{
  "description": "此Composition AdultCheck Profile說明成人健檢整體問卷資料",
  "_filename": "StructureDefinition-Composition-adultcheck.json",
  "package_name": "tsti.adultcheck",
  "date": "2023-08-04T22:42:36+08:00",
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "CompositionAdultCheck",
  "mapping": [ {
    "uri": "http://hl7.org/fhir/workflow",
    "name": "Workflow Pattern",
    "identity": "workflow"
  }, {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  }, {
    "uri": "http://hl7.org/v3/cda",
    "name": "CDA (R2)",
    "identity": "cda"
  }, {
    "uri": "http://hl7.org/fhir/documentreference",
    "name": "FHIR DocumentReference",
    "identity": "fhirdocumentreference"
  }, {
    "uri": "http://hl7.org/fhir/fivews",
    "name": "FiveWs Pattern Mapping",
    "identity": "w5"
  } ],
  "abstract": false,
  "type": "Composition",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "Composition - AdultCheck",
  "package_version": "0.1.1",
  "status": "active",
  "id": "f2831262-ea9a-4d87-8439-1be4c5a09788",
  "kind": "resource",
  "url": "https://fhirisolationroom.azurehealthcareapis.com/StructureDefinition/Composition-adultcheck",
  "version": "0.1.0",
  "differential": {
    "element": [ {
      "id": "Composition.identifier",
      "min": 1,
      "path": "Composition.identifier",
      "short": "該成人健檢問卷之就診序號",
      "definition": "該成人健檢問卷之就診序號",
      "mustSupport": true,
      "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）"
    }, {
      "id": "Composition.identifier.id",
      "path": "Composition.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": "Composition.identifier.extension",
      "path": "Composition.identifier.extension",
      "short": "擴充的資料項目",
      "definition": "擴充的資料項目"
    }, {
      "path": "Composition.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": "Composition.identifier.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": "Composition.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": "Composition.identifier.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": "Composition.identifier.type.id",
      "path": "Composition.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": "Composition.identifier.type.coding.system",
      "min": 1,
      "path": "Composition.identifier.type.coding.system",
      "patternUri": "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/v2-0203"
    }, {
      "id": "Composition.identifier.type.coding.code",
      "min": 1,
      "path": "Composition.identifier.type.coding.code",
      "patternCode": "MRT"
    }, {
      "id": "Composition.identifier.system",
      "min": 1,
      "path": "Composition.identifier.system",
      "short": "使用個醫院/機構院內代碼",
      "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": "Composition.identifier.value",
      "min": 1,
      "path": "Composition.identifier.value",
      "short": "唯一值。\r\n例如：所屬機構之醫事機構代碼為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": "Composition.identifier.period",
      "path": "Composition.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": "Composition.identifier.assigner",
      "path": "Composition.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": "Composition.status",
      "path": "Composition.status",
      "mustSupport": true,
      "patternCode": "final"
    }, {
      "id": "Composition.type",
      "path": "Composition.type",
      "mustSupport": true
    }, {
      "id": "Composition.type.coding.system",
      "path": "Composition.type.coding.system",
      "patternUri": "http://loinc.org"
    }, {
      "id": "Composition.type.coding.code",
      "path": "Composition.type.coding.code",
      "patternCode": "100574-4"
    }, {
      "id": "Composition.type.coding.display",
      "path": "Composition.type.coding.display",
      "patternString": "General medicine Hospital Progress note"
    }, {
      "id": "Composition.subject",
      "min": 1,
      "path": "Composition.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhirisolationroom.azurehealthcareapis.com/StructureDefinition/Patient-adultcheck" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Composition.encounter",
      "path": "Composition.encounter",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhirisolationroom.azurehealthcareapis.com/StructureDefinition/Encounter-adultcheck" ]
