MI-TW 2023 Track #1 Patient

Scenario #1 Core 核心資料交換

此 Profile 說明本 IG 如何進一步定義 FHIR 的 Patient Resource 以呈現 MITW 2023 台灣醫學資訊聯測松 Track #1 Scenario 1 與 TW Core IG 台灣核心規範所定義的病患基本資料

Structure Definition

若要導入自動化驗證，請將以下片段導入您的 Resource 中：

    "meta": {
        "profile": ["https://hapi.fhir.tw/fhir/StructureDefinition/MITW-T1-SC1-PatientCore"]
    }

資料結構

MITW_T1_SC1_PatientCore (Patient)	I		Patient	Element id Patient Short description 接受健康照護服務的個人或動物之資訊 Alternate names SubjectOfCare Client Resident Definition 關於接受照護或其他健康相關服務的個人或動物的人口統計學和其他行政資訊。 Data type Patient Constraints dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.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-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-6: A resource should have narrative for robust management text.`div`.exists() dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim: Entity. Role, or Act rim: Patient[classCode=PAT] cda: ClinicalDocument.recordTarget.patientRole
id	Σ	0..1	string	Element id Patient.id Short description 不重複的ID用以識別儲存在特定FHIR Server中的Patient紀錄，通常又稱為邏輯性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。 Comments 一個resource使用新增操作（create operation）提交給伺服器時是此resource唯一沒有id的時刻 Data type string
meta	Σ	0..1	Meta	Element id Patient.meta Short description 此Patient Resource的metadata Definition 關於resource的metadata。這是由基礎建設維護的內容。對內容的改變可能並不總是與resource的版本改變相關。 Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
implicitRules	Σ ?!	0..1	uri	Element id Patient.implicitRules Short description 創建此內容所依據的一組規則 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IG定義特殊規則及其他profiles的參照。 Comments 宣告這套規則限制了內容只能被有限的貿易夥伴所理解。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是對實作指引的參照，此指引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。 Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
language		0..1	codeBinding	Element id Patient.language Short description 用以表述Patient Resource內容的語言 Definition 編寫此resource的基礎語言 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基礎語言。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元素（關於xml:lang和html lang屬性之間的關係，見HTML5中的規則）。 Data type code Binding 人類語言；鼓勵使用CommonLanguages值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples Value zh-TW Mappings rim: n/a
text	S	0..1	Narrative	Element id Patient.text Short description Patient Resource之內容摘要以供人閱讀 Alternate names narrative, html, xhtml, display 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定義可定義哪些內容應該在敘述中表示，以確保臨床安全。 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。在某些情況下，resource可能只有文字表述，很少或沒有額外的離散資料（只要滿足所有minOccurs=1的資料項目）。這對於來自舊有系統的資料可能是必要的，在這些系統中，從「文字表述區塊（text blob）」獲取訊息，或者文字表述是額外的原始輸入或敘述，而編碼訊息是後來添加的。 Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A rim: Act.text?
contained		0..*	Resource	Element id Patient.contained Short description 內嵌的（contained）、行內的Resources Alternate names inline resources, anonymous resources, contained resources 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。 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，因為一旦識別丟失，要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（標籤），但必須沒有（SHALL NOT）資訊安全標號（security labels）。 Data type Resource Mappings rim: Entity. Role, or Act rim: N/A
extension	I	0..*	Extension	Element id Patient.extension Short description 擴充的資料項目 Alternate names extensions, user content Definition 擴充的資料項目 Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
age	S I	0..1	Extension(Age)	Element id Patient.extension:age Short description 年齡 Alternate names extensions, user content Definition 年齡 2023/8/25異動說明：相較於單純以integer Data Type 使用「數值」呈現年齡，改以Age Data Type包含「數值」及「單位」的呈現，其語意更為精確及使用上較具彈性。 Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(Age) Extension URL https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/person-age Constraints 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()` Mappings rim: n/a rim: N/A
nationality	S I	0..1	Extension(Complex)	Element id Patient.extension:nationality Short description 病人所屬國籍 Alternate names extensions, user content Definition The nationality of the patient. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(Complex) Extension URL http://hl7.org/fhir/StructureDefinition/patient-nationality Constraints 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()` Mappings rim: n/a rim: N/A
modifierExtension	?! I	0..*	Extension	Element id Patient.modifierExtension Short description 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。 Alternate names extensions, user content Definition 擴充的資料項目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）。 Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
identifier	S Σ	1..*	Identifier	Element id Patient.identifier Short description 病人的身份識別碼（identifier），通常為業務目的所使用的識別碼，例如病歷號。 Definition 病人的唯一識別碼（identifier） Requirements 病人幾乎總是被指定一個特定的數值型的唯一識別碼（identifier） Data type Identifier Sliced: Unordered, Open, by type.coding.code(Value), type.coding.system(Value) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier w5: FiveWs.identifier v2: PID-3 rim: id cda: .id
idCardNumber	S Σ	0..1	Identifier	Element id Patient.identifier:idCardNumber Short description 適用身分證字號 Definition 適用於身分證字號 Requirements 病人幾乎總是被指定一個特定的數值型的唯一識別碼（identifier） Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier w5: FiveWs.identifier v2: PID-3 rim: id cda: .id
id		0..1	string	Element id Patient.identifier:idCardNumber.id Short description 唯一可識別ID，以供資料項目間相互參照。 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。 Data type string Mappings rim: n/a
extension	I	0..*	Extension	Element id Patient.identifier:idCardNumber.extension Short description 擴充的資料項目 Alternate names extensions, user content Definition 擴充的資料項目 Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
use	S Σ ?!	0..1	codeBindingPattern	Element id Patient.identifier:idCardNumber.use Short description usual ｜ official ｜ temp ｜ secondary ｜ old （如果知道） Definition 這個唯一識別碼（identifier）的用途 Requirements 允許從一組識別碼中為特定的使用情境選擇適當的識別碼 Comments 應用程式可以假定一個識別碼是永久的，除非它明確說它是暫時的。 Data type code Binding 如果知道，請說明此識別碼的目的；應填入IdentifierUse值集中的其中一個代碼。 IdentifierUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern official Mappings rim: n/a v2: N/A rim: Role.code or implied by context
type	S Σ	1..1	CodeableConceptTWBinding	Element id Patient.identifier:idCardNumber.type Short description 身份識別碼（identifier）的型別說明 Definition 識別碼的代碼型別，用於決定特定目適用的識別碼。 Requirements 允許使用者在不知道識別碼系統的情況下利用識別碼 Comments 這個資料項目只涉及識別碼的一般類別。它必須沒有（SHALL NOT）被用於與Identifier.system 1..1對應的代碼。一些識別碼可能由於常見的用法而屬於多個類別。在系統是已知的情況下，型別是不必要的，因為型別總是系統定義的一部分。然而，系統經常需要處理系統不為人知的識別碼。型別和系統之間不是1:1的關係，因為許多不同的系統有相同的型別。 Data type CodeableConceptTW Binding 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。 TWIdentifierType (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: CX.5 rim: Role.code or implied by context
id		0..1	string	Element id Patient.identifier:idCardNumber.type.id Short description 唯一可識別ID，以供資料項目間相互參照。 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。 Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Patient.identifier:idCardNumber.type.extension Short description 擴充的資料項目 Alternate names extensions, user content Definition 擴充的資料項目 Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
coding	S Σ	0..*	CodingTW	There are no (further) constraints on this element Element id Patient.identifier:idCardNumber.type.coding Short description 由專門術語系統（terminology system）定義的代碼 Definition 由專門術語系統（terminology system）所定義之代碼的參照 Requirements 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 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。 Data type CodingTW Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id Patient.identifier:idCardNumber.type.coding.id Short description 唯一可識別ID，以供資料項目間相互參照。 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。 Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Patient.identifier:idCardNumber.type.coding.extension Short description 擴充的資料項目 Alternate names extensions, user content 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。 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。 Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
system	S Σ	1..1	uriPattern	Element id Patient.identifier:idCardNumber.type.coding.system Short description 專門術語系統（terminology system）的識別 Definition 定義代碼中符號意義的代碼系統識別 Requirements 需要明確說明符號定義的來源 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。 Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://terminology.hl7.org/CodeSystem/v2-0203 Mappings rim: n/a v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id Patient.identifier:idCardNumber.type.coding.version Short description 系統的版本—如果相關的話 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。 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。 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	codePattern	Element id Patient.identifier:idCardNumber.type.coding.code Short description 系統定義的語法之符號 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）。 Requirements 需要參照系統中的一個特定代碼 Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern NNxxx Mappings rim: n/a v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
id		0..1	string	There are no (further) constraints on this element Element id Patient.identifier:idCardNumber.type.coding.code.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	Element id Patient.identifier:idCardNumber.type.coding.code.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
identifier-suffix	S I	0..1	Extension(Complex)	Element id Patient.identifier:idCardNumber.type.coding.code.extension:identifier-suffix Short description 識別碼後綴詞 Alternate names extensions, user content Definition 識別碼後綴詞 Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(Complex) Extension URL https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/identifier-suffix Constraints 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()` Mappings rim: n/a rim: N/A
value		0..1	System.String	There are no (further) constraints on this element Element id Patient.identifier:idCardNumber.type.coding.code.value Short description Primitive value for code Definition Primitive value for code Data type System.String Maximum string length 1048576
display	S Σ	0..1	string	There are no (further) constraints on this element Element id Patient.identifier:idCardNumber.type.coding.display Short description 由系統定義的表示法 Definition 遵循系統的規則以呈現代碼含義的表示法 Requirements 需要能為不了解此系統的讀者呈現可讀的代碼含義 Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Patient.identifier:idCardNumber.type.coding.userSelected Short description 此編碼是否由使用者直接選擇？ 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。 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。 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。 Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	S Σ	0..1	string	There are no (further) constraints on this element Element id Patient.identifier:idCardNumber.type.text Short description 概念的文字表示法 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。 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。 Comments 很多時候，此文字表述與其中一個代碼的顯示名稱相同。 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
system	S Σ	1..1	uriPattern	Element id Patient.identifier:idCardNumber.system Short description 身份識別碼（identifier）的命名空間（namespace）例如：身分證字號='http://www.moi.gov.tw/' Definition 建立值的命名空間－即一個描述一組值的唯一URL Requirements 有許多識別碼的集合。為了進行兩個識別碼的對應，我們需要知道我們處理的是哪一組。系統指明了一個特定的唯一識別碼集。 Comments Identifier.system總是區分大小寫 Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://www.moi.gov.tw/ Mappings rim: n/a v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType
value	S Σ	1..1	string	Element id Patient.identifier:idCardNumber.value Short description 唯一值。例如：身分證字號為A123456789 Definition 識別碼中通常與使用者有關的部分，在系統情境內是唯一的。 Comments 如果此值是一個完整的URI，那麼此系統必須（SHALL）是urn:ietf:rfc:3986。此值的主要目的是為了可運算的對應。因此，為了比較的目的，它可能會被正規化（例如：去除不重要的空白、破折號等）。一個為人顯示的格式化的值可以使用Rendered Value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。 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim: n/a v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value
period	Σ I	0..1	Period	Element id Patient.identifier:idCardNumber.period Short description 此身份識別碼（identifier）的使用效期 Definition 識別碼有效／曾經有效使用的時段或期間 Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(TWCoreOrganization)	Element id Patient.identifier:idCardNumber.assigner Short description 簽發identifier的機構（可以只是文字表述） Definition 簽發／管理識別碼的機構 Comments Identifier.assigner可以省略.reference資料項目，只包含一個.display資料項目，反映指定機構的名稱或其他文字表述資訊。 Data type Reference(TWCoreOrganization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
passportNumber	S Σ	0..1	Identifier	Element id Patient.identifier:passportNumber Short description 適用護照號碼 Definition 適用於護照號碼 Requirements 病人幾乎總是被指定一個特定的數值型的唯一識別碼（identifier） Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier w5: FiveWs.identifier v2: PID-3 rim: id cda: .id
id		0..1	string	Element id Patient.identifier:passportNumber.id Short description 唯一可識別ID，以供資料項目間相互參照。 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。 Data type string Mappings rim: n/a
extension	I	0..*	Extension	Element id Patient.identifier:passportNumber.extension Short description 擴充的資料項目 Alternate names extensions, user content Definition 擴充的資料項目 Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
use	S Σ ?!	0..1	codeBindingPattern	Element id Patient.identifier:passportNumber.use Short description usual ｜ official ｜ temp ｜ secondary ｜ old （如果知道） Definition 這個唯一識別碼（identifier）的用途 Requirements 允許從一組識別碼中為特定的使用情境選擇適當的識別碼 Comments 應用程式可以假定一個識別碼是永久的，除非它明確說它是暫時的。 Data type code Binding 如果知道，請說明此識別碼的目的；應填入IdentifierUse值集中的其中一個代碼。 IdentifierUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern official Mappings rim: n/a v2: N/A rim: Role.code or implied by context
type	S Σ	1..1	CodeableConceptTWBinding	Element id Patient.identifier:passportNumber.type Short description 身份識別碼（identifier）的型別說明 Definition 識別碼的代碼型別，用於決定特定目適用的識別碼。 Requirements 允許使用者在不知道識別碼系統的情況下利用識別碼 Comments 這個資料項目只涉及識別碼的一般類別。它必須沒有（SHALL NOT）被用於與Identifier.system 1..1對應的代碼。一些識別碼可能由於常見的用法而屬於多個類別。在系統是已知的情況下，型別是不必要的，因為型別總是系統定義的一部分。然而，系統經常需要處理系統不為人知的識別碼。型別和系統之間不是1:1的關係，因為許多不同的系統有相同的型別。 Data type CodeableConceptTW Binding 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。 TWIdentifierType (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: CX.5 rim: Role.code or implied by context
id		0..1	string	Element id Patient.identifier:passportNumber.type.id Short description 唯一可識別ID，以供資料項目間相互參照。 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。 Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Patient.identifier:passportNumber.type.extension Short description 擴充的資料項目 Alternate names extensions, user content Definition 擴充的資料項目 Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
coding	S Σ	0..*	CodingTW	There are no (further) constraints on this element Element id Patient.identifier:passportNumber.type.coding Short description 由專門術語系統（terminology system）定義的代碼 Definition 由專門術語系統（terminology system）所定義之代碼的參照 Requirements 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 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。 Data type CodingTW Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id Patient.identifier:passportNumber.type.coding.id Short description 唯一可識別ID，以供資料項目間相互參照。 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。 Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Patient.identifier:passportNumber.type.coding.extension Short description 擴充的資料項目 Alternate names extensions, user content 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。 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。 Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
system	S Σ	1..1	uriPattern	Element id Patient.identifier:passportNumber.type.coding.system Short description 專門術語系統（terminology system）的識別 Definition 定義代碼中符號意義的代碼系統識別 Requirements 需要明確說明符號定義的來源 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。 Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://terminology.hl7.org/CodeSystem/v2-0203 Mappings rim: n/a v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id Patient.identifier:passportNumber.type.coding.version Short description 系統的版本—如果相關的話 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。 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。 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	codePattern	Element id Patient.identifier:passportNumber.type.coding.code Short description 系統定義的語法之符號 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）。 Requirements 需要參照系統中的一個特定代碼 Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern PPN Mappings rim: n/a v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	S Σ	0..1	string	There are no (further) constraints on this element Element id Patient.identifier:passportNumber.type.coding.display Short description 由系統定義的表示法 Definition 遵循系統的規則以呈現代碼含義的表示法 Requirements 需要能為不了解此系統的讀者呈現可讀的代碼含義 Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Patient.identifier:passportNumber.type.coding.userSelected Short description 此編碼是否由使用者直接選擇？ 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。 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。 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。 Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	S Σ	0..1	string	There are no (further) constraints on this element Element id Patient.identifier:passportNumber.type.text Short description 概念的文字表示法 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。 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。 Comments 很多時候，此文字表述與其中一個代碼的顯示名稱相同。 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
system	S Σ	1..1	uriPattern	Element id Patient.identifier:passportNumber.system Short description 身份識別碼（identifier）的命名空間（namespace）例如：護照號碼='http://www.boca.gov.tw/。 Definition 建立值的命名空間－即一個描述一組值的唯一URL Requirements 有許多識別碼的集合。為了進行兩個識別碼的對應，我們需要知道我們處理的是哪一組。系統指明了一個特定的唯一識別碼集。 Comments Identifier.system總是區分大小寫 Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://www.boca.gov.tw/ Mappings rim: n/a v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType
value	S Σ	1..1	string	Element id Patient.identifier:passportNumber.value Short description 唯一值。例如：護照號碼為888800371 Definition 識別碼中通常與使用者有關的部分，在系統情境內是唯一的。 Comments 如果此值是一個完整的URI，那麼此系統必須（SHALL）是urn:ietf:rfc:3986。此值的主要目的是為了可運算的對應。因此，為了比較的目的，它可能會被正規化（例如：去除不重要的空白、破折號等）。一個為人顯示的格式化的值可以使用Rendered Value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。 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim: n/a v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value
period	Σ I	0..1	Period	Element id Patient.identifier:passportNumber.period Short description 此身份識別碼（identifier）的使用效期 Definition 識別碼有效／曾經有效使用的時段或期間 Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(TWCoreOrganization)	Element id Patient.identifier:passportNumber.assigner Short description 簽發identifier的機構（可以只是文字表述） Definition 簽發／管理識別碼的機構 Comments Identifier.assigner可以省略.reference資料項目，只包含一個.display資料項目，反映指定機構的名稱或其他文字表述資訊。 Data type Reference(TWCoreOrganization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
residentNumber	S Σ	0..1	Identifier	Element id Patient.identifier:residentNumber Short description 適用居留證號碼 Definition 適用於居留證號碼 Requirements 病人幾乎總是被指定一個特定的數值型的唯一識別碼（identifier） Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier w5: FiveWs.identifier v2: PID-3 rim: id cda: .id
id		0..1	string	Element id Patient.identifier:residentNumber.id Short description 唯一可識別ID，以供資料項目間相互參照。 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。 Data type string Mappings rim: n/a
extension	I	0..*	Extension	Element id Patient.identifier:residentNumber.extension Short description 擴充的資料項目 Alternate names extensions, user content Definition 擴充的資料項目 Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
use	S Σ ?!	0..1	codeBindingPattern	Element id Patient.identifier:residentNumber.use Short description usual ｜ official ｜ temp ｜ secondary ｜ old （如果知道） Definition 這個唯一識別碼（identifier）的用途 Requirements 允許從一組識別碼中為特定的使用情境選擇適當的識別碼 Comments 應用程式可以假定一個識別碼是永久的，除非它明確說它是暫時的。 Data type code Binding 如果知道，請說明此識別碼的目的；應填入IdentifierUse值集中的其中一個代碼。 IdentifierUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern official Mappings rim: n/a v2: N/A rim: Role.code or implied by context
type	S Σ	1..1	CodeableConceptTWBinding	Element id Patient.identifier:residentNumber.type Short description 身份識別碼（identifier）的型別說明 Definition 識別碼的代碼型別，用於決定特定目適用的識別碼。 Requirements 允許使用者在不知道識別碼系統的情況下利用識別碼 Comments 這個資料項目只涉及識別碼的一般類別。它必須沒有（SHALL NOT）被用於與Identifier.system 1..1對應的代碼。一些識別碼可能由於常見的用法而屬於多個類別。在系統是已知的情況下，型別是不必要的，因為型別總是系統定義的一部分。然而，系統經常需要處理系統不為人知的識別碼。型別和系統之間不是1:1的關係，因為許多不同的系統有相同的型別。 Data type CodeableConceptTW Binding 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。 TWIdentifierType (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: CX.5 rim: Role.code or implied by context
id		0..1	string	Element id Patient.identifier:residentNumber.type.id Short description 唯一可識別ID，以供資料項目間相互參照。 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。 Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Patient.identifier:residentNumber.type.extension Short description 擴充的資料項目 Alternate names extensions, user content Definition 擴充的資料項目 Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
coding	S Σ	0..*	CodingTW	There are no (further) constraints on this element Element id Patient.identifier:residentNumber.type.coding Short description 由專門術語系統（terminology system）定義的代碼 Definition 由專門術語系統（terminology system）所定義之代碼的參照 Requirements 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 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。 Data type CodingTW Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id Patient.identifier:residentNumber.type.coding.id Short description 唯一可識別ID，以供資料項目間相互參照。 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。 Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Patient.identifier:residentNumber.type.coding.extension Short description 擴充的資料項目 Alternate names extensions, user content 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。 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。 Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
system	S Σ	1..1	uriPattern	Element id Patient.identifier:residentNumber.type.coding.system Short description 專門術語系統（terminology system）的識別 Definition 定義代碼中符號意義的代碼系統識別 Requirements 需要明確說明符號定義的來源 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。 Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://terminology.hl7.org/CodeSystem/v2-0203 Mappings rim: n/a v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id Patient.identifier:residentNumber.type.coding.version Short description 系統的版本—如果相關的話 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。 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。 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	codePattern	Element id Patient.identifier:residentNumber.type.coding.code Short description 系統定義的語法之符號 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）。 Requirements 需要參照系統中的一個特定代碼 Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern PRC Mappings rim: n/a v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	S Σ	0..1	string	There are no (further) constraints on this element Element id Patient.identifier:residentNumber.type.coding.display Short description 由系統定義的表示法 Definition 遵循系統的規則以呈現代碼含義的表示法 Requirements 需要能為不了解此系統的讀者呈現可讀的代碼含義 Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Patient.identifier:residentNumber.type.coding.userSelected Short description 此編碼是否由使用者直接選擇？ 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。 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。 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。 Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	S Σ	0..1	string	There are no (further) constraints on this element Element id Patient.identifier:residentNumber.type.text Short description 概念的文字表示法 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。 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。 Comments 很多時候，此文字表述與其中一個代碼的顯示名稱相同。 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
system	S Σ	1..1	uriPattern	Element id Patient.identifier:residentNumber.system Short description 身份識別碼（identifier）的命名空間（namespace）例如：居留證號='http://www.immigration.gov.tw/'。 Definition 建立值的命名空間－即一個描述一組值的唯一URL Requirements 有許多識別碼的集合。為了進行兩個識別碼的對應，我們需要知道我們處理的是哪一組。系統指明了一個特定的唯一識別碼集。 Comments Identifier.system總是區分大小寫 Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://www.immigration.gov.tw/ Mappings rim: n/a v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType
value	S Σ	1..1	string	Element id Patient.identifier:residentNumber.value Short description 唯一值。例如：居留證號碼為A912345678 Definition 識別碼中通常與使用者有關的部分，在系統情境內是唯一的。 Comments 如果此值是一個完整的URI，那麼此系統必須（SHALL）是urn:ietf:rfc:3986。此值的主要目的是為了可運算的對應。因此，為了比較的目的，它可能會被正規化（例如：去除不重要的空白、破折號等）。一個為人顯示的格式化的值可以使用Rendered Value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。 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim: n/a v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value
period	Σ I	0..1	Period	Element id Patient.identifier:residentNumber.period Short description 此身份識別碼（identifier）的使用效期 Definition 識別碼有效／曾經有效使用的時段或期間 Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(TWCoreOrganization)	Element id Patient.identifier:residentNumber.assigner Short description 簽發identifier的機構（可以只是文字表述） Definition 簽發／管理識別碼的機構 Comments Identifier.assigner可以省略.reference資料項目，只包含一個.display資料項目，反映指定機構的名稱或其他文字表述資訊。 Data type Reference(TWCoreOrganization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
medicalRecord	S Σ	0..1	Identifier	Element id Patient.identifier:medicalRecord Short description 適用病歷號 Definition 適用於病歷號 Requirements 病人幾乎總是被指定一個特定的數值型的唯一識別碼（identifier） Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier w5: FiveWs.identifier v2: PID-3 rim: id cda: .id
id		0..1	string	Element id Patient.identifier:medicalRecord.id Short description 唯一可識別ID，以供資料項目間相互參照。 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。 Data type string Mappings rim: n/a
extension	I	0..*	Extension	Element id Patient.identifier:medicalRecord.extension Short description 擴充的資料項目 Alternate names extensions, user content Definition 擴充的資料項目 Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
use	S Σ ?!	0..1	codeBindingPattern	Element id Patient.identifier:medicalRecord.use Short description usual ｜ official ｜ temp ｜ secondary ｜ old （如果知道） Definition 這個唯一識別碼（identifier）的用途 Requirements 允許從一組識別碼中為特定的使用情境選擇適當的識別碼 Comments 應用程式可以假定一個識別碼是永久的，除非它明確說它是暫時的。 Data type code Binding 如果知道，請說明此識別碼的目的；應填入IdentifierUse值集中的其中一個代碼。 IdentifierUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern official Mappings rim: n/a v2: N/A rim: Role.code or implied by context
type	S Σ	1..1	CodeableConceptTWBinding	Element id Patient.identifier:medicalRecord.type Short description 身份識別碼（identifier）的型別說明 Definition 識別碼的代碼型別，用於決定特定目適用的識別碼。 Requirements 允許使用者在不知道識別碼系統的情況下利用識別碼 Comments 這個資料項目只涉及識別碼的一般類別。它必須沒有（SHALL NOT）被用於與Identifier.system 1..1對應的代碼。一些識別碼可能由於常見的用法而屬於多個類別。在系統是已知的情況下，型別是不必要的，因為型別總是系統定義的一部分。然而，系統經常需要處理系統不為人知的識別碼。型別和系統之間不是1:1的關係，因為許多不同的系統有相同的型別。 Data type CodeableConceptTW Binding 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。 TWIdentifierType (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: CX.5 rim: Role.code or implied by context
id		0..1	string	Element id Patient.identifier:medicalRecord.type.id Short description 唯一可識別ID，以供資料項目間相互參照。 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。 Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Patient.identifier:medicalRecord.type.extension Short description 擴充的資料項目 Alternate names extensions, user content Definition 擴充的資料項目 Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
coding	S Σ	0..*	CodingTW	There are no (further) constraints on this element Element id Patient.identifier:medicalRecord.type.coding Short description 由專門術語系統（terminology system）定義的代碼 Definition 由專門術語系統（terminology system）所定義之代碼的參照 Requirements 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 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。 Data type CodingTW Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id Patient.identifier:medicalRecord.type.coding.id Short description 唯一可識別ID，以供資料項目間相互參照。 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。 Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Patient.identifier:medicalRecord.type.coding.extension Short description 擴充的資料項目 Alternate names extensions, user content 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。 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。 Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
system	S Σ	1..1	uriPattern	Element id Patient.identifier:medicalRecord.type.coding.system Short description 專門術語系統（terminology system）的識別 Definition 定義代碼中符號意義的代碼系統識別 Requirements 需要明確說明符號定義的來源 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。 Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://terminology.hl7.org/CodeSystem/v2-0203 Mappings rim: n/a v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id Patient.identifier:medicalRecord.type.coding.version Short description 系統的版本—如果相關的話 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。 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。 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	codePattern	Element id Patient.identifier:medicalRecord.type.coding.code Short description 系統定義的語法之符號 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）。 Requirements 需要參照系統中的一個特定代碼 Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern MR Mappings rim: n/a v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	S Σ	0..1	string	There are no (further) constraints on this element Element id Patient.identifier:medicalRecord.type.coding.display Short description 由系統定義的表示法 Definition 遵循系統的規則以呈現代碼含義的表示法 Requirements 需要能為不了解此系統的讀者呈現可讀的代碼含義 Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Patient.identifier:medicalRecord.type.coding.userSelected Short description 此編碼是否由使用者直接選擇？ 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。 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。 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。 Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	S Σ	0..1	string	There are no (further) constraints on this element Element id Patient.identifier:medicalRecord.type.text Short description 概念的文字表示法 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。 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。 Comments 很多時候，此文字表述與其中一個代碼的顯示名稱相同。 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
system	S Σ	1..1	uri	Element id Patient.identifier:medicalRecord.system Short description 身份識別碼（identifier）的命名空間（namespace） Definition 建立值的命名空間－即一個描述一組值的唯一URL Requirements 有許多識別碼的集合。為了進行兩個識別碼的對應，我們需要知道我們處理的是哪一組。系統指明了一個特定的唯一識別碼集。 Comments Identifier.system總是區分大小寫 Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General http://www.acme.com/identifiers/patient Mappings rim: n/a v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType
value	S Σ	1..1	string	Element id Patient.identifier:medicalRecord.value Short description 唯一值。例如：病歷號為8862168 Definition 識別碼中通常與使用者有關的部分，在系統情境內是唯一的。 Comments 如果此值是一個完整的URI，那麼此系統必須（SHALL）是urn:ietf:rfc:3986。此值的主要目的是為了可運算的對應。因此，為了比較的目的，它可能會被正規化（例如：去除不重要的空白、破折號等）。一個為人顯示的格式化的值可以使用Rendered Value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。 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim: n/a v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value
period	Σ I	0..1	Period	Element id Patient.identifier:medicalRecord.period Short description 此身份識別碼（identifier）的使用效期 Definition 識別碼有效／曾經有效使用的時段或期間 Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(TWCoreOrganization)	Element id Patient.identifier:medicalRecord.assigner Short description 簽發identifier的機構（可以只是文字表述） Definition 簽發／管理識別碼的機構 Comments Identifier.assigner可以省略.reference資料項目，只包含一個.display資料項目，反映指定機構的名稱或其他文字表述資訊。 Data type Reference(TWCoreOrganization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
active	S Σ ?!	0..1	boolean	Element id Patient.active Short description 病人的紀錄是否「使用中（true）」 Definition 這位病人的紀錄是否在使用中（active）。許多系統使用這個屬性來標記為非現有（non-current）病人，例如那些根據機構的業務規則在一段時間內沒有被看到的病人。它經常被用來過濾病人清單以排除inactive的病人已過世的病人也可能因為同樣的原因被標記為inactive，但在過世後的一段時間內可能是active。 Requirements 若紀錄因為錯誤而創建，需要能夠將這位病人紀錄標記為不使用 Comments 如果一筆病人紀錄沒有在使用，但與另一筆使用中的病人紀錄相連結，那麼未來的病人／紀錄更新應該發生在另一筆病人紀錄。 Meaning when missing This resource is generally assumed to be active if no value is provided for the active element Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a w5: FiveWs.status rim: statusCode cda: n/a
name	Σ	0..*	HumanName	Element id Patient.name Short description 病人的姓名 Definition 個人名字 Requirements 需要能夠追踪病人的多個姓名。例如：正式姓名及配偶姓名。必須（SHALL）總是提供姓名的完整拼法。 Comments 一位病人可能有多個姓名，有不同的用途或適用期。對於動物來說，這個姓名是一個「HumanName」，它是人類指定和使用的，具有相同的模式。 Data type HumanName Sliced: Unordered, Open, by use(Pattern) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XPN rim: EN (actually, PN) servd: ProviderName v2: PID-5, PID-9 rim: name cda: .patient.name
official	S Σ I	0..1	HumanName	Element id Patient.name:official Short description 病人的護照姓名 Definition 個人名字 Requirements 需要能夠追踪病人的多個姓名。例如：正式姓名及配偶姓名。必須（SHALL）總是提供姓名的完整拼法。 Comments 一位病人可能有多個姓名，有不同的用途或適用期。對於動物來說，這個姓名是一個「HumanName」，它是人類指定和使用的，具有相同的模式。 Data type HumanName Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` tw-core-1: Patient.name.text or Patient.name.family or both SHALL be present `text.exists() or family.exists()` Mappings rim: n/a v2: XPN rim: EN (actually, PN) servd: ProviderName v2: PID-5, PID-9 rim: name cda: .patient.name
id		0..1	string	Element id Patient.name:official.id Short description 唯一可識別ID，以供資料項目間相互參照。 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。 Data type string Mappings rim: n/a
extension	I	0..*	Extension	Element id Patient.name:official.extension Short description 擴充的資料項目 Alternate names extensions, user content Definition 擴充的資料項目 Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
use	S Σ ?!	1..1	codeBindingPattern	Element id Patient.name:official.use Short description usual \| official \| temp \| nickname \| anonymous \| old \| maiden Definition 此姓名的用途 Requirements 允許從一組姓名中為特定的使用情境選擇適當的姓名 Comments 應用程式可以假定一個姓名是永久的，除非它明確說它是暫時或舊的。 Data type code Binding 人名的使用情況；應填入NameUse值集中的其中一個代碼。 NameUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern official Mappings rim: n/a v2: XPN.7, but often indicated by which field contains the name rim: unique(./use) servd: ./NamePurpose
text	S Σ I	0..1	string	Element id Patient.name:official.text Short description 完整的護照姓名 Definition 完整姓名的文字表述。由於世界各地的文化差異，取得資料的系統可能不知道如何正確地呈現姓名；此外，不是所有的名字部分都呈現予姓或名。因此，我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。 Requirements 一個可呈現的、未編碼的形式。 Comments 可以同時提供文字表述（text）和部分（part）。更新姓名的應用程式必須（SHALL）確保當test和lpart都存在時，text中不包含part中沒有的內容。 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General Chia-Lin Chan Mappings rim: n/a v2: implied by XPN.11 rim: ./formatted
family	S Σ I	0..1	string	Element id Patient.name:official.family Short description 護照中的姓 Alternate names surname Definition 姓名中與族譜相關的部分。在一些文化中（如厄立特里亞），兒子的姓氏是其父親的名字。 Comments 姓氏可以使用擴充名（de、nl、es相關文化）分解成具體的部分（part） Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General Chen Mappings rim: n/a v2: XPN.1/FN.1 rim: ./part[partType = FAM] servd: ./FamilyName
given	S Σ I	0..*	string	Element id Patient.name:official.given Short description 護照中的名 Alternate names first name, middle name Definition 姓名中的「名」 Comments 如果只記錄首字母，可以用它們來代替完整姓名。首字母可以分為多個名，但由於實際情況的限制，通常不會這樣做。這個資料項目不被稱為「first name」，因為「given name」並不總是排在前面。 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General Chia-Lin Mappings rim: n/a v2: XPN.2 + XPN.3 rim: ./part[partType = GIV] servd: ./GivenNames
prefix	Σ	0..*	string	Element id Patient.name:official.prefix Short description 姓名前面的頭銜由於學術，法律，職業或貴族身份等原因而獲得頭銜，出現在姓名開頭。 Definition 由於學術、法規、就業或貴族身份等原因而獲得的名，並出現在姓名的開頭。 Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XPN.5 rim: ./part[partType = PFX] servd: ./TitleCode
suffix	Σ	0..*	string	Element id Patient.name:official.suffix Short description 姓名後面的稱謂由於學術，法律，職業或貴族身份等原因而獲得頭銜，出現在姓名之後。 Definition 由於學術、法規、就業或貴族身份等原因而獲得的名，並出現在姓名的開頭。 Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XPN/4 rim: ./part[partType = SFX]
period	Σ I	0..1	Period	Element id Patient.name:official.period Short description 此姓名的使用效期 Definition 表明這個姓名對此病人有效的時間區間或期間 Requirements 允許多個姓名按其歷史情境（效期）儲存 Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2: XPN.13 + XPN.14 rim: ./usablePeriod[type="IVL<TS>"] servd: ./StartDate and ./EndDate
usual	S Σ I	0..1	HumanName	Element id Patient.name:usual Short description 病人所屬國籍的真實姓名 Definition 個人名字 Requirements 需要能夠追踪病人的多個姓名。例如：正式姓名及配偶姓名。必須（SHALL）總是提供姓名的完整拼法。 Comments 一位病人可能有多個姓名，有不同的用途或適用期。對於動物來說，這個姓名是一個「HumanName」，它是人類指定和使用的，具有相同的模式。 Data type HumanName Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` tw-core-1: Patient.name.text or Patient.name.family or both SHALL be present `text.exists() or family.exists()` Mappings rim: n/a v2: XPN rim: EN (actually, PN) servd: ProviderName v2: PID-5, PID-9 rim: name cda: .patient.name
id		0..1	string	Element id Patient.name:usual.id Short description 唯一可識別ID，以供資料項目間相互參照。 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。 Data type string Mappings rim: n/a
extension	I	0..*	Extension	Element id Patient.name:usual.extension Short description 擴充的資料項目 Alternate names extensions, user content Definition 擴充的資料項目 Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
use	S Σ ?!	1..1	codeBindingPattern	Element id Patient.name:usual.use Short description usual \| official \| temp \| nickname \| anonymous \| old \| maiden Definition 此姓名的用途 Requirements 允許從一組姓名中為特定的使用情境選擇適當的姓名 Comments 應用程式可以假定一個姓名是永久的，除非它明確說它是暫時或舊的。 Data type code Binding 人名的使用情況；應填入NameUse值集中的其中一個代碼。 NameUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern usual Mappings rim: n/a v2: XPN.7, but often indicated by which field contains the name rim: unique(./use) servd: ./NamePurpose
text	S Σ I	0..1	string	Element id Patient.name:usual.text Short description 完整的中文姓名 Definition 完整姓名的文字表述。由於世界各地的文化差異，取得資料的系統可能不知道如何正確地呈現姓名；此外，不是所有的名字部分都呈現予姓或名。因此，我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。 Requirements 一個可呈現的、未編碼的形式。 Comments 可以同時提供文字表述（text）和部分（part）。更新姓名的應用程式必須（SHALL）確保當test和lpart都存在時，text中不包含part中沒有的內容。 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 陳加玲 Mappings rim: n/a v2: implied by XPN.11 rim: ./formatted
family	S Σ I	0..1	string	Element id Patient.name:usual.family Short description 若所屬國籍可區分family及given，填入所屬國籍之姓(family) Alternate names surname Definition 姓名中與族譜相關的部分。在一些文化中（如厄立特里亞），兒子的姓氏是其父親的名字。 Comments 姓氏可以使用擴充名（de、nl、es相關文化）分解成具體的部分（part） Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 陳 Mappings rim: n/a v2: XPN.1/FN.1 rim: ./part[partType = FAM] servd: ./FamilyName
given	S Σ I	0..*	string	Element id Patient.name:usual.given Short description 若所屬國籍可區分family及given，填入所屬國籍之名(given) Alternate names first name, middle name Definition 姓名中的「名」 Comments 如果只記錄首字母，可以用它們來代替完整姓名。首字母可以分為多個名，但由於實際情況的限制，通常不會這樣做。這個資料項目不被稱為「first name」，因為「given name」並不總是排在前面。 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 加玲 Mappings rim: n/a v2: XPN.2 + XPN.3 rim: ./part[partType = GIV] servd: ./GivenNames
prefix	Σ	0..*	string	Element id Patient.name:usual.prefix Short description 姓名前面的頭銜由於學術，法律，職業或貴族身份等原因而獲得頭銜，出現在姓名開頭。 Definition 由於學術、法規、就業或貴族身份等原因而獲得的名，並出現在姓名的開頭。 Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XPN.5 rim: ./part[partType = PFX] servd: ./TitleCode
suffix	Σ	0..*	string	Element id Patient.name:usual.suffix Short description 姓名後面的稱謂由於學術，法律，職業或貴族身份等原因而獲得頭銜，出現在姓名之後。 Definition 由於學術、法規、就業或貴族身份等原因而獲得的名，並出現在姓名的開頭。 Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XPN/4 rim: ./part[partType = SFX]
period	Σ I	0..1	Period	Element id Patient.name:usual.period Short description 此姓名的使用效期 Definition 表明這個姓名對此病人有效的時間區間或期間 Requirements 允許多個姓名按其歷史情境（效期）儲存 Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2: XPN.13 + XPN.14 rim: ./usablePeriod[type="IVL<TS>"] servd: ./StartDate and ./EndDate
temp	S Σ	0..1	HumanName	Element id Patient.name:temp Short description 新生兒姓名，緊急救護未知病人姓名時亦可用。 Definition 個人名字 Requirements 需要能夠追踪病人的多個姓名。 Comments 一位病人可能有多個姓名，有不同的用途或適用期。對於動物來說，這個姓名是一個「HumanName」，它是人類指定和使用的，具有相同的模式。 Data type HumanName Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XPN rim: EN (actually, PN) servd: ProviderName v2: PID-5, PID-9 rim: name cda: .patient.name
id		0..1	string	Element id Patient.name:temp.id Short description 唯一可識別ID，以供資料項目間相互參照。 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。 Data type string Mappings rim: n/a
extension	I	0..*	Extension	Element id Patient.name:temp.extension Short description 擴充的資料項目 Alternate names extensions, user content Definition 擴充的資料項目 Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
use	S Σ ?!	1..1	codeBindingPattern	Element id Patient.name:temp.use Short description usual \| official \| temp \| nickname \| anonymous \| old \| maiden Definition 此姓名的用途 Requirements 允許從一組姓名中為特定的使用情境選擇適當的姓名 Comments 應用程式可以假定一個姓名是永久的，除非它明確說它是暫時或舊的。 Data type code Binding 人名的使用情況；應填入NameUse值集中的其中一個代碼。 NameUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern temp Mappings rim: n/a v2: XPN.7, but often indicated by which field contains the name rim: unique(./use) servd: ./NamePurpose
text	S Σ	1..1	string	Element id Patient.name:temp.text Short description 完整的中文姓名 Definition 完整姓名的文字表述。由於世界各地的文化差異，取得資料的系統可能不知道如何正確地呈現姓名；此外，不是所有的名字部分都呈現予姓或名。因此，我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。 Requirements 一個可呈現的、未編碼的形式。 Comments 可以同時提供文字表述（text）和部分（part）。更新姓名的應用程式必須（SHALL）確保當test和lpart都存在時，text中不包含part中沒有的內容。 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: implied by XPN.11 rim: ./formatted
family	Σ	0..0	string	There are no (further) constraints on this element Element id Patient.name:temp.family Short description Family name (often called 'Surname') Alternate names surname Definition The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father. Comments Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures). Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XPN.1/FN.1 rim: ./part[partType = FAM] servd: ./FamilyName
given	Σ	0..0	string	There are no (further) constraints on this element Element id Patient.name:temp.given Short description Given names (not always 'first'). Includes middle names Alternate names first name, middle name Definition Given name. Comments If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XPN.2 + XPN.3 rim: ./part[partType = GIV] servd: ./GivenNames
prefix	Σ	0..0	string	There are no (further) constraints on this element Element id Patient.name:temp.prefix Short description Parts that come before the name Definition Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XPN.5 rim: ./part[partType = PFX] servd: ./TitleCode
suffix	Σ	0..0	string	There are no (further) constraints on this element Element id Patient.name:temp.suffix Short description Parts that come after the name Definition Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XPN/4 rim: ./part[partType = SFX]
period	Σ I	0..1	Period	Element id Patient.name:temp.period Short description 此姓名的使用效期 Definition 表明這個姓名對此病人有效的時間區間或期間 Requirements 允許多個姓名按其歷史情境（效期）儲存 Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2: XPN.13 + XPN.14 rim: ./usablePeriod[type="IVL<TS>"] servd: ./StartDate and ./EndDate
anonymous	S Σ	0..1	HumanName	Element id Patient.name:anonymous Short description 匿名供研究使用 Definition 個人名字 Requirements 需要能夠追踪病人的多個姓名。 Comments 一位病人可能有多個姓名，有不同的用途或適用期。對於動物來說，這個姓名是一個「HumanName」，它是人類指定和使用的，具有相同的模式。 Data type HumanName Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XPN rim: EN (actually, PN) servd: ProviderName v2: PID-5, PID-9 rim: name cda: .patient.name
id		0..1	string	Element id Patient.name:anonymous.id Short description 唯一可識別ID，以供資料項目間相互參照。 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。 Data type string Mappings rim: n/a
extension	I	0..*	Extension	Element id Patient.name:anonymous.extension Short description 擴充的資料項目 Alternate names extensions, user content Definition 擴充的資料項目 Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
use	S Σ ?!	1..1	codeBindingPattern	Element id Patient.name:anonymous.use Short description usual \| official \| temp \| nickname \| anonymous \| old \| maiden Definition 此姓名的用途 Requirements 允許從一組姓名中為特定的使用情境選擇適當的姓名 Comments 應用程式可以假定一個姓名是永久的，除非它明確說它是暫時或舊的。 Data type code Binding 人名的使用情況；應填入NameUse值集中的其中一個代碼。 NameUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern anonymous Mappings rim: n/a v2: XPN.7, but often indicated by which field contains the name rim: unique(./use) servd: ./NamePurpose
text	S Σ	1..1	string	Element id Patient.name:anonymous.text Short description 完整的中文姓名 Definition 完整姓名的文字表述。由於世界各地的文化差異，取得資料的系統可能不知道如何正確地呈現姓名；此外，不是所有的名字部分都呈現予姓或名。因此，我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。 Requirements 一個可呈現的、未編碼的形式。 Comments 可以同時提供文字表述（text）和部分（part）。更新姓名的應用程式必須（SHALL）確保當test和lpart都存在時，text中不包含part中沒有的內容。 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: implied by XPN.11 rim: ./formatted
family	Σ	0..0	string	There are no (further) constraints on this element Element id Patient.name:anonymous.family Short description Family name (often called 'Surname') Alternate names surname Definition The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father. Comments Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures). Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XPN.1/FN.1 rim: ./part[partType = FAM] servd: ./FamilyName
given	Σ	0..0	string	There are no (further) constraints on this element Element id Patient.name:anonymous.given Short description Given names (not always 'first'). Includes middle names Alternate names first name, middle name Definition Given name. Comments If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XPN.2 + XPN.3 rim: ./part[partType = GIV] servd: ./GivenNames
prefix	Σ	0..0	string	There are no (further) constraints on this element Element id Patient.name:anonymous.prefix Short description Parts that come before the name Definition Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XPN.5 rim: ./part[partType = PFX] servd: ./TitleCode
suffix	Σ	0..0	string	There are no (further) constraints on this element Element id Patient.name:anonymous.suffix Short description Parts that come after the name Definition Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XPN/4 rim: ./part[partType = SFX]
period	Σ I	0..1	Period	Element id Patient.name:anonymous.period Short description 此姓名的使用效期 Definition 表明這個姓名對此病人有效的時間區間或期間 Requirements 允許多個姓名按其歷史情境（效期）儲存 Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2: XPN.13 + XPN.14 rim: ./usablePeriod[type="IVL<TS>"] servd: ./StartDate and ./EndDate
telecom	S Σ I	0..*	ContactPoint	Element id Patient.telecom Short description 病人的聯絡資訊（例如：電話、電子郵件等） Definition 可與此人聯絡的詳細聯絡方式（如電話或電子郵件地址等） Requirements 人們有（主要）方式與他們聯絡，如電話、電子郵件。 Comments 一位病人可能有多種聯絡方式，有不同的用途或適用期。可能需要有緊急聯絡此人的選項，也需要幫忙識別身份。地址可能不會直接聯絡到此人，但可能到透過他人代為聯絡（意即家中的電話）。 Data type ContactPoint Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpt-2: A system is required if a value is provided. `value.empty() or system.exists()` Mappings rim: n/a v2: XTN rim: TEL servd: ContactPoint v2: PID-13, PID-14, PID-40 rim: telecom cda: .telecom
id		0..1	string	Element id Patient.telecom.id Short description 唯一可識別ID，以供資料項目間相互參照。 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。 Data type string Mappings rim: n/a
extension	I	0..*	Extension	Element id Patient.telecom.extension Short description 擴充的資料項目 Alternate names extensions, user content 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。 Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
system	S Σ I	1..1	codeBinding	Element id Patient.telecom.system Short description phone \| fax \| email \| pager \| url \| sms \| other Definition 聯絡方式的通訊形式－需要什麼通訊系統進行聯絡 Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Binding 應填入ContactPointSystem值集中的其中一個代碼。 ContactPointSystem (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XTN.3 rim: ./scheme servd: ./ContactPointType
value	S Σ	1..1	string	Element id Patient.telecom.value Short description 實際的聯絡方式之細節 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） Requirements 需支援非嚴格格式控制之舊有號碼 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。 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XTN.1 (or XTN.12) rim: ./url servd: ./Value
use	S Σ ?!	0..1	codeBinding	Element id Patient.telecom.use Short description home \| work \| temp \| old \| mobile－此聯絡方式的用途 Definition 確定聯絡方式的用途 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。 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。 Data type code Binding 應填入ContactPointUse值集中的其中一個代碼。 ContactPointUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XTN.2 - but often indicated by field rim: unique(./use) servd: ./ContactPointPurpose
rank	Σ	0..1	positiveInt	Element id Patient.telecom.rank Short description 具體說明偏好的使用順序（1=最高優先順序） Definition 具體說明使用一組聯繫方式的優先順序，較小排名序位的聯絡方式比較大排名序位的聯絡方式之序位還要前面。 Comments 請注意，排名序位沒有一定要遵循聯絡方式在實例中呈現的順序。 Data type positiveInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: n/a
period	S Σ I	0..1	Period	Element id Patient.telecom.period Short description 此聯絡方式的使用效期 Definition 此聯絡方式的使用效期 Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2: N/A rim: ./usablePeriod[type="IVL<TS>"] servd: ./StartDate and ./EndDate
gender	S Σ	1..1	codeBinding	Element id Patient.gender Short description male ｜ female ｜ other ｜ unknown Definition Administrative Gender 為行政管理及保存紀錄目的之病人性別 Requirements 性別用於結合（至少）姓名和出生日期以識別個人身份 Comments 行政管理用之性別可能不符合由遺傳學或個人偏好的識別所決定的生物性別。請注意，對於人類，特別是動物，除了男性和女性，還有其他合法歸類的可能性，儘管絕大多數系統和情境只支持男性和女性。提供決策支援或執行業務規則的系統最好以檢驗檢查（Observation）呈現特定性別或感興趣的性別（解剖學、染色體、社會等）。然而，由於這些檢驗檢驗不常被記錄，預設為行政管理用之性別是常見的做法。在這種預設的情況下，規則的執行應該允許行政管理用和生物、染色體和其他性別方面的差異。例如：關於男性子宮切除的警訊應該作為警告或可推翻的錯誤來處理，而不是「硬（hard）」錯誤。關於溝通病人性別的更多資訊，請參閱Patient Gender及Sex的部分。 Data type code Binding 病人性別；應填入AdministrativeGender值集中的其中一個代碼。 AdministrativeGender (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: PID-8 rim: player[classCode=PSN\|ANM and determinerCode=INSTANCE]/administrativeGender cda: .patient.administrativeGenderCode
birthDate	S Σ	1..1	date	Element id Patient.birthDate Short description 病人出生日期 Definition 個人的出生日期 Requirements 個人的年齡驅動著許多臨床過程／進程 Comments 如果真實的出生日期未知，至少應該提供一個估計的出生年份作為猜測。有一個標準的擴充「patient-birthTime」，應該於需要出生時間（Time）資訊時使用（例如：在產科／新生兒照護系統中）。 Data type date Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: PID-7 rim: player[classCode=PSN\|ANM and determinerCode=INSTANCE]/birthTime cda: .patient.birthTime loinc: 21112-8
deceased[x]	Σ ?!	0..1		Element id Patient.deceased[x] Short description 病人是否過世 Definition 表示此人是否過世 Requirements 病人已經過世的事實影響了臨床過程／進度。另外，在人際溝通和關係管理中，有必要知道這個人是否活著。 Comments 如果實例中沒有值，就意味著沒有關於此人是否過世的聲明。大多數系統會把沒有數值解釋為這個人還活著的標誌。 Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: PID-30 (bool) and PID-29 (datetime) rim: player[classCode=PSN\|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN\|ANM and determinerCode=INSTANCE]/deceasedTime cda: n/a
deceasedBoolean			boolean	There are no (further) constraints on this element Data type boolean
deceasedDateTime			dateTime	There are no (further) constraints on this element Data type dateTime
address	S Σ	0..*	TWCoreAddress	Element id Patient.address Short description 病人聯絡地址 pat-cnt-2or3-char：如果有國家名，則必須（SHALL）從ISO Country Alpha-2（http://hl7.org/fhir/valueset/iso3166-1-2）找出相對代碼作呈現。如果未在ISO Country Alpha-2 中找到此一國家的代碼，則可能可以（MAY）從ISO Country Alpha-3（http://hl7.org/fhir/valueset/iso3166-1-3）找出相對代碼作呈現。 Definition 此人的地址 Requirements 可能需要記錄病人的地址，以便聯繫、結算或報告的要求，也有助於識別身份。 Comments 病人可能有多個地址，有不同的用途或適用期。 Data type TWCoreAddress Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XAD rim: AD servd: Address v2: PID-11 rim: addr cda: .addr
maritalStatus	S	0..1	CodeableConceptTWBinding	Element id Patient.maritalStatus Short description 病人的婚姻狀態 Definition 這個欄位包含病人的目前婚姻（民事）狀態 Requirements 如果不是所有的系統都能取得此資訊 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. Data type CodeableConceptTW Binding 病人的婚姻狀態；應填入臺灣婚姻狀態值集值集中的其中一個代碼。 Marital Status Codes (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: PID-16 rim: player[classCode=PSN]/maritalStatusCode cda: .patient.maritalStatusCode
multipleBirth[x]		0..1		Element id Patient.multipleBirth[x] Short description 病人是否為多胞胎；或多胞胎出生順序。 Definition 表示病人是否是為多胞胎（佈林值）或表示實際的出生順序（整數值） Requirements 用於消除多胎孩童的歧義，特別是在照護人員沒有見到病人的情況下，例如：在實驗室。 Comments 在提供valueInteger的情況下，這個數字是序列中的出生序。例如：三胞胎中的中間胎兒是valueInteger=2，第三胎兒是valueInteger=3，如果是為三胞胎提供布林值，那麼所有3位病人的紀錄都是valueBoolean=true（沒有指明出生序）。 Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: PID-24 (bool), PID-25 (integer) rim: player[classCode=PSN\|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN\|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber cda: n/a
multipleBirthBoolean			boolean	There are no (further) constraints on this element Data type boolean
multipleBirthInteger			integer	There are no (further) constraints on this element Data type integer
photo	S I	0..*	Attachment	Element id Patient.photo Short description 病人的影像（照片） Definition 病人的影像（照片） Requirements 許多EHR系統有能力取得病人的影像，這也符合較新的社群媒體的使用。 Comments 指引：使用個人照片，而不是臨床照片。限制尺寸為縮圖。保持低位元組小檔案以便更新resource。 Data type Attachment Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` att-1: If the Attachment has data, it SHALL have a contentType `data.empty() or contentType.exists()` Mappings rim: n/a v2: ED/RP rim: ED v2: OBX-5 - needs a profile rim: player[classCode=PSN\|ANM and determinerCode=INSTANCE]/desc cda: n/a
contact	S I	0..*	BackboneElement	Element id Patient.contact Short description 病人的聯絡人，例如：監護人、伴侶、朋友等。 Definition 病人的聯絡人（如監護人、伴侶、朋友）。 Requirements 需能聯絡到的病人的人。 Comments 聯絡涵蓋所有種類的聯絡人：家人、業務聯絡、監護人、照顧者。不適用於登記血統和家庭關係，因這超出聯絡的目的。 Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` pat-1: SHALL at least contain a contact's details or a reference to an organization `name.exists() or telecom.exists() or address.exists() or organization.exists()` Mappings rim: n/a rim: player[classCode=PSN\|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON] cda: n/a
id		0..1	string	Element id Patient.contact.id Short description 唯一可識別ID，以供資料項目間相互參照。 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。 Data type string Mappings rim: n/a
extension	I	0..*	Extension	Element id Patient.contact.extension Short description 擴充的資料項目 Alternate names extensions, user content Definition 擴充的資料項目 Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	Element id Patient.contact.modifierExtension Short description 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。 Alternate names extensions, user content, modifiers Definition 擴充的資料項目 Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints 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()` Mappings rim: n/a rim: N/A
relationship	S	0..*	CodeableConceptTWBinding	Element id Patient.contact.relationship Short description 概念（Concept）－參照一個專門術語或只是文字表述 Definition 可以透過正式參照一個專門術語或知識本體來定義一個概念，或者也可以文字表述此概念。 Requirements 根據情況決定哪位聯絡人最有關聯以作聯繫 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. Data type CodeableConceptTW Binding 應填入PatientRelationshipType值集中的其中一個代碼。 PatientRelationshipType (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: NK1-7, NK1-3 rim: code cda: n/a
name	S	0..1	HumanName	Element id Patient.contact.name Short description 聯絡人姓名 Definition 與聯絡人有關的姓名 Requirements 聯絡人需要以姓名來識別，但通常不需要此聯絡人的其他姓名的細節。 Comments Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts might or might not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely. Data type HumanName Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XPN rim: EN (actually, PN) servd: ProviderName v2: NK1-2 rim: name cda: n/a
id		0..1	string	Element id Patient.contact.name.id Short description 唯一可識別ID，以供資料項目間相互參照。 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。 Data type string Mappings rim: n/a
extension	I	0..*	Extension	Element id Patient.contact.name.extension Short description 擴充的資料項目 Alternate names extensions, user content Definition 擴充的資料項目 Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
use	S Σ ?!	0..1	codeBinding	Element id Patient.contact.name.use Short description usual \| official \| temp \| nickname \| anonymous \| old \| maiden Definition 此姓名的用途 Requirements 允許從一組姓名中為特定的使用情境選擇適當的姓名 Comments 應用程式可以假定一個姓名是永久的，除非它明確說它是暫時或舊的。 Data type code Binding 人名的使用情況；應填入NameUse值集中的其中一個代碼。 NameUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XPN.7, but often indicated by which field contains the name rim: unique(./use) servd: ./NamePurpose
text	S Σ	0..1	string	Element id Patient.contact.name.text Short description 完整的中文姓名 Definition 完整姓名的文字表述。由於世界各地的文化差異，取得資料的系統可能不知道如何正確地呈現姓名；此外，不是所有的名字部分都呈現予姓或名。因此，我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。 Requirements 一個可呈現的、未編碼的形式。 Comments 可以同時提供文字表述（text）和部分（part）。更新姓名的應用程式必須（SHALL）確保當test和lpart都存在時，text中不包含part中沒有的內容。 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: implied by XPN.11 rim: ./formatted
family	S Σ	0..1	string	Element id Patient.contact.name.family Short description 英文姓 Alternate names surname Definition 姓名中與族譜相關的部分。在一些文化中（如厄立特里亞），兒子的姓氏是其父親的名字。 Comments 姓氏可以使用擴充名（de、nl、es相關文化）分解成具體的部分（part） Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XPN.1/FN.1 rim: ./part[partType = FAM] servd: ./FamilyName
given	S Σ	0..*	string	Element id Patient.contact.name.given Short description 英文名 Alternate names first name, middle name Definition 姓名中的「名」 Comments 如果只記錄首字母，可以用它們來代替完整姓名。首字母可以分為多個名，但由於實際情況的限制，通常不會這樣做。這個資料項目不被稱為「first name」，因為「given name」並不總是排在前面。 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XPN.2 + XPN.3 rim: ./part[partType = GIV] servd: ./GivenNames
prefix	Σ	0..*	string	Element id Patient.contact.name.prefix Short description 姓名前面的頭銜由於學術，法律，職業或貴族身份等原因而獲得頭銜，出現在姓名開頭。 Definition 由於學術、法規、就業或貴族身份等原因而獲得的名，並出現在姓名的開頭。 Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XPN.5 rim: ./part[partType = PFX] servd: ./TitleCode
suffix	Σ	0..*	string	Element id Patient.contact.name.suffix Short description 姓名後面的稱謂由於學術，法律，職業或貴族身份等原因而獲得頭銜，出現在姓名之後。 Definition 由於學術、法規、就業或貴族身份等原因而獲得的名，並出現在姓名的開頭。 Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XPN/4 rim: ./part[partType = SFX]
period	Σ I	0..1	Period	Element id Patient.contact.name.period Short description 此姓名的使用效期 Definition 表明這個姓名對此病人有效的時間區間或期間 Requirements 允許多個姓名按其歷史情境（效期）儲存 Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2: XPN.13 + XPN.14 rim: ./usablePeriod[type="IVL<TS>"] servd: ./StartDate and ./EndDate
telecom	S I	0..*	ContactPoint	Element id Patient.contact.telecom Short description 聯絡人的詳細聯絡資訊 Definition 此人的詳細聯絡方式，例如：電話號碼或電子郵件地址。 Requirements 人們可透過（主要）方式與他們聯絡，例如電話、電子郵件。 Comments 聯絡人可能有多種聯絡方式，有不同的用途或適用期。可能需要有緊急聯絡此人的選項，及需要幫忙身份識別。 Data type ContactPoint Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpt-2: A system is required if a value is provided. `value.empty() or system.exists()` Mappings rim: n/a v2: XTN rim: TEL servd: ContactPoint v2: NK1-5, NK1-6, NK1-40 rim: telecom cda: n/a
id		0..1	string	Element id Patient.contact.telecom.id Short description 唯一可識別ID，以供資料項目間相互參照。 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。 Data type string Mappings rim: n/a
extension	I	0..*	Extension	Element id Patient.contact.telecom.extension Short description 擴充的資料項目 Alternate names extensions, user content 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。 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。 Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
system	S Σ I	1..1	codeBinding	Element id Patient.contact.telecom.system Short description phone \| fax \| email \| pager \| url \| sms \| other Definition 聯絡方式的通訊形式－需要什麼通訊系統進行聯絡 Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Binding 應填入ContactPointSystem值集中的其中一個代碼。 ContactPointSystem (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XTN.3 rim: ./scheme servd: ./ContactPointType
value	S Σ	1..1	string	Element id Patient.contact.telecom.value Short description 實際的聯絡方式之細節 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）。 Requirements 需支援非嚴格格式控制之舊有號碼 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。 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XTN.1 (or XTN.12) rim: ./url servd: ./Value
use	S Σ ?!	0..1	codeBinding	Element id Patient.contact.telecom.use Short description home \| work \| temp \| old \| mobile－此聯絡方式的用途 Definition 確定聯絡方式的用途 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。 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。 Data type code Binding 應填入ContactPointUse值集中的其中一個代碼。 ContactPointUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XTN.2 - but often indicated by field rim: unique(./use) servd: ./ContactPointPurpose
rank	Σ	0..1	positiveInt	Element id Patient.contact.telecom.rank Short description 具體說明偏好的使用順序（1=最高優先順序） Definition 具體說明使用一組聯繫方式的優先順序，較小排名序位的聯絡方式比較大排名序位的聯絡方式之序位還要前面。 Comments 請注意，排名序位沒有一定要遵循聯絡方式在實例中呈現的順序。 Data type positiveInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: n/a
period	Σ I	0..1	Period	Element id Patient.contact.telecom.period Short description 此聯絡方式的使用效期 Definition 此聯絡方式的使用效期 Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2: N/A rim: ./usablePeriod[type="IVL<TS>"] servd: ./StartDate and ./EndDate
address		0..1	TWCoreAddress	Element id Patient.contact.address Short description 聯絡人的地址 Definition 聯絡人的地址 Requirements 需要紀錄用以聯絡聯絡人的郵件地址或到訪地址 Comments 注意：地址的目的是描述用於管理目的之郵政地址，而不是描述絕對的地理座標。郵政地址經常被用作實體位置的代表（亦可見Locationresource）。 Data type TWCoreAddress Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: XAD rim: AD servd: Address v2: NK1-4 rim: addr cda: n/a
gender		0..1	codeBinding	Element id Patient.contact.gender Short description male ｜ female ｜ other ｜ unknown Definition Administrative Gender為行政管理的及保存紀錄目的之聯絡人性別 Requirements 用以正確稱呼聯絡人 Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Binding 聯絡人的性別；應填入AdministrativeGender值集中的其中一個代碼。 AdministrativeGender (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: NK1-15 rim: player[classCode=PSN\|ANM and determinerCode=INSTANCE]/administrativeGender cda: n/a
organization	I	0..1	Reference(TWCoreOrganization)	Element id Patient.contact.organization Short description 可聯絡到聯絡人的機構 Definition 聯絡人為機構或聯絡人為其工作的機構 Requirements 監護人或與業務相關聯絡與此機構有關 Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(TWCoreOrganization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2: NK1-13, NK1-30, NK1-31, NK1-32, NK1-41 rim: scoper cda: n/a
period	S I	0..1	Period	Element id Patient.contact.period Short description 聯絡人或其可聯絡機構之可聯絡期（時間區間） Definition 與此病人有關的聯絡人或機構的有效聯絡期 Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] rim: effectiveTime cda: n/a
communication	S	0..*	BackboneElement	Element id Patient.communication Short description 向病人說明健康狀態時所使用的語言 Definition 可用於與病人溝通其健康狀況的語言。 Requirements 如果病人不會說當地語言，可能需要翻譯，因此，對於病人和其他相關人員來說，所講的語言和熟練程度都是需要記錄的重要內容。 Comments 如果沒有指定語言，這意味著預設使用當地語言。如果你需要多種模式的熟練程度，那麼你需要多個Patient.Communication關聯。對於動物來說，語言不是相關的欄位，應該不存在於實例中。如果病人不講預設的當地語言，那麼可以使用「（Interpreter Required Standard）需要口譯員」來明確聲明需要口譯員。 Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: LanguageCommunication cda: patient.languageCommunication
id		0..1	string	Element id Patient.communication.id Short description 唯一可識別ID，以供資料項目間相互參照。 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。 Data type string Mappings rim: n/a
extension	I	0..*	Extension	Element id Patient.communication.extension Short description 擴充的資料項目 Alternate names extensions, user content Definition 擴充的資料項目 Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	Element id Patient.communication.modifierExtension Short description 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。 Alternate names extensions, user content, modifiers Definition 擴充的資料項目 Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints 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()` Mappings rim: n/a rim: N/A
language	S	1..1	CodeableConceptTWBinding	Element id Patient.communication.language Short description 向病人說明健康狀況時所使用的語言 Definition 小寫的ISO-639-1字母兩個代碼表示的語言，後面可以有連字符號，大寫的ISO-3166-1字母兩個代碼表示使用此語言的地區；例如「en 」代表英語，或者「en-US 」代表美國英語，而「en-EN 」代表英國英語。 Requirements 在多語言國家的大多數系統都會想要溝通語言。並非所有的系統實際上都需要區域方言。 Comments 帶有這種精確字母大小寫的aa-BB結構是最廣泛使用的地方性符號之一。但並不是所有的系統都對其進行編碼，而是將其作為純文字表述。因此，data type為CodeableConcept而不是code。 Data type CodeableConceptTW Binding 應填入CommonLanguages值集中的其中一個代碼。 CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples Value zh-TW Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD v2: PID-15, LAN-2 rim: player[classCode=PSN\|ANM and determinerCode=INSTANCE]/languageCommunication/code cda: .languageCode
preferred		0..1	boolean	Element id Patient.communication.preferred Short description 病人是否偏好使用此語言 Definition 表示病人是否偏好此語言（相對於其他它已掌握到一定水平的語言） Requirements 掌握多種語言達到一定水平的人可能更偏好一種或多種語言，也就是說，在用某一種語言溝通時感到更有信心，使其他語言成為一種備用語言。 Comments 此語言專門用以溝通健康照護資訊 Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: PID-15 rim: preferenceInd cda: .preferenceInd
generalPractitioner	I	0..*	Reference(TWCoreOrganization \| TWCorePractitioner \| PractitionerRole)	Element id Patient.generalPractitioner Short description 照護此病人的機構、照護服務提供者、或健康照護服務提供者的角色 Alternate names careProvider Definition 病人指定的照護服務提供者 Comments 這可能是基層健康照護提供者（在一般科醫生的情境下），也可能是在社區／失能環境中由病人提名的照護管理者，甚至是提供人力來履行照護提供者角色的機構。它不能用來記錄Care Teams，這些團隊應該在CareTeams resource中，可以連接到CarePlan或EpisodeOfCare。由於各種原因，病人可能會被記錄有多個一般科醫生，例如：一位學生在學校學期期間將他的家庭醫生與大學的醫生一起列出，或者一位至偏遠地區「飛進／飛出」的工作者會有當地的醫師及其家庭醫生，以保持對醫療問題的瞭解。如果需要，各行政管轄區可決定將其規範為只有1位，或每種型別1位。 Data type Reference(TWCoreOrganization \| TWCorePractitioner \| PractitionerRole) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2: PD1-4 rim: subjectOf.CareEvent.performer.AssignedEntity cda: n/a
managingOrganization	S Σ I	0..1	Reference(TWCoreOrganization)	Element id Patient.managingOrganization Short description 此紀錄的保管機構 Definition 病人紀錄的保管機構 Requirements 需要知道誰識別、管理和更新這位病人的紀錄 Comments 僅有一個管理特定病人紀錄的機構。其他機構將擁有自己的「病人」紀錄，並可透過使用「Link」屬性將紀錄結合在一起（或可以包含關聯可信的「Person」resource）。 Data type Reference(TWCoreOrganization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim: scoper cda: .providerOrganization
link	Σ ?!	0..*	BackboneElement	Element id Patient.link Short description 連結至此病人的其他Patient Resource Definition 連結到另一個涉及同一實際病人的Patient resource。 Requirements 有多種使用案例：由於難以一致地指明與人相關的文件而錯誤地重複製作病人紀錄，並在多個伺服器上發佈病人的資訊。 Comments 不存在連結的病人紀錄有相互連結的假設 Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: outboundLink cda: n/a
id		0..1	string	Element id Patient.link.id Short description 唯一可識別ID，以供資料項目間相互參照。 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。 Data type string Mappings rim: n/a
extension	I	0..*	Extension	Element id Patient.link.extension Short description 擴充的資料項目 Alternate names extensions, user content Definition 擴充的資料項目 Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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()` Mappings rim: n/a rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	Element id Patient.link.modifierExtension Short description 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。 Alternate names extensions, user content, modifiers Definition 擴充的資料項目 Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints 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()` Mappings rim: n/a rim: N/A
other	Σ I	1..1	Reference(TWCorePatient \| RelatedPerson)	Element id Patient.link.other Short description 連結至其他Patient或RelatedPerson Resource Definition 此連超所參照的另一個Patient resource Comments 在這裡參照一個RelatedPerson，就不需要另外使用Person來將Patient及RelatedPerson作為同一個人關聯起來。 Data type Reference(TWCorePatient \| RelatedPerson) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2: PID-3, MRG-1 rim: id cda: n/a
type	Σ	1..1	codeBinding	Element id Patient.link.type Short description replaced-by ｜ replaces ｜ refer ｜ seealso Definition 這個Patient resource與另一個Patient resource之間的連結型別 Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Binding 連結的型別；應填入LinkType值集中的其中一個代碼。 LinkType (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: typeCode cda: n/a