醫療影像及報告實作指引
0.1.0 - DSTU0 ci-build

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

Resource Profile: TWCorePatient - Detailed Descriptions

Active as of 2024-07-29

Definitions for the TWCorePatient resource profile.

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

0. Patient
2. Patient.identifier:idCardNumber
Slice NameidCardNumber
NoteThis is a business identifier, not a resource identifier (see discussion)
4. Patient.identifier:idCardNumber.value
Short唯一值。 例如:身分證字號為A123456789。[應填入於醫學影像報告身分證號ID Number]
6. Patient.identifier:medicalRecord
Slice NamemedicalRecord
NoteThis is a business identifier, not a resource identifier (see discussion)
8. Patient.identifier:medicalRecord.value
Short唯一值。 例如:病歷號為8862168。[應填入於醫學影像報告病歷號碼Chart No.]
10. Patient.name:official
Slice Nameofficial
12. Patient.name:official.text
Short完整的護照姓名。[應填入於醫學影像報告姓名Name]
14. Patient.name:usual
Slice Nameusual
16. Patient.name:usual.text
Short病人所屬國籍的真實姓名。[應填入於醫學影像報告姓名Name]
18. Patient.name:temp
Slice Nametemp
20. Patient.name:temp.text
Short新生兒姓名,緊急救護未知病人姓名時亦可用。[應填入於醫學影像報告姓名Name]
22. Patient.name:anonymous
Slice Nameanonymous
24. Patient.name:anonymous.text
Short匿名供研究使用。[應填入於醫學影像報告姓名Name]
26. Patient.gender
Shortmale | female | other | unknown 。[應填入於醫學影像報告性別Administrative Sex]
28. Patient.birthDate
Short病人出生日期。[應填入於醫學影像報告出生日期Birth Date]
LOINC Code
30. Patient.maritalStatus
BindingUnless not suitable, these codes SHALL be taken from Marital Status Codes
(extensible to http://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。

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。通常這是對IG所定義之特殊規則及其他profiles的參照。


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

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

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


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

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

年齡

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())
6. Patient.extension:nationality
Slice Namenationality
Definition

The nationality of the patient.

Short病人所屬國籍
Control0..1
TypeExtension(Patient 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())
8. Patient.modifierExtension
Definition

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


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

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

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

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


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

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

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


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

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. 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)
Control10..*
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 areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ type.coding.code
  • value @ type.coding.system
  • 12. Patient.identifier:idCardNumber
    Slice NameidCardNumber
    Definition

    適用於身分證字號


    An identifier for this patient.

    Short適用身分證字號An identifier for this patient
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..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()))
    14. 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
    (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

    如果知道,請說明此識別碼的目的;應填入所綁定值集中的其中一個代碼。


    Identifies the purpose for this identifier, if known .

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

    允許從一組識別碼中為特定的使用情境選擇適當的識別碼


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

    Pattern Valueofficial
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. 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
    BindingUnless not suitable, these codes SHALL be taken from IdentifierType + 臺灣衛福部資訊處識別碼類型值集http://hl7.org/fhir/ValueSet/identifier-type
    (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/identifier-type-tw)

    識別碼的型別,用於決定特定目的所適用的識別碼;應填入所綁定值集中適合的代碼,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()))
    18. 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.

    Control10..*
    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()))
    20. 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()))
    22. 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()))
    24. Patient.identifier:idCardNumber.type.coding.code.extension:identifier-suffix
    Slice Nameidentifier-suffix
    Definition
    • 增加Practitioner.identifier.type.coding.code欄位也可使用此Extension,以利實務專案使用

    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())
    26. 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()))
    28. 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()))
    30. 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()))
    32. 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A123456789。[應填入於醫學影像報告身分證號ID Number]The 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()))
    34. 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..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()))
    36. Patient.identifier:passportNumber.use
    Definition

    這個唯一識別碼(identifier)的用途


    The purpose of this identifier.

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

    應用程式可以假定一個識別碼是永久的,除非它明確說它是暫時的。


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

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

    如果知道,請說明此識別碼的目的;應填入所綁定值集中的其中一個代碼。


    Identifies the purpose for this identifier, if known .

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

    允許從一組識別碼中為特定的使用情境選擇適當的識別碼


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

    Pattern Valueofficial
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    38. Patient.identifier:passportNumber.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
    BindingUnless not suitable, these codes SHALL be taken from IdentifierType + 臺灣衛福部資訊處識別碼類型值集http://hl7.org/fhir/ValueSet/identifier-type
    (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/identifier-type-tw)

    識別碼的型別,用於決定特定目的所適用的識別碼;應填入所綁定值集中適合的代碼,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()))
    40. Patient.identifier:passportNumber.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.

    Control10..*
    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()))
    42. Patient.identifier:passportNumber.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()))
    44. Patient.identifier:passportNumber.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 ValuePPN
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    46. Patient.identifier:passportNumber.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()))
    48. Patient.identifier:passportNumber.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()))
    50. Patient.identifier:passportNumber.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:護照號碼='http://www.boca.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.boca.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()))
    52. Patient.identifier:passportNumber.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:護照號碼為888800371The 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()))
    54. 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..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()))
    56. Patient.identifier:residentNumber.use
    Definition

    這個唯一識別碼(identifier)的用途


    The purpose of this identifier.

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

    應用程式可以假定一個識別碼是永久的,除非它明確說它是暫時的。


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

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

    如果知道,請說明此識別碼的目的;應填入所綁定值集中的其中一個代碼。


    Identifies the purpose for this identifier, if known .

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

    允許從一組識別碼中為特定的使用情境選擇適當的識別碼


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

    Pattern Valueofficial
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    58. Patient.identifier:residentNumber.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
    BindingUnless not suitable, these codes SHALL be taken from IdentifierType + 臺灣衛福部資訊處識別碼類型值集http://hl7.org/fhir/ValueSet/identifier-type
    (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/identifier-type-tw)

    識別碼的型別,用於決定特定目的所適用的識別碼;應填入所綁定值集中適合的代碼,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()))
    60. Patient.identifier:residentNumber.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.

    Control10..*
    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()))
    62. Patient.identifier:residentNumber.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()))
    64. Patient.identifier:residentNumber.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 ValuePRC
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    66. Patient.identifier:residentNumber.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()))
    68. Patient.identifier:residentNumber.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()))
    70. Patient.identifier:residentNumber.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:居留證號='http://www.immigration.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.immigration.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()))
    72. Patient.identifier:residentNumber.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:居留證號碼為A912345678The 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()))
    74. Patient.identifier:medicalRecord
    Slice NamemedicalRecord
    Definition

    適用於病歷號


    An identifier for this patient.

    Short適用病歷號An identifier for this patient
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..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()))
    76. 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
    (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

    如果知道,請說明此識別碼的目的;應填入所綁定值集中的其中一個代碼。


    Identifies the purpose for this identifier, if known .

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

    允許從一組識別碼中為特定的使用情境選擇適當的識別碼


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

    Pattern Valueofficial
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    78. 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
    BindingUnless not suitable, these codes SHALL be taken from IdentifierType + 臺灣衛福部資訊處識別碼類型值集http://hl7.org/fhir/ValueSet/identifier-type
    (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/identifier-type-tw)

    識別碼的型別,用於決定特定目的所適用的識別碼;應填入所綁定值集中適合的代碼,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()))
    80. 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.

    Control10..*
    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()))
    82. 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()))
    84. 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()))
    86. 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()))
    88. 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()))
    90. 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),可至[twTerminology](https://twcore.mohw.gov.tw/ts/namingsystem.jsp?status=active&amp;type=0)申請或查詢命名系統。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()))
    92. 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8862168。[應填入於醫學影像報告病歷號碼Chart No.]The 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()))
    94. 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()))
    96. Patient.name
    Definition

    個人名字


    A name associated with the individual.

    Short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.

    Control0..*
    TypeHumanName
    Is Modifierfalse
    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 areUnordered and Open, and can be differentiated using the following discriminators:
    • pattern @ use
    • 98. 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())
      100. 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
      (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

      人名的使用情況;應填入所綁定值集中的其中一個代碼。


      The use of a human name.

