醫療保險理賠實作指引
0.1.3 - CI Build

This page is part of the 醫療保險理賠實作指引 (v0.1.3: Releases Ballot 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: PatientiClaim - Detailed Descriptions

Active as of 2023-12-25

Definitions for the patient-iclaim resource profile.

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

0. Patient
2. Patient.extension:occupation
Slice Nameoccupation
Control0..1
TypeExtension(Occupation) (Extension Type: CodeableConcept)
Must Supporttrue
4. Patient.identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control2..2
LOINC Code
6. Patient.identifier:idCardNumber
Slice NameidCardNumber
Short即為「身分證字號」,適用身分證字號
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..?
LOINC Code
8. Patient.identifier:passportNumber
Slice NamepassportNumber
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..0
LOINC Code
10. Patient.identifier:residentNumber
Slice NameresidentNumber
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..0
LOINC Code
12. Patient.identifier:medicalRecord
Slice NamemedicalRecord
Short即為「病歷號碼」,適用病歷號
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..?
LOINC Code
14. Patient.name
Short即為「姓名」,病人的姓名
Control1..1
Must Supporttrue
LOINC Code
16. Patient.gender
Short即為「性別」,male | female | other | unknown
LOINC Code
18. Patient.birthDate
Short即為「出生日期」,病人出生日期
LOINC Code
20. Patient.address
Short即為「居住地址」,病人聯絡地址
Control0..1
LOINC Code

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

0. Patient
Definition

關於接受照護或其他健康相關服務的個人或動物的人口統計學和其他行政資訊。


Demographics and other administrative information about an individual or animal receiving care or other health-related services.

Short接受健康照護服務的個人或動物之資訊Information about an individual or animal receiving health care services
Control0..*
Is Modifierfalse
Summaryfalse
Alternate NamesSubjectOfCare Client Resident
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())
2. Patient.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IG定義特殊規則及其他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貿易夥伴所理解。這從本質上限制了資料的長期有用性。然而,現有的健康生態體系高度分裂,還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能,實作者和/或規範編寫者應該避免使用這個資料項目。通常,在使用時,此URL是對實作指引的參照,此指引將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。


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. Patient.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定義可定義哪些內容應該在敘述中表示,以確保臨床安全。


A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

ShortPatient Resource之內容摘要以供人閱讀Text summary of the resource, for human interpretation
Comments

內嵌(contained)的resource沒有敘述,非內嵌(contained)的resource則 建議應該(SHOULD) 有敘述。在某些情況下,resource可能只有文字表述,很少或沒有額外的離散資料(只要滿足所有minOccurs=1的資料項目)。這對於來自舊有系統的資料可能是必要的,在這些系統中,從 「文字表述區塊(text blob) 」獲取訊息,或者文字表述是額外的原始輸入或敘述,而編碼訊息是後來添加的。


Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Control0..1
TypeNarrative
Is Modifierfalse
Must Supporttrue
Summaryfalse
Alternate Namesnarrative, html, xhtml, display
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Patient.extension:age
Slice Nameage
Definition

年齡

  • 2023/8/25異動說明: 相較於單純以integer Data Type 使用「數值」呈現年齡,改以Age Data Type包含「數值」及「單位」的呈現,其語意更為精確及使用上較具彈性。
Short年齡
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(Person Age) (Extension Type: Age)
Is Modifierfalse
Must Supporttrue
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())
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
LOINC Code
8. Patient.extension:nationality
Slice Namenationality
Definition

The nationality of the patient.

Short病人所屬國籍
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(nationality) (Complex Extension)
Is Modifierfalse
Must Supporttrue
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())
LOINC Code
10. Patient.extension:occupation
Slice Nameoccupation
Definition

An Extension

Short職業
Control0..1
TypeExtension(Occupation) (Extension Type: CodeableConcept)
Is Modifierfalse
Must Supporttrue
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())
LOINC Code
12. Patient.modifierExtension
Definition

擴充的資料項目可以用來表示不屬於資料項目的基本定義的附加資訊,並且修改對它所內嵌(contained)的資料項目的理解和(或)對包含資料項目之後續使用的理解。通常,修飾用的資料項目提供否定或限定。為了使擴充的使用安全和可管理,對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充,但作為擴充定義的一部分,有一套要求 必須(SHALL) 滿足。處理resource的應用程式被要求檢查修飾用的擴充資料項目。 修飾用的擴充資料項目 必須沒有(SHALL NOT) 改變resource或DomainResource上任何資料項目的含義(包括不能改變modifierExtension本身的含義)。


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

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

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())
14. Patient.identifier
Definition

病人的唯一識別碼(identifier)


An identifier for this patient.

Short病人的身份識別碼(identifier),通常為業務目的所使用的識別碼,例如病歷號。An identifier for this patient
NoteThis is a business identifier, not a resource identifier (see discussion)
Control20..2*
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

病人幾乎總是被指定一個特定的數值型的唯一識別碼(identifier)


Patients are almost always assigned specific numerical identifiers.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Patient.identifier. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ type.coding.code
  • value @ type.coding.system
16. Patient.identifier:idCardNumber
Slice NameidCardNumber
Definition

適用於身分證字號


An identifier for this patient.

Short即為「身分證字號」,適用身分證字號An identifier for this patient
NoteThis is a business identifier, not a resource identifier (see discussion)
Control10..1*
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

病人幾乎總是被指定一個特定的數值型的唯一識別碼(identifier)


Patients are almost always assigned specific numerical identifiers.

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

如果知道,請說明此識別碼的目的;應填入IdentifierUse值集中的其中一個代碼。


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.

Pattern Valueofficial
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Patient.identifier:idCardNumber.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身份識別碼(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
BindingThe codes SHALL be taken from Unless not suitable, these codes SHALL be taken from IdentifierType + 臺灣識別碼類型值集http://hl7.org/fhir/ValueSet/identifier-type

識別碼的型別,用於決定特定目的所適用的識別碼;應填入臺灣識別碼類型值集值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


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.

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

由專門術語系統(terminology system)所定義之代碼的參照


A reference to a code defined by a terminology system.

Short由專門術語系統(terminology system)定義的代碼Code defined by a terminology system
Comments

代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Control0..*
This element is affected by the following invariants: ele-1
TypeCoding(TW Coding)
Is Modifierfalse
Must Supporttrue
Requirements

允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


Allows for alternative encodings within a code system, and translations to other code systems.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Patient.identifier:idCardNumber.type.coding.system
Definition

定義代碼中符號意義的代碼系統識別


The identification of the code system that defines the meaning of the symbol in the code.

Short專門術語系統(terminology system)的識別Identity of the terminology system
Comments

URI可以是一個OID(urn:oid:...)或一個UUID(urn:uuid:...);OID和UUID 必須(SHALL) 參照HL7 OID註冊中心;否則,URI應該來自HL7的FHIR定義的特殊URI列表,或者它應該參照一些明確建立的系统定義。


The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

Control10..1
Typeuri
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

需要明確說明符號定義的來源


Need to be unambiguous about the source of the definition of the symbol.

Pattern Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Patient.identifier:idCardNumber.type.coding.code
Definition

系統定義的語法之符號;符號可能是一個預先定義的代碼,也可能是代碼系統定義的語法中的表達式(如後組合配對/後組合式)。


A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short系統定義的語法之符號Symbol in syntax defined by the system
Control10..1
Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

需要參照系統中的一個特定代碼


Need to refer to a particular code in the system.

Pattern ValueNNxxx
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Patient.identifier:idCardNumber.type.coding.code.extension:identifier-suffix
Slice Nameidentifier-suffix
Definition

識別碼後綴詞

Short識別碼後綴詞
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(Identifier Suffix) (Complex Extension)
Is Modifierfalse
Must Supporttrue
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())
LOINC Code
30. Patient.identifier:idCardNumber.type.coding.display
Definition

遵循系統的規則以呈現代碼含義的表示法


A representation of the meaning of the code in the system, following the rules of the system.

Short由系統定義的表示法Representation defined by the system
Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

需要能為不了解此系統的讀者呈現可讀的代碼含義


Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

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

輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。


A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short概念的文字表示法Plain text representation of the concept
Comments

很多時候,此文字表述與其中一個代碼的顯示名稱相同。


Very often the text is the same as a displayName of one of the codings.

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

專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。


The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Patient.identifier:idCardNumber.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身份識別碼(identifier)的命名空間(namespace) 例如:身分證字號='http://www.moi.gov.tw/'The namespace for the identifier value
Comments

Identifier.system總是區分大小寫


Identifier.system is always case sensitive.

Control10..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 Valuehttp://www.moi.gov.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()))
36. Patient.identifier:idCardNumber.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:身分證字號為A123456789The 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.

Control10..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()))
38. Patient.identifier:passportNumber
Slice NamepassportNumber
Definition

適用於護照號碼


An identifier for this patient.

Short適用護照號碼An identifier for this patient
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..0*
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

病人幾乎總是被指定一個特定的數值型的唯一識別碼(identifier)


Patients are almost always assigned specific numerical identifiers.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
49. Patient.identifier:residentNumber
Slice NameresidentNumber
Definition

適用於居留證號碼


An identifier for this patient.

Short適用居留證號碼An identifier for this patient
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..0*
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

病人幾乎總是被指定一個特定的數值型的唯一識別碼(identifier)


Patients are almost always assigned specific numerical identifiers.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. Patient.identifier:medicalRecord
Slice NamemedicalRecord
Definition

適用於病歷號


An identifier for this patient.

Short即為「病歷號碼」,適用病歷號An identifier for this patient
NoteThis is a business identifier, not a resource identifier (see discussion)
Control10..1*
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

病人幾乎總是被指定一個特定的數值型的唯一識別碼(identifier)


Patients are almost always assigned specific numerical identifiers.

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

如果知道,請說明此識別碼的目的;應填入IdentifierUse值集中的其中一個代碼。


Identifies the purpose for this identifier, if known .

Typecode
Is Modifiertrue because This is labeled as &quot;Is Modifier&quot; 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.

Pattern Valueofficial
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
64. Patient.identifier:medicalRecord.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身份識別碼(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
BindingThe codes SHALL be taken from Unless not suitable, these codes SHALL be taken from IdentifierType + 臺灣識別碼類型值集http://hl7.org/fhir/ValueSet/identifier-type

識別碼的型別,用於決定特定目的所適用的識別碼;應填入臺灣識別碼類型值集值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


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.

