{
"description": "此健康照護服務提供人員(Practitioner iClaim) Profile說明本IG如何進一步定義臺灣核心-健康照護服務提供人員(TW Core Practitioner) Profile以呈現健康照護服務提供人員基本資料",
"_filename": "StructureDefinition-practitioner-iclaim.json",
"package_name": "tw.cathay.fhir.iclaim",
"date": "2023-09-20T21:49:42+08:00",
"derivation": "constraint",
"publisher": "國泰金控",
"fhirVersion": "4.0.1",
"name": "PractitioneriClaim",
"mapping": [ {
"uri": "http://hl7.org/v2",
"name": "HL7 v2 Mapping",
"identity": "v2"
}, {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
}, {
"uri": "http://www.omg.org/spec/ServD/1.0/",
"name": "ServD",
"identity": "servd"
}, {
"uri": "http://hl7.org/fhir/fivews",
"name": "FiveWs Pattern Mapping",
"identity": "w5"
} ],
"abstract": false,
"type": "Practitioner",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "Practitioner iClaim",
"package_version": "0.1.0",
"snapshot": {
"element": [ {
"constraint": [ {
"key": "dom-2",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"xpath": "not(parent::f:contained and f:contained)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.contained.empty()"
}, {
"key": "dom-3",
"human": "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",
"xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "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()"
}, {
"key": "dom-4",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"
}, {
"key": "dom-5",
"human": "If a resource is contained in another resource, it SHALL NOT have a security label",
"xpath": "not(exists(f:contained/*/f:meta/f:security))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.meta.security.empty()"
}, {
"key": "dom-6",
"human": "A resource should have narrative for robust management",
"xpath": "exists(f:text/h:div)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "warning",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
} ],
"expression": "text.`div`.exists()"
} ],
"path": "Practitioner",
"min": 0,
"definition": "直接或間接提供健康照護的人員",
"isModifier": false,
"short": "對於所提供之健康照護或相關服務負有正式責任的人員",
"mapping": [ {
"map": "Entity. Role, or Act",
"identity": "rim"
}, {
"map": "PRD (as one example)",
"identity": "v2"
}, {
"map": "Role",
"identity": "rim"
}, {
"map": "Provider",
"identity": "servd"
} ],
"max": "*",
"id": "Practitioner",
"base": {
"max": "*",
"min": 0,
"path": "Practitioner"
},
"isSummary": false
}, {
"path": "Practitioner.id",
"min": 0,
"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。",
"isModifier": false,
"short": "不重複的ID用以識別儲存在特定FHIR Server中的Practitioner紀錄,通常又稱為邏輯性ID。",
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
} ]
} ],
"max": "1",
"id": "Practitioner.id",
"comment": "一個resource使用新增操作(create operation)提交給伺服器時是此resource唯一沒有id的時刻",
"base": {
"max": "1",
"min": 0,
"path": "Resource.id"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.meta",
"min": 0,
"definition": "關於resource的metadata。這是由基礎建設維護的內容。對內容的改變可能並不總是與resource的版本改變相關。",
"isModifier": false,
"short": "此PractitionerResource的metadata",
"type": [ {
"code": "Meta"
} ],
"max": "1",
"id": "Practitioner.meta",
"base": {
"max": "1",
"min": 0,
"path": "Resource.meta"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.implicitRules",
"min": 0,
"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IG定義特殊規則及其他profiles的參照。",
"isModifier": true,
"short": "創建此內容所依據的一組規則",
"type": [ {
"code": "uri"
} ],
"max": "1",
"id": "Practitioner.implicitRules",
"comment": "宣告這套規則限制了內容只能被有限的貿易夥伴所理解。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是對實作指引的參照,此指引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。",
"base": {
"max": "1",
"min": 0,
"path": "Resource.implicitRules"
},
"isModifierReason": "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",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.language",
"min": 0,
"definition": "編寫此resource的基礎語言",
"isModifier": false,
"short": "用以表述Practitioner Resource內容的語言",
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/ValueSet/languages",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
} ],
"description": "人類語言;鼓勵使用[CommonLanguages](http://hl7.org/fhir/R4/valueset-languages.html)值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。"
},
"max": "1",
"id": "Practitioner.language",
"comment": "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基礎語言。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元素(關於xml:lang和html lang屬性之間的關係,見HTML5中的規則)。",
"example": [ {
"label": "Value",
"valueString": "zh-TW"
} ],
"base": {
"max": "1",
"min": 0,
"path": "Resource.language"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.text",
"min": 0,
"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定義可定義哪些內容應該在敘述中表示,以確保臨床安全。",
"isModifier": false,
"short": "Practitioner Resource之內容摘要以供人閱讀",
"mapping": [ {
"map": "Act.text?",
