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

Resource Profile: ConditionEP - Detailed Descriptions

Draft as of 2023-10-30

Definitions for the Condition-EP resource profile.

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

0. Condition
2. Condition.code
Control1..?
4. Condition.code.coding:icd10-cm-2021
Slice Nameicd10-cm-2021
Control1..?
6. Condition.code.coding:icd10-cm-2021.code
Short系統定義的語法之符號。[應填入國際疾病分類代碼ICD Code(International Classification of Diseases)]
Control1..?
8. Condition.note
Short關於此Condition的附加資訊。[應填入部分負擔代碼/醫療評估內容註記]。至少須包含部分負擔代碼。
Control1..?

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

0. Condition
Definition

一個臨床病情、問題、診斷或其他事件、情況、或臨床概念,已上升到需要關注的程度。


A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.

Short有關病情、問題或診斷的詳細資訊Detailed information about conditions, problems or diagnoses
Control0..*
Is Modifierfalse
Summaryfalse
Invariantscon-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item (clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty())
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission (abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists())
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error (verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty())
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item (clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty())
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission (abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists())
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error (verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty())
2. Condition.implicitRules
Definition

構建resource時遵循的一系列規則的參照,在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。


A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Short創建此內容所依據的一組規則A set of rules under which this content was created
Comments

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


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

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

可以用來表示不屬於此resource的基本定義的額外資訊,並修改包含它所內嵌(contained)的資料項目的理解和/或對包含資料項目之後續使用的理解。通常修飾用的資料項目提供否定或限定的資訊。為了使擴充的使用安全和可管理,對擴充的定義和使用有一套嚴格的管理。雖然任何實作者都可以定義一個擴充,但在定義擴充時 必須(SHALL) 滿足一組要求。處理resource的應用程式需要檢查修飾用的擴充資料項目。
修飾用的擴充資料項目 必須沒有(SHALL NOT) 改變resource或DomainResource上任何資料項目的含義(包括不能改變modifierExtension本身的含義)。


May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。Extensions that cannot be ignored
Comments

任何應用程式、專案或標準使用擴充時,都不應該帶有任何負面的聯想。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。


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

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

修飾用的資料項目擴充允許將不能安全地忽略的擴充,與絕大多數可以安全地忽略的擴充明確區分開來。這樣做有助於促進可互操作性,因為無需禁止實作者使用擴充,想要瞭解更多資訊,請參見[修飾用的資料項目擴充之定義](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)。


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

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

此病情、問題或診斷的臨床狀態


The clinical status of the condition.

Short概念(Concept)— 參照一個專門術語或只是文字表述active | recurrence | relapse | inactive | remission | resolved
Comments

data type是CodeableConcept,因為clinicalStatus涉及到一些臨床判斷,例如:可能需要比所需的FHIR值集更多的特殊性。例如:SNOMED編碼可能允許更多的特殊性。


The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.

Control10..1
This element is affected by the following invariants: ele-1, con-3, con-4, con-5
BindingThe codes SHALL be taken from ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
(required to http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1)

病情、問題或診斷的臨床狀態;應填入所綁定值集中的其中一個代碼。


The clinical status of the condition or diagnosis.

TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalsetrue because This element is labeled as a modifier because the status contains codes that mark the condition as no longer active.
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Condition.verificationStatus
Definition

支持此病情、問題或診斷的臨床狀態之驗證狀態


The verification status to support the clinical status of the condition.

Short概念(Concept)— 參照一個專門術語或只是文字表述unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Comments

verificationStatus不是必須的。例如:當病人在急診室出現腹痛時,不可能出現驗證狀態。資料類型是CodeableConcept,因為verificationStatus涉及到一些臨床判斷,因此可能需要比所需的FHIR值集更多的特殊性。例如:SNOMED編碼可能允許更多的特殊性。


verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.

Control0..1
This element is affected by the following invariants: ele-1, con-3, con-5
BindingThe codes SHALL be taken from ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
(required to http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1)

支持或拒絕病情、問題或診斷的臨床狀態的驗證狀態;應填入所綁定值集中的其中一個代碼。


The verification status to support or decline the clinical status of the condition or diagnosis.

TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalsetrue because This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid.
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Condition.category
Definition

指定此病情、問題或診斷的類別


A category assigned to the condition.

Short概念(Concept)— 參照一個專門術語或只是文字表述problem-list-item | encounter-diagnosis
Comments

這種分類往往具有很強的情境性,在其他情境下可能顯得區分度不高,或沒有什麼用處。


The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.

Control10..1*
This element is affected by the following invariants: ele-1
BindingUnless not suitable, these codes SHALL be taken from ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category
(extensible to http://hl7.org/fhir/ValueSet/condition-category)

指定病情、問題或診斷的類別;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


A category assigned to the condition.

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

臨床醫生對病情、問題或診斷嚴重程度的主觀評估


A subjective assessment of the severity of the condition as evaluated by the clinician.

Short病情、問題或診斷的主觀嚴重程度Subjective severity of condition
Comments

如有可能,最好用專門術語對嚴重程度進行編碼。


Coding of the severity with a terminology is preferred, where possible.

Control0..1
This element is affected by the following invariants: ele-1
BindingUnless not suitable, these codes SHALL be taken from The codes SHOULD be taken from Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity
(extensible to http://hl7.org/fhir/ValueSet/condition-severity)

臨床醫生對病情、問題或診斷嚴重程度的主觀評價;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


A subjective assessment of the severity of the condition as evaluated by the clinician.

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

病情、問題或診斷的識別


Identification of the condition, problem or diagnosis.

Short病情、問題或診斷的識別Identification of the condition, problem or diagnosis
Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Control10..1
This element is affected by the following invariants: ele-1
BindingFor example codes, see Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code
(example to http://hl7.org/fhir/ValueSet/condition-code)

此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。


Identification of the condition or diagnosis.

TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Must Supporttrue
Requirements

0..1,主要用於說明敘述性resource。


0..1 to account for primarily narrative only resources.

Alternate Namestype
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Condition.code.coding
Definition

由專門術語系統(terminology system)所定義之代碼的參照。


A reference to a code defined by a terminology system.

Short由專門術語系統(terminology system)定義的代碼。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。Code defined by a terminology system
Comments

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


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

Control10..*
This element is affected by the following invariants: ele-1
TypeCoding(TW Coding)
Is Modifierfalse
Must Supporttrue
Requirements

允許使用者在不知道識別碼系統的情況下利用識別碼


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

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Condition.code.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • pattern @ $this
  • 18. Condition.code.coding:icd10-cm-2021
    Slice Nameicd10-cm-2021
    Definition

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


    A reference to a code defined by a terminology system.

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

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


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

    Control10..1*
    This element is affected by the following invariants: ele-1
    BindingThe codes SHALL be taken from For codes, see 臺灣健保署2021年中文版ICD-10-CM值集
    (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2021-tw)

    病情、問題或診斷的識別;應填入所綁定值集中的其中一個代碼。

    TypeCoding(TW Coding)
    Is Modifierfalse
    Must Supporttrue
    Requirements

    允許使用者在不知道識別碼系統的情況下利用識別碼


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

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. Condition.code.coding:icd10-cm-2021.system
    Definition

    定義代碼中符號意義的代碼系統識別


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

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

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


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

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

    需要明確說明符號定義的來源


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

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. Condition.code.coding:icd10-cm-2021.code
    Definition

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


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

    Short系統定義的語法之符號。[應填入國際疾病分類代碼ICD Code(International Classification of Diseases)]Symbol in syntax defined by the system
    Control10..1
    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    需要參照系統中的一個特定代碼


    Need to refer to a particular code in the system.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. Condition.code.coding:icd10-cm-2021.display
    Definition

    遵循系統的規則以呈現代碼含義的表示法


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

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

    需要能為不了解此系統的讀者呈現可讀的代碼含義


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

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    26. Condition.code.coding:icd10-cm-2014
    Slice Nameicd10-cm-2014
    Definition

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


    A reference to a code defined by a terminology system.

    Short此為臺灣衛生福利部中央健康保險署維護之2014年中文版ICD-10-CM代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。Code defined by a terminology system
    Comments

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


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

    Control0..1*
    This element is affected by the following invariants: ele-1
    BindingThe codes SHALL be taken from For codes, see 臺灣健保署2014年中文版ICD-10-CM值集
    (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw)

    病情、問題或診斷的識別;應填入所綁定值集中的其中一個代碼。

    TypeCoding(TW Coding)
    Is Modifierfalse
    Must Supporttrue
    Requirements

    允許使用者在不知道識別碼系統的情況下利用識別碼


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

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    28. Condition.code.coding:icd9-cm-2001
    Slice Nameicd9-cm-2001
    Definition

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


    A reference to a code defined by a terminology system.

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

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


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

    Control0..1*
    This element is affected by the following invariants: ele-1
    BindingThe codes SHALL be taken from For codes, see 臺灣健保署2001年中文版ICD-9-CM值集
    (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-9-cm-2001-tw)
    TypeCoding(TW Coding)
    Is Modifierfalse
    Must Supporttrue
    Requirements

    允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


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

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    30. Condition.code.coding:absentOrUnknownProblem
    Slice NameabsentOrUnknownProblem
    Definition

    表示「absent problem」或「problems unknown」的代碼


    A reference to a code defined by a terminology system.

    Short不存在的問題或未知問題的代碼Code defined by a terminology system
    Comments

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


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

    Control0..1*
    This element is affected by the following invariants: ele-1
    BindingThe codes SHALL be taken from For codes, see Absent or Unknown Problems - IPS
    (required to http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips)

    應填入所綁定值集中的其中一個代碼。

    TypeCoding(TW Coding)
    Is Modifierfalse
    Must Supporttrue
    Requirements

    允許使用者在不知道識別碼系統的情況下利用識別碼


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

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    32. Condition.code.coding:sct
    Slice Namesct
    Definition

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


    A reference to a code defined by a terminology system.

    Short此為SNOMED CT診斷代碼,若機構已有購買相關授權,亦可使用。Code defined by a terminology system
    Comments

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


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

    Control0..1*
    This element is affected by the following invariants: ele-1
    BindingThe codes SHALL be taken from For codes, see SNOMED CT診斷代碼值集
    (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw)

    應填入所綁定值集中的其中一個代碼。

    TypeCoding(TW Coding)
    Is Modifierfalse
    Must Supporttrue
    Requirements

    允許使用者在不知道識別碼系統的情況下利用識別碼


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

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

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


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

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

    很多時候,此文字表述與其中一個代碼的顯示名稱相同。


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

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

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


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

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

    此病情、問題或診斷表現出來的解剖位置


    The anatomical location where this condition manifests itself.

    Short如果相關請填寫解剖位置Anatomical location, if relevant
    Comments

    只有在Condition.code中找到的代碼未隱含此資料項目概念時才使用。如果使用案例(use-case)要求將BodySite作為一個單獨的resource來處理(例如:識別和追踪),那麼就使用標準的資料項目擴充方式來擴充bodySite。可以是一個摘要代碼,也可以是對一個非常精確位置定義的參照,或者兩者都是。


    Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both.

    Control0..*
    This element is affected by the following invariants: ele-1
    BindingUnless not suitable, these codes SHALL be taken from For example codes, see SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site
    (extensible to http://hl7.org/fhir/ValueSet/body-site)

    描述解剖位置的代碼。可包括側面;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。


    Codes describing anatomical locations. May include laterality.

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

    表示與此病情、問題或診斷紀錄相關的病人或實體集合(Group resource)


    Indicates the patient or group who the condition record is associated with.

    Short誰有此病情、問題或診斷?Who has the condition?
    Control1..1
    TypeReference(TW Core Patient, Group, Patient)
    Is Modifierfalse
    Must Supporttrue
    Must Support TypesNo must-support rules about the choice of types/profiles
    Summarytrue
    Requirements

    實體集合(Group resource)通常用於獸醫或公共衛生的案例


    Group is typically used for veterinary or public health use cases.

    Alternate Namespatient
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    40. Condition.onset[x]
    Definition

    醫師認為此病情、問題或診斷之推估或實際發生時間或日期時間等


    Estimated or actual date or date-time the condition began, in the opinion of the clinician.

    Short估計的或實際的日期、日期—時間或年齡。Estimated or actual date, date-time, or age
    Comments

    onsetAge通常是指病人說明病情何時開始發生的年齡


    Age is generally used when the patient reports an age at which the Condition began to occur.

    Control0..1
    TypeChoice of: dateTime, Age, Period, Range, string
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Must Support TypesdateTime
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    42. Condition.abatement[x]
    Definition

    病情、問題或診斷緩解或開始緩解的日期或估計日期。因為與「緩解(remissio)」或 「解決(resolution)」相關的許多過多含義—病情、問題或診斷不會真正解決,但它們可以緩解,所以稱為「緩解 (abatement)」,


    The date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate.

    Short何時解決/緩解When in resolution/remission
    Comments

    解決(resolution)和緩解(remission)之間沒有明確的區別,因為在許多情況下,兩者的區別並不明顯。當病人說明病情、問題或診斷緩解的年齡時,一般使用onsetAge。如果沒有abatement這個資料項目,就不知道狀況是否已經解決或緩解;應用程式和使用者一般應假定病情、問題或診斷仍存在。當abatementString存在時,它意味著病情、問題或診斷已緩解。


    There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated.

    Control0..1
    This element is affected by the following invariants: con-4
    TypeChoice of: dateTime, Age, Period, Range, string
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Must Support TypesdateTime
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    44. Condition.asserter
    Definition

    提出此病情、問題或診斷說明的人


    Individual who is making the condition statement.

    Short聲稱有此病情、問題或診斷的人Person who asserts this condition
    Control0..1
    TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core Patient, RelatedPerson, Practitioner, PractitionerRole, Patient)
    Is Modifierfalse
    Must Supporttrue
    Must Support TypesNo must-support rules about the choice of types/profiles
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    46. Condition.note
    Definition

    關於此Condition的附加資訊。這是一個一般的註釋/意見紀錄,用於描述病情、問題或診斷、其診斷和預後。


    Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.

    Short關於此Condition的附加資訊。[應填入部分負擔代碼/醫療評估內容註記]。至少須包含部分負擔代碼。Additional information about the Condition
    Control10..*
    TypeAnnotation
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

    0. Condition
    Definition

    一個臨床病情、問題、診斷或其他事件、情況、或臨床概念,已上升到需要關注的程度。

    Short有關病情、問題或診斷的詳細資訊
    Control0..*
    Is Modifierfalse
    Summaryfalse
    Invariantscon-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item (clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty())
    con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission (abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists())
    con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error (verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty())
    dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
    dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
    dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
    dom-6: A resource should have narrative for robust management (text.`div`.exists())
    2. Condition.id
    Definition

    resource的邏輯ID,在resource的URL中使用。一旦指定,這個值永遠不會改變。

    Short不重複的ID用以識別儲存在特定FHIR Server中的Condition紀錄,通常又稱為邏輯性ID。
    Comments

    一個resource使用新增操作(create operation)提交給伺服器時,此resource沒有id,它的id在resource被創建後由伺器分配/指定。

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

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

    Short此Condition Resource的metadata
    Control0..1
    TypeMeta
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    6. Condition.implicitRules
    Definition

    構建resource時遵循的一系列規則的參照,在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。

    Short創建此內容所依據的一組規則
    Comments

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

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

    編寫此resource的語言

    Short用以表述Condition Resource內容的語言。
    Comments

    提供語言是為了支援索引和可存取性(通常,文字表述轉語音等服務使用此語言標籤)。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此語言。不應該假定Resource.language自動適用於敘述。如果指定語言,它也應該被指定在html中的div資料項目(關於xml:lang和html lang屬性之間的關係,見HTML5中的規則)。

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

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

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

    人可讀的敘述,包含resource的摘要,可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼,但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義有哪些內容應該在敘述中表示,以確保臨床安全。

    ShortCondition Resource之內容摘要以供人閱讀
    Comments

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

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

    這些resource內嵌(contains)的resource不會另外存於任何FHIR伺服器,意即它們無法在任何FHIR伺服器中被找到,也無法有自己獨立的資料異動/交易(transaction)範圍。

    Short內嵌的(contained)、行內的Resources
    Comments

    當內容可以從任何FHIR伺服器找到時,不應該以內嵌(contained)resource的方式呈現,因為一旦失去識別,再次恢復它是非常困難的(並且取決於情境)。內嵌(contained)的resource可在它們的meta資料項目中表述profiles和tag,但不應該有安全標號(security labels)。

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

    可用於表示不屬於此resource基本定義的額外資訊。為了擴充的使用安全和可管理,對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充,但作為擴充定義的一部分,必須(SHALL) 滿足一系列要求。

    Short擴充的資料項目
    Comments

    任何應用程式、專案或標準使用擴充時,都不應該帶有任何負面的聯想。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。

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

    可以用來表示不屬於此resource的基本定義的額外資訊,並修改包含它所內嵌(contained)的資料項目的理解和/或對包含資料項目之後續使用的理解。通常修飾用的資料項目提供否定或限定的資訊。為了使擴充的使用安全和可管理,對擴充的定義和使用有一套嚴格的管理。雖然任何實作者都可以定義一個擴充,但在定義擴充時 必須(SHALL) 滿足一組要求。處理resource的應用程式需要檢查修飾用的擴充資料項目。
    修飾用的擴充資料項目 必須沒有(SHALL NOT) 改變resource或DomainResource上任何資料項目的含義(包括不能改變modifierExtension本身的含義)。

    Short此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。
    Comments

    任何應用程式、專案或標準使用擴充時,都不應該帶有任何負面的聯想。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。

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

    修飾用的資料項目擴充允許將不能安全地忽略的擴充,與絕大多數可以安全地忽略的擴充明確區分開來。這樣做有助於促進可互操作性,因為無需禁止實作者使用擴充,想要瞭解更多資訊,請參見[修飾用的資料項目擴充之定義](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)。

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

    由執行者或其他系統指定給此病情、問題或診斷的業務用識別碼,即使此resource作更新及在伺服器之間的傳遞,此識別碼仍保持不變。

    Short此病情、問題或診斷的外部識別碼
    Comments

    這是一個業務識別碼,不是一個resource識別碼(詳見討論)。最好的做法是該識別碼只出現在單個resource實例上,但是業務實務有可能會規定可以在多個resource實例中具有相同識別碼—甚至可能具有不同的resource型例。例如:多個 「Patient(病人)」和 「Person(個人)」resource實例可能共用同一個社會保險號碼。

    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..*
    TypeIdentifier
    Is Modifierfalse
    Summarytrue
    Requirements

    允許識別各參與系統所知的此病情、問題或診斷資訊,並在各伺服器之間保持一致的方式。

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

    此病情、問題或診斷的臨床狀態

    Short概念(Concept)— 參照一個專門術語或只是文字表述
    Comments

    data type是CodeableConcept,因為clinicalStatus涉及到一些臨床判斷,例如:可能需要比所需的FHIR值集更多的特殊性。例如:SNOMED編碼可能允許更多的特殊性。

    Control1..1
    This element is affected by the following invariants: ele-1
    BindingThe codes SHALL be taken from ConditionClinicalStatusCodes
    (required to http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1)

    病情、問題或診斷的臨床狀態;應填入所綁定值集中的其中一個代碼。

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

    支持此病情、問題或診斷的臨床狀態之驗證狀態

    Short概念(Concept)— 參照一個專門術語或只是文字表述
    Comments

    verificationStatus不是必須的。例如:當病人在急診室出現腹痛時,不可能出現驗證狀態。資料類型是CodeableConcept,因為verificationStatus涉及到一些臨床判斷,因此可能需要比所需的FHIR值集更多的特殊性。例如:SNOMED編碼可能允許更多的特殊性。

    Control0..1
    This element is affected by the following invariants: ele-1
    BindingThe codes SHALL be taken from ConditionVerificationStatus
    (required to http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1)

    支持或拒絕病情、問題或診斷的臨床狀態的驗證狀態;應填入所綁定值集中的其中一個代碼。

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

    指定此病情、問題或診斷的類別

    Short概念(Concept)— 參照一個專門術語或只是文字表述
    Comments

    這種分類往往具有很強的情境性,在其他情境下可能顯得區分度不高,或沒有什麼用處。

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

    指定病情、問題或診斷的類別;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

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

    臨床醫生對病情、問題或診斷嚴重程度的主觀評估

    Short病情、問題或診斷的主觀嚴重程度
    Comments

    如有可能,最好用專門術語對嚴重程度進行編碼。

    Control0..1
    This element is affected by the following invariants: ele-1
    BindingUnless not suitable, these codes SHALL be taken from Condition/DiagnosisSeverity
    (extensible to http://hl7.org/fhir/ValueSet/condition-severity)

    臨床醫生對病情、問題或診斷嚴重程度的主觀評價;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

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

    病情、問題或診斷的識別

    Short病情、問題或診斷的識別
    Comments

    Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

    Control1..1
    This element is affected by the following invariants: ele-1
    BindingFor example codes, see Condition/Problem/DiagnosisCodes
    (example to http://hl7.org/fhir/ValueSet/condition-code)

    此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。

    TypeCodeableConcept(TW CodeableConcept)
    Is Modifierfalse
    Must Supporttrue
    Requirements

    0..1,主要用於說明敘述性resource。

    Alternate Namestype
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    30. Condition.code.id
    Definition

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

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

    An Extension

    ShortExtension
    Comments

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

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

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

      Short由專門術語系統(terminology system)定義的代碼。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。
      Comments

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

      Control1..*
      This element is affected by the following invariants: ele-1
      TypeCoding(TW Coding)
      Is Modifierfalse
      Must Supporttrue
      Requirements

      允許使用者在不知道識別碼系統的情況下利用識別碼

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on Condition.code.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • pattern @ $this
      • 36. Condition.code.coding:icd10-cm-2021
        Slice Nameicd10-cm-2021
        Definition

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

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

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

        Control1..1
        This element is affected by the following invariants: ele-1
        BindingThe codes SHALL be taken from 臺灣健保署2021年中文版ICD-10-CM值集
        (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2021-tw)

        病情、問題或診斷的識別;應填入所綁定值集中的其中一個代碼。

        TypeCoding(TW Coding)
        Is Modifierfalse
        Must Supporttrue
        Requirements

        允許使用者在不知道識別碼系統的情況下利用識別碼

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        38. Condition.code.coding:icd10-cm-2021.id
        Definition

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

        Short唯一可識別ID,以供資料項目間相互參照。
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        40. Condition.code.coding:icd10-cm-2021.extension
        Definition

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

        Short擴充的資料項目
        Comments

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

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on Condition.code.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 42. Condition.code.coding:icd10-cm-2021.system
          Definition

          定義代碼中符號意義的代碼系統識別

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

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

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

          需要明確說明符號定義的來源

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          44. Condition.code.coding:icd10-cm-2021.version
          Definition

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

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

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

          NoteThis is a business version Id, not a resource version Id (see discussion)
          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          46. Condition.code.coding:icd10-cm-2021.code
          Definition

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

          Short系統定義的語法之符號。[應填入國際疾病分類代碼ICD Code(International Classification of Diseases)]
          Control1..1
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          需要參照系統中的一個特定代碼

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          48. Condition.code.coding:icd10-cm-2021.display
          Definition

          遵循系統的規則以呈現代碼含義的表示法

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

          需要能為不了解此系統的讀者呈現可讀的代碼含義

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          50. Condition.code.coding:icd10-cm-2021.userSelected
          Definition

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

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

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

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

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

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          52. Condition.code.coding:icd10-cm-2014
          Slice Nameicd10-cm-2014
          Definition

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

          Short此為臺灣衛生福利部中央健康保險署維護之2014年中文版ICD-10-CM代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。
          Comments

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

          Control0..1
          This element is affected by the following invariants: ele-1
          BindingThe codes SHALL be taken from 臺灣健保署2014年中文版ICD-10-CM值集
          (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw)

          病情、問題或診斷的識別;應填入所綁定值集中的其中一個代碼。

          TypeCoding(TW Coding)
          Is Modifierfalse
          Must Supporttrue
          Requirements

          允許使用者在不知道識別碼系統的情況下利用識別碼

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          54. Condition.code.coding:icd9-cm-2001
          Slice Nameicd9-cm-2001
          Definition

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

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

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

          Control0..1
          This element is affected by the following invariants: ele-1
          BindingThe codes SHALL be taken from 臺灣健保署2001年中文版ICD-9-CM值集
          (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-9-cm-2001-tw)
          TypeCoding(TW Coding)
          Is Modifierfalse
          Must Supporttrue
          Requirements

          允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          56. Condition.code.coding:absentOrUnknownProblem
          Slice NameabsentOrUnknownProblem
          Definition

          表示「absent problem」或「problems unknown」的代碼

          Short不存在的問題或未知問題的代碼
          Comments

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

          Control0..1
          This element is affected by the following invariants: ele-1
          BindingThe codes SHALL be taken from Absent or Unknown Problems - IPS
          (required to http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips)

          應填入所綁定值集中的其中一個代碼。

          TypeCoding(TW Coding)
          Is Modifierfalse
          Must Supporttrue
          Requirements

          允許使用者在不知道識別碼系統的情況下利用識別碼

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          58. Condition.code.coding:sct
          Slice Namesct
          Definition

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

          Short此為SNOMED CT診斷代碼,若機構已有購買相關授權,亦可使用。
          Comments

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

          Control0..1
          This element is affected by the following invariants: ele-1
          BindingThe codes SHALL be taken from SNOMED CT診斷代碼值集
          (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw)

          應填入所綁定值集中的其中一個代碼。

          TypeCoding(TW Coding)
          Is Modifierfalse
          Must Supporttrue
          Requirements

          允許使用者在不知道識別碼系統的情況下利用識別碼

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

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

          Short概念的文字表示法
          Comments

          很多時候,此文字表述與其中一個代碼的顯示名稱相同。

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

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

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

          此病情、問題或診斷表現出來的解剖位置

          Short如果相關請填寫解剖位置
          Comments

          只有在Condition.code中找到的代碼未隱含此資料項目概念時才使用。如果使用案例(use-case)要求將BodySite作為一個單獨的resource來處理(例如:識別和追踪),那麼就使用標準的資料項目擴充方式來擴充bodySite。可以是一個摘要代碼,也可以是對一個非常精確位置定義的參照,或者兩者都是。

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

          描述解剖位置的代碼。可包括側面;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

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

          表示與此病情、問題或診斷紀錄相關的病人或實體集合(Group resource)

          Short誰有此病情、問題或診斷?
          Control1..1
          TypeReference(TW Core Patient, Group)
          Is Modifierfalse
          Must Supporttrue
          Must Support TypesNo must-support rules about the choice of types/profiles
          Summarytrue
          Requirements

          實體集合(Group resource)通常用於獸醫或公共衛生的案例

          Alternate Namespatient
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          66. Condition.encounter
          Definition

          此病情、問題或診斷記載在哪次的「就醫(Encounter)」紀錄或者與此病情、問題或診斷紀錄密切相關的「就醫(Encounter)」紀錄

          Short作為病情、問題或診斷紀錄的一部分的就醫(Encounter)紀錄
          Comments

          通常是此病情、問題或診斷發生的就醫事件,雖然有些活動可能在就醫結束之前或之後開始,但仍與就醫事件的情境有關。這筆紀錄表明與此病情、問題或診斷紀錄相關的就醫事件(Encounter)。「新的」診斷的情況下,反映病情、問題或診斷的持續/修訂資訊可能與首次就醫所知道的病情、問題或診斷不同。

          Control0..1
          TypeReference(TW Core Encounter)
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          68. Condition.onset[x]
          Definition

          醫師認為此病情、問題或診斷之推估或實際發生時間或日期時間等

          Short估計的或實際的日期、日期—時間或年齡。
          Comments

          onsetAge通常是指病人說明病情何時開始發生的年齡

          Control0..1
          TypeChoice of: dateTime, Age, Period, Range, string
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Must Support TypesdateTime
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          70. Condition.abatement[x]
          Definition

          病情、問題或診斷緩解或開始緩解的日期或估計日期。因為與「緩解(remissio)」或 「解決(resolution)」相關的許多過多含義—病情、問題或診斷不會真正解決,但它們可以緩解,所以稱為「緩解 (abatement)」,

          Short何時解決/緩解
          Comments

          解決(resolution)和緩解(remission)之間沒有明確的區別,因為在許多情況下,兩者的區別並不明顯。當病人說明病情、問題或診斷緩解的年齡時,一般使用onsetAge。如果沒有abatement這個資料項目,就不知道狀況是否已經解決或緩解;應用程式和使用者一般應假定病情、問題或診斷仍存在。當abatementString存在時,它意味著病情、問題或診斷已緩解。

          Control0..1
          This element is affected by the following invariants: con-4
          TypeChoice of: dateTime, Age, Period, Range, string
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Must Support TypesdateTime
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          72. Condition.recordedDate
          Definition

          recordedDate表述此Condition記錄何時於系統中建立,這通常是系統產生的日期。

          Short記錄的日期
          Control0..1
          TypedateTime
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          74. Condition.recorder
          Definition

          記錄病情、問題或診斷內容並對其內容負責的個人

          Short誰記錄此病情、問題或診斷
          Control0..1
          TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core Patient, RelatedPerson)
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          76. Condition.asserter
          Definition

          提出此病情、問題或診斷說明的人

          Short聲稱有此病情、問題或診斷的人
          Control0..1
          TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core Patient, RelatedPerson)
          Is Modifierfalse
          Must Supporttrue
          Must Support TypesNo must-support rules about the choice of types/profiles
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          78. Condition.stage
          Definition

          病情、問題或診斷的臨床分期或分級,可能包括正式的嚴重程度評估。

          Short分期(stage)/分級(grade),通常是正式的評估。
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summaryfalse
          Invariantscon-1: Stage SHALL have summary or assessment (summary.exists() or assessment.exists())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          80. Condition.stage.id
          Definition

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

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

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

          Short擴充的資料項目
          Comments

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

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

          可以用來表示不屬於資料項目的基本定義的附加資訊,並且修改對它所內嵌(contained)的資料項目的理解和(或)對包含資料項目之後續使用的理解。通常,修飾用的資料項目提供否定或限定。為了使擴充的使用安全和可管理,對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充,但作為擴充定義的一部分,有一套要求 必須(SHALL) 滿足。處理resource的應用程式被要求檢查修飾用的擴充資料項目。
          修飾用的擴充資料項目 必須沒有(SHALL NOT) 改變resource或DomainResource上任何資料項目的含義(包括不能改變modifierExtension本身的含義)。

          Short此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。
          Comments

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

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

          修飾用的資料項目擴充將不能安全地忽略的擴充與絕大多數可以安全地忽略的擴充明確區分開來。透過消除禁止實作者擴充存在的需求來促進可互操作性。更多訊息,請參見修飾用的資料項目擴充之定義

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          86. Condition.stage.summary
          Definition

          對分期的簡單摘要,如「第3期」。針對特定疾病的分期測定。

          Short簡單的摘要(特定疾病)。
          Comments

          Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

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

          描述病情、問題或診斷分期的代碼(例如:癌症分期)。應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

          TypeCodeableConcept(TW CodeableConcept)
          Is Modifierfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          88. Condition.stage.assessment
          Definition

          分期評估所依據的證據之正式記錄

          Short正式的評估記錄
          Control0..*
          This element is affected by the following invariants: con-1
          TypeReference(ClinicalImpression, TW Core DiagnosticReport, TW Core Observation Laboratory Result, TW Core Observation Vital Signs)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          90. Condition.stage.type
          Definition

          分期的種類,如病理分期或臨床分期。

          Short分期的種類
          Comments

          Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

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

          病情、問題或診斷分期種類的代碼(如臨床或病理);應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

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

          作為病情、問題或診斷驗證狀態基礎的支持證據/臨床表現,如證實或反駁病情、問題或診斷的證據。

          Short支持的證據
          Comments

          證據可以是一個簡單的編碼症狀/臨床表現的清單,或參考檢驗檢查或者正式評估,或者兩者都是。

          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summaryfalse
          Invariantscon-2: evidence SHALL have code or details (code.exists() or detail.exists())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          94. Condition.evidence.id
          Definition

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

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

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

          Short擴充的資料項目
          Comments

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

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

          可以用來表示不屬於資料項目的基本定義的附加資訊,並且修改對它所內嵌(contained)的資料項目的理解和(或)對包含資料項目之後續使用的理解。通常,修飾用的資料項目提供否定或限定。為了使擴充的使用安全和可管理,對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充,但作為擴充定義的一部分,有一套要求 必須(SHALL) 滿足。處理resource的應用程式被要求檢查修飾用的擴充資料項目。
          修飾用的擴充資料項目 必須沒有(SHALL NOT) 改變resource或DomainResource上任何資料項目的含義(包括不能改變modifierExtension本身的含義)。

          Short此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。
          Comments

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

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

          修飾用的資料項目擴充將不能安全地忽略的擴充與絕大多數可以安全地忽略的擴充明確區分開來。透過消除禁止實作者擴充存在的需求來促進可互操作性。更多訊息,請參見修飾用的資料項目擴充之定義

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          100. Condition.evidence.code
          Definition

          導致記錄此病情、問題或診斷的表現或症狀

          Short表現/症狀
          Comments

          Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

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

          病情、問題或診斷的表現或症狀之代碼;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

          TypeCodeableConcept(TW CodeableConcept)
          Is Modifierfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          102. Condition.evidence.detail
          Definition

          其他相關資訊的連接,包括病理報告。

          Short在其他地方找到的支持資訊
          Control0..*
          This element is affected by the following invariants: con-2
          TypeReference(Resource)
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          104. Condition.note
          Definition

          關於此Condition的附加資訊。這是一個一般的註釋/意見紀錄,用於描述病情、問題或診斷、其診斷和預後。

          Short關於此Condition的附加資訊。[應填入部分負擔代碼/醫療評估內容註記]。至少須包含部分負擔代碼。
          Control1..*
          TypeAnnotation
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))