferred to http://hl7.org/fhir/ValueSet/languages)

人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。

Additional BindingsPurpose
AllLanguagesMax Binding
Example<br/><b>Value</b>:zh-TW
10. Encounter.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定義有哪些內容應該在敘述中表示,以確保臨床安全。

ShortEncounter 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。有時resource可能只有文字表述,很少或沒有額外的結構化資料(只要滿足所有minOccurs=1的資料項目)。這可能出現在舊系統的資料,當資訊以 「文字表述區塊(text blob) 」的形式被取得,或者文字表述是原始輸入或說明,而編碼資訊稍後再添加。

12. Encounter.identifier
Definition

此就醫事件的識別碼

Short此就醫事件的識別碼
NoteThis is a business identifier, not a resource identifier (see discussion)
Must Supporttrue
14. Encounter.identifier.use
Definition

這個唯一識別碼(identifier)的用途

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

應用程式可以假定一個識別碼是永久的,除非它明確說它是暫時的。

BindingThe codes SHALL be taken from IdentifierUse
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

如果知道,請說明此識別碼的用途;應填入所綁定值集中的其中一個代碼。

Requirements

允許從一組識別碼中為特定的使用情境選擇適當的識別碼

16. Encounter.identifier.type
Definition

識別碼的代碼型別,用於決定特定目的適用的識別碼。

Short識別碼(identifier)的型別說明
Comments

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

BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
(extensible to http://hl7.org/fhir/ValueSet/identifier-type)

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。

TypeCodeableConcept(TW CodeableConcept)
Requirements

允許使用者在不知道識別碼系統的情況下利用識別碼

18. Encounter.identifier.system
Definition

建立值的命名空間-即一個描述一組值的唯一URL

Short識別碼(identifier)的命名空間(namespace)
Comments

Identifier.system總是區分大小寫

Control1..?
Must Supporttrue
Requirements

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

20. Encounter.identifier.value
Definition

識別碼中通常與使用者有關的部分,在系統情境內是唯一的。

Short唯一值
Comments

如果此值是一個完整的URI,那麼此系統 必須(SHALL) 是urn:ietf:rfc:3986。此值的主要目的是為了可運算的對應。因此,為了比較的目的,它可能會被正規化(例如:去除不重要的空白、破折號等)。一個為人顯示的格式化的值可以使用[Rendered Value](http://hl7.org/fhir/R4/extension-rendered-value.html)擴充來傳達。除非對Identifier.system的了解使處理者確信不區分大小寫的處理是安全的,否則Identifier.value應被視為區分大小寫。

Control1..?
Must Supporttrue
22. Encounter.identifier.period
Definition

識別碼有效/曾經有效使用的時段或期間

Short此就醫事件識別碼(identifier)的使用效期
24. Encounter.identifier.assigner
Definition

簽發/管理識別碼的機構

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

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

TypeReference(TW Core Organization)
26. Encounter.status
Comments

請注意,內部業務規則將決定於狀態(也包括類別)間可能發生的適當轉換。

BindingThe codes SHALL be taken from EncounterStatus
(required to http://hl7.org/fhir/ValueSet/encounter-status|4.0.1)

就醫現況的代碼;應填入所綁定值集中的其中一個代碼

Must Supporttrue
28. Encounter.statusHistory
Definition

Encounter resource包含狀態歷史,因而不需閱讀resource的歷史版本,甚至不需讓伺服器儲存這些版本。

Short過去的就醫狀態清單
Comments

總是可在resource的目前版本找到目前狀態,而不是在狀態歷史中找到。

30. Encounter.statusHistory.status
Definition

planned | arrived | triaged | in-progress | onleave | finished | cancelled +

BindingThe codes SHALL be taken from EncounterStatus
(required to http://hl7.org/fhir/ValueSet/encounter-status|4.0.1)

就醫現狀的代碼;應填入所綁定值集中的其中一個代碼

32. Encounter.statusHistory.period
Definition

該事件處於特定狀態的時間

Short該事件處於特定狀態的時間
34. Encounter.class
Definition

病人就醫分類的概念,例如:門診病人、住院病人、急診病人、居家照護或其他因地方不同而產生的概念。

Short病人就醫的分類
BindingUnless not suitable, these codes SHALL be taken from ActEncounterCode
(extensible to http://terminology.hl7.org/ValueSet/v3-ActEncounterCode)

就醫的分類;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

TypeCoding(TW Coding)
Must Supporttrue
36. Encounter.classHistory
Definition

可透過類別歷史而不需要透過resource歷史紀錄來追蹤就醫的轉變,這將用於一個案例,即住院急診,然後轉住院的情況。這樣做而不重新啟動一個新的就醫,可以確保任何實驗室/診斷結果可以更容易地跟隨病人,不需要重新處理,也不會在從急診到住院的出院過程中丟失或取消。

Short過去就醫類別的列表
38. Encounter.classHistory.class
Definition

inpatient | outpatient | ambulatory | emergency +. 住院病人 | 門診病人 | 非臥床(可行走)病人醫療服務 | 急診 +

Shortinpatient | outpatient | ambulatory | emergency +
BindingUnless not suitable, these codes SHALL be taken from ActEncounterCode
(extensible to http://terminology.hl7.org/ValueSet/v3-ActEncounterCode)

就醫類別;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

40. Encounter.classHistory.period
Definition

此就醫事件處於特定類別的時間

Short此就醫事件處於特定類別的時間
42. Encounter.type
Definition

就醫的特定型別(如電子郵件諮詢、手術日間照護、專業護理、復健)。

Short就醫的特定型別
Comments

由於有許多方法可以對就醫進行進一步的分類,所以這個資料項目的基數是0...* ,意即可不填寫或填寫數筆。

BindingFor example codes, see EncounterType
(example to http://hl7.org/fhir/ValueSet/encounter-type)

就醫的型別;可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。

TypeCodeableConcept(TW CodeableConcept)
44. Encounter.serviceType
Definition

對所提供的服務進行廣泛的分類(如心臟科)

Short服務的特定型別
BindingFor example codes, see ServiceType
(example to http://hl7.org/fhir/ValueSet/service-type)

對提供的服務進行廣泛分類;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

TypeCodeableConcept(TW CodeableConcept)
Must Supporttrue
46. Encounter.serviceType.coding
SlicingThis element introduces a set of slices on Encounter.serviceType.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • pattern @ system
  • 48. Encounter.serviceType.coding:TWMedicalDepartmentSCT
    Slice NameTWMedicalDepartmentSCT
    Control0..1
    BindingThe codes SHALL be taken from 對應至 SNOMED CT之就醫科別 + 診療科別值集
    (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-department-sct-tw)
    Must Supporttrue
    50. Encounter.serviceType.coding:TWMedicalDepartmentSCT.system
    Control1..?
    Pattern Valuehttp://snomed.info/sct
    52. Encounter.serviceType.coding:TWMedicalConsultationDepartment
    Slice NameTWMedicalConsultationDepartment
    Control0..1
    BindingThe codes SHALL be taken from 無法對應至SNOMED CT之臺灣健保署就醫科別值集
    (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-consultation-department-tw)
    Must Supporttrue
    54. Encounter.serviceType.coding:TWMedicalConsultationDepartment.system
    Control1..?
    Pattern Valuehttps://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-tw
    56. Encounter.serviceType.coding:TWMedicalTreatmentDepartment
    Slice NameTWMedicalTreatmentDepartment
    Control0..1
    BindingThe codes SHALL be taken from 無法對應至SNOMED CT之臺灣健保署診療科別值集
    (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-treatment-department-tw)
    Must Supporttrue
    58. Encounter.serviceType.coding:TWMedicalTreatmentDepartment.system
    Control1..?
    Pattern Valuehttps://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-tw
    60. Encounter.priority
    Definition

    表明就醫的急迫性

    Short表明就醫的急迫性
    BindingFor example codes, see ActPriority
    (example to http://terminology.hl7.org/ValueSet/v3-ActPriority)

    表明就醫的迫切性;可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。

    TypeCodeableConcept(TW CodeableConcept)
    62. Encounter.subject
    Definition

    在場就醫的病人或實體集合(Group)

    Short在場就醫的病人或實體集合(Group)
    Comments

    雖然就醫總是關於病人,但在所有的使用情境中,病人實際上可能並不為人所知及可能有一群病人是匿名的(例如:匿名酗酒者的團體治療中—就醫紀錄是以人數/工作人員數計費,而具體病人的情境並不重要);或者在獸醫照護中,一群羊接受治療(動物沒有被單獨追蹤)。

    TypeReference(TW Core Patient, Group)
    Must Supporttrue
    Must Support TypesNo must-support rules about the choice of types/profiles
    64. Encounter.episodeOfCare
    Definition

    當某一特定就醫應被歸類為某一特定照護事件的一部分時,應使用這一個資料項目。這種關聯可方便地將相關的就醫分類,以達到特定的目的,如政府報告、問題追蹤、透過共同的問題進行關聯,關聯通常會在照護事件之後記錄在就醫紀錄上,並在紀錄上分類;而不是將另一個就醫(照護事件可能橫跨多年)附件到照護事件紀錄。

    Short此次就醫應記錄的照護事件
    66. Encounter.basedOn
    Definition

    此就醫事件所要滿足的請求(例如:轉診或手術請求)

    Short開始此次就醫的服務請求(ServiceRequest)
    68. Encounter.participant
    Definition

    負責提供健康照護服務的人員名單

    Short參與就醫的健康照護服務提供者之名單
    Must Supporttrue
    70. Encounter.participant.type
    Definition

    參與者在病人就醫事件中的角色

    Short參與者在病人就醫事件中的角色
    Comments

    參與者的型別表明個人如何參與病人的就醫事件。它包括非執業醫師的參與者,而對於執業醫師來說,這是為了描述在這次就醫中的活動型別(例如:住院醫生、主治醫生、翻譯者、諮詢醫生)。這與執業醫師的角色不同,執業醫師是功能性的角色,衍生自來僱用、教育、執照等。

    BindingUnless not suitable, these codes SHALL be taken from ParticipantType
    (extensible to http://hl7.org/fhir/ValueSet/encounter-participant-type)

    參與者在病人就醫事件中的角色;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

    TypeCodeableConcept(TW CodeableConcept)
    Must Supporttrue
    72. Encounter.participant.period
    Definition

    指定的參與者參與病人就醫的時段。這些時段可以是重疊的,也可以是整個就醫的時段的子集。

    Short參與者在病人就醫期間參與的時段
    Must Supporttrue
    74. Encounter.participant.individual
    Definition

    除病人外,參與病人就醫事件的人。

    Short除病人外,參與病人就醫事件的人。
    TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core RelatedPerson)
    Must Supporttrue
    Must Support TypesNo must-support rules about the choice of types/profiles
    76. Encounter.appointment
    Definition

    這次就醫的預約紀錄

    Short這次就醫的預約紀錄
    78. Encounter.period
    Definition

    就醫的開始和結束時間

    Short就醫的開始和結束時間
    Comments

    如果(尚)不知道,可以省略「期間」裡的結束日期時間。

    Must Supporttrue
    80. Encounter.length
    Definition

    就醫持續的時間,這不包括請假缺席的時間。

    Short就醫持續的時間(扣除缺席時間)
    Comments

    由於請假,可能與就醫的開始和結束時間(Encounter.period)不同。

    82. Encounter.reasonCode
    Definition

    就醫發生的原因,以代碼表示。對於住院,這可用於住院診斷代碼。

    Short就醫發生的編碼原因
    Comments

    對於需要知道哪個是主要診斷的系統來說,這些將用標準擴充primaryDiagnosis(這是一個序列值而不是一個標誌,1=主要診斷)來標記。

    BindingThe codes SHOULD be taken from EncounterReasonCodes
    (preferred to http://hl7.org/fhir/ValueSet/encounter-reason)