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

由專門術語系統(terminology system)所定義之代碼的參照


A reference to a code defined by a terminology system.

Short由專門術語系統(terminology system)定義的代碼Code defined by a terminology system
Comments

代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Control0..*
This element is affected by the following invariants: ele-1
TypeCoding(TW Coding)
Is Modifierfalse
Must Supporttrue
Requirements

允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


Allows for alternative encodings within a code system, and translations to other code systems.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
68. Patient.identifier:medicalRecord.type.coding.system
Definition

定義代碼中符號意義的代碼系統識別


The identification of the code system that defines the meaning of the symbol in the code.

Short專門術語系統(terminology system)的識別Identity of the terminology system
Comments

URI可以是一個OID(urn:oid:...)或一個UUID(urn:uuid:...);OID和UUID 必須(SHALL) 參照HL7 OID註冊中心;否則,URI應該來自HL7的FHIR定義的特殊URI列表,或者它應該參照一些明確建立的系统定義。


The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

Control10..1
Typeuri
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

需要明確說明符號定義的來源


Need to be unambiguous about the source of the definition of the symbol.

Pattern Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
70. Patient.identifier:medicalRecord.type.coding.code
Definition

系統定義的語法之符號;符號可能是一個預先定義的代碼,也可能是代碼系統定義的語法中的表達式(如後組合配對/後組合式)。


A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Short系統定義的語法之符號Symbol in syntax defined by the system
Control10..1
Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

需要參照系統中的一個特定代碼


Need to refer to a particular code in the system.

Pattern ValueMR
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. Patient.identifier:medicalRecord.type.coding.display
Definition

遵循系統的規則以呈現代碼含義的表示法


A representation of the meaning of the code in the system, following the rules of the system.

Short由系統定義的表示法Representation defined by the system
Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

需要能為不了解此系統的讀者呈現可讀的代碼含義


Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

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

輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。


A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Short概念的文字表示法Plain text representation of the concept
Comments

很多時候,此文字表述與其中一個代碼的顯示名稱相同。


Very often the text is the same as a displayName of one of the codings.

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

專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。


The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
76. Patient.identifier:medicalRecord.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身份識別碼(identifier)的命名空間(namespace)The namespace for the identifier value
Comments

Identifier.system總是區分大小寫


Identifier.system is always case sensitive.

Control10..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.

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()))
78. Patient.identifier:medicalRecord.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:病歷號為8862168The 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.

Control10..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()))
80. Patient.active
Definition

這位病人的紀錄是否在使用中(active)。許多系統使用這個屬性來標記為非現有(non-current)病人,例如那些根據機構的業務規則在一段時間內沒有被看到的病人。

它經常被用來過濾病人清單以排除inactive的病人

已過世的病人也可能因為同樣的原因被標記為inactive,但在過世後的一段時間內可能是active。


Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.

It is often used to filter patient lists to exclude inactive patients

Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.

Short病人的紀錄是否「使用中(true)」Whether this patient's record is in active use
Comments

如果一筆病人紀錄沒有在使用,但與另一筆使用中的病人紀錄相連結,那麼未來的病人/紀錄更新應該發生在另一筆病人紀錄。


If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.

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

若紀錄因為錯誤而創建,需要能夠將這位病人紀錄標記為不使用


Need to be able to mark a patient record as not to be used because it was created in error.

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()))
82. Patient.name
Definition

個人名字


A name associated with the individual.

Short即為「姓名」,病人的姓名A name associated with the patient
Comments

一位病人可能有多個姓名,有不同的用途或適用期。對於動物來說,這個姓名是一個「HumanName」,它是人類指定和使用的,具有相同的模式。


A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

Control10..1*
TypeHumanName
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

需要能夠追踪病人的多個姓名。例如:正式姓名及配偶姓名。 必須(SHALL) 總是提供姓名的完整拼法。


Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Patient.name. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • pattern @ use
84. Patient.name:official
Slice Nameofficial
Definition

個人名字


A name associated with the individual.

Short病人的護照姓名A name associated with the patient
Comments

一位病人可能有多個姓名,有不同的用途或適用期。對於動物來說,這個姓名是一個「HumanName」,它是人類指定和使用的,具有相同的模式。


A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

Control0..1*
TypeHumanName
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

需要能夠追踪病人的多個姓名。例如:正式姓名及配偶姓名。 必須(SHALL) 總是提供姓名的完整拼法。


Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
tw-core-1: Patient.name.text or Patient.name.family or both SHALL be present (text.exists() or family.exists())
86. Patient.name:official.use
Definition

此姓名的用途


Identifies the purpose for this name.

Shortusual | official | temp | nickname | anonymous | old | maiden
Comments

應用程式可以假定一個姓名是永久的,除非它明確說它是暫時或舊的。


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

Control10..1
BindingThe codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1

人名的使用情況;應填入NameUse值集中的其中一個代碼。


The use of a human name.

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

允許從一組姓名中為特定的使用情境選擇適當的姓名


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

Pattern Valueofficial
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
88. Patient.name:official.text
Definition

完整姓名的文字表述。由於世界各地的文化差異,取得資料的系統可能不知道如何正確地呈現姓名;此外,不是所有的名字部分都呈現予姓或名。因此,我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。


Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

Short完整的護照姓名Text representation of the full name
Comments

可以同時提供文字表述(text)和部分(part)。更新姓名的應用程式 必須(SHALL) 確保當test和lpart都存在時,text中不包含part中沒有的內容。


Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

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

一個可呈現的、未編碼的形式。


A renderable, unencoded form.

Example<br/><b>General</b>:Chia-Lin Chan
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
90. Patient.name:official.family
Definition

姓名中與族譜相關的部分。在一些文化中(如厄立特里亞),兒子的姓氏是其父親的名字。


The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

Short護照中的姓Family name (often called 'Surname')
Comments

姓氏可以使用擴充名(de、nl、es相關文化)分解成具體的部分(part)


Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

Control0..1
This element is affected by the following invariants: tw-core-1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Alternate Namessurname
Example<br/><b>General</b>:Chen
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
92. Patient.name:official.given
Definition

姓名中的「名」


Given name.

Short護照中的名Given names (not always 'first'). Includes middle names
Comments

如果只記錄首字母,可以用它們來代替完整姓名。首字母可以分為多個名,但由於實際情況的限制,通常不會這樣做。這個資料項目不被稱為 「first name」,因為「given name」並不總是排在前面。


If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

Control0..*
This element is affected by the following invariants: tw-core-1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Alternate Namesfirst name, middle name
Example<br/><b>General</b>:Chia-Lin
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
94. Patient.name:usual
Slice Nameusual
Definition

個人名字


A name associated with the individual.

Short病人所屬國籍的真實姓名A name associated with the patient
Comments

一位病人可能有多個姓名,有不同的用途或適用期。對於動物來說,這個姓名是一個「HumanName」,它是人類指定和使用的,具有相同的模式。


A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

Control0..1*
TypeHumanName
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

需要能夠追踪病人的多個姓名。例如:正式姓名及配偶姓名。 必須(SHALL) 總是提供姓名的完整拼法。


Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
tw-core-1: Patient.name.text or Patient.name.family or both SHALL be present (text.exists() or family.exists())
96. Patient.name:usual.use
Definition

此姓名的用途


Identifies the purpose for this name.

Shortusual | official | temp | nickname | anonymous | old | maiden
Comments

應用程式可以假定一個姓名是永久的,除非它明確說它是暫時或舊的。


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

Control10..1
BindingThe codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1

人名的使用情況;應填入NameUse值集中的其中一個代碼。


The use of a human name.

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

允許從一組姓名中為特定的使用情境選擇適當的姓名


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

Pattern Valueusual
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
98. Patient.name:usual.text
Definition

完整姓名的文字表述。由於世界各地的文化差異,取得資料的系統可能不知道如何正確地呈現姓名;此外,不是所有的名字部分都呈現予姓或名。因此,我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。


Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

Short完整的中文姓名Text representation of the full name
Comments

可以同時提供文字表述(text)和部分(part)。更新姓名的應用程式 必須(SHALL) 確保當test和lpart都存在時,text中不包含part中沒有的內容。


Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

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

一個可呈現的、未編碼的形式。


A renderable, unencoded form.

Example<br/><b>General</b>:陳加玲
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
100. Patient.name:usual.family
Definition

姓名中與族譜相關的部分。在一些文化中(如厄立特里亞),兒子的姓氏是其父親的名字。


The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

Short若所屬國籍可區分family及given,填入所屬國籍之姓(family)Family name (often called 'Surname')
Comments

姓氏可以使用擴充名(de、nl、es相關文化)分解成具體的部分(part)


Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

Control0..1
This element is affected by the following invariants: tw-core-1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Alternate Namessurname
Example<br/><b>General</b>:陳
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
102. Patient.name:usual.given
Definition

姓名中的「名」


Given name.

Short若所屬國籍可區分family及given,填入所屬國籍之名(given)Given names (not always 'first'). Includes middle names
Comments

如果只記錄首字母,可以用它們來代替完整姓名。首字母可以分為多個名,但由於實際情況的限制,通常不會這樣做。這個資料項目不被稱為 「first name」,因為「given name」並不總是排在前面。


If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

Control0..*
This element is affected by the following invariants: tw-core-1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Alternate Namesfirst name, middle name
Example<br/><b>General</b>:加玲
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
104. Patient.name:temp
Slice Nametemp
Definition

個人名字


A name associated with the individual.

Short新生兒姓名,緊急救護未知病人姓名時亦可用。A name associated with the patient
Comments

一位病人可能有多個姓名,有不同的用途或適用期。對於動物來說,這個姓名是一個「HumanName」,它是人類指定和使用的,具有相同的模式。


A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

Control0..1*
TypeHumanName
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

需要能夠追踪病人的多個姓名。


Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
106. Patient.name:temp.use
Definition

此姓名的用途


Identifies the purpose for this name.

Shortusual | official | temp | nickname | anonymous | old | maiden
Comments

應用程式可以假定一個姓名是永久的,除非它明確說它是暫時或舊的。


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

Control10..1
BindingThe codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1

人名的使用情況;應填入NameUse值集中的其中一個代碼。


The use of a human name.

