醫療影像及報告實作指引 - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Condition

基於 TW CORE IG 的 Condition

Usage:

• Use this Resource Profile: Image Bundle
• Refer to this Resource Profile: Image Composition
• Examples for this Resource Profile: Condition/TWCoreCondition

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
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This structure is derived from TWCoreCondition

Name	Flags	Card.	Type	Description & Constraints
Condition			TWCoreCondition
code		1..1	CodeableConceptTW	病情、問題或診斷的識別。[應填入於醫學影像報告病史History of Present Illness]
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	TWCoreCondition	有關病情、問題或診斷的詳細資訊 con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
modifierExtension	?!	0..*	Extension	此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
clinicalStatus	S	1..1	CodeableConceptTW	active | recurrence | relapse | inactive | remission | resolved ，病情、問題或診斷的臨床狀態。 Binding: ConditionClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。
verificationStatus	S	0..1	CodeableConceptTW	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error ，支持或拒絕病情、問題或診斷的臨床狀態的驗證狀態。 Binding: ConditionVerificationStatus (required): 應填入所綁定值集中的其中一個代碼。
category	S	1..1	CodeableConceptTW	problem-list-item | encounter-diagnosis ，指定病情、問題或診斷的類別。 Binding: ConditionCategoryCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
severity	S	0..1	CodeableConceptTW	病情、問題或診斷的主觀嚴重程度 Binding: Condition/DiagnosisSeverity (extensible): 臨床醫生對病情、問題或診斷嚴重程度的主觀評價；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
code	S	1..1	CodeableConceptTW	病情、問題或診斷的識別。[應填入於醫學影像報告病史History of Present Illness] Binding: Condition/Problem/DiagnosisCodes (example): 此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。
Slices for coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Slice: Unordered, Open by pattern:$this
coding:icd10-cm-2021	S	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署維護之2021年中文版ICD-10-CM代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
coding:icd10-cm-2014	S	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署維護之2014年中文版ICD-10-CM代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2014年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
coding:icd9-cm-2001	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2001年中文版ICD-9-CM值集 (required)
coding:absentOrUnknownProblem	S	0..1	CodingTW	不存在的問題或未知問題的代碼 Binding: Absent or Unknown Problems - IPS (required): 應填入所綁定值集中的其中一個代碼。
coding:sct	S	0..1	CodingTW	此為SNOMED CT診斷代碼，若機構已有購買相關授權，亦可使用。 Binding: SNOMED CT診斷代碼值集 (required): 應填入所綁定值集中的其中一個代碼。
text	SΣ	0..1	string	概念的文字表示法
bodySite	S	0..*	CodeableConceptTW	如果相關請填寫解剖位置 Binding: SNOMEDCTBodyStructures (extensible): 描述解剖位置的代碼。可包括側面；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
subject	SΣ	1..1	Reference(TW Core Patient | Group)	誰有此病情、問題或診斷？
onset[x]	SΣ	0..1		估計的或實際的日期、日期—時間或年齡。
onsetDateTime			dateTime
abatement[x]	SC	0..1		何時解決/緩解
abatementDateTime			dateTime
asserter	SΣ	0..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | RelatedPerson)	聲稱有此病情、問題或診斷的人
note	S	0..*	Annotation	關於此Condition的附加資訊
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	extensible	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Condition.code.coding:icd10-cm-2021	required	TW2021ICD10CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2021-tw
Condition.code.coding:icd10-cm-2014	required	TW2014ICD10CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw
Condition.code.coding:icd9-cm-2001	required	TW2001ICD9CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-9-cm-2001-tw
Condition.code.coding:absentOrUnknownProblem	required	AbsentOrUnknownProblemsUvIps http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips
Condition.code.coding:sct	required	TWConditionCodeSCT https://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw
Condition.bodySite	extensible	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	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	error	Condition	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	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	TWCoreCondition	有關病情、問題或診斷的詳細資訊 con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
id	Σ	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的Condition紀錄，通常又稱為邏輯性ID。
meta	Σ	0..1	Meta	此Condition Resource的metadata
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
language		0..1	code	用以表述Condition Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
text		0..1	Narrative	Condition Resource之內容摘要以供人閱讀
contained		0..*	Resource	內嵌的（contained）、行內的Resources
extension		0..*	Extension	擴充的資料項目
modifierExtension	?!	0..*	Extension	此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
identifier	Σ	0..*	Identifier	此病情、問題或診斷的外部識別碼
