同意書實作指引(Consent Form IG)
0.1.0 - CI Build
同意書實作指引(Consent Form IG)
0.1.0 - CI Build
This page is part of the 同意書實作指引 (v0.1.0: Releases Ballot 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions 
| Official URL: http://hitstdio.ntunhs.edu.tw/consentForm/StructureDefinition/Composition-cf | Version: 0.1.0 | |||
| Active as of 2023-05-16 | Computable Name: CompositionCF | |||
此同意書Composition(CompositionCF) Profile說明本IG如何進一步定義FHIR的Composition Resource以呈現同意書資料
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Composition
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
  text | S | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| identifier | S | 0..1 | Identifier | Version-independent identifier for the Composition |
| status | S | 1..1 | code | preliminary | final | amended | entered-in-error |
  type | S | 1..1 | CodeableConceptTW | 概念（Concept）— 參照一個專門術語或只是文字表述 |
  coding | ||||
 system | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org | |
 code | 1..1 | code | 系統定義的語法之符號 Required Pattern: 59284-0 | |
| category | 0..* | CodeableConcept | Categorization of Composition Binding: 同意書類別值集 (required) | |
 subject | 1..1 | Reference(TW Core Patient) | Who and/or what the composition is about | |
| date | S | 1..1 | dateTime | Composition editing time |
| author | 1..1 | Reference(TW Core Organization Hospital Department) | Who and/or what authored the composition | |
| title | S | 1..1 | string | 同等於Consent.type，但可修改為其他名稱，例如機構有時會想在標題加上醫院名稱等。 |
| section | S | 1..* | BackboneElement | Composition is broken into sections |
| code | S | 0..1 | CodeableConceptTW | 概念（Concept）— 參照一個專門術語或只是文字表述 Required Pattern: At least the following |
 coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 59284-0 | |
 Slices for entry | S | 1..2 | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() |
  entry:consent | S | 1..1 | Reference(Consent-DOLTC-AFFT | Consent-DOLTC-CMAF | Consent-HPA-CFK7-12Y | Consent-HPA-CFS7-20Y | Consent-DOLTC-LTCNA | Consent-DOMA-CFOD | Consent-DOMA-CFPC | Consent-DOLTC-PDCPUA) | A reference to data that supports this section |
| emptyReason | 0..0 | |||
| section | 0..0 | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Composition.category | required | ConsentCategory (a valid code from 同意書類別) |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
 implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| text | S | 0..1 | Narrative | Text summary of the resource, for human interpretation |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | SΣ | 0..1 | Identifier | Version-independent identifier for the Composition |
| status | ?!SΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. |
| type | S | 1..1 | CodeableConceptTW | 概念（Concept）— 參照一個專門術語或只是文字表述 Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. |
| coding | S | 0..* | CodingTW | 由專門術語系統（terminology system）定義的代碼 |
| system | SΣ | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org |
| code | SΣ | 1..1 | code | 系統定義的語法之符號 Required Pattern: 59284-0 |
| display | SΣ | 0..1 | string | 由系統定義的表示法 |
| text | SΣ | 0..1 | string | 概念的文字表示法 |
| category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: 同意書類別值集 (required) |
| subject | Σ | 1..1 | Reference(TW Core Patient) | Who and/or what the composition is about |
| date | SΣ | 1..1 | dateTime | Composition editing time |
| author | Σ | 1..1 | Reference(TW Core Organization Hospital Department) | Who and/or what authored the composition |
| title | SΣ | 1..1 | string | 同等於Consent.type，但可修改為其他名稱，例如機構有時會想在標題加上醫院名稱等。 |
| section | SC | 1..* | BackboneElement | Composition is broken into sections |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | S | 0..1 | CodeableConceptTW | 概念（Concept）— 參照一個專門術語或只是文字表述 Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 59284-0 | |
| Slices for entry | SC | 1..2 | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() |
| entry:consent | SC | 1..1 | Reference(Consent-DOLTC-AFFT | Consent-DOLTC-CMAF | Consent-HPA-CFK7-12Y | Consent-HPA-CFS7-20Y | Consent-DOLTC-LTCNA | Consent-DOMA-CFOD | Consent-DOMA-CFPC | Consent-DOLTC-PDCPUA) | A reference to data that supports this section |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Composition.status | required | CompositionStatus |
| Composition.type | preferred | FHIRDocumentTypeCodes |
| Composition.category | required | ConsentCategory (a valid code from 同意書類別) |
| Composition.section.code | example | Pattern: LOINC code 59284-0 |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | S | 0..1 | Narrative | Text summary of the resource, for human interpretation | ||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
 extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | SΣ | 0..1 | Identifier | Version-independent identifier for the Composition | ||||
| status | ?!SΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
| type | S | 1..1 | CodeableConceptTW | 概念（Concept）— 參照一個專門術語或只是文字表述 Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. | ||||
| id | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| coding | S | 0..* | CodingTW | 由專門術語系統（terminology system）定義的代碼 | ||||
| id | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system | SΣ | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org | ||||
| version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
| code | SΣ | 1..1 | code | 系統定義的語法之符號 Required Pattern: 59284-0 | ||||
| display | SΣ | 0..1 | string | 由系統定義的表示法 | ||||
| userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇？ | ||||
| text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
| category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: 同意書類別值集 (required) | ||||
| subject | Σ | 1..1 | Reference(TW Core Patient) | Who and/or what the composition is about | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition | ||||
| date | SΣ | 1..1 | dateTime | Composition editing time | ||||
| author | Σ | 1..1 | Reference(TW Core Organization Hospital Department) | Who and/or what authored the composition | ||||
| title | SΣ | 1..1 | string | 同等於Consent.type，但可修改為其他名稱，例如機構有時會想在標題加上醫院名稱等。 | ||||
| confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | ||||
| attester | 0..* | BackboneElement | Attests to accuracy of composition | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
| time | 0..1 | dateTime | When the composition was attested | |||||
| party | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |||||
| custodian | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition | ||||
| relatesTo | 0..* | BackboneElement | Relationships to other compositions/documents | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
 target[x] | 1..1 | Target of the relationship | ||||||
| targetIdentifier | Identifier | |||||||
| targetReference | Reference(Composition) | |||||||
| event | Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | ||||
| period | Σ | 0..1 | Period | The period covered by the documentation | ||||
| detail | Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
| section | SC | 1..* | BackboneElement | Composition is broken into sections | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | 0..1 | string | Label for section (e.g. for ToC) | |||||
| code | S | 0..1 | CodeableConceptTW | 概念（Concept）— 參照一個專門術語或只是文字表述 Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 59284-0 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry | SC | 1..2 | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() | ||||
| entry:consent | SC | 1..1 | Reference(Consent-DOLTC-AFFT | Consent-DOLTC-CMAF | Consent-HPA-CFK7-12Y | Consent-HPA-CFS7-20Y | Consent-DOLTC-LTCNA | Consent-DOMA-CFOD | Consent-DOMA-CFPC | Consent-DOLTC-PDCPUA) | A reference to data that supports this section | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Composition.language | preferred | CommonLanguages
| ||||
| Composition.status | required | CompositionStatus | ||||
| Composition.type | preferred | FHIRDocumentTypeCodes | ||||
| Composition.category | required | ConsentCategory (a valid code from 同意書類別) | ||||
| Composition.confidentiality | required | v3.ConfidentialityClassification | ||||
| Composition.attester.mode | required | CompositionAttestationMode | ||||
| Composition.relatesTo.code | required | DocumentRelationshipType | ||||
| Composition.event.code | example | ActCode | ||||
| Composition.section.code | example | Pattern: LOINC code 59284-0 | ||||
| Composition.section.mode | required | ListMode | ||||
| Composition.section.orderedBy | preferred | ListOrderCodes |
This structure is derived from Composition
Summary
Mandatory: 4 elements (2 nested mandatory elements)
Must-Support: 10 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Composition
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
| text | S | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| identifier | S | 0..1 | Identifier | Version-independent identifier for the Composition |
| status | S | 1..1 | code | preliminary | final | amended | entered-in-error |
| type | S | 1..1 | CodeableConceptTW | 概念（Concept）— 參照一個專門術語或只是文字表述 |
| coding | ||||
| system | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org | |
| code | 1..1 | code | 系統定義的語法之符號 Required Pattern: 59284-0 | |
| category | 0..* | CodeableConcept | Categorization of Composition Binding: 同意書類別值集 (required) | |
| subject | 1..1 | Reference(TW Core Patient) | Who and/or what the composition is about | |
| date | S | 1..1 | dateTime | Composition editing time |
| author | 1..1 | Reference(TW Core Organization Hospital Department) | Who and/or what authored the composition | |
| title | S | 1..1 | string | 同等於Consent.type，但可修改為其他名稱，例如機構有時會想在標題加上醫院名稱等。 |
| section | S | 1..* | BackboneElement | Composition is broken into sections |
| code | S | 0..1 | CodeableConceptTW | 概念（Concept）— 參照一個專門術語或只是文字表述 Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 59284-0 | |
| Slices for entry | S | 1..2 | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() |
| entry:consent | S | 1..1 | Reference(Consent-DOLTC-AFFT | Consent-DOLTC-CMAF | Consent-HPA-CFK7-12Y | Consent-HPA-CFS7-20Y | Consent-DOLTC-LTCNA | Consent-DOMA-CFOD | Consent-DOMA-CFPC | Consent-DOLTC-PDCPUA) | A reference to data that supports this section |
| emptyReason | 0..0 | |||
| section | 0..0 | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Composition.category | required | ConsentCategory (a valid code from 同意書類別) |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| text | S | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | SΣ | 0..1 | Identifier | Version-independent identifier for the Composition |
| status | ?!SΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. |
| type | S | 1..1 | CodeableConceptTW | 概念（Concept）— 參照一個專門術語或只是文字表述 Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. |
| coding | S | 0..* | CodingTW | 由專門術語系統（terminology system）定義的代碼 |
| system | SΣ | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org |
| code | SΣ | 1..1 | code | 系統定義的語法之符號 Required Pattern: 59284-0 |
| display | SΣ | 0..1 | string | 由系統定義的表示法 |
| text | SΣ | 0..1 | string | 概念的文字表示法 |
| category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: 同意書類別值集 (required) |
| subject | Σ | 1..1 | Reference(TW Core Patient) | Who and/or what the composition is about |
| date | SΣ | 1..1 | dateTime | Composition editing time |
| author | Σ | 1..1 | Reference(TW Core Organization Hospital Department) | Who and/or what authored the composition |
| title | SΣ | 1..1 | string | 同等於Consent.type，但可修改為其他名稱，例如機構有時會想在標題加上醫院名稱等。 |
| section | SC | 1..* | BackboneElement | Composition is broken into sections |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | S | 0..1 | CodeableConceptTW | 概念（Concept）— 參照一個專門術語或只是文字表述 Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 59284-0 | |
| Slices for entry | SC | 1..2 | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() |
| entry:consent | SC | 1..1 | Reference(Consent-DOLTC-AFFT | Consent-DOLTC-CMAF | Consent-HPA-CFK7-12Y | Consent-HPA-CFS7-20Y | Consent-DOLTC-LTCNA | Consent-DOMA-CFOD | Consent-DOMA-CFPC | Consent-DOLTC-PDCPUA) | A reference to data that supports this section |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Composition.status | required | CompositionStatus |
| Composition.type | preferred | FHIRDocumentTypeCodes |
| Composition.category | required | ConsentCategory (a valid code from 同意書類別) |
| Composition.section.code | example | Pattern: LOINC code 59284-0 |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | S | 0..1 | Narrative | Text summary of the resource, for human interpretation | ||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | SΣ | 0..1 | Identifier | Version-independent identifier for the Composition | ||||
| status | ?!SΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
| type | S | 1..1 | CodeableConceptTW | 概念（Concept）— 參照一個專門術語或只是文字表述 Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. | ||||
| id | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| coding | S | 0..* | CodingTW | 由專門術語系統（terminology system）定義的代碼 | ||||
| id | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system | SΣ | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://loinc.org | ||||
| version | Σ | 0..1 | string | 系統的版本—如果相關的話 | ||||
| code | SΣ | 1..1 | code | 系統定義的語法之符號 Required Pattern: 59284-0 | ||||
| display | SΣ | 0..1 | string | 由系統定義的表示法 | ||||
| userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇？ | ||||
| text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
| category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: 同意書類別值集 (required) | ||||
| subject | Σ | 1..1 | Reference(TW Core Patient) | Who and/or what the composition is about | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition | ||||
| date | SΣ | 1..1 | dateTime | Composition editing time | ||||
| author | Σ | 1..1 | Reference(TW Core Organization Hospital Department) | Who and/or what authored the composition | ||||
| title | SΣ | 1..1 | string | 同等於Consent.type，但可修改為其他名稱，例如機構有時會想在標題加上醫院名稱等。 | ||||
| confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | ||||
| attester | 0..* | BackboneElement | Attests to accuracy of composition | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
| time | 0..1 | dateTime | When the composition was attested | |||||
| party | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |||||
| custodian | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition | ||||
| relatesTo | 0..* | BackboneElement | Relationships to other compositions/documents | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
| target[x] | 1..1 | Target of the relationship | ||||||
| targetIdentifier | Identifier | |||||||
| targetReference | Reference(Composition) | |||||||
| event | Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | ||||
| period | Σ | 0..1 | Period | The period covered by the documentation | ||||
| detail | Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
| section | SC | 1..* | BackboneElement | Composition is broken into sections | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | 0..1 | string | Label for section (e.g. for ToC) | |||||
| code | S | 0..1 | CodeableConceptTW | 概念（Concept）— 參照一個專門術語或只是文字表述 Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 59284-0 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry | SC | 1..2 | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:$this.resolve() | ||||
| entry:consent | SC | 1..1 | Reference(Consent-DOLTC-AFFT | Consent-DOLTC-CMAF | Consent-HPA-CFK7-12Y | Consent-HPA-CFS7-20Y | Consent-DOLTC-LTCNA | Consent-DOMA-CFOD | Consent-DOMA-CFPC | Consent-DOLTC-PDCPUA) | A reference to data that supports this section | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Composition.language | preferred | CommonLanguages
| ||||
| Composition.status | required | CompositionStatus | ||||
| Composition.type | preferred | FHIRDocumentTypeCodes | ||||
| Composition.category | required | ConsentCategory (a valid code from 同意書類別) | ||||
| Composition.confidentiality | required | v3.ConfidentialityClassification | ||||
| Composition.attester.mode | required | CompositionAttestationMode | ||||
| Composition.relatesTo.code | required | DocumentRelationshipType | ||||
| Composition.event.code | example | ActCode | ||||
| Composition.section.code | example | Pattern: LOINC code 59284-0 | ||||
| Composition.section.mode | required | ListMode | ||||
| Composition.section.orderedBy | preferred | ListOrderCodes |
This structure is derived from Composition
Summary
Mandatory: 4 elements (2 nested mandatory elements)
Must-Support: 10 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
以下概述了此Profile所需的RESTful FHIR互動功能。
必須(SHALL) 支援透過查詢參數 author 查詢所有Composition：
(如何透過reference查詢)
GET [base]/Composition?author={Type/}[id]
例子：
(1) GET [base]/Composition?author=Organization/org-hosp-example
(2) GET [base]/Composition?author=org-hosp-example
必須(SHALL) 支援透過查詢參數 subject 查詢所有Composition：
(如何透過reference查詢)
GET [base]/Composition?subject={Type/}[id]
例子：
(1) GET [base]/Composition?subject=Patient/pat-example
(1) GET [base]/Composition?subject=pat-example