      Typecode
      Is Modifiertrue because This is labeled as "Is Modifier" 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()))
      102. 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。[應填入於醫學影像報告姓名Name]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()))
      104. 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()))
      106. 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()))
      108. 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())
      110. 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
      (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

      人名的使用情況;應填入所綁定值集中的其中一個代碼。


      The use of a human name.

      Typecode
      Is Modifiertrue because This is labeled as "Is Modifier" 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()))
      112. 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病人所屬國籍的真實姓名。[應填入於醫學影像報告姓名Name]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()))
      114. 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()))
      116. 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()))
      118. 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()))
      120. 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
      (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

      人名的使用情況;應填入所綁定值集中的其中一個代碼。


      The use of a human name.

      Typecode
      Is Modifiertrue because This is labeled as "Is Modifier" 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()))
      122. 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新生兒姓名,緊急救護未知病人姓名時亦可用。[應填入於醫學影像報告姓名Name]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: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()))
      126. 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()))
      128. 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()))
      130. 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()))
      132. 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()))
      134. 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
      (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

      人名的使用情況;應填入所綁定值集中的其中一個代碼。


      The use of a human name.

      Typecode
      Is Modifiertrue because This is labeled as "Is Modifier" 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()))
      136. 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匿名供研究使用。[應填入於醫學影像報告姓名Name]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()))
      138. 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()))
      140. 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()))
      142. 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()))
      144. 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()))
      146. 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()))
      148. 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
      (required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

      應填入所綁定值集中的其中一個代碼。


      Telecommunications form for contact point.

      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      150. 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()))
      152. 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
      (required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)

      應填入所綁定值集中的其中一個代碼。


      Use of contact point.

      Typecode
      Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      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()))
      154. 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()))
      156. 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.

      Shortmale | female | other | unknown 。[應填入於醫學影像報告性別Administrative Sex]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。


      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
      (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)

      病人性別;應填入所綁定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()))
      158. Patient.birthDate
      Definition

      個人的出生日期


      The date of birth for the individual.

      Short病人出生日期。[應填入於醫學影像報告出生日期Birth Date]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
      160. 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] NoteSeeChoice of Data Typesfor 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()))
      162. Patient.address
      Definition

      此人的地址


      An address for the individual.

      Short病人聯絡地址 pat-cnt-2or3-char:如果有國家名,則必須(SHALL)從[ISO Country Alpha-2](http://hl7.org/fhir/valueset/iso3166-1-2)找出相對代碼作呈現。 如果未在ISO Country Alpha-2 中找到此一國家的代碼,則可能可以(MAY)從[ISO Country Alpha-3](http://hl7.org/fhir/valueset/iso3166-1-3)找出相對代碼作呈現。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..*
      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()))
      164. 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
      (extensible to http://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()))
      166. 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: 使用個人影像,而不是臨床影像。 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()))
      168. 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())
      170. Patient.contact.modifierExtension
      Definition

      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).

      ShortExtensions 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())
      172. 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
      (required to http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype)

      應填入所綁定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()))
      174. 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()))
      176. 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
      (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

      人名的使用情況;應填入所綁定值集中的其中一個代碼。


      The use of a human name.

      Typecode
      Is Modifiertrue because This is labeled as "Is Modifier" 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()))
      178. 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()))
      180. 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()))
      182. 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()))
      184. 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()))
      186. 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
      (required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

      應填入所綁定值集中的其中一個代碼。


      Telecommunications form for contact point.

      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      188. 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()))
      190. 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
      (required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)

      應填入所綁定值集中的其中一個代碼。


      Use of contact point.

      Typecode
      Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      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()))
      192. 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()))
      194. 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()))
      196. Patient.communication.modifierExtension
      Definition

      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).

      ShortExtensions 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())
      198. 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
      (preferred to http://hl7.org/fhir/ValueSet/languages)

      應填入所綁定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()))
      200. 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()))
      202. 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()))
      204. Patient.link.modifierExtension
      Definition

      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).

