電子病歷交換單張實作指引(EMR-IG)
0.1.0 - ci-build
This page is part of the 電子病歷交換單張實作指引(EMR-IG) (v0.1.0: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
Official URL: https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/CompositionDMS | Version: 0.1.0 | |||
Active as of 2022-12-09 | Computable Name: DischargeMedicalSummaryComposition |
用於表示出院病摘資料集之文檔
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from TWCoreComposition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | 0..* | TWCoreComposition | 將一組resources組成一份連貫的臨床聲明,並附有臨床證明。 | |
status | 1..1 | code | registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): 診斷報告狀態;應填入CompositionStatus 的代碼表中的其中一個代碼 Fixed Value: final | |
type | ||||
coding | 1..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Required Pattern: At least the following | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11490-0 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Physician Discharge summary | |
subject | 1..1 | Reference(Group | Device | Substance | TW Core Location | 出院病摘-病人基本資料) | 報告文件有關的對象及(或)事物 | |
reference | S | 0..1 | string | Literal reference, Relative, internal or absolute URL |
encounter | S | 1..1 | Reference(出院病摘住院基本資料-Encounter) | 報告文件來自於哪次住院基本資料 |
reference | S | 0..1 | string | Literal reference, Relative, internal or absolute URL |
date | 1..1 | dateTime | 報告產生日期 | |
author | 1..* | Reference(出院病摘-醫事機構 | 出院病摘-醫師姓名) | 報告文件有關的創作部分 | |
title | 1..1 | string | 人類可讀的名稱/標題 Fixed Value: 出院病摘 | |
custodian | 1..1 | Reference(TW Core Organization) | 維護Composition的機構 | |
Slices for section | 6..* | BackboneElement | 報告文件與哪些資料有關 Slice: Unordered, Open by value:code.coding.code | |
section:CarePlanDischargeInstruction | 1..* | BackboneElement | 出院病摘中的出院指示 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 8653-8 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Hospital Discharge instructions | |
entry | 1..* | Reference(出院病摘-出院指示) | 此筆關聯的資料 | |
reference | 0..1 | string | 關聯至出院病摘中出院指示的url | |
section:ObservationAssumption | 1..* | BackboneElement | 出院病摘中的住院臆斷 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 46241-6 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Hospital admission diagnosis Narrative - Reported | |
entry | 1..* | Reference(出院病摘-住院臆斷) | 此筆關聯的資料 | |
reference | 1..1 | string | 關聯至出院病摘中住院臆斷的url | |
section:ConditionDiagnosis | 1..* | BackboneElement | 出院病摘中的出院診斷 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 11535-2 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Hospital discharge Dx Narrative | |
entry | 1..* | Reference(出院病摘-出院診斷) | 此筆關聯的資料 | |
reference | 1..1 | string | 關聯至出院病摘中出院診斷的url | |
section:ObservationCancerStage | 0..* | BackboneElement | 出院病摘中的癌症期別 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 22037-6 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Staging Cancer Narrative | |
entry | 1..* | Reference(出院病摘-癌症期別) | 此筆關聯的資料 | |
reference | 1..1 | string | 關聯至出院病摘中癌症期別的url | |
section:ConditionChiefComplaint | 1..1 | BackboneElement | 出院病摘中的主訴 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 10154-3 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Chief complaint Narrative - Reported | |
entry | 1..* | Reference(出院病摘-主訴) | 此筆關聯的資料 | |
reference | 1..1 | string | 關聯至出院病摘中主訴的url | |
section:ObservationMedicalHistory | 1..1 | BackboneElement | 出院病摘中的病史 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 10164-2 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: History of Present illness Narrative | |
entry | 1..* | Reference(出院病摘-病史) | 此筆關聯的資料 | |
reference | 1..1 | string | 關聯至出院病摘中病史的url | |
section:MediaFamily | 0..* | BackboneElement | 出院病摘中的家族圖譜 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 74027-4 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Family pedigree identifier | |
entry | 1..* | Reference(出院病摘-家族圖譜) | 此筆關聯的資料 | |
reference | 1..1 | string | 關聯至出院病摘中家族圖譜的url | |
section:ObservationPhysicalExamination | 0..* | BackboneElement | 出院病摘中的理學檢查發現 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 29545-1 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Physical findings Narrative | |
entry | 1..* | Reference(出院病摘-理學檢查發現) | 此筆關聯的資料 | |
reference | 1..1 | string | 關聯至出院病摘中理學檢查發現的url | |
section:ObservationLaboratoryData | 0..* | BackboneElement | 出院病摘中的檢驗 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 30954-2 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Relevant diagnostic tests/laboratory data Narrative | |
entry | 1..* | Reference(出院病摘-檢驗) | 此筆關聯的資料 | |
reference | 0..1 | string | 關聯至出院病摘中檢驗的url | |
section:ObservationSpecificExamination | 0..* | BackboneElement | 出院病摘中的特殊檢查 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 19146-0 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Referral lab test results | |
entry | 1..* | Reference(出院病摘-特殊檢查) | 此筆關聯的資料 | |
reference | 1..1 | string | 關聯至出院病摘中特殊檢查的url | |
section:ImagingStudyAndMedia | 0..* | BackboneElement | 出院病摘中的醫學影像檢查 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 19005-8 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Radiology Imaging study [Impression] (narrative) | |
Slices for entry | 0..* | Reference(Resource) | 此筆關聯的資料 Slice: Unordered, Open by profile:resolve() | |
Slices for entry | Content/Rules for all slices | |||
entry:ImagingStudy | 0..* | Reference(出院病摘_醫學影像檢查(ImagingStudy)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
reference | 1..1 | string | 關聯至出院病摘中醫學影像檢查(ImagingStudy)的url | |
Slices for entry | Content/Rules for all slices | |||
entry:Media | 0..* | Reference(出院病摘-醫學影像檢查(Media)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
reference | 1..1 | string | 關聯至出院病摘中醫學影像檢查(Media)的url | |
section:ObservationPathologyReport | 0..* | BackboneElement | 出院病摘中的病理報告 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 22034-3 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Pathology report Cancer Narrative | |
entry | 1..* | Reference(出院病摘-病理報告) | 此筆關聯的資料 | |
reference | 1..1 | string | 關聯至出院病摘中病理報告的url | |
section:ProcedureSurgicalMethod | 0..* | BackboneElement | 出院病摘中的手術日期及方法 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 8724-7 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Surgical operation note description Narrative | |
entry | 1..* | Reference(出院病摘-手術日期及方法) | 此筆關聯的資料 | |
reference | 1..1 | string | 關聯至出院病摘中手術日期及方法的url | |
section:ProcedureHospitalCourse | 1..1 | BackboneElement | 出院病摘中的住院治療經過 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 8648-8 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Hospital course Narrative | |
Slices for entry | 1..* | Reference(Resource) | 此筆關聯的資料 Slice: Unordered, Open by profile:resolve() | |
Slices for entry | Content/Rules for all slices | |||
entry:Procedure | 1..* | Reference(出院病摘-住院治療經過) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
reference | 1..1 | string | 關聯至出院病摘中手術日期及方法的url | |
Slices for entry | Content/Rules for all slices | |||
entry:Location | 0..* | Reference(出院病摘-住院基本資料(Location)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
reference | 1..1 | string | 關聯至出院病摘中住院基本資料(Location)的url | |
section:ConditionComorbiditiesandComplications | 0..* | BackboneElement | 出院病摘中的出院時情況 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 55109-3 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Complications Document | |
entry | 1..* | Reference(出院病摘-出院時情況) | 此筆關聯的資料 | |
reference | 1..1 | string | 關聯至出院病摘中出院時情況的url | |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Composition.status | required | Fixed Value: final |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | 0..* | TWCoreComposition | 將一組resources組成一份連貫的臨床聲明,並附有臨床證明。 | |
implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則 |
modifierExtension | ?! | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
identifier | SΣ | 0..1 | Identifier | 不分版本的臨床文件架構(Composition)識別碼。 |
status | ?!SΣ | 1..1 | code | registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): 診斷報告狀態;應填入CompositionStatus 的代碼表中的其中一個代碼 Fixed Value: final |
type | S | 1..1 | CodeableConceptTW | Composition的種類(如果可能請使用LOINC) Binding: FHIRDocumentTypeCodes (extensible): 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。 |
coding | S | 1..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Required Pattern: At least the following |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11490-0 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Physician Discharge summary | |
text | SΣ | 0..1 | string | 概念的文字表示法 |
subject | SΣ | 1..1 | Reference(Group | Device | Substance | TW Core Location | 出院病摘-病人基本資料) | 報告文件有關的對象及(或)事物 |
reference | SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL |
encounter | SΣ | 1..1 | Reference(出院病摘住院基本資料-Encounter) | 報告文件來自於哪次住院基本資料 |
reference | SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL |
date | SΣ | 1..1 | dateTime | 報告產生日期 |
author | SΣ | 1..* | Reference(出院病摘-醫事機構 | 出院病摘-醫師姓名) | 報告文件有關的創作部分 |
title | SΣ | 1..1 | string | 人類可讀的名稱/標題 Fixed Value: 出院病摘 |
attester | S | 0..* | BackboneElement | 證明Composition的準確性 |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): 認證者提供的認證類型;應填入所綁定值集中的其中一個代碼。 | |
custodian | SΣ | 1..1 | Reference(TW Core Organization) | 維護Composition的機構 |
Slices for section | SC | 6..* | BackboneElement | 報告文件與哪些資料有關 Slice: Unordered, Open by value:code.coding.code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
section:All Slices | Content/Rules for all slices | |||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 |
section:CarePlanDischargeInstruction | SC | 1..* | BackboneElement | 出院病摘中的出院指示 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 8653-8 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Hospital Discharge instructions |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(出院病摘-出院指示) | 此筆關聯的資料 |
reference | ΣC | 0..1 | string | 關聯至出院病摘中出院指示的url |