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

允許從一組姓名中為特定的使用情境選擇適當的姓名


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

Pattern Valuetemp
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
108. Patient.name:temp.text
Definition

完整姓名的文字表述。由於世界各地的文化差異,取得資料的系統可能不知道如何正確地呈現姓名;此外,不是所有的名字部分都呈現予姓或名。因此,我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。


Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

Short完整的中文姓名Text representation of the full name
Comments

可以同時提供文字表述(text)和部分(part)。更新姓名的應用程式 必須(SHALL) 確保當test和lpart都存在時,text中不包含part中沒有的內容。


Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

Control10..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

一個可呈現的、未編碼的形式。


A renderable, unencoded form.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
110. Patient.name:temp.family
Definition

The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

ShortFamily name (often called 'Surname')
Comments

Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

Control0..01
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Alternate Namessurname
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
112. Patient.name:temp.given
Definition

Given name.

ShortGiven names (not always 'first'). Includes middle names
Comments

If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

Control0..0*
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Alternate Namesfirst name, middle name
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
114. Patient.name:temp.prefix
Definition

Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

ShortParts that come before the name
Control0..0*
Typestring
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()))
116. Patient.name:temp.suffix
Definition

Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

ShortParts that come after the name
Control0..0*
Typestring
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()))
118. Patient.name:anonymous
Slice Nameanonymous
Definition

個人名字


A name associated with the individual.

Short匿名供研究使用A name associated with the patient
Comments

一位病人可能有多個姓名,有不同的用途或適用期。對於動物來說,這個姓名是一個「HumanName」,它是人類指定和使用的,具有相同的模式。


A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

Control0..1*
TypeHumanName
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

需要能夠追踪病人的多個姓名。


Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
120. Patient.name:anonymous.use
Definition

此姓名的用途


Identifies the purpose for this name.

Shortusual | official | temp | nickname | anonymous | old | maiden
Comments

應用程式可以假定一個姓名是永久的,除非它明確說它是暫時或舊的。


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

Control10..1
BindingThe codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1

人名的使用情況;應填入NameUse值集中的其中一個代碼。


The use of a human name.

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

允許從一組姓名中為特定的使用情境選擇適當的姓名


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

Pattern Valueanonymous
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
122. Patient.name:anonymous.text
Definition

完整姓名的文字表述。由於世界各地的文化差異,取得資料的系統可能不知道如何正確地呈現姓名;此外,不是所有的名字部分都呈現予姓或名。因此,我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。


Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

Short完整的中文姓名Text representation of the full name
Comments

可以同時提供文字表述(text)和部分(part)。更新姓名的應用程式 必須(SHALL) 確保當test和lpart都存在時,text中不包含part中沒有的內容。


Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

Control10..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

一個可呈現的、未編碼的形式。


A renderable, unencoded form.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
124. Patient.name:anonymous.family
Definition

The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

ShortFamily name (often called 'Surname')
Comments

Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

Control0..01
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Alternate Namessurname
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
126. Patient.name:anonymous.given
Definition

Given name.

ShortGiven names (not always 'first'). Includes middle names
Comments

If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

Control0..0*
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Alternate Namesfirst name, middle name
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
128. Patient.name:anonymous.prefix
Definition

Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

ShortParts that come before the name
Control0..0*
Typestring
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()))
130. Patient.name:anonymous.suffix
Definition

Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

ShortParts that come after the name
Control0..0*
Typestring
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()))
132. Patient.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)


A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.

Short病人的聯絡資訊(例如:電話、電子郵件等)A contact detail for the individual
Comments

一位病人可能有多種聯絡方式,有不同的用途或適用期。可能需要有緊急聯絡此人的選項,也需要幫忙識別身份。地址可能不會直接聯絡到此人,但可能到透過他人代為聯絡(意即家中的電話)。


A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

Control0..*
TypeContactPoint
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

人們有(主要)方式與他們聯絡,如電話、電子郵件。


People have (primary) ways to contact them in some way such as phone, email.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
134. Patient.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
Control10..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

應填入ContactPointSystem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()))
136. Patient.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.

Control10..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()))
138. Patient.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

應填入ContactPointUse值集中的其中一個代碼。


Use of contact point.

Typecode
Is Modifiertrue because This is labeled as &quot;Is Modifier&quot; 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
Must Supporttrue
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()))
140. Patient.telecom.period
Definition

此聯絡方式的使用效期


Time period when the contact point was/is in use.

Short此聯絡方式的使用效期Time period when the contact point was/is in use
Control0..1
TypePeriod
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
142. Patient.gender
Definition

Administrative Gender 為行政管理及保存紀錄目的之病人性別


Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.

Short即為「性別」,male | female | other | unknownmale | female | other | unknown
Comments

行政管理用之性別可能不符合由遺傳學或個人偏好的識別所決定的生物性別。請注意,對於人類,特別是動物,除了男性和女性,還有其他合法歸類的可能性,儘管絕大多數系統和情境只支持男性和女性。提供決策支援或執行業務規則的系統最好以檢驗檢查(Observation)呈現特定性別或感興趣的性別(解剖學、染色體、社會等)。然而,由於這些檢驗檢驗不常被記錄,預設為行政管理用之性別是常見的做法。在這種預設的情況下,規則的執行應該允許行政管理用和生物、染色體和其他性別方面的差異。例如:關於男性子宮切除的警訊應該作為警告或可推翻的錯誤來處理,而不是 「硬(hard) 」錯誤。關於溝通病人性別的更多資訊,請參閱Patient Gender及Sex的部分。


The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.

Control10..1
BindingThe codes SHALL be taken from AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1

病人性別;應填入AdministrativeGender值集中的其中一個代碼。


The gender of a person used for administrative purposes.

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

性別用於結合(至少)姓名和出生日期以識別個人身份


Needed for identification of the individual, in combination with (at least) name and birth date.

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

個人的出生日期


The date of birth for the individual.

Short即為「出生日期」,病人出生日期The date of birth for the individual
Comments

如果真實的出生日期未知,至少應該提供一個估計的出生年份作為猜測。有一個標準的擴充 「patient-birthTime」,應該於需要出生時間(Time)資訊時使用(例如:在產科/新生兒照護系統中)。


At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).

Control10..1
Typedate
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

個人的年齡驅動著許多臨床過程/進程


Age of the individual drives many clinical processes.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
LOINC Code21112-8
146. Patient.deceased[x]
Definition

表示此人是否過世


Indicates if the individual is deceased or not.

Short病人是否過世Indicates if the individual is deceased or not
Comments

如果實例中沒有值,就意味著沒有關於此人是否過世的聲明。大多數系統會把沒有數值解釋為這個人還活著的標誌。


If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.

Control0..1
TypeChoice of: boolean, dateTime
[x] NoteSee Choice of Data Types for further information about how to use [x]
Is Modifiertrue because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

病人已經過世的事實影響了臨床過程/進度。另外,在人際溝通和關係管理中,有必要知道這個人是否活著。


The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.

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

此人的地址


An address for the individual.

Short即為「居住地址」,病人聯絡地址An address for the individual
Comments

病人可能有多個地址,有不同的用途或適用期。


Patient may have multiple addresses with different uses or applicable periods.

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

可能需要記錄病人的地址,以便聯繫、結算或報告的要求,也有助於識別身份。


May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

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

這個欄位包含病人的目前婚姻(民事)狀態


This field contains a patient's most recent marital (civil) status.

Short病人的婚姻狀態Marital (civil) status of a patient
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 Marital Status Codeshttp://hl7.org/fhir/ValueSet/marital-status

病人的婚姻狀態;應填入Marital Status Codes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。


The domestic partnership status of a person.

TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Must Supporttrue
Requirements

如果不是所有的系統都能取得此資訊


Most, if not all systems capture it.

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

病人的影像(照片)


Image of the patient.

Short病人的影像(照片)Image of the patient
Comments

指引: 使用個人照片,而不是臨床照片。 限制尺寸為縮圖。 保持低位元組小檔案以便更新resource。


Guidelines:

  • Use id photos, not clinical photos.
  • Limit dimensions to thumbnail.
  • Keep byte count low to ease resource updates.
Control0..*
TypeAttachment
Is Modifierfalse
Must Supporttrue
Summaryfalse
Requirements

許多EHR系統有能力取得病人的影像,這也符合較新的社群媒體的使用。


Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.

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

病人的聯絡人(如監護人、伴侶、朋友)。


A contact party (e.g. guardian, partner, friend) for the patient.

Short病人的聯絡人,例如:監護人、伴侶、朋友等。A contact party (e.g. guardian, partner, friend) for the patient
Comments

聯絡涵蓋所有種類的聯絡人:家人、業務聯絡、監護人、照顧者。不適用於登記血統和家庭關係,因這超出聯絡的目的。


Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.

Control0..*
TypeBackboneElement
Is Modifierfalse
Must Supporttrue
Summaryfalse
Requirements

需能聯絡到的病人的人。


Need to track people you can contact about the patient.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
pat-1: SHALL at least contain a contact's details or a reference to an organization (name.exists() or telecom.exists() or address.exists() or organization.exists())
pat-1: SHALL at least contain a contact's details or a reference to an organization (name.exists() or telecom.exists() or address.exists() or organization.exists())
156. Patient.contact.modifierExtension
Definition

擴充的資料項目


May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 can 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 even if unrecognized
Comments

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

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

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

Alternate Namesextensions, user content, modifiers
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())
158. Patient.contact.relationship
Definition

可以透過正式參照一個專門術語或知識本體來定義一個概念,或者也可以文字表述此概念。


The nature of the relationship between the patient and the contact person.

Short概念(Concept)-參照一個專門術語或只是文字表述The kind of relationship
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..*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from Unless not suitable, these codes SHALL be taken from PatientRelationshipTypehttp://hl7.org/fhir/ValueSet/patient-contactrelationship

應填入PatientRelationshipType值集中的其中一個代碼。


The nature of the relationship between a patient and a contact person for that patient.

TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Must Supporttrue
Requirements

根據情況決定哪位聯絡人最有關聯以作聯繫


Used to determine which contact person is the most relevant to approach, depending on circumstances.

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

與聯絡人有關的姓名


A name associated with the contact person.