    發生此就醫事件的原因;鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

    TypeCodeableConcept(TW CodeableConcept)
    Must Supporttrue
    84. Encounter.reasonReference
    Definition

    就醫發生的原因,以代碼表示。對於住院,這可用於住院診斷代碼。

    Short就醫發生的原因(參照)
    Comments

    對於需要知道哪個是主要診斷的系統來說,這些將用標準擴充primaryDiagnosis(這是一個序列值而不是一個標誌,1=主要診斷)來標記。

    TypeReference(TW Core Condition, TW Core Procedure, TW Core Observation Laboratory Result, ImmunizationRecommendation)
    86. Encounter.diagnosis
    Definition

    與此就醫相關的診斷清單

    Short與此就醫相關的診斷清單
    88. Encounter.diagnosis.condition
    Definition

    就醫的原因,使用其他resource的資訊以具體說明。對於住院,這就是住院診斷。指示通常是一個病情、問題或診斷(Condition)(在evidence.detail中參照其他resource),或一個處置(Procedure)。

    Short與就醫事件相關的診斷或處置
    Comments

    對於需要知道哪個是主要診斷的系統來說,這些將用標準擴充primaryDiagnosis(這是一個序列值而不是一個標誌,1=主要診斷)來標記。

    TypeReference(TW Core Condition, TW Core Procedure)
    90. Encounter.diagnosis.use
    Definition

    此診斷在病人就醫事件中的作用(例如:住院、收費、出院...)。

    Short此診斷在病人就醫事件中的作用(例如:住院、收費、出院...)。
    BindingThe codes SHOULD be taken from DiagnosisRole
    (preferred to http://hl7.org/fhir/ValueSet/diagnosis-role)

    此情況所代表的診斷型別;鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

    TypeCodeableConcept(TW CodeableConcept)
    92. Encounter.diagnosis.rank
    Definition

    診斷的排序(針對每個角色型別)

    Short診斷的排序(針對每個角色型別)
    94. Encounter.account
    Definition

    可用於為此病人就醫事件計費的一組帳戶

    Short可用於為此病人就醫事件計費的一組帳戶
    Comments

    計費系統可依據內部業務規則,選擇將與就醫(Encounter)相關的應計費項目分配給不同的參照帳戶。

    96. Encounter.hospitalization
    Definition

    關於入院接受健康照護服務的細節

    Short關於入院接受健康照護服務的細節
    Comments

    就醫可能不僅僅包括住院治療。其他情境像是門診病人、社區診所和老年照護機構等情況也包括在內。在此就醫期間記錄的持續時間含概此住院紀錄的整個範圍。

    Must Supporttrue
    98. Encounter.hospitalization.preAdmissionIdentifier
    Definition

    住院前識別碼

    Short住院前識別碼
    100. Encounter.hospitalization.origin
    Definition

    病人住院前來自的地點/機構

    Short病人住院前來自的地點/機構
    TypeReference(TW Core Organization, TW Core Location)
    102. Encounter.hospitalization.admitSource
    Definition

    病人從哪裡住院(醫生轉介、轉院)?

    Short病人從哪裡住院(醫生轉介、轉院)?
    BindingThe codes SHOULD be taken from AdmitSource
    (preferred to http://hl7.org/fhir/ValueSet/encounter-admit-source)

    病人從哪裡住院;鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

    TypeCodeableConcept(TW CodeableConcept)
    104. Encounter.hospitalization.reAdmission
    Definition

    此次住院是否為再入院,如果知道的話,請說明原因。

    Short已發生的醫院再入院型別(如果有的話)。如果該值不存在,則不被認定為再入院。
    BindingFor example codes, see hl7VS-re-admissionIndicator
    (example to http://terminology.hl7.org/ValueSet/v2-0092)

    這次住院就醫的再入院原因;可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。

    TypeCodeableConcept(TW CodeableConcept)
    106. Encounter.hospitalization.dietPreference
    Definition

    病人報告的飲食偏好

    Short病人報告的飲食偏好
    Comments

    例如:一個病人可能同時要求無乳製品和無堅果的飲食偏好(不相互排斥)。

    BindingFor example codes, see Diet
    (example to http://hl7.org/fhir/ValueSet/encounter-diet)

    醫療、文化或道德方面的食物偏好,以幫助滿足飲食要求;可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。

    TypeCodeableConcept(TW CodeableConcept)
    Requirements

    用於追蹤病人的飲食限制和/或偏好。如果要完整描述病人在住院期間的營養需求,應該使用與Encounter連結的nutritionOrder resource。

    108. Encounter.hospitalization.specialCourtesy
    Definition

    特別禮遇(貴賓、董事會成員)

    Short特別禮遇(貴賓、董事會成員)
    BindingThe codes SHOULD be taken from SpecialCourtesy
    (preferred to http://hl7.org/fhir/ValueSet/encounter-special-courtesy)

    特別禮遇;鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

    TypeCodeableConcept(TW CodeableConcept)
    110. Encounter.hospitalization.specialArrangement
    Definition

    對此次住院就醫提出的任何特殊要求,如提供特定設備或其他東西。

    Short輪椅、翻譯人員、擔架等。
    BindingThe codes SHOULD be taken from SpecialArrangements
    (preferred to http://hl7.org/fhir/ValueSet/encounter-special-arrangements)

    特殊安排;鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

    TypeCodeableConcept(TW CodeableConcept)
    112. Encounter.hospitalization.destination
    Definition

    病人出院地點/機構

    Short病人出院地點/機構
    TypeReference(TW Core Location, TW Core Organization)
    114. Encounter.hospitalization.dischargeDisposition
    Definition

    出院後的地點類別或種類

    Short出院後的地點類別或種類
    BindingFor example codes, see DischargeDisposition
    (example to http://hl7.org/fhir/ValueSet/encounter-discharge-disposition)

    出院處置;可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。

    TypeCodeableConcept(TW CodeableConcept)
    Must Supporttrue
    116. Encounter.location
    Definition

    此次就醫期間,病人曾去過的一個或多個地點

    Short病人曾去過的一個或多個地點
    Comments

    透過指定一個型別「種類(kind)」的地點參照,例如「客戶的家」,以及encounter.class =「虛擬(virtual)」。

    Must Supporttrue
    118. Encounter.location.location
    Definition

    就醫發生的地點

    Short就醫發生的地點
    TypeReference(TW Core Location)
    Must Supporttrue
    120. Encounter.location.status
    Definition

    參與者在指定期間於特定地點的狀態。如果參與者已不在此地點,那麼其期間將有一個結束日期/時間。

    Comments

    當病人不再在某一地點活動時,則要輸入期間結束日期,狀態可改為完成。

    BindingThe codes SHALL be taken from EncounterLocationStatus
    (required to http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1)

    就醫地點的狀態;應填入所綁定值集中的其中一個代碼。

    122. Encounter.location.physicalType
    Definition

    這將被用來指定所需的地點層級(床位/病房/房間/等),以簡化訊息傳遞或查詢。

    Short地點的實體型別(通常是地點的層級—床位、房間、病房等)。
    Comments

    此資訊是從Location resource中反正規化(de-normalized),以較易理解Encounter resource及支持訊息傳遞或查詢的處理。地點的層級結構中可能有許多層級,這可能只挑選特定使用情境所需的特定層級。

    BindingFor example codes, see LocationType
    (example to http://hl7.org/fhir/ValueSet/location-physical-type)

    地點的實體型別;可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。

    TypeCodeableConcept(TW CodeableConcept)
    124. Encounter.location.period
    Definition

    病人出現在此地點的時段

    Short病人出現在此地點的時段
    126. Encounter.serviceProvider
    Definition

    對此次就醫的服務負主要責任的機構。這可能與病人紀錄中的機構相同,但也可能不同,例如:如果執行服務的人員來自外部機構(可單獨計費)的外部諮詢。請參考Bundle範例顯示結腸鏡檢查就醫縮略集。

    Short負責這次就醫的機構
    TypeReference(TW Core Organization)
    Must Supporttrue
    128. Encounter.partOf
    Definition

    此就醫是哪次就醫的一部分(行政上或時間上)

    Short此就醫是哪次就醫的一部份?
    Comments

    這也用於將小孩的就醫與母親的就醫作關聯。 詳情請參考Patient resource中的Notes小節。

    TypeReference(TW Core Encounter)

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

    0. Encounter
    Definition

    病人和健康照護服務提供者之間的互動,目的是提供健康照護服務或評估病人的健康狀況。


    An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.

    Short提供病人服務的一種互動An interaction during which services are provided to the patient
    Control0..*
    Is Modifierfalse
    Summaryfalse
    Alternate NamesVisit
    Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
    dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
    dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
    dom-6: A resource should have narrative for robust management (text.`div`.exists())
    2. Encounter.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Encounter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,此resource沒有id,它的id在resource被創建後由伺器分配/指定。


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

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

    關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。


    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Encounter Resource的metadataMetadata about the resource
    Control0..1
    TypeMeta
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    6. Encounter.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。通常這是對IG所定義之特殊規則及其他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交易夥伴所理解。這從本質上限制了資料的長期有用性。然而,現有的健康生態體系高度分裂,還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能,實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時,此URL是對IG的參照,此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。


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

    Control0..1
    Typeuri
    Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    8. Encounter.language
    Definition

    編寫此resource的語言


    The base language in which the resource is written.

    Short用以表述Encounter 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語言。不應該假定Resource.language自動適用於敘述。如果指定語言,它也應該被指定在html中的div資料項目(關於xml:lang和html lang屬性之間的關係,見HTML5中的規則)。


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

    Control0..1
    BindingThe codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages
    (preferred to http://hl7.org/fhir/ValueSet/languages)

    人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。


    A human language.

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

    ShortEncounter 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。有時resource可能只有文字表述,很少或沒有額外的結構化資料(只要滿足所有minOccurs=1的資料項目)。這可能出現在舊系統的資料,當資訊以 「文字表述區塊(text blob) 」的形式被取得,或者文字表述是原始輸入或說明,而編碼資訊稍後再添加。


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

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

    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).

    ShortExtensions that cannot be ignored
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

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

    此就醫事件的識別碼


    Identifier(s) by which this encounter is known.

    Short此就醫事件的識別碼Identifier(s) by which this encounter is known
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..*
    TypeIdentifier
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. Encounter.identifier.use
    Definition

    這個唯一識別碼(identifier)的用途


    The purpose of this identifier.

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

    應用程式可以假定一個識別碼是永久的,除非它明確說它是暫時的。


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

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

    如果知道,請說明此識別碼的用途;應填入所綁定值集中的其中一個代碼。


    Identifies the purpose for this identifier, if known .

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

    允許從一組識別碼中為特定的使用情境選擇適當的識別碼


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

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

    識別碼的代碼型別,用於決定特定目的適用的識別碼。


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

    Short識別碼(identifier)的型別說明Description of identifier
    Comments

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


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

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

    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。


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

    TypeCodeableConcept(TW CodeableConcept)
    Is Modifierfalse
    Requirements

    允許使用者在不知道識別碼系統的情況下利用識別碼


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

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

    建立值的命名空間-即一個描述一組值的唯一URL


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

    Short識別碼(identifier)的命名空間(namespace)The namespace for the identifier value
    Comments

    Identifier.system總是區分大小寫


    Identifier.system is always case sensitive.