section:ObservationAssumption | SC | 1..* | BackboneElement | 出院病摘中的住院臆斷 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 46241-6 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Hospital admission diagnosis Narrative - Reported |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(出院病摘-住院臆斷) | 此筆關聯的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中住院臆斷的url |
section:ConditionDiagnosis | SC | 1..* | BackboneElement | 出院病摘中的出院診斷 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 11535-2 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Hospital discharge Dx Narrative |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(出院病摘-出院診斷) | 此筆關聯的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中出院診斷的url |
section:ObservationCancerStage | SC | 0..* | BackboneElement | 出院病摘中的癌症期別 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 22037-6 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Staging Cancer Narrative |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(出院病摘-癌症期別) | 此筆關聯的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中癌症期別的url |
section:ConditionChiefComplaint | SC | 1..1 | BackboneElement | 出院病摘中的主訴 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 10154-3 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Chief complaint Narrative - Reported |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(出院病摘-主訴) | 此筆關聯的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中主訴的url |
section:ObservationMedicalHistory | SC | 1..1 | BackboneElement | 出院病摘中的病史 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 10164-2 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: History of Present illness Narrative |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(出院病摘-病史) | 此筆關聯的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中病史的url |
section:MediaFamily | SC | 0..* | BackboneElement | 出院病摘中的家族圖譜 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 74027-4 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Family pedigree identifier |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(出院病摘-家族圖譜) | 此筆關聯的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中家族圖譜的url |
section:ObservationPhysicalExamination | SC | 0..* | BackboneElement | 出院病摘中的理學檢查發現 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 29545-1 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Physical findings Narrative |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(出院病摘-理學檢查發現) | 此筆關聯的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中理學檢查發現的url |
section:ObservationLaboratoryData | SC | 0..* | BackboneElement | 出院病摘中的檢驗 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 30954-2 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Relevant diagnostic tests/laboratory data Narrative |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(出院病摘-檢驗) | 此筆關聯的資料 |
reference | ΣC | 0..1 | string | 關聯至出院病摘中檢驗的url |
section:ObservationSpecificExamination | SC | 0..* | BackboneElement | 出院病摘中的特殊檢查 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 19146-0 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Referral lab test results |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(出院病摘-特殊檢查) | 此筆關聯的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中特殊檢查的url |
section:ImagingStudyAndMedia | SC | 0..* | BackboneElement | 出院病摘中的醫學影像檢查 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 19005-8 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Radiology Imaging study [Impression] (narrative) |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
Slices for entry | SC | 0..* | Reference(Resource) | 此筆關聯的資料 Slice: Unordered, Open by profile:resolve() |
Slices for entry | Content/Rules for all slices | |||
entry:ImagingStudy | SC | 0..* | Reference(出院病摘_醫學影像檢查(ImagingStudy)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中醫學影像檢查(ImagingStudy)的url |
Slices for entry | Content/Rules for all slices | |||
entry:Media | SC | 0..* | Reference(出院病摘-醫學影像檢查(Media)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中醫學影像檢查(Media)的url |
section:ObservationPathologyReport | SC | 0..* | BackboneElement | 出院病摘中的病理報告 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 22034-3 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Pathology report Cancer Narrative |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(出院病摘-病理報告) | 此筆關聯的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中病理報告的url |
section:ProcedureSurgicalMethod | SC | 0..* | BackboneElement | 出院病摘中的手術日期及方法 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 8724-7 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Surgical operation note description Narrative |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(出院病摘-手術日期及方法) | 此筆關聯的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中手術日期及方法的url |
section:ProcedureHospitalCourse | SC | 1..1 | BackboneElement | 出院病摘中的住院治療經過 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 8648-8 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Hospital course Narrative |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
Slices for entry | SC | 1..* | Reference(Resource) | 此筆關聯的資料 Slice: Unordered, Open by profile:resolve() |
Slices for entry | Content/Rules for all slices | |||
entry:Procedure | SC | 1..* | Reference(出院病摘-住院治療經過) | 提供一個連結用於參照或查看支持此小節內容的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中手術日期及方法的url |
Slices for entry | Content/Rules for all slices | |||
entry:Location | SC | 0..* | Reference(出院病摘-住院基本資料(Location)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中住院基本資料(Location)的url |
section:ConditionComorbiditiesandComplications | SC | 0..* | BackboneElement | 出院病摘中的出院時情況 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 55109-3 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Complications Document |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(出院病摘-出院時情況) | 此筆關聯的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中出院時情況的url |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Composition.status | required | Fixed Value: finalhttp://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard | |
Composition.type | extensible | FHIRDocumentTypeCodeshttp://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard | |
Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard | |
Composition.section.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:CarePlanDischargeInstruction.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ObservationAssumption.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ConditionDiagnosis.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ObservationCancerStage.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ConditionChiefComplaint.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ObservationMedicalHistory.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:MediaFamily.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ObservationPhysicalExamination.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ObservationLaboratoryData.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ObservationSpecificExamination.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ImagingStudyAndMedia.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ObservationPathologyReport.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ProcedureSurgicalMethod.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ProcedureHospitalCourse.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ConditionComorbiditiesandComplications.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
cmp-1 | error | Composition.section, Composition.section:CarePlanDischargeInstruction, Composition.section:ObservationAssumption, Composition.section:ConditionDiagnosis, Composition.section:ObservationCancerStage, Composition.section:ConditionChiefComplaint, Composition.section:ObservationMedicalHistory, Composition.section:MediaFamily, Composition.section:ObservationPhysicalExamination, Composition.section:ObservationLaboratoryData, Composition.section:ObservationSpecificExamination, Composition.section:ImagingStudyAndMedia, Composition.section:ObservationPathologyReport, Composition.section:ProcedureSurgicalMethod, Composition.section:ProcedureHospitalCourse, Composition.section:ConditionComorbiditiesandComplications | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
cmp-2 | error | Composition.section, Composition.section:CarePlanDischargeInstruction, Composition.section:ObservationAssumption, Composition.section:ConditionDiagnosis, Composition.section:ObservationCancerStage, Composition.section:ConditionChiefComplaint, Composition.section:ObservationMedicalHistory, Composition.section:MediaFamily, Composition.section:ObservationPhysicalExamination, Composition.section:ObservationLaboratoryData, Composition.section:ObservationSpecificExamination, Composition.section:ImagingStudyAndMedia, Composition.section:ObservationPathologyReport, Composition.section:ProcedureSurgicalMethod, Composition.section:ProcedureHospitalCourse, Composition.section:ConditionComorbiditiesandComplications | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Composition | 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 | error | Composition | 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 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Composition | 0..* | TWCoreComposition | 將一組resources組成一份連貫的臨床聲明,並附有臨床證明。 | |||||
id | Σ | 0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的Composition紀錄,通常又稱為邏輯性ID。 | ||||
meta | Σ | 0..1 | Meta | 此Composition Resource的metadata | ||||
implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則 | ||||
language | 0..1 | code | 用以表述Composition Resource內容的語言 Binding: CommonLanguages (preferred): 人類語言;鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。
Example Value: zh-TW | |||||
text | 0..1 | Narrative | Composition Resource之內容摘要以供人閱讀 | |||||
contained | 0..* | Resource | 內嵌的(contained)、行內的Resources | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?! | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
identifier | SΣ | 0..1 | Identifier | 不分版本的臨床文件架構(Composition)識別碼。 | ||||