      ShortExtensions 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())
      206. 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()))
      208. 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
      (required to http://hl7.org/fhir/ValueSet/link-type|4.0.1)

      連結的型別;應填入所綁定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,此resource沒有id,它的id在resource被創建後由伺器分配/指定。

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

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

      Short此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。通常這是對IG所定義之特殊規則及其他profiles的參照。

      Short創建此內容所依據的一組規則
      Comments

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

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

      編寫此resource的語言

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

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

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

      Additional BindingsPurpose
      AllLanguagesMax Binding
      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Example<br/><b>Value</b>:zh-TW
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      10. 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定義有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。有時resource可能只有文字表述,很少或沒有額外的結構化資料(只要滿足所有minOccurs=1的資料項目)。這可能出現在舊系統的資料,當資訊以 「文字表述區塊(text blob) 」的形式被取得,或者文字表述是原始輸入或說明,而編碼資訊稍後再添加。

      Control0..1
      TypeNarrative
      Is Modifierfalse
      Summaryfalse
      Alternate Namesnarrative, html, xhtml, display
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      12. 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,因為一旦失去識別,再次恢復它是非常困難的(並且取決於情境)。內嵌(contained)的resource可在它們的meta資料項目中表述profiles和tag,但不應該有安全標號(security labels)。

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

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

      Short擴充的資料項目
      Comments

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

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on Patient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 16. Patient.extension:age
        Slice Nameage
        Definition

        年齡

        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
        TypeExtension(Patient 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.modifierExtension
        Definition

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

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

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

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

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

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        22. 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)
        Control1..*
        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 areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ type.coding.code
        • value @ type.coding.system
        • 24. Patient.identifier:idCardNumber
          Slice NameidCardNumber
          Definition

          適用於身分證字號

          Short適用身分證字號
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..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()))
          26. Patient.identifier:idCardNumber.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          28. Patient.identifier:idCardNumber.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. 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.

          ShortAdditional content defined by implementations
          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 Modifierfalse
          Summaryfalse
          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())
          SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 30. 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
            (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

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

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

            允許從一組識別碼中為特定的使用情境選擇適當的識別碼

            Pattern Valueofficial
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            32. 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
            BindingUnless not suitable, these codes SHALL be taken from IdentifierType + 臺灣衛福部資訊處識別碼類型值集
            (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/identifier-type-tw)

            識別碼的型別,用於決定特定目的所適用的識別碼;應填入所綁定值集中適合的代碼,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()))
            34. 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
            36. 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 areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 38. 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。

              Control1..*
              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()))
              40. 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
              42. 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 areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 44. 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()))
                46. 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 version Id, 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()))
                48. 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()))
                50. 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
                52. 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 areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 54. Patient.identifier:idCardNumber.type.coding.code.extension:identifier-suffix
                  Slice Nameidentifier-suffix
                  Definition
                  • 增加Practitioner.identifier.type.coding.code欄位也可使用此Extension,以利實務專案使用

                  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())
                  56. 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
                  58. 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()))
                  60. 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()))
                  62. 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()))
                  64. 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()))
                  66. 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。[應填入於醫學影像報告身分證號ID Number]
                  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()))
                  68. 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()))
                  70. 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()))
                  72. 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..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()))
                  74. Patient.identifier:passportNumber.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  76. Patient.identifier:passportNumber.extension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element. 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.

                  ShortAdditional content defined by implementations
                  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 Modifierfalse
                  Summaryfalse
                  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())
                  SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 78. Patient.identifier:passportNumber.use
                    Definition

                    這個唯一識別碼(identifier)的用途

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

                    應用程式可以假定一個識別碼是永久的,除非它明確說它是暫時的。

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

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

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

                    允許從一組識別碼中為特定的使用情境選擇適當的識別碼

                    Pattern Valueofficial
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    80. Patient.identifier:passportNumber.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
                    BindingUnless not suitable, these codes SHALL be taken from IdentifierType + 臺灣衛福部資訊處識別碼類型值集
                    (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/identifier-type-tw)