      } ],
      "short": "成人健檢就醫紀錄",
      "definition": "成人健檢就醫紀錄",
      "mustSupport": true
    }, {
      "id": "Composition.date",
      "path": "Composition.date",
      "short": "建立時間",
      "definition": "建立時間",
      "mustSupport": true
    }, {
      "id": "Composition.author",
      "min": 2,
      "path": "Composition.author",
      "short": "代檢機構與所屬醫事機構",
      "definition": "代檢機構與所屬醫事機構",
      "mustSupport": true
    }, {
      "id": "Composition.title",
      "path": "Composition.title",
      "short": "問卷標題",
      "definition": "問卷標題",
      "mustSupport": true,
      "patternString": "成人健康檢查問卷"
    }, {
      "id": "Composition.section",
      "max": "46",
      "min": 6,
      "path": "Composition.section",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "title",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Composition.section:condition-bp",
      "max": "1",
      "min": 0,
      "path": "Composition.section",
      "sliceName": "condition-bp",
      "mustSupport": true
    }, {
      "id": "Composition.section:condition-bp.title",
      "min": 1,
      "path": "Composition.section.title",
      "mustSupport": true,
      "patternString": "疾病史-高血壓"
    }, {
      "id": "Composition.section:condition-bp.code.coding.system",
      "path": "Composition.section.code.coding.system",
      "patternUri": "http://loinc.org"
    }, {
      "id": "Composition.section:condition-bp.code.coding.code",
      "path": "Composition.section.code.coding.code",
      "patternCode": "34117-2"
    }, {
      "id": "Composition.section:condition-bp.code.coding.display",
      "path": "Composition.section.code.coding.display",
      "patternString": "History and physical note"
    }, {
      "id": "Composition.section:condition-db",
      "max": "1",
      "min": 0,
      "path": "Composition.section",
      "sliceName": "condition-db",
      "mustSupport": true
    }, {
      "id": "Composition.section:condition-db.title",
      "min": 1,
      "path": "Composition.section.title",
      "mustSupport": true,
      "patternString": "疾病史-糖尿病"
    }, {
      "id": "Composition.section:condition-db.code.coding.system",
      "path": "Composition.section.code.coding.system",
      "patternUri": "http://loinc.org"
    }, {
      "id": "Composition.section:condition-db.code.coding.code",
      "path": "Composition.section.code.coding.code",
      "patternCode": "34117-2"
    }, {
      "id": "Composition.section:condition-db.code.coding.display",
      "path": "Composition.section.code.coding.display",
      "patternString": "History and physical note"
    }, {
      "id": "Composition.section:condition-bg",
      "max": "1",
      "min": 0,
      "path": "Composition.section",
      "sliceName": "condition-bg",
      "mustSupport": true
    }, {
      "id": "Composition.section:condition-bg.title",
      "min": 1,
      "path": "Composition.section.title",
      "mustSupport": true,
      "patternString": "疾病史-高血脂症"
    }, {
      "id": "Composition.section:condition-bg.code.coding.system",
      "path": "Composition.section.code.coding.system",
      "patternUri": "http://loinc.org"
    }, {
      "id": "Composition.section:condition-bg.code.coding.code",
      "path": "Composition.section.code.coding.code",
      "patternCode": "34117-2"
    }, {
      "id": "Composition.section:condition-bg.code.coding.display",
      "path": "Composition.section.code.coding.display",
      "patternString": "History and physical note"
    }, {
      "id": "Composition.section:condition-cd",
      "max": "1",
      "min": 0,
      "path": "Composition.section",
      "sliceName": "condition-cd",
      "mustSupport": true
    }, {
      "id": "Composition.section:condition-cd.title",
      "min": 1,
      "path": "Composition.section.title",
      "mustSupport": true,
      "patternString": "疾病史-心臟病"
    }, {
      "id": "Composition.section:condition-cd.code.coding.system",
      "path": "Composition.section.code.coding.system",
      "patternUri": "http://loinc.org"
    }, {
      "id": "Composition.section:condition-cd.code.coding.code",
      "path": "Composition.section.code.coding.code",
      "patternCode": "34117-2"
