{
  "description": "此Observation Social AdultCheck Profile說明成人預防保健生活史紀錄",
  "_filename": "StructureDefinition-ObservationSocial-adultcheck.json",
  "package_name": "tsti.adultcheck",
  "date": "2023-07-24T22:42:36+08:00",
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "ObservationSocialAdultCheck",
  "mapping": [ {
    "uri": "http://hl7.org/fhir/workflow",
    "name": "Workflow Pattern",
    "identity": "workflow"
  }, {
    "uri": "http://snomed.info/conceptdomain",
    "name": "SNOMED CT Concept Domain Binding",
    "identity": "sct-concept"
  }, {
    "uri": "http://hl7.org/v2",
    "name": "HL7 v2 Mapping",
    "identity": "v2"
  }, {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  }, {
    "uri": "http://hl7.org/fhir/fivews",
    "name": "FiveWs Pattern Mapping",
    "identity": "w5"
  }, {
    "uri": "http://snomed.org/attributebinding",
    "name": "SNOMED CT Attribute Binding",
    "identity": "sct-attr"
  } ],
  "abstract": false,
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "Observation Social - AdultCheck",
  "package_version": "0.1.2",
  "status": "active",
  "id": "b3c4de04-becc-4ca5-bb9e-e2e6ea1ffb89",
  "kind": "resource",
  "url": "https://tstifhir.azurehealthcareapis.com/StructureDefinition/ObservationSocial-adultcheck",
  "version": "0.1.0",
  "differential": {
    "element": [ {
      "id": "Observation.identifier",
      "min": 1,
      "path": "Observation.identifier",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "type.coding.code",
          "type": "value"
        }, {
          "path": "type.coding.system",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "path": "Observation.identifier",
      "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）",
      "min": 0,
      "definition": "適用於該就醫紀錄之就診序號",
      "short": "適用該就醫紀錄之就診序號",
      "mustSupport": true,
      "sliceName": "medicalrecordNumber",
      "max": "1",
      "id": "Observation.identifier:medicalrecordNumber"
    }, {
      "id": "Observation.identifier:medicalrecordNumber.id",
      "path": "Observation.identifier.id",
      "short": "唯一可識別ID，以供資料項目間相互參照。",
      "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。"
    }, {
      "id": "Observation.identifier:medicalrecordNumber.extension",
      "path": "Observation.identifier.extension",
      "short": "擴充的資料項目",
      "definition": "擴充的資料項目"
    }, {
      "path": "Observation.identifier.use",
      "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",
      "definition": "這個唯一識別碼（identifier）的用途",
      "short": "usual ｜ official ｜ temp ｜ secondary ｜ old （如果知道）",
      "mustSupport": true,
      "patternCode": "official",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "IdentifierUse"
        } ],
        "description": "如果知道，請說明此識別碼的目的；應填入[IdentifierUse](http://hl7.org/fhir/R4/valueset-identifier-use.html)代碼表中的其中一個代碼。"
      },
      "id": "Observation.identifier:medicalrecordNumber.use",
      "comment": "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。"
    }, {
      "path": "Observation.identifier.type",
      "requirements": "允許使用者在不知道識別碼系統的情況下利用識別碼",
      "min": 1,
      "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",
      "type": [ {
        "code": "CodeableConcept",
        "profile": [ "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw" ]
      } ],
      "mustSupport": true,
      "binding": {
        "strength": "required",
        "valueSet": "https://twcore.mohw.gov.tw/ig/twcore/ValueSet/identifier-type-tw",
        "description": "識別碼的型別，用於決定特定目的所適用的識別碼；應填入[臺灣識別碼類型值集](https://twcore.mohw.gov.tw/ig/twcore/ValueSet-identifier-type-tw.html)代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。"
      },
      "id": "Observation.identifier:medicalrecordNumber.type",
      "comment": "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。"
    }, {
      "id": "Observation.identifier:medicalrecordNumber.type.id",
      "path": "Observation.identifier.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。"
    }, {
      "id": "Observation.identifier:medicalrecordNumber.type.coding.system",
      "min": 1,
      "path": "Observation.identifier.type.coding.system",
      "patternUri": "http://terminology.hl7.org/CodeSystem/v2-0203"
    }, {
      "id": "Observation.identifier:medicalrecordNumber.type.coding.code",
      "min": 1,
      "path": "Observation.identifier.type.coding.code",
      "patternCode": "MRT"
    }, {
      "id": "Observation.identifier:medicalrecordNumber.system",
      "min": 1,
      "path": "Observation.identifier.system",
      "short": "就診序號發號者/機構/單位",
      "comment": "Identifier.system總是區分大小寫",
      "definition": "建立值的命名空間－即一個描述一組值的唯一URL",
      "mustSupport": true,
      "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。"
    }, {
      "id": "Observation.identifier:medicalrecordNumber.value",
      "min": 1,
      "path": "Observation.identifier.value",
      "short": "唯一值。\r\n例如：就診序號為0123456789",
      "comment": "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](http://hl7.org/fhir/R4/extension-rendered-value.html)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。",
      "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。",
      "mustSupport": true
    }, {
      "id": "Observation.identifier:medicalrecordNumber.period",
      "path": "Observation.identifier.period",
      "short": "此身份識別碼（identifier）的使用效期",
      "definition": "識別碼有效／曾經有效使用的時段或期間"
    }, {
      "id": "Observation.identifier:medicalrecordNumber.assigner",
      "path": "Observation.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-hosp-twcore" ]
      } ],
      "short": "簽發identifier的機構（可以只是文字表述）",
      "comment": "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。",
      "definition": "簽發／管理識別碼的機構"
    }, {
      "id": "Observation.status",
      "path": "Observation.status",
      "mustSupport": true,
      "patternCode": "preliminary"
    }, {
      "id": "Observation.category",
      "min": 1,
      "path": "Observation.category",
      "binding": {
        "strength": "preferred",
        "valueSet": "http://hl7.org/fhir/ValueSet/observation-category",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "ObservationCategory"
        } ],
        "description": "高層次的檢驗檢查分類；鼓勵使用[ObservationCategoryCodes](http://hl7.org/fhir/R4/valueset-observation-category.html)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。"
      },
      "mustSupport": true
    }, {
      "id": "Observation.category.coding",
      "path": "Observation.category.coding",
      "short": "由專門術語系統（terminology system）定義的代碼",
      "comment": "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，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。",
      "definition": "由專門術語系統（terminology system）所定義之代碼的參照。",
      "requirements": "允許使用者在不知道識別碼系統的情況下利用識別碼"
    }, {
      "id": "Observation.category.coding.system",
      "path": "Observation.category.coding.system",
      "patternUri": "http://terminology.hl7.org/CodeSystem/observation-category"
    }, {
      "id": "Observation.category.coding.code",
      "path": "Observation.category.coding.code",
      "patternCode": "social-history"
    }, {
      "id": "Observation.category.coding.display",
      "path": "Observation.category.coding.display",
      "patternString": "Social History"
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "short": "成人預防保健生活史項目",
      "binding": {
        "strength": "required",
        "valueSet": "https://tstifhir.azurehealthcareapis.com/ValueSet/adultcheck-lifecode",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "ObservationCode"
        } ]
      },
      "comment": "並非所有的專門術語使用都符合這個一般模式。在某些情況下，資料模型不應該使用CodeableConcept而應直接使用Coding，並提供他們自己的結構來管理text、codings、translation、資料項目之間的關係、以及先組合配對／前組合式（pre-coordination）和後組合配對／後組合式（post-coordination）。",
      "definition": "可以透過正式參照一個專門術語或本體論來定義一個概念，或者也可以文字表述此概念。",
      "mustSupport": true,
      "requirements": "知道正在進行的是哪種檢驗檢查是理解檢驗檢查的關鍵"
    }, {
      "id": "Observation.code.coding",
      "path": "Observation.code.coding",
      "short": "由專門術語系統（terminology system）定義的代碼",
      "binding": {
        "strength": "required",
        "valueSet": "https://tstifhir.azurehealthcareapis.com/ValueSet/adultcheck-lifecode"
      },
      "comment": "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，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。",
      "definition": "由專門術語系統（terminology system）所定義之代碼的參照。",
      "requirements": "允許使用者在不知道識別碼系統的情況下利用識別碼"
    }, {
      "id": "Observation.subject",
      "min": 1,
      "path": "Observation.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://tstifhir.azurehealthcareapis.com/StructureDefinition/Patient-adultcheck" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.effective[x]",
      "min": 1,
      "path": "Observation.effective[x]",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Observation.effective[x]:effectiveDateTime",
      "max": "1",
      "min": 1,
      "path": "Observation.effective[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "sliceName": "effectiveDateTime",
      "mustSupport": true
    }, {
      "id": "Observation.performer",
      "min": 1,
      "path": "Observation.performer",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-hosp-twcore" ]
      } ],
      "short": "委託代檢之醫事機構",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]",
      "min": 1,
      "path": "Observation.value[x]",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Observation.value[x]:valueString",
      "max": "1",
      "min": 1,
      "path": "Observation.value[x]",
      "type": [ {
        "code": "string"
      } ],
      "short": "生活史項目結果",
      "sliceName": "valueString",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}