status | ?!SΣ | 1..1 | code | registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): 診斷報告狀態;應填入CompositionStatus 的代碼表中的其中一個代碼 Fixed Value: final | ||||
type | S | 1..1 | CodeableConceptTW | Composition的種類(如果可能請使用LOINC) Binding: FHIRDocumentTypeCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11490-0 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: Physician Discharge summary | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
category | 0..* | CodeableConceptTW | Composition的分類 Binding: DocumentClassValueSet (extensible): 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。 | |||||
subject | SΣ | 1..1 | Reference(Group | Device | Substance | TW Core Location | 出院病摘-病人基本資料) | 報告文件有關的對象及(或)事物 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
encounter | SΣ | 1..1 | Reference(出院病摘住院基本資料-Encounter) | 報告文件來自於哪次住院基本資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
date | SΣ | 1..1 | dateTime | 報告產生日期 | ||||
author | SΣ | 1..* | Reference(出院病摘-醫事機構 | 出院病摘-醫師姓名) | 報告文件有關的創作部分 | ||||
title | SΣ | 1..1 | string | 人類可讀的名稱/標題 Fixed Value: 出院病摘 | ||||
confidentiality | Σ | 0..1 | code | 根據特定技術領域的定義 Binding: v3.ConfidentialityClassification (2014-03-26) (required): 應填入所綁定值集中的其中一個代碼。 | ||||
attester | S | 0..* | BackboneElement | 證明Composition的準確性 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): 認證者提供的認證類型;應填入所綁定值集中的其中一個代碼。 | |||||
time | 0..1 | dateTime | 此Composition被證明的時間 | |||||
party | 0..1 | Reference(TW Core Patient | RelatedPerson | TW Core Practitioner | TW Core PractitionerRole | TW Core Organization) | 誰證明了此Composition | |||||
custodian | SΣ | 1..1 | Reference(TW Core Organization) | 維護Composition的機構 | ||||
relatesTo | 0..* | BackboneElement | 與其他Composition/文件之間的關係 | |||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
code | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): 檔案之間的關係型別;應填入所綁定值集中的其中一個代碼。 | |||||
target[x] | 1..1 | 此關係的目標文件 | ||||||
targetIdentifier | Identifier | |||||||
targetReference | Reference(Composition) | |||||||
event | Σ | 0..* | BackboneElement | 正在記錄的臨床服務 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
code | 0..* | CodeableConceptTW | 此代碼表代表了正在被記錄的主要臨床行為 Binding: v3 Code System ActCode (example): 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。 | |||||
period | Σ | 0..1 | Period | 文件所涵蓋的時間區間 | ||||
detail | Σ | 0..* | Reference(Resource) | 在描述被記錄下來的事件,這些事件可以是以代碼的形式、參考資料的形式,或者兩者都有的形式來呈現。 | ||||
Slices for section | SC | 6..* | BackboneElement | 報告文件與哪些資料有關 Slice: Unordered, Open by value:code.coding.code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
section:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 小節標籤(例如:目錄ToC) | |||||
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:CarePlanDischargeInstruction | SC | 1..* | BackboneElement | 出院病摘中的出院指示 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 8653-8 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Hospital Discharge instructions | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 1..* | Reference(出院病摘-出院指示) | 此筆關聯的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 0..1 | string | 關聯至出院病摘中出院指示的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:ObservationAssumption | SC | 1..* | BackboneElement | 出院病摘中的住院臆斷 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 46241-6 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Hospital admission diagnosis Narrative - Reported | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 1..* | Reference(出院病摘-住院臆斷) | 此筆關聯的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中住院臆斷的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:ConditionDiagnosis | SC | 1..* | BackboneElement | 出院病摘中的出院診斷 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 11535-2 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Hospital discharge Dx Narrative | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 1..* | Reference(出院病摘-出院診斷) | 此筆關聯的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中出院診斷的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:ObservationCancerStage | SC | 0..* | BackboneElement | 出院病摘中的癌症期別 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 22037-6 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Staging Cancer Narrative | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 1..* | Reference(出院病摘-癌症期別) | 此筆關聯的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中癌症期別的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:ConditionChiefComplaint | SC | 1..1 | BackboneElement | 出院病摘中的主訴 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 10154-3 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Chief complaint Narrative - Reported | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 1..* | Reference(出院病摘-主訴) | 此筆關聯的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中主訴的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:ObservationMedicalHistory | SC | 1..1 | BackboneElement | 出院病摘中的病史 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 10164-2 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: History of Present illness Narrative | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 1..* | Reference(出院病摘-病史) | 此筆關聯的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中病史的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:MediaFamily | SC | 0..* | BackboneElement | 出院病摘中的家族圖譜 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 74027-4 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Family pedigree identifier | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 1..* | Reference(出院病摘-家族圖譜) | 此筆關聯的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中家族圖譜的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:ObservationPhysicalExamination | SC | 0..* | BackboneElement | 出院病摘中的理學檢查發現 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 29545-1 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Physical findings Narrative | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 1..* | Reference(出院病摘-理學檢查發現) | 此筆關聯的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中理學檢查發現的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:ObservationLaboratoryData | SC | 0..* | BackboneElement | 出院病摘中的檢驗 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 30954-2 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Relevant diagnostic tests/laboratory data Narrative | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 1..* | Reference(出院病摘-檢驗) | 此筆關聯的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 0..1 | string | 關聯至出院病摘中檢驗的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:ObservationSpecificExamination | SC | 0..* | BackboneElement | 出院病摘中的特殊檢查 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 19146-0 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Referral lab test results | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 1..* | Reference(出院病摘-特殊檢查) | 此筆關聯的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中特殊檢查的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:ImagingStudyAndMedia | SC | 0..* | BackboneElement | 出院病摘中的醫學影像檢查 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 19005-8 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Radiology Imaging study [Impression] (narrative) | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
Slices for entry | SC | 0..* | Reference(Resource) | 此筆關聯的資料 Slice: Unordered, Open by profile:resolve() | ||||
Slices for entry | Content/Rules for all slices | |||||||
entry:ImagingStudy | SC | 0..* | Reference(出院病摘_醫學影像檢查(ImagingStudy)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中醫學影像檢查(ImagingStudy)的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
Slices for entry | Content/Rules for all slices | |||||||
entry:Media | SC | 0..* | Reference(出院病摘-醫學影像檢查(Media)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中醫學影像檢查(Media)的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:ObservationPathologyReport | SC | 0..* | BackboneElement | 出院病摘中的病理報告 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 22034-3 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Pathology report Cancer Narrative | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 1..* | Reference(出院病摘-病理報告) | 此筆關聯的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中病理報告的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:ProcedureSurgicalMethod | SC | 0..* | BackboneElement | 出院病摘中的手術日期及方法 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 8724-7 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Surgical operation note description Narrative | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 1..* | Reference(出院病摘-手術日期及方法) | 此筆關聯的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中手術日期及方法的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:ProcedureHospitalCourse | SC | 1..1 | BackboneElement | 出院病摘中的住院治療經過 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 8648-8 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Hospital course Narrative | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
Slices for entry | SC | 1..* | Reference(Resource) | 此筆關聯的資料 Slice: Unordered, Open by profile:resolve() | ||||
Slices for entry | Content/Rules for all slices | |||||||
entry:Procedure | SC | 1..* | Reference(出院病摘-住院治療經過) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中手術日期及方法的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
Slices for entry | Content/Rules for all slices | |||||||
entry:Location | SC | 0..* | Reference(出院病摘-住院基本資料(Location)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中住院基本資料(Location)的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:ConditionComorbiditiesandComplications | SC | 0..* | BackboneElement | 出院病摘中的出院時情況 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 55109-3 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Complications Document | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 1..* | Reference(出院病摘-出院時情況) | 此筆關聯的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中出院時情況的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
