description: 此臺灣核心-病情、問題或診斷（TW Core Condition） Profile說明本IG如何進一步定義FHIR的Condition Resource以呈現有關病情、問題或診斷的詳細資料。\n
package_name: test.ami.a
derivation: constraint
name: TWCoreCondition
type: Condition
elements:
  onset:
    short: 估計的或實際的日期、日期—時間或年齡。
    mustSupport: true
    choices: [onsetDateTime, onsetAge, onsetPeriod, onsetRange, onsetString]
    index: 22
  category:
    short: problem-list-item | encounter-diagnosis ，指定病情、問題或診斷的類別。
    type: CodeableConcept
    mustSupport: true
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/condition-category', bindingName: ConditionCategory}
    index: 8
  clinicalStatus:
    short: active | recurrence | relapse | inactive | remission | resolved ，病情、問題或診斷的臨床狀態。
    type: CodeableConcept
    mustSupport: true
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1', bindingName: ConditionClinicalStatus}
    index: 6
  abatementAge: {type: Age, short: 何時解決/緩解, mustSupport: true, choiceOf: abatement, index: 31}
  meta: {short: 此Condition Resource的metadata, index: 1}
  onsetRange: {type: Range, short: 估計的或實際的日期、日期—時間或年齡。, mustSupport: true, choiceOf: onset, index: 26}
  onsetAge: {type: Age, short: 估計的或實際的日期、日期—時間或年齡。, mustSupport: true, choiceOf: onset, index: 24}
  stage:
    short: 分期（stage）／分級（grade），通常是正式的評估。
    index: 38
    elements:
      summary:
        type: CodeableConcept
        short: 簡單的摘要（特定疾病）。
        binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/condition-stage'}
        index: 39
      assessment:
        type: Reference
        short: 正式的評估記錄
        refers: ['http://hl7.org/fhir/StructureDefinition/ClinicalImpression', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/DiagnosticReport-twcore', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-laboratoryResult-twcore', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-vitalSigns-twcore']
        index: 40
      type:
        type: CodeableConcept
        short: 分期的種類
        binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/condition-stage-type'}
        index: 41
  encounter:
    type: Reference
    short: 作為病情、問題或診斷紀錄的一部分的就醫（Encounter）紀錄
    refers: ['https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Encounter-twcore']
    index: 20
  evidence:
    short: 支持的證據
    index: 42
    elements:
      code:
        type: CodeableConcept
        short: 表現／症狀
        binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/manifestation-or-symptom'}
        index: 43
      detail: {short: 在其他地方找到的支持資訊, index: 44}
  implicitRules: {short: 創建此內容所依據的一組規則, index: 2}
  onsetPeriod: {type: Period, short: 估計的或實際的日期、日期—時間或年齡。, mustSupport: true, choiceOf: onset, index: 25}
  abatement:
    short: 何時解決/緩解
    mustSupport: true
    choices: [abatementDateTime, abatementAge, abatementPeriod, abatementRange, abatementString]
    index: 29
  abatementPeriod: {type: Period, short: 何時解決/緩解, mustSupport: true, choiceOf: abatement, index: 32}
  asserter:
    type: Reference
    short: 聲稱有此病情、問題或診斷的人
    mustSupport: true
    refers: ['https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore']
    index: 37
  note: {short: 關於此Condition的附加資訊, mustSupport: true, index: 45}
  abatementString: {type: string, short: 何時解決/緩解, mustSupport: true, choiceOf: abatement, index: 34}
  abatementRange: {type: Range, short: 何時解決/緩解, mustSupport: true, choiceOf: abatement, index: 33}
  recordedDate: {short: 記錄的日期, index: 35}
  language:
    short: 用以表述Condition Resource內容的語言。
    binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/languages', bindingName: Language}
    index: 3
  id: {short: 不重複的ID用以識別儲存在特定FHIR Server中的Condition紀錄，通常又稱為邏輯性ID。, index: 0}
  onsetString: {type: string, short: 估計的或實際的日期、日期—時間或年齡。, mustSupport: true, choiceOf: onset, index: 27}
  recorder:
    type: Reference
    short: 誰記錄此病情、問題或診斷
    refers: ['https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore']
    index: 36
  severity:
    type: CodeableConcept
    short: 病情、問題或診斷的主觀嚴重程度
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/condition-severity'}
    mustSupport: true
    index: 9
  code:
    type: CodeableConcept
    short: 病情、問題或診斷的識別
    binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/condition-code', bindingName: ConditionKind}
    mustSupport: true
    index: 10
    elements:
      coding:
        short: 由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。
        index: 11
        slicing:
          rules: open
          discriminator:
          - {path: $this, type: pattern}
          min: null
          slices:
            icd10-cm-2023:
              match: {}
              schema:
                binding: {strength: required, valueSet: 'https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2023-tw'}
                mustSupport: true
                index: 12
              min: 0
              max: 1
            icd10-cm-2021:
              match: {}
              schema:
                short: 此為臺灣衛生福利部中央健康保險署維護之2021年中文版ICD-10-CM代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。
                mustSupport: true
                binding: {strength: required, valueSet: 'https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2021-tw'}
                index: 13
              min: 0
              max: 1
            icd10-cm-2014:
              match: {}
              schema:
                short: 此為臺灣衛生福利部中央健康保險署維護之2014年中文版ICD-10-CM代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。
                mustSupport: true
                binding: {strength: required, valueSet: 'https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw'}
                index: 14
              min: 0
              max: 1
            icd9-cm-2001:
              match: {}
              schema:
                binding: {strength: required, valueSet: 'https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-9-cm-2001-tw'}
                mustSupport: true
                index: 15
              min: 0
              max: 1
            absentOrUnknownProblem:
              match: {}
              schema:
                short: 不存在的問題或未知問題的代碼
                mustSupport: true
                binding: {strength: required, valueSet: 'http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips'}
                index: 16
              min: 0
              max: 1
            sct:
              match: {}
              schema:
                short: 此為SNOMED CT診斷代碼，若機構已有購買相關授權，亦可使用。
                mustSupport: true
                binding: {strength: required, valueSet: 'https://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw'}
                index: 17
              min: 0
              max: 1
  identifier: {short: 此病情、問題或診斷的外部識別碼, index: 5}
  onsetDateTime: {type: dateTime, short: 估計的或實際的日期、日期—時間或年齡。, mustSupport: true, choiceOf: onset, index: 23}
  bodySite:
    type: CodeableConcept
    short: 如果相關請填寫解剖位置
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/body-site'}
    mustSupport: true
    index: 18
  abatementDateTime: {type: dateTime, short: 何時解決/緩解, mustSupport: true, choiceOf: abatement, index: 30}
  verificationStatus:
    type: CodeableConcept
    short: unconfirmed | provisional | differential | confirmed | refuted | entered-in-error ，支持或拒絕病情、問題或診斷的臨床狀態的驗證狀態。
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1', bindingName: ConditionVerificationStatus}
    mustSupport: true
    index: 7
  subject:
    type: Reference
    short: 誰有此病情、問題或診斷？
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Group', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore']
    index: 19
  text: {short: Condition Resource之內容摘要以供人閱讀, index: 4}
package_version: 0.0.2
class: profile
kind: resource
url: https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Condition-twcore
base: http://hl7.org/fhir/StructureDefinition/Condition
version: 0.3.2
required: [category, clinicalStatus]