"identity": "rim"
} ],
"type": [ {
"code": "Narrative"
} ],
"mustSupport": true,
"alias": [ "narrative", "html", "xhtml", "display" ],
"max": "1",
"id": "Practitioner.text",
"comment": "內嵌(contained)的resource沒有敘述,非內嵌(contained)的resource則 **建議應該(SHOULD)** 有敘述。在某些情況下,resource可能只有文字表述,很少或沒有額外的離散資料(只要滿足所有minOccurs=1的資料項目)。這對於來自舊有系統的資料可能是必要的,在這些系統中,從 「文字表述區塊(text blob) 」獲取訊息,或者文字表述是額外的原始輸入或敘述,而編碼訊息是後來添加的。",
"base": {
"max": "1",
"min": 0,
"path": "DomainResource.text"
},
"isSummary": false
}, {
"path": "Practitioner.contained",
"min": 0,
"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。",
"isModifier": false,
"short": "內嵌的(contained)、行內的Resources",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Resource"
} ],
"alias": [ "inline resources", "anonymous resources", "contained resources" ],
"max": "*",
"id": "Practitioner.contained",
"comment": "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,因為一旦識別丟失,要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(標籤),但 **必須沒有(SHALL NOT)** 資訊安全標號(security labels)。",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.contained"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Practitioner.extension",
"min": 0,
"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。",
"isModifier": false,
"short": "擴充的資料項目",
"type": [ {
"code": "Extension"
} ],
"max": "*",
"id": "Practitioner.extension",
"comment": "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。",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Practitioner.modifierExtension",
"requirements": "修飾用的資料項目擴充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。透過消除禁止實作者擴充存在的需求來促進可互操作性。更多訊息,請參見修飾用的資料項目擴充之定義。",
"min": 0,
"definition": "可以用來表示不屬於資料項目的基本定義的附加資訊,並且修改對它所內嵌(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。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。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。處理resource的應用程式被要求檢查修飾用的擴充資料項目。 \r\n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)。",
"isModifier": true,
"short": "此擴充的資料項目可能會完全修改或改變其他資料項目的意涵,需特別留意。",
"type": [ {
"code": "Extension"
} ],
"max": "*",
"id": "Practitioner.modifierExtension",
"comment": "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。",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.identifier",
"requirements": "通常此人員會被指定特定識別碼",
"min": 0,
"definition": "此人員於此角色的識別碼",
"isModifier": false,
"short": "即為「醫師證號」,此照護服務提供人員的識別碼",
"mapping": [ {
"map": "FiveWs.identifier",
"identity": "w5"
}, {
"map": "PRD-7 (or XCN.1)",
"identity": "v2"
}, {
"map": "./id",
"identity": "rim"
}, {
"map": "./Identifiers",
"identity": "servd"
} ],
"type": [ {
"code": "Identifier"
} ],
"mustSupport": true,
"max": "1",
"id": "Practitioner.identifier",
"base": {
"max": "*",
"min": 0,
"path": "Practitioner.identifier"
},
"isSummary": true
}, {
"path": "Practitioner.identifier.id",
"min": 0,
"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。",
"isModifier": false,
"short": "唯一可識別ID,以供資料項目間相互參照。",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Practitioner.identifier.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Practitioner.identifier.extension",
"min": 0,
"definition": "擴充的資料項目",
"isModifier": false,
"short": "擴充的資料項目",
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "*",
"id": "Practitioner.identifier.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.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",
"min": 0,
"definition": "這個唯一識別碼(identifier)的用途",
"isModifier": true,
"short": "usual | official | temp | secondary | old (如果知道)",
"mapping": [ {
"map": "N/A",
"identity": "v2"
}, {
"map": "Role.code or implied by context",
"identity": "rim"
} ],
"type": [ {
"code": "code"
} ],
"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": "識別碼的型別,用於決定特定目的所適用的識別碼;應填入[IdentifierUse](http://hl7.org/fhir/R4/valueset-identifier-use.html)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。"
},
"max": "1",
"id": "Practitioner.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。",
"base": {
"max": "1",
"min": 0,
"path": "Identifier.use"
},
"isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.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": 0,
"definition": "識別碼的代碼型別,用於決定特定目適用的識別碼。",
"isModifier": false,
"short": "照護服務提供人員的識別碼(identifier)的型別說明",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
} ],
"type": [ {
"code": "CodeableConcept",
"profile": [ "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw" ]
} ],
"mustSupport": true,
"binding": {
"strength": "extensible",
"valueSet": "http://hl7.org/fhir/ValueSet/identifier-type",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "IdentifierType"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
} ],
"description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose."