                    識別碼的型別,用於決定特定目的所適用的識別碼;應填入所綁定值集中適合的代碼,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()))
                    82. Patient.identifier:passportNumber.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
                    84. Patient.identifier:passportNumber.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 areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 86. Patient.identifier:passportNumber.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。

                      Control1..*
                      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()))
                      88. Patient.identifier:passportNumber.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
                      90. Patient.identifier:passportNumber.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 areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 92. Patient.identifier:passportNumber.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()))
                        94. Patient.identifier:passportNumber.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 version Id, 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()))
                        96. Patient.identifier:passportNumber.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 ValuePPN
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        98. Patient.identifier:passportNumber.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()))
                        100. Patient.identifier:passportNumber.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()))
                        102. Patient.identifier:passportNumber.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()))
                        104. Patient.identifier:passportNumber.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:護照號碼='http://www.boca.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.boca.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()))
                        106. Patient.identifier:passportNumber.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:護照號碼為888800371
                        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()))
                        108. Patient.identifier:passportNumber.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()))
                        110. Patient.identifier:passportNumber.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()))
                        112. 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..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()))
                        114. Patient.identifier:residentNumber.id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        116. Patient.identifier:residentNumber.extension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element. 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.

                        ShortAdditional content defined by implementations
                        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 Modifierfalse
                        Summaryfalse
                        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())
                        SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 118. Patient.identifier:residentNumber.use
                          Definition

                          這個唯一識別碼(identifier)的用途

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

                          應用程式可以假定一個識別碼是永久的,除非它明確說它是暫時的。

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

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

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

                          允許從一組識別碼中為特定的使用情境選擇適當的識別碼

                          Pattern Valueofficial
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          120. Patient.identifier:residentNumber.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
                          BindingUnless not suitable, these codes SHALL be taken from IdentifierType + 臺灣衛福部資訊處識別碼類型值集
                          (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/identifier-type-tw)

                          識別碼的型別,用於決定特定目的所適用的識別碼;應填入所綁定值集中適合的代碼,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()))
                          122. Patient.identifier:residentNumber.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
                          124. Patient.identifier:residentNumber.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 areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 126. Patient.identifier:residentNumber.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。

                            Control1..*
                            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()))
                            128. Patient.identifier:residentNumber.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
                            130. Patient.identifier:residentNumber.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 areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 132. Patient.identifier:residentNumber.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()))
                              134. Patient.identifier:residentNumber.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 version Id, 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()))
                              136. Patient.identifier:residentNumber.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 ValuePRC
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              138. Patient.identifier:residentNumber.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()))
                              140. Patient.identifier:residentNumber.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()))
                              142. Patient.identifier:residentNumber.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()))
                              144. Patient.identifier:residentNumber.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:居留證號='http://www.immigration.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.immigration.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()))
                              146. Patient.identifier:residentNumber.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:居留證號碼為A912345678
                              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()))
                              148. Patient.identifier:residentNumber.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()))
                              150. Patient.identifier:residentNumber.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()))
                              152. Patient.identifier:medicalRecord
                              Slice NamemedicalRecord
                              Definition

                              適用於病歷號

                              Short適用病歷號
                              NoteThis is a business identifier, not a resource identifier (see discussion)
                              Control0..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()))
                              154. Patient.identifier:medicalRecord.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              156. Patient.identifier:medicalRecord.extension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element. 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.

                              ShortAdditional content defined by implementations
                              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 Modifierfalse
                              Summaryfalse
                              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())
                              SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 158. 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
                                (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

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

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

                                允許從一組識別碼中為特定的使用情境選擇適當的識別碼

                                Pattern Valueofficial
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                160. 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
                                BindingUnless not suitable, these codes SHALL be taken from IdentifierType + 臺灣衛福部資訊處識別碼類型值集
                                (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/identifier-type-tw)

                                識別碼的型別,用於決定特定目的所適用的識別碼;應填入所綁定值集中適合的代碼,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()))
                                162. 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
                                164. 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 areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 166. 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。

                                  Control1..*
                                  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()))
                                  168. 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
                                  170. 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 areUnordered and Open, and can be differentiated using the following discriminators:
                                  • value @ url
                                  • 172. 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()))
                                    174. 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 version Id, 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()))
                                    176. 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()))
                                    178. 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()))
                                    180. 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()))
                                    182. 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()))
                                    184. 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),可至[twTerminology](https://twcore.mohw.gov.tw/ts/namingsystem.jsp?status=active&amp;type=0)申請或查詢命名系統。
                                    Comments

                                    Identifier.system總是區分大小寫

                                    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()))
                                    186. 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。[應填入於醫學影像報告病歷號碼Chart No.]
                                    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()))
                                    188. 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()))
                                    190. 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()))
                                    192. 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()))
                                    194. Patient.name
                                    Definition

                                    個人名字

                                    Short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。

                                    Control0..*
                                    TypeHumanName
                                    Is Modifierfalse
                                    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 areUnordered and Open, and can be differentiated using the following discriminators:
                                    • pattern @ use
                                    • 196. 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())
                                      198. Patient.name:official.id
                                      Definition

                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                      ShortUnique id for inter-element referencing
                                      Control0..1
                                      Typestring
                                      Is Modifierfalse
                                      XML FormatIn the XML format, this property is represented as an attribute.
                                      Summaryfalse
                                      200. Patient.name:official.extension
                                      Definition

                                      May be used to represent additional information that is not part of the basic definition of the element. 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.

                                      ShortAdditional content defined by implementations
                                      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 Modifierfalse
                                      Summaryfalse
                                      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())
                                      SlicingThis element introduces a set of slices on Patient.name.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                      • value @ url
                                      • 202. 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
                                        (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                        人名的使用情況;應填入所綁定值集中的其中一個代碼。

                                        Typecode
                                        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old 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()))
                                        204. 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。[應填入於醫學影像報告姓名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。

                                        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()))
                                        206. 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()))
                                        208. 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()))
                                        210. 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()))
                                        212. 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()))
                                        214. 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()))
                                        216. 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())
                                        218. Patient.name:usual.id
                                        Definition

                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                        ShortUnique id for inter-element referencing
                                        Control0..1
                                        Typestring
                                        Is Modifierfalse
                                        XML FormatIn the XML format, this property is represented as an attribute.
                                        Summaryfalse
                                        220. Patient.name:usual.extension
                                        Definition

                                        May be used to represent additional information that is not part of the basic definition of the element. 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.

                                        ShortAdditional content defined by implementations
                                        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 Modifierfalse
                                        Summaryfalse
                                        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())
                                        SlicingThis element introduces a set of slices on Patient.name.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                        • value @ url
                                        • 222. 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
                                          (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                          人名的使用情況;應填入所綁定值集中的其中一個代碼。

                                          Typecode
                                          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old 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()))
                                          224. 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病人所屬國籍的真實姓名。[應填入於醫學影像報告姓名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。

                                          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()))
                                          226. 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()))
                                          228. 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()))
                                          230. 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()))
                                          232. 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()))
                                          234. 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()))
                                          236. 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()))
                                          238. Patient.name:temp.id
                                          Definition

                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                          ShortUnique id for inter-element referencing
                                          Control0..1
                                          Typestring
                                          Is Modifierfalse
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Summaryfalse
                                          240. Patient.name:temp.extension
                                          Definition

                                          May be used to represent additional information that is not part of the basic definition of the element. 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.

                                          ShortAdditional content defined by implementations
                                          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 Modifierfalse
                                          Summaryfalse
                                          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())
                                          SlicingThis element introduces a set of slices on Patient.name.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                          • value @ url
                                          • 242. 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
                                            (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                            人名的使用情況;應填入所綁定值集中的其中一個代碼。

                                            Typecode
                                            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old 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()))
                                            244. 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新生兒姓名,緊急救護未知病人姓名時亦可用。[應填入於醫學影像報告姓名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。

                                            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()))
                                            246. 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()))
                                            248. 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()))
                                            250. 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()))
                                            252. 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()))
                                            254. 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()))
                                            256. 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()))
                                            258. Patient.name:anonymous.id
                                            Definition

                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                            ShortUnique id for inter-element referencing
                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            XML FormatIn the XML format, this property is represented as an attribute.
                                            Summaryfalse
                                            260. Patient.name:anonymous.extension
                                            Definition

                                            May be used to represent additional information that is not part of the basic definition of the element. 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.

                                            ShortAdditional content defined by implementations
                                            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 Modifierfalse
                                            Summaryfalse
                                            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())
                                            SlicingThis element introduces a set of slices on Patient.name.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                            • value @ url
                                            • 262. 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
                                              (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                              人名的使用情況;應填入所綁定值集中的其中一個代碼。

                                              Typecode
                                              Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old 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()))
                                              264. 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匿名供研究使用。[應填入於醫學影像報告姓名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。

                                              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()))
                                              266. 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()))
                                              268. 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()))
                                              270. 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()))
                                              272. 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()))
                                              274. 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()))
                                              276. 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()))
                                              278. Patient.telecom.id
                                              Definition

                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                              ShortUnique id for inter-element referencing
                                              Control0..1
                                              Typestring
                                              Is Modifierfalse
                                              XML FormatIn the XML format, this property is represented as an attribute.
                                              Summaryfalse
                                              280. Patient.telecom.extension
                                              Definition

                                              May be used to represent additional information that is not part of the basic definition of the element. 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.

                                              ShortAdditional content defined by implementations
                                              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 Modifierfalse
                                              Summaryfalse
                                              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())
                                              SlicingThis element introduces a set of slices on Patient.telecom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                              • value @ url
                                              • 282. 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
                                                (required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

                                                應填入所綁定值集中的其中一個代碼。

                                                Typecode
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Must Supporttrue
                                                Summarytrue
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                284. 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()))
                                                286. 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
                                                (required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)

                                                應填入所綁定值集中的其中一個代碼。

                                                Typecode
                                                Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                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()))
                                                288. 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()))
                                                290. 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()))
                                                292. Patient.gender
                                                Definition

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

                                                Shortmale | female | other | unknown 。[應填入於醫學影像報告性別Administrative Sex]
                                                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
                                                (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)

                                                病人性別;應填入所綁定值集中的其中一個代碼。

                                                Typecode
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Must Supporttrue
                                                Summarytrue
                                                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()))
                                                294. Patient.birthDate
                                                Definition

                                                個人的出生日期

                                                Short病人出生日期。[應填入於醫學影像報告出生日期Birth Date]
                                                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
                                                296. 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] NoteSeeChoice of Data Typesfor 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()))
                                                298. Patient.address
                                                Definition

                                                此人的地址

                                                Short病人聯絡地址 pat-cnt-2or3-char:如果有國家名,則必須(SHALL)從[ISO Country Alpha-2](http://hl7.org/fhir/valueset/iso3166-1-2)找出相對代碼作呈現。 如果未在ISO Country Alpha-2 中找到此一國家的代碼,則可能可以(MAY)從[ISO Country Alpha-3](http://hl7.org/fhir/valueset/iso3166-1-3)找出相對代碼作呈現。
                                                Comments

                                                病人可能有多個地址,有不同的用途或適用期。

                                                Control0..*
                                                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()))
                                                300. 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
                                                (extensible to http://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。

                                                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()))
                                                302. 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] NoteSeeChoice of Data Typesfor 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()))
                                                304. Patient.photo
                                                Definition

                                                病人的影像(照片)

                                                Short病人的影像(照片)
                                                Comments

                                                指引: 使用個人影像,而不是臨床影像。 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()))
                                                306. 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())
                                                308. Patient.contact.id
                                                Definition

                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                ShortUnique id for inter-element referencing
                                                Control0..1
                                                Typestring
                                                Is Modifierfalse
                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                Summaryfalse
                                                310. Patient.contact.extension
                                                Definition

                                                May be used to represent additional information that is not part of the basic definition of the element. 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.

                                                ShortAdditional content defined by implementations
                                                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 Modifierfalse
                                                Summaryfalse
                                                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())
                                                312. Patient.contact.modifierExtension
                                                Definition

                                                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).

                                                ShortExtensions 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())
                                                314. 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
                                                (required to http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype)

                                                應填入所綁定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()))
                                                316. 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()))
                                                318. Patient.contact.name.id
                                                Definition

                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                ShortUnique id for inter-element referencing
                                                Control0..1
                                                Typestring
                                                Is Modifierfalse
                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                Summaryfalse
                                                320. Patient.contact.name.extension
                                                Definition

                                                May be used to represent additional information that is not part of the basic definition of the element. 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.

                                                ShortAdditional content defined by implementations
                                                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 Modifierfalse
                                                Summaryfalse
                                                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())
                                                SlicingThis element introduces a set of slices on Patient.contact.name.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                • value @ url
                                                • 322. 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
                                                  (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                                  人名的使用情況;應填入所綁定值集中的其中一個代碼。

                                                  Typecode
                                                  Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old 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()))
                                                  324. 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()))
                                                  326. 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()))
                                                  328. 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()))
                                                  330. 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()))
                                                  332. 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()))
                                                  334. 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()))
                                                  336. 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()))
                                                  338. Patient.contact.telecom.id
                                                  Definition

                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                  ShortUnique id for inter-element referencing
                                                  Control0..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                  Summaryfalse
                                                  340. Patient.contact.telecom.extension
                                                  Definition

                                                  May be used to represent additional information that is not part of the basic definition of the element. 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.

                                                  ShortAdditional content defined by implementations
                                                  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 Modifierfalse
                                                  Summaryfalse
                                                  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())
                                                  SlicingThis element introduces a set of slices on Patient.contact.telecom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                  • value @ url
                                                  • 342. 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
                                                    (required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

                                                    應填入所綁定值集中的其中一個代碼。

                                                    Typecode
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Must Supporttrue
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    344. 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()))
                                                    346. 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
                                                    (required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)

                                                    應填入所綁定值集中的其中一個代碼。

                                                    Typecode
                                                    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    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()))
                                                    348. 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()))
                                                    350. 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()))
                                                    352. 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()))
                                                    354. 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
                                                    (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)

                                                    聯絡人的性別;應填入所綁定值集中的其中一個代碼。

                                                    Typecode
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    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()))
                                                    356. 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()))
                                                    358. 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()))
                                                    360. 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()))
                                                    362. Patient.communication.id
                                                    Definition

                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                    ShortUnique id for inter-element referencing
                                                    Control0..1
                                                    Typestring
                                                    Is Modifierfalse
                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                    Summaryfalse
                                                    364. Patient.communication.extension
                                                    Definition

                                                    May be used to represent additional information that is not part of the basic definition of the element. 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.

                                                    ShortAdditional content defined by implementations
                                                    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 Modifierfalse
                                                    Summaryfalse
                                                    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())
                                                    366. Patient.communication.modifierExtension
                                                    Definition

                                                    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).

                                                    ShortExtensions 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())
                                                    368. 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
                                                    (preferred to http://hl7.org/fhir/ValueSet/languages)

                                                    應填入所綁定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()))
                                                    370. 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()))
                                                    372. 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, TW Core PractitionerRole)
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Alternate NamescareProvider
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    374. 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()))
                                                    376. 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()))
                                                    378. Patient.link.id
                                                    Definition

                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                    ShortUnique id for inter-element referencing
                                                    Control0..1
                                                    Typestring
                                                    Is Modifierfalse
                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                    Summaryfalse
                                                    380. Patient.link.extension
                                                    Definition

                                                    May be used to represent additional information that is not part of the basic definition of the element. 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.

                                                    ShortAdditional content defined by implementations
                                                    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 Modifierfalse
                                                    Summaryfalse
                                                    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())
                                                    382. Patient.link.modifierExtension
                                                    Definition

                                                    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).

                                                    ShortExtensions 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())
                                                    384. 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()))
                                                    386. 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
                                                    (required to http://hl7.org/fhir/ValueSet/link-type|4.0.1)

                                                    連結的型別;應填入所綁定值集中的其中一個代碼。

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