Short聯絡人姓名A name associated with the contact person
Control0..1
TypeHumanName
Is Modifierfalse
Must Supporttrue
Summaryfalse
Requirements

聯絡人需要以姓名來識別,但通常不需要此聯絡人的其他姓名的細節。


Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.

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

此姓名的用途


Identifies the purpose for this name.

Shortusual | official | temp | nickname | anonymous | old | maiden
Comments

應用程式可以假定一個姓名是永久的,除非它明確說它是暫時或舊的。


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

Control0..1
BindingThe codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1

人名的使用情況;應填入NameUse值集中的其中一個代碼。


The use of a human name.

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

允許從一組姓名中為特定的使用情境選擇適當的姓名


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

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

完整姓名的文字表述。由於世界各地的文化差異,取得資料的系統可能不知道如何正確地呈現姓名;此外,不是所有的名字部分都呈現予姓或名。因此,我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。


Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

Short完整的中文姓名Text representation of the full name
Comments

可以同時提供文字表述(text)和部分(part)。更新姓名的應用程式 必須(SHALL) 確保當test和lpart都存在時,text中不包含part中沒有的內容。


Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

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

一個可呈現的、未編碼的形式。


A renderable, unencoded form.

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

姓名中與族譜相關的部分。在一些文化中(如厄立特里亞),兒子的姓氏是其父親的名字。


The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

Short英文姓Family name (often called 'Surname')
Comments

姓氏可以使用擴充名(de、nl、es相關文化)分解成具體的部分(part)


Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Alternate Namessurname
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
168. Patient.contact.name.given
Definition

姓名中的「名」


Given name.

Short英文名Given names (not always 'first'). Includes middle names
Comments

如果只記錄首字母,可以用它們來代替完整姓名。首字母可以分為多個名,但由於實際情況的限制,通常不會這樣做。這個資料項目不被稱為 「first name」,因為「given name」並不總是排在前面。


If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

Control0..*
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Alternate Namesfirst name, middle name
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
170. Patient.contact.telecom
Definition

此人的詳細聯絡方式,例如:電話號碼或電子郵件地址。


A contact detail for the person, e.g. a telephone number or an email address.

Short聯絡人的詳細聯絡資訊A contact detail for the person
Comments

聯絡人可能有多種聯絡方式,有不同的用途或適用期。可能需要有緊急聯絡此人的選項,及需要幫忙身份識別。


Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.

Control0..*
TypeContactPoint
Is Modifierfalse
Must Supporttrue
Summaryfalse
Requirements

人們可透過(主要)方式與他們聯絡,例如電話、電子郵件。


People have (primary) ways to contact them in some way such as phone, email.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
172. Patient.contact.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
Control10..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

應填入ContactPointSystem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()))
174. Patient.contact.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.

Control10..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()))
176. Patient.contact.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

應填入ContactPointUse值集中的其中一個代碼。


Use of contact point.

Typecode
Is Modifiertrue because This is labeled as &quot;Is Modifier&quot; 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
Must Supporttrue
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()))
178. Patient.contact.period
Definition

與此病人有關的聯絡人或機構的有效聯絡期


The period during which this contact person or organization is valid to be contacted relating to this patient.

Short聯絡人或其可聯絡機構之可聯絡期(時間區間)The period during which this contact person or organization is valid to be contacted relating to this patient
Control0..1
TypePeriod
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
180. Patient.communication
Definition

可用於與病人溝通其健康狀況的語言。


A language which may be used to communicate with the patient about his or her health.

Short向病人說明健康狀態時所使用的語言A language which may be used to communicate with the patient about his or her health
Comments

如果沒有指定語言,這意味著預設使用當地語言。如果你需要多種模式的熟練程度,那麼你需要多個Patient.Communication關聯。對於動物來說,語言不是相關的欄位,應該不存在於實例中。如果病人不講預設的當地語言,那麼可以使用 「(Interpreter Required Standard)需要口譯員」來明確聲明需要口譯員。


If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.

Control0..*
TypeBackboneElement
Is Modifierfalse
Must Supporttrue
Summaryfalse
Requirements

如果病人不會說當地語言,可能需要翻譯,因此,對於病人和其他相關人員來說,所講的語言和熟練程度都是需要記錄的重要內容。


If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.

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

擴充的資料項目


May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 can 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 even if unrecognized
Comments

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

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

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

Alternate Namesextensions, user content, modifiers
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())
184. Patient.communication.language
Definition

小寫的ISO-639-1字母兩個代碼表示的語言,後面可以有連字符號,大寫的ISO-3166-1字母兩個代碼表示使用此語言的地區;例如「en 」代表英語,或者 「en-US 」代表美國英語,而 「en-EN 」代表英國英語。


The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English.

Short向病人說明健康狀況時所使用的語言The language which can be used to communicate with the patient about his or her health
Comments

帶有這種精確字母大小寫的aa-BB結構是最廣泛使用的地方性符號之一。但並不是所有的系統都對其進行編碼,而是將其作為純文字表述。因此,data type為CodeableConcept而不是code。


The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.

Control1..1
This element is affected by the following invariants: ele-1
BindingThe codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages

應填入CommonLanguages值集中的其中一個代碼。


A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Must Supporttrue
Requirements

在多語言國家的大多數系統都會想要溝通語言。並非所有的系統實際上都需要區域方言。


Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.

Example<br/><b>Value</b>:zh-TW
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
186. Patient.managingOrganization
Definition

病人紀錄的保管機構


Organization that is the custodian of the patient record.

Short此紀錄的保管機構Organization that is the custodian of the patient record
Comments

僅有一個管理特定病人紀錄的機構。其他機構將擁有自己的「病人」紀錄,並可透過使用「Link」屬性將紀錄結合在一起(或可以包含關聯可信的「Person」resource)。


There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).

Control0..1
TypeReference(TW Core Organization, Organization)
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

需要知道誰識別、管理和更新這位病人的紀錄


Need to know who recognizes this patient record, manages and updates it.

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

連結到另一個涉及同一實際病人的Patient resource。


Link to another patient resource that concerns the same actual patient.

Short連結至此病人的其他Patient ResourceLink to another patient resource that concerns the same actual person
Comments

不存在連結的病人紀錄有相互連結的假設


There is no assumption that linked patient records have mutual links.

Control0..*
TypeBackboneElement
Is Modifiertrue because This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'
Summarytrue
Requirements

有多種使用案例:
由於難以一致地指明與人相關的文件而錯誤地重複製作病人紀錄,並在多個伺服器上發佈病人的資訊。


There are multiple use cases:

  • Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and
  • Distribution of patient information across multiple servers.
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
190. Patient.link.modifierExtension
Definition

擴充的資料項目


May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 can 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 even if unrecognized
Comments

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

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

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

Alternate Namesextensions, user content, modifiers
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())
192. Patient.link.other
Definition

此連超所參照的另一個Patient resource


The other patient resource that the link refers to.

Short連結至其他Patient或RelatedPerson ResourceThe other patient or related person resource that the link refers to
Comments

在這裡參照一個RelatedPerson,就不需要另外使用Person來將Patient及RelatedPerson作為同一個人關聯起來。


Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.

Control1..1
TypeReference(TW Core Patient, RelatedPerson, Patient)
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
194. Patient.link.type
Definition

這個Patient resource與另一個Patient resource之間的連結型別


The type of link between this patient resource and another patient resource.

Shortreplaced-by | replaces | refer | seealsoreplaced-by | replaces | refer | seealso
Control1..1
BindingThe codes SHALL be taken from LinkTypehttp://hl7.org/fhir/ValueSet/link-type|4.0.1

連結的型別;應填入LinkType值集中的其中一個代碼。


The type of link between this patient resource and another patient resource.

Typecode
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()))

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

0. Patient
Definition

關於接受照護或其他健康相關服務的個人或動物的人口統計學和其他行政資訊。

Short接受健康照護服務的個人或動物之資訊
Control0..*
Is Modifierfalse
Summaryfalse
Alternate NamesSubjectOfCare Client Resident
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())
2. Patient.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Patient紀錄,通常又稱為邏輯性ID。
Comments

一個resource使用新增操作(create operation)提交給伺服器時是此resource唯一沒有id的時刻

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

關於resource的metadata。這是由基礎建設維護的內容。對內容的改變可能並不總是與resource的版本改變相關。

Short此Patient 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. Patient.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IG定義特殊規則及其他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貿易夥伴所理解。這從本質上限制了資料的長期有用性。然而,現有的健康生態體系高度分裂,還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能,實作者和/或規範編寫者應該避免使用這個資料項目。通常,在使用時,此URL是對實作指引的參照,此指引將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。

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. Patient.language
Definition

編寫此resource的基礎語言

Short用以表述Patient 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基礎語言。不應該假定Resource.language自動適用於敘述。如果指定語言,它也應該被指定在html中的div元素(關於xml:lang和html lang屬性之間的關係,見HTML5中的規則)。

Control0..1
BindingThe codes SHOULD be taken from CommonLanguages

人類語言;鼓勵使用CommonLanguages值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

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. Patient.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定義可定義哪些內容應該在敘述中表示,以確保臨床安全。

ShortPatient 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。在某些情況下,resource可能只有文字表述,很少或沒有額外的離散資料(只要滿足所有minOccurs=1的資料項目)。這對於來自舊有系統的資料可能是必要的,在這些系統中,從 「文字表述區塊(text blob) 」獲取訊息,或者文字表述是額外的原始輸入或敘述,而編碼訊息是後來添加的。

Control0..1
TypeNarrative
Is Modifierfalse
Must Supporttrue
Summaryfalse
Alternate Namesnarrative, html, xhtml, display
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Patient.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,因為一旦識別丟失,要再次恢復它是非常困難的(並且取決於情境)。內嵌(contained)的resource可在它們的meta資料項目中表述profiles和tag(標籤),但 必須沒有(SHALL NOT) 資訊安全標號(security labels)。

Control0..*
TypeResource
Is Modifierfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
14. Patient.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 Patient.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
16. Patient.extension:age
Slice Nameage
Definition

年齡

  • 2023/8/25異動說明: 相較於單純以integer Data Type 使用「數值」呈現年齡,改以Age Data Type包含「數值」及「單位」的呈現,其語意更為精確及使用上較具彈性。
Short年齡
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(Person Age) (Extension Type: Age)
Is Modifierfalse
Must Supporttrue
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. Patient.extension:nationality
Slice Namenationality
Definition

The nationality of the patient.