clinicalStatus	S	1..1	CodeableConceptTW	active | recurrence | relapse | inactive | remission | resolved ，病情、問題或診斷的臨床狀態。 Binding: ConditionClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。
verificationStatus	S	0..1	CodeableConceptTW	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error ，支持或拒絕病情、問題或診斷的臨床狀態的驗證狀態。 Binding: ConditionVerificationStatus (required): 應填入所綁定值集中的其中一個代碼。
category	S	1..1	CodeableConceptTW	problem-list-item | encounter-diagnosis ，指定病情、問題或診斷的類別。 Binding: ConditionCategoryCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
severity	S	0..1	CodeableConceptTW	病情、問題或診斷的主觀嚴重程度 Binding: Condition/DiagnosisSeverity (extensible): 臨床醫生對病情、問題或診斷嚴重程度的主觀評價；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
code	S	1..1	CodeableConceptTW	病情、問題或診斷的識別。[應填入於醫學影像報告病史History of Present Illness] Binding: Condition/Problem/DiagnosisCodes (example): 此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Slices for coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Slice: Unordered, Open by pattern:$this
coding:icd10-cm-2021	S	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署維護之2021年中文版ICD-10-CM代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
coding:icd10-cm-2014	S	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署維護之2014年中文版ICD-10-CM代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2014年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
coding:icd9-cm-2001	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2001年中文版ICD-9-CM值集 (required)
coding:absentOrUnknownProblem	S	0..1	CodingTW	不存在的問題或未知問題的代碼 Binding: Absent or Unknown Problems - IPS (required): 應填入所綁定值集中的其中一個代碼。
coding:sct	S	0..1	CodingTW	此為SNOMED CT診斷代碼，若機構已有購買相關授權，亦可使用。 Binding: SNOMED CT診斷代碼值集 (required): 應填入所綁定值集中的其中一個代碼。
text	SΣ	0..1	string	概念的文字表示法
bodySite	S	0..*	CodeableConceptTW	如果相關請填寫解剖位置 Binding: SNOMEDCTBodyStructures (extensible): 描述解剖位置的代碼。可包括側面；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
subject	SΣ	1..1	Reference(TW Core Patient | Group)	誰有此病情、問題或診斷？
encounter	Σ	0..1	Reference(TW Core Encounter)	作為病情、問題或診斷紀錄的一部分的就醫（Encounter）紀錄
onset[x]	SΣ	0..1		估計的或實際的日期、日期—時間或年齡。
onsetDateTime			dateTime S
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	SC	0..1		何時解決/緩解
abatementDateTime			dateTime S
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	記錄的日期
recorder	Σ	0..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | RelatedPerson)	誰記錄此病情、問題或診斷
asserter	SΣ	0..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | RelatedPerson)	聲稱有此病情、問題或診斷的人
stage	C	0..*	BackboneElement	分期（stage）／分級（grade），通常是正式的評估。 con-1: Stage SHALL have summary or assessment
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary		0..1	CodeableConceptTW	簡單的摘要（特定疾病）。 Binding: ConditionStage (extensible): 描述病情、問題或診斷分期的代碼（例如：癌症分期）。應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
assessment	C	0..*	Reference(ClinicalImpression | TW Core DiagnosticReport | TW Core Observation Laboratory Result | TW Core Observation Vital Signs)	正式的評估記錄
type		0..1	CodeableConceptTW	分期的種類 Binding: ConditionStageType (extensible): 病情、問題或診斷分期種類的代碼（如臨床或病理）；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
evidence	C	0..*	BackboneElement	支持的證據 con-2: evidence SHALL have code or details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..*	CodeableConceptTW	表現／症狀 Binding: ManifestationAndSymptomCodes (extensible): 病情、問題或診斷的表現或症狀之代碼；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
detail	ΣC	0..*	Reference(Resource)	在其他地方找到的支持資訊
note	S	0..*	Annotation	關於此Condition的附加資訊
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	extensible	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Condition.code.coding:icd10-cm-2021	required	TW2021ICD10CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2021-tw
Condition.code.coding:icd10-cm-2014	required	TW2014ICD10CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw
Condition.code.coding:icd9-cm-2001	required	TW2001ICD9CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-9-cm-2001-tw
Condition.code.coding:absentOrUnknownProblem	required	AbsentOrUnknownProblemsUvIps http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips
Condition.code.coding:sct	required	TWConditionCodeSCT https://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw
Condition.bodySite	extensible	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Condition.stage.summary	extensible	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	extensible	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	extensible	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	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	error	Condition	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	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from TWCoreCondition