    }, {
      "id": "Composition.section:condition-cd.code.coding.display",
      "path": "Composition.section.code.coding.display",
      "patternString": "History and physical note"
    }, {
      "id": "Composition.section:condition-sd",
      "max": "1",
      "min": 0,
      "path": "Composition.section",
      "sliceName": "condition-sd",
      "mustSupport": true
    }, {
      "id": "Composition.section:condition-sd.title",
      "min": 1,
      "path": "Composition.section.title",
      "mustSupport": true,
      "patternString": "疾病史-腦中風"
    }, {
      "id": "Composition.section:condition-sd.code.coding.system",
      "path": "Composition.section.code.coding.system",
      "patternUri": "http://loinc.org"
    }, {
      "id": "Composition.section:condition-sd.code.coding.code",
      "path": "Composition.section.code.coding.code",
      "patternCode": "34117-2"
    }, {
      "id": "Composition.section:condition-sd.code.coding.display",
      "path": "Composition.section.code.coding.display",
      "patternString": "History and physical note"
    }, {
      "id": "Composition.section:condition-kd",
      "max": "1",
      "min": 0,
      "path": "Composition.section",
      "sliceName": "condition-kd",
      "mustSupport": true
    }, {
      "id": "Composition.section:condition-kd.title",
      "min": 1,
      "path": "Composition.section.title",
      "mustSupport": true,
      "patternString": "疾病史-腎臟病"
    }, {
      "id": "Composition.section:condition-kd.code.coding.system",
      "path": "Composition.section.code.coding.system",
      "patternUri": "http://loinc.org"
    }, {
      "id": "Composition.section:condition-kd.code.coding.code",
      "path": "Composition.section.code.coding.code",
      "patternCode": "34117-2"
    }, {
      "id": "Composition.section:condition-kd.code.coding.display",
      "path": "Composition.section.code.coding.display",
      "patternString": "History and physical note"
    }, {
      "id": "Composition.section:height",
      "max": "1",
      "min": 1,
      "path": "Composition.section",
      "sliceName": "height",
      "mustSupport": true
    }, {
      "id": "Composition.section:height.title",
      "min": 1,
      "path": "Composition.section.title",
      "mustSupport": true,
      "patternString": "生理量測-身高"
    }, {
      "id": "Composition.section:height.code.coding.system",
      "path": "Composition.section.code.coding.system",
      "patternUri": "http://loinc.org"
    }, {
      "id": "Composition.section:height.code.coding.code",
      "path": "Composition.section.code.coding.code",
      "patternCode": "85353-1"
    }, {
      "id": "Composition.section:height.code.coding.display",
      "path": "Composition.section.code.coding.display",
      "patternString": "Vital signs, weight, height, head circumference, oxygen saturation and BMI panel"
    }, {
      "id": "Composition.section:weight",
      "max": "1",
      "min": 1,
      "path": "Composition.section",
      "sliceName": "weight",
      "mustSupport": true
    }, {
      "id": "Composition.section:weight.title",
      "min": 1,
      "path": "Composition.section.title",
      "mustSupport": true,
      "patternString": "生理量測-體重"
    }, {
      "id": "Composition.section:weight.code.coding.system",
      "path": "Composition.section.code.coding.system",
      "patternUri": "http://loinc.org"
    }, {
      "id": "Composition.section:weight.code.coding.code",
      "path": "Composition.section.code.coding.code",
      "patternCode": "85353-1"
    }, {
      "id": "Composition.section:weight.code.coding.display",
      "path": "Composition.section.code.coding.display",
      "patternString": "Vital signs, weight, weight, head circumference, oxygen saturation and BMI panel"
    }, {
      "id": "Composition.section:bmi",
      "max": "1",
      "min": 1,
      "path": "Composition.section",
      "sliceName": "bmi",
      "mustSupport": true
    }, {
      "id": "Composition.section:bmi.title",
      "min": 1,
      "path": "Composition.section.title",
      "mustSupport": true,
      "patternString": "生理量測-BMI"
    }, {
      "id": "Composition.section:bmi.code.coding.system",
      "path": "Composition.section.code.coding.system",
