<status value="active" /> <date value="2023-08-04T22:42:36+08:00" /> <description value="此Composition AdultCheck Profile說明成人預防保健服務檢查單資料" /> <fhirVersion value="4.0.1" /> <mapping> <identity value="workflow" /> <uri value="http://hl7.org/fhir/workflow" /> <name value="Workflow Pattern" /> </mapping> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="cda" /> <uri value="http://hl7.org/v3/cda" /> <name value="CDA (R2)" /> </mapping> <mapping> <identity value="fhirdocumentreference" /> <uri value="http://hl7.org/fhir/documentreference" /> <name value="FHIR DocumentReference" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Composition" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Composition" /> <derivation value="constraint" /> <differential> <element id="Composition.identifier"> <path value="Composition.identifier" /> <short value="該成人預防保健服務檢查單之就診序號" /> <definition value="該成人預防保健服務檢查單之就診序號" /> <requirements value="病人幾乎總是被指定一個特定的數值型的唯一識別碼（identifier）" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Composition.identifier.id"> <path value="Composition.identifier.id" /> <short value="唯一可識別ID，以供資料項目間相互參照。" /> <definition value="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。" /> </element> <element id="Composition.identifier.extension"> <path value="Composition.identifier.extension" /> <short value="擴充的資料項目" /> <definition value="擴充的資料項目" /> </element> <element id="Composition.identifier.use"> <path value="Composition.identifier.use" /> <short value="usual ｜ official ｜ temp ｜ secondary ｜ old （如果知道）" /> <definition value="這個唯一識別碼（identifier）的用途" /> <comment value="應用程式可以假定一個識別碼是永久的，除非它明確說它是暫時的。" /> <requirements value="允許從一組識別碼中為特定的使用情境選擇適當的識別碼" /> <patternCode value="official" /> <mustSupport value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="IdentifierUse" /> </extension> <strength value="required" /> <description value="如果知道，請說明此識別碼的目的；應填入[IdentifierUse](http://hl7.org/fhir/R4/valueset-identifier-use.html)代碼表中的其中一個代碼。" /> <valueSet value="http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" /> </binding> </element> <element id="Composition.identifier.type"> <path value="Composition.identifier.type" /> <short value="身份識別碼（identifier）的型別說明" /> <definition value="識別碼的代碼型別，用於決定特定目適用的識別碼。" /> <comment value="這個資料項目只涉及識別碼的一般類別。它 **必須沒有（SHALL NOT）** 被用於與Identifier.system 1..1對應的代碼。一些識別碼可能由於常見的用法而屬於多個類別。在系統是已知的情況下，型別是不必要的，因為型別總是系統定義的一部分。然而，系統經常需要處理系統不為人知的識別碼。型別和系統之間不是1:1的關係，因為許多不同的系統有相同的型別。" /> <requirements value="允許使用者在不知道識別碼系統的情況下利用識別碼" /> <min value="1" /> <type> <code value="CodeableConcept" /> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw" /> </type> <mustSupport value="true" /> <binding> <strength value="required" /> <description value="識別碼的型別，用於決定特定目的所適用的識別碼；應填入[臺灣識別碼類型值集](https://twcore.mohw.gov.tw/ig/twcore/ValueSet-identifier-type-tw.html)代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。" /> <valueSet value="https://twcore.mohw.gov.tw/ig/twcore/ValueSet/identifier-type-tw" /> </binding> </element> <element id="Composition.identifier.type.id"> <path value="Composition.identifier.type.id" /> <definition value="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。" /> </element> <element id="Composition.identifier.type.coding.system"> <path value="Composition.identifier.type.coding.system" /> <min value="1" /> <patternUri value="http://terminology.hl7.org/CodeSystem/v2-0203" /> </element> <element id="Composition.identifier.type.coding.code"> <path value="Composition.identifier.type.coding.code" /> <min value="1" /> <patternCode value="MRT" /> </element> <element id="Composition.identifier.system"> <path value="Composition.identifier.system" /> <short value="使用個醫院/機構院內代碼" /> <definition value="建立值的命名空間－即一個描述一組值的唯一URL" /> <comment value="Identifier.system總是區分大小寫" /> <requirements value="有許多識別碼的集合。為了進行兩個識別碼的對應，我們需要知道我們處理的是哪一組。系統指明了一個特定的唯一識別碼集。" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Composition.identifier.value"> <path value="Composition.identifier.value" /> <short value="唯一值。例如：所屬機構之醫事機構代碼為0123456789" /> <definition value="識別碼中通常與使用者有關的部分，在系統情境內是唯一的。" /> <comment value="如果此值是一個完整的URI，那麼此系統 **必須（SHALL）** 是urn:ietf:rfc:3986。此值的主要目的是為了可運算的對應。因此，為了比較的目的，它可能會被正規化（例如：去除不重要的空白、破折號等）。一個為人顯示的格式化的值可以使用[Rendered Value](http://hl7.org/fhir/R4/extension-rendered-value.html)擴充來傳達。除非對Identifier.system的了解使處理者確信不區分大小寫的處理是安全的，否則Identifier.value應被視為區分大小寫。" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Composition.identifier.period"> <path value="Composition.identifier.period" /> <short value="此身份識別碼（identifier）的使用效期" /> <definition value="識別碼有效／曾經有效使用的時段或期間" /> </element> <element id="Composition.identifier.assigner"> <path value="Composition.identifier.assigner" /> <short value="簽發identifier的機構（可以只是文字表述）" /> <definition value="簽發／管理識別碼的機構" /> <comment value="Identifier.assigner可以省略.reference資料項目，只包含一個.display資料項目，反映指定機構的名稱或其他文字表述資訊。" /> <type> <code value="Reference" /> <targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-hosp-twcore" /> </type> </element> <element id="Composition.status"> <path value="Composition.status" /> <patternCode value="final" /> <mustSupport value="true" /> </element> <element id="Composition.type"> <path value="Composition.type" /> <mustSupport value="true" /> </element> <element id="Composition.type.coding.system"> <path value="Composition.type.coding.system" /> <patternUri value="http://loinc.org" /> </element> <element id="Composition.type.coding.code"> <path value="Composition.type.coding.code" /> <patternCode value="100574-3" /> </element> <element id="Composition.type.coding.display"> <path value="Composition.type.coding.display" /> <patternString value="General medicine Hospital Progress note" /> </element> <element id="Composition.subject"> <path value="Composition.subject" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="https://tstifhir.azurehealthcareapis.com/StructureDefinition/Patient-adultcheck" /> </type> <mustSupport value="true" /> </element> <element id="Composition.encounter"> <path value="Composition.encounter" /> <short value="成人預防保健就醫紀錄" /> <definition value="成人預防保健就醫紀錄" /> <type> <code value="Reference" /> <targetProfile value="https://tstifhir.azurehealthcareapis.com/StructureDefinition/Encounter-adultcheck" /> </type> <mustSupport value="true" /> </element> <element id="Composition.date"> <path value="Composition.date" /> <short value="建立時間" /> <definition value="建立時間" /> <mustSupport value="true" /> </element> <element id="Composition.author"> <path value="Composition.author" /> <short value="代檢機構與所屬醫事機構" /> <definition value="代檢機構與所屬醫事機構" /> <mustSupport value="true" /> </element> <element id="Composition.title"> <path value="Composition.title" /> <short value="問卷標題" /> <definition value="問卷標題" /> <patternString value="成人預防保健服務檢查單" /> <mustSupport value="true" /> </element> <element id="Composition.section"> <path value="Composition.section" /> <slicing> <discriminator> <type value="value" /> <path value="title" /> </discriminator> <rules value="open" /> </slicing> <max value="46" /> <mustSupport value="true" /> </element> <element id="Composition.section:condition-bp"> <path value="Composition.section" /> <sliceName value="condition-bp" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:condition-bp.title"> <path value="Composition.section.title" /> <min value="1" /> <patternString value="疾病史：高血壓" /> <mustSupport value="true" /> </element> <element id="Composition.section:condition-bp.code.coding.system"> <path value="Composition.section.code.coding.system" /> <patternUri value="http://loinc.org" /> </element> <element id="Composition.section:condition-bp.code.coding.code"> <path value="Composition.section.code.coding.code" /> <patternCode value="34117-2" /> </element> <element id="Composition.section:condition-bp.code.coding.display"> <path value="Composition.section.code.coding.display" /> <patternString value="History and physical note" /> </element> <element id="Composition.section:condition-db"> <path value="Composition.section" /> <sliceName value="condition-db" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:condition-db.title"> <path value="Composition.section.title" /> <min value="1" /> <patternString value="疾病史：糖尿病" /> <mustSupport value="true" /> </element> <element id="Composition.section:condition-db.code.coding.system"> <path value="Composition.section.code.coding.system" /> <patternUri value="http://loinc.org" /> </element> <element id="Composition.section:condition-db.code.coding.code"> <path value="Composition.section.code.coding.code" /> <patternCode value="34117-2" /> </element> <element id="Composition.section:condition-db.code.coding.display"> <path value="Composition.section.code.coding.display" /> <patternString value="History and physical note" /> </element> <element id="Composition.section:condition-bg"> <path value="Composition.section" /> <sliceName value="condition-bg" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:condition-bg.title"> <path value="Composition.section.title" /> <min value="1" /> <patternString value="疾病史：高血脂症" /> <mustSupport value="true" /> </element> <element id="Composition.section:condition-bg.code.coding.system"> <path value="Composition.section.code.coding.system" /> <patternUri value="http://loinc.org" /> </element> <element id="Composition.section:condition-bg.code.coding.code"> <path value="Composition.section.code.coding.code" /> <patternCode value="34117-2" /> </element> <element id="Composition.section:condition-bg.code.coding.display"> <path value="Composition.section.code.coding.display" /> <patternString value="History and physical note" /> </element> <element id="Composition.section:condition-cd"> <path value="Composition.section" /> <sliceName value="condition-cd" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:condition-cd.title"> <path value="Composition.section.title" /> <min value="1" /> <patternString value="疾病史：心臟病" /> <mustSupport value="true" /> </element> <element id="Composition.section:condition-cd.code.coding.system"> <path value="Composition.section.code.coding.system" /> <patternUri value="http://loinc.org" /> </element> <element id="Composition.section:condition-cd.code.coding.code"> <path value="Composition.section.code.coding.code" /> <patternCode value="34117-2" /> </element> <element id="Composition.section:condition-cd.code.coding.display"> <path value="Composition.section.code.coding.display" /> <patternString value="History and physical note" /> </element> <element id="Composition.section:condition-sd"> <path value="Composition.section" /> <sliceName value="condition-sd" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:condition-sd.title"> <path value="Composition.section.title" /> <min value="1" /> <patternString value="疾病史：腦中風" /> <mustSupport value="true" /> </element> <element id="Composition.section:condition-sd.code.coding.system"> <path value="Composition.section.code.coding.system" /> <patternUri value="http://loinc.org" /> </element> <element id="Composition.section:condition-sd.code.coding.code"> <path value="Composition.section.code.coding.code" /> <patternCode value="34117-2" /> </element> <element id="Composition.section:condition-sd.code.coding.display"> <path value="Composition.section.code.coding.display" /> <patternString value="History and physical note" /> </element> <element id="Composition.section:condition-kd"> <path value="Composition.section" /> <sliceName value="condition-kd" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:condition-kd.title"> <path value="Composition.section.title" /> <min value="1" /> <patternString value="疾病史：腎臟病" /> <mustSupport value="true" /> </element> <element id="Composition.section:condition-kd.code.coding.system"> <path value="Composition.section.code.coding.system" /> <patternUri value="http://loinc.org" /> </element> <element id="Composition.section:condition-kd.code.coding.code"> <path value="Composition.section.code.coding.code" /> <patternCode value="34117-2" /> </element> <element id="Composition.section:condition-kd.code.coding.display"> <path value="Composition.section.code.coding.display" /> <patternString value="History and physical note" /> </element> <element id="Composition.section:height"> <path value="Composition.section" /> <sliceName value="height" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:height.title"> <path value="Composition.section.title" /> <min value="1" /> <patternString value="生理量測-身高" /> <mustSupport value="true" /> </element> <element id="Composition.section:height.code.coding.system"> <path value="Composition.section.code.coding.system" /> <patternUri value="http://loinc.org" /> </element> <element id="Composition.section:height.code.coding.code"> <path value="Composition.section.code.coding.code" /> <patternCode value="85353-1" /> </element> <element id="Composition.section:height.code.coding.display"> <path value="Composition.section.code.coding.display" /> <patternString value="Vital signs, weight, height, head circumference, oxygen saturation and BMI panel" /> </element> <element id="Composition.section:weight"> <path value="Composition.section" /> <sliceName value="weight" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:weight.title"> <path value="Composition.section.title" /> <min value="1" /> <patternString value="生理量測-體重" /> <mustSupport value="true" /> </element> <element id="Composition.section:weight.code.coding.system"> <path value="Composition.section.code.coding.system" /> <patternUri value="http://loinc.org" /> </element> <element id="Composition.section:weight.code.coding.code"> <path value="Composition.section.code.coding.code" /> <patternCode value="85353-1" /> </element> <element id="Composition.section:weight.code.coding.display"> <path value="Composition.section.code.coding.display" /> <patternString value="Vital signs, weight, height, head circumference, oxygen saturation and BMI panel" /> </element> <element id="Composition.section:bmi"> <path value="Composition.section" /> <sliceName value="bmi" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:bmi.title"> <path value="Composition.section.title" /> <min value="1" /> <patternString value="生理量測-BMI" /> <mustSupport value="true" /> </element> <element id="Composition.section:bmi.code.coding.system"> <path value="Composition.section.code.coding.system" /> <patternUri value="http://loinc.org" /> </element> <element id="Composition.section:bmi.code.coding.code"> <path value="Composition.section.code.coding.code" /> <patternCode value="85353-1" /> </element> <element id="Composition.section:bmi.code.coding.display"> <path value="Composition.section.code.coding.display" /> <patternString value="Vital signs, weight, height, head circumference, oxygen saturation and BMI panel" /> </element> <element id="Composition.section:bloodtype"> <path value="Composition.section" /> <sliceName value="bloodtype" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:bloodtype.title"> <path value="Composition.section.title" /> <min value="1" /> <patternString value="生理量測-血壓" /> <mustSupport value="true" /> </element> <element id="Composition.section:bloodtype.code.coding.system"> <path value="Composition.section.code.coding.system" /> <patternUri value="http://loinc.org" /> </element> <element id="Composition.section:bloodtype.code.coding.code"> <path value="Composition.section.code.coding.code" /> <patternCode value="85353-1" /> </element> <element id="Composition.section:bloodtype.code.coding.display"> <path value="Composition.section.code.coding.display" /> <patternString value="Vital signs, weight, height, head circumference, oxygen saturation and BMI panel" /> </element> <element id="Composition.section:waist"> <path value="Composition.section" /> <sliceName value="waist" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:waist.title"> <path value="Composition.section.title" /> <min value="1" /> <patternString value="生理量測-腰圍" /> <mustSupport value="true" /> </element> <element id="Composition.section:waist.code.coding.system"> <path value="Composition.section.code.coding.system" /> <patternUri value="http://loinc.org" /> </element> <element id="Composition.section:waist.code.coding.code"> <path value="Composition.section.code.coding.code" /> <patternCode value="85353-1" /> </element> <element id="Composition.section:waist.code.coding.display"> <path value="Composition.section.code.coding.display" /> <patternString value="Vital signs, weight, height, head circumference, oxygen saturation and BMI panel" /> </element> <element id="Composition.section:lab-protein"> <path value="Composition.section" /> <sliceName value="lab-protein" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:lab-protein.title"> <path value="Composition.section.title" /> <min value="1" /> <patternString value="尿液蛋白質" /> <mustSupport value="true" /> </element> <element id="Composition.section:lab-protein.code.coding.system"> <path value="Composition.section.code.coding.system" /> <patternUri value="http://loinc.org" /> </element> <element id="Composition.section:lab-protein.code.coding.code"> <path value="Composition.section.code.coding.code" /> <patternCode value="19146-0" /> </element> <element id="Composition.section:lab-protein.code.coding.display"> <path value="Composition.section.code.coding.display" /> <patternString value="Referral lab test results" /> </element> <element id="Composition.section:lab-sugar"> <path value="Composition.section" /> <sliceName value="lab-sugar" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:lab-sugar.title"> <path value="Composition.section.title" /> <min value="1" /> <patternString value="血糖" /> <mustSupport value="true" /> </element> <element id="Composition.section:lab-sugar.code.coding.system"> <path value="Composition.section.code.coding.system" /> <patternUri value="http://loinc.org" /> </element> <element id="Composition.section:lab-sugar.code.coding.code"> <path value="Composition.section.code.coding.code" /> <patternCode value="19146-0" /> </element> <element id="Composition.section:lab-sugar.code.coding.display"> <path value="Composition.section.code.coding.display" /> <patternString value="Referral lab test results" /> </element> <element id="Composition.section:lab-cholesterol"> <path value="Composition.section" /> <sliceName value="lab-cholesterol" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:lab-cholesterol.title"> <path value="Composition.section.title" /> <min value="1" /> <patternString value="總膽固醇" /> <mustSupport value="true" /> </element> <element id="Composition.section:lab-cholesterol.code.coding.system"> <path value="Composition.section.code.coding.system" /> <patternUri value="http://loinc.org" /> </element> <element id="Composition.section:lab-cholesterol.code.coding.code"> <path value="Composition.section.code.coding.code" /> <patternCode value="19146-0" /> </element> <element id="Composition.section:lab-cholesterol.code.coding.display"> <path value="Composition.section.code.coding.display" /> <patternString value="Referral lab test results" /> </element> <element id="Composition.section:lab-triglycerides"> <path value="Composition.section" /> <sliceName value="lab-triglycerides" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:lab-triglycerides.title"> <path value="Composition.section.title" /> <min value="1" /> <patternString value="三酸甘油脂" /> <mustSupport value="true" /> </element> <element id="Composition.section:lab-triglycerides.code.coding.system"> <path value="Composition.section.code.coding.system" /> <patternUri 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