Short病人所屬國籍
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(nationality) (Complex Extension)
Is Modifierfalse
Must Supporttrue
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())
20. Patient.extension:occupation
Slice Nameoccupation
Definition

An Extension

Short職業
Control0..1
TypeExtension(Occupation) (Extension Type: CodeableConcept)
Is Modifierfalse
Must Supporttrue
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())
22. Patient.modifierExtension
Definition

擴充的資料項目可以用來表示不屬於資料項目的基本定義的附加資訊,並且修改對它所內嵌(contained)的資料項目的理解和(或)對包含資料項目之後續使用的理解。通常,修飾用的資料項目提供否定或限定。為了使擴充的使用安全和可管理,對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充,但作為擴充定義的一部分,有一套要求 必須(SHALL) 滿足。處理resource的應用程式被要求檢查修飾用的擴充資料項目。 修飾用的擴充資料項目 必須沒有(SHALL NOT) 改變resource或DomainResource上任何資料項目的含義(包括不能改變modifierExtension本身的含義)。

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。
Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
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())
24. Patient.identifier
Definition

病人的唯一識別碼(identifier)

Short病人的身份識別碼(identifier),通常為業務目的所使用的識別碼,例如病歷號。
NoteThis is a business identifier, not a resource identifier (see discussion)
Control2..2
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

病人幾乎總是被指定一個特定的數值型的唯一識別碼(identifier)

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Patient.identifier. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ type.coding.code
  • value @ type.coding.system
26. Patient.identifier:idCardNumber
Slice NameidCardNumber
Definition

適用於身分證字號

Short即為「身分證字號」,適用身分證字號
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..1
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

病人幾乎總是被指定一個特定的數值型的唯一識別碼(identifier)

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Patient.identifier:idCardNumber.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
30. Patient.identifier:idCardNumber.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 Patient.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
32. Patient.identifier:idCardNumber.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

如果知道,請說明此識別碼的目的;應填入IdentifierUse值集中的其中一個代碼。

Typecode
Is Modifiertrue because This is labeled as &quot;Is Modifier&quot; 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

Pattern Valueofficial
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Patient.identifier:idCardNumber.type
Definition

識別碼的代碼型別,用於決定特定目適用的識別碼。

Short身份識別碼(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
BindingThe codes SHALL be taken from IdentifierType + 臺灣識別碼類型值集

識別碼的型別,用於決定特定目的所適用的識別碼;應填入臺灣識別碼類型值集值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

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

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Patient.identifier:idCardNumber.type.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
38. Patient.identifier:idCardNumber.type.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 Patient.identifier.type.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
40. Patient.identifier:idCardNumber.type.coding
Definition

由專門術語系統(terminology system)所定義之代碼的參照

Short由專門術語系統(terminology system)定義的代碼
Comments

代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

Control0..*
This element is affected by the following invariants: ele-1
TypeCoding(TW Coding)
Is Modifierfalse
Must Supporttrue
Requirements

允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. Patient.identifier:idCardNumber.type.coding.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
44. Patient.identifier:idCardNumber.type.coding.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())
SlicingThis element introduces a set of slices on Patient.identifier.type.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
46. Patient.identifier:idCardNumber.type.coding.system
Definition

定義代碼中符號意義的代碼系統識別

Short專門術語系統(terminology system)的識別
Comments

URI可以是一個OID(urn:oid:...)或一個UUID(urn:uuid:...);OID和UUID 必須(SHALL) 參照HL7 OID註冊中心;否則,URI應該來自HL7的FHIR定義的特殊URI列表,或者它應該參照一些明確建立的系统定義。

Control1..1
Typeuri
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

需要明確說明符號定義的來源

Pattern Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. Patient.identifier:idCardNumber.type.coding.version
Definition

選擇此代碼時使用的代碼系統版本;請注意,一個維護良好的代碼系統不需要版本報告,因為代碼的意義在不同系統版本中是一致的;然而,不能始終保證這點,當不能保證意義一致時, 必須(SHALL) 將版本資訊也一併作交換。

Short系統的版本—如果相關的話
Comments

如果專門術語沒有明確定義應該使用什麼字串來識別代碼系統的版本,建議使用版本正式發布的日期(用FHIR日期格式表示)作為版本日期。

NoteThis is a business versionId, not a resource version id (see discussion)
Control0..1
Typestring
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()))
50. Patient.identifier:idCardNumber.type.coding.code
Definition

系統定義的語法之符號;符號可能是一個預先定義的代碼,也可能是代碼系統定義的語法中的表達式(如後組合配對/後組合式)。

Short系統定義的語法之符號
Control1..1
Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

需要參照系統中的一個特定代碼

Pattern ValueNNxxx
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. Patient.identifier:idCardNumber.type.coding.code.id
Definition

unique id for the element within a resource (for internal references)

Shortxml:id (or equivalent in JSON)
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
54. Patient.identifier:idCardNumber.type.coding.code.extension
Definition

An Extension

ShortExtension
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 Patient.identifier.type.coding.code.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
56. Patient.identifier:idCardNumber.type.coding.code.extension:identifier-suffix
Slice Nameidentifier-suffix
Definition

識別碼後綴詞

Short識別碼後綴詞
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(Identifier Suffix) (Complex Extension)
Is Modifierfalse
Must Supporttrue
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())
58. Patient.identifier:idCardNumber.type.coding.code.value
Definition

Primitive value for code

ShortPrimitive value for code
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
60. Patient.identifier:idCardNumber.type.coding.display
Definition

遵循系統的規則以呈現代碼含義的表示法

Short由系統定義的表示法
Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

需要能為不了解此系統的讀者呈現可讀的代碼含義

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
62. Patient.identifier:idCardNumber.type.coding.userSelected
Definition

表明此編碼是由使用者直接選擇,例如:從可用項目(代碼或顯示名稱)的清單中選擇。

Short此編碼是否由使用者直接選擇?
Comments

在一系列備選方案中,直接選擇的代碼是新翻譯最合適的起點;關於「直接選擇」的確切意義,存在模糊不清之處,可能需要貿易夥伴的同意,以更完整澄清此資料項目的使用及其後果。

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

已被確定為一個臨床安全準則—此確切的系統/代碼對(code pair)是被明確選擇的,而不是由系統根據一些規則或是程式語言處理判斷。

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

輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。

Short概念的文字表示法
Comments

很多時候,此文字表述與其中一個代碼的顯示名稱相同。

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

專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. Patient.identifier:idCardNumber.system
Definition

建立值的命名空間-即一個描述一組值的唯一URL

Short身份識別碼(identifier)的命名空間(namespace) 例如:身分證字號='http://www.moi.gov.tw/'
Comments

Identifier.system總是區分大小寫

Control1..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 Valuehttp://www.moi.gov.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()))
68. Patient.identifier:idCardNumber.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:身分證字號為A123456789
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。

Control1..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()))
70. Patient.identifier:idCardNumber.period
Definition

識別碼有效/曾經有效使用的時段或期間

Short此身份識別碼(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()))
72. Patient.identifier:idCardNumber.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(TW Core Organization)
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. Patient.identifier:passportNumber
Slice NamepassportNumber
Definition

適用於護照號碼

Short適用護照號碼
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..0
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

病人幾乎總是被指定一個特定的數值型的唯一識別碼(identifier)

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
95. Patient.identifier:residentNumber
Slice NameresidentNumber
Definition

適用於居留證號碼

Short適用居留證號碼
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..0
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

病人幾乎總是被指定一個特定的數值型的唯一識別碼(identifier)

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
116. Patient.identifier:medicalRecord
Slice NamemedicalRecord
Definition

適用於病歷號

Short即為「病歷號碼」,適用病歷號
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..1
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

病人幾乎總是被指定一個特定的數值型的唯一識別碼(identifier)

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
118. Patient.identifier:medicalRecord.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
120. Patient.identifier:medicalRecord.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 Patient.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
122. Patient.identifier:medicalRecord.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

如果知道,請說明此識別碼的目的;應填入IdentifierUse值集中的其中一個代碼。

Typecode
Is Modifiertrue because This is labeled as &quot;Is Modifier&quot; 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

Pattern Valueofficial
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
124. Patient.identifier:medicalRecord.type
Definition

識別碼的代碼型別,用於決定特定目適用的識別碼。

Short身份識別碼(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
BindingThe codes SHALL be taken from IdentifierType + 臺灣識別碼類型值集

識別碼的型別,用於決定特定目的所適用的識別碼;應填入臺灣識別碼類型值集值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

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

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
126. Patient.identifier:medicalRecord.type.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
128. Patient.identifier:medicalRecord.type.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 Patient.identifier.type.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
130. Patient.identifier:medicalRecord.type.coding
Definition

由專門術語系統(terminology system)所定義之代碼的參照

Short由專門術語系統(terminology system)定義的代碼
Comments

代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

Control0..*
This element is affected by the following invariants: ele-1
TypeCoding(TW Coding)
Is Modifierfalse
Must Supporttrue
Requirements

允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
132. Patient.identifier:medicalRecord.type.coding.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
134. Patient.identifier:medicalRecord.type.coding.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())
SlicingThis element introduces a set of slices on Patient.identifier.type.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
136. Patient.identifier:medicalRecord.type.coding.system
Definition

定義代碼中符號意義的代碼系統識別

Short專門術語系統(terminology system)的識別
Comments

URI可以是一個OID(urn:oid:...)或一個UUID(urn:uuid:...);OID和UUID 必須(SHALL) 參照HL7 OID註冊中心;否則,URI應該來自HL7的FHIR定義的特殊URI列表,或者它應該參照一些明確建立的系统定義。

Control1..1
Typeuri
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

需要明確說明符號定義的來源

Pattern Valuehttp://terminology.hl7.org/CodeSystem/v2-0203
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
138. Patient.identifier:medicalRecord.type.coding.version
Definition

選擇此代碼時使用的代碼系統版本;請注意,一個維護良好的代碼系統不需要版本報告,因為代碼的意義在不同系統版本中是一致的;然而,不能始終保證這點,當不能保證意義一致時, 必須(SHALL) 將版本資訊也一併作交換。

Short系統的版本—如果相關的話
Comments

如果專門術語沒有明確定義應該使用什麼字串來識別代碼系統的版本,建議使用版本正式發布的日期(用FHIR日期格式表示)作為版本日期。

NoteThis is a business versionId, not a resource version id (see discussion)
Control0..1
Typestring
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()))
140. Patient.identifier:medicalRecord.type.coding.code
Definition

系統定義的語法之符號;符號可能是一個預先定義的代碼,也可能是代碼系統定義的語法中的表達式(如後組合配對/後組合式)。

Short系統定義的語法之符號
Control1..1
Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

需要參照系統中的一個特定代碼

Pattern ValueMR
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
142. Patient.identifier:medicalRecord.type.coding.display
Definition

遵循系統的規則以呈現代碼含義的表示法

Short由系統定義的表示法
Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

需要能為不了解此系統的讀者呈現可讀的代碼含義

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
144. Patient.identifier:medicalRecord.type.coding.userSelected
Definition

表明此編碼是由使用者直接選擇,例如:從可用項目(代碼或顯示名稱)的清單中選擇。

Short此編碼是否由使用者直接選擇?
Comments

在一系列備選方案中,直接選擇的代碼是新翻譯最合適的起點;關於「直接選擇」的確切意義,存在模糊不清之處,可能需要貿易夥伴的同意,以更完整澄清此資料項目的使用及其後果。

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

已被確定為一個臨床安全準則—此確切的系統/代碼對(code pair)是被明確選擇的,而不是由系統根據一些規則或是程式語言處理判斷。

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

輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。

Short概念的文字表示法
Comments

很多時候,此文字表述與其中一個代碼的顯示名稱相同。

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

專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
148. Patient.identifier:medicalRecord.system
Definition

建立值的命名空間-即一個描述一組值的唯一URL

Short身份識別碼(identifier)的命名空間(namespace)
Comments

Identifier.system總是區分大小寫

Control1..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。

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()))
150. Patient.identifier:medicalRecord.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:病歷號為8862168
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。

Control1..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()))
152. Patient.identifier:medicalRecord.period
Definition

識別碼有效/曾經有效使用的時段或期間

Short此身份識別碼(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()))
154. Patient.identifier:medicalRecord.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(TW Core Organization)
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
156. Patient.active
Definition

這位病人的紀錄是否在使用中(active)。許多系統使用這個屬性來標記為非現有(non-current)病人,例如那些根據機構的業務規則在一段時間內沒有被看到的病人。

它經常被用來過濾病人清單以排除inactive的病人

已過世的病人也可能因為同樣的原因被標記為inactive,但在過世後的一段時間內可能是active。

Short病人的紀錄是否「使用中(true)」
Comments

如果一筆病人紀錄沒有在使用,但與另一筆使用中的病人紀錄相連結,那麼未來的病人/紀錄更新應該發生在另一筆病人紀錄。

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

若紀錄因為錯誤而創建,需要能夠將這位病人紀錄標記為不使用

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()))
158. Patient.name
Definition

個人名字

Short即為「姓名」,病人的姓名
Comments

一位病人可能有多個姓名,有不同的用途或適用期。對於動物來說,這個姓名是一個「HumanName」,它是人類指定和使用的,具有相同的模式。

Control1..1
TypeHumanName
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

需要能夠追踪病人的多個姓名。例如:正式姓名及配偶姓名。 必須(SHALL) 總是提供姓名的完整拼法。

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Patient.name. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • pattern @ use
160. Patient.name:official
Slice Nameofficial
Definition

個人名字

Short病人的護照姓名
Comments

一位病人可能有多個姓名,有不同的用途或適用期。對於動物來說,這個姓名是一個「HumanName」,它是人類指定和使用的,具有相同的模式。

Control0..1
TypeHumanName
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

需要能夠追踪病人的多個姓名。例如:正式姓名及配偶姓名。 必須(SHALL) 總是提供姓名的完整拼法。

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
tw-core-1: Patient.name.text or Patient.name.family or both SHALL be present (text.exists() or family.exists())
162. Patient.name:official.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
164. Patient.name:official.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 Patient.name.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
166. Patient.name:official.use
Definition

此姓名的用途

Shortusual | official | temp | nickname | anonymous | old | maiden
Comments

應用程式可以假定一個姓名是永久的,除非它明確說它是暫時或舊的。

Control1..1
BindingThe codes SHALL be taken from NameUse

人名的使用情況;應填入NameUse值集中的其中一個代碼。

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

允許從一組姓名中為特定的使用情境選擇適當的姓名

Pattern Valueofficial
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
168. Patient.name:official.text
Definition

完整姓名的文字表述。由於世界各地的文化差異,取得資料的系統可能不知道如何正確地呈現姓名;此外,不是所有的名字部分都呈現予姓或名。因此,我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。

Short完整的護照姓名
Comments

可以同時提供文字表述(text)和部分(part)。更新姓名的應用程式 必須(SHALL) 確保當test和lpart都存在時,text中不包含part中沒有的內容。

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

一個可呈現的、未編碼的形式。

Example<br/><b>General</b>:Chia-Lin Chan
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
170. Patient.name:official.family
Definition

姓名中與族譜相關的部分。在一些文化中(如厄立特里亞),兒子的姓氏是其父親的名字。

Short護照中的姓
Comments

姓氏可以使用擴充名(de、nl、es相關文化)分解成具體的部分(part)

Control0..1
This element is affected by the following invariants: tw-core-1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Alternate Namessurname
Example<br/><b>General</b>:Chen
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
172. Patient.name:official.given
Definition

姓名中的「名」

Short護照中的名
Comments

如果只記錄首字母,可以用它們來代替完整姓名。首字母可以分為多個名,但由於實際情況的限制,通常不會這樣做。這個資料項目不被稱為 「first name」,因為「given name」並不總是排在前面。

Control0..*
This element is affected by the following invariants: tw-core-1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Alternate Namesfirst name, middle name
Example<br/><b>General</b>:Chia-Lin
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
174. Patient.name:official.prefix
Definition

由於學術、法規、就業或貴族身份等原因而獲得的名,並出現在姓名的開頭。

Short姓名前面的頭銜 由於學術,法律,職業或貴族身份等原因而獲得頭銜,出現在姓名開頭。
Control0..*
Typestring
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()))
176. Patient.name:official.suffix
Definition

由於學術、法規、就業或貴族身份等原因而獲得的名,並出現在姓名的開頭。

Short姓名後面的稱謂 由於學術,法律,職業或貴族身份等原因而獲得頭銜,出現在姓名之後。
Control0..*
Typestring
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()))
178. Patient.name:official.period
Definition

表明這個姓名對此病人有效的時間區間或期間

Short此姓名的使用效期
Control0..1
TypePeriod
Is Modifierfalse
Summarytrue
Requirements

允許多個姓名按其歷史情境(效期)儲存

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
180. Patient.name:usual
Slice Nameusual
Definition

個人名字

Short病人所屬國籍的真實姓名
Comments

一位病人可能有多個姓名,有不同的用途或適用期。對於動物來說,這個姓名是一個「HumanName」,它是人類指定和使用的,具有相同的模式。

Control0..1
TypeHumanName
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

需要能夠追踪病人的多個姓名。例如:正式姓名及配偶姓名。 必須(SHALL) 總是提供姓名的完整拼法。

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
tw-core-1: Patient.name.text or Patient.name.family or both SHALL be present (text.exists() or family.exists())
182. Patient.name:usual.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
184. Patient.name:usual.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 Patient.name.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
186. Patient.name:usual.use
Definition

此姓名的用途

Shortusual | official | temp | nickname | anonymous | old | maiden
Comments

應用程式可以假定一個姓名是永久的,除非它明確說它是暫時或舊的。

Control1..1
BindingThe codes SHALL be taken from NameUse

人名的使用情況;應填入NameUse值集中的其中一個代碼。

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

允許從一組姓名中為特定的使用情境選擇適當的姓名

Pattern Valueusual
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
188. Patient.name:usual.text
Definition

完整姓名的文字表述。由於世界各地的文化差異,取得資料的系統可能不知道如何正確地呈現姓名;此外,不是所有的名字部分都呈現予姓或名。因此,我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。

Short完整的中文姓名
Comments

可以同時提供文字表述(text)和部分(part)。更新姓名的應用程式 必須(SHALL) 確保當test和lpart都存在時,text中不包含part中沒有的內容。

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

一個可呈現的、未編碼的形式。

Example<br/><b>General</b>:陳加玲
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
190. Patient.name:usual.family
Definition

姓名中與族譜相關的部分。在一些文化中(如厄立特里亞),兒子的姓氏是其父親的名字。

Short若所屬國籍可區分family及given,填入所屬國籍之姓(family)
Comments

姓氏可以使用擴充名(de、nl、es相關文化)分解成具體的部分(part)

Control0..1
This element is affected by the following invariants: tw-core-1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Alternate Namessurname
Example<br/><b>General</b>:陳
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
192. Patient.name:usual.given
Definition

姓名中的「名」

Short若所屬國籍可區分family及given,填入所屬國籍之名(given)
Comments

如果只記錄首字母,可以用它們來代替完整姓名。首字母可以分為多個名,但由於實際情況的限制,通常不會這樣做。這個資料項目不被稱為 「first name」,因為「given name」並不總是排在前面。

Control0..*
This element is affected by the following invariants: tw-core-1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Alternate Namesfirst name, middle name
Example<br/><b>General</b>:加玲
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
194. Patient.name:usual.prefix
Definition

由於學術、法規、就業或貴族身份等原因而獲得的名,並出現在姓名的開頭。

Short姓名前面的頭銜 由於學術,法律,職業或貴族身份等原因而獲得頭銜,出現在姓名開頭。
Control0..*
Typestring
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()))
196. Patient.name:usual.suffix
Definition

由於學術、法規、就業或貴族身份等原因而獲得的名,並出現在姓名的開頭。

Short姓名後面的稱謂 由於學術,法律,職業或貴族身份等原因而獲得頭銜,出現在姓名之後。
Control0..*
Typestring
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()))
198. Patient.name:usual.period
Definition

