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

This page is part of the 臺灣核心實作指引(TW Core IG) (v0.3.1: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: TWCoreBundleDocument - Detailed Descriptions

Active as of 2024-10-22

Definitions for the Bundle-document-twcore resource profile.

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

0. Bundle
2. Bundle.identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..?
4. Bundle.type
Pattern Valuedocument
6. Bundle.timestamp
Control1..?
8. Bundle.entry
Control1..?
SlicingThis element introduces a set of slices on Bundle.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • profile @ resource
  • 10. Bundle.entry:TWCoreComposition
    Slice NameTWCoreComposition
    Control1..1
    Must Supporttrue
    12. Bundle.entry:TWCoreComposition.resource
    TypeComposition(TW Core Composition)

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

    0. Bundle
    Definition

    用於存於一組Resources的結構或物件


    A container for a collection of resources.

    Short包含resourceBundleContains a collection of resources
    Control0..*
    Is Modifierfalse
    Summaryfalse
    Invariantsbdl-1: total only when a search or history (total.empty() or (type = 'searchset') or (type = 'history'))
    bdl-2: entry.search only when a search (entry.search.empty() or (type = 'searchset'))
    bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited (entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history')))
    bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited (entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history')))
    bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) ((type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct())
    bdl-9: A document must have an identifier with a system and a value (type = 'document' implies (identifier.system.exists() and identifier.value.exists()))
    bdl-10: A document must have a date (type = 'document' implies (timestamp.hasValue()))
    bdl-11: A document must have a Composition as the first resource (type = 'document' implies entry.first().resource.is(Composition))
    bdl-12: A message must have a MessageHeader as the first resource (type = 'message' implies entry.first().resource.is(MessageHeader))
    bdl-1: total only when a search or history (total.empty() or (type = 'searchset') or (type = 'history'))
    bdl-2: entry.search only when a search (entry.search.empty() or (type = 'searchset'))
    bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited (entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history')))
    bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited (entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history')))
    bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) ((type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct())
    bdl-9: A document must have an identifier with a system and a value (type = 'document' implies (identifier.system.exists() and identifier.value.exists()))
    bdl-10: A document must have a date (type = 'document' implies (timestamp.hasValue()))
    bdl-11: A document must have a Composition as the first resource (type = 'document' implies entry.first().resource.is(Composition))
    bdl-12: A message must have a MessageHeader as the first resource (type = 'message' implies entry.first().resource.is(MessageHeader))
    2. Bundle.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()))
    4. Bundle.identifier
    Definition

    Bundle的永久識別碼,識別碼不會因為Bundle從一個伺服器複製到另一個伺服器而改變。。


    A persistent identifier for the bundle that won't change as a bundle is copied from server to server.

    Short一組Resources的資料交換基本單位(Bundle)的識別碼。Persistent identifier for the bundle
    Comments

    永久的識別通常只對Document、Message和Collection的批次處理是重要。它通常不會被填入到searh和history的結果中,伺服器在處理batches和transactions時會忽略Bundle.identifier。但對於Documents的identifier 必須(SHALL) 被填入,其為全球唯一的識別碼。


    Persistent identity generally only matters for batches of type Document, Message, and Collection. It would not normally be populated for search and history results and servers ignore Bundle.identifier when processing batches and transactions. For Documents the .identifier SHALL be populated such that the .identifier is globally unique.

    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control10..1
    TypeIdentifier
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    6. Bundle.type
    Definition

    表明這個Bundle的目的-期望如何使用。


    Indicates the purpose of this bundle - how it is intended to be used.

    Shortdocument | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
    Comments

    Bundle也可以用於其他目的(例如,document可以作為transaction被接受)。這主要是為了給某些Bundle類型制定特定的規則。


    It's possible to use a bundle for other purposes (e.g. a document can be accepted as a transaction). This is primarily defined so that there can be specific rules for some of the bundle types.

    Control1..1
    BindingThe codes SHALL be taken from BundleTypehttp://hl7.org/fhir/ValueSet/bundle-type|4.0.1
    (required to http://hl7.org/fhir/ValueSet/bundle-type|4.0.1)

    Bundle類型;應填入所綁定值集中的其中一個代碼。


    Indicates the purpose of a bundle - how it is intended to be used.

    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Pattern Valuedocument
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    8. Bundle.timestamp
    Definition

    Bundle組裝的日期/時間 - 也就是resources被放入Bundle的時間。


    The date/time that the bundle was assembled - i.e. when the resources were placed in the bundle.