Summary

Mandatory: 1 element

Differential View

This structure is derived from TWCoreCondition

Name	Flags	Card.	Type	Description & Constraints
Condition			TWCoreCondition
code		1..1	CodeableConceptTW	病情、問題或診斷的識別。[應填入於醫學影像報告病史History of Present Illness]
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	TWCoreCondition	有關病情、問題或診斷的詳細資訊 con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
modifierExtension	?!	0..*	Extension	此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
clinicalStatus	S	1..1	CodeableConceptTW	active | recurrence | relapse | inactive | remission | resolved ，病情、問題或診斷的臨床狀態。 Binding: ConditionClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。
verificationStatus	S	0..1	CodeableConceptTW	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error ，支持或拒絕病情、問題或診斷的臨床狀態的驗證狀態。 Binding: ConditionVerificationStatus (required): 應填入所綁定值集中的其中一個代碼。
category	S	1..1	CodeableConceptTW	problem-list-item | encounter-diagnosis ，指定病情、問題或診斷的類別。 Binding: ConditionCategoryCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
severity	S	0..1	CodeableConceptTW	病情、問題或診斷的主觀嚴重程度 Binding: Condition/DiagnosisSeverity (extensible): 臨床醫生對病情、問題或診斷嚴重程度的主觀評價；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
code	S	1..1	CodeableConceptTW	病情、問題或診斷的識別。[應填入於醫學影像報告病史History of Present Illness] Binding: Condition/Problem/DiagnosisCodes (example): 此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。
Slices for coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Slice: Unordered, Open by pattern:$this
coding:icd10-cm-2021	S	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署維護之2021年中文版ICD-10-CM代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
coding:icd10-cm-2014	S	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署維護之2014年中文版ICD-10-CM代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2014年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
coding:icd9-cm-2001	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2001年中文版ICD-9-CM值集 (required)
coding:absentOrUnknownProblem	S	0..1	CodingTW	不存在的問題或未知問題的代碼 Binding: Absent or Unknown Problems - IPS (required): 應填入所綁定值集中的其中一個代碼。
coding:sct	S	0..1	CodingTW	此為SNOMED CT診斷代碼，若機構已有購買相關授權，亦可使用。 Binding: SNOMED CT診斷代碼值集 (required): 應填入所綁定值集中的其中一個代碼。
text	SΣ	0..1	string	概念的文字表示法
bodySite	S	0..*	CodeableConceptTW	如果相關請填寫解剖位置 Binding: SNOMEDCTBodyStructures (extensible): 描述解剖位置的代碼。可包括側面；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
subject	SΣ	1..1	Reference(TW Core Patient | Group)	誰有此病情、問題或診斷？
onset[x]	SΣ	0..1		估計的或實際的日期、日期—時間或年齡。
onsetDateTime			dateTime
abatement[x]	SC	0..1		何時解決/緩解
abatementDateTime			dateTime
asserter	SΣ	0..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | RelatedPerson)	聲稱有此病情、問題或診斷的人
note	S	0..*	Annotation	關於此Condition的附加資訊
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	extensible	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Condition.code.coding:icd10-cm-2021	required	TW2021ICD10CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2021-tw
Condition.code.coding:icd10-cm-2014	required	TW2014ICD10CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw
Condition.code.coding:icd9-cm-2001	required	TW2001ICD9CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-9-cm-2001-tw
Condition.code.coding:absentOrUnknownProblem	required	AbsentOrUnknownProblemsUvIps http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips
Condition.code.coding:sct	required	TWConditionCodeSCT https://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw
Condition.bodySite	extensible	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	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	error	Condition	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	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	TWCoreCondition	有關病情、問題或診斷的詳細資訊 con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
id	Σ	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的Condition紀錄，通常又稱為邏輯性ID。
meta	Σ	0..1	Meta	此Condition Resource的metadata
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
language		0..1	code	用以表述Condition Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
text		0..1	Narrative	Condition Resource之內容摘要以供人閱讀
contained		0..*	Resource	內嵌的（contained）、行內的Resources
extension		0..*	Extension	擴充的資料項目
modifierExtension	?!	0..*	Extension	此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
identifier	Σ	0..*	Identifier	此病情、問題或診斷的外部識別碼
clinicalStatus	S	1..1	CodeableConceptTW	active | recurrence | relapse | inactive | remission | resolved ，病情、問題或診斷的臨床狀態。 Binding: ConditionClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。
verificationStatus	S	0..1	CodeableConceptTW	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error ，支持或拒絕病情、問題或診斷的臨床狀態的驗證狀態。 Binding: ConditionVerificationStatus (required): 應填入所綁定值集中的其中一個代碼。
category	S	1..1	CodeableConceptTW	problem-list-item | encounter-diagnosis ，指定病情、問題或診斷的類別。 Binding: ConditionCategoryCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
severity	S	0..1	CodeableConceptTW	病情、問題或診斷的主觀嚴重程度 Binding: Condition/DiagnosisSeverity (extensible): 臨床醫生對病情、問題或診斷嚴重程度的主觀評價；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
code	S	1..1	CodeableConceptTW	病情、問題或診斷的識別。[應填入於醫學影像報告病史History of Present Illness] Binding: Condition/Problem/DiagnosisCodes (example): 此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Slices for coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Slice: Unordered, Open by pattern:$this
coding:icd10-cm-2021	S	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署維護之2021年中文版ICD-10-CM代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
coding:icd10-cm-2014	S	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署維護之2014年中文版ICD-10-CM代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2014年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
coding:icd9-cm-2001	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2001年中文版ICD-9-CM值集 (required)
coding:absentOrUnknownProblem	S	0..1	CodingTW	不存在的問題或未知問題的代碼 Binding: Absent or Unknown Problems - IPS (required): 應填入所綁定值集中的其中一個代碼。
coding:sct	S	0..1	CodingTW	此為SNOMED CT診斷代碼，若機構已有購買相關授權，亦可使用。 Binding: SNOMED CT診斷代碼值集 (required): 應填入所綁定值集中的其中一個代碼。
text	SΣ	0..1	string	概念的文字表示法
bodySite	S	0..*	CodeableConceptTW	如果相關請填寫解剖位置 Binding: SNOMEDCTBodyStructures (extensible): 描述解剖位置的代碼。可包括側面；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
subject	SΣ	1..1	Reference(TW Core Patient | Group)	誰有此病情、問題或診斷？
encounter	Σ	0..1	Reference(TW Core Encounter)	作為病情、問題或診斷紀錄的一部分的就醫（Encounter）紀錄
onset[x]	SΣ	0..1		估計的或實際的日期、日期—時間或年齡。
onsetDateTime			dateTime S
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	SC	0..1		何時解決/緩解
abatementDateTime			dateTime S
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	記錄的日期
recorder	Σ	0..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | RelatedPerson)	誰記錄此病情、問題或診斷
asserter	SΣ	0..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | RelatedPerson)	聲稱有此病情、問題或診斷的人
stage	C	0..*	BackboneElement	分期（stage）／分級（grade），通常是正式的評估。 con-1: Stage SHALL have summary or assessment
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary		0..1	CodeableConceptTW	簡單的摘要（特定疾病）。 Binding: ConditionStage (extensible): 描述病情、問題或診斷分期的代碼（例如：癌症分期）。應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
assessment	C	0..*	Reference(ClinicalImpression | TW Core DiagnosticReport | TW Core Observation Laboratory Result | TW Core Observation Vital Signs)	正式的評估記錄
type		0..1	CodeableConceptTW	分期的種類 Binding: ConditionStageType (extensible): 病情、問題或診斷分期種類的代碼（如臨床或病理）；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
evidence	C	0..*	BackboneElement	支持的證據 con-2: evidence SHALL have code or details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..*	CodeableConceptTW	表現／症狀 Binding: ManifestationAndSymptomCodes (extensible): 病情、問題或診斷的表現或症狀之代碼；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
detail	ΣC	0..*	Reference(Resource)	在其他地方找到的支持資訊
note	S	0..*	Annotation	關於此Condition的附加資訊
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	extensible	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Condition.code.coding:icd10-cm-2021	required	TW2021ICD10CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2021-tw
Condition.code.coding:icd10-cm-2014	required	TW2014ICD10CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw
Condition.code.coding:icd9-cm-2001	required	TW2001ICD9CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-9-cm-2001-tw
Condition.code.coding:absentOrUnknownProblem	required	AbsentOrUnknownProblemsUvIps http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips
Condition.code.coding:sct	required	TWConditionCodeSCT https://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw
Condition.bodySite	extensible	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Condition.stage.summary	extensible	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	extensible	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	extensible	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	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	error	Condition	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	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from TWCoreCondition

Summary

Mandatory: 1 element

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