},
"max": "1",
"id": "Practitioner.identifier.type",
"condition": [ "ele-1" ],
"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。",
"base": {
"max": "1",
"min": 0,
"path": "Identifier.type"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.identifier.system",
"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。",
"min": 1,
"definition": "建立值的命名空間-即一個描述一組值的唯一URL",
"isModifier": false,
"short": "照護服務提供人員識別碼(identifier)的命名空間(namespace)",
"mapping": [ {
"map": "CX.4 / EI-2-4",
"identity": "v2"
}, {
"map": "II.root or Role.id.root",
"identity": "rim"
}, {
"map": "./IdentifierType",
"identity": "servd"
} ],
"type": [ {
"code": "uri"
} ],
"mustSupport": true,
"max": "1",
"id": "Practitioner.identifier.system",
"comment": "Identifier.system總是區分大小寫",
"example": [ {
"label": "General",
"valueUri": "http://www.acme.com/identifiers/patient"
} ],
"base": {
"max": "1",
"min": 0,
"path": "Identifier.system"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.identifier.value",
"min": 1,
"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。",
"isModifier": false,
"short": "唯一值。\r\n例如:照護服務提供人員之員工編號為KP00017",
"mapping": [ {
"map": "CX.1 / EI.1",
"identity": "v2"
}, {
"map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)",
"identity": "rim"
}, {
"map": "./Value",
"identity": "servd"
} ],
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "Practitioner.identifier.value",
"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。",
"example": [ {
"label": "General",
"valueString": "123456"
} ],
"base": {
"max": "1",
"min": 0,
"path": "Identifier.value"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.identifier.period",
"min": 0,
"definition": "識別碼有效/曾經有效使用的時段或期間",
"isModifier": false,
"short": "此身份識別碼(identifier)的使用效期",
"mapping": [ {
"map": "CX.7 + CX.8",
"identity": "v2"
}, {
"map": "Role.effectiveTime or implied by context",
"identity": "rim"
}, {
"map": "./StartDate and ./EndDate",
"identity": "servd"
} ],
"type": [ {
"code": "Period"
} ],
"max": "1",
"id": "Practitioner.identifier.period",
"base": {
"max": "1",
"min": 0,
"path": "Identifier.period"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.identifier.assigner",
"min": 0,
"definition": "簽發/管理識別碼的機構",
"isModifier": false,
"short": "簽發identifier的機構(可以只是文字表述)",
"mapping": [ {
"map": "CX.4 / (CX.4,CX.9,CX.10)",
"identity": "v2"
}, {
"map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper",
"identity": "rim"
}, {
"map": "./IdentifierIssuingAuthority",
"identity": "servd"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-twcore" ]
} ],
"max": "1",
"id": "Practitioner.identifier.assigner",
"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。",
"base": {
"max": "1",
"min": 0,
"path": "Identifier.assigner"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.active",
"requirements": "由於照護服務提供人員的紀錄被錯誤建立,需能將其紀錄標註為非使用中。",
"min": 0,
"definition": "此照護服務提供人員的紀錄是否在使用中",
"isModifier": false,
"short": "此照護服務提供人員的紀錄是否在使用中",
"mapping": [ {
"map": "FiveWs.status",
"identity": "w5"
}, {
"map": "./statusCode",
"identity": "rim"
} ],
"type": [ {
"code": "boolean"
} ],
"mustSupport": true,
"meaningWhenMissing": "This resource is generally assumed to be active if no value is provided for the active element",
"max": "0",
"id": "Practitioner.active",
"comment": "如果機構未使用此照護服務提供人員紀錄,那麼應該在PractitonerRole上標註結束日期(即使他們是使用中的),因為他們可能以另一種角色存在。",
"base": {
"max": "1",
"min": 0,
"path": "Practitioner.active"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "tw-core-1",
"human": "Patient.name.text or Patient.name.family or both SHALL be present",
"xpath": "f:text or f:given",
"source": "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore",
"severity": "error",
"expression": "text.exists() or family.exists()"
} ],
"path": "Practitioner.name",
"requirements": "Practitioner所使用的名稱。如果有多個名字,則應使用此健康照護服務提供人員常用的名字來顯示。",
"min": 1,
"definition": "照護服務提供人員的姓名",
"isModifier": false,
