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. For a full list of available versions, see the Directory of published versions
Active as of 2024-10-22 |
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)。 | ||||
Binding | The 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。
| ||||
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。 | ||||
Short | Encounter 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 | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Must Support | true | ||||
14. Encounter.identifier.use | |||||
Definition | 這個唯一識別碼(identifier)的用途 | ||||
Short | usual | 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。 | ||||
Binding | The 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。 | ||||
Binding | Unless 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。 | ||||
Type | CodeableConcept(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 | ||||
Control | 1..? | ||||
Must Support | true | ||||
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。 | ||||
Control | 1..? | ||||
Must Support | true | ||||
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。 | ||||
Type | Reference(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。 | ||||
Binding | The 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 Support | true | ||||
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 + | ||||
Binding | The 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 | ||||
Binding | Unless 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。 | ||||
Type | Coding(TW Coding) | ||||
Must Support | true | ||||
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 + | ||||
Short | inpatient | outpatient | ambulatory | emergency + | ||||
Binding | Unless 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。 | ||||
Binding | For 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。 | ||||
Type | CodeableConcept(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 | ||||
Binding | For 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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Must Support | true | ||||
46. Encounter.serviceType.coding | |||||
Slicing | This element introduces a set of slices on Encounter.serviceType.coding . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
48. Encounter.serviceType.coding:TWMedicalDepartmentSCT | |||||
Slice Name | TWMedicalDepartmentSCT | ||||
Control | 0..1 | ||||
Binding | The 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 Support | true | ||||
50. Encounter.serviceType.coding:TWMedicalDepartmentSCT.system | |||||
Control | 1..? | ||||
Pattern Value | http://snomed.info/sct | ||||
52. Encounter.serviceType.coding:TWMedicalConsultationDepartment | |||||
Slice Name | TWMedicalConsultationDepartment | ||||
Control | 0..1 | ||||
Binding | The 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 Support | true | ||||
54. Encounter.serviceType.coding:TWMedicalConsultationDepartment.system | |||||
Control | 1..? | ||||
Pattern Value | https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw | ||||
56. Encounter.serviceType.coding:TWMedicalTreatmentDepartment | |||||
Slice Name | TWMedicalTreatmentDepartment | ||||
Control | 0..1 | ||||
Binding | The 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 Support | true | ||||
58. Encounter.serviceType.coding:TWMedicalTreatmentDepartment.system | |||||
Control | 1..? | ||||
Pattern Value | https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-nhi-tw | ||||
60. Encounter.priority | |||||
Definition | 表明就醫的急迫性 | ||||
Short | 表明就醫的急迫性 | ||||
Binding | For 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。 | ||||
Type | CodeableConcept(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)。 | ||||
Type | Reference(TW Core Patient, Group) | ||||
Must Support | true | ||||
Must Support Types | No 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 Support | true | ||||
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。 | ||||
Binding | Unless 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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Must Support | true | ||||
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 Support | true | ||||
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。 | ||||
Type | Reference(TW Core Practitioner, TW Core PractitionerRole, TW Core RelatedPerson) | ||||
Must Support | true | ||||
Must Support Types | No 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 Support | true | ||||
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。 | ||||
Binding | The 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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Must Support | true | ||||
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。 | ||||
Type | Reference(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。 | ||||
Type | Reference(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...)。 | ||||
Binding | The 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。 | ||||
Type | CodeableConcept(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 Support | true | ||||
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 | ||||
Type | Reference(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)? | ||||
Binding | The 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。 | ||||
Type | CodeableConcept(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。 | ||||
Binding | For 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。 | ||||
Type | CodeableConcept(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)。 | ||||
Binding | For 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。 | ||||
Type | CodeableConcept(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) | ||||
Binding | The 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。 | ||||
Type | CodeableConcept(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。 | ||||
Binding | The 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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
112. Encounter.hospitalization.destination | |||||
Definition | 病人出院地點/機構 | ||||
Short | 病人出院地點/機構 | ||||
Type | Reference(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 | ||||
Binding | For 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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Must Support | true | ||||
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 Support | true | ||||
118. Encounter.location.location | |||||
Definition | 就醫發生的地點 | ||||
Short | 就醫發生的地點 | ||||
Type | Reference(TW Core Location) | ||||
Must Support | true | ||||
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。 | ||||
Binding | The 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。 | ||||
Binding | For 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。 | ||||
Type | CodeableConcept(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 | ||||
Type | Reference(TW Core Organization) | ||||
Must Support | true | ||||
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。 | ||||
Type | Reference(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 | ||||
Control | 0..* | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | Visit | ||||
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) | ||||
2. 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. | ||||
Control | 0..1 | ||||
Type | idstring | ||||
Is Modifier | false | ||||
Summary | true | ||||
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 | ||||
Control | 0..1 | ||||
Type | Meta | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
6. 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. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
8. 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). | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages (preferred to http://hl7.org/fhir/ValueSet/languages )人類語言;鼓勵使用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.
| ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Example | <br/><b>Value</b>:zh-TW | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
10. 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. | ||||
Short | Encounter 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. | ||||
Control | 0..1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | narrative, html, xhtml, display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
12. 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). | ||||
Short | Extensions 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Summary | false | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
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 | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
16. Encounter.identifier.use | |||||
Definition | 這個唯一識別碼(identifier)的用途 The purpose of this identifier. | ||||
Short | usual | 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. | ||||
Control | 0..1 | ||||
Binding | The 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 . | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
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. | ||||
Invariants | ele-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. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | Unless 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. | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
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. | ||||
Invariants | ele-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. | ||||
Control | 10..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
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 | ||||
Invariants | ele-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. | ||||
Control | 10..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Example | <br/><b>General</b>:123456 | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
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. | ||||
Control | 0..1 | ||||
Type | Reference(TW Core Organization, Organization) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-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 +. | ||||
Short | planned | 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). | ||||
Control | 1..1 | ||||
Binding | The 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. | ||||
Type | code | ||||
Is Modifier | true 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 Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
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. | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
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). | ||||
Short | Extensions 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
34. Encounter.statusHistory.status | |||||
Definition | planned | arrived | triaged | in-progress | onleave | finished | cancelled + planned | arrived | triaged | in-progress | onleave | finished | cancelled +. | ||||
Short | planned | arrived | triaged | in-progress | onleave | finished | cancelled + | ||||
Control | 1..1 | ||||
Binding | The 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. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
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 | ||||
Control | 1..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-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。 | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Binding | Unless 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. | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
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). | ||||
Short | Extensions 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
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 +. | ||||
Short | inpatient | outpatient | ambulatory | emergency +inpatient | outpatient | ambulatory | emergency + | ||||
Control | 1..1 | ||||
Binding | Unless 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. | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-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 | ||||
Control | 1..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-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..*. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | For 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. | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
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. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | For 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. | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-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. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
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. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
Slicing | This element introduces a set of slices on Encounter.serviceType.coding . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
54. Encounter.serviceType.coding:TWMedicalDepartmentSCT | |||||
Slice Name | TWMedicalDepartmentSCT | ||||
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. | ||||
Control | 0..1* This element is affected by the following invariants: ele-1 | ||||
Binding | The 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 ) | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
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. | ||||
Invariants | ele-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. | ||||
Control | 10..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
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 Value | http://snomed.info/sct | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
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. | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
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. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
62. Encounter.serviceType.coding:TWMedicalConsultationDepartment | |||||
Slice Name | TWMedicalConsultationDepartment | ||||
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. | ||||
Control | 0..1* This element is affected by the following invariants: ele-1 | ||||
Binding | The 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 ) | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
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. | ||||
Invariants | ele-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. | ||||
Control | 10..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
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 Value | https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
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. | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
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. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
70. Encounter.serviceType.coding:TWMedicalTreatmentDepartment | |||||
Slice Name | TWMedicalTreatmentDepartment | ||||
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. | ||||
Control | 0..1* This element is affected by the following invariants: ele-1 | ||||
Binding | The 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 ) | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
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. | ||||
Invariants | ele-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. | ||||
Control | 10..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
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 Value | https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-nhi-tw | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
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. | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
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. | ||||
Invariants | ele-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. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
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. | ||||
Invariants | ele-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. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | For 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. | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
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). | ||||
Control | 0..1 | ||||
Type | Reference(TW Core Patient, Group, Patient) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | true | ||||
Alternate Names | patient | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Type | Reference(EpisodeOfCare) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Type | Reference(ServiceRequest) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | incomingReferral | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
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). | ||||
Short | Extensions 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
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. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | Unless 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. | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
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 | ||||
Control | 0..1 | ||||
Type | Reference(TW Core Practitioner, TW Core PractitionerRole, TW Core RelatedPerson, Practitioner, PractitionerRole, RelatedPerson) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | true | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Type | Reference(Appointment) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-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. | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
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. | ||||
Control | 0..1 | ||||
Type | Duration | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-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). | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | The 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. | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Alternate Names | Indication, Admission diagnosis | ||||
Invariants | ele-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). | ||||
Control | 0..* | ||||
Type | Reference(TW Core Condition, TW Core Procedure, TW Core Observation Laboratory Result, ImmunizationRecommendation, Condition, Procedure, Observation) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | Indication, Admission diagnosis | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-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). | ||||
Short | Extensions 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
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). | ||||
Control | 1..1 | ||||
Type | Reference(TW Core Condition, TW Core Procedure, Condition, Procedure) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | Admission diagnosis, discharge diagnosis, indication | ||||
Invariants | ele-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. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The 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. | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
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) | ||||
Control | 0..1 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
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. | ||||
Control | 0..* | ||||
Type | Reference(Account) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-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. | ||||
Control | 0..1 | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
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). | ||||
Short | Extensions 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