Composition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Composition.status | required | Fixed Value: finalhttp://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard | ||||
Composition.type | extensible | FHIRDocumentTypeCodeshttp://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard | ||||
Composition.category | extensible | DocumentClassValueSethttp://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard | ||||
Composition.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.encounter.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.confidentiality | required | v3.ConfidentialityClassificationhttp://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard | ||||
Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard | ||||
Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard | ||||
Composition.event.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | ||||
Composition.section.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:CarePlanDischargeInstruction.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:CarePlanDischargeInstruction.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:CarePlanDischargeInstruction.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:CarePlanDischargeInstruction.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:CarePlanDischargeInstruction.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:ObservationAssumption.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:ObservationAssumption.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:ObservationAssumption.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:ObservationAssumption.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ObservationAssumption.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:ConditionDiagnosis.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:ConditionDiagnosis.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:ConditionDiagnosis.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:ConditionDiagnosis.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ConditionDiagnosis.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:ObservationCancerStage.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:ObservationCancerStage.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:ObservationCancerStage.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:ObservationCancerStage.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ObservationCancerStage.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:ConditionChiefComplaint.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:ConditionChiefComplaint.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:ConditionChiefComplaint.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:ConditionChiefComplaint.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ConditionChiefComplaint.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:ObservationMedicalHistory.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:ObservationMedicalHistory.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:ObservationMedicalHistory.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:ObservationMedicalHistory.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ObservationMedicalHistory.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:MediaFamily.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:MediaFamily.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:MediaFamily.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:MediaFamily.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:MediaFamily.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:ObservationPhysicalExamination.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:ObservationPhysicalExamination.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:ObservationPhysicalExamination.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:ObservationPhysicalExamination.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ObservationPhysicalExamination.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:ObservationLaboratoryData.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:ObservationLaboratoryData.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:ObservationLaboratoryData.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:ObservationLaboratoryData.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ObservationLaboratoryData.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:ObservationSpecificExamination.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:ObservationSpecificExamination.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:ObservationSpecificExamination.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:ObservationSpecificExamination.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ObservationSpecificExamination.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:ImagingStudyAndMedia.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:ImagingStudyAndMedia.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:ImagingStudyAndMedia.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:ImagingStudyAndMedia.entry:ImagingStudy.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ImagingStudyAndMedia.entry:Media.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ImagingStudyAndMedia.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:ObservationPathologyReport.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:ObservationPathologyReport.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:ObservationPathologyReport.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:ObservationPathologyReport.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ObservationPathologyReport.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:ProcedureSurgicalMethod.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:ProcedureSurgicalMethod.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:ProcedureSurgicalMethod.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:ProcedureSurgicalMethod.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ProcedureSurgicalMethod.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:ProcedureHospitalCourse.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:ProcedureHospitalCourse.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:ProcedureHospitalCourse.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:ProcedureHospitalCourse.entry:Procedure.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ProcedureHospitalCourse.entry:Location.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ProcedureHospitalCourse.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:ConditionComorbiditiesandComplications.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:ConditionComorbiditiesandComplications.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:ConditionComorbiditiesandComplications.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:ConditionComorbiditiesandComplications.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ConditionComorbiditiesandComplications.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
cmp-1 | error | Composition.section, Composition.section:CarePlanDischargeInstruction, Composition.section:ObservationAssumption, Composition.section:ConditionDiagnosis, Composition.section:ObservationCancerStage, Composition.section:ConditionChiefComplaint, Composition.section:ObservationMedicalHistory, Composition.section:MediaFamily, Composition.section:ObservationPhysicalExamination, Composition.section:ObservationLaboratoryData, Composition.section:ObservationSpecificExamination, Composition.section:ImagingStudyAndMedia, Composition.section:ObservationPathologyReport, Composition.section:ProcedureSurgicalMethod, Composition.section:ProcedureHospitalCourse, Composition.section:ConditionComorbiditiesandComplications | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
cmp-2 | error | Composition.section, Composition.section:CarePlanDischargeInstruction, Composition.section:ObservationAssumption, Composition.section:ConditionDiagnosis, Composition.section:ObservationCancerStage, Composition.section:ConditionChiefComplaint, Composition.section:ObservationMedicalHistory, Composition.section:MediaFamily, Composition.section:ObservationPhysicalExamination, Composition.section:ObservationLaboratoryData, Composition.section:ObservationSpecificExamination, Composition.section:ImagingStudyAndMedia, Composition.section:ObservationPathologyReport, Composition.section:ProcedureSurgicalMethod, Composition.section:ProcedureHospitalCourse, Composition.section:ConditionComorbiditiesandComplications | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Composition | 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 | error | Composition | 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 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from TWCoreComposition
Summary
Mandatory: 46 elements(54 nested mandatory elements)
Must-Support: 3 elements
Fixed: 47 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from TWCoreComposition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | 0..* | TWCoreComposition | 將一組resources組成一份連貫的臨床聲明,並附有臨床證明。 | |
status | 1..1 | code | registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): 診斷報告狀態;應填入CompositionStatus 的代碼表中的其中一個代碼 Fixed Value: final | |
type | ||||
coding | 1..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Required Pattern: At least the following | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11490-0 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Physician Discharge summary | |
subject | 1..1 | Reference(Group | Device | Substance | TW Core Location | 出院病摘-病人基本資料) | 報告文件有關的對象及(或)事物 | |
reference | S | 0..1 | string | Literal reference, Relative, internal or absolute URL |
encounter | S | 1..1 | Reference(出院病摘住院基本資料-Encounter) | 報告文件來自於哪次住院基本資料 |
reference | S | 0..1 | string | Literal reference, Relative, internal or absolute URL |
date | 1..1 | dateTime | 報告產生日期 | |
author | 1..* | Reference(出院病摘-醫事機構 | 出院病摘-醫師姓名) | 報告文件有關的創作部分 | |
title | 1..1 | string | 人類可讀的名稱/標題 Fixed Value: 出院病摘 | |
custodian | 1..1 | Reference(TW Core Organization) | 維護Composition的機構 | |
Slices for section | 6..* | BackboneElement | 報告文件與哪些資料有關 Slice: Unordered, Open by value:code.coding.code | |
section:CarePlanDischargeInstruction | 1..* | BackboneElement | 出院病摘中的出院指示 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 8653-8 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Hospital Discharge instructions | |
entry | 1..* | Reference(出院病摘-出院指示) | 此筆關聯的資料 | |
reference | 0..1 | string | 關聯至出院病摘中出院指示的url | |
section:ObservationAssumption | 1..* | BackboneElement | 出院病摘中的住院臆斷 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 46241-6 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Hospital admission diagnosis Narrative - Reported | |
entry | 1..* | Reference(出院病摘-住院臆斷) | 此筆關聯的資料 | |
reference | 1..1 | string | 關聯至出院病摘中住院臆斷的url | |
section:ConditionDiagnosis | 1..* | BackboneElement | 出院病摘中的出院診斷 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 11535-2 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Hospital discharge Dx Narrative | |
entry | 1..* | Reference(出院病摘-出院診斷) | 此筆關聯的資料 | |
reference | 1..1 | string | 關聯至出院病摘中出院診斷的url | |
section:ObservationCancerStage | 0..* | BackboneElement | 出院病摘中的癌症期別 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 22037-6 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Staging Cancer Narrative | |
entry | 1..* | Reference(出院病摘-癌症期別) | 此筆關聯的資料 | |
reference | 1..1 | string | 關聯至出院病摘中癌症期別的url | |
section:ConditionChiefComplaint | 1..1 | BackboneElement | 出院病摘中的主訴 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 10154-3 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Chief complaint Narrative - Reported | |
entry | 1..* | Reference(出院病摘-主訴) | 此筆關聯的資料 | |
reference | 1..1 | string | 關聯至出院病摘中主訴的url | |
section:ObservationMedicalHistory | 1..1 | BackboneElement | 出院病摘中的病史 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 10164-2 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: History of Present illness Narrative | |
entry | 1..* | Reference(出院病摘-病史) | 此筆關聯的資料 | |
reference | 1..1 | string | 關聯至出院病摘中病史的url | |
section:MediaFamily | 0..* | BackboneElement | 出院病摘中的家族圖譜 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 74027-4 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Family pedigree identifier | |
entry | 1..* | Reference(出院病摘-家族圖譜) | 此筆關聯的資料 | |
reference | 1..1 | string | 關聯至出院病摘中家族圖譜的url | |
section:ObservationPhysicalExamination | 0..* | BackboneElement | 出院病摘中的理學檢查發現 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 29545-1 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Physical findings Narrative | |
entry | 1..* | Reference(出院病摘-理學檢查發現) | 此筆關聯的資料 | |
reference | 1..1 | string | 關聯至出院病摘中理學檢查發現的url | |
section:ObservationLaboratoryData | 0..* | BackboneElement | 出院病摘中的檢驗 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 30954-2 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Relevant diagnostic tests/laboratory data Narrative | |
entry | 1..* | Reference(出院病摘-檢驗) | 此筆關聯的資料 | |
reference | 0..1 | string | 關聯至出院病摘中檢驗的url | |
section:ObservationSpecificExamination | 0..* | BackboneElement | 出院病摘中的特殊檢查 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 19146-0 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Referral lab test results | |
entry | 1..* | Reference(出院病摘-特殊檢查) | 此筆關聯的資料 | |
reference | 1..1 | string | 關聯至出院病摘中特殊檢查的url | |
section:ImagingStudyAndMedia | 0..* | BackboneElement | 出院病摘中的醫學影像檢查 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 19005-8 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Radiology Imaging study [Impression] (narrative) | |
Slices for entry | 0..* | Reference(Resource) | 此筆關聯的資料 Slice: Unordered, Open by profile:resolve() | |
Slices for entry | Content/Rules for all slices | |||
entry:ImagingStudy | 0..* | Reference(出院病摘_醫學影像檢查(ImagingStudy)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
reference | 1..1 | string | 關聯至出院病摘中醫學影像檢查(ImagingStudy)的url | |
Slices for entry | Content/Rules for all slices | |||
entry:Media | 0..* | Reference(出院病摘-醫學影像檢查(Media)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
reference | 1..1 | string | 關聯至出院病摘中醫學影像檢查(Media)的url | |
section:ObservationPathologyReport | 0..* | BackboneElement | 出院病摘中的病理報告 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 22034-3 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Pathology report Cancer Narrative | |
entry | 1..* | Reference(出院病摘-病理報告) | 此筆關聯的資料 | |
reference | 1..1 | string | 關聯至出院病摘中病理報告的url | |
section:ProcedureSurgicalMethod | 0..* | BackboneElement | 出院病摘中的手術日期及方法 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 8724-7 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Surgical operation note description Narrative | |
entry | 1..* | Reference(出院病摘-手術日期及方法) | 此筆關聯的資料 | |
reference | 1..1 | string | 關聯至出院病摘中手術日期及方法的url | |
section:ProcedureHospitalCourse | 1..1 | BackboneElement | 出院病摘中的住院治療經過 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 8648-8 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Hospital course Narrative | |
Slices for entry | 1..* | Reference(Resource) | 此筆關聯的資料 Slice: Unordered, Open by profile:resolve() | |
Slices for entry | Content/Rules for all slices | |||
entry:Procedure | 1..* | Reference(出院病摘-住院治療經過) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
reference | 1..1 | string | 關聯至出院病摘中手術日期及方法的url | |
Slices for entry | Content/Rules for all slices | |||
entry:Location | 0..* | Reference(出院病摘-住院基本資料(Location)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
reference | 1..1 | string | 關聯至出院病摘中住院基本資料(Location)的url | |
section:ConditionComorbiditiesandComplications | 0..* | BackboneElement | 出院病摘中的出院時情況 | |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | 1..1 | CodeableConceptTW | 小節分類(建議) | |
coding | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | |
system | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | |
code | 1..1 | code | 系統定義的語法之符號 Fixed Value: 55109-3 | |
display | 0..1 | string | 由系統定義的表示法 Fixed Value: Complications Document | |
entry | 1..* | Reference(出院病摘-出院時情況) | 此筆關聯的資料 | |
reference | 1..1 | string | 關聯至出院病摘中出院時情況的url | |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Composition.status | required | Fixed Value: final |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | 0..* | TWCoreComposition | 將一組resources組成一份連貫的臨床聲明,並附有臨床證明。 | |
implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則 |
modifierExtension | ?! | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
identifier | SΣ | 0..1 | Identifier | 不分版本的臨床文件架構(Composition)識別碼。 |
status | ?!SΣ | 1..1 | code | registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): 診斷報告狀態;應填入CompositionStatus 的代碼表中的其中一個代碼 Fixed Value: final |
type | S | 1..1 | CodeableConceptTW | Composition的種類(如果可能請使用LOINC) Binding: FHIRDocumentTypeCodes (extensible): 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。 |
coding | S | 1..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Required Pattern: At least the following |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11490-0 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Physician Discharge summary | |
text | SΣ | 0..1 | string | 概念的文字表示法 |
subject | SΣ | 1..1 | Reference(Group | Device | Substance | TW Core Location | 出院病摘-病人基本資料) | 報告文件有關的對象及(或)事物 |
reference | SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL |
encounter | SΣ | 1..1 | Reference(出院病摘住院基本資料-Encounter) | 報告文件來自於哪次住院基本資料 |
reference | SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL |
date | SΣ | 1..1 | dateTime | 報告產生日期 |
author | SΣ | 1..* | Reference(出院病摘-醫事機構 | 出院病摘-醫師姓名) | 報告文件有關的創作部分 |
title | SΣ | 1..1 | string | 人類可讀的名稱/標題 Fixed Value: 出院病摘 |
attester | S | 0..* | BackboneElement | 證明Composition的準確性 |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): 認證者提供的認證類型;應填入所綁定值集中的其中一個代碼。 | |
custodian | SΣ | 1..1 | Reference(TW Core Organization) | 維護Composition的機構 |
Slices for section | SC | 6..* | BackboneElement | 報告文件與哪些資料有關 Slice: Unordered, Open by value:code.coding.code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
section:All Slices | Content/Rules for all slices | |||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 |
section:CarePlanDischargeInstruction | SC | 1..* | BackboneElement | 出院病摘中的出院指示 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 8653-8 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Hospital Discharge instructions |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(出院病摘-出院指示) | 此筆關聯的資料 |
reference | ΣC | 0..1 | string | 關聯至出院病摘中出院指示的url |
section:ObservationAssumption | SC | 1..* | BackboneElement | 出院病摘中的住院臆斷 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 46241-6 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Hospital admission diagnosis Narrative - Reported |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(出院病摘-住院臆斷) | 此筆關聯的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中住院臆斷的url |
section:ConditionDiagnosis | SC | 1..* | BackboneElement | 出院病摘中的出院診斷 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 11535-2 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Hospital discharge Dx Narrative |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(出院病摘-出院診斷) | 此筆關聯的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中出院診斷的url |
section:ObservationCancerStage | SC | 0..* | BackboneElement | 出院病摘中的癌症期別 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 22037-6 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Staging Cancer Narrative |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(出院病摘-癌症期別) | 此筆關聯的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中癌症期別的url |