"short": "照護服務提供人員的姓名",
"mapping": [ {
"map": "XCN Components",
"identity": "v2"
}, {
"map": "./name",
"identity": "rim"
}, {
"map": "./PreferredName (GivenNames, FamilyName, TitleCode)",
"identity": "servd"
} ],
"type": [ {
"code": "HumanName"
} ],
"mustSupport": true,
"max": "*",
"id": "Practitioner.name",
"comment": "使用屬性的選擇應確保有一個指定的常用名稱,其他名稱應根據需要使用暱稱(別名)、舊名或其他值。\r\n \r\n一般來說,根據以下條件決定要在ResourceReference.display中使用的值:\r\n \r\n1. 有一個以上的名字\r\n2. Use=usual\r\n3. Period(使用期間)是目前日期至使用截止日期\r\n4. Use=official\r\n5. 其他順序則由內部業務規則決定",
"base": {
"max": "*",
"min": 0,
"path": "Practitioner.name"
},
"isSummary": true
}, {
"path": "Practitioner.name.id",
"min": 0,
"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。",
"isModifier": false,
"short": "唯一可識別ID,以供資料項目間相互參照。",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Practitioner.name.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Practitioner.name.extension",
"min": 0,
"definition": "擴充的資料項目",
"isModifier": false,
"short": "擴充的資料項目",
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "*",
"id": "Practitioner.name.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.name.use",
"requirements": "允許從一組姓名中為特定的使用情境選擇適當的姓名",
"min": 0,
"definition": "此姓名的用途",
"isModifier": true,
"short": "usual | official | temp | nickname | anonymous | old | maiden",
"mapping": [ {
"map": "XPN.7, but often indicated by which field contains the name",
"identity": "v2"
}, {
"map": "unique(./use)",
"identity": "rim"
}, {
"map": "./NamePurpose",
"identity": "servd"
} ],
"type": [ {
"code": "code"
} ],
"mustSupport": true,
"patternCode": "official",
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/name-use|4.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "NameUse"
} ],
"description": "人名的使用情況;應填入[NameUse](http://hl7.org/fhir/R4/valueset-name-use.html)值集中的其中一個代碼。"
},
"max": "1",
"id": "Practitioner.name.use",
"comment": "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。",
"base": {
"max": "1",
"min": 0,
"path": "HumanName.use"
},
"isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old name etc.for a current/permanent one",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.name.text",
"requirements": "一個可呈現的、未編碼的形式。",
"min": 0,
"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。",
"isModifier": false,
"short": "完整的中文姓名",
"mapping": [ {
"map": "implied by XPN.11",
"identity": "v2"
}, {
"map": "./formatted",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "Practitioner.name.text",
"condition": [ "tw-core-1" ],
"comment": "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。",
"example": [ {
"label": "General",
"valueString": "王依昇"
} ],
"base": {
"max": "1",
"min": 0,
"path": "HumanName.text"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.name.family",
"min": 0,
"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。",
"isModifier": false,
"short": "英文姓",
"mapping": [ {
"map": "XPN.1/FN.1",
"identity": "v2"
}, {
"map": "./part[partType = FAM]",
"identity": "rim"
}, {
"map": "./FamilyName",
"identity": "servd"
} ],
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"alias": [ "surname" ],
"max": "1",
"id": "Practitioner.name.family",
"condition": [ "tw-core-1" ],
"comment": "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)",
"example": [ {
"label": "General",
"valueString": "Wang"
} ],
"base": {
"max": "1",
"min": 0,
"path": "HumanName.family"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.name.given",
"min": 0,
"definition": "姓名中的「名」",
"isModifier": false,
"short": "英文名",
"mapping": [ {
"map": "XPN.2 + XPN.3",
"identity": "v2"
}, {
"map": "./part[partType = GIV]",
"identity": "rim"
}, {
"map": "./GivenNames",
"identity": "servd"
} ],
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"alias": [ "first name", "middle name" ],
"max": "*",
"id": "Practitioner.name.given",
"condition": [ "tw-core-1" ],
"comment": "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。",