124. Encounter.hospitalization.preAdmissionIdentifier | |||||
Definition | 住院前識別碼 Pre-admission identifier. | ||||
Short | 住院前識別碼Pre-admission identifier | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | Reference(TW Core Organization, TW Core Location, Location, Organization) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-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. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The 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. | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
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. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | For 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. | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
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). | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | For 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. | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
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. | ||||
Invariants | ele-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. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | The 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. | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
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. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | The 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. | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
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 | ||||
Control | 0..1 | ||||
Type | Reference(TW Core Location, TW Core Organization, Location, Organization) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-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. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | For 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. | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-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". | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
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). | ||||
Short | Extensions 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
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 | ||||
Control | 1..1 | ||||
Type | Reference(TW Core Location, Location) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
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. | ||||
Short | planned | 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. | ||||
Control | 0..1 | ||||
Binding | The 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. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
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. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | For 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. | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
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 | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | Reference(TW Core Organization, Organization) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
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. | ||||
Control | 0..1 | ||||
Type | Reference(TW Core Encounter, Encounter) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be found here
0. 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 | ||||
Control | 0..* | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | Visit | ||||
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty() )dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource ( contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() )dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated ( contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() )dom-5: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty() )dom-6: A resource should have narrative for robust management ( text.`div`.exists() ) | ||||
2. 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。 | ||||
Control | 0..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
Summary | true | ||||
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 | ||||
Control | 0..1 | ||||
Type | Meta | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
6. 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。 | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
8. 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)。 | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages )人類語言;鼓勵使用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。
| ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Example | <br/><b>Value</b>:zh-TW | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
10. 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。 | ||||
Short | Encounter 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。 | ||||
Control | 0..1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | narrative, html, xhtml, display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
12. 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. | ||||
Short | Contained, 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. | ||||
Control | 0..* | ||||
Type | Resource | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | inline 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. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
16. 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). | ||||
Short | Extensions 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Summary | false | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
18. Encounter.identifier | |||||
Definition | 此就醫事件的識別碼 | ||||
Short | 此就醫事件的識別碼 | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
20. 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. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
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. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Encounter.identifier.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
24. Encounter.identifier.use | |||||
Definition | 這個唯一識別碼(identifier)的用途 | ||||
Short | usual | 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。 | ||||
Control | 0..1 | ||||
Binding | The 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。 | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
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 | ||||
Invariants | ele-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。 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | Unless 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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Requirements | 允許使用者在不知道識別碼系統的情況下利用識別碼 | ||||
Invariants | ele-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 | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
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 | ||||
Invariants | ele-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。 | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Example | <br/><b>General</b>:123456 | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
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。 | ||||
Control | 0..1 | ||||
Type | Reference(TW Core Organization) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-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 +. | ||||
Short | planned | 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。 | ||||
Control | 1..1 | ||||
Binding | The 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 | ||||
Type | code | ||||
Is Modifier | true 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 Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
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。 | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
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. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
42. 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. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
44. 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). | ||||
Short | Extensions 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
46. Encounter.statusHistory.status | |||||
Definition | planned | arrived | triaged | in-progress | onleave | finished | cancelled + | ||||
Short | planned | arrived | triaged | in-progress | onleave | finished | cancelled + | ||||
Control | 1..1 | ||||
Binding | The 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 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
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 | ||||
Control | 1..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-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。 | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Binding | Unless 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。 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
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. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
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. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
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). | ||||
Short | Extensions 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
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 + | ||||
Short | inpatient | outpatient | ambulatory | emergency + | ||||
Control | 1..1 | ||||
Binding | Unless 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。 | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-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 | ||||
Control | 1..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-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。 | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | For 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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
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. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | For 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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-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。 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
70. Encounter.serviceType.extension | |||||
Definition | 擴充的資料項目 | ||||
Short | 擴充的資料項目 | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Encounter.serviceType.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
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。 | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on Encounter.serviceType.coding . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
74. Encounter.serviceType.coding:TWMedicalDepartmentSCT | |||||
Slice Name | TWMedicalDepartmentSCT | ||||
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。 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The 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 ) | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 | ||||
Invariants | ele-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。 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
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。 | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Encounter.serviceType.coding.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
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。 | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 需要明確說明符號定義的來源 | ||||
Pattern Value | http://snomed.info/sct | ||||
Invariants | ele-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。 | ||||
Note | This is a business version Id, not a resource version Id (see discussion) | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
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 | ||||