表明這個姓名對此病人有效的時間區間或期間

Short此姓名的使用效期
Control0..1
TypePeriod
Is Modifierfalse
Summarytrue
Requirements

允許多個姓名按其歷史情境(效期)儲存

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
200. Patient.name:temp
Slice Nametemp
Definition

個人名字

Short新生兒姓名,緊急救護未知病人姓名時亦可用。
Comments

一位病人可能有多個姓名,有不同的用途或適用期。對於動物來說,這個姓名是一個「HumanName」,它是人類指定和使用的,具有相同的模式。

Control0..1
TypeHumanName
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

需要能夠追踪病人的多個姓名。

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
202. Patient.name:temp.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
204. Patient.name:temp.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 Patient.name.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
206. Patient.name:temp.use
Definition

此姓名的用途

Shortusual | official | temp | nickname | anonymous | old | maiden
Comments

應用程式可以假定一個姓名是永久的,除非它明確說它是暫時或舊的。

Control1..1
BindingThe codes SHALL be taken from NameUse

人名的使用情況;應填入NameUse值集中的其中一個代碼。

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

允許從一組姓名中為特定的使用情境選擇適當的姓名

Pattern Valuetemp
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
208. Patient.name:temp.text
Definition

完整姓名的文字表述。由於世界各地的文化差異,取得資料的系統可能不知道如何正確地呈現姓名;此外,不是所有的名字部分都呈現予姓或名。因此,我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。

Short完整的中文姓名
Comments

可以同時提供文字表述(text)和部分(part)。更新姓名的應用程式 必須(SHALL) 確保當test和lpart都存在時,text中不包含part中沒有的內容。

Control1..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

一個可呈現的、未編碼的形式。

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
210. Patient.name:temp.family
Definition

The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

ShortFamily name (often called 'Surname')
Comments

Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

Control0..0
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Alternate Namessurname
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
212. Patient.name:temp.given
Definition

Given name.

ShortGiven names (not always 'first'). Includes middle names
Comments

If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

Control0..0
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Alternate Namesfirst name, middle name
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
214. Patient.name:temp.prefix
Definition

Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

ShortParts that come before the name
Control0..0
Typestring
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()))
216. Patient.name:temp.suffix
Definition

Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

ShortParts that come after the name
Control0..0
Typestring
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()))
218. Patient.name:temp.period
Definition

表明這個姓名對此病人有效的時間區間或期間

Short此姓名的使用效期
Control0..1
TypePeriod
Is Modifierfalse
Summarytrue
Requirements

允許多個姓名按其歷史情境(效期)儲存

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
220. Patient.name:anonymous
Slice Nameanonymous
Definition

個人名字

Short匿名供研究使用
Comments

一位病人可能有多個姓名,有不同的用途或適用期。對於動物來說,這個姓名是一個「HumanName」,它是人類指定和使用的,具有相同的模式。

Control0..1
TypeHumanName
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

需要能夠追踪病人的多個姓名。

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
222. Patient.name:anonymous.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
224. Patient.name:anonymous.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 Patient.name.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
226. Patient.name:anonymous.use
Definition

此姓名的用途

Shortusual | official | temp | nickname | anonymous | old | maiden
Comments

應用程式可以假定一個姓名是永久的,除非它明確說它是暫時或舊的。

Control1..1
BindingThe codes SHALL be taken from NameUse

人名的使用情況;應填入NameUse值集中的其中一個代碼。

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

允許從一組姓名中為特定的使用情境選擇適當的姓名

Pattern Valueanonymous
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
228. Patient.name:anonymous.text
Definition

完整姓名的文字表述。由於世界各地的文化差異,取得資料的系統可能不知道如何正確地呈現姓名;此外,不是所有的名字部分都呈現予姓或名。因此,我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。

Short完整的中文姓名
Comments

可以同時提供文字表述(text)和部分(part)。更新姓名的應用程式 必須(SHALL) 確保當test和lpart都存在時,text中不包含part中沒有的內容。

Control1..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

一個可呈現的、未編碼的形式。

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
230. Patient.name:anonymous.family
Definition

The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

ShortFamily name (often called 'Surname')
Comments

Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

Control0..0
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Alternate Namessurname
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
232. Patient.name:anonymous.given
Definition

Given name.

ShortGiven names (not always 'first'). Includes middle names
Comments

If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

Control0..0
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Alternate Namesfirst name, middle name
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
234. Patient.name:anonymous.prefix
Definition

Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

ShortParts that come before the name
Control0..0
Typestring
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()))
236. Patient.name:anonymous.suffix
Definition

Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

ShortParts that come after the name
Control0..0
Typestring
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()))
238. Patient.name:anonymous.period
Definition

表明這個姓名對此病人有效的時間區間或期間

Short此姓名的使用效期
Control0..1
TypePeriod
Is Modifierfalse
Summarytrue
Requirements

允許多個姓名按其歷史情境(效期)儲存

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
240. Patient.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病人的聯絡資訊(例如:電話、電子郵件等)
Comments

一位病人可能有多種聯絡方式,有不同的用途或適用期。可能需要有緊急聯絡此人的選項,也需要幫忙識別身份。地址可能不會直接聯絡到此人,但可能到透過他人代為聯絡(意即家中的電話)。

Control0..*
TypeContactPoint
Is Modifierfalse
Must Supporttrue
Summarytrue
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()))
242. Patient.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
244. Patient.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 Patient.telecom.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
246. Patient.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
Control1..1
This element is affected by the following invariants: cpt-2
BindingThe codes SHALL be taken from ContactPointSystem

應填入ContactPointSystem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()))
248. Patient.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。

Control1..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()))
250. Patient.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

應填入ContactPointUse值集中的其中一個代碼。

Typecode
Is Modifiertrue because This is labeled as &quot;Is Modifier&quot; 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
Must Supporttrue
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()))
252. Patient.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()))
254. Patient.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
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
256. Patient.gender
Definition

Administrative Gender 為行政管理及保存紀錄目的之病人性別

Short即為「性別」,male | female | other | unknown
Comments

行政管理用之性別可能不符合由遺傳學或個人偏好的識別所決定的生物性別。請注意,對於人類,特別是動物,除了男性和女性,還有其他合法歸類的可能性,儘管絕大多數系統和情境只支持男性和女性。提供決策支援或執行業務規則的系統最好以檢驗檢查(Observation)呈現特定性別或感興趣的性別(解剖學、染色體、社會等)。然而,由於這些檢驗檢驗不常被記錄,預設為行政管理用之性別是常見的做法。在這種預設的情況下,規則的執行應該允許行政管理用和生物、染色體和其他性別方面的差異。例如:關於男性子宮切除的警訊應該作為警告或可推翻的錯誤來處理,而不是 「硬(hard) 」錯誤。關於溝通病人性別的更多資訊,請參閱Patient Gender及Sex的部分。

Control1..1
BindingThe codes SHALL be taken from AdministrativeGender

病人性別;應填入AdministrativeGender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
Requirements

性別用於結合(至少)姓名和出生日期以識別個人身份

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

個人的出生日期

Short即為「出生日期」,病人出生日期
Comments

如果真實的出生日期未知,至少應該提供一個估計的出生年份作為猜測。有一個標準的擴充 「patient-birthTime」,應該於需要出生時間(Time)資訊時使用(例如:在產科/新生兒照護系統中)。

Control1..1
Typedate
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

個人的年齡驅動著許多臨床過程/進程

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
LOINC Code21112-8
260. Patient.deceased[x]
Definition

表示此人是否過世

Short病人是否過世
Comments

如果實例中沒有值,就意味著沒有關於此人是否過世的聲明。大多數系統會把沒有數值解釋為這個人還活著的標誌。

Control0..1
TypeChoice of: boolean, dateTime
[x] NoteSee Choice of Data Types for further information about how to use [x]
Is Modifiertrue because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

病人已經過世的事實影響了臨床過程/進度。另外,在人際溝通和關係管理中,有必要知道這個人是否活著。

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

此人的地址

Short即為「居住地址」,病人聯絡地址
Comments

病人可能有多個地址,有不同的用途或適用期。

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

可能需要記錄病人的地址,以便聯繫、結算或報告的要求,也有助於識別身份。

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

這個欄位包含病人的目前婚姻(民事)狀態

Short病人的婚姻狀態
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 Marital Status Codes

病人的婚姻狀態;應填入Marital Status Codes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
Must Supporttrue
Requirements

如果不是所有的系統都能取得此資訊

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
266. Patient.multipleBirth[x]
Definition

表示病人是否是為多胞胎(佈林值)或表示實際的出生順序(整數值)

Short病人是否為多胞胎;或多胞胎出生順序。
Comments

在提供valueInteger的情況下,這個數字是序列中的出生序。例如:三胞胎中的中間胎兒是valueInteger=2,第三胎兒是valueInteger=3,如果是為三胞胎提供布林值,那麼所有3位病人的紀錄都是valueBoolean=true(沒有指明出生序)。

Control0..1
TypeChoice of: boolean, integer
[x] NoteSee Choice of Data Types for further information about how to use [x]
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Requirements

用於消除多胎孩童的歧義,特別是在照護人員沒有見到病人的情況下,例如:在實驗室。

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

病人的影像(照片)

Short病人的影像(照片)
Comments

指引: 使用個人照片,而不是臨床照片。 限制尺寸為縮圖。 保持低位元組小檔案以便更新resource。

Control0..*
TypeAttachment
Is Modifierfalse
Must Supporttrue
Summaryfalse
Requirements

許多EHR系統有能力取得病人的影像,這也符合較新的社群媒體的使用。

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

病人的聯絡人(如監護人、伴侶、朋友)。

Short病人的聯絡人,例如:監護人、伴侶、朋友等。
Comments

聯絡涵蓋所有種類的聯絡人:家人、業務聯絡、監護人、照顧者。不適用於登記血統和家庭關係,因這超出聯絡的目的。

Control0..*
TypeBackboneElement
Is Modifierfalse
Must Supporttrue
Summaryfalse
Requirements

需能聯絡到的病人的人。

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
pat-1: SHALL at least contain a contact's details or a reference to an organization (name.exists() or telecom.exists() or address.exists() or organization.exists())
272. Patient.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
274. Patient.contact.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())
276. Patient.contact.modifierExtension
Definition

擴充的資料項目

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。
Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
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())
278. Patient.contact.relationship
Definition

