醫查實作指引 - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: CompositionDischargeSummary IMRI

此Profile說明本IG如何進一步定義臺灣核心-臨床文件架構（TW Core Composition) Profile以呈現出院病摘的報告文件。

Usage:

• Use this Resource Profile: BundleDischargeSummary IMRI
• Examples for this Resource Profile: Composition/CompositionDischargeSummary-min

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from TWCoreComposition

Name	Flags	Card.	Type	Description & Constraints
Composition			TWCoreComposition
status		1..1	code	registered | partial | preliminary | final | amended | corrected + Required Pattern: final
type		1..1	CodeableConceptTW	Composition的種類（如果可能請使用LOINC） 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: 18842-5
display		1..1	string	Representation defined by the system Fixed Value: Discharge summary
subject		1..1	Reference(Patient IMRI)	Composition是關於誰和/或什麼
encounter	S	1..1	Reference(Encounter IMRI)	Composition的情境
author		1..*	Reference(Organization Hospital Department IMRI | Practitioner IMRI)	誰和/或什麼創建了這個Composition
title		1..1	string	人類可讀的名稱/標題 Fixed Value: 出院病歷摘要
attester
party		0..1	Reference(Patient IMRI | RelatedPerson | Practitioner IMRI | PractitionerRole IMRI | Organization Hospital Department IMRI)	誰證明了此Composition
custodian		0..1	Reference(Organization Hospital Department IMRI)	維護Composition的機構
Slices for section		5..*	BackboneElement	Composition被分成一個或數個小節 Slice: Unordered, Closed by value:code
section:Impression	SC	0..*	BackboneElement	Composition被分成一個或數個小節 imri-2: Composition.section.text or Composition.section.entry SHALL be present
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 住院臆斷
code		1..1	CodeableConceptTW	小節分類(建議) 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: 46241-6
display		1..1	string	Representation defined by the system Fixed Value: Hospital admission diagnosis Narrative - Reported
entry		0..*	Reference(ObservationImpression IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:DischargeDiagnosis	S	1..*	BackboneElement	Composition被分成一個或數個小節
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 出院診斷
code		1..1	CodeableConceptTW	小節分類(建議) 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: 11535-2
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge Dx Narrative
entry		1..*	Reference(ConditionDischargeDiagnosis IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:CancerStaging	S	0..1	BackboneElement	Composition被分成一個或數個小節
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 癌症期別
code		1..1	CodeableConceptTW	小節分類(建議) 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: 22037-6
display		1..1	string	Representation defined by the system Fixed Value: Staging Cancer Narrative
entry		0..*	Reference(ObservationCancerStaging IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:ChiefComplaint	SC	1..1	BackboneElement	Composition被分成一個或數個小節 imri-2: Composition.section.text or Composition.section.entry SHALL be present
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 主訴
code		1..1	CodeableConceptTW	小節分類(建議) 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: 10154-3
display		1..1	string	Representation defined by the system Fixed Value: Chief complaint Narrative - Reported
entry		0..*	Reference(ConditionChiefComplaint IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:PresentIllness	SC	0..*	BackboneElement	Composition被分成一個或數個小節 imri-2: Composition.section.text or Composition.section.entry SHALL be present
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 病史
code		1..1	CodeableConceptTW	小節分類(建議) 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: 10164-2
display		1..1	string	Representation defined by the system Fixed Value: History of Present illness Narrative
entry		0..*	Reference(ConditionPresentIllness IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:PhysicalExamination	S	0..*	BackboneElement	Composition被分成一個或數個小節
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 理學檢查發現
code		1..1	CodeableConceptTW	小節分類(建議) 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: 29545-1
display		1..1	string	Representation defined by the system Fixed Value: Physical findings Narrative
entry		0..*	Reference(ObservationPhysicalExamination IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:LaboratoryData	S	0..*	BackboneElement	Composition被分成一個或數個小節
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 檢驗與特殊檢查
code		1..1	CodeableConceptTW	小節分類(建議) 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: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative
entry		0..*	Reference(ObservationLaboratory IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:ImagingStudy	S	0..*	BackboneElement	Composition被分成一個或數個小節
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 醫療影像檢查
code		1..1	CodeableConceptTW	小節分類(建議) 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: 18748-4
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging study
entry		0..*	Reference(ImagingStudy IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:PathologyReport	S	0..*	BackboneElement	Composition被分成一個或數個小節
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 病理報告
code		1..1	CodeableConceptTW	小節分類(建議) 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: 22034-3
display		1..1	string	Representation defined by the system Fixed Value: Pathology report Cancer Narrative
entry		0..*	Reference(ObservationPathologyReport IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:SurgicalMethod	S	1..*	BackboneElement	Composition被分成一個或數個小節
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 手術日期及方法
code		1..1	CodeableConceptTW	小節分類(建議) 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: 8724-7
display		1..1	string	Representation defined by the system Fixed Value: Surgical operation note description Narrative
entry		1..*	Reference(Procedure IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:HospitalCourse	SC	1..1	BackboneElement	Composition被分成一個或數個小節 imri-2: Composition.section.text or Composition.section.entry SHALL be present
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 住院治療經過
code		1..1	CodeableConceptTW	小節分類(建議) 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: 8648-8
display		1..1	string	Representation defined by the system Fixed Value: Hospital course Narrative
entry		0..*	Reference(ProcedureHospitalCourse IMRI | Location IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:ComorbiditesAndOrComlications	S	0..*	BackboneElement	Composition被分成一個或數個小節
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 合併症與併發症
code		1..1	CodeableConceptTW	小節分類(建議) 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: 55109-3
display		1..1	string	Representation defined by the system Fixed Value: Complications Document
entry		0..*	Reference(ConditionComorbiditiesandComplications IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:InstructionsOnDischarge	S	1..1	BackboneElement	Composition被分成一個或數個小節
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 出院指示
code		1..1	CodeableConceptTW	小節分類(建議) 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: 8653-8
display		1..1	string	Representation defined by the system Fixed Value: Hospital Discharge instructions
entry		0..*	Reference(CarePlan IMRI | MedicationRequest IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
imri-2	error	Composition.section:Impression, Composition.section:ChiefComplaint, Composition.section:PresentIllness, Composition.section:HospitalCourse	Composition.section.text or Composition.section.entry SHALL be present : text.exists() or entry.exists()

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	TWCoreComposition	將一組resources組成一份連貫的臨床聲明，並附有臨床證明。
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
modifierExtension	?!	0..*	Extension	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。
identifier	SΣ	0..1	Identifier	不分版本的臨床文件架構(Composition)識別碼。
status	?!SΣ	1..1	code	registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): Composition的工作流程/臨床狀態；應填入所綁定值集中的其中一個代碼。 Required Pattern: final
type	S	1..1	CodeableConceptTW	Composition的種類（如果可能請使用LOINC） Binding: FHIRDocumentTypeCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 18842-5
display		1..1	string	Representation defined by the system Fixed Value: Discharge summary
subject	SΣ	1..1	Reference(Patient IMRI)	Composition是關於誰和/或什麼
encounter	SΣ	1..1	Reference(Encounter IMRI)	Composition的情境
date	SΣ	1..1	dateTime	Composition的編輯時間
author	SΣ	1..*	Reference(Organization Hospital Department IMRI | Practitioner IMRI)	誰和/或什麼創建了這個Composition
title	SΣ	1..1	string	人類可讀的名稱/標題 Fixed Value: 出院病歷摘要
attester	S	0..*	BackboneElement	證明Composition的準確性
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): 認證者提供的認證類型；應填入所綁定值集中的其中一個代碼。
party		0..1	Reference(Patient IMRI | RelatedPerson | Practitioner IMRI | PractitionerRole IMRI | Organization Hospital Department IMRI)	誰證明了此Composition
custodian	SΣ	0..1	Reference(Organization Hospital Department IMRI)	維護Composition的機構
Slices for section	SC	5..*	BackboneElement	Composition被分成一個或數個小節 Slice: Unordered, Closed by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	0..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	0..*	Reference(Resource)	提供一個連結用於參照或查看支持此小節內容的資料
section:Impression	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty imri-2: Composition.section.text or Composition.section.entry SHALL be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 住院臆斷
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 46241-6
display		1..1	string	Representation defined by the system Fixed Value: Hospital admission diagnosis Narrative - Reported
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	0..*	Reference(ObservationImpression IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:DischargeDiagnosis	SC	1..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 出院診斷
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 11535-2
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge Dx Narrative
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	1..*	Reference(ConditionDischargeDiagnosis IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:CancerStaging	SC	0..1	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 癌症期別
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 22037-6
display		1..1	string	Representation defined by the system Fixed Value: Staging Cancer Narrative
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	0..*	Reference(ObservationCancerStaging IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:ChiefComplaint	SC	1..1	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty imri-2: Composition.section.text or Composition.section.entry SHALL be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 主訴
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 10154-3
display		1..1	string	Representation defined by the system Fixed Value: Chief complaint Narrative - Reported
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	0..*	Reference(ConditionChiefComplaint IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:PresentIllness	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty imri-2: Composition.section.text or Composition.section.entry SHALL be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 病史
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 10164-2
display		1..1	string	Representation defined by the system Fixed Value: History of Present illness Narrative
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	0..*	Reference(ConditionPresentIllness IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:PhysicalExamination	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 理學檢查發現
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 29545-1
display		1..1	string	Representation defined by the system Fixed Value: Physical findings Narrative
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	0..*	Reference(ObservationPhysicalExamination IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:LaboratoryData	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 檢驗與特殊檢查
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	0..*	Reference(ObservationLaboratory IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:ImagingStudy	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 醫療影像檢查
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 18748-4
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging study
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	0..*	Reference(ImagingStudy IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:PathologyReport	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 病理報告
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 22034-3
display		1..1	string	Representation defined by the system Fixed Value: Pathology report Cancer Narrative
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	0..*	Reference(ObservationPathologyReport IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:SurgicalMethod	SC	1..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 手術日期及方法
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 8724-7
display		1..1	string	Representation defined by the system Fixed Value: Surgical operation note description Narrative
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	1..*	Reference(Procedure IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:HospitalCourse	SC	1..1	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty imri-2: Composition.section.text or Composition.section.entry SHALL be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 住院治療經過
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 8648-8
display		1..1	string	Representation defined by the system Fixed Value: Hospital course Narrative
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	0..*	Reference(ProcedureHospitalCourse IMRI | Location IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:ComorbiditesAndOrComlications	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 合併症與併發症
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 55109-3
display		1..1	string	Representation defined by the system Fixed Value: Complications Document
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	0..*	Reference(ConditionComorbiditiesandComplications IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:InstructionsOnDischarge	SC	1..1	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 出院指示
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 8653-8
display		1..1	string	Representation defined by the system Fixed Value: Hospital Discharge instructions
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	0..*	Reference(CarePlan IMRI | MedicationRequest IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	Pattern: final http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	Pattern: LOINC Code 18842-5("Discharge summary") http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.section.code	extensible	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:Impression.code	extensible	Pattern: LOINC Code 46241-6("Hospital admission diagnosis Narrative - Reported") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:DischargeDiagnosis.code	extensible	Pattern: LOINC Code 11535-2("Hospital discharge Dx Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:CancerStaging.code	extensible	Pattern: LOINC Code 22037-6("Staging Cancer Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:ChiefComplaint.code	extensible	Pattern: LOINC Code 10154-3("Chief complaint Narrative - Reported") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:PresentIllness.code	extensible	Pattern: LOINC Code 10164-2("History of Present illness Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:PhysicalExamination.code	extensible	Pattern: LOINC Code 29545-1("Physical findings Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:LaboratoryData.code	extensible	Pattern: LOINC Code 30954-2("Relevant diagnostic tests/laboratory data Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:ImagingStudy.code	extensible	Pattern: LOINC Code 18748-4("Diagnostic imaging study") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:PathologyReport.code	extensible	Pattern: LOINC Code 22034-3("Pathology report Cancer Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:SurgicalMethod.code	extensible	Pattern: LOINC Code 8724-7("Surgical operation note description Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:HospitalCourse.code	extensible	Pattern: LOINC Code 8648-8("Hospital course Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:ComorbiditesAndOrComlications.code	extensible	Pattern: LOINC Code 55109-3("Complications Document") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:InstructionsOnDischarge.code	extensible	Pattern: LOINC Code 8653-8("Hospital Discharge instructions") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
imri-2	error	Composition.section:Impression, Composition.section:ChiefComplaint, Composition.section:PresentIllness, Composition.section:HospitalCourse	Composition.section.text or Composition.section.entry SHALL be present : text.exists() or entry.exists()

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	TWCoreComposition	將一組resources組成一份連貫的臨床聲明，並附有臨床證明。
id	Σ	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的Composition紀錄，通常又稱為邏輯性ID。
meta	Σ	0..1	Meta	此Composition Resource的metadata
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
language		0..1	code	用以表述Composition Resource內容的語言 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用所綁定值集中的代碼，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。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
text		0..1	Narrative	Composition Resource之內容摘要以供人閱讀
contained		0..*	Resource	內嵌的(contained)、行內的Resources
extension		0..*	Extension	擴充的資料項目
modifierExtension	?!	0..*	Extension	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。
identifier	SΣ	0..1	Identifier	不分版本的臨床文件架構(Composition)識別碼。
status	?!SΣ	1..1	code	registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): Composition的工作流程/臨床狀態；應填入所綁定值集中的其中一個代碼。 Required Pattern: final
type	S	1..1	CodeableConceptTW	Composition的種類（如果可能請使用LOINC） Binding: FHIRDocumentTypeCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 18842-5
display		1..1	string	Representation defined by the system Fixed Value: Discharge summary
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category		0..*	CodeableConceptTW	Composition的分類 Binding: DocumentClassValueSet (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
subject	SΣ	1..1	Reference(Patient IMRI)	Composition是關於誰和/或什麼
encounter	SΣ	1..1	Reference(Encounter IMRI)	Composition的情境
date	SΣ	1..1	dateTime	Composition的編輯時間
author	SΣ	1..*	Reference(Organization Hospital Department IMRI | Practitioner IMRI)	誰和/或什麼創建了這個Composition
title	SΣ	1..1	string	人類可讀的名稱/標題 Fixed Value: 出院病歷摘要
confidentiality	Σ	0..1	code	根據特定技術領域的定義 Binding: v3.ConfidentialityClassification (2014-03-26) (required): 應填入所綁定值集中的其中一個代碼。
attester	S	0..*	BackboneElement	證明Composition的準確性
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): 認證者提供的認證類型；應填入所綁定值集中的其中一個代碼。
time		0..1	dateTime	此Composition被證明的時間
party		0..1	Reference(Patient IMRI | RelatedPerson | Practitioner IMRI | PractitionerRole IMRI | Organization Hospital Department IMRI)	誰證明了此Composition
custodian	SΣ	0..1	Reference(Organization Hospital Department IMRI)	維護Composition的機構
relatesTo		0..*	BackboneElement	與其他Composition/文件之間的關係
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): 檔案之間的關係型別；應填入所綁定值集中的其中一個代碼。
target[x]		1..1		此關係的目標文件
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	正在記錄的臨床服務
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		0..*	CodeableConceptTW	此代碼表代表了正在被記錄的主要臨床行為 Binding: v3 Code System ActCode (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
period	Σ	0..1	Period	文件所涵蓋的時間區間
detail	Σ	0..*	Reference(Resource)	在描述被記錄下來的事件，這些事件可以是以代碼的形式、參考資料的形式，或者兩者都有的形式來呈現。
Slices for section	SC	5..*	BackboneElement	Composition被分成一個或數個小節 Slice: Unordered, Closed by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
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	小節標籤(例如：目錄ToC)
code	S	0..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
author		0..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	0..*	Reference(Resource)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
section:Impression	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty imri-2: Composition.section.text or Composition.section.entry SHALL be present
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	小節標籤(例如：目錄ToC) Fixed Value: 住院臆斷
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 46241-6
display		1..1	string	Representation defined by the system Fixed Value: Hospital admission diagnosis Narrative - Reported
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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	0..*	Reference(ObservationImpression IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
section:DischargeDiagnosis	SC	1..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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	小節標籤(例如：目錄ToC) Fixed Value: 出院診斷
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 11535-2
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge Dx Narrative
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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	1..*	Reference(ConditionDischargeDiagnosis IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
section:CancerStaging	SC	0..1	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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	小節標籤(例如：目錄ToC) Fixed Value: 癌症期別
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 22037-6
display		1..1	string	Representation defined by the system Fixed Value: Staging Cancer Narrative
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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	0..*	Reference(ObservationCancerStaging IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
section:ChiefComplaint	SC	1..1	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty imri-2: Composition.section.text or Composition.section.entry SHALL be present
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	小節標籤(例如：目錄ToC) Fixed Value: 主訴
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 10154-3
display		1..1	string	Representation defined by the system Fixed Value: Chief complaint Narrative - Reported
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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	0..*	Reference(ConditionChiefComplaint IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
section:PresentIllness	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty imri-2: Composition.section.text or Composition.section.entry SHALL be present
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	小節標籤(例如：目錄ToC) Fixed Value: 病史
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 10164-2
display		1..1	string	Representation defined by the system Fixed Value: History of Present illness Narrative
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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	0..*	Reference(ConditionPresentIllness IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
section:PhysicalExamination	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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	小節標籤(例如：目錄ToC) Fixed Value: 理學檢查發現
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 29545-1
display		1..1	string	Representation defined by the system Fixed Value: Physical findings Narrative
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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	0..*	Reference(ObservationPhysicalExamination IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
section:LaboratoryData	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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	小節標籤(例如：目錄ToC) Fixed Value: 檢驗與特殊檢查
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative
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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	0..*	Reference(ObservationLaboratory IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
section:ImagingStudy	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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	小節標籤(例如：目錄ToC) Fixed Value: 醫療影像檢查
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 18748-4
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging study
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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	0..*	Reference(ImagingStudy IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
section:PathologyReport	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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	小節標籤(例如：目錄ToC) Fixed Value: 病理報告
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 22034-3
display		1..1	string	Representation defined by the system Fixed Value: Pathology report Cancer Narrative
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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	0..*	Reference(ObservationPathologyReport IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
section:SurgicalMethod	SC	1..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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	小節標籤(例如：目錄ToC) Fixed Value: 手術日期及方法
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 8724-7
display		1..1	string	Representation defined by the system Fixed Value: Surgical operation note description Narrative
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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	1..*	Reference(Procedure IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
section:HospitalCourse	SC	1..1	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty imri-2: Composition.section.text or Composition.section.entry SHALL be present
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	小節標籤(例如：目錄ToC) Fixed Value: 住院治療經過
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 8648-8
display		1..1	string	Representation defined by the system Fixed Value: Hospital course Narrative
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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	0..*	Reference(ProcedureHospitalCourse IMRI | Location IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
section:ComorbiditesAndOrComlications	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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	小節標籤(例如：目錄ToC) Fixed Value: 合併症與併發症
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 55109-3
display		1..1	string	Representation defined by the system Fixed Value: Complications Document
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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	0..*	Reference(ConditionComorbiditiesandComplications IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
section:InstructionsOnDischarge	SC	1..1	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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	小節標籤(例如：目錄ToC) Fixed Value: 出院指示
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 8653-8
display		1..1	string	Representation defined by the system Fixed Value: Hospital Discharge instructions
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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	0..*	Reference(CarePlan IMRI | MedicationRequest IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	Pattern: final http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	Pattern: LOINC Code 18842-5("Discharge summary") http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	extensible	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	extensible	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:Impression.code	extensible	Pattern: LOINC Code 46241-6("Hospital admission diagnosis Narrative - Reported") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:Impression.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:Impression.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:Impression.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:DischargeDiagnosis.code	extensible	Pattern: LOINC Code 11535-2("Hospital discharge Dx Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:DischargeDiagnosis.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:DischargeDiagnosis.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:DischargeDiagnosis.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:CancerStaging.code	extensible	Pattern: LOINC Code 22037-6("Staging Cancer Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:CancerStaging.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:CancerStaging.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:CancerStaging.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:ChiefComplaint.code	extensible	Pattern: LOINC Code 10154-3("Chief complaint Narrative - Reported") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:ChiefComplaint.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:ChiefComplaint.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:ChiefComplaint.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:PresentIllness.code	extensible	Pattern: LOINC Code 10164-2("History of Present illness Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:PresentIllness.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:PresentIllness.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:PresentIllness.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:PhysicalExamination.code	extensible	Pattern: LOINC Code 29545-1("Physical findings Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:PhysicalExamination.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:PhysicalExamination.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:PhysicalExamination.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:LaboratoryData.code	extensible	Pattern: LOINC Code 30954-2("Relevant diagnostic tests/laboratory data Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:LaboratoryData.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:LaboratoryData.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:LaboratoryData.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:ImagingStudy.code	extensible	Pattern: LOINC Code 18748-4("Diagnostic imaging study") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:ImagingStudy.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:ImagingStudy.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:ImagingStudy.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:PathologyReport.code	extensible	Pattern: LOINC Code 22034-3("Pathology report Cancer Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:PathologyReport.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:PathologyReport.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:PathologyReport.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:SurgicalMethod.code	extensible	Pattern: LOINC Code 8724-7("Surgical operation note description Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:SurgicalMethod.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:SurgicalMethod.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:SurgicalMethod.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:HospitalCourse.code	extensible	Pattern: LOINC Code 8648-8("Hospital course Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:HospitalCourse.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:HospitalCourse.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:HospitalCourse.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:ComorbiditesAndOrComlications.code	extensible	Pattern: LOINC Code 55109-3("Complications Document") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:ComorbiditesAndOrComlications.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:ComorbiditesAndOrComlications.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:ComorbiditesAndOrComlications.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:InstructionsOnDischarge.code	extensible	Pattern: LOINC Code 8653-8("Hospital Discharge instructions") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:InstructionsOnDischarge.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:InstructionsOnDischarge.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:InstructionsOnDischarge.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
imri-2	error	Composition.section:Impression, Composition.section:ChiefComplaint, Composition.section:PresentIllness, Composition.section:HospitalCourse	Composition.section.text or Composition.section.entry SHALL be present : text.exists() or entry.exists()

This structure is derived from TWCoreComposition

Summary

Mandatory: 14 elements(8 nested mandatory elements)
Must-Support: 14 elements
Fixed: 14 elements

Structures

This structure refers to these other structures:

• Patient IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/patient-imri)
• Encounter IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/encounter-imri)
• Organization Hospital Department IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/organization-hosp-imri)
• Practitioner IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/practitioner-imri)
• PractitionerRole IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/practitionerrole-imri)
• ObservationImpression IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/observation-impression-imri)
• ConditionDischargeDiagnosis IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/conditiondischargediagnosis-imri)
• ObservationCancerStaging IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/observation-cancerstaging-imri)
• ConditionChiefComplaint IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/conditionchiefcomplaint-imri)
• ConditionPresentIllness IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/conditionpresentillness-imri)
• ObservationPhysicalExamination IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/observation-physical-examination-imri)
• ObservationLaboratory IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/observation-laboratory-imri)
• ImagingStudy IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/imagingstudy-imri)
• ObservationPathologyReport IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/observation-pathology-report-imri)
• Procedure IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/procedure-imri)
• ProcedureHospitalCourse IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/procedurehospitalcourse-imri)
• Location IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/location-imri)
• ConditionComorbiditiesandComplications IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/conditioncomorbiditiesandcomplications-imri)
• CarePlan IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/careplan-imri)
• MedicationRequest IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/medicationrequest-imri)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.section (Closed)

Differential View

This structure is derived from TWCoreComposition

Name	Flags	Card.	Type	Description & Constraints
Composition			TWCoreComposition
status		1..1	code	registered | partial | preliminary | final | amended | corrected + Required Pattern: final
type		1..1	CodeableConceptTW	Composition的種類（如果可能請使用LOINC） 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: 18842-5
display		1..1	string	Representation defined by the system Fixed Value: Discharge summary
subject		1..1	Reference(Patient IMRI)	Composition是關於誰和/或什麼
encounter	S	1..1	Reference(Encounter IMRI)	Composition的情境
author		1..*	Reference(Organization Hospital Department IMRI | Practitioner IMRI)	誰和/或什麼創建了這個Composition
title		1..1	string	人類可讀的名稱/標題 Fixed Value: 出院病歷摘要
attester
party		0..1	Reference(Patient IMRI | RelatedPerson | Practitioner IMRI | PractitionerRole IMRI | Organization Hospital Department IMRI)	誰證明了此Composition
custodian		0..1	Reference(Organization Hospital Department IMRI)	維護Composition的機構
Slices for section		5..*	BackboneElement	Composition被分成一個或數個小節 Slice: Unordered, Closed by value:code
section:Impression	SC	0..*	BackboneElement	Composition被分成一個或數個小節 imri-2: Composition.section.text or Composition.section.entry SHALL be present
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 住院臆斷
code		1..1	CodeableConceptTW	小節分類(建議) 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: 46241-6
display		1..1	string	Representation defined by the system Fixed Value: Hospital admission diagnosis Narrative - Reported
entry		0..*	Reference(ObservationImpression IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:DischargeDiagnosis	S	1..*	BackboneElement	Composition被分成一個或數個小節
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 出院診斷
code		1..1	CodeableConceptTW	小節分類(建議) 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: 11535-2
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge Dx Narrative
entry		1..*	Reference(ConditionDischargeDiagnosis IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:CancerStaging	S	0..1	BackboneElement	Composition被分成一個或數個小節
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 癌症期別
code		1..1	CodeableConceptTW	小節分類(建議) 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: 22037-6
display		1..1	string	Representation defined by the system Fixed Value: Staging Cancer Narrative
entry		0..*	Reference(ObservationCancerStaging IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:ChiefComplaint	SC	1..1	BackboneElement	Composition被分成一個或數個小節 imri-2: Composition.section.text or Composition.section.entry SHALL be present
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 主訴
code		1..1	CodeableConceptTW	小節分類(建議) 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: 10154-3
display		1..1	string	Representation defined by the system Fixed Value: Chief complaint Narrative - Reported
entry		0..*	Reference(ConditionChiefComplaint IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:PresentIllness	SC	0..*	BackboneElement	Composition被分成一個或數個小節 imri-2: Composition.section.text or Composition.section.entry SHALL be present
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 病史
code		1..1	CodeableConceptTW	小節分類(建議) 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: 10164-2
display		1..1	string	Representation defined by the system Fixed Value: History of Present illness Narrative
entry		0..*	Reference(ConditionPresentIllness IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:PhysicalExamination	S	0..*	BackboneElement	Composition被分成一個或數個小節
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 理學檢查發現
code		1..1	CodeableConceptTW	小節分類(建議) 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: 29545-1
display		1..1	string	Representation defined by the system Fixed Value: Physical findings Narrative
entry		0..*	Reference(ObservationPhysicalExamination IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:LaboratoryData	S	0..*	BackboneElement	Composition被分成一個或數個小節
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 檢驗與特殊檢查
code		1..1	CodeableConceptTW	小節分類(建議) 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: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative
entry		0..*	Reference(ObservationLaboratory IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:ImagingStudy	S	0..*	BackboneElement	Composition被分成一個或數個小節
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 醫療影像檢查
code		1..1	CodeableConceptTW	小節分類(建議) 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: 18748-4
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging study
entry		0..*	Reference(ImagingStudy IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:PathologyReport	S	0..*	BackboneElement	Composition被分成一個或數個小節
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 病理報告
code		1..1	CodeableConceptTW	小節分類(建議) 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: 22034-3
display		1..1	string	Representation defined by the system Fixed Value: Pathology report Cancer Narrative
entry		0..*	Reference(ObservationPathologyReport IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:SurgicalMethod	S	1..*	BackboneElement	Composition被分成一個或數個小節
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 手術日期及方法
code		1..1	CodeableConceptTW	小節分類(建議) 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: 8724-7
display		1..1	string	Representation defined by the system Fixed Value: Surgical operation note description Narrative
entry		1..*	Reference(Procedure IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:HospitalCourse	SC	1..1	BackboneElement	Composition被分成一個或數個小節 imri-2: Composition.section.text or Composition.section.entry SHALL be present
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 住院治療經過
code		1..1	CodeableConceptTW	小節分類(建議) 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: 8648-8
display		1..1	string	Representation defined by the system Fixed Value: Hospital course Narrative
entry		0..*	Reference(ProcedureHospitalCourse IMRI | Location IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:ComorbiditesAndOrComlications	S	0..*	BackboneElement	Composition被分成一個或數個小節
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 合併症與併發症
code		1..1	CodeableConceptTW	小節分類(建議) 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: 55109-3
display		1..1	string	Representation defined by the system Fixed Value: Complications Document
entry		0..*	Reference(ConditionComorbiditiesandComplications IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:InstructionsOnDischarge	S	1..1	BackboneElement	Composition被分成一個或數個小節
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 出院指示
code		1..1	CodeableConceptTW	小節分類(建議) 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: 8653-8
display		1..1	string	Representation defined by the system Fixed Value: Hospital Discharge instructions
entry		0..*	Reference(CarePlan IMRI | MedicationRequest IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
imri-2	error	Composition.section:Impression, Composition.section:ChiefComplaint, Composition.section:PresentIllness, Composition.section:HospitalCourse	Composition.section.text or Composition.section.entry SHALL be present : text.exists() or entry.exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	TWCoreComposition	將一組resources組成一份連貫的臨床聲明，並附有臨床證明。
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
modifierExtension	?!	0..*	Extension	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。
identifier	SΣ	0..1	Identifier	不分版本的臨床文件架構(Composition)識別碼。
status	?!SΣ	1..1	code	registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): Composition的工作流程/臨床狀態；應填入所綁定值集中的其中一個代碼。 Required Pattern: final
type	S	1..1	CodeableConceptTW	Composition的種類（如果可能請使用LOINC） Binding: FHIRDocumentTypeCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 18842-5
display		1..1	string	Representation defined by the system Fixed Value: Discharge summary
subject	SΣ	1..1	Reference(Patient IMRI)	Composition是關於誰和/或什麼
encounter	SΣ	1..1	Reference(Encounter IMRI)	Composition的情境
date	SΣ	1..1	dateTime	Composition的編輯時間
author	SΣ	1..*	Reference(Organization Hospital Department IMRI | Practitioner IMRI)	誰和/或什麼創建了這個Composition
title	SΣ	1..1	string	人類可讀的名稱/標題 Fixed Value: 出院病歷摘要
attester	S	0..*	BackboneElement	證明Composition的準確性
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): 認證者提供的認證類型；應填入所綁定值集中的其中一個代碼。
party		0..1	Reference(Patient IMRI | RelatedPerson | Practitioner IMRI | PractitionerRole IMRI | Organization Hospital Department IMRI)	誰證明了此Composition
custodian	SΣ	0..1	Reference(Organization Hospital Department IMRI)	維護Composition的機構
Slices for section	SC	5..*	BackboneElement	Composition被分成一個或數個小節 Slice: Unordered, Closed by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	0..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	0..*	Reference(Resource)	提供一個連結用於參照或查看支持此小節內容的資料
section:Impression	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty imri-2: Composition.section.text or Composition.section.entry SHALL be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 住院臆斷
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 46241-6
display		1..1	string	Representation defined by the system Fixed Value: Hospital admission diagnosis Narrative - Reported
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	0..*	Reference(ObservationImpression IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:DischargeDiagnosis	SC	1..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 出院診斷
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 11535-2
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge Dx Narrative
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	1..*	Reference(ConditionDischargeDiagnosis IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:CancerStaging	SC	0..1	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 癌症期別
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 22037-6
display		1..1	string	Representation defined by the system Fixed Value: Staging Cancer Narrative
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	0..*	Reference(ObservationCancerStaging IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:ChiefComplaint	SC	1..1	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty imri-2: Composition.section.text or Composition.section.entry SHALL be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 主訴
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 10154-3
display		1..1	string	Representation defined by the system Fixed Value: Chief complaint Narrative - Reported
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	0..*	Reference(ConditionChiefComplaint IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:PresentIllness	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty imri-2: Composition.section.text or Composition.section.entry SHALL be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 病史
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 10164-2
display		1..1	string	Representation defined by the system Fixed Value: History of Present illness Narrative
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	0..*	Reference(ConditionPresentIllness IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:PhysicalExamination	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 理學檢查發現
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 29545-1
display		1..1	string	Representation defined by the system Fixed Value: Physical findings Narrative
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	0..*	Reference(ObservationPhysicalExamination IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:LaboratoryData	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 檢驗與特殊檢查
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	0..*	Reference(ObservationLaboratory IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:ImagingStudy	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 醫療影像檢查
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 18748-4
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging study
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	0..*	Reference(ImagingStudy IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:PathologyReport	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 病理報告
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 22034-3
display		1..1	string	Representation defined by the system Fixed Value: Pathology report Cancer Narrative
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	0..*	Reference(ObservationPathologyReport IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:SurgicalMethod	SC	1..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 手術日期及方法
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 8724-7
display		1..1	string	Representation defined by the system Fixed Value: Surgical operation note description Narrative
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	1..*	Reference(Procedure IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:HospitalCourse	SC	1..1	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty imri-2: Composition.section.text or Composition.section.entry SHALL be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 住院治療經過
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 8648-8
display		1..1	string	Representation defined by the system Fixed Value: Hospital course Narrative
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	0..*	Reference(ProcedureHospitalCourse IMRI | Location IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:ComorbiditesAndOrComlications	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 合併症與併發症
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 55109-3
display		1..1	string	Representation defined by the system Fixed Value: Complications Document
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	0..*	Reference(ConditionComorbiditiesandComplications IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
section:InstructionsOnDischarge	SC	1..1	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC) Fixed Value: 出院指示
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 8653-8
display		1..1	string	Representation defined by the system Fixed Value: Hospital Discharge instructions
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
entry	SC	0..*	Reference(CarePlan IMRI | MedicationRequest IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	Pattern: final http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	Pattern: LOINC Code 18842-5("Discharge summary") http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.section.code	extensible	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:Impression.code	extensible	Pattern: LOINC Code 46241-6("Hospital admission diagnosis Narrative - Reported") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:DischargeDiagnosis.code	extensible	Pattern: LOINC Code 11535-2("Hospital discharge Dx Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:CancerStaging.code	extensible	Pattern: LOINC Code 22037-6("Staging Cancer Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:ChiefComplaint.code	extensible	Pattern: LOINC Code 10154-3("Chief complaint Narrative - Reported") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:PresentIllness.code	extensible	Pattern: LOINC Code 10164-2("History of Present illness Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:PhysicalExamination.code	extensible	Pattern: LOINC Code 29545-1("Physical findings Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:LaboratoryData.code	extensible	Pattern: LOINC Code 30954-2("Relevant diagnostic tests/laboratory data Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:ImagingStudy.code	extensible	Pattern: LOINC Code 18748-4("Diagnostic imaging study") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:PathologyReport.code	extensible	Pattern: LOINC Code 22034-3("Pathology report Cancer Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:SurgicalMethod.code	extensible	Pattern: LOINC Code 8724-7("Surgical operation note description Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:HospitalCourse.code	extensible	Pattern: LOINC Code 8648-8("Hospital course Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:ComorbiditesAndOrComlications.code	extensible	Pattern: LOINC Code 55109-3("Complications Document") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:InstructionsOnDischarge.code	extensible	Pattern: LOINC Code 8653-8("Hospital Discharge instructions") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
imri-2	error	Composition.section:Impression, Composition.section:ChiefComplaint, Composition.section:PresentIllness, Composition.section:HospitalCourse	Composition.section.text or Composition.section.entry SHALL be present : text.exists() or entry.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	TWCoreComposition	將一組resources組成一份連貫的臨床聲明，並附有臨床證明。
id	Σ	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的Composition紀錄，通常又稱為邏輯性ID。
meta	Σ	0..1	Meta	此Composition Resource的metadata
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
language		0..1	code	用以表述Composition Resource內容的語言 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用所綁定值集中的代碼，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。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
text		0..1	Narrative	Composition Resource之內容摘要以供人閱讀
contained		0..*	Resource	內嵌的(contained)、行內的Resources
extension		0..*	Extension	擴充的資料項目
modifierExtension	?!	0..*	Extension	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。
identifier	SΣ	0..1	Identifier	不分版本的臨床文件架構(Composition)識別碼。
status	?!SΣ	1..1	code	registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): Composition的工作流程/臨床狀態；應填入所綁定值集中的其中一個代碼。 Required Pattern: final
type	S	1..1	CodeableConceptTW	Composition的種類（如果可能請使用LOINC） Binding: FHIRDocumentTypeCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 18842-5
display		1..1	string	Representation defined by the system Fixed Value: Discharge summary
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category		0..*	CodeableConceptTW	Composition的分類 Binding: DocumentClassValueSet (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
subject	SΣ	1..1	Reference(Patient IMRI)	Composition是關於誰和/或什麼
encounter	SΣ	1..1	Reference(Encounter IMRI)	Composition的情境
date	SΣ	1..1	dateTime	Composition的編輯時間
author	SΣ	1..*	Reference(Organization Hospital Department IMRI | Practitioner IMRI)	誰和/或什麼創建了這個Composition
title	SΣ	1..1	string	人類可讀的名稱/標題 Fixed Value: 出院病歷摘要
confidentiality	Σ	0..1	code	根據特定技術領域的定義 Binding: v3.ConfidentialityClassification (2014-03-26) (required): 應填入所綁定值集中的其中一個代碼。
attester	S	0..*	BackboneElement	證明Composition的準確性
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): 認證者提供的認證類型；應填入所綁定值集中的其中一個代碼。
time		0..1	dateTime	此Composition被證明的時間
party		0..1	Reference(Patient IMRI | RelatedPerson | Practitioner IMRI | PractitionerRole IMRI | Organization Hospital Department IMRI)	誰證明了此Composition
custodian	SΣ	0..1	Reference(Organization Hospital Department IMRI)	維護Composition的機構
relatesTo		0..*	BackboneElement	與其他Composition/文件之間的關係
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): 檔案之間的關係型別；應填入所綁定值集中的其中一個代碼。
target[x]		1..1		此關係的目標文件
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	正在記錄的臨床服務
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		0..*	CodeableConceptTW	此代碼表代表了正在被記錄的主要臨床行為 Binding: v3 Code System ActCode (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
period	Σ	0..1	Period	文件所涵蓋的時間區間
detail	Σ	0..*	Reference(Resource)	在描述被記錄下來的事件，這些事件可以是以代碼的形式、參考資料的形式，或者兩者都有的形式來呈現。
Slices for section	SC	5..*	BackboneElement	Composition被分成一個或數個小節 Slice: Unordered, Closed by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
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	小節標籤(例如：目錄ToC)
code	S	0..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
author		0..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	0..*	Reference(Resource)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
section:Impression	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty imri-2: Composition.section.text or Composition.section.entry SHALL be present
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	小節標籤(例如：目錄ToC) Fixed Value: 住院臆斷
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 46241-6
display		1..1	string	Representation defined by the system Fixed Value: Hospital admission diagnosis Narrative - Reported
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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	0..*	Reference(ObservationImpression IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
section:DischargeDiagnosis	SC	1..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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	小節標籤(例如：目錄ToC) Fixed Value: 出院診斷
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 11535-2
display		1..1	string	Representation defined by the system Fixed Value: Hospital discharge Dx Narrative
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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	1..*	Reference(ConditionDischargeDiagnosis IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
section:CancerStaging	SC	0..1	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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	小節標籤(例如：目錄ToC) Fixed Value: 癌症期別
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 22037-6
display		1..1	string	Representation defined by the system Fixed Value: Staging Cancer Narrative
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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	0..*	Reference(ObservationCancerStaging IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
section:ChiefComplaint	SC	1..1	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty imri-2: Composition.section.text or Composition.section.entry SHALL be present
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	小節標籤(例如：目錄ToC) Fixed Value: 主訴
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 10154-3
display		1..1	string	Representation defined by the system Fixed Value: Chief complaint Narrative - Reported
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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	0..*	Reference(ConditionChiefComplaint IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
section:PresentIllness	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty imri-2: Composition.section.text or Composition.section.entry SHALL be present
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	小節標籤(例如：目錄ToC) Fixed Value: 病史
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 10164-2
display		1..1	string	Representation defined by the system Fixed Value: History of Present illness Narrative
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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	0..*	Reference(ConditionPresentIllness IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
section:PhysicalExamination	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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	小節標籤(例如：目錄ToC) Fixed Value: 理學檢查發現
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 29545-1
display		1..1	string	Representation defined by the system Fixed Value: Physical findings Narrative
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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	0..*	Reference(ObservationPhysicalExamination IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
section:LaboratoryData	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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	小節標籤(例如：目錄ToC) Fixed Value: 檢驗與特殊檢查
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative
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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	0..*	Reference(ObservationLaboratory IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
section:ImagingStudy	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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	小節標籤(例如：目錄ToC) Fixed Value: 醫療影像檢查
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 18748-4
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging study
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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	0..*	Reference(ImagingStudy IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
section:PathologyReport	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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	小節標籤(例如：目錄ToC) Fixed Value: 病理報告
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 22034-3
display		1..1	string	Representation defined by the system Fixed Value: Pathology report Cancer Narrative
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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	0..*	Reference(ObservationPathologyReport IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
section:SurgicalMethod	SC	1..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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	小節標籤(例如：目錄ToC) Fixed Value: 手術日期及方法
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 8724-7
display		1..1	string	Representation defined by the system Fixed Value: Surgical operation note description Narrative
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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	1..*	Reference(Procedure IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
section:HospitalCourse	SC	1..1	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty imri-2: Composition.section.text or Composition.section.entry SHALL be present
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	小節標籤(例如：目錄ToC) Fixed Value: 住院治療經過
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 8648-8
display		1..1	string	Representation defined by the system Fixed Value: Hospital course Narrative
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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	0..*	Reference(ProcedureHospitalCourse IMRI | Location IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
section:ComorbiditesAndOrComlications	SC	0..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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	小節標籤(例如：目錄ToC) Fixed Value: 合併症與併發症
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 55109-3
display		1..1	string	Representation defined by the system Fixed Value: Complications Document
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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	0..*	Reference(ConditionComorbiditiesandComplications IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
section:InstructionsOnDischarge	SC	1..1	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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	小節標籤(例如：目錄ToC) Fixed Value: 出院指示
code	S	1..1	CodeableConceptTW	小節分類(建議) Binding: DocumentSectionCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 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: 8653-8
display		1..1	string	Representation defined by the system Fixed Value: Hospital Discharge instructions
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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson)	誰和/或什麼人撰寫了該小節
focus		0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。
text	SC	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy		0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，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。
entry	SC	0..*	Reference(CarePlan IMRI | MedicationRequest IMRI)	提供一個連結用於參照或查看支持此小節內容的資料
emptyReason		0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，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。
section	C	0..*	See section (Composition)	嵌套的小節
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	Pattern: final http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	Pattern: LOINC Code 18842-5("Discharge summary") http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	extensible	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	extensible	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:Impression.code	extensible	Pattern: LOINC Code 46241-6("Hospital admission diagnosis Narrative - Reported") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:Impression.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:Impression.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:Impression.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:DischargeDiagnosis.code	extensible	Pattern: LOINC Code 11535-2("Hospital discharge Dx Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:DischargeDiagnosis.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:DischargeDiagnosis.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:DischargeDiagnosis.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:CancerStaging.code	extensible	Pattern: LOINC Code 22037-6("Staging Cancer Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:CancerStaging.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:CancerStaging.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:CancerStaging.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:ChiefComplaint.code	extensible	Pattern: LOINC Code 10154-3("Chief complaint Narrative - Reported") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:ChiefComplaint.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:ChiefComplaint.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:ChiefComplaint.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:PresentIllness.code	extensible	Pattern: LOINC Code 10164-2("History of Present illness Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:PresentIllness.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:PresentIllness.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:PresentIllness.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:PhysicalExamination.code	extensible	Pattern: LOINC Code 29545-1("Physical findings Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:PhysicalExamination.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:PhysicalExamination.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:PhysicalExamination.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:LaboratoryData.code	extensible	Pattern: LOINC Code 30954-2("Relevant diagnostic tests/laboratory data Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:LaboratoryData.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:LaboratoryData.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:LaboratoryData.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:ImagingStudy.code	extensible	Pattern: LOINC Code 18748-4("Diagnostic imaging study") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:ImagingStudy.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:ImagingStudy.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:ImagingStudy.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:PathologyReport.code	extensible	Pattern: LOINC Code 22034-3("Pathology report Cancer Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:PathologyReport.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:PathologyReport.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:PathologyReport.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:SurgicalMethod.code	extensible	Pattern: LOINC Code 8724-7("Surgical operation note description Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:SurgicalMethod.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:SurgicalMethod.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:SurgicalMethod.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:HospitalCourse.code	extensible	Pattern: LOINC Code 8648-8("Hospital course Narrative") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:HospitalCourse.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:HospitalCourse.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:HospitalCourse.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:ComorbiditesAndOrComlications.code	extensible	Pattern: LOINC Code 55109-3("Complications Document") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:ComorbiditesAndOrComlications.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:ComorbiditesAndOrComlications.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:ComorbiditesAndOrComlications.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:InstructionsOnDischarge.code	extensible	Pattern: LOINC Code 8653-8("Hospital Discharge instructions") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:InstructionsOnDischarge.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:InstructionsOnDischarge.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:InstructionsOnDischarge.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
imri-2	error	Composition.section:Impression, Composition.section:ChiefComplaint, Composition.section:PresentIllness, Composition.section:HospitalCourse	Composition.section.text or Composition.section.entry SHALL be present : text.exists() or entry.exists()

This structure is derived from TWCoreComposition

Summary

Mandatory: 14 elements(8 nested mandatory elements)
Must-Support: 14 elements
Fixed: 14 elements

Structures

This structure refers to these other structures:

• Patient IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/patient-imri)
• Encounter IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/encounter-imri)
• Organization Hospital Department IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/organization-hosp-imri)
• Practitioner IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/practitioner-imri)
• PractitionerRole IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/practitionerrole-imri)
• ObservationImpression IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/observation-impression-imri)
• ConditionDischargeDiagnosis IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/conditiondischargediagnosis-imri)
• ObservationCancerStaging IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/observation-cancerstaging-imri)
• ConditionChiefComplaint IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/conditionchiefcomplaint-imri)
• ConditionPresentIllness IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/conditionpresentillness-imri)
• ObservationPhysicalExamination IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/observation-physical-examination-imri)
• ObservationLaboratory IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/observation-laboratory-imri)
• ImagingStudy IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/imagingstudy-imri)
• ObservationPathologyReport IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/observation-pathology-report-imri)
• Procedure IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/procedure-imri)
• ProcedureHospitalCourse IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/procedurehospitalcourse-imri)
• Location IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/location-imri)
• ConditionComorbiditiesandComplications IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/conditioncomorbiditiesandcomplications-imri)
• CarePlan IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/careplan-imri)
• MedicationRequest IMRI (https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/medicationrequest-imri)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.section (Closed)