"example": [ {
"label": "General",
"valueString": "Yi Sheng"
} ],
"orderMeaning": "Given Names appear in the correct order for presenting the name",
"base": {
"max": "*",
"min": 0,
"path": "HumanName.given"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.name.prefix",
"min": 0,
"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。",
"isModifier": false,
"short": "姓名前面的頭銜\r\n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。",
"mapping": [ {
"map": "XPN.5",
"identity": "v2"
}, {
"map": "./part[partType = PFX]",
"identity": "rim"
}, {
"map": "./TitleCode",
"identity": "servd"
} ],
"type": [ {
"code": "string"
} ],
"max": "*",
"id": "Practitioner.name.prefix",
"orderMeaning": "Prefixes appear in the correct order for presenting the name",
"base": {
"max": "*",
"min": 0,
"path": "HumanName.prefix"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.name.suffix",
"min": 0,
"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。",
"isModifier": false,
"short": "姓名後面的稱謂\r\n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。",
"mapping": [ {
"map": "XPN/4",
"identity": "v2"
}, {
"map": "./part[partType = SFX]",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"max": "*",
"id": "Practitioner.name.suffix",
"orderMeaning": "Suffixes appear in the correct order for presenting the name",
"base": {
"max": "*",
"min": 0,
"path": "HumanName.suffix"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.name.period",
"requirements": "允許多個姓名按其歷史情境(效期)儲存",
"min": 0,
"definition": "表明這個姓名對此病人有效的時間區間或期間",
"isModifier": false,
"short": "此姓名的使用效期",
"mapping": [ {
"map": "XPN.13 + XPN.14",
"identity": "v2"
}, {
"map": "./usablePeriod[type=\"IVL\"]",
"identity": "rim"
}, {
"map": "./StartDate and ./EndDate",
"identity": "servd"
} ],
"type": [ {
"code": "Period"
} ],
"max": "1",
"id": "Practitioner.name.period",
"base": {
"max": "1",
"min": 0,
"path": "HumanName.period"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.telecom",
"requirements": "不論照護服務提供人員的角色是什麼,需要知道如何與照護服務提供人員取得聯繫。",
"min": 0,
"definition": "照護服務提供人員的詳細聯絡方式,例如:電話號碼或電子郵件信箱。",
"isModifier": false,
"short": "照護服務提供人員的詳細聯絡方式(適用於所有角色)。",
"mapping": [ {
"map": "PRT-15, STF-10, ROL-12",
"identity": "v2"
}, {
"map": "./telecom",
"identity": "rim"
}, {
"map": "./ContactPoints",
"identity": "servd"
} ],
"type": [ {
"code": "ContactPoint"
} ],
"mustSupport": true,
"max": "0",
"id": "Practitioner.telecom",
"comment": "個人可能有多種聯繫方式,有不同的用途或適用期。可能需要有與該人緊急聯繫的選項,並幫助識別。這些通常會有家用電話號碼,或沒有特定角色的手機號碼。",
"base": {
"max": "*",
"min": 0,
"path": "Practitioner.telecom"
},
"isSummary": true
}, {
"path": "Practitioner.telecom.id",
"min": 0,
"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。",
"isModifier": false,
"short": "唯一可識別ID,以供資料項目間相互參照。",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Practitioner.telecom.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Practitioner.telecom.extension",
"min": 0,
"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。",
"isModifier": false,
"short": "擴充的資料項目",
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "*",
"id": "Practitioner.telecom.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.telecom.system",
"min": 1,
"definition": "聯絡方式的通訊形式-需要什麼通訊系統進行聯絡",
"isModifier": false,
"short": "phone | fax | email | pager | url | sms | other",
"mapping": [ {
"map": "XTN.3",
"identity": "v2"
}, {
"map": "./scheme",
"identity": "rim"
}, {
"map": "./ContactPointType",
"identity": "servd"
} ],
"type": [ {
"code": "code"
} ],
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ContactPointSystem"
} ],
"description": "應填入[ContactPointSystem](http://hl7.org/fhir/R4/valueset-contact-point-system.html)值集中的其中一個代碼。"
},
"max": "1",
"id": "Practitioner.telecom.system",
"condition": [ "cpt-2" ],
"base": {
"max": "1",
"min": 0,
"path": "ContactPoint.system"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.telecom.value",
"requirements": "需支援非嚴格格式控制之舊有號碼",
"min": 1,
"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)。",
"isModifier": false,
"short": "實際的聯絡方式之細節",
"mapping": [ {
"map": "XTN.1 (or XTN.12)",
"identity": "v2"
}, {
"map": "./url",
"identity": "rim"
}, {
"map": "./Value",
"identity": "servd"
} ],
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "Practitioner.telecom.value",
"comment": "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。",
"base": {
"max": "1",
"min": 0,
"path": "ContactPoint.value"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.telecom.use",
"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。",
"min": 0,
"definition": "確定聯絡方式的用途",
"isModifier": true,
"short": "home | work | temp | old | mobile-此聯絡方式的用途",
"mapping": [ {
"map": "XTN.2 - but often indicated by field",
"identity": "v2"
}, {
"map": "unique(./use)",
"identity": "rim"
}, {
"map": "./ContactPointPurpose",
"identity": "servd"
} ],
"type": [ {
"code": "code"
} ],
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ContactPointUse"
} ],
"description": "應填入[ContactPointUse](http://hl7.org/fhir/R4/valueset-contact-point-use.html)值集中的其中一個代碼。"
},
"max": "1",
"id": "Practitioner.telecom.use",
"comment": "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。",
"base": {
"max": "1",
"min": 0,
"path": "ContactPoint.use"
},
"isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old contact etc.for a current/permanent one",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.telecom.rank",
"min": 0,
"definition": "具體說明使用一組聯絡方式的優先順序,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。",
"isModifier": false,
"short": "具體說明偏好的使用順序(1=最高優先順序)",
"mapping": [ {
"map": "n/a",
"identity": "v2"
}, {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "positiveInt"
} ],
"max": "1",
"id": "Practitioner.telecom.rank",
"comment": "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。",
"base": {
"max": "1",
"min": 0,
"path": "ContactPoint.rank"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.telecom.period",
"min": 0,
"definition": "此聯絡方式的使用效期",
"isModifier": false,
"short": "此聯絡方式的使用效期",
"mapping": [ {
"map": "N/A",
"identity": "v2"
}, {
"map": "./usablePeriod[type=\"IVL\"]",
"identity": "rim"
}, {
"map": "./StartDate and ./EndDate",
"identity": "servd"
} ],
"type": [ {
"code": "Period"
} ],
"mustSupport": true,
"max": "1",
"id": "Practitioner.telecom.period",
"base": {
"max": "1",
"min": 0,
"path": "ContactPoint.period"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.address",
"requirements": "Administrative Gender為行政管理的及保存紀錄目的之健康照護服務提供人員性別",
"min": 0,
"definition": "不限特定角色的健康照護服務提供人員的地址(通常是住家地址),工作地址通常不在此屬性中輸入,因為它們通常取決於此人員的角色。",
"isModifier": false,
"short": "不限特定角色的照護服務提供人員的地址(通常是住家地址)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "XAD",
"identity": "v2"
}, {
"map": "AD",
"identity": "rim"
}, {
"map": "Address",
"identity": "servd"
} ],
"type": [ {
"code": "Address",
"profile": [ "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Address-twcore" ]
} ],
"mustSupport": true,
"max": "0",
"id": "Practitioner.address",
"condition": [ "ele-1" ],
"comment": "PractitionerRole上沒有address但有location屬性(它有一個地址)用於這個目的。",
"base": {
"max": "*",
"min": 0,
"path": "Practitioner.address"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.gender",
"requirements": "用以正確稱呼健康照護服務提供人員",
"min": 0,
"definition": "Administrative Gender為行政管理的及保存紀錄目的之健康照護服務提供人員性別",
"isModifier": false,
"short": "male | female | other | unknown",
"mapping": [ {
"map": "STF-5",
"identity": "v2"
}, {
"map": "./administrativeGender",
"identity": "rim"
}, {
"map": "./GenderCode",
"identity": "servd"
} ],
"type": [ {
"code": "code"
} ],
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "AdministrativeGender"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
} ],
"description": "性別;應填入[AdministrativeGender](http://hl7.org/fhir/R4/valueset-administrative-gender.html)值集中的其中一個代碼。"
},
"max": "0",
"id": "Practitioner.gender",
"base": {
"max": "1",
"min": 0,
"path": "Practitioner.gender"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.birthDate",
"requirements": "為了識別身份而需要",
"min": 0,
"definition": "照護服務提供人員的出生日期",
"isModifier": false,
"short": "照護服務提供人員的出生日期",
"mapping": [ {
"map": "STF-6",
"identity": "v2"
}, {
"map": "./birthTime",
"identity": "rim"
}, {
"map": "(not represented in ServD)",
"identity": "servd"
} ],
"type": [ {
"code": "date"
} ],
"mustSupport": true,
"max": "0",
"id": "Practitioner.birthDate",
"base": {
"max": "1",
"min": 0,
"path": "Practitioner.birthDate"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.photo",
"requirements": "許多EHR系統有能力取得健康照護服務提供人員的影像(照片),這也符合較新的社群媒體的使用。",
"min": 0,
"definition": "人員的影像(照片)",
"isModifier": false,
"short": "人員的影像(照片)",
"mapping": [ {
"map": "./subjectOf/ObservationEvent[code=\"photo\"]/value",
"identity": "rim"
}, {
"map": "./ImageURI (only supports the URI reference)",
"identity": "servd"
} ],
"type": [ {
"code": "Attachment"
} ],
"mustSupport": true,
"max": "0",
"id": "Practitioner.photo",
"base": {
"max": "*",
"min": 0,
"path": "Practitioner.photo"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.qualification",
"min": 0,
"definition": "授權或其他與照護服務提供人員提供照護有關的官方證書、執照和培訓。例如:由衛生福利部頒發的醫師證書。",
"isModifier": false,
"short": "與照護服務相關的證書、執照或培訓",
"mapping": [ {
"map": "CER?",
"identity": "v2"
}, {
"map": ".playingEntity.playingRole[classCode=QUAL].code",
"identity": "rim"
}, {
"map": "./Qualifications",
"identity": "servd"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "0",
"id": "Practitioner.qualification",
"base": {
"max": "*",
"min": 0,
"path": "Practitioner.qualification"
},
"isSummary": false
}, {
"path": "Practitioner.qualification.id",
"min": 0,
"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。",
"isModifier": false,
"short": "唯一可識別ID,以供資料項目間相互參照。",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Practitioner.qualification.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Practitioner.qualification.extension",
"min": 0,
"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。",
"isModifier": false,
"short": "擴充的資料項目",
"type": [ {
"code": "Extension"
} ],
"max": "*",
"id": "Practitioner.qualification.extension",
"comment": "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汙名(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。",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Practitioner.qualification.modifierExtension",
"requirements": "修飾用的資料項目擴充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。透過消除禁止實作者擴充存在的需求來促進可互通性。更多訊息,請參見[修飾用的資料項目擴充之定義](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)。",
"min": 0,
"definition": "可以用來表示不屬於資料項目的基本定義的附加資訊,並且修改對它所內嵌(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。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。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,有一組要求 **必須(SHALL)** 滿足。處理resource的應用程式被要求檢查修飾用的擴充資料項目。\r\n \r\n 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)。",
"isModifier": true,
"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。",
"type": [ {
"code": "Extension"
} ],
"max": "*",
"id": "Practitioner.qualification.modifierExtension",
"comment": "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汙名(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。",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.qualification.identifier",
"requirements": "通常此資格證書會被指定特定識別碼",
"min": 0,
"definition": "此人在此角色的資格證書之識別碼",
"isModifier": false,
"short": "照護服務提供人員的資格證書識別碼",
"mapping": [ {
"map": ".playingEntity.playingRole[classCode=QUAL].id",
"identity": "rim"
} ],
"type": [ {
"code": "Identifier"
} ],
"max": "*",
"id": "Practitioner.qualification.identifier",
"base": {
"max": "*",
"min": 0,
"path": "Practitioner.qualification.identifier"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.qualification.code",
"min": 1,