section:ConditionChiefComplaint | SC | 1..1 | BackboneElement | 出院病摘中的主訴 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 10154-3 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Chief complaint Narrative - Reported |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(出院病摘-主訴) | 此筆關聯的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中主訴的url |
section:ObservationMedicalHistory | SC | 1..1 | BackboneElement | 出院病摘中的病史 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 10164-2 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: History of Present illness Narrative |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(出院病摘-病史) | 此筆關聯的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中病史的url |
section:MediaFamily | SC | 0..* | BackboneElement | 出院病摘中的家族圖譜 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 74027-4 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Family pedigree identifier |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(出院病摘-家族圖譜) | 此筆關聯的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中家族圖譜的url |
section:ObservationPhysicalExamination | SC | 0..* | BackboneElement | 出院病摘中的理學檢查發現 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 29545-1 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Physical findings Narrative |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(出院病摘-理學檢查發現) | 此筆關聯的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中理學檢查發現的url |
section:ObservationLaboratoryData | SC | 0..* | BackboneElement | 出院病摘中的檢驗 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 30954-2 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Relevant diagnostic tests/laboratory data Narrative |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(出院病摘-檢驗) | 此筆關聯的資料 |
reference | ΣC | 0..1 | string | 關聯至出院病摘中檢驗的url |
section:ObservationSpecificExamination | SC | 0..* | BackboneElement | 出院病摘中的特殊檢查 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 19146-0 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Referral lab test results |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(出院病摘-特殊檢查) | 此筆關聯的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中特殊檢查的url |
section:ImagingStudyAndMedia | SC | 0..* | BackboneElement | 出院病摘中的醫學影像檢查 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 19005-8 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Radiology Imaging study [Impression] (narrative) |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
Slices for entry | SC | 0..* | Reference(Resource) | 此筆關聯的資料 Slice: Unordered, Open by profile:resolve() |
Slices for entry | Content/Rules for all slices | |||
entry:ImagingStudy | SC | 0..* | Reference(出院病摘_醫學影像檢查(ImagingStudy)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中醫學影像檢查(ImagingStudy)的url |
Slices for entry | Content/Rules for all slices | |||
entry:Media | SC | 0..* | Reference(出院病摘-醫學影像檢查(Media)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中醫學影像檢查(Media)的url |
section:ObservationPathologyReport | SC | 0..* | BackboneElement | 出院病摘中的病理報告 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 22034-3 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Pathology report Cancer Narrative |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(出院病摘-病理報告) | 此筆關聯的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中病理報告的url |
section:ProcedureSurgicalMethod | SC | 0..* | BackboneElement | 出院病摘中的手術日期及方法 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 8724-7 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Surgical operation note description Narrative |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(出院病摘-手術日期及方法) | 此筆關聯的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中手術日期及方法的url |
section:ProcedureHospitalCourse | SC | 1..1 | BackboneElement | 出院病摘中的住院治療經過 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 8648-8 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Hospital course Narrative |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
Slices for entry | SC | 1..* | Reference(Resource) | 此筆關聯的資料 Slice: Unordered, Open by profile:resolve() |
Slices for entry | Content/Rules for all slices | |||
entry:Procedure | SC | 1..* | Reference(出院病摘-住院治療經過) | 提供一個連結用於參照或查看支持此小節內容的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中手術日期及方法的url |
Slices for entry | Content/Rules for all slices | |||
entry:Location | SC | 0..* | Reference(出院病摘-住院基本資料(Location)) | 提供一個連結用於參照或查看支持此小節內容的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中住院基本資料(Location)的url |
section:ConditionComorbiditiesandComplications | SC | 0..* | BackboneElement | 出院病摘中的出院時情況 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 |
title | 0..1 | string | 此筆關聯的資料標題為何? | |
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 |
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 |
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org |
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 55109-3 |
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Complications Document |
text | SΣ | 0..1 | string | 概念的文字表示法 |
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 |
entry | SC | 1..* | Reference(出院病摘-出院時情況) | 此筆關聯的資料 |
reference | ΣC | 1..1 | string | 關聯至出院病摘中出院時情況的url |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Composition.status | required | Fixed Value: finalhttp://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard | |
Composition.type | extensible | FHIRDocumentTypeCodeshttp://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard | |
Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard | |
Composition.section.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:CarePlanDischargeInstruction.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ObservationAssumption.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ConditionDiagnosis.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ObservationCancerStage.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ConditionChiefComplaint.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ObservationMedicalHistory.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:MediaFamily.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ObservationPhysicalExamination.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ObservationLaboratoryData.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ObservationSpecificExamination.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ImagingStudyAndMedia.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ObservationPathologyReport.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ProcedureSurgicalMethod.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ProcedureHospitalCourse.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ConditionComorbiditiesandComplications.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
cmp-1 | error | Composition.section, Composition.section:CarePlanDischargeInstruction, Composition.section:ObservationAssumption, Composition.section:ConditionDiagnosis, Composition.section:ObservationCancerStage, Composition.section:ConditionChiefComplaint, Composition.section:ObservationMedicalHistory, Composition.section:MediaFamily, Composition.section:ObservationPhysicalExamination, Composition.section:ObservationLaboratoryData, Composition.section:ObservationSpecificExamination, Composition.section:ImagingStudyAndMedia, Composition.section:ObservationPathologyReport, Composition.section:ProcedureSurgicalMethod, Composition.section:ProcedureHospitalCourse, Composition.section:ConditionComorbiditiesandComplications | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
cmp-2 | error | Composition.section, Composition.section:CarePlanDischargeInstruction, Composition.section:ObservationAssumption, Composition.section:ConditionDiagnosis, Composition.section:ObservationCancerStage, Composition.section:ConditionChiefComplaint, Composition.section:ObservationMedicalHistory, Composition.section:MediaFamily, Composition.section:ObservationPhysicalExamination, Composition.section:ObservationLaboratoryData, Composition.section:ObservationSpecificExamination, Composition.section:ImagingStudyAndMedia, Composition.section:ObservationPathologyReport, Composition.section:ProcedureSurgicalMethod, Composition.section:ProcedureHospitalCourse, Composition.section:ConditionComorbiditiesandComplications | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Composition | 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 | error | Composition | 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 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Composition | 0..* | TWCoreComposition | 將一組resources組成一份連貫的臨床聲明,並附有臨床證明。 | |||||
id | Σ | 0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的Composition紀錄,通常又稱為邏輯性ID。 | ||||
meta | Σ | 0..1 | Meta | 此Composition Resource的metadata | ||||
implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則 | ||||
language | 0..1 | code | 用以表述Composition Resource內容的語言 Binding: CommonLanguages (preferred): 人類語言;鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。
Example Value: zh-TW | |||||
text | 0..1 | Narrative | Composition Resource之內容摘要以供人閱讀 | |||||
contained | 0..* | Resource | 內嵌的(contained)、行內的Resources | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?! | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
identifier | SΣ | 0..1 | Identifier | 不分版本的臨床文件架構(Composition)識別碼。 | ||||
status | ?!SΣ | 1..1 | code | registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): 診斷報告狀態;應填入CompositionStatus 的代碼表中的其中一個代碼 Fixed Value: final | ||||
type | S | 1..1 | CodeableConceptTW | Composition的種類(如果可能請使用LOINC) Binding: FHIRDocumentTypeCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11490-0 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: Physician Discharge summary | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
category | 0..* | CodeableConceptTW | Composition的分類 Binding: DocumentClassValueSet (extensible): 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。 | |||||