    Short組成Bundle的時間。When the bundle was assembled
    Comments

    對很多Bundle而言,時間戳記同等於.meta.lastUpdated,因為它們不會被儲存(例如:查詢結果)。當一個Bundl被放置在一個持久化存儲中(a persistent store)時,.meta.lastUpdated通常會被伺服器改變。當Bundle是一個Message時,中介軟體(即使沒有存儲)**建議應該(SHOULD)更新.meta.lastUpdated。.timestamp用於追踪Bundle的原始時間,並且建議應該(SHOULD)**被填入。

    使用方法:

    • document : 文件的創建日期。注意:composition的創建可能早於Bundle的創鍵,或者composition會與多個文件相關聯。composition的編輯日期可能早於Bundle的組成時間。
    • mssage:訊息內容被組成的日期。這個日期不會被中介軟體引擎改變,除非他們增加了額外的資料,改變了訊息的時間含義。
    • history : 歷史紀錄被組成的日期。這個時間將被用於查詢_since(自此)時間後的後續更新紀錄。
    • searchset : 查詢結果集:是指查詢結果組合起來的時間。要注意的是,不同的頁面**可能(MAY)**會有不同的時間標記,但不是必須的。即使時間標記不同,也不代表隨後的頁面會顯示或包含從最初查詢後所做的變更。

    transaction | transaction-response | batch | batch-response | collection : 沒有特別指定的含義。 時間戳記的值應該比Bundle中的resources的 lastUpdated 和其他時間戳記還要新,而且應該等於或早於Bundle本身的 .meta.lastUpdated 相同或更早。


    For many bundles, the timestamp is equal to .meta.lastUpdated, because they are not stored (e.g. search results). When a bundle is placed in a persistent store, .meta.lastUpdated will be usually be changed by the server. When the bundle is a message, a middleware agent altering the message (even if not stored) SHOULD update .meta.lastUpdated. .timestamp is used to track the original time of the Bundle, and SHOULD be populated.

    Usage:

    • document : the date the document was created. Note: the composition may predate the document, or be associated with multiple documents. The date of the composition - the authoring time - may be earlier than the document assembly time
    • message : the date that the content of the message was assembled. This date is not changed by middleware engines unless they add additional data that changes the meaning of the time of the message
    • history : the date that the history was assembled. This time would be used as the _since time to ask for subsequent updates
    • searchset : the time that the search set was assembled. Note that different pages MAY have different timestamps but need not. Having different timestamps does not imply that subsequent pages will represent or include changes made since the initial query
    • transaction | transaction-response | batch | batch-response | collection : no particular assigned meaning

    The timestamp value should be greater than the lastUpdated and other timestamps in the resources in the bundle, and it should be equal or earlier than the .meta.lastUpdated on the Bundle itself.

    Control10..1
    Typeinstant
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    10. Bundle.entry
    Definition

    Bundle resource中的條目 - 將包含一個resource或是關於resource的資訊(僅限transactions和history)。


    An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

    Short在bundle中的條目 - 將會有一個resource或資訊,這個重複的資料項目順序:對於type為「document」和「message」的bundles,第一個resource是特殊的(必須分別是Composition或MessageHeader)。對於所有bundles,條目順序的意義取決於bundle的type。Entry in the bundle - will have a resource or information
    Control10..*
    TypeBackboneElement
    Is Modifierfalse
    Summarytrue
    Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
    bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
    bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
    SlicingThis element introduces a set of slices on Bundle.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • profile @ resource
    • 12. Bundle.entry.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())
      14. Bundle.entry:TWCoreComposition
      Slice NameTWCoreComposition
      Definition

      Bundle resource中的條目 - 將包含一個resource或是關於resource的資訊(僅限transactions和history)。


      An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

      Short在bundle中的條目 - 將會有一個resource或資訊,這個重複的資料項目順序:對於type為「document」和「message」的bundles,第一個resource是特殊的(必須分別是Composition或MessageHeader)。對於所有bundles,條目順序的意義取決於bundle的type。Entry in the bundle - will have a resource or information
      Control10..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
      bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
      bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
      16. Bundle.entry:TWCoreComposition.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())
      18. Bundle.entry:TWCoreComposition.resource
      Definition

      一組與健康照護相關的資訊,這些訊息被組合成一個單一的邏輯套件,提供一個單一的連貫的意義陳述,建立自己的上下文,並且提供有關於是誰做出陳述的臨床認證。


      The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

      Short將一組resources組成一份連貫的臨床聲明,並附有臨床證明。A resource in the bundle
      Comments

      雖然此規範的重點在於特定於病人的臨床聲明,但此resource也可適用於其他與健康照護相關的聲明,如研究方案設計、醫療發票和其他不必然與特定於病人或臨床相關的活動。

      Control0..1
      TypeCompositionResource(TW Core Composition)
      Is Modifierfalse
      Summaryfalse

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

      0. Bundle
      Definition

      用於存於一組Resources的結構或物件

      Short包含resourceBundle
      Control0..*
      Is Modifierfalse
      Summaryfalse
      Invariantsbdl-1: total only when a search or history (total.empty() or (type = 'searchset') or (type = 'history'))
      bdl-2: entry.search only when a search (entry.search.empty() or (type = 'searchset'))
      bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited (entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history')))
      bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited (entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history')))
      bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) ((type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct())
      bdl-9: A document must have an identifier with a system and a value (type = 'document' implies (identifier.system.exists() and identifier.value.exists()))
      bdl-10: A document must have a date (type = 'document' implies (timestamp.hasValue()))
      bdl-11: A document must have a Composition as the first resource (type = 'document' implies entry.first().resource.is(Composition))
      bdl-12: A message must have a MessageHeader as the first resource (type = 'message' implies entry.first().resource.is(MessageHeader))
      2. Bundle.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Bundle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. Bundle.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Bundle 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. Bundle.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. Bundle.language
      Definition

      編寫此resource的語言

      Short用以表述Bundle 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. Bundle.identifier
      Definition

      Bundle的永久識別碼,識別碼不會因為Bundle從一個伺服器複製到另一個伺服器而改變。。

      Short一組Resources的資料交換基本單位(Bundle)的識別碼。
      Comments

      永久的識別通常只對Document、Message和Collection的批次處理是重要。它通常不會被填入到searh和history的結果中,伺服器在處理batches和transactions時會忽略Bundle.identifier。但對於Documents的identifier 必須(SHALL) 被填入,其為全球唯一的識別碼。

      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control1..1
      TypeIdentifier
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      12. Bundle.type
      Definition

      表明這個Bundle的目的-期望如何使用。

      Shortdocument | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
      Comments

      Bundle也可以用於其他目的(例如,document可以作為transaction被接受)。這主要是為了給某些Bundle類型制定特定的規則。

      Control1..1
      BindingThe codes SHALL be taken from BundleType
      (required to http://hl7.org/fhir/ValueSet/bundle-type|4.0.1)

      Bundle類型;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
      Summarytrue
      Pattern Valuedocument
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      14. Bundle.timestamp
      Definition

      Bundle組裝的日期/時間 - 也就是resources被放入Bundle的時間。

      Short組成Bundle的時間。
      Comments

      對很多Bundle而言,時間戳記同等於.meta.lastUpdated,因為它們不會被儲存(例如:查詢結果)。當一個Bundl被放置在一個持久化存儲中(a persistent store)時,.meta.lastUpdated通常會被伺服器改變。當Bundle是一個Message時,中介軟體(即使沒有存儲)**建議應該(SHOULD)更新.meta.lastUpdated。.timestamp用於追踪Bundle的原始時間,並且建議應該(SHOULD)**被填入。

      使用方法:

      • document : 文件的創建日期。注意:composition的創建可能早於Bundle的創鍵,或者composition會與多個文件相關聯。composition的編輯日期可能早於Bundle的組成時間。
      • mssage:訊息內容被組成的日期。這個日期不會被中介軟體引擎改變,除非他們增加了額外的資料,改變了訊息的時間含義。
      • history : 歷史紀錄被組成的日期。這個時間將被用於查詢_since(自此)時間後的後續更新紀錄。
      • searchset : 查詢結果集:是指查詢結果組合起來的時間。要注意的是,不同的頁面**可能(MAY)**會有不同的時間標記,但不是必須的。即使時間標記不同,也不代表隨後的頁面會顯示或包含從最初查詢後所做的變更。

      transaction | transaction-response | batch | batch-response | collection : 沒有特別指定的含義。 時間戳記的值應該比Bundle中的resources的 lastUpdated 和其他時間戳記還要新,而且應該等於或早於Bundle本身的 .meta.lastUpdated 相同或更早。

      Control1..1
      Typeinstant
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      16. Bundle.total
      Definition

      如果有一組查詢結果相符,這個數字代表所有頁面中 type「match」條目的總數。這個總數不包括search.mode=「include」 或 「outcome」的查詢結果,也不表示Bundle內全部條目的數量。

      Short查詢時符合條件的總筆數
      Comments

      只在Bundle是查詢結果集時使用。這個總數不包括像是OperationOutcome和Bundle中包含的resources等,只計算匹配的resources的總數。

      Control0..1
      This element is affected by the following invariants: bdl-1
      TypeunsignedInt
      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()))
      18. Bundle.link
      Definition

      一系列連結,為這個Bundle提供上下文。

      Short與此Bundle相關的連結
      Comments

      Bundle.link和Bundle.entry.link的設計是為了在使用Bundle時(例如實現HATEOAS時)提供更多的上下文資訊。

      如果entry中的resource是直接被讀取的,那麼Bundle.entry.link就對應於HTTP header中的連結。

      雖然這個規範對於查詢和分頁有一些Bundle.link的特定使用方式,但對於Bundle.entry.link沒有特定的使用方式,也沒有在transaction過程中定義其功能 - 它的具體意義取決於實際的應用方式。

      Control0..*
      TypeBackboneElement
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      20. Bundle.link.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. Bundle.link.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())
      24. Bundle.link.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())
      26. Bundle.link.relation
      Definition

      詳細說明該連結功能用途的名稱 - 參見http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1

      Short參見 [http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1](http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1)
      Control1..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()))
      28. Bundle.link.url
      Definition

      連結的參照細節

      Short連結的參照細節
      Control1..1
      Typeuri
      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()))
      30. Bundle.entry
      Definition

      Bundle resource中的條目 - 將包含一個resource或是關於resource的資訊(僅限transactions和history)。

      Short在bundle中的條目 - 將會有一個resource或資訊,這個重複的資料項目順序:對於type為「document」和「message」的bundles,第一個resource是特殊的(必須分別是Composition或MessageHeader)。對於所有bundles,條目順序的意義取決於bundle的type。
      Control1..*
      TypeBackboneElement
      Is Modifierfalse
      Summarytrue
      Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
      bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on Bundle.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • profile @ resource
      • 32. Bundle.entry.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
        34. Bundle.entry.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())
        36. Bundle.entry.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())
        38. Bundle.entry.link
        Definition

        為本條目提供情境背景的一系列連結。

        Short與本條目相關的連結
        Control0..*
        TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        40. Bundle.entry.fullUrl
        Definition

        resource的絕對URL。fullUrl **必須沒有(SHALL NOT)**與resource中的 id 不一致,也就是說如果 fullUrl 不是 urn:uuid,則 URL 應為與 Resource.id 一致的不分版本的URL。fullUrl 是對resource的不分版本參照。fullUrl 資料項目必須有一個值,但以下情況除外:

        在 POST 時,fullUrl 可以為空(雖然在 bundle 中包含暫時 id 時,fullUrl 不需要為空) 操作結果可能涉及未被識別的resources。

        ShortResource的 URI(絕對 URL 伺服器地址或 UUID/OID 的 URI)
        Comments

        fullUrl 在resource上下文中可能不是唯一的。請注意:由於 FHIR resource不需要透過 FHIR API 提供服務,因此 fullURL 可能是一個 URN 或絕對 URL,而不是以resource的邏輯 id(Resource.id)結尾。但是,如果 fullUrl 看起來確實像 RESTful 伺服器 URL(例如:符合正則表達式regex,則 fullUrl 的 「id」部分 必須(SHALL) 以 Resource.id 結尾。

        請注意:fullUrl 與 canonical URL(正準URL) 並不相同,fullUrl是為resource提供服務的端點的絕對 URL(這些在為 resource 帶有 canonical URL 的 Canonical 伺服器上將具有相同的值)。

        Control0..1
        Typeuri
        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()))
        42. Bundle.entry.resource
        Definition

        Bundle中的resource。resource的目的/含義由 Bundle.type 決定。

        ShortBundle中的resource
        Control0..1
        TypeResource
        Is Modifierfalse
        Summarytrue
        44. Bundle.entry.search
        Definition

        有關如何進行查詢才能創建此條目的解釋資訊。

        Short查詢有關的資訊
        Control0..1
        This element is affected by the following invariants: bdl-2
        TypeBackboneElement
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        46. Bundle.entry.search.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
        48. Bundle.entry.search.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())
        50. Bundle.entry.search.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())
        52. Bundle.entry.search.mode
        Definition

        此條目出現在結果集中的原因--是因為符合match要求還是因為 _include 要求,或者是為了傳達有關查詢過程的資訊或警告資訊。

        Shortmatch | include | outcome
        Comments

        只有一種模式。在某些情況下,一個resource可能會被包含,因為它既是match也是include的resource。在這種情況下,「match」優先。

        Control0..1
        BindingThe codes SHALL be taken from SearchEntryMode
        (required to http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1)

        Resource出現在Bundle中的原因;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
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        54. Bundle.entry.search.score
        Definition

        查詢時,該條目在伺服器上的查詢排名得分。

        Short查詢排名(0至1之間)
        Comments

        伺服器無需返回排名得分,1 表示最相關,0 表示最不相關。通常情況下,查詢結果按得分排序,但用戶可指定不同的排序順序。

        請參閱「病人匹配(Patient Match)」以了解與此資料項目相關的 EMPI 查詢。請參閱[Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html),了解與此要素相關的 EMPI 查詢。

        Control0..1
        Typedecimal
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        56. Bundle.entry.request
        Definition

        關於如何將條目作為transaction或batch的一部分進行處理的附加資訊。對於history,它顯示如何處理條目以創建條目中包含的版本。

        Short其他執行資訊(transaction/batch/history)
        Control0..1
        This element is affected by the following invariants: bdl-3
        TypeBackboneElement
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        58. Bundle.entry.request.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
        60. Bundle.entry.request.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())
        62. Bundle.entry.request.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())
        64. Bundle.entry.request.method
        Definition

        在 transaction 或 batch 中,這是此條目要執行的 HTTP 操作。在history Bundle中,這表示發生的 HTTP 操作。

        ShortGET | HEAD | POST | PUT | DELETE | PATCH
        Control1..1
        BindingThe codes SHALL be taken from HTTPVerb
        (required to http://hl7.org/fhir/ValueSet/http-verb|4.0.1)

        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
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        66. Bundle.entry.request.url
        Definition

        此條目相對於根地址(請求發布的地址)的 URL。

        Short此Bundle HTTP 對應的 URL
        Comments

        例如:對於 病人創建(Patient Create),方法是 「POST」,URL 是 「Patient」。對於病人更新(Patient Update),方法是 「PUT」,URL 是 「Patient/[id]」。

        Control1..1
        Typeuri
        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()))
        68. Bundle.entry.request.ifNoneMatch
        Definition

        如果 ETag 值匹配,則返回 304 未修改狀態(Not Modified)。請參閱「[有條件讀取(Conditional Read)](http://hl7.org/fhir/R4/http.html#cread)」的 API 文件。

        Short用於管理緩存當前狀態
        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()))
        70. Bundle.entry.request.ifModifiedSince
        Definition

        僅在最後更新日期匹配時執行操作。請參閱 「[有條件讀取(Conditional Read)](http://hl7.org/fhir/R4/http.html#cread)」的 API 文件。

        Short用於管理緩存當前狀態
        Control0..1
        Typeinstant
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        72. Bundle.entry.request.ifMatch
        Definition

        只有在 Etag 值匹配時才執行操作。有關詳細資訊,請參閱 API 部分 「[管理resource衝突](http://hl7.org/fhir/R4/http.html#concurrency)」。

        Short用於管理更新衝突
        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()))
        74. Bundle.entry.request.ifNoneExist
        Definition

        如果指定的resource已經存在,則指示伺服器不執行創建。有關詳細資訊,請參閱 「[有條件創建 (Conditional Creage)](http://hl7.org/fhir/R4/http.html#ccreate)」的 API 文件。這只是 URL 的查詢部分,即「? 」後面的內容(不包括「?」)。

        Short用於有條件建立
        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()))
        76. Bundle.entry.response
        Definition

        表表示 batch 或 transaction 中相應「請求」條目的處理結果,或返回history時的操作結果。

        Short執行結果(transaction/batch/history)
        Control0..1
        This element is affected by the following invariants: bdl-4
        TypeBackboneElement
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        78. Bundle.entry.response.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
        80. Bundle.entry.response.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())
        82. Bundle.entry.response.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())
        84. Bundle.entry.response.status
        Definition

        處理此條目時返回的狀態編碼。狀態 必須(SHALL) 以三位 HTTP 編碼(如 404)開頭,並可包含與狀態編碼相關的標準 HTTP 描述。

        Short狀態回應代碼(文字選填)
        Control1..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()))
        86. Bundle.entry.response.location
        Definition

        處理該操作時創建的位置表頭(location header),如果該操作返回位置,則填入該位地置表頭。

        Short位置(如果操作返回位置)
        Control0..1
        Typeuri
        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()))
        88. Bundle.entry.response.etag
        Definition

        resource的 Etag,如果條目的操作產生了版本化resource(請參閱 「[Resource Metadata及版本化和管理resource衝突」](http://hl7.org/fhir/R4/http.html#versioning))。

        Shortresource的 Etag(如果有相關)
        Comments

        Etag 與 Resource.meta.versionId 匹配。如果包含resource,ETag 必須與表頭中的版本 ID 相匹配。

        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()))
        90. Bundle.entry.response.lastModified
        Definition

        此resource在伺服器上被修改的日期/時間。

        Short修改時之伺服器日期時間
        Comments

        如果包含resource,則必須與meta.lastUpdated中的時間一致。

        Control0..1
        Typeinstant
        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()))
        92. Bundle.entry.response.outcome
        Definition

        操作結果(OperationOutcome),包含在batch或transaction中處理此條目時產生的提示和警告。

        Short帶提示和警告的OperationOutcome(用於batch/transaction)
        Comments

        對於 POST/PUT 操作,這是 prefer = operationoutcome 將返回的等價結果,但無論是否返回結果,resource都會被返回。此結果不用於批次處理/異動處理中的錯誤響應,僅用於提示和警告。在批次處理操作中,錯誤將出現在 Bundle.entry.response 中,而在異動處理中,如果出現錯誤,將只有一個 OperationOutcome 而不是一個 bundle。

        Control0..1
        TypeResource
        Is Modifierfalse
        Summarytrue
        94. Bundle.entry:TWCoreComposition
        Slice NameTWCoreComposition
        Definition

        Bundle resource中的條目 - 將包含一個resource或是關於resource的資訊(僅限transactions和history)。

        Short在bundle中的條目 - 將會有一個resource或資訊,這個重複的資料項目順序:對於type為「document」和「message」的bundles,第一個resource是特殊的(必須分別是Composition或MessageHeader)。對於所有bundles,條目順序的意義取決於bundle的type。
        Control1..1
        TypeBackboneElement
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
        bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        96. Bundle.entry:TWCoreComposition.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
        98. Bundle.entry:TWCoreComposition.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())
        100. Bundle.entry:TWCoreComposition.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())
        102. Bundle.entry:TWCoreComposition.link
        Definition

        為本條目提供情境背景的一系列連結。

        Short與本條目相關的連結
        Control0..*
        TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        104. Bundle.entry:TWCoreComposition.fullUrl
        Definition

        resource的絕對URL。fullUrl **必須沒有(SHALL NOT)**與resource中的 id 不一致,也就是說如果 fullUrl 不是 urn:uuid,則 URL 應為與 Resource.id 一致的不分版本的URL。fullUrl 是對resource的不分版本參照。fullUrl 資料項目必須有一個值,但以下情況除外:

        在 POST 時,fullUrl 可以為空(雖然在 bundle 中包含暫時 id 時,fullUrl 不需要為空) 操作結果可能涉及未被識別的resources。

        ShortResource的 URI(絕對 URL 伺服器地址或 UUID/OID 的 URI)
        Comments

        fullUrl 在resource上下文中可能不是唯一的。請注意:由於 FHIR resource不需要透過 FHIR API 提供服務,因此 fullURL 可能是一個 URN 或絕對 URL,而不是以resource的邏輯 id(Resource.id)結尾。但是,如果 fullUrl 看起來確實像 RESTful 伺服器 URL(例如:符合正則表達式regex,則 fullUrl 的 「id」部分 必須(SHALL) 以 Resource.id 結尾。

        請注意:fullUrl 與 canonical URL(正準URL) 並不相同,fullUrl是為resource提供服務的端點的絕對 URL(這些在為 resource 帶有 canonical URL 的 Canonical 伺服器上將具有相同的值)。

        Control0..1
        Typeuri
        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()))
        106. Bundle.entry:TWCoreComposition.resource
        Definition