可以透過正式參照一個專門術語或知識本體來定義一個概念,或者也可以文字表述此概念。

Short概念(Concept)-參照一個專門術語或只是文字表述
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..*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from PatientRelationshipType

應填入PatientRelationshipType值集中的其中一個代碼。

TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Must Supporttrue
Requirements

根據情況決定哪位聯絡人最有關聯以作聯繫

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

與聯絡人有關的姓名

Short聯絡人姓名
Control0..1
TypeHumanName
Is Modifierfalse
Must Supporttrue
Summaryfalse
Requirements

聯絡人需要以姓名來識別,但通常不需要此聯絡人的其他姓名的細節。

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
282. Patient.contact.name.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
284. Patient.contact.name.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 Patient.contact.name.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
286. Patient.contact.name.use
Definition

此姓名的用途

Shortusual | official | temp | nickname | anonymous | old | maiden
Comments

應用程式可以假定一個姓名是永久的,除非它明確說它是暫時或舊的。

Control0..1
BindingThe codes SHALL be taken from NameUse

人名的使用情況;應填入NameUse值集中的其中一個代碼。

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

允許從一組姓名中為特定的使用情境選擇適當的姓名

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

完整姓名的文字表述。由於世界各地的文化差異,取得資料的系統可能不知道如何正確地呈現姓名;此外,不是所有的名字部分都呈現予姓或名。因此,我們強烈建議創建者透過這個資料項目提供姓名的顯示文字。

Short完整的中文姓名
Comments

可以同時提供文字表述(text)和部分(part)。更新姓名的應用程式 必須(SHALL) 確保當test和lpart都存在時,text中不包含part中沒有的內容。

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

一個可呈現的、未編碼的形式。

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

姓名中與族譜相關的部分。在一些文化中(如厄立特里亞),兒子的姓氏是其父親的名字。

Short英文姓
Comments

姓氏可以使用擴充名(de、nl、es相關文化)分解成具體的部分(part)

Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Alternate Namessurname
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
292. Patient.contact.name.given
Definition

姓名中的「名」

Short英文名
Comments

如果只記錄首字母,可以用它們來代替完整姓名。首字母可以分為多個名,但由於實際情況的限制,通常不會這樣做。這個資料項目不被稱為 「first name」,因為「given name」並不總是排在前面。

Control0..*
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Alternate Namesfirst name, middle name
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
294. Patient.contact.name.prefix
Definition

由於學術、法規、就業或貴族身份等原因而獲得的名,並出現在姓名的開頭。

Short姓名前面的頭銜 由於學術,法律,職業或貴族身份等原因而獲得頭銜,出現在姓名開頭。
Control0..*
Typestring
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()))
296. Patient.contact.name.suffix
Definition

由於學術、法規、就業或貴族身份等原因而獲得的名,並出現在姓名的開頭。

Short姓名後面的稱謂 由於學術,法律,職業或貴族身份等原因而獲得頭銜,出現在姓名之後。
Control0..*
Typestring
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()))
298. Patient.contact.name.period
Definition

表明這個姓名對此病人有效的時間區間或期間

Short此姓名的使用效期
Control0..1
TypePeriod
Is Modifierfalse
Summarytrue
Requirements

允許多個姓名按其歷史情境(效期)儲存

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

此人的詳細聯絡方式,例如:電話號碼或電子郵件地址。

Short聯絡人的詳細聯絡資訊
Comments

聯絡人可能有多種聯絡方式,有不同的用途或適用期。可能需要有緊急聯絡此人的選項,及需要幫忙身份識別。

Control0..*
TypeContactPoint
Is Modifierfalse
Must Supporttrue
Summaryfalse
Requirements

人們可透過(主要)方式與他們聯絡,例如電話、電子郵件。

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
302. Patient.contact.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
304. Patient.contact.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
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())
SlicingThis element introduces a set of slices on Patient.contact.telecom.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
306. Patient.contact.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
Control1..1
This element is affected by the following invariants: cpt-2
BindingThe codes SHALL be taken from ContactPointSystem

應填入ContactPointSystem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()))
308. Patient.contact.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。

Control1..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()))
310. Patient.contact.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

應填入ContactPointUse值集中的其中一個代碼。

Typecode
Is Modifiertrue because This is labeled as &quot;Is Modifier&quot; 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
Must Supporttrue
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()))
312. Patient.contact.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()))
314. Patient.contact.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()))
316. Patient.contact.address
Definition

聯絡人的地址

Short聯絡人的地址
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

需要紀錄用以聯絡聯絡人的郵件地址或到訪地址

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

Administrative Gender為行政管理的及保存紀錄目的之聯絡人性別

Shortmale | female | other | unknown
Control0..1
BindingThe codes SHALL be taken from AdministrativeGender

聯絡人的性別;應填入AdministrativeGender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
Summaryfalse
Requirements

用以正確稱呼聯絡人

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

聯絡人為機構或聯絡人為其工作的機構

Short可聯絡到聯絡人的機構
Control0..1
This element is affected by the following invariants: pat-1
TypeReference(TW Core Organization)
Is Modifierfalse
Summaryfalse
Requirements

監護人或與業務相關聯絡與此機構有關

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

與此病人有關的聯絡人或機構的有效聯絡期

Short聯絡人或其可聯絡機構之可聯絡期(時間區間)
Control0..1
TypePeriod
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
324. Patient.communication
Definition

可用於與病人溝通其健康狀況的語言。

Short向病人說明健康狀態時所使用的語言
Comments

如果沒有指定語言,這意味著預設使用當地語言。如果你需要多種模式的熟練程度,那麼你需要多個Patient.Communication關聯。對於動物來說,語言不是相關的欄位,應該不存在於實例中。如果病人不講預設的當地語言,那麼可以使用 「(Interpreter Required Standard)需要口譯員」來明確聲明需要口譯員。

Control0..*
TypeBackboneElement
Is Modifierfalse
Must Supporttrue
Summaryfalse
Requirements

如果病人不會說當地語言,可能需要翻譯,因此,對於病人和其他相關人員來說,所講的語言和熟練程度都是需要記錄的重要內容。

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
326. Patient.communication.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
328. Patient.communication.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())
330. Patient.communication.modifierExtension
Definition

擴充的資料項目

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。
Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
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())
332. Patient.communication.language
Definition

小寫的ISO-639-1字母兩個代碼表示的語言,後面可以有連字符號,大寫的ISO-3166-1字母兩個代碼表示使用此語言的地區;例如「en 」代表英語,或者 「en-US 」代表美國英語,而 「en-EN 」代表英國英語。

Short向病人說明健康狀況時所使用的語言
Comments

帶有這種精確字母大小寫的aa-BB結構是最廣泛使用的地方性符號之一。但並不是所有的系統都對其進行編碼,而是將其作為純文字表述。因此,data type為CodeableConcept而不是code。

Control1..1
This element is affected by the following invariants: ele-1
BindingThe codes SHOULD be taken from CommonLanguages

應填入CommonLanguages值集中的其中一個代碼。

Additional BindingsPurpose
AllLanguagesMax Binding
TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Must Supporttrue
Requirements

在多語言國家的大多數系統都會想要溝通語言。並非所有的系統實際上都需要區域方言。

Example<br/><b>Value</b>:zh-TW
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
334. Patient.communication.preferred
Definition

表示病人是否偏好此語言(相對於其他它已掌握到一定水平的語言)

Short病人是否偏好使用此語言
Comments

此語言專門用以溝通健康照護資訊

Control0..1
Typeboolean
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Requirements

掌握多種語言達到一定水平的人可能更偏好一種或多種語言,也就是說,在用某一種語言溝通時感到更有信心,使其他語言成為一種備用語言。

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

病人指定的照護服務提供者

Short照護此病人的機構、照護服務提供者、或健康照護服務提供者的角色
Comments

這可能是基層健康照護提供者(在一般科醫生的情境下),也可能是在社區/失能環境中由病人提名的照護管理者,甚至是提供人力來履行照護提供者角色的機構。它不能用來記錄Care Teams,這些團隊應該在CareTeams resource中,可以連接到CarePlan或EpisodeOfCare。由於各種原因,病人可能會被記錄有多個一般科醫生,例如:一位學生在學校學期期間將他的家庭醫生與大學的醫生一起列出,或者一位至偏遠地區「飛進/飛出 」的工作者會有當地的醫師及其家庭醫生,以保持對醫療問題的瞭解。
如果需要,各行政管轄區可決定將其規範為只有1位,或每種型別1位。

Control0..*
TypeReference(TW Core Organization, TW Core Practitioner, PractitionerRole)
Is Modifierfalse
Summaryfalse
Alternate NamescareProvider
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
338. Patient.managingOrganization
Definition

病人紀錄的保管機構

Short此紀錄的保管機構
Comments

僅有一個管理特定病人紀錄的機構。其他機構將擁有自己的「病人」紀錄,並可透過使用「Link」屬性將紀錄結合在一起(或可以包含關聯可信的「Person」resource)。

Control0..1
TypeReference(TW Core Organization)
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

需要知道誰識別、管理和更新這位病人的紀錄

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

連結到另一個涉及同一實際病人的Patient resource。

Short連結至此病人的其他Patient Resource
Comments

不存在連結的病人紀錄有相互連結的假設

Control0..*
TypeBackboneElement
Is Modifiertrue because This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'
Summarytrue
Requirements

有多種使用案例:
由於難以一致地指明與人相關的文件而錯誤地重複製作病人紀錄,並在多個伺服器上發佈病人的資訊。

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
342. Patient.link.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
344. Patient.link.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())
346. Patient.link.modifierExtension
Definition

擴充的資料項目

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。
Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
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())
348. Patient.link.other
Definition

此連超所參照的另一個Patient resource

Short連結至其他Patient或RelatedPerson Resource
Comments

在這裡參照一個RelatedPerson,就不需要另外使用Person來將Patient及RelatedPerson作為同一個人關聯起來。

Control1..1
TypeReference(TW Core Patient, RelatedPerson)
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
350. Patient.link.type
Definition

這個Patient resource與另一個Patient resource之間的連結型別

Shortreplaced-by | replaces | refer | seealso
Control1..1
BindingThe codes SHALL be taken from LinkType

連結的型別;應填入LinkType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
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))