      "patternUri": "http://loinc.org"
    }, {
      "id": "Composition.section:bmi.code.coding.code",
      "path": "Composition.section.code.coding.code",
      "patternCode": "85353-1"
    }, {
      "id": "Composition.section:bmi.code.coding.display",
      "path": "Composition.section.code.coding.display",
      "patternString": "Vital signs, weight, bmi, head circumference, oxygen saturation and BMI panel"
    }, {
      "id": "Composition.section:bloodtype",
      "max": "1",
      "min": 1,
      "path": "Composition.section",
      "sliceName": "bloodtype",
      "mustSupport": true
    }, {
      "id": "Composition.section:bloodtype.title",
      "min": 1,
      "path": "Composition.section.title",
      "mustSupport": true,
      "patternString": "生理量測-血壓"
    }, {
      "id": "Composition.section:bloodtype.code.coding.system",
      "path": "Composition.section.code.coding.system",
      "patternUri": "http://loinc.org"
    }, {
      "id": "Composition.section:bloodtype.code.coding.code",
      "path": "Composition.section.code.coding.code",
      "patternCode": "85353-1"
    }, {
      "id": "Composition.section:bloodtype.code.coding.display",
      "path": "Composition.section.code.coding.display",
      "patternString": "Vital signs, weight, bloodtype, head circumference, oxygen saturation and BMI panel"
    }, {
      "id": "Composition.section:waist",
      "max": "1",
      "min": 1,
      "path": "Composition.section",
      "sliceName": "waist",
      "mustSupport": true
    }, {
      "id": "Composition.section:waist.title",
      "min": 1,
      "path": "Composition.section.title",
      "mustSupport": true,
      "patternString": "生理量測-腰圍"
    }, {
      "id": "Composition.section:waist.code.coding.system",
      "path": "Composition.section.code.coding.system",
      "patternUri": "http://loinc.org"
    }, {
      "id": "Composition.section:waist.code.coding.code",
      "path": "Composition.section.code.coding.code",
      "patternCode": "85353-1"
    }, {
      "id": "Composition.section:waist.code.coding.display",
      "path": "Composition.section.code.coding.display",
      "patternString": "Vital signs, weight, waist, head circumference, oxygen saturation and BMI panel"
    }, {
      "id": "Composition.section:lab-protein",
      "max": "1",
      "min": 0,
      "path": "Composition.section",
      "sliceName": "lab-protein",
      "mustSupport": true
    }, {
      "id": "Composition.section:lab-protein.title",
      "min": 1,
      "path": "Composition.section.title",
      "mustSupport": true,
      "patternString": "Protein 尿蛋白"
    }, {
      "id": "Composition.section:lab-protein.code.coding.system",
      "path": "Composition.section.code.coding.system",
      "patternUri": "http://loinc.org"
    }, {
      "id": "Composition.section:lab-protein.code.coding.code",
      "path": "Composition.section.code.coding.code",
      "patternCode": "19146-0"
    }, {
      "id": "Composition.section:lab-protein.code.coding.display",
      "path": "Composition.section.code.coding.display",
      "patternString": "Reference lab test results"
    }, {
      "id": "Composition.section:lab-sugar",
      "max": "1",
      "min": 0,
      "path": "Composition.section",
      "sliceName": "lab-sugar",
      "mustSupport": true
    }, {
      "id": "Composition.section:lab-sugar.title",
      "min": 1,
      "path": "Composition.section.title",
      "mustSupport": true,
      "patternString": "血糖"
    }, {
      "id": "Composition.section:lab-sugar.code.coding.system",
      "path": "Composition.section.code.coding.system",
      "patternUri": "http://loinc.org"
    }, {
      "id": "Composition.section:lab-sugar.code.coding.code",
      "path": "Composition.section.code.coding.code",
      "patternCode": "19146-0"
    }, {
      "id": "Composition.section:lab-sugar.code.coding.display",
      "path": "Composition.section.code.coding.display",
      "patternString": "Reference lab test results"
    }, {
      "id": "Composition.section:lab-cholesterol",
      "max": "1",
      "min": 1,
      "path": "Composition.section",
      "sliceName": "lab-cholesterol",
      "mustSupport": true
    }, {
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