"definition": "資格證書的編碼表示法",
"isModifier": false,
"short": "資格證書的編碼表示法",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
} ],
"type": [ {
"code": "CodeableConcept",
"profile": [ "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw" ]
} ],
"binding": {
"strength": "required",
"valueSet": "https://twcore.mohw.gov.tw/ig/twcore/ValueSet/health-professional-tw",
"description": "照護服務提供人員提供服務所具有的具體資格證書;應填入[臺灣醫事人員類別值集](https://twcore.mohw.gov.tw/ig/twcore/ValueSet-health-professional-tw.html)值集中的其中一個代碼。"
},
"max": "1",
"id": "Practitioner.qualification.code",
"condition": [ "ele-1" ],
"comment": "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.",
"base": {
"max": "1",
"min": 1,
"path": "Practitioner.qualification.code"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.qualification.period",
"requirements": "資格證書通常是有期限的,並且可以被撤銷。",
"min": 0,
"definition": "資格證書的有效期限",
"isModifier": false,
"short": "資格證書的有效期限",
"mapping": [ {
"map": ".playingEntity.playingRole[classCode=QUAL].effectiveTime",
"identity": "rim"
}, {
"map": "./Qualifications.StartDate and ./Qualifications.EndDate",
"identity": "servd"
} ],
"type": [ {
"code": "Period"
} ],
"max": "1",
"id": "Practitioner.qualification.period",
"base": {
"max": "1",
"min": 0,
"path": "Practitioner.qualification.period"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.qualification.issuer",
"min": 0,
"definition": "監管和頒發資格證書的機構",
"isModifier": false,
"short": "監管和頒發資格證書的機構",
"mapping": [ {
"map": ".playingEntity.playingRole[classCode=QUAL].scoper",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-twcore" ]
} ],
"max": "1",
"id": "Practitioner.qualification.issuer",
"base": {
"max": "1",
"min": 0,
"path": "Practitioner.qualification.issuer"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Practitioner.communication",
"requirements": "知道照護服務提供人員講哪種語言有助於促進與病人的溝通",
"min": 0,
"definition": "健康照護服務提供人員與病人溝通時可使用的語言",
"isModifier": false,
"short": "健康照護服務提供人員與病人溝通時可使用的語言",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
} ],
"type": [ {
"code": "CodeableConcept",
"profile": [ "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw" ]
} ],
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/ValueSet/languages",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
} ],
"description": "人類語言;鼓勵使用[CommonLanguages](http://hl7.org/fhir/R4/valueset-languages.html)值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。"
},
"max": "0",
"id": "Practitioner.communication",
"condition": [ "ele-1" ],
"comment": "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。",
"example": [ {
"label": "Value",
"valueString": "zh-TW"
} ],
"base": {
"max": "*",
"min": 0,
"path": "Practitioner.communication"
}
} ]
},
"status": "draft",
"id": "ffbff819-6e9a-4767-bea7-bc4bc517683e",
"kind": "resource",
"url": "https://hitstdio.ntunhs.edu.tw/insurance-claim/StructureDefinition/practitioner-iclaim",
"version": "0.1.0",
"differential": {
"element": [ {
"id": "Practitioner.identifier",
"max": "1",
"path": "Practitioner.identifier",
"short": "即為「醫師證號」,此照護服務提供人員的識別碼"
}, {
"id": "Practitioner.active",
"max": "0",
"path": "Practitioner.active"
}, {
"id": "Practitioner.telecom",
"max": "0",
"path": "Practitioner.telecom"
}, {
"id": "Practitioner.address",
"max": "0",
"path": "Practitioner.address"
}, {
"id": "Practitioner.gender",
"max": "0",
"path": "Practitioner.gender"
}, {
"id": "Practitioner.birthDate",
"max": "0",
"path": "Practitioner.birthDate"
}, {
"id": "Practitioner.photo",
"max": "0",
"path": "Practitioner.photo"
}, {
"id": "Practitioner.qualification",
"max": "0",
"path": "Practitioner.qualification"
}, {
"id": "Practitioner.communication",
"max": "0",
"path": "Practitioner.communication"
} ]
},
"contact": [ {
"name": "國泰金控",
"telecom": [ {
"value": "https://www.cathayholdings.com/holdings/",
"system": "url"
} ]
} ],
"baseDefinition": "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore"
}