臺灣電子處方箋與調劑單張實作指引(TW EMPD IG)
0.1.0 - ci-build

臺灣電子處方箋與調劑單張實作指引(TW EMPD IG) - Downloaded Version 0.1.0 See the Directory of published versions

## Resource Profile: ConditionEMPD - Detailed Descriptions

Active as of 2023-10-30

Definitions for the Condition-EMPD resource profile.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

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

0. Condition
Definition | 一個臨床病情、問題、診斷或其他事件、情況、或臨床概念，已上升到需要關注的程度。 A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.
Short | 有關病情、問題或診斷的詳細資訊Detailed information about conditions, problems or diagnoses
Control | 0..*
Is Modifier | false
Summary | false
Invariants | con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item (`clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()`) con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission (`abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()`) con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error (`verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()`) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item (clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()) con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission (abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()) con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error (verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty())
2. Condition.implicitRules
Definition | 構建resource時遵循的一系列規則的參照，在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。 A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | 創建此內容所依據的一組規則A set of rules under which this content was created
Comments | 宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而，現有的健康生態體系高度分裂，還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能，實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時，此URL是對IG的參照，此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。 Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Condition.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. Condition.clinicalStatus
Definition | 此病情、問題或診斷的臨床狀態 The clinical status of the condition.
Short | active | recurrence | relapse | inactive | remission | resolved ，病情、問題或診斷的臨床狀態。
Comments | data type是CodeableConcept，因為clinicalStatus涉及到一些臨床判斷，例如：可能需要比所需的FHIR值集更多的特殊性。例如：SNOMED編碼可能允許更多的特殊性。 The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.
Control | 10..1 This element is affected by the following invariants: ele-1, con-3, con-4, con-5
Binding | The codes SHALL be taken from ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 (required to `http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1` ) 應填入所綁定值集中的其中一個代碼。 The clinical status of the condition or diagnosis.
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | falsetrue because This element is labeled as a modifier because the status contains codes that mark the condition as no longer active.
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Condition.verificationStatus
Definition | 支持此病情、問題或診斷的臨床狀態之驗證狀態 The verification status to support the clinical status of the condition.
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。
Comments | verificationStatus不是必須的。例如：當病人在急診室出現腹痛時，不可能出現驗證狀態。資料類型是CodeableConcept，因為verificationStatus涉及到一些臨床判斷，因此可能需要比所需的FHIR值集更多的特殊性。例如：SNOMED編碼可能允許更多的特殊性。 verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.
Control | 0..1 This element is affected by the following invariants: ele-1, con-3, con-5
Binding | The codes SHALL be taken from ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 (required to `http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1` ) 應填入所綁定值集中的其中一個代碼。 The verification status to support or decline the clinical status of the condition or diagnosis.
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | falsetrue because This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid.
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Condition.category
Definition | 指定此病情、問題或診斷的類別 A category assigned to the condition.
Short | problem-list-item | encounter-diagnosis ，指定病情、問題或診斷的類別。
Comments | 這種分類往往具有很強的情境性，在其他情境下可能顯得區分度不高，或沒有什麼用處。 The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.
Control | 10..1* This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/condition-category` ) 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 A category assigned to the condition.
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Condition.severity