        一組與健康照護相關的資訊,這些訊息被組合成一個單一的邏輯套件,提供一個單一的連貫的意義陳述,建立自己的上下文,並且提供有關於是誰做出陳述的臨床認證。

        Short將一組resources組成一份連貫的臨床聲明,並附有臨床證明。
        Comments

        雖然此規範的重點在於特定於病人的臨床聲明,但此resource也可適用於其他與健康照護相關的聲明,如研究方案設計、醫療發票和其他不必然與特定於病人或臨床相關的活動。

        Control0..1
        TypeComposition(TW Core Composition)
        Is Modifierfalse
        Summaryfalse
        108. Bundle.entry:TWCoreComposition.search
        Definition

        有關如何進行查詢才能創建此條目的解釋資訊。

        Short查詢有關的資訊
        Control0..1
        This element is affected by the following invariants: bdl-2
        TypeBackboneElement
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        110. Bundle.entry:TWCoreComposition.search.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
        112. Bundle.entry:TWCoreComposition.search.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())
        114. Bundle.entry:TWCoreComposition.search.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())
        116. Bundle.entry:TWCoreComposition.search.mode
        Definition

        此條目出現在結果集中的原因--是因為符合match要求還是因為 _include 要求,或者是為了傳達有關查詢過程的資訊或警告資訊。

        Shortmatch | include | outcome
        Comments

        只有一種模式。在某些情況下,一個resource可能會被包含,因為它既是match也是include的resource。在這種情況下,「match」優先。

        Control0..1
        BindingThe codes SHALL be taken from SearchEntryMode
        (required to http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1)

        Resource出現在Bundle中的原因;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
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        118. Bundle.entry:TWCoreComposition.search.score
        Definition

        查詢時,該條目在伺服器上的查詢排名得分。

        Short查詢排名(0至1之間)
        Comments

        伺服器無需返回排名得分,1 表示最相關,0 表示最不相關。通常情況下,查詢結果按得分排序,但用戶可指定不同的排序順序。

        請參閱「病人匹配(Patient Match)」以了解與此資料項目相關的 EMPI 查詢。請參閱[Patient Match](http://hl7.org/fhir/R4/patient-operation-match.html),了解與此要素相關的 EMPI 查詢。

        Control0..1
        Typedecimal
        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()))
        120. Bundle.entry:TWCoreComposition.request
        Definition

        關於如何將條目作為transaction或batch的一部分進行處理的附加資訊。對於history,它顯示如何處理條目以創建條目中包含的版本。

        Short其他執行資訊(transaction/batch/history)
        Control0..1
        This element is affected by the following invariants: bdl-3
        TypeBackboneElement
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        122. Bundle.entry:TWCoreComposition.request.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
        124. Bundle.entry:TWCoreComposition.request.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())
        126. Bundle.entry:TWCoreComposition.request.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())
        128. Bundle.entry:TWCoreComposition.request.method
        Definition

        在 transaction 或 batch 中,這是此條目要執行的 HTTP 操作。在history Bundle中,這表示發生的 HTTP 操作。

        ShortGET | HEAD | POST | PUT | DELETE | PATCH
        Control1..1
        BindingThe codes SHALL be taken from HTTPVerb
        (required to http://hl7.org/fhir/ValueSet/http-verb|4.0.1)

        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
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        130. Bundle.entry:TWCoreComposition.request.url
        Definition

        此條目相對於根地址(請求發布的地址)的 URL。

        Short此Bundle HTTP 對應的 URL
        Comments

        例如:對於 病人創建(Patient Create),方法是 「POST」,URL 是 「Patient」。對於病人更新(Patient Update),方法是 「PUT」,URL 是 「Patient/[id]」。

        Control1..1
        Typeuri
        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()))
        132. Bundle.entry:TWCoreComposition.request.ifNoneMatch
        Definition

        如果 ETag 值匹配,則返回 304 未修改狀態(Not Modified)。請參閱「[有條件讀取(Conditional Read)](http://hl7.org/fhir/R4/http.html#cread)」的 API 文件。

        Short用於管理緩存當前狀態
        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()))
        134. Bundle.entry:TWCoreComposition.request.ifModifiedSince
        Definition

        僅在最後更新日期匹配時執行操作。請參閱 「[有條件讀取(Conditional Read)](http://hl7.org/fhir/R4/http.html#cread)」的 API 文件。

        Short用於管理緩存當前狀態
        Control0..1
        Typeinstant
        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()))
        136. Bundle.entry:TWCoreComposition.request.ifMatch
        Definition

        只有在 Etag 值匹配時才執行操作。有關詳細資訊,請參閱 API 部分 「[管理resource衝突](http://hl7.org/fhir/R4/http.html#concurrency)」。

        Short用於管理更新衝突
        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()))
        138. Bundle.entry:TWCoreComposition.request.ifNoneExist
        Definition

        如果指定的resource已經存在,則指示伺服器不執行創建。有關詳細資訊,請參閱 「[有條件創建 (Conditional Creage)](http://hl7.org/fhir/R4/http.html#ccreate)」的 API 文件。這只是 URL 的查詢部分,即「? 」後面的內容(不包括「?」)。

        Short用於有條件建立
        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()))
        140. Bundle.entry:TWCoreComposition.response
        Definition

        表表示 batch 或 transaction 中相應「請求」條目的處理結果,或返回history時的操作結果。

        Short執行結果(transaction/batch/history)
        Control0..1
        This element is affected by the following invariants: bdl-4
        TypeBackboneElement
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        142. Bundle.entry:TWCoreComposition.response.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
        144. Bundle.entry:TWCoreComposition.response.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())
        146. Bundle.entry:TWCoreComposition.response.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())
        148. Bundle.entry:TWCoreComposition.response.status
        Definition

        處理此條目時返回的狀態編碼。狀態 必須(SHALL) 以三位 HTTP 編碼(如 404)開頭,並可包含與狀態編碼相關的標準 HTTP 描述。

        Short狀態回應代碼(文字選填)
        Control1..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()))
        150. Bundle.entry:TWCoreComposition.response.location
        Definition

        處理該操作時創建的位置表頭(location header),如果該操作返回位置,則填入該位地置表頭。

        Short位置(如果操作返回位置)
        Control0..1
        Typeuri
        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()))
        152. Bundle.entry:TWCoreComposition.response.etag
        Definition

        resource的 Etag,如果條目的操作產生了版本化resource(請參閱 「[Resource Metadata及版本化和管理resource衝突」](http://hl7.org/fhir/R4/http.html#versioning))。

        Shortresource的 Etag(如果有相關)
        Comments

        Etag 與 Resource.meta.versionId 匹配。如果包含resource,ETag 必須與表頭中的版本 ID 相匹配。

        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()))
        154. Bundle.entry:TWCoreComposition.response.lastModified
        Definition

        此resource在伺服器上被修改的日期/時間。

        Short修改時之伺服器日期時間
        Comments

        如果包含resource,則必須與meta.lastUpdated中的時間一致。

        Control0..1
        Typeinstant
        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()))
        156. Bundle.entry:TWCoreComposition.response.outcome
        Definition

        操作結果(OperationOutcome),包含在batch或transaction中處理此條目時產生的提示和警告。

        Short帶提示和警告的OperationOutcome(用於batch/transaction)
        Comments

        對於 POST/PUT 操作,這是 prefer = operationoutcome 將返回的等價結果,但無論是否返回結果,resource都會被返回。此結果不用於批次處理/異動處理中的錯誤響應,僅用於提示和警告。在批次處理操作中,錯誤將出現在 Bundle.entry.response 中,而在異動處理中,如果出現錯誤,將只有一個 OperationOutcome 而不是一個 bundle。

        Control0..1
        TypeResource
        Is Modifierfalse
        Summarytrue
        158. Bundle.signature
        Definition

        數位簽章 - base64 編碼。XML-DSig 或 JWT。

        Short數位簽章
        Comments

        簽章可以由bundle的「作者(author)」或是發起的設備所創建。關於是否要包含簽章、如何驗證簽章,以及如何處理已簽章與未簽章的bundle,這些要求會根據實作的環境而有所不同。

        Control0..1
        TypeSignature
        Is Modifierfalse
        Summarytrue
        Requirements

        簽章(Signature)以 FHIR 可存取的形式保存簽章及其支持上下文的電子表述。簽章可以是加密類型(XML DigSig 或 JWS),能夠提供不可否認性證明,也可以是表示簽章或簽章過程的圖形化圖像。該資料項目允許截取 document、message、transation甚至search回應上的簽章,以支持內容驗證、不可否認性或其他業務情況。這主要適用於Bundle可能透過多節點傳輸或其他機制傳輸的情況,因為 HTTPS 的不可否認性是不夠的。

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