Control | 0..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 需要參照系統中的一個特定代碼 | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 需要能為不了解此系統的讀者呈現可讀的代碼含義 | ||||
Invariants | ele-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。 | ||||
Control | 0..1 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
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。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
90. Encounter.serviceType.coding:TWMedicalConsultationDepartment | |||||
Slice Name | TWMedicalConsultationDepartment | ||||
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。 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The 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 ) | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 | ||||
Invariants | ele-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。 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
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。 | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Encounter.serviceType.coding.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
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。 | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 需要明確說明符號定義的來源 | ||||
Pattern Value | https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw | ||||
Invariants | ele-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。 | ||||
Note | This is a business version Id, not a resource version Id (see discussion) | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
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 | ||||
Control | 0..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 需要參照系統中的一個特定代碼 | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 需要能為不了解此系統的讀者呈現可讀的代碼含義 | ||||
Invariants | ele-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。 | ||||
Control | 0..1 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
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。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
106. Encounter.serviceType.coding:TWMedicalTreatmentDepartment | |||||
Slice Name | TWMedicalTreatmentDepartment | ||||
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。 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The 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 ) | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 | ||||
Invariants | ele-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。 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
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。 | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Encounter.serviceType.coding.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
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。 | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 需要明確說明符號定義的來源 | ||||
Pattern Value | https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-nhi-tw | ||||
Invariants | ele-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。 | ||||
Note | This is a business version Id, not a resource version Id (see discussion) | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
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 | ||||
Control | 0..1 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 需要參照系統中的一個特定代碼 | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 需要能為不了解此系統的讀者呈現可讀的代碼含義 | ||||
Invariants | ele-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。 | ||||
Control | 0..1 | ||||
Type | boolean | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
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。 | ||||
Invariants | ele-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。 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
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。 | ||||
Invariants | ele-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. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | For 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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
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)。 | ||||
Control | 0..1 | ||||
Type | Reference(TW Core Patient, Group) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | true | ||||
Alternate Names | patient | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Type | Reference(EpisodeOfCare) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-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) | ||||
Control | 0..* | ||||
Type | Reference(ServiceRequest) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | incomingReferral | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
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. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
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. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
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). | ||||
Short | Extensions 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
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。 | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | Unless 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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
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。 | ||||
Control | 0..1 | ||||
Type | Reference(TW Core Practitioner, TW Core PractitionerRole, TW Core RelatedPerson) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | true | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Type | Reference(Appointment) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-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。 | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
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。 | ||||
Control | 0..1 | ||||
Type | Duration | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-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。 | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | The 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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Alternate Names | Indication, Admission diagnosis | ||||
Invariants | ele-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。 | ||||
Control | 0..* | ||||
Type | Reference(TW Core Condition, TW Core Procedure, TW Core Observation Laboratory Result, ImmunizationRecommendation) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | Indication, Admission diagnosis | ||||
Invariants | ele-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 | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-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. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
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. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
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). | ||||
Short | Extensions 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
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。 | ||||
Control | 1..1 | ||||
Type | Reference(TW Core Condition, TW Core Procedure) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Alternate Names | Admission diagnosis, discharge diagnosis, indication | ||||
Invariants | ele-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. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The 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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
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) | ||||
Control | 0..1 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
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。 | ||||
Control | 0..* | ||||
Type | Reference(Account) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-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。 | ||||
Control | 0..1 | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
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. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
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. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
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). | ||||
Short | Extensions 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
180. Encounter.hospitalization.preAdmissionIdentifier | |||||
Definition | 住院前識別碼 | ||||
Short | 住院前識別碼 | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | Reference(TW Core Organization, TW Core Location) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-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. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The 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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
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. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | For 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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
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)。 | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | For 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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
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。 | ||||
Invariants | ele-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. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | The 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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
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. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | The 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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
194. Encounter.hospitalization.destination | |||||
Definition | 病人出院地點/機構 | ||||
Short | 病人出院地點/機構 | ||||
Control | 0..1 | ||||
Type | Reference(TW Core Location, TW Core Organization) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-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. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | For 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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-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)」。 | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
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. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
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. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
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). | ||||
Short | Extensions 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
206. Encounter.location.location | |||||
Definition | 就醫發生的地點 | ||||
Short | 就醫發生的地點 | ||||
Control | 1..1 | ||||
Type | Reference(TW Core Location) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
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。 | ||||
Short | planned | 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。 | ||||
Control | 0..1 | ||||
Binding | The 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。 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
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。 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | For 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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
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 | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-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 | ||||
Control | 0..1 | ||||
Type | Reference(TW Core Organization) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
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。 | ||||
Control | 0..1 | ||||
Type | Reference(TW Core Encounter) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |