出院病摘-住院基本資料(Location) - Definitions - 電子病歷交換單張實作指引(EMR-IG) v0.1.0

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: DischargeMedicalSummaryLocation - Detailed Descriptions

Active as of 2022-12-08

Definitions for the LocationDMS resource profile.

Differential Elements Table
Key Elements Table
Snapshot Elements Table

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

0. Location
Short	實際地點的位置和詳細訊息
2. Location.identifier
Short	識別出院時的床號
Note	This is a business identifier, not a resource identifier (see discussion)
Control	1..?
Must Support	true
4. Location.identifier.system
Must Support	true
6. Location.identifier.value
Short	出院時的完整床號編碼。[應填入至出院病摘出院床號Bed No.]
Control	1..?
Must Support	true

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

0. Location
Definition	提供服務的實體地點的詳細和位置資訊，包括可以儲存、查找、容納或安置 resources和參與者的地點的資訊。 Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained, or accommodated.
Short	實際地點的位置和詳細訊息Details and position information for a physical place
Control	0..*
Is Modifier	false
Summary	false
Invariants	dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Location.implicitRules
Definition	構建resource時遵循的一系列規則的參照，在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。 A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short	創建此內容所依據的一組規則A set of rules under which this content was created
Comments	宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而，現有的健康生態體系高度分裂，還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能，實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時，此URL是對IG的參照，此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。 Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control	0..1
Type	uri
Is Modifier	true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	true
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Location.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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary	false
Requirements	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 Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. Location.identifier
Definition	這是唯一的識別號，用來幫助使用者識別該地點 Unique code or number identifying the location to its users.
Short	識別出院時的床號Unique code or number identifying the location to its users
Note	This is a business identifier, not a resource identifier (see discussion)
Control	10..*
Type	Identifier
Is Modifier	false
Must Support	true
Summary	true
Requirements	機構會在註冊檔中給地點貼上標籤，我們需要記錄並追蹤這些被標記的地點。 Organization label locations in registries, need to keep track of those.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Location.identifier.use
Definition	The purpose of this identifier.
Short	usual \| official \| temp \| secondary \| old (If known)
Comments	Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control	0..1
Binding	The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use\|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use\|4.0.1`) Identifies the purpose for this identifier, if known .
Type	code
Is Modifier	true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	true
Requirements	Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Location.identifier.system
Definition	Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short	The namespace for the identifier value
Comments	Identifier.system is always case sensitive.
Control	0..1
Type	uri
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Example	<br/><b>General</b>:http://www.acme.com/identifiers/patient
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Location.identifier.value
Definition	The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short	出院時的完整床號編碼。[應填入至出院病摘出院床號Bed No.]The value that is unique
Comments	If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Example	<br/><b>General</b>:123456
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Location.status
Definition	這裡的狀態屬性是指 resource 是否一般可用，而不是指它當前的具體狀態。當前的具體狀態可能會由 operationStatus 作描述，或者如果這個地點設有排程或時段的話，則由這些排程或時段來描述。 The status property covers the general availability of the resource, not the current value which may be covered by the operationStatus, or by a schedule/slots if they are configured for the location.
Short	active \| suspended \| inactive
Control	0..1
Binding	The codes SHALL be taken from LocationStatushttp://hl7.org/fhir/ValueSet/location-status\|4.0.1 (required to `http://hl7.org/fhir/ValueSet/location-status\|4.0.1`) 地點的狀態，指明該地點是否目前正在使用中；應填入所綁定值集中的其中一個代碼。 Indicates whether the location is still in use.
Type	code
Is Modifier	true because This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Location.name
Definition	人們常用的地點名稱。不需要是唯一的。 Name of the location as used by humans. Does not need to be unique.
Short	人們使用的地點名稱Name of the location as used by humans
Comments	如果某地點的名稱發生變更，可以考慮將舊名稱放入別名(alias)資料項目，這樣在查詢時仍然可以找到此地點。 If the name of a location changes, consider putting the old name in the alias column so that it can still be located through searches.
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Location.telecom
Definition	此地點提供的通訊設備聯絡方式。這可能包括電話號碼、傳真號碼、手機號碼、電子郵件地址和網站。 The contact details of communication devices available at the location. This can include phone numbers, fax numbers, mobile numbers, email addresses and web sites.
Short	地點的聯絡細節Contact details of the location
Control	0..*
Type	ContactPoint
Is Modifier	false
Must Support	true
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Location.telecom.system
Definition	聯絡方式的通訊形式－需要什麼通訊系統進行聯絡 Telecommunications form for contact point - what communications system is required to make use of the contact.
Short	phone \| fax \| email \| pager \| url \| sms \| other
Control	0..1 This element is affected by the following invariants: cpt-2
Binding	The codes SHALL be taken from ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system\|4.0.1 (required to `http://hl7.org/fhir/ValueSet/contact-point-system\|4.0.1`) 應填入所綁定值集中的其中一個代碼。 Telecommunications form for contact point.
Type	code
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Location.telecom.value
Definition	實際的聯絡方式之細節，針對指定的通訊系統提供有意義的形式（電話號碼或是電子郵件位址） The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).
Short	實際的聯絡方式之細節The actual contact point details
Comments	額外的文字資料，例如電話分機號碼、或關於聯絡人的說明，有時也包括於此值。 Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.
Control	0..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	需支援非嚴格格式控制之舊有號碼 Need to support legacy numbers that are not in a tightly controlled format.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Location.telecom.use
Definition	確定聯絡方式的用途 Identifies the purpose for the contact point.
Short	home \| work \| temp \| old \| mobilehome \| work \| temp \| old \| mobile - purpose of this contact point
Comments	應用程式可以假定一個聯絡方法是目前使用中，除非它明確說它是暫時的或舊的。 Applications can assume that a contact is current unless it explicitly says that it is temporary or old.
Control	0..1
Binding	The codes SHALL be taken from ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use\|4.0.1 (required to `http://hl7.org/fhir/ValueSet/contact-point-use\|4.0.1`) 此聯絡方式的用途；應填入所綁定值集中的其中一個代碼。 Use of contact point.
Type	code
Is Modifier	true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	需要追蹤此人使用這種聯絡的方式，使用者可以選擇適合他們用途的聯絡方式。 Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Location.telecom.period
Definition	此聯絡方式的使用效期 Time period when the contact point was/is in use.
Short	此聯絡方式的使用效期Time period when the contact point was/is in use
Control	0..1
Type	Period
Is Modifier	false
Must Support	true
Summary	true
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Location.address
Definition	實體地點 Physical location.
Short	實體地點Physical location
Comments	額外的地址應使用另一個Location resource 實例或透過 Organiztion 進行記錄 Additional addresses should be recorded using another instance of the Location resource, or via the Organization.
Control	0..1 This element is affected by the following invariants: ele-1
Type	Address(TW Core Address)
Is Modifier	false
Must Support	true
Requirements	如果可以訪問地點，我們需要記錄其地址。 If locations can be visited, we need to keep track of their address.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Location.managingOrganization
Definition	負責地點的提供與維護之機構 The organization responsible for the provisioning and upkeep of the location.
Short	負責地點的提供與維護之機構Organization responsible for provisioning and upkeep
Comments	這也可以用來指出此地點隸屬於哪個機構，以及提供哪些服務。這些服務可以透過HealthcareService resource來具體定義。 This can also be used as the part of the organization hierarchy where this location provides services. These services can be defined through the HealthcareService resource.
Control	0..1
Type	Reference(TW Core Organization, TW Core Organization Government, TW Core Organization, TW Core Organization Company, Organization)
Is Modifier	false
Must Support	true
Must Support Types	No must-support rules about the choice of types/profiles
Summary	true
Requirements	需要知道誰負責管理此地點 Need to know who manages the location.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

0. Location

Definition

提供服務的實體地點的詳細和位置資訊，包括可以儲存、查找、容納或安置 resources和參與者的地點的資訊。

Short 實際地點的位置和詳細訊息

Control 0..*

Is Modifier false

Summary false

Invariants dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())

2. Location.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Location紀錄，通常又稱為邏輯性ID。

Comments

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

Control 0..1