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

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


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

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

    識別碼中通常與使用者有關的部分,在系統情境內是唯一的。


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

    Short唯一值The value that is unique
    Comments

    如果此值是一個完整的URI,那麼此系統 必須(SHALL) 是urn:ietf:rfc:3986。此值的主要目的是為了可運算的對應。因此,為了比較的目的,它可能會被正規化(例如:去除不重要的空白、破折號等)。一個為人顯示的格式化的值可以使用[Rendered Value](http://hl7.org/fhir/R4/extension-rendered-value.html)擴充來傳達。除非對Identifier.system的了解使處理者確信不區分大小寫的處理是安全的,否則Identifier.value應被視為區分大小寫。


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

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

    識別碼有效/曾經有效使用的時段或期間


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

    Short此就醫事件識別碼(identifier)的使用效期Time period when id is/was valid for use
    Control0..1
    TypePeriod
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    26. Encounter.identifier.assigner
    Definition

    簽發/管理識別碼的機構


    Organization that issued/manages the identifier.

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

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


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

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

    planned | arrived | triaged | in-progress | onleave | finished | cancelled +.

    Shortplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
    Comments

    請注意,內部業務規則將決定於狀態(也包括類別)間可能發生的適當轉換。


    Note that internal business rules will determine the appropriate transitions that may occur between statuses (and also classes).

    Control1..1
    BindingThe codes SHALL be taken from EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1
    (required to http://hl7.org/fhir/ValueSet/encounter-status|4.0.1)

    就醫現況的代碼;應填入所綁定值集中的其中一個代碼


    Current state of the encounter.

    Typecode
    Is Modifiertrue because This element is labeled 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 ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    30. Encounter.statusHistory
    Definition

    Encounter resource包含狀態歷史,因而不需閱讀resource的歷史版本,甚至不需讓伺服器儲存這些版本。


    The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them.

    Short過去的就醫狀態清單List of past encounter statuses
    Comments

    總是可在resource的目前版本找到目前狀態,而不是在狀態歷史中找到。


    The current status is always found in the current version of the resource, not the status history.

    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    32. Encounter.statusHistory.modifierExtension
    Definition

    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).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

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

    planned | arrived | triaged | in-progress | onleave | finished | cancelled +


    planned | arrived | triaged | in-progress | onleave | finished | cancelled +.

    Shortplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
    Control1..1
    BindingThe codes SHALL be taken from EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1
    (required to http://hl7.org/fhir/ValueSet/encounter-status|4.0.1)

    就醫現狀的代碼;應填入所綁定值集中的其中一個代碼


    Current state of the encounter.

    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    36. Encounter.statusHistory.period
    Definition

    該事件處於特定狀態的時間


    The time that the episode was in the specified status.

    Short該事件處於特定狀態的時間The time that the episode was in the specified status
    Control1..1
    TypePeriod
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    38. Encounter.class
    Definition

    病人就醫分類的概念,例如:門診病人、住院病人、急診病人、居家照護或其他因地方不同而產生的概念。


    Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations.

    Short病人就醫的分類Classification of patient encounter
    Comments

    代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

    Control1..1
    This element is affected by the following invariants: ele-1
    BindingUnless not suitable, these codes SHALL be taken from ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode
    (extensible to http://terminology.hl7.org/ValueSet/v3-ActEncounterCode)

    就醫的分類;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


    Classification of the encounter.

    TypeCoding(TW Coding)
    Is Modifierfalse
    Must Supporttrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    40. Encounter.classHistory
    Definition

    可透過類別歷史而不需要透過resource歷史紀錄來追蹤就醫的轉變,這將用於一個案例,即住院急診,然後轉住院的情況。這樣做而不重新啟動一個新的就醫,可以確保任何實驗室/診斷結果可以更容易地跟隨病人,不需要重新處理,也不會在從急診到住院的出院過程中丟失或取消。


    The class history permits the tracking of the encounters transitions without needing to go through the resource history. This would be used for a case where an admission starts of as an emergency encounter, then transitions into an inpatient scenario. Doing this and not restarting a new encounter ensures that any lab/diagnostic results can more easily follow the patient and not require re-processing and not get lost or cancelled during a kind of discharge from emergency to inpatient.

    Short過去就醫類別的列表List of past encounter classes
    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    42. Encounter.classHistory.modifierExtension
    Definition

    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).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

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

    inpatient | outpatient | ambulatory | emergency +. 住院病人 | 門診病人 | 非臥床(可行走)病人醫療服務 | 急診 +


    inpatient | outpatient | ambulatory | emergency +.

    Shortinpatient | outpatient | ambulatory | emergency +inpatient | outpatient | ambulatory | emergency +
    Control1..1
    BindingUnless not suitable, these codes SHALL be taken from ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode
    (extensible to http://terminology.hl7.org/ValueSet/v3-ActEncounterCode)

    就醫類別;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


    Classification of the encounter.

    TypeCoding
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    46. Encounter.classHistory.period
    Definition

    此就醫事件處於特定類別的時間


    The time that the episode was in the specified class.

    Short此就醫事件處於特定類別的時間The time that the episode was in the specified class
    Control1..1
    TypePeriod
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    48. Encounter.type
    Definition

    就醫的特定型別(如電子郵件諮詢、手術日間照護、專業護理、復健)。


    Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation).

    Short就醫的特定型別Specific type of encounter
    Comments

    由於有許多方法可以對就醫進行進一步的分類,所以這個資料項目的基數是0...* ,意即可不填寫或填寫數筆。


    Since there are many ways to further classify encounters, this element is 0..*.

    Control0..*
    This element is affected by the following invariants: ele-1
    BindingFor example codes, see EncounterTypehttp://hl7.org/fhir/ValueSet/encounter-type
    (example to http://hl7.org/fhir/ValueSet/encounter-type)

    就醫的型別;可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。


    The type of encounter.

    TypeCodeableConcept(TW CodeableConcept)
    Is Modifierfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    50. Encounter.serviceType
    Definition

    對所提供的服務進行廣泛的分類(如心臟科)


    Broad categorization of the service that is to be provided (e.g. cardiology).

    Short服務的特定型別Specific type of service
    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.

    Control0..1
    This element is affected by the following invariants: ele-1
    BindingFor example codes, see ServiceTypehttp://hl7.org/fhir/ValueSet/service-type
    (example to http://hl7.org/fhir/ValueSet/service-type)

    對提供的服務進行廣泛分類;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


    Broad categorization of the service that is to be provided.

    TypeCodeableConcept(TW CodeableConcept)
    Is Modifierfalse
    Must Supporttrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    52. Encounter.serviceType.coding
    Definition

    由專門術語系統(terminology system)所定義之代碼的參照


    A reference to a code defined by a terminology system.

    Short由專門術語系統(terminology system)定義的代碼Code defined by a terminology system
    Comments

    代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

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

    允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


    Allows for alternative encodings within a code system, and translations to other code systems.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on Encounter.serviceType.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • pattern @ system
    • 54. Encounter.serviceType.coding:TWMedicalDepartmentSCT
      Slice NameTWMedicalDepartmentSCT
      Definition

      由專門術語系統(terminology system)所定義之代碼的參照


      A reference to a code defined by a terminology system.

      Short由專門術語系統(terminology system)定義的代碼Code defined by a terminology system
      Comments

      代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

      Control0..1*
      This element is affected by the following invariants: ele-1
      BindingThe codes SHALL be taken from For codes, see 對應至 SNOMED CT之就醫科別 + 診療科別值集
      (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-department-sct-tw)
      TypeCoding(TW Coding)
      Is Modifierfalse
      Must Supporttrue
      Requirements

      允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


      Allows for alternative encodings within a code system, and translations to other code systems.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      56. Encounter.serviceType.coding:TWMedicalDepartmentSCT.system
      Definition

      定義代碼中符號意義的代碼系統識別


      The identification of the code system that defines the meaning of the symbol in the code.

      Short專門術語系統(terminology system)的識別Identity of the terminology system
      Comments

      URI可以是一個OID(urn:oid:...)或一個UUID(urn:uuid:...);OID和UUID 必須(SHALL) 參照HL7 OID註冊中心;否則,URI應該來自HL7的FHIR定義的特殊URI列表,或者它應該參照一些明確建立的系统定義。


      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

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

      需要明確說明符號定義的來源


      Need to be unambiguous about the source of the definition of the symbol.

      Pattern Valuehttp://snomed.info/sct
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      58. Encounter.serviceType.coding:TWMedicalDepartmentSCT.code
      Definition

      系統定義的語法之符號;符號可能是一個預先定義的代碼,也可能是代碼系統定義的語法中的表達式(如後組合配對/後組合式)。


      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

      Short系統定義的語法之符號Symbol in syntax defined by the system
      Control0..1
      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Requirements

      需要參照系統中的一個特定代碼


      Need to refer to a particular code in the system.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      60. Encounter.serviceType.coding:TWMedicalDepartmentSCT.display
      Definition

      遵循系統的規則以呈現代碼含義的表示法


      A representation of the meaning of the code in the system, following the rules of the system.

      Short由系統定義的表示法Representation defined by the system
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Requirements

      需要能為不了解此系統的讀者呈現可讀的代碼含義


      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      62. Encounter.serviceType.coding:TWMedicalConsultationDepartment
      Slice NameTWMedicalConsultationDepartment
      Definition

      由專門術語系統(terminology system)所定義之代碼的參照


      A reference to a code defined by a terminology system.

      Short由專門術語系統(terminology system)定義的代碼Code defined by a terminology system
      Comments

      代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

      Control0..1*
      This element is affected by the following invariants: ele-1
      BindingThe codes SHALL be taken from For codes, see 無法對應至SNOMED CT之臺灣健保署就醫科別值集
      (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-consultation-department-tw)
      TypeCoding(TW Coding)
      Is Modifierfalse
      Must Supporttrue
      Requirements

      允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


      Allows for alternative encodings within a code system, and translations to other code systems.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      64. Encounter.serviceType.coding:TWMedicalConsultationDepartment.system
      Definition

      定義代碼中符號意義的代碼系統識別


      The identification of the code system that defines the meaning of the symbol in the code.

      Short專門術語系統(terminology system)的識別Identity of the terminology system
      Comments

      URI可以是一個OID(urn:oid:...)或一個UUID(urn:uuid:...);OID和UUID 必須(SHALL) 參照HL7 OID註冊中心;否則,URI應該來自HL7的FHIR定義的特殊URI列表,或者它應該參照一些明確建立的系统定義。


      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

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

      需要明確說明符號定義的來源


      Need to be unambiguous about the source of the definition of the symbol.

      Pattern Valuehttps://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-tw
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      66. Encounter.serviceType.coding:TWMedicalConsultationDepartment.code
      Definition

      系統定義的語法之符號;符號可能是一個預先定義的代碼,也可能是代碼系統定義的語法中的表達式(如後組合配對/後組合式)。


      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

      Short系統定義的語法之符號Symbol in syntax defined by the system
      Control0..1
      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Requirements

      需要參照系統中的一個特定代碼


      Need to refer to a particular code in the system.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      68. Encounter.serviceType.coding:TWMedicalConsultationDepartment.display
      Definition

      遵循系統的規則以呈現代碼含義的表示法


      A representation of the meaning of the code in the system, following the rules of the system.

      Short由系統定義的表示法Representation defined by the system
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Requirements

      需要能為不了解此系統的讀者呈現可讀的代碼含義


      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      70. Encounter.serviceType.coding:TWMedicalTreatmentDepartment
      Slice NameTWMedicalTreatmentDepartment
      Definition

      由專門術語系統(terminology system)所定義之代碼的參照


      A reference to a code defined by a terminology system.

      Short由專門術語系統(terminology system)定義的代碼Code defined by a terminology system
      Comments

      代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

      Control0..1*
      This element is affected by the following invariants: ele-1
      BindingThe codes SHALL be taken from For codes, see 無法對應至SNOMED CT之臺灣健保署診療科別值集
      (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-treatment-department-tw)
      TypeCoding(TW Coding)
      Is Modifierfalse
      Must Supporttrue
      Requirements

      允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


      Allows for alternative encodings within a code system, and translations to other code systems.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      72. Encounter.serviceType.coding:TWMedicalTreatmentDepartment.system
      Definition

      定義代碼中符號意義的代碼系統識別


      The identification of the code system that defines the meaning of the symbol in the code.

      Short專門術語系統(terminology system)的識別Identity of the terminology system
      Comments

      URI可以是一個OID(urn:oid:...)或一個UUID(urn:uuid:...);OID和UUID 必須(SHALL) 參照HL7 OID註冊中心;否則,URI應該來自HL7的FHIR定義的特殊URI列表,或者它應該參照一些明確建立的系统定義。


      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

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

      需要明確說明符號定義的來源


      Need to be unambiguous about the source of the definition of the symbol.

      Pattern Valuehttps://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-tw
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      74. Encounter.serviceType.coding:TWMedicalTreatmentDepartment.code
      Definition

      系統定義的語法之符號;符號可能是一個預先定義的代碼,也可能是代碼系統定義的語法中的表達式(如後組合配對/後組合式)。


      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

      Short系統定義的語法之符號Symbol in syntax defined by the system
      Control0..1
      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Requirements

      需要參照系統中的一個特定代碼


      Need to refer to a particular code in the system.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      76. Encounter.serviceType.coding:TWMedicalTreatmentDepartment.display
      Definition

      遵循系統的規則以呈現代碼含義的表示法


      A representation of the meaning of the code in the system, following the rules of the system.

      Short由系統定義的表示法Representation defined by the system
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Requirements

      需要能為不了解此系統的讀者呈現可讀的代碼含義


      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

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

      輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。


      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

      Short概念的文字表示法Plain text representation of the concept
      Comments

      很多時候,此文字表述與其中一個代碼的顯示名稱相同。


      Very often the text is the same as a displayName of one of the codings.

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

      專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。


      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

      表明就醫的急迫性


      Indicates the urgency of the encounter.

      Short表明就醫的急迫性Indicates the urgency of the encounter
      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.

      Control0..1
      This element is affected by the following invariants: ele-1
      BindingFor example codes, see ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority
      (example to http://terminology.hl7.org/ValueSet/v3-ActPriority)

      表明就醫的迫切性;可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。


      Indicates the urgency of the encounter.

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      82. Encounter.subject
      Definition

      在場就醫的病人或實體集合(Group)


      The patient or group present at the encounter.

      Short在場就醫的病人或實體集合(Group)The patient or group present at the encounter
      Comments

      雖然就醫總是關於病人,但在所有的使用情境中,病人實際上可能並不為人所知及可能有一群病人是匿名的(例如:匿名酗酒者的團體治療中—就醫紀錄是以人數/工作人員數計費,而具體病人的情境並不重要);或者在獸醫照護中,一群羊接受治療(動物沒有被單獨追蹤)。


      While the encounter is always about the patient, the patient might not actually be known in all contexts of use, and there may be a group of patients that could be anonymous (such as in a group therapy for Alcoholics Anonymous - where the recording of the encounter could be used for billing on the number of people/staff and not important to the context of the specific patients) or alternately in veterinary care a herd of sheep receiving treatment (where the animals are not individually tracked).

      Control0..1
      TypeReference(TW Core Patient, Group, Patient)
      Is Modifierfalse
      Must Supporttrue
      Must Support TypesNo must-support rules about the choice of types/profiles
      Summarytrue
      Alternate Namespatient
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      84. Encounter.episodeOfCare
      Definition

      當某一特定就醫應被歸類為某一特定照護事件的一部分時,應使用這一個資料項目。這種關聯可方便地將相關的就醫分類,以達到特定的目的,如政府報告、問題追蹤、透過共同的問題進行關聯,關聯通常會在照護事件之後記錄在就醫紀錄上,並在紀錄上分類;而不是將另一個就醫(照護事件可能橫跨多年)附件到照護事件紀錄。


      Where a specific encounter should be classified as a part of a specific episode(s) of care this field should be used. This association can facilitate grouping of related encounters together for a specific purpose, such as government reporting, issue tracking, association via a common problem. The association is recorded on the encounter as these are typically created after the episode of care and grouped on entry rather than editing the episode of care to append another encounter to it (the episode of care could span years).

      Short此次就醫應記錄的照護事件Episode(s) of care that this encounter should be recorded against
      Control0..*
      TypeReference(EpisodeOfCare)
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      86. Encounter.basedOn
      Definition

      此就醫事件所要滿足的請求(例如:轉診或手術請求)


      The request this encounter satisfies (e.g. incoming referral or procedure request).

      Short開始此次就醫的服務請求(ServiceRequest)The ServiceRequest that initiated this encounter
      Control0..*
      TypeReference(ServiceRequest)
      Is Modifierfalse
      Summaryfalse
      Alternate NamesincomingReferral
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      88. Encounter.participant
      Definition

      負責提供健康照護服務的人員名單


      The list of people responsible for providing the service.

      Short參與就醫的健康照護服務提供者之名單List of participants involved in the encounter
      Control0..*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      90. Encounter.participant.modifierExtension
      Definition

      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).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

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

      參與者在病人就醫事件中的角色


      Role of participant in encounter.

      Short參與者在病人就醫事件中的角色Role of participant in encounter
      Comments

      參與者的型別表明個人如何參與病人的就醫事件。它包括非執業醫師的參與者,而對於執業醫師來說,這是為了描述在這次就醫中的活動型別(例如:住院醫生、主治醫生、翻譯者、諮詢醫生)。這與執業醫師的角色不同,執業醫師是功能性的角色,衍生自來僱用、教育、執照等。


      The participant type indicates how an individual participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.

      Control0..*
      This element is affected by the following invariants: ele-1
      BindingUnless not suitable, these codes SHALL be taken from ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type
      (extensible to http://hl7.org/fhir/ValueSet/encounter-participant-type)

      參與者在病人就醫事件中的角色;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


      Role of participant in encounter.

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

      指定的參與者參與病人就醫的時段。這些時段可以是重疊的,也可以是整個就醫的時段的子集。


      The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period.

      Short參與者在病人就醫期間參與的時段Period of time during the encounter that the participant participated
      Control0..1
      TypePeriod
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      96. Encounter.participant.individual
      Definition

      除病人外,參與病人就醫事件的人。


      Persons involved in the encounter other than the patient.

      Short除病人外,參與病人就醫事件的人。Persons involved in the encounter other than the patient
      Control0..1
      TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core RelatedPerson, Practitioner, PractitionerRole, RelatedPerson)
      Is Modifierfalse
      Must Supporttrue
      Must Support TypesNo must-support rules about the choice of types/profiles
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      98. Encounter.appointment
      Definition

      這次就醫的預約紀錄


      The appointment that scheduled this encounter.

      Short這次就醫的預約紀錄The appointment that scheduled this encounter
      Control0..*
      TypeReference(Appointment)
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      100. Encounter.period
      Definition

      就醫的開始和結束時間


      The start and end time of the encounter.

      Short就醫的開始和結束時間The start and end time of the encounter
      Comments

      如果(尚)不知道,可以省略「期間」裡的結束日期時間。


      If not (yet) known, the end of the Period may be omitted.

      Control0..1
      TypePeriod
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      102. Encounter.length
      Definition

      就醫持續的時間,這不包括請假缺席的時間。


      Quantity of time the encounter lasted. This excludes the time during leaves of absence.

      Short就醫持續的時間(扣除缺席時間)Quantity of time the encounter lasted (less time absent)
      Comments

      由於請假,可能與就醫的開始和結束時間(Encounter.period)不同。


      May differ from the time the Encounter.period lasted because of leave of absence.

      Control0..1
      TypeDuration
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      104. Encounter.reasonCode
      Definition

      就醫發生的原因,以代碼表示。對於住院,這可用於住院診斷代碼。


      Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.

      Short就醫發生的編碼原因Coded reason the encounter takes place
      Comments

      對於需要知道哪個是主要診斷的系統來說,這些將用標準擴充primaryDiagnosis(這是一個序列值而不是一個標誌,1=主要診斷)來標記。


      For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).

      Control0..*
      This element is affected by the following invariants: ele-1
      BindingThe codes SHOULD be taken from EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason
      (preferred to http://hl7.org/fhir/ValueSet/encounter-reason)

      發生此就醫事件的原因;鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。


      Reason why the encounter takes place.

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Must Supporttrue
      Alternate NamesIndication, Admission diagnosis
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      106. Encounter.reasonReference
      Definition

      就醫發生的原因,以代碼表示。對於住院,這可用於住院診斷代碼。


      Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.

      Short就醫發生的原因(參照)Reason the encounter takes place (reference)
      Comments

      對於需要知道哪個是主要診斷的系統來說,這些將用標準擴充primaryDiagnosis(這是一個序列值而不是一個標誌,1=主要診斷)來標記。


      For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).

      Control0..*
      TypeReference(TW Core Condition, TW Core Procedure, TW Core Observation Laboratory Result, ImmunizationRecommendation, Condition, Procedure, Observation)
      Is Modifierfalse
      Summarytrue
      Alternate NamesIndication, Admission diagnosis
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      108. Encounter.diagnosis
      Definition

      與此就醫相關的診斷清單


      The list of diagnosis relevant to this encounter.

      Short與此就醫相關的診斷清單The list of diagnosis relevant to this encounter
      Control0..*
      TypeBackboneElement
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      110. Encounter.diagnosis.modifierExtension
      Definition

      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).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

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

      就醫的原因,使用其他resource的資訊以具體說明。對於住院,這就是住院診斷。指示通常是一個病情、問題或診斷(Condition)(在evidence.detail中參照其他resource),或一個處置(Procedure)。


      Reason the encounter takes place, as specified using information from another resource. For admissions, this is the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure.

      Short與就醫事件相關的診斷或處置The diagnosis or procedure relevant to the encounter
      Comments

      對於需要知道哪個是主要診斷的系統來說,這些將用標準擴充primaryDiagnosis(這是一個序列值而不是一個標誌,1=主要診斷)來標記。


      For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).

      Control1..1
      TypeReference(TW Core Condition, TW Core Procedure, Condition, Procedure)
      Is Modifierfalse
      Summarytrue
      Alternate NamesAdmission diagnosis, discharge diagnosis, indication
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      114. Encounter.diagnosis.use
      Definition

      此診斷在病人就醫事件中的作用(例如:住院、收費、出院...)。


      Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …).

      Short此診斷在病人就醫事件中的作用(例如:住院、收費、出院...)。Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
      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.

      Control0..1
      This element is affected by the following invariants: ele-1
      BindingThe codes SHOULD be taken from DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role
      (preferred to http://hl7.org/fhir/ValueSet/diagnosis-role)

      此情況所代表的診斷型別;鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。


      The type of diagnosis this condition represents.

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      116. Encounter.diagnosis.rank
      Definition

      診斷的排序(針對每個角色型別)


      Ranking of the diagnosis (for each role type).

      Short診斷的排序(針對每個角色型別)Ranking of the diagnosis (for each role type)
      Control0..1
      TypepositiveInt
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      118. Encounter.account
      Definition

      可用於為此病人就醫事件計費的一組帳戶


      The set of accounts that may be used for billing for this Encounter.

      Short可用於為此病人就醫事件計費的一組帳戶The set of accounts that may be used for billing for this Encounter
      Comments

      計費系統可依據內部業務規則,選擇將與就醫(Encounter)相關的應計費項目分配給不同的參照帳戶。


      The billing system may choose to allocate billable items associated with the Encounter to different referenced Accounts based on internal business rules.

      Control0..*
      TypeReference(Account)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      120. Encounter.hospitalization
      Definition

      關於入院接受健康照護服務的細節


      Details about the admission to a healthcare service.

      Short關於入院接受健康照護服務的細節Details about the admission to a healthcare service
      Comments

      就醫可能不僅僅包括住院治療。其他情境像是門診病人、社區診所和老年照護機構等情況也包括在內。在此就醫期間記錄的持續時間含概此住院紀錄的整個範圍。


      An Encounter may cover more than just the inpatient stay. Contexts such as outpatients, community clinics, and aged care facilities are also included.

      The duration recorded in the period of this encounter covers the entire scope of this hospitalization record.

      Control0..1
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      122. Encounter.hospitalization.modifierExtension
      Definition

      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).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

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

      住院前識別碼


      Pre-admission identifier.

      Short住院前識別碼Pre-admission identifier
      Control0..1
      TypeIdentifier
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      126. Encounter.hospitalization.origin
      Definition

      病人住院前來自的地點/機構


      The location/organization from which the patient came before admission.

      Short病人住院前來自的地點/機構The location/organization from which the patient came before admission
      Control0..1
      TypeReference(TW Core Organization, TW Core Location, Location, Organization)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      128. Encounter.hospitalization.admitSource
      Definition

      病人從哪裡住院(醫生轉介、轉院)?


      From where patient was admitted (physician referral, transfer).

      Short病人從哪裡住院(醫生轉介、轉院)?From where patient was admitted (physician referral, transfer)
      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.

      Control0..1
      This element is affected by the following invariants: ele-1
      BindingThe codes SHOULD be taken from AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-source
      (preferred to http://hl7.org/fhir/ValueSet/encounter-admit-source)

      病人從哪裡住院;鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。


      From where the patient was admitted.

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      130. Encounter.hospitalization.reAdmission
      Definition

      此次住院是否為再入院,如果知道的話,請說明原因。


      Whether this hospitalization is a readmission and why if known.

      Short已發生的醫院再入院型別(如果有的話)。如果該值不存在,則不被認定為再入院。The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
      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.

      Control0..1
      This element is affected by the following invariants: ele-1
      BindingFor example codes, see hl7VS-re-admissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092
      (example to http://terminology.hl7.org/ValueSet/v2-0092)

      這次住院就醫的再入院原因;可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。


      The reason for re-admission of this hospitalization encounter.

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      132. Encounter.hospitalization.dietPreference
      Definition

      病人報告的飲食偏好


      Diet preferences reported by the patient.

      Short病人報告的飲食偏好Diet preferences reported by the patient
      Comments

      例如:一個病人可能同時要求無乳製品和無堅果的飲食偏好(不相互排斥)。


      For example, a patient may request both a dairy-free and nut-free diet preference (not mutually exclusive).

      Control0..*
      This element is affected by the following invariants: ele-1
      BindingFor example codes, see Diethttp://hl7.org/fhir/ValueSet/encounter-diet
      (example to http://hl7.org/fhir/ValueSet/encounter-diet)

      醫療、文化或道德方面的食物偏好,以幫助滿足飲食要求;可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。


      Medical, cultural or ethical food preferences to help with catering requirements.

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Requirements

      用於追蹤病人的飲食限制和/或偏好。如果要完整描述病人在住院期間的營養需求,應該使用與Encounter連結的nutritionOrder resource。


      Used to track patient's diet restrictions and/or preference. For a complete description of the nutrition needs of a patient during their stay, one should use the nutritionOrder resource which links to Encounter.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      134. Encounter.hospitalization.specialCourtesy
      Definition

      特別禮遇(貴賓、董事會成員)


      Special courtesies (VIP, board member).

      Short特別禮遇(貴賓、董事會成員)Special courtesies (VIP, board member)
      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.

      Control0..*
      This element is affected by the following invariants: ele-1
      BindingThe codes SHOULD be taken from SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesy
      (preferred to http://hl7.org/fhir/ValueSet/encounter-special-courtesy)

      特別禮遇;鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。


      Special courtesies.

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      136. Encounter.hospitalization.specialArrangement
      Definition

      對此次住院就醫提出的任何特殊要求,如提供特定設備或其他東西。


      Any special requests that have been made for this hospitalization encounter, such as the provision of specific equipment or other things.

      Short輪椅、翻譯人員、擔架等。Wheelchair, translator, stretcher, etc.
      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.

      Control0..*
      This element is affected by the following invariants: ele-1
      BindingThe codes SHOULD be taken from SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangements
      (preferred to http://hl7.org/fhir/ValueSet/encounter-special-arrangements)

      特殊安排;鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。


      Special arrangements.

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      138. Encounter.hospitalization.destination
      Definition

      病人出院地點/機構


      Location/organization to which the patient is discharged.

      Short病人出院地點/機構Location/organization to which the patient is discharged
      Control0..1
      TypeReference(TW Core Location, TW Core Organization, Location, Organization)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      140. Encounter.hospitalization.dischargeDisposition
      Definition

      出院後的地點類別或種類


      Category or kind of location after discharge.

      Short出院後的地點類別或種類Category or kind of location after discharge
      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.

      Control0..1
      This element is affected by the following invariants: ele-1
      BindingFor example codes, see DischargeDispositionhttp://hl7.org/fhir/ValueSet/encounter-discharge-disposition
      (example to http://hl7.org/fhir/ValueSet/encounter-discharge-disposition)

      出院處置;可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。


      Discharge Disposition.

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Must Supporttrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      142. Encounter.location
      Definition

      此次就醫期間,病人曾去過的一個或多個地點


      List of locations where the patient has been during this encounter.

      Short病人曾去過的一個或多個地點List of locations where the patient has been
      Comments

      透過指定一個型別「種類(kind)」的地點參照,例如「客戶的家」,以及encounter.class =「虛擬(virtual)」。


      Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type "kind" such as "client's home" and an encounter.class = "virtual".

      Control0..*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      144. Encounter.location.modifierExtension
      Definition

      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).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

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

      就醫發生的地點


      The location where the encounter takes place.

      Short就醫發生的地點Location the encounter takes place
      Control1..1
      TypeReference(TW Core Location, Location)
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      148. Encounter.location.status
      Definition

      參與者在指定期間於特定地點的狀態。如果參與者已不在此地點,那麼其期間將有一個結束日期/時間。


      The status of the participants' presence at the specified location during the period specified. If the participant is no longer at the location, then the period will have an end date/time.

      Shortplanned | active | reserved | completed
      Comments

      當病人不再在某一地點活動時,則要輸入期間結束日期,狀態可改為完成。


      When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed.

      Control0..1
      BindingThe codes SHALL be taken from EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1
      (required to http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1)

      就醫地點的狀態;應填入所綁定值集中的其中一個代碼。


      The status of the location.

      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      150. Encounter.location.physicalType
      Definition

      這將被用來指定所需的地點層級(床位/病房/房間/等),以簡化訊息傳遞或查詢。


      This will be used to specify the required levels (bed/ward/room/etc.) desired to be recorded to simplify either messaging or query.

      Short地點的實體型別(通常是地點的層級—床位、房間、病房等)。The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
      Comments

      此資訊是從Location resource中反正規化(de-normalized),以較易理解Encounter resource及支持訊息傳遞或查詢的處理。地點的層級結構中可能有許多層級,這可能只挑選特定使用情境所需的特定層級。


      This information is de-normalized from the Location resource to support the easier understanding of the encounter resource and processing in messaging or query.

      There may be many levels in the hierachy, and this may only pic specific levels that are required for a specific usage scenario.

      Control0..1
      This element is affected by the following invariants: ele-1
      BindingFor example codes, see LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type
      (example to http://hl7.org/fhir/ValueSet/location-physical-type)

      地點的實體型別;可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。


      Physical form of the location.

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

      病人出現在此地點的時段


      Time period during which the patient was present at the location.

      Short病人出現在此地點的時段Time period during which the patient was present at the location
      Control0..1
      TypePeriod
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      154. Encounter.serviceProvider
      Definition

      對此次就醫的服務負主要責任的機構。這可能與病人紀錄中的機構相同,但也可能不同,例如:如果執行服務的人員來自外部機構(可單獨計費)的外部諮詢。請參考Bundle範例顯示結腸鏡檢查就醫縮略集。


      The organization that is primarily responsible for this Encounter's services. This MAY be the same as the organization on the Patient record, however it could be different, such as if the actor performing the services was from an external organization (which may be billed seperately) for an external consultation. Refer to the example bundle showing an abbreviated set of Encounters for a colonoscopy.

      Short負責這次就醫的機構The organization (facility) responsible for this encounter
      Control0..1
      TypeReference(TW Core Organization, Organization)
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      156. Encounter.partOf
      Definition

      此就醫是哪次就醫的一部分(行政上或時間上)


      Another Encounter of which this encounter is a part of (administratively or in time).

      Short此就醫是哪次就醫的一部份?Another Encounter this encounter is part of
      Comments

      這也用於將小孩的就醫與母親的就醫作關聯。 詳情請參考Patient resource中的Notes小節。


      This is also used for associating a child's encounter back to the mother's encounter.

      Refer to the Notes section in the Patient resource for further details.

      Control0..1
      TypeReference(TW Core Encounter, Encounter)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

      0. Encounter
      Definition

      病人和健康照護服務提供者之間的互動,目的是提供健康照護服務或評估病人的健康狀況。

      Short提供病人服務的一種互動
      Control0..*
      Is Modifierfalse
      Summaryfalse
      Alternate NamesVisit
      Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
      dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
      dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
      dom-6: A resource should have narrative for robust management (text.`div`.exists())
      2. Encounter.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Encounter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,此resource沒有id,它的id在resource被創建後由伺器分配/指定。

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

      關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。

      Short此Encounter Resource的metadata
      Control0..1
      TypeMeta
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      6. Encounter.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。通常這是對IG所定義之特殊規則及其他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交易夥伴所理解。這從本質上限制了資料的長期有用性。然而,現有的健康生態體系高度分裂,還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能,實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時,此URL是對IG的參照,此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。

      Control0..1
      Typeuri
      Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      8. Encounter.language
      Definition

      編寫此resource的語言

      Short用以表述Encounter 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語言。不應該假定Resource.language自動適用於敘述。如果指定語言,它也應該被指定在html中的div資料項目(關於xml:lang和html lang屬性之間的關係,見HTML5中的規則)。

      Control0..1
      BindingThe codes SHOULD be taken from CommonLanguages
      (preferred to http://hl7.org/fhir/ValueSet/languages)

      人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。

      Additional BindingsPurpose
      AllLanguagesMax Binding
      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Example<br/><b>Value</b>:zh-TW
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      10. Encounter.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定義有哪些內容應該在敘述中表示,以確保臨床安全。

      ShortEncounter 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。有時resource可能只有文字表述,很少或沒有額外的結構化資料(只要滿足所有minOccurs=1的資料項目)。這可能出現在舊系統的資料,當資訊以 「文字表述區塊(text blob) 」的形式被取得,或者文字表述是原始輸入或說明,而編碼資訊稍後再添加。

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

      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.

      ShortContained, inline Resources
      Comments

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

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

      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.

      ShortAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

      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).

      ShortExtensions that cannot be ignored
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

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

      此就醫事件的識別碼

      Short此就醫事件的識別碼
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..*
      TypeIdentifier
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      20. Encounter.identifier.id
      Definition

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

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      22. Encounter.identifier.extension
      Definition

      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.

      ShortAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

        這個唯一識別碼(identifier)的用途

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

        應用程式可以假定一個識別碼是永久的,除非它明確說它是暫時的。

        Control0..1
        BindingThe codes SHALL be taken from IdentifierUse
        (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

        如果知道,請說明此識別碼的用途;應填入所綁定值集中的其中一個代碼。

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

        允許從一組識別碼中為特定的使用情境選擇適當的識別碼

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

        識別碼的代碼型別,用於決定特定目的適用的識別碼。

        Short識別碼(identifier)的型別說明
        Comments

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

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

        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。

        TypeCodeableConcept(TW CodeableConcept)
        Is Modifierfalse
        Requirements

        允許使用者在不知道識別碼系統的情況下利用識別碼

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

        建立值的命名空間-即一個描述一組值的唯一URL

        Short識別碼(identifier)的命名空間(namespace)
        Comments

        Identifier.system總是區分大小寫

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

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

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

        識別碼中通常與使用者有關的部分,在系統情境內是唯一的。

        Short唯一值
        Comments

        如果此值是一個完整的URI,那麼此系統 必須(SHALL) 是urn:ietf:rfc:3986。此值的主要目的是為了可運算的對應。因此,為了比較的目的,它可能會被正規化(例如:去除不重要的空白、破折號等)。一個為人顯示的格式化的值可以使用[Rendered Value](http://hl7.org/fhir/R4/extension-rendered-value.html)擴充來傳達。除非對Identifier.system的了解使處理者確信不區分大小寫的處理是安全的,否則Identifier.value應被視為區分大小寫。

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

        識別碼有效/曾經有效使用的時段或期間

        Short此就醫事件識別碼(identifier)的使用效期
        Control0..1
        TypePeriod
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        34. Encounter.identifier.assigner
        Definition

        簽發/管理識別碼的機構

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

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

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

        planned | arrived | triaged | in-progress | onleave | finished | cancelled +.

        Shortplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
        Comments

        請注意,內部業務規則將決定於狀態(也包括類別)間可能發生的適當轉換。

        Control1..1
        BindingThe codes SHALL be taken from EncounterStatus
        (required to http://hl7.org/fhir/ValueSet/encounter-status|4.0.1)

        就醫現況的代碼;應填入所綁定值集中的其中一個代碼

        Typecode
        Is Modifiertrue because This element is labeled 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 ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        38. Encounter.statusHistory
        Definition

        Encounter resource包含狀態歷史,因而不需閱讀resource的歷史版本,甚至不需讓伺服器儲存這些版本。

        Short過去的就醫狀態清單
        Comments

        總是可在resource的目前版本找到目前狀態,而不是在狀態歷史中找到。

        Control0..*
        TypeBackboneElement
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        40. Encounter.statusHistory.id
        Definition

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

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        42. Encounter.statusHistory.extension
        Definition

        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.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

        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).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

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

        planned | arrived | triaged | in-progress | onleave | finished | cancelled +

        Shortplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
        Control1..1
        BindingThe codes SHALL be taken from EncounterStatus
        (required to http://hl7.org/fhir/ValueSet/encounter-status|4.0.1)

        就醫現狀的代碼;應填入所綁定值集中的其中一個代碼

        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        48. Encounter.statusHistory.period
        Definition

        該事件處於特定狀態的時間

        Short該事件處於特定狀態的時間
        Control1..1
        TypePeriod
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        50. Encounter.class
        Definition

        病人就醫分類的概念,例如:門診病人、住院病人、急診病人、居家照護或其他因地方不同而產生的概念。

        Short病人就醫的分類
        Comments

        代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

        Control1..1
        This element is affected by the following invariants: ele-1
        BindingUnless not suitable, these codes SHALL be taken from ActEncounterCode
        (extensible to http://terminology.hl7.org/ValueSet/v3-ActEncounterCode)

        就醫的分類;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

        TypeCoding(TW Coding)
        Is Modifierfalse
        Must Supporttrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        52. Encounter.classHistory
        Definition

        可透過類別歷史而不需要透過resource歷史紀錄來追蹤就醫的轉變,這將用於一個案例,即住院急診,然後轉住院的情況。這樣做而不重新啟動一個新的就醫,可以確保任何實驗室/診斷結果可以更容易地跟隨病人,不需要重新處理,也不會在從急診到住院的出院過程中丟失或取消。

        Short過去就醫類別的列表
        Control0..*
        TypeBackboneElement
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        54. Encounter.classHistory.id
        Definition

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

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        56. Encounter.classHistory.extension
        Definition

        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.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

        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).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

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

        inpatient | outpatient | ambulatory | emergency +. 住院病人 | 門診病人 | 非臥床(可行走)病人醫療服務 | 急診 +

        Shortinpatient | outpatient | ambulatory | emergency +
        Control1..1
        BindingUnless not suitable, these codes SHALL be taken from ActEncounterCode
        (extensible to http://terminology.hl7.org/ValueSet/v3-ActEncounterCode)

        就醫類別;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

        TypeCoding
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        62. Encounter.classHistory.period
        Definition

        此就醫事件處於特定類別的時間

        Short此就醫事件處於特定類別的時間
        Control1..1
        TypePeriod
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        64. Encounter.type
        Definition

        就醫的特定型別(如電子郵件諮詢、手術日間照護、專業護理、復健)。

        Short就醫的特定型別
        Comments

        由於有許多方法可以對就醫進行進一步的分類,所以這個資料項目的基數是0...* ,意即可不填寫或填寫數筆。

        Control0..*
        This element is affected by the following invariants: ele-1
        BindingFor example codes, see EncounterType
        (example to http://hl7.org/fhir/ValueSet/encounter-type)

        就醫的型別;可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。

        TypeCodeableConcept(TW CodeableConcept)
        Is Modifierfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        66. Encounter.serviceType
        Definition

        對所提供的服務進行廣泛的分類(如心臟科)

        Short服務的特定型別
        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.

        Control0..1
        This element is affected by the following invariants: ele-1
        BindingFor example codes, see ServiceType
        (example to http://hl7.org/fhir/ValueSet/service-type)

        對提供的服務進行廣泛分類;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

        TypeCodeableConcept(TW CodeableConcept)
        Is Modifierfalse
        Must Supporttrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        68. Encounter.serviceType.id
        Definition

        resource中資料項目的唯一ID(用於內部參照)。這可以是任何不含空格的字串。

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

        擴充的資料項目

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

          由專門術語系統(terminology system)所定義之代碼的參照

          Short由專門術語系統(terminology system)定義的代碼
          Comments

          代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

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

          允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          SlicingThis element introduces a set of slices on Encounter.serviceType.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • pattern @ system
          • 74. Encounter.serviceType.coding:TWMedicalDepartmentSCT
            Slice NameTWMedicalDepartmentSCT
            Definition

            由專門術語系統(terminology system)所定義之代碼的參照

            Short由專門術語系統(terminology system)定義的代碼
            Comments

            代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

            Control0..1
            This element is affected by the following invariants: ele-1
            BindingThe codes SHALL be taken from 對應至 SNOMED CT之就醫科別 + 診療科別值集
            (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-department-sct-tw)
            TypeCoding(TW Coding)
            Is Modifierfalse
            Must Supporttrue
            Requirements

            允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            76. Encounter.serviceType.coding:TWMedicalDepartmentSCT.id
            Definition

            resource中資料項目的唯一ID(用於內部參照),這可以是任何不含空格的字串。

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

            可用於表示不屬於此資料項目基本定義的附加資訊。為了擴充的使用安全和可管理,對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充,但作為擴充定義的一部分,有一套要求 必須(SHALL) 滿足。

            Short擴充的資料項目
            Comments

            無論使用或定義擴充的機構或管轄區,任何應用程式、專案或標準使用擴充都不背負任何污名(stigma)。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。

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

              定義代碼中符號意義的代碼系統識別

              Short專門術語系統(terminology system)的識別
              Comments

              URI可以是一個OID(urn:oid:...)或一個UUID(urn:uuid:...);OID和UUID 必須(SHALL) 參照HL7 OID註冊中心;否則,URI應該來自HL7的FHIR定義的特殊URI列表,或者它應該參照一些明確建立的系统定義。

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

              需要明確說明符號定義的來源

              Pattern Valuehttp://snomed.info/sct
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              82. Encounter.serviceType.coding:TWMedicalDepartmentSCT.version
              Definition

              選擇此代碼時使用的代碼系統版本;請注意,一個維護良好的代碼系統不需要版本報告,因為代碼的意義在不同系統版本中是一致的;然而,不能始終保證這點,當不能保證意義一致時, 必須(SHALL) 將版本資訊也一併作交換。

              Short系統的版本—如果相關的話
              Comments

              如果專門術語沒有明確定義應該使用什麼字串來識別代碼系統的版本,建議使用版本正式發布的日期(用FHIR日期格式表示)作為版本日期。

              NoteThis is a business version Id, not a resource version Id (see discussion)
              Control0..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              84. Encounter.serviceType.coding:TWMedicalDepartmentSCT.code
              Definition

              系統定義的語法之符號;符號可能是一個預先定義的代碼,也可能是代碼系統定義的語法中的表達式(如後組合配對/後組合式)。

              Short系統定義的語法之符號
              Control0..1
              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summarytrue
              Requirements

              需要參照系統中的一個特定代碼

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              86. Encounter.serviceType.coding:TWMedicalDepartmentSCT.display
              Definition

              遵循系統的規則以呈現代碼含義的表示法

              Short由系統定義的表示法
              Control0..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summarytrue
              Requirements

              需要能為不了解此系統的讀者呈現可讀的代碼含義

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              88. Encounter.serviceType.coding:TWMedicalDepartmentSCT.userSelected
              Definition

              表明此編碼是由使用者直接選擇,例如:從可用項目(代碼或顯示名稱)的清單中選擇。

              Short此編碼是否由使用者直接選擇?
              Comments

              在一系列備選方案中,直接選擇的代碼是新翻譯最合適的起點;關於「直接選擇」的確切意義,存在模糊不清之處,可能需要貿易夥伴的同意,以更完整澄清此資料項目的使用及其後果。

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

              已被確定為一個臨床安全準則—此確切的系統/代碼對(code pair)是被明確選擇的,而不是由系統根據一些規則或是程式語言處理判斷。

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              90. Encounter.serviceType.coding:TWMedicalConsultationDepartment
              Slice NameTWMedicalConsultationDepartment
              Definition

              由專門術語系統(terminology system)所定義之代碼的參照

              Short由專門術語系統(terminology system)定義的代碼
              Comments

              代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

              Control0..1
              This element is affected by the following invariants: ele-1
              BindingThe codes SHALL be taken from 無法對應至SNOMED CT之臺灣健保署就醫科別值集
              (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-consultation-department-tw)
              TypeCoding(TW Coding)
              Is Modifierfalse
              Must Supporttrue
              Requirements

              允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              92. Encounter.serviceType.coding:TWMedicalConsultationDepartment.id
              Definition

              resource中資料項目的唯一ID(用於內部參照),這可以是任何不含空格的字串。

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

              可用於表示不屬於此資料項目基本定義的附加資訊。為了擴充的使用安全和可管理,對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充,但作為擴充定義的一部分,有一套要求 必須(SHALL) 滿足。

              Short擴充的資料項目
              Comments

              無論使用或定義擴充的機構或管轄區,任何應用程式、專案或標準使用擴充都不背負任何污名(stigma)。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。

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

                定義代碼中符號意義的代碼系統識別

                Short專門術語系統(terminology system)的識別
                Comments

                URI可以是一個OID(urn:oid:...)或一個UUID(urn:uuid:...);OID和UUID 必須(SHALL) 參照HL7 OID註冊中心;否則,URI應該來自HL7的FHIR定義的特殊URI列表,或者它應該參照一些明確建立的系统定義。

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

                需要明確說明符號定義的來源

                Pattern Valuehttps://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-tw
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                98. Encounter.serviceType.coding:TWMedicalConsultationDepartment.version
                Definition

                選擇此代碼時使用的代碼系統版本;請注意,一個維護良好的代碼系統不需要版本報告,因為代碼的意義在不同系統版本中是一致的;然而,不能始終保證這點,當不能保證意義一致時, 必須(SHALL) 將版本資訊也一併作交換。

                Short系統的版本—如果相關的話
                Comments

                如果專門術語沒有明確定義應該使用什麼字串來識別代碼系統的版本,建議使用版本正式發布的日期(用FHIR日期格式表示)作為版本日期。

                NoteThis is a business version Id, not a resource version Id (see discussion)
                Control0..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                100. Encounter.serviceType.coding:TWMedicalConsultationDepartment.code
                Definition

                系統定義的語法之符號;符號可能是一個預先定義的代碼,也可能是代碼系統定義的語法中的表達式(如後組合配對/後組合式)。

                Short系統定義的語法之符號
                Control0..1
                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Requirements

                需要參照系統中的一個特定代碼

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                102. Encounter.serviceType.coding:TWMedicalConsultationDepartment.display
                Definition

                遵循系統的規則以呈現代碼含義的表示法

                Short由系統定義的表示法
                Control0..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Requirements

                需要能為不了解此系統的讀者呈現可讀的代碼含義

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                104. Encounter.serviceType.coding:TWMedicalConsultationDepartment.userSelected
                Definition

                表明此編碼是由使用者直接選擇,例如:從可用項目(代碼或顯示名稱)的清單中選擇。

                Short此編碼是否由使用者直接選擇?
                Comments

                在一系列備選方案中,直接選擇的代碼是新翻譯最合適的起點;關於「直接選擇」的確切意義,存在模糊不清之處,可能需要貿易夥伴的同意,以更完整澄清此資料項目的使用及其後果。

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

                已被確定為一個臨床安全準則—此確切的系統/代碼對(code pair)是被明確選擇的,而不是由系統根據一些規則或是程式語言處理判斷。

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                106. Encounter.serviceType.coding:TWMedicalTreatmentDepartment
                Slice NameTWMedicalTreatmentDepartment
                Definition

                由專門術語系統(terminology system)所定義之代碼的參照

                Short由專門術語系統(terminology system)定義的代碼
                Comments

                代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

                Control0..1
                This element is affected by the following invariants: ele-1
                BindingThe codes SHALL be taken from 無法對應至SNOMED CT之臺灣健保署診療科別值集
                (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-treatment-department-tw)
                TypeCoding(TW Coding)
                Is Modifierfalse
                Must Supporttrue
                Requirements

                允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                108. Encounter.serviceType.coding:TWMedicalTreatmentDepartment.id
                Definition

                resource中資料項目的唯一ID(用於內部參照),這可以是任何不含空格的字串。

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

                可用於表示不屬於此資料項目基本定義的附加資訊。為了擴充的使用安全和可管理,對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充,但作為擴充定義的一部分,有一套要求 必須(SHALL) 滿足。

                Short擴充的資料項目
                Comments

                無論使用或定義擴充的機構或管轄區,任何應用程式、專案或標準使用擴充都不背負任何污名(stigma)。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。

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

                  定義代碼中符號意義的代碼系統識別

                  Short專門術語系統(terminology system)的識別
                  Comments

                  URI可以是一個OID(urn:oid:...)或一個UUID(urn:uuid:...);OID和UUID 必須(SHALL) 參照HL7 OID註冊中心;否則,URI應該來自HL7的FHIR定義的特殊URI列表,或者它應該參照一些明確建立的系统定義。

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

                  需要明確說明符號定義的來源

                  Pattern Valuehttps://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-tw
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  114. Encounter.serviceType.coding:TWMedicalTreatmentDepartment.version
                  Definition

                  選擇此代碼時使用的代碼系統版本;請注意,一個維護良好的代碼系統不需要版本報告,因為代碼的意義在不同系統版本中是一致的;然而,不能始終保證這點,當不能保證意義一致時, 必須(SHALL) 將版本資訊也一併作交換。

                  Short系統的版本—如果相關的話
                  Comments

                  如果專門術語沒有明確定義應該使用什麼字串來識別代碼系統的版本,建議使用版本正式發布的日期(用FHIR日期格式表示)作為版本日期。

                  NoteThis is a business version Id, not a resource version Id (see discussion)
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  116. Encounter.serviceType.coding:TWMedicalTreatmentDepartment.code
                  Definition

                  系統定義的語法之符號;符號可能是一個預先定義的代碼,也可能是代碼系統定義的語法中的表達式(如後組合配對/後組合式)。

                  Short系統定義的語法之符號
                  Control0..1
                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  需要參照系統中的一個特定代碼

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  118. Encounter.serviceType.coding:TWMedicalTreatmentDepartment.display
                  Definition

                  遵循系統的規則以呈現代碼含義的表示法

                  Short由系統定義的表示法
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  需要能為不了解此系統的讀者呈現可讀的代碼含義

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  120. Encounter.serviceType.coding:TWMedicalTreatmentDepartment.userSelected
                  Definition

                  表明此編碼是由使用者直接選擇,例如:從可用項目(代碼或顯示名稱)的清單中選擇。

                  Short此編碼是否由使用者直接選擇?
                  Comments

                  在一系列備選方案中,直接選擇的代碼是新翻譯最合適的起點;關於「直接選擇」的確切意義,存在模糊不清之處,可能需要貿易夥伴的同意,以更完整澄清此資料項目的使用及其後果。

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

                  已被確定為一個臨床安全準則—此確切的系統/代碼對(code pair)是被明確選擇的,而不是由系統根據一些規則或是程式語言處理判斷。

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  122. Encounter.serviceType.text
                  Definition

                  輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。

                  Short概念的文字表示法
                  Comments

                  很多時候,此文字表述與其中一個代碼的顯示名稱相同。

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

                  專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  124. Encounter.priority
                  Definition

                  表明就醫的急迫性

                  Short表明就醫的急迫性
                  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.

                  Control0..1
                  This element is affected by the following invariants: ele-1
                  BindingFor example codes, see ActPriority
                  (example to http://terminology.hl7.org/ValueSet/v3-ActPriority)

                  表明就醫的迫切性;可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。

                  TypeCodeableConcept(TW CodeableConcept)
                  Is Modifierfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  126. Encounter.subject
                  Definition

                  在場就醫的病人或實體集合(Group)

                  Short在場就醫的病人或實體集合(Group)
                  Comments

                  雖然就醫總是關於病人,但在所有的使用情境中,病人實際上可能並不為人所知及可能有一群病人是匿名的(例如:匿名酗酒者的團體治療中—就醫紀錄是以人數/工作人員數計費,而具體病人的情境並不重要);或者在獸醫照護中,一群羊接受治療(動物沒有被單獨追蹤)。

                  Control0..1
                  TypeReference(TW Core Patient, Group)
                  Is Modifierfalse
                  Must Supporttrue
                  Must Support TypesNo must-support rules about the choice of types/profiles
                  Summarytrue
                  Alternate Namespatient
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  128. Encounter.episodeOfCare
                  Definition

                  當某一特定就醫應被歸類為某一特定照護事件的一部分時,應使用這一個資料項目。這種關聯可方便地將相關的就醫分類,以達到特定的目的,如政府報告、問題追蹤、透過共同的問題進行關聯,關聯通常會在照護事件之後記錄在就醫紀錄上,並在紀錄上分類;而不是將另一個就醫(照護事件可能橫跨多年)附件到照護事件紀錄。

                  Short此次就醫應記錄的照護事件
                  Control0..*
                  TypeReference(EpisodeOfCare)
                  Is Modifierfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  130. Encounter.basedOn
                  Definition

                  此就醫事件所要滿足的請求(例如:轉診或手術請求)

                  Short開始此次就醫的服務請求(ServiceRequest)
                  Control0..*
                  TypeReference(ServiceRequest)
                  Is Modifierfalse
                  Summaryfalse
                  Alternate NamesincomingReferral
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  132. Encounter.participant
                  Definition

                  負責提供健康照護服務的人員名單

                  Short參與就醫的健康照護服務提供者之名單
                  Control0..*
                  TypeBackboneElement
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  134. Encounter.participant.id
                  Definition

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

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  136. Encounter.participant.extension
                  Definition

                  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.

                  ShortAdditional content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

                  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).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

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

                  參與者在病人就醫事件中的角色

                  Short參與者在病人就醫事件中的角色
                  Comments

                  參與者的型別表明個人如何參與病人的就醫事件。它包括非執業醫師的參與者,而對於執業醫師來說,這是為了描述在這次就醫中的活動型別(例如:住院醫生、主治醫生、翻譯者、諮詢醫生)。這與執業醫師的角色不同,執業醫師是功能性的角色,衍生自來僱用、教育、執照等。

                  Control0..*
                  This element is affected by the following invariants: ele-1
                  BindingUnless not suitable, these codes SHALL be taken from ParticipantType
                  (extensible to http://hl7.org/fhir/ValueSet/encounter-participant-type)

                  參與者在病人就醫事件中的角色;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

                  TypeCodeableConcept(TW CodeableConcept)
                  Is Modifierfalse
                  Must Supporttrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  142. Encounter.participant.period
                  Definition

                  指定的參與者參與病人就醫的時段。這些時段可以是重疊的,也可以是整個就醫的時段的子集。

                  Short參與者在病人就醫期間參與的時段
                  Control0..1
                  TypePeriod
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  144. Encounter.participant.individual
                  Definition

                  除病人外,參與病人就醫事件的人。

                  Short除病人外,參與病人就醫事件的人。
                  Control0..1
                  TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core RelatedPerson)
                  Is Modifierfalse
                  Must Supporttrue
                  Must Support TypesNo must-support rules about the choice of types/profiles
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  146. Encounter.appointment
                  Definition

                  這次就醫的預約紀錄

                  Short這次就醫的預約紀錄
                  Control0..*
                  TypeReference(Appointment)
                  Is Modifierfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  148. Encounter.period
                  Definition

                  就醫的開始和結束時間

                  Short就醫的開始和結束時間
                  Comments

                  如果(尚)不知道,可以省略「期間」裡的結束日期時間。

                  Control0..1
                  TypePeriod
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  150. Encounter.length
                  Definition

                  就醫持續的時間,這不包括請假缺席的時間。

                  Short就醫持續的時間(扣除缺席時間)
                  Comments

                  由於請假,可能與就醫的開始和結束時間(Encounter.period)不同。

                  Control0..1
                  TypeDuration
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  152. Encounter.reasonCode
                  Definition

                  就醫發生的原因,以代碼表示。對於住院,這可用於住院診斷代碼。

                  Short就醫發生的編碼原因
                  Comments

                  對於需要知道哪個是主要診斷的系統來說,這些將用標準擴充primaryDiagnosis(這是一個序列值而不是一個標誌,1=主要診斷)來標記。

                  Control0..*
                  This element is affected by the following invariants: ele-1
                  BindingThe codes SHOULD be taken from EncounterReasonCodes
                  (preferred to http://hl7.org/fhir/ValueSet/encounter-reason)

                  發生此就醫事件的原因;鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

                  TypeCodeableConcept(TW CodeableConcept)
                  Is Modifierfalse
                  Must Supporttrue
                  Alternate NamesIndication, Admission diagnosis
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  154. Encounter.reasonReference
                  Definition

                  就醫發生的原因,以代碼表示。對於住院,這可用於住院診斷代碼。

                  Short就醫發生的原因(參照)
                  Comments

                  對於需要知道哪個是主要診斷的系統來說,這些將用標準擴充primaryDiagnosis(這是一個序列值而不是一個標誌,1=主要診斷)來標記。

                  Control0..*
                  TypeReference(TW Core Condition, TW Core Procedure, TW Core Observation Laboratory Result, ImmunizationRecommendation)
                  Is Modifierfalse
                  Summarytrue
                  Alternate NamesIndication, Admission diagnosis
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  156. Encounter.diagnosis
                  Definition

                  與此就醫相關的診斷清單

                  Short與此就醫相關的診斷清單
                  Control0..*
                  TypeBackboneElement
                  Is Modifierfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  158. Encounter.diagnosis.id
                  Definition

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

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  160. Encounter.diagnosis.extension
                  Definition

                  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.

                  ShortAdditional content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

                  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).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

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

                  就醫的原因,使用其他resource的資訊以具體說明。對於住院,這就是住院診斷。指示通常是一個病情、問題或診斷(Condition)(在evidence.detail中參照其他resource),或一個處置(Procedure)。

                  Short與就醫事件相關的診斷或處置
                  Comments

                  對於需要知道哪個是主要診斷的系統來說,這些將用標準擴充primaryDiagnosis(這是一個序列值而不是一個標誌,1=主要診斷)來標記。

                  Control1..1
                  TypeReference(TW Core Condition, TW Core Procedure)
                  Is Modifierfalse
                  Summarytrue
                  Alternate NamesAdmission diagnosis, discharge diagnosis, indication
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  166. Encounter.diagnosis.use
                  Definition

                  此診斷在病人就醫事件中的作用(例如:住院、收費、出院...)。

                  Short此診斷在病人就醫事件中的作用(例如:住院、收費、出院...)。
                  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.

                  Control0..1
                  This element is affected by the following invariants: ele-1
                  BindingThe codes SHOULD be taken from DiagnosisRole
                  (preferred to http://hl7.org/fhir/ValueSet/diagnosis-role)

                  此情況所代表的診斷型別;鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

                  TypeCodeableConcept(TW CodeableConcept)
                  Is Modifierfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  168. Encounter.diagnosis.rank
                  Definition

                  診斷的排序(針對每個角色型別)

                  Short診斷的排序(針對每個角色型別)
                  Control0..1
                  TypepositiveInt
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  170. Encounter.account
                  Definition

                  可用於為此病人就醫事件計費的一組帳戶

                  Short可用於為此病人就醫事件計費的一組帳戶
                  Comments

                  計費系統可依據內部業務規則,選擇將與就醫(Encounter)相關的應計費項目分配給不同的參照帳戶。

                  Control0..*
                  TypeReference(Account)
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  172. Encounter.hospitalization
                  Definition

                  關於入院接受健康照護服務的細節

                  Short關於入院接受健康照護服務的細節
                  Comments

                  就醫可能不僅僅包括住院治療。其他情境像是門診病人、社區診所和老年照護機構等情況也包括在內。在此就醫期間記錄的持續時間含概此住院紀錄的整個範圍。

                  Control0..1
                  TypeBackboneElement
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  174. Encounter.hospitalization.id
                  Definition

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

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  176. Encounter.hospitalization.extension
                  Definition

                  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.

                  ShortAdditional content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

                  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).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

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

                  住院前識別碼

                  Short住院前識別碼
                  Control0..1
                  TypeIdentifier
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  182. Encounter.hospitalization.origin
                  Definition

                  病人住院前來自的地點/機構

                  Short病人住院前來自的地點/機構
                  Control0..1
                  TypeReference(TW Core Organization, TW Core Location)
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  184. Encounter.hospitalization.admitSource
                  Definition

                  病人從哪裡住院(醫生轉介、轉院)?

                  Short病人從哪裡住院(醫生轉介、轉院)?
                  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.

                  Control0..1
                  This element is affected by the following invariants: ele-1
                  BindingThe codes SHOULD be taken from AdmitSource
                  (preferred to http://hl7.org/fhir/ValueSet/encounter-admit-source)

                  病人從哪裡住院;鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

                  TypeCodeableConcept(TW CodeableConcept)
                  Is Modifierfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  186. Encounter.hospitalization.reAdmission
                  Definition

                  此次住院是否為再入院,如果知道的話,請說明原因。

                  Short已發生的醫院再入院型別(如果有的話)。如果該值不存在,則不被認定為再入院。
                  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.

                  Control0..1
                  This element is affected by the following invariants: ele-1
                  BindingFor example codes, see hl7VS-re-admissionIndicator
                  (example to http://terminology.hl7.org/ValueSet/v2-0092)

                  這次住院就醫的再入院原因;可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。

                  TypeCodeableConcept(TW CodeableConcept)
                  Is Modifierfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  188. Encounter.hospitalization.dietPreference
                  Definition

                  病人報告的飲食偏好

                  Short病人報告的飲食偏好
                  Comments

                  例如:一個病人可能同時要求無乳製品和無堅果的飲食偏好(不相互排斥)。

                  Control0..*
                  This element is affected by the following invariants: ele-1
                  BindingFor example codes, see Diet
                  (example to http://hl7.org/fhir/ValueSet/encounter-diet)

                  醫療、文化或道德方面的食物偏好,以幫助滿足飲食要求;可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。

                  TypeCodeableConcept(TW CodeableConcept)
                  Is Modifierfalse
                  Requirements

                  用於追蹤病人的飲食限制和/或偏好。如果要完整描述病人在住院期間的營養需求,應該使用與Encounter連結的nutritionOrder resource。

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  190. Encounter.hospitalization.specialCourtesy
                  Definition

                  特別禮遇(貴賓、董事會成員)

                  Short特別禮遇(貴賓、董事會成員)
                  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.

                  Control0..*
                  This element is affected by the following invariants: ele-1
                  BindingThe codes SHOULD be taken from SpecialCourtesy
                  (preferred to http://hl7.org/fhir/ValueSet/encounter-special-courtesy)

                  特別禮遇;鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

                  TypeCodeableConcept(TW CodeableConcept)
                  Is Modifierfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  192. Encounter.hospitalization.specialArrangement
                  Definition

                  對此次住院就醫提出的任何特殊要求,如提供特定設備或其他東西。

                  Short輪椅、翻譯人員、擔架等。
                  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.

                  Control0..*
                  This element is affected by the following invariants: ele-1
                  BindingThe codes SHOULD be taken from SpecialArrangements
                  (preferred to http://hl7.org/fhir/ValueSet/encounter-special-arrangements)

                  特殊安排;鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

                  TypeCodeableConcept(TW CodeableConcept)
                  Is Modifierfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  194. Encounter.hospitalization.destination
                  Definition

                  病人出院地點/機構

                  Short病人出院地點/機構
                  Control0..1
                  TypeReference(TW Core Location, TW Core Organization)
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  196. Encounter.hospitalization.dischargeDisposition
                  Definition

                  出院後的地點類別或種類

                  Short出院後的地點類別或種類
                  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.

                  Control0..1
                  This element is affected by the following invariants: ele-1
                  BindingFor example codes, see DischargeDisposition
                  (example to http://hl7.org/fhir/ValueSet/encounter-discharge-disposition)

                  出院處置;可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。

                  TypeCodeableConcept(TW CodeableConcept)
                  Is Modifierfalse
                  Must Supporttrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  198. Encounter.location
                  Definition

                  此次就醫期間,病人曾去過的一個或多個地點

                  Short病人曾去過的一個或多個地點
                  Comments

                  透過指定一個型別「種類(kind)」的地點參照,例如「客戶的家」,以及encounter.class =「虛擬(virtual)」。

                  Control0..*
                  TypeBackboneElement
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  200. Encounter.location.id
                  Definition

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

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  202. Encounter.location.extension
                  Definition

                  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.

                  ShortAdditional content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

                  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).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

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

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

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

                  就醫發生的地點

                  Short就醫發生的地點
                  Control1..1
                  TypeReference(TW Core Location)
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  208. Encounter.location.status
                  Definition

                  參與者在指定期間於特定地點的狀態。如果參與者已不在此地點,那麼其期間將有一個結束日期/時間。

                  Shortplanned | active | reserved | completed
                  Comments

                  當病人不再在某一地點活動時,則要輸入期間結束日期,狀態可改為完成。

                  Control0..1
                  BindingThe codes SHALL be taken from EncounterLocationStatus
                  (required to http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1)

                  就醫地點的狀態;應填入所綁定值集中的其中一個代碼。

                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  210. Encounter.location.physicalType
                  Definition

                  這將被用來指定所需的地點層級(床位/病房/房間/等),以簡化訊息傳遞或查詢。

                  Short地點的實體型別(通常是地點的層級—床位、房間、病房等)。
                  Comments

                  此資訊是從Location resource中反正規化(de-normalized),以較易理解Encounter resource及支持訊息傳遞或查詢的處理。地點的層級結構中可能有許多層級,這可能只挑選特定使用情境所需的特定層級。

                  Control0..1
                  This element is affected by the following invariants: ele-1
                  BindingFor example codes, see LocationType
                  (example to http://hl7.org/fhir/ValueSet/location-physical-type)

                  地點的實體型別;可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。

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

                  病人出現在此地點的時段

                  Short病人出現在此地點的時段
                  Control0..1
                  TypePeriod
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  214. Encounter.serviceProvider
                  Definition

                  對此次就醫的服務負主要責任的機構。這可能與病人紀錄中的機構相同,但也可能不同,例如:如果執行服務的人員來自外部機構(可單獨計費)的外部諮詢。請參考Bundle範例顯示結腸鏡檢查就醫縮略集。

                  Short負責這次就醫的機構
                  Control0..1
                  TypeReference(TW Core Organization)
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  216. Encounter.partOf
                  Definition

                  此就醫是哪次就醫的一部分(行政上或時間上)

                  Short此就醫是哪次就醫的一部份?
                  Comments

                  這也用於將小孩的就醫與母親的就醫作關聯。 詳情請參考Patient resource中的Notes小節。

                  Control0..1
                  TypeReference(TW Core Encounter)
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))