subject | SΣ | 1..1 | Reference(Group | Device | Substance | TW Core Location | 出院病摘-病人基本資料) | 報告文件有關的對象及(或)事物 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
encounter | SΣ | 1..1 | Reference(出院病摘住院基本資料-Encounter) | 報告文件來自於哪次住院基本資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
date | SΣ | 1..1 | dateTime | 報告產生日期 | ||||
author | SΣ | 1..* | Reference(出院病摘-醫事機構 | 出院病摘-醫師姓名) | 報告文件有關的創作部分 | ||||
title | SΣ | 1..1 | string | 人類可讀的名稱/標題 Fixed Value: 出院病摘 | ||||
confidentiality | Σ | 0..1 | code | 根據特定技術領域的定義 Binding: v3.ConfidentialityClassification (2014-03-26) (required): 應填入所綁定值集中的其中一個代碼。 | ||||
attester | S | 0..* | BackboneElement | 證明Composition的準確性 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): 認證者提供的認證類型;應填入所綁定值集中的其中一個代碼。 | |||||
time | 0..1 | dateTime | 此Composition被證明的時間 | |||||
party | 0..1 | Reference(TW Core Patient | RelatedPerson | TW Core Practitioner | TW Core PractitionerRole | TW Core Organization) | 誰證明了此Composition | |||||
custodian | SΣ | 1..1 | Reference(TW Core Organization) | 維護Composition的機構 | ||||
relatesTo | 0..* | BackboneElement | 與其他Composition/文件之間的關係 | |||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
code | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): 檔案之間的關係型別;應填入所綁定值集中的其中一個代碼。 | |||||
target[x] | 1..1 | 此關係的目標文件 | ||||||
targetIdentifier | Identifier | |||||||
targetReference | Reference(Composition) | |||||||
event | Σ | 0..* | BackboneElement | 正在記錄的臨床服務 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
code | 0..* | CodeableConceptTW | 此代碼表代表了正在被記錄的主要臨床行為 Binding: v3 Code System ActCode (example): 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。 | |||||
period | Σ | 0..1 | Period | 文件所涵蓋的時間區間 | ||||
detail | Σ | 0..* | Reference(Resource) | 在描述被記錄下來的事件,這些事件可以是以代碼的形式、參考資料的形式,或者兩者都有的形式來呈現。 | ||||
Slices for section | SC | 6..* | BackboneElement | 報告文件與哪些資料有關 Slice: Unordered, Open by value:code.coding.code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
section:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 小節標籤(例如:目錄ToC) | |||||
code | S | 0..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 0..* | Reference(Resource) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:CarePlanDischargeInstruction | SC | 1..* | BackboneElement | 出院病摘中的出院指示 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 8653-8 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Hospital Discharge instructions | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 1..* | Reference(出院病摘-出院指示) | 此筆關聯的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 0..1 | string | 關聯至出院病摘中出院指示的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:ObservationAssumption | SC | 1..* | BackboneElement | 出院病摘中的住院臆斷 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 46241-6 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Hospital admission diagnosis Narrative - Reported | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 1..* | Reference(出院病摘-住院臆斷) | 此筆關聯的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中住院臆斷的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:ConditionDiagnosis | SC | 1..* | BackboneElement | 出院病摘中的出院診斷 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 11535-2 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Hospital discharge Dx Narrative | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 1..* | Reference(出院病摘-出院診斷) | 此筆關聯的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中出院診斷的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:ObservationCancerStage | SC | 0..* | BackboneElement | 出院病摘中的癌症期別 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 22037-6 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Staging Cancer Narrative | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 1..* | Reference(出院病摘-癌症期別) | 此筆關聯的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中癌症期別的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:ConditionChiefComplaint | SC | 1..1 | BackboneElement | 出院病摘中的主訴 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 10154-3 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Chief complaint Narrative - Reported | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 1..* | Reference(出院病摘-主訴) | 此筆關聯的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中主訴的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:ObservationMedicalHistory | SC | 1..1 | BackboneElement | 出院病摘中的病史 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 10164-2 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: History of Present illness Narrative | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 1..* | Reference(出院病摘-病史) | 此筆關聯的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中病史的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:MediaFamily | SC | 0..* | BackboneElement | 出院病摘中的家族圖譜 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 74027-4 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Family pedigree identifier | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 1..* | Reference(出院病摘-家族圖譜) | 此筆關聯的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中家族圖譜的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:ObservationPhysicalExamination | SC | 0..* | BackboneElement | 出院病摘中的理學檢查發現 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 29545-1 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Physical findings Narrative | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 1..* | Reference(出院病摘-理學檢查發現) | 此筆關聯的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中理學檢查發現的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:ObservationLaboratoryData | SC | 0..* | BackboneElement | 出院病摘中的檢驗 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 30954-2 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Relevant diagnostic tests/laboratory data Narrative | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 1..* | Reference(出院病摘-檢驗) | 此筆關聯的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 0..1 | string | 關聯至出院病摘中檢驗的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:ObservationSpecificExamination | SC | 0..* | BackboneElement | 出院病摘中的特殊檢查 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 19146-0 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Referral lab test results | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 1..* | Reference(出院病摘-特殊檢查) | 此筆關聯的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中特殊檢查的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:ImagingStudyAndMedia | SC | 0..* | BackboneElement | 出院病摘中的醫學影像檢查 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 19005-8 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Radiology Imaging study [Impression] (narrative) | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
Slices for entry | SC | 0..* | Reference(Resource) | 此筆關聯的資料 Slice: Unordered, Open by profile:resolve() | ||||
Slices for entry | Content/Rules for all slices | |||||||
entry:ImagingStudy | SC | 0..* | Reference(出院病摘_醫學影像檢查(ImagingStudy)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中醫學影像檢查(ImagingStudy)的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
Slices for entry | Content/Rules for all slices | |||||||
entry:Media | SC | 0..* | Reference(出院病摘-醫學影像檢查(Media)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中醫學影像檢查(Media)的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:ObservationPathologyReport | SC | 0..* | BackboneElement | 出院病摘中的病理報告 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 22034-3 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Pathology report Cancer Narrative | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 1..* | Reference(出院病摘-病理報告) | 此筆關聯的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中病理報告的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:ProcedureSurgicalMethod | SC | 0..* | BackboneElement | 出院病摘中的手術日期及方法 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 8724-7 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Surgical operation note description Narrative | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 1..* | Reference(出院病摘-手術日期及方法) | 此筆關聯的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中手術日期及方法的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:ProcedureHospitalCourse | SC | 1..1 | BackboneElement | 出院病摘中的住院治療經過 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 8648-8 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Hospital course Narrative | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
Slices for entry | SC | 1..* | Reference(Resource) | 此筆關聯的資料 Slice: Unordered, Open by profile:resolve() | ||||
Slices for entry | Content/Rules for all slices | |||||||
entry:Procedure | SC | 1..* | Reference(出院病摘-住院治療經過) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中手術日期及方法的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
Slices for entry | Content/Rules for all slices | |||||||
entry:Location | SC | 0..* | Reference(出院病摘-住院基本資料(Location)) | 提供一個連結用於參照或查看支持此小節內容的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中住院基本資料(Location)的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
section:ConditionComorbiditiesandComplications | SC | 0..* | BackboneElement | 出院病摘中的出院時情況 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 | |||||
modifierExtension | ?!Σ | 0..* | Extension | 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。 | ||||
title | 0..1 | string | 此筆關聯的資料標題為何? | |||||
code | S | 1..1 | CodeableConceptTW | 小節分類(建議) Binding: DocumentSectionCodes (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 1..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
system | SΣ | 1..1 | uri | 專門術語系統(terminology system)的識別 Fixed Value: http://loinc.org | ||||
version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
code | SΣ | 1..1 | code | 系統定義的語法之符號 Fixed Value: 55109-3 | ||||
display | SΣ | 0..1 | string | 由系統定義的表示法 Fixed Value: Complications Document | ||||
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇? | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
author | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |||||
focus | 0..1 | Reference(Resource) | 當小節與composition描述的對象無關時,此小節是關於誰/什麼。 | |||||
text | SC | 0..1 | Narrative | 將文件中特定小節的內容簡化成容易理解的文字形式,便於人類閱讀和解釋。 | ||||
mode | 0..1 | code | 適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。 | |||||
orderedBy | 0..1 | CodeableConceptTW | 小節條目的順序 Binding: ListOrderCodes (preferred): 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。 | |||||
entry | SC | 1..* | Reference(出院病摘-出院時情況) | 此筆關聯的資料 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
reference | ΣC | 1..1 | string | 關聯至出院病摘中出院時情況的url | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
emptyReason | 0..1 | CodeableConceptTW | 為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。 | |||||
section | C | 0..* | See section (Composition) | 嵌套的小節 | ||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
Composition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Composition.status | required | Fixed Value: finalhttp://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard | ||||
Composition.type | extensible | FHIRDocumentTypeCodeshttp://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard | ||||
Composition.category | extensible | DocumentClassValueSethttp://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard | ||||
Composition.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.encounter.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.confidentiality | required | v3.ConfidentialityClassificationhttp://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard | ||||
Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard | ||||
Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard | ||||
Composition.event.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | ||||
Composition.section.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:CarePlanDischargeInstruction.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:CarePlanDischargeInstruction.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:CarePlanDischargeInstruction.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:CarePlanDischargeInstruction.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:CarePlanDischargeInstruction.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:ObservationAssumption.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:ObservationAssumption.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:ObservationAssumption.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:ObservationAssumption.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ObservationAssumption.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:ConditionDiagnosis.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:ConditionDiagnosis.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:ConditionDiagnosis.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:ConditionDiagnosis.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ConditionDiagnosis.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:ObservationCancerStage.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:ObservationCancerStage.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:ObservationCancerStage.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:ObservationCancerStage.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ObservationCancerStage.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:ConditionChiefComplaint.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:ConditionChiefComplaint.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:ConditionChiefComplaint.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:ConditionChiefComplaint.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ConditionChiefComplaint.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:ObservationMedicalHistory.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:ObservationMedicalHistory.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:ObservationMedicalHistory.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:ObservationMedicalHistory.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ObservationMedicalHistory.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:MediaFamily.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:MediaFamily.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:MediaFamily.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:MediaFamily.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:MediaFamily.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:ObservationPhysicalExamination.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:ObservationPhysicalExamination.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:ObservationPhysicalExamination.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:ObservationPhysicalExamination.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ObservationPhysicalExamination.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:ObservationLaboratoryData.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:ObservationLaboratoryData.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:ObservationLaboratoryData.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:ObservationLaboratoryData.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ObservationLaboratoryData.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:ObservationSpecificExamination.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:ObservationSpecificExamination.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:ObservationSpecificExamination.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:ObservationSpecificExamination.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ObservationSpecificExamination.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:ImagingStudyAndMedia.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:ImagingStudyAndMedia.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:ImagingStudyAndMedia.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:ImagingStudyAndMedia.entry:ImagingStudy.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ImagingStudyAndMedia.entry:Media.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ImagingStudyAndMedia.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:ObservationPathologyReport.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:ObservationPathologyReport.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:ObservationPathologyReport.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:ObservationPathologyReport.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ObservationPathologyReport.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:ProcedureSurgicalMethod.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:ProcedureSurgicalMethod.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:ProcedureSurgicalMethod.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:ProcedureSurgicalMethod.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ProcedureSurgicalMethod.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:ProcedureHospitalCourse.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:ProcedureHospitalCourse.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:ProcedureHospitalCourse.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:ProcedureHospitalCourse.entry:Procedure.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ProcedureHospitalCourse.entry:Location.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ProcedureHospitalCourse.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:ConditionComorbiditiesandComplications.code | extensible | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:ConditionComorbiditiesandComplications.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:ConditionComorbiditiesandComplications.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:ConditionComorbiditiesandComplications.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:ConditionComorbiditiesandComplications.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
cmp-1 | error | Composition.section, Composition.section:CarePlanDischargeInstruction, Composition.section:ObservationAssumption, Composition.section:ConditionDiagnosis, Composition.section:ObservationCancerStage, Composition.section:ConditionChiefComplaint, Composition.section:ObservationMedicalHistory, Composition.section:MediaFamily, Composition.section:ObservationPhysicalExamination, Composition.section:ObservationLaboratoryData, Composition.section:ObservationSpecificExamination, Composition.section:ImagingStudyAndMedia, Composition.section:ObservationPathologyReport, Composition.section:ProcedureSurgicalMethod, Composition.section:ProcedureHospitalCourse, Composition.section:ConditionComorbiditiesandComplications | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
cmp-2 | error | Composition.section, Composition.section:CarePlanDischargeInstruction, Composition.section:ObservationAssumption, Composition.section:ConditionDiagnosis, Composition.section:ObservationCancerStage, Composition.section:ConditionChiefComplaint, Composition.section:ObservationMedicalHistory, Composition.section:MediaFamily, Composition.section:ObservationPhysicalExamination, Composition.section:ObservationLaboratoryData, Composition.section:ObservationSpecificExamination, Composition.section:ImagingStudyAndMedia, Composition.section:ObservationPathologyReport, Composition.section:ProcedureSurgicalMethod, Composition.section:ProcedureHospitalCourse, Composition.section:ConditionComorbiditiesandComplications | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Composition | 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 | error | Composition | 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 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from TWCoreComposition
Summary
Mandatory: 46 elements(54 nested mandatory elements)
Must-Support: 3 elements
Fixed: 47 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron