醫查實作指引
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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

Resource Profile: OrganizationHospIMRI - Detailed Descriptions

Active as of 2024-08-12

Definitions for the organization-hosp-imri resource profile.

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

0. Organization
2. Organization.identifier
Short即為「醫事機構代碼」，跨多個系統中識別此機構。
NoteThis is a business identifier, not a resource identifier (see discussion)
4. Organization.identifier.assigner
TypeReference(Organization Hospital Department IMRI)
6. Organization.name
Short即為「醫事機構名稱」，機構的名稱。
8. Organization.partOf
TypeReference(Organization Hospital Department IMRI)

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

0. Organization
Definition

為實現某種形式的集體行動而形成的正式或非正式認可的一群人或機構的團體。包括公司、機構、企業、部門、社群團體、健康照護實務團體、付款人／保險公司等。


A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, payer/insurer, etc.

Short具有共同目的的一群人或機構A grouping of people or organizations with a common purpose
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
org-1: The organization SHALL at least have a name or an identifier, and possibly more than one ((identifier.count() + name.count()) > 0)
org-1: The organization SHALL at least have a name or an identifier, and possibly more than one ((identifier.count() + name.count()) > 0)
2. Organization.implicitRules
Definition

構建resource時遵循的一系列規則的參照，在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。


A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Short創建此內容所依據的一組規則A set of rules under which this content was created
Comments

宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而，現有的健康生態體系高度分裂，還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能，實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時，此URL是對IG的參照，此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。


Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Organization.modifierExtension
Definition

可以用來表示不屬於此resource的基本定義的額外資訊，並修改包含它所內嵌（contained）的資料項目的理解和/或對包含資料項目之後續使用的理解。通常修飾用的資料項目提供否定或限定的資訊。為了使擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。雖然任何實作者都可以定義一個擴充，但在定義擴充時 必須（SHALL） 滿足一組要求。處理resource的應用程式需要檢查修飾用的擴充資料項目。
修飾用的擴充資料項目 必須沒有（SHALL NOT） 改變resource或DomainResource上任何資料項目的含義（包括不能改變modifierExtension本身的含義）。


May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Short此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。Extensions that cannot be ignored
Comments

任何應用程式、專案或標準使用擴充時，都不應該帶有任何負面的聯想。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。


There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

修飾用的資料項目擴充允許將不能安全地忽略的擴充，與絕大多數可以安全地忽略的擴充明確區分開來。這樣做有助於促進可互操作性，因為無需禁止實作者使用擴充，想要瞭解更多資訊，請參見[修飾用的資料項目擴充之定義]（http://hl7.org/fhir/R4/extensibility.html#modifierExtension）。


Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. Organization.identifier
Definition

用於指明跨多個不同系統的機構識別碼


Identifier for the organization that is used to identify the organization across multiple disparate systems.

Short即為「醫事機構代碼」，跨多個系統中識別此機構。Identifies this organization across multiple systems
NoteThis is a business identifier, not a resource identifier (see discussion)
Control10..*
This element is affected by the following invariants: org-1
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

Organizations通常有多種識別碼。有些機構保有數個，而大多數機構收集識別碼用於跟其他機構交流有關此機構的資訊。


Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Organization.identifier.use
Definition

這個唯一識別碼（identifier）的用途


The purpose of this identifier.

Shortusual ｜ official ｜ temp ｜ secondary ｜ old （如果知道）usual | official | temp | secondary | old (If known)
Comments

應用程式可以假定一個識別碼是永久的，除非它明確說它是暫時的。


Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control0..1
BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

如果已知，請說明此識別碼的目的；應填入所綁定值集中的其中一個代碼。


Identifies the purpose for this identifier, if known .

Typecode
Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

允許從一組識別碼中為特定的使用情境選擇適當的識別碼


Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Organization.identifier.type
Definition

識別碼的代碼型別，用於決定特定目適用的識別碼。


A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Short機構識別碼（identifier）的型別說明Description of identifier
Comments

這個資料項目只涉及識別碼的一般類別。它 必須沒有（SHALL NOT） 被用於與Identifier.system 1..1對應的代碼。一些識別碼可能由於常見的用法而屬於多個類別。在系統是已知的情況下，型別是不必要的，因為型別總是系統定義的一部分。然而，系統經常需要處理系統不為人知的識別碼。型別和系統之間不是1:1的關係，因為許多不同的系統有相同的型別。


This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Control10..1
This element is affected by the following invariants: ele-1
BindingUnless not suitable, these codes SHALL be taken from IdentifierType + 臺灣衛福部資訊處識別碼類型值集http://hl7.org/fhir/ValueSet/identifier-type
(extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/identifier-type-tw)

識別碼的型別，用於決定特定目的所適用的識別碼；應填入所綁定值集中的其中一個代碼。


A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Must Supporttrue
Requirements

允許使用者在不知道識別碼系統的情況下利用識別碼


Allows users to make use of identifiers when the identifier system is not known.

Pattern Value{
  "coding" : [{
    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
    "code" : "PRN"
  }]
}
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Organization.identifier.system
Definition

建立值的命名空間－即一個描述一組值的唯一URL


Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short機構識別碼（identifier）的命名空間（namespace），可至[twTerminology](https://twcore.mohw.gov.tw/ts/namingsystem.jsp?status=active&type=0)申請或查詢命名系統。The namespace for the identifier value
Comments

Identifier.system總是區分大小寫


Identifier.system is always case sensitive.

Control0..1
Typeuri
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

有許多識別碼的集合。為了進行兩個識別碼的對應，我們需要知道我們處理的是哪一組。系統指明了一個特定的唯一識別碼集。


There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Pattern Valuehttps://twcore.mohw.gov.tw/ig/twcore/CodeSystem/organization-identifier-tw
Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Organization.identifier.value
Definition

識別碼中通常與使用者有關的部分，在系統情境內是唯一的。


The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short唯一值。例如：醫事機構代碼為0123456789The value that is unique
Comments

如果此值是一個完整的URI，那麼此系統 必須（SHALL） 是urn:ietf:rfc:3986。此值的主要目的是為了可運算的對應。因此，為了比較的目的，它可能會被正規化（例如：去除不重要的空白、破折號等）。一個為人顯示的格式化的值可以使用Rendered Value擴充來傳達。除非對Identifier.system的了解使處理者確信不區分大小寫的處理是安全的，否則Identifier.value應被視為區分大小寫。


If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Example<br/><b>General</b>:123456
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Organization.identifier.assigner
Definition

簽發／管理識別碼的機構


Organization that issued/manages the identifier.

Short簽發identifier的機構（可以只是文字表述）Organization that issued id (may be just text)
Comments

Identifier.assigner可以省略.reference資料項目，只包含一個.display資料項目，反映指定機構的名稱或其他文字表述資訊。


The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Control0..1
TypeReference(Organization Hospital Department IMRI, Organization)
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Organization.active
Definition

此機構的紀錄是否仍在使用中


Whether the organization's record is still in active use.

Short此機構的紀錄是否仍在使用中Whether the organization's record is still in active use
Comments

這個Active標記不是用來標記機構暫時關閉或正在建設中。反而應該是Organization的地點（Location）應該具有暫停狀態。如果需要進一步詳細說明暫停的原因，那麼應該針對這個資料項目的提供一個擴充的資料項目。

這個資料項目被標記為修飾語／修飾用，因為它可用來標記resource是錯誤建立的。


This active flag is not intended to be used to mark an organization as temporarily closed or under construction. Instead the Location(s) within the Organization should have the suspended status. If further details of the reason for the suspension are required, then an extension on this element should be used.

This element is labeled as a modifier because it may be used to mark that the resource was created in error.

Control0..1
Typeboolean
Is Modifiertrue because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

需要一個標記表明此記錄不再被使用，一般來說應會在使用者界面中隱藏此資料項目。


Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI.

Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Organization.type
Definition

機構的型別


The kind(s) of organization that this is.

Short機構的型別Kind of organization
Comments

機構可以是公司、病房、科室、臨床團隊、政府部門等。請注意，代碼通常是機構型別的分類；在許多應用程式中，若代碼是用來指明一個特定機構（例如：病房），而不是另一個相同型別的機構，那麼這些算是識別碼代碼，而不是型別代碼。

當考慮多個型別是否合適時，你應該評估子機構是否是一個更合適的概念使用，因為不同的型別可能在不同子區域的機構。這最有可能用於型別值不相關（orthogonal values）的地方，像是一個宗教的、學術的和醫學中心。

我們期望一些行政管轄區設計此資料項目為可選填且基數設定為1。


Organizations can be corporations, wards, sections, clinical teams, government departments, etc. Note that code is generally a classifier of the type of organization; in many applications, codes are used to identity a particular organization (say, ward) as opposed to another of the same type - these are identifiers, not codes

When considering if multiple types are appropriate, you should evaluate if child organizations would be a more appropriate use of the concept, as different types likely are in different sub-areas of the organization. This is most likely to be used where type values have orthogonal values, such as a religious, academic and medical center.

We expect that some jurisdictions will profile this optionality to be a single cardinality.

Control10..1*
This element is affected by the following invariants: ele-1
BindingFor example codes, see OrganizationTypehttp://hl7.org/fhir/ValueSet/organization-type
(example to http://hl7.org/fhir/ValueSet/organization-type)

用於分類機構；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。


Used to categorize the organization.

TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Must Supporttrue
Requirements

需要能夠追踪這是哪種機構－不同機構型別有不同的用途。


Need to be able to track the kind of organization that this is - different organization types have different uses.

Pattern Value{
  "coding" : [{
    "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
    "code" : "prov"
  }]
}
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Organization.name
Definition

與此機構相關名稱


A name associated with the organization.

Short即為「醫事機構名稱」，機構的名稱。Name used for the organization
Comments

如果一個機構改變名稱，可以考慮把舊的名稱放在別名（alias）資料項目中，這樣仍然可以透過查詢找到它。


If the name of an organization changes, consider putting the old name in the alias column so that it can still be located through searches.

Control0..1
This element is affected by the following invariants: org-1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

需要使用名稱作為機構的標籤


Need to use the name as the label of the organization.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Organization.telecom
Definition

此機構的詳細聯絡方式


A contact detail for the organization.

Short此機構的詳細聯絡方式。 org-3：一個機構的通訊永遠不可能是「家用」，意即不可能使用「home」。A contact detail for the organization
Comments

不能使用代碼 「home」。請注意，這些聯絡人不是指受僱於此機構或代表此機構的人的詳細聯絡方式，而是此機構本身的官方聯絡人。


The use code 'home' is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself.

Control0..*
This element is affected by the following invariants: org-3
TypeContactPoint
Is Modifierfalse
Must Supporttrue
Summaryfalse
Requirements

此機構的聯絡人


Human contact for the organization.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
org-3: The telecom of an organization can never be of use 'home' (where(use = 'home').empty())
org-3: The telecom of an organization can never be of use 'home' (where(use = 'home').empty())
26. Organization.telecom.system
Definition

聯絡方式的通訊形式－需要什麼通訊系統進行聯絡


Telecommunications form for contact point - what communications system is required to make use of the contact.

Shortphone | fax | email | pager | url | sms | other
Control0..1
This element is affected by the following invariants: cpt-2
BindingThe codes SHALL be taken from ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
(required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

應填入所綁定值集中的其中一個代碼。


Telecommunications form for contact point.

Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Organization.telecom.value
Definition

實際的聯絡方式之細節，針對指定的通訊系統提供有意義的形式（電話號碼或是電子郵件位址）。


The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

Short實際的聯絡方式之細節The actual contact point details
Comments

額外的文字資料，例如電話分機號碼、或關於聯絡人的說明，有時也包括於此值。


Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

需支援非嚴格格式控制之舊有號碼


Need to support legacy numbers that are not in a tightly controlled format.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Organization.telecom.use
Definition

確定聯絡方式的用途


Identifies the purpose for the contact point.

Shorthome | work | temp | old | mobile－此聯絡方式的用途home | work | temp | old | mobile - purpose of this contact point
Comments

應用程式可以假定一個聯絡方法是目前使用中，除非它明確說它是暫時的或舊的。


Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

Control0..1
BindingThe codes SHALL be taken from ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
(required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)

應填入所綁定值集中的其中一個代碼。


Use of contact point.

Typecode
Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

需要追蹤此人使用這種聯絡的方式，使用者可以選擇適合他們用途的聯絡方式。


Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Organization.partOf
Definition

此機構屬於哪個更高層次機構的一部分


The organization of which this organization forms a part.

Short此機構屬於哪個更高層次機構的一部分The organization of which this organization forms a part
Control0..1
TypeReference(Organization Hospital Department IMRI, Organization)
Is Modifierfalse
Summarytrue
Requirements

需要能夠追踪一個機構內的機構層次結構


Need to be able to track the hierarchy of organizations within an organization.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

0. Organization
Definition

為實現某種形式的集體行動而形成的正式或非正式認可的一群人或機構的團體。包括公司、機構、企業、部門、社群團體、健康照護實務團體、付款人／保險公司等。

Short具有共同目的的一群人或機構
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
org-1: The organization SHALL at least have a name or an identifier, and possibly more than one ((identifier.count() + name.count()) > 0)
2. Organization.id
Definition

resource的邏輯ID，在resource的URL中使用。一旦指定，這個值永遠不會改變。

Short不重複的ID用以識別儲存在特定FHIR Server中的Organization紀錄，通常又稱為邏輯性ID。
Comments

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

Control0..1
Typeid
Is Modifierfalse
Summarytrue
4. Organization.meta
Definition

關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。

Short此Organization Resource的metadata
Control0..1
TypeMeta
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Organization.implicitRules
Definition

構建resource時遵循的一系列規則的參照，在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。

Short創建此內容所依據的一組規則
Comments

宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而，現有的健康生態體系高度分裂，還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能，實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時，此URL是對IG的參照，此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Organization.language
Definition

編寫此resource的語言

Short用以表述Organization Resource內容的語言。
Comments

提供語言是為了支援索引和可存取性（通常，文字表述轉語音等服務使用此語言標籤）。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此語言。不應該假定Resource.language自動適用於敘述。如果指定語言，它也應該被指定在html中的div資料項目（關於xml:lang和html lang屬性之間的關係，見HTML5中的規則）。

Control0..1
BindingThe codes SHOULD be taken from CommonLanguages
(preferred to http://hl7.org/fhir/ValueSet/languages)

人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。

Additional BindingsPurpose
AllLanguagesMax Binding
Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Example<br/><b>Value</b>:zh-TW
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Organization.text
Definition

人可讀的敘述，包含resource的摘要，可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼，但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義有哪些內容應該在敘述中表示，以確保臨床安全。

ShortOrganization Resource之內容摘要以供人閱讀
Comments

內嵌（contained）的resource沒有敘述，非內嵌（contained）的resource則 建議應該（SHOULD） 有敘述。有時resource可能只有文字表述，很少或沒有額外的結構化資料（只要滿足所有minOccurs=1的資料項目）。這可能出現在舊系統的資料，當資訊以 「文字表述區塊（text blob） 」的形式被取得，或者文字表述是原始輸入或說明，而編碼資訊稍後再添加。

Control0..1
TypeNarrative
Is Modifierfalse
Summaryfalse
Alternate Namesnarrative, html, xhtml, display
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Organization.contained
Definition

這些resource內嵌（contains）的resource不會另外存於任何FHIR伺服器，意即它們無法在任何FHIR伺服器中被找到，也無法有自己獨立的資料異動／交易（transaction）範圍。

Short內嵌的（contained）、行內的Resources
Comments

當內容可以從任何FHIR伺服器找到時，不應該以內嵌（contained）resource的方式呈現，因為一旦失去識別，再次恢復它是非常困難的（並且取決於情境）。內嵌（contained）的resource可在它們的meta資料項目中表述profiles和tag，但不應該有安全標號（security labels）。

Control0..*
TypeResource
Is Modifierfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
14. Organization.extension
Definition

可用於表示不屬於此resource基本定義的額外資訊。為了擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，必須（SHALL） 滿足一系列要求。

Short擴充的資料項目
Comments

任何應用程式、專案或標準使用擴充時，都不應該帶有任何負面的聯想。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. Organization.modifierExtension
Definition

可以用來表示不屬於此resource的基本定義的額外資訊，並修改包含它所內嵌（contained）的資料項目的理解和/或對包含資料項目之後續使用的理解。通常修飾用的資料項目提供否定或限定的資訊。為了使擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。雖然任何實作者都可以定義一個擴充，但在定義擴充時 必須（SHALL） 滿足一組要求。處理resource的應用程式需要檢查修飾用的擴充資料項目。
修飾用的擴充資料項目 必須沒有（SHALL NOT） 改變resource或DomainResource上任何資料項目的含義（包括不能改變modifierExtension本身的含義）。

Short此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
Comments

任何應用程式、專案或標準使用擴充時，都不應該帶有任何負面的聯想。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

修飾用的資料項目擴充允許將不能安全地忽略的擴充，與絕大多數可以安全地忽略的擴充明確區分開來。這樣做有助於促進可互操作性，因為無需禁止實作者使用擴充，想要瞭解更多資訊，請參見[修飾用的資料項目擴充之定義]（http://hl7.org/fhir/R4/extensibility.html#modifierExtension）。

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
18. Organization.identifier
Definition

用於指明跨多個不同系統的機構識別碼

Short即為「醫事機構代碼」，跨多個系統中識別此機構。
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..*
This element is affected by the following invariants: org-1
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

Organizations通常有多種識別碼。有些機構保有數個，而大多數機構收集識別碼用於跟其他機構交流有關此機構的資訊。

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Organization.identifier.id
Definition

resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。

Short唯一可識別ID，以供資料項目間相互參照。
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
22. Organization.identifier.extension
Definition

擴充的資料項目

Short擴充的資料項目
Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Organization.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
    • 24. Organization.identifier.use
    Definition

    這個唯一識別碼（identifier）的用途

    Shortusual ｜ official ｜ temp ｜ secondary ｜ old （如果知道）
    Comments

    應用程式可以假定一個識別碼是永久的，除非它明確說它是暫時的。

    Control0..1
    BindingThe codes SHALL be taken from IdentifierUse
    (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

    如果已知，請說明此識別碼的目的；應填入所綁定值集中的其中一個代碼。

    Typecode
    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    允許從一組識別碼中為特定的使用情境選擇適當的識別碼

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    26. Organization.identifier.type
    Definition

    識別碼的代碼型別，用於決定特定目適用的識別碼。

    Short機構識別碼（identifier）的型別說明
    Comments

    這個資料項目只涉及識別碼的一般類別。它 必須沒有（SHALL NOT） 被用於與Identifier.system 1..1對應的代碼。一些識別碼可能由於常見的用法而屬於多個類別。在系統是已知的情況下，型別是不必要的，因為型別總是系統定義的一部分。然而，系統經常需要處理系統不為人知的識別碼。型別和系統之間不是1:1的關係，因為許多不同的系統有相同的型別。

    Control1..1
    This element is affected by the following invariants: ele-1
    BindingUnless not suitable, these codes SHALL be taken from IdentifierType + 臺灣衛福部資訊處識別碼類型值集
    (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/identifier-type-tw)

    識別碼的型別，用於決定特定目的所適用的識別碼；應填入所綁定值集中的其中一個代碼。

    TypeCodeableConcept(TW CodeableConcept)
    Is Modifierfalse
    Must Supporttrue
    Requirements

    允許使用者在不知道識別碼系統的情況下利用識別碼

    Pattern Value{
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
        "code" : "PRN"
      }]
    }
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    28. Organization.identifier.system
    Definition

    建立值的命名空間－即一個描述一組值的唯一URL

    Short機構識別碼（identifier）的命名空間（namespace），可至[twTerminology](https://twcore.mohw.gov.tw/ts/namingsystem.jsp?status=active&amp;type=0)申請或查詢命名系統。
    Comments

    Identifier.system總是區分大小寫

    Control0..1
    Typeuri
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    有許多識別碼的集合。為了進行兩個識別碼的對應，我們需要知道我們處理的是哪一組。系統指明了一個特定的唯一識別碼集。

    Pattern Valuehttps://twcore.mohw.gov.tw/ig/twcore/CodeSystem/organization-identifier-tw
    Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    30. Organization.identifier.value
    Definition

    識別碼中通常與使用者有關的部分，在系統情境內是唯一的。

    Short唯一值。例如：醫事機構代碼為0123456789
    Comments

    如果此值是一個完整的URI，那麼此系統 必須（SHALL） 是urn:ietf:rfc:3986。此值的主要目的是為了可運算的對應。因此，為了比較的目的，它可能會被正規化（例如：去除不重要的空白、破折號等）。一個為人顯示的格式化的值可以使用Rendered Value擴充來傳達。除非對Identifier.system的了解使處理者確信不區分大小寫的處理是安全的，否則Identifier.value應被視為區分大小寫。

    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Example<br/><b>General</b>:123456
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    32. Organization.identifier.period
    Definition

    識別碼有效／曾經有效使用的時段或期間

    Short此機構識別碼（identifier）的使用效期
    Control0..1
    TypePeriod
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    34. Organization.identifier.assigner
    Definition

    簽發／管理識別碼的機構

    Short簽發identifier的機構（可以只是文字表述）
    Comments

    Identifier.assigner可以省略.reference資料項目，只包含一個.display資料項目，反映指定機構的名稱或其他文字表述資訊。

    Control0..1
    TypeReference(Organization Hospital Department IMRI)
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    36. Organization.active
    Definition

    此機構的紀錄是否仍在使用中

    Short此機構的紀錄是否仍在使用中
    Comments

    這個Active標記不是用來標記機構暫時關閉或正在建設中。反而應該是Organization的地點（Location）應該具有暫停狀態。如果需要進一步詳細說明暫停的原因，那麼應該針對這個資料項目的提供一個擴充的資料項目。

    這個資料項目被標記為修飾語／修飾用，因為它可用來標記resource是錯誤建立的。

    Control0..1
    Typeboolean
    Is Modifiertrue because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    需要一個標記表明此記錄不再被使用，一般來說應會在使用者界面中隱藏此資料項目。

    Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    38. Organization.type
    Definition

    機構的型別

    Short機構的型別
    Comments

    機構可以是公司、病房、科室、臨床團隊、政府部門等。請注意，代碼通常是機構型別的分類；在許多應用程式中，若代碼是用來指明一個特定機構（例如：病房），而不是另一個相同型別的機構，那麼這些算是識別碼代碼，而不是型別代碼。

    當考慮多個型別是否合適時，你應該評估子機構是否是一個更合適的概念使用，因為不同的型別可能在不同子區域的機構。這最有可能用於型別值不相關（orthogonal values）的地方，像是一個宗教的、學術的和醫學中心。

    我們期望一些行政管轄區設計此資料項目為可選填且基數設定為1。

    Control1..1
    This element is affected by the following invariants: ele-1
    BindingFor example codes, see OrganizationType
    (example to http://hl7.org/fhir/ValueSet/organization-type)

    用於分類機構；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。

    TypeCodeableConcept(TW CodeableConcept)
    Is Modifierfalse
    Must Supporttrue
    Requirements

    需要能夠追踪這是哪種機構－不同機構型別有不同的用途。

    Pattern Value{
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
        "code" : "prov"
      }]
    }
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    40. Organization.name
    Definition

    與此機構相關名稱

    Short即為「醫事機構名稱」，機構的名稱。
    Comments

    如果一個機構改變名稱，可以考慮把舊的名稱放在別名（alias）資料項目中，這樣仍然可以透過查詢找到它。

    Control0..1
    This element is affected by the following invariants: org-1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    需要使用名稱作為機構的標籤

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    42. Organization.alias
    Definition

    此機構目前或過去已知的其他（多個）名稱

    Short此機構目前或過去已知的其他（多個）名稱
    Comments

    沒有與別名／歷史名稱相關的日期，因為這不是為了追踪使用名稱的時間，而是為了協助查詢，以便舊名稱仍然可以指明此機構。

    Control0..*
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Requirements

    隨著時間的推移，地點和機構經歷了許多變化，可能會有不同的名稱。

    對於查詢而言，了解此機構以前的名稱是非常有用的。

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    44. Organization.telecom
    Definition

    此機構的詳細聯絡方式

    Short此機構的詳細聯絡方式。 org-3：一個機構的通訊永遠不可能是「家用」，意即不可能使用「home」。
    Comments

    不能使用代碼 「home」。請注意，這些聯絡人不是指受僱於此機構或代表此機構的人的詳細聯絡方式，而是此機構本身的官方聯絡人。

    Control0..*
    This element is affected by the following invariants: org-3
    TypeContactPoint
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Requirements

    此機構的聯絡人

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    org-3: The telecom of an organization can never be of use 'home' (where(use = 'home').empty())
    46. Organization.telecom.id
    Definition

    resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。

    Short唯一可識別ID，以供資料項目間相互參照。
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    48. Organization.telecom.extension
    Definition

    可用於表示不屬於此資料項目基本定義的附加資訊。為了擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，有一套要求 必須（SHALL） 滿足。

    Short擴充的資料項目
    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on Organization.telecom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
      • 50. Organization.telecom.system
      Definition

      聯絡方式的通訊形式－需要什麼通訊系統進行聯絡

      Shortphone | fax | email | pager | url | sms | other
      Control0..1
      This element is affected by the following invariants: cpt-2
      BindingThe codes SHALL be taken from ContactPointSystem
      (required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

      應填入所綁定值集中的其中一個代碼。

      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      52. Organization.telecom.value
      Definition

      實際的聯絡方式之細節，針對指定的通訊系統提供有意義的形式（電話號碼或是電子郵件位址）。

      Short實際的聯絡方式之細節
      Comments

      額外的文字資料，例如電話分機號碼、或關於聯絡人的說明，有時也包括於此值。

      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Requirements

      需支援非嚴格格式控制之舊有號碼

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      54. Organization.telecom.use
      Definition

      確定聯絡方式的用途

      Shorthome | work | temp | old | mobile－此聯絡方式的用途
      Comments

      應用程式可以假定一個聯絡方法是目前使用中，除非它明確說它是暫時的或舊的。

      Control0..1
      BindingThe codes SHALL be taken from ContactPointUse
      (required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)

      應填入所綁定值集中的其中一個代碼。

      Typecode
      Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      需要追蹤此人使用這種聯絡的方式，使用者可以選擇適合他們用途的聯絡方式。

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      56. Organization.telecom.rank
      Definition

      具體說明使用一組聯繫方式的優先順序，較小排名序位的聯絡方式比較大排名序位的聯絡方式之序位還要前面。

      Short具體說明偏好的使用順序（1=最高優先順序）
      Comments

      請注意，排名序位沒有一定要遵循聯絡方式在實例中呈現的順序。

      Control0..1
      TypepositiveInt
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      58. Organization.telecom.period
      Definition

      此聯絡方式的使用效期

      Short此聯絡方式的使用效期
      Control0..1
      TypePeriod
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      60. Organization.address
      Definition

      此機構的地址

      Short此機構的地址。 org-2：一個機構的地址永遠不可能是「家用」，意即不可能使用「home」。
      Comments

      機構可能有多個地址，有不同的用途或適用期。不使用代碼「home」。

      Control0..*
      This element is affected by the following invariants: ele-1
      TypeAddress(TW Core Address)
      Is Modifierfalse
      Requirements

      為了聯絡、計費或通報要求而可能需要追踪機構的地址

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      org-2: An address of an organization can never be of use 'home' (where(use = 'home').empty())
      62. Organization.partOf
      Definition

      此機構屬於哪個更高層次機構的一部分

      Short此機構屬於哪個更高層次機構的一部分
      Control0..1
      TypeReference(Organization Hospital Department IMRI)
      Is Modifierfalse
      Summarytrue
      Requirements

      需要能夠追踪一個機構內的機構層次結構

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      64. Organization.contact
      Definition

      某一用途的機構聯絡方式

      Short某一用途的機構聯絡方式
      Comments

      如果為同一個用途提供多個聯絡方式，則可有一個擴充的資料項目用以決定哪一個優先聯絡。

      Control0..*
      TypeBackboneElement
      Is Modifierfalse
      Summaryfalse
      Requirements

      需要在更大的機構內追踪用的指定聯絡方式

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      66. Organization.contact.id
      Definition

      resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。

      Short唯一可識別ID，以供資料項目間相互參照。
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      68. Organization.contact.extension
      Definition

      可用於表示不屬於此資料項目基本定義的附加資訊。為了擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，有一套要求 必須（SHALL） 滿足。

      Short擴充的資料項目
      Comments

      無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何污名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      70. Organization.contact.modifierExtension
      Definition

      可以用來表示不屬於資料項目的基本定義的附加資訊，並且修改對它所內嵌（contained）的資料項目的理解和／或對包含資料項目之後續使用的理解。通常，修飾用的資料項目提供否定或限定。為了使擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，有一組要求 必須（SHALL） 滿足。處理resource的應用程式被要求檢查修飾用的擴充資料項目。

      修飾用的擴充資料項目 必須沒有（SHALL NOT） 改變resource或DomainResource上任何資料項目的含義（包括不能改變modifierExtension本身的含義）。

      Short此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
      Comments

      無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何污名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      修飾用的資料項目擴充將不能安全地忽略的擴充與絕大多數可以安全地忽略的擴充明確區分開來。透過消除禁止實作者擴充存在的需求來促進可互操作性。更多訊息，請參見修飾用的資料項目擴充之定義。

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      72. Organization.contact.purpose
      Definition

      表明可聯絡到此聯絡人的聯絡方式之用途

      Short聯絡的型別
      Comments

      Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

      Control0..1
      This element is affected by the following invariants: ele-1
      BindingUnless not suitable, these codes SHALL be taken from ContactEntityType
      (extensible to http://hl7.org/fhir/ValueSet/contactentity-type)

      你所聯絡之聯絡人的聯絡方式用途；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。

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Requirements

      需要對多個聯絡人進行區分

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      74. Organization.contact.name
      Definition

      聯絡人名字

      Short聯絡人名字
      Control0..1
      TypeHumanName
      Is Modifierfalse
      Summaryfalse
      Requirements

      需能透過名字來追綜此聯絡人

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      76. Organization.contact.telecom
      Definition

      可與此人聯絡的詳細聯絡方式（如電話或電子郵件地址等）

      Short聯絡人的詳細聯絡方式（例如：電話、電子郵件等）。
      Control0..*
      TypeContactPoint
      Is Modifierfalse
      Summaryfalse
      Requirements

      人們有（主要）方式與他們聯絡，如電話、電子郵件。

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      78. Organization.contact.address
      Definition

      可到訪及郵寄聯絡人的地址

      Short聯絡人的到訪或郵政地址
      Comments

      注意：地址的目的是描述用於管理目的之郵政地址，而不是描述絕對的地理座標。郵政地址經常被用作實體位置的代表（亦可見Locationresource）。

      Control0..1
      This element is affected by the following invariants: ele-1
      TypeAddress(TW Core Address)
      Is Modifierfalse
      Requirements

      為了聯絡、計費或通報要求而可能需要追踪機構的地址

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      80. Organization.endpoint
      Definition

      存取此Organization的技術服務的終端（endpoints）

      Short存取此Organization的技術服務的終端（endpoints）
      Control0..*
      TypeReference(Endpoint)
      Is Modifierfalse
      Summaryfalse
      Requirements

      機構有多個提供各種服務的系統，需要能夠定義技術連接的細節，如何連接到這些系統，以及為了什麼目的。

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))