Definition | 臨床醫生對病情、問題或診斷嚴重程度的主觀評估 A subjective assessment of the severity of the condition as evaluated by the clinician.
Short | 病情、問題或診斷的主觀嚴重程度Subjective severity of condition
Comments | 如有可能，最好用專門術語對嚴重程度進行編碼。 Coding of the severity with a terminology is preferred, where possible.
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from The codes SHOULD be taken from Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/condition-severity` ) 臨床醫生對病情、問題或診斷嚴重程度的主觀評價；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 A subjective assessment of the severity of the condition as evaluated by the clinician.
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Condition.code
Definition | 病情、問題或診斷的識別 Identification of the condition, problem or diagnosis.
Short | 病情、問題或診斷的識別。[應填入國際疾病分類代碼ICD Code(International Classification of Diseases)]Identification of the condition, problem or diagnosis
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Control | 10..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code|4.0.1 (example to `http://hl7.org/fhir/ValueSet/condition-code` ) 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。 Identification of the condition or diagnosis.
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Requirements | 0..1，主要用於說明敘述性resource。 0..1 to account for primarily narrative only resources.
Alternate Names | type
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Condition.code.coding
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。 A reference to a code defined by a terminology system.
Short | 由專門術語系統（terminology system）定義的代碼。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。Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 10..* This element is affected by the following invariants: ele-1
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許使用者在不知道識別碼系統的情況下利用識別碼 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `Condition.code.coding`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ $this
18. Condition.code.coding:icd10-cm-2023
Slice Name | icd10-cm-2023
Definition | 由專門術語系統（terminology system）所定義之代碼的參照 A reference to a code defined by a terminology system.
Short | 由專門術語系統（terminology system）定義的代碼Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 10..1* This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from For codes, see 臺灣健保署2023年中文版ICD-10-CM值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2023-tw` )
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Condition.code.coding:icd10-cm-2021
Slice Name | icd10-cm-2021
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。 A reference to a code defined by a terminology system.
Short | 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。Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..1* This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from For codes, see 臺灣健保署2021年中文版ICD-10-CM值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2021-tw` ) 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許使用者在不知道識別碼系統的情況下利用識別碼 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Condition.code.coding:icd10-cm-2014
Slice Name | icd10-cm-2014
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。 A reference to a code defined by a terminology system.
Short | 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。Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..1* This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from For codes, see 臺灣健保署2014年中文版ICD-10-CM值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw` ) 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許使用者在不知道識別碼系統的情況下利用識別碼 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Condition.code.coding:icd9-cm-2001
Slice Name | icd9-cm-2001
Definition | 由專門術語系統（terminology system）所定義之代碼的參照 A reference to a code defined by a terminology system.
Short | 由專門術語系統（terminology system）定義的代碼Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..1* This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from For codes, see 臺灣健保署2001年中文版ICD-9-CM值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-9-cm-2001-tw` )
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Condition.code.coding:absentOrUnknownProblem
Slice Name | absentOrUnknownProblem
Definition | 表示「absent problem」或「problems unknown」的代碼 A reference to a code defined by a terminology system.
Short | 不存在的問題或未知問題的代碼Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..1* This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from For codes, see Absent or Unknown Problems - IPS (required to `http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips` ) 應填入所綁定值集中的其中一個代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許使用者在不知道識別碼系統的情況下利用識別碼 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Condition.code.coding:sct
Slice Name | sct
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。 A reference to a code defined by a terminology system.
Short | 此為SNOMED CT診斷代碼，若機構已有購買相關授權，亦可使用。Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..1* This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from For codes, see SNOMED CT診斷代碼值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw` ) 應填入所綁定值集中的其中一個代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許使用者在不知道識別碼系統的情況下利用識別碼 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Condition.code.text
Definition | 輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。 A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | 概念的文字表示法Plain text representation of the concept
Comments | 很多時候，此文字表述與其中一個代碼的顯示名稱相同。 Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。 The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Condition.bodySite
Definition | 此病情、問題或診斷表現出來的解剖位置 The anatomical location where this condition manifests itself.
Short | 如果相關請填寫解剖位置Anatomical location, if relevant
Comments | 只有在Condition.code中找到的代碼未隱含此資料項目概念時才使用。如果使用案例（use-case）要求將BodySite作為一個單獨的resource來處理（例如：識別和追踪），那麼就使用標準的資料項目擴充方式來擴充bodySite。可以是一個摘要代碼，也可以是對一個非常精確位置定義的參照，或者兩者都是。 Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both.
Control | 0..* This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from For example codes, see SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/body-site` ) 描述解剖位置的代碼。可包括側面；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Codes describing anatomical locations. May include laterality.
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Condition.subject
Definition | 表示與此病情、問題或診斷紀錄相關的病人或實體集合（Group resource） Indicates the patient or group who the condition record is associated with.
Short | 誰有此病情、問題或診斷？Who has the condition?
Control | 1..1
Type | Reference(TW Core Patient, Group, Patient, Group)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Requirements | 實體集合（Group resource）通常用於獸醫或公共衛生的案例 Group is typically used for veterinary or public health use cases.
Alternate Names | patient
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Condition.onset[x]
Definition | 醫師認為此病情、問題或診斷之推估或實際發生時間或日期時間等 Estimated or actual date or date-time the condition began, in the opinion of the clinician.
Short | 估計的或實際的日期、日期—時間或年齡。Estimated or actual date, date-time, or age
Comments | onsetAge通常是指病人說明病情何時開始發生的年齡 Age is generally used when the patient reports an age at which the Condition began to occur.
Control | 0..1
Type | Choice of: dateTime, Age, Period, Range, string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Must Support Types | dateTime
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. Condition.abatement[x]
Definition | 病情、問題或診斷緩解或開始緩解的日期或估計日期。因為與「緩解（remissio）」或 「解決（resolution）」相關的許多過多含義—病情、問題或診斷不會真正解決，但它們可以緩解，所以稱為「緩解 （abatement）」， The date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate.
Short | 何時解決/緩解When in resolution/remission
Comments | 解決（resolution）和緩解（remission）之間沒有明確的區別，因為在許多情況下，兩者的區別並不明顯。當病人說明病情、問題或診斷緩解的年齡時，一般使用onsetAge。如果沒有abatement這個資料項目，就不知道狀況是否已經解決或緩解；應用程式和使用者一般應假定病情、問題或診斷仍存在。當abatementString存在時，它意味著病情、問題或診斷已緩解。 There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated.
Control | 0..1 This element is affected by the following invariants: con-4
Type | Choice of: dateTime, Age, Period, Range, string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Must Support Types | dateTime
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. Condition.asserter
Definition | 提出此病情、問題或診斷說明的人 Individual who is making the condition statement.
Short | 聲稱有此病情、問題或診斷的人Person who asserts this condition
Control | 0..1
Type | Reference(TW Core Practitioner, TW Core PractitionerRole, TW Core Patient, TW Core RelatedPerson, Practitioner, PractitionerRole, Patient, RelatedPerson)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. Condition.note
Definition | 關於此Condition的附加資訊。這是一個一般的註釋／意見紀錄，用於描述病情、問題或診斷、其診斷和預後。 Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.
Short | 關於此Condition的附加資訊。[應填入部分負擔代碼/醫療評估內容註記]。至少須包含部分負擔代碼。Additional information about the Condition
Control | 10..*
Type | Annotation
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

0. Condition
2. Condition.code
Short | 病情、問題或診斷的識別。[應填入國際疾病分類代碼ICD Code(International Classification of Diseases)]
Control | 1..?
4. Condition.code.coding
Control | 1..?
6. Condition.code.coding:icd10-cm-2023
Slice Name | icd10-cm-2023
Control | 1..?
8. Condition.note
Short | 關於此Condition的附加資訊。[應填入部分負擔代碼/醫療評估內容註記]。至少須包含部分負擔代碼。
Control | 1..?

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

0. Condition
Definition | 一個臨床病情、問題、診斷或其他事件、情況、或臨床概念，已上升到需要關注的程度。
Short | 有關病情、問題或診斷的詳細資訊
Control | 0..*
Is Modifier | false
Summary | false
Invariants | con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item (`clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()`) con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission (`abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()`) con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error (`verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()`) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (`contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`)
2. Condition.id
Definition | resource的邏輯ID，在resource的URL中使用。一旦指定，這個值永遠不會改變。
Short | 不重複的ID用以識別儲存在特定FHIR Server中的Condition紀錄，通常又稱為邏輯性ID。
Comments | 一個resource使用新增操作（create operation）提交給伺服器時，此resource沒有id，它的id在resource被創建後由伺器分配/指定。
Control | 0..1
Type | id
Is Modifier | false
Summary | true
4. Condition.meta
Definition | 關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。
Short | 此Condition Resource的metadata
Control | 0..1
Type | Meta
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. Condition.implicitRules
Definition | 構建resource時遵循的一系列規則的參照，在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。
Short | 創建此內容所依據的一組規則
Comments | 宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而，現有的健康生態體系高度分裂，還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能，實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時，此URL是對IG的參照，此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. Condition.language
Definition | 編寫此resource的語言
Short | 用以表述Condition Resource內容的語言。
Comments | 提供語言是為了支援索引和可存取性（通常，文字表述轉語音等服務使用此語言標籤）。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此語言。不應該假定Resource.language自動適用於敘述。如果指定語言，它也應該被指定在html中的div資料項目（關於xml:lang和html lang屬性之間的關係，見HTML5中的規則）。
Control | 0..1
Binding | The codes SHOULD be taken from CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages` ) 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
Additional Bindings | Purpose
AllLanguages | Max Binding
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Example | Value: zh-TW
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. Condition.text
Definition | 人可讀的敘述，包含resource的摘要，可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼，但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義有哪些內容應該在敘述中表示，以確保臨床安全。
Short | Condition Resource之內容摘要以供人閱讀
Comments | 內嵌（contained）的resource沒有敘述，非內嵌（contained）的resource則 建議應該（SHOULD） 有敘述。有時resource可能只有文字表述，很少或沒有額外的結構化資料（只要滿足所有minOccurs=1的資料項目）。這可能出現在舊系統的資料，當資訊以 「文字表述區塊（text blob） 」的形式被取得，或者文字表述是原始輸入或說明，而編碼資訊稍後再添加。
Control | 0..1
Type | Narrative
Is Modifier | false
Summary | false
Alternate Names | narrative, html, xhtml, display
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. Condition.contained
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Short | Contained, inline Resources
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Control | 0..*
Type | Resource
Is Modifier | false
Summary | false
Alternate Names | inline resources, anonymous resources, contained resources
14. Condition.extension
Definition | May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
16. Condition.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
18. Condition.identifier
Definition | 由執行者或其他系統指定給此病情、問題或診斷的業務用識別碼，即使此resource作更新及在伺服器之間的傳遞，此識別碼仍保持不變。
Short | 此病情、問題或診斷的外部識別碼
Comments | 這是一個業務識別碼，不是一個resource識別碼（詳見討論）。最好的做法是該識別碼只出現在單個resource實例上，但是業務實務有可能會規定可以在多個resource實例中具有相同識別碼—甚至可能具有不同的resource型例。例如：多個 「Patient（病人）」和 「Person（個人）」resource實例可能共用同一個社會保險號碼。
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
Is Modifier | false
Summary | true
Requirements | 允許識別各參與系統所知的此病情、問題或診斷資訊，並在各伺服器之間保持一致的方式。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. Condition.clinicalStatus
Definition | 此病情、問題或診斷的臨床狀態
Short | active | recurrence | relapse | inactive | remission | resolved ，病情、問題或診斷的臨床狀態。
Comments | data type是CodeableConcept，因為clinicalStatus涉及到一些臨床判斷，例如：可能需要比所需的FHIR值集更多的特殊性。例如：SNOMED編碼可能允許更多的特殊性。
Control | 1..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from ConditionClinicalStatusCodes (required to `http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1` ) 應填入所綁定值集中的其中一個代碼。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. Condition.verificationStatus
Definition | 支持此病情、問題或診斷的臨床狀態之驗證狀態
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。
Comments | verificationStatus不是必須的。例如：當病人在急診室出現腹痛時，不可能出現驗證狀態。資料類型是CodeableConcept，因為verificationStatus涉及到一些臨床判斷，因此可能需要比所需的FHIR值集更多的特殊性。例如：SNOMED編碼可能允許更多的特殊性。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from ConditionVerificationStatus (required to `http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1` ) 應填入所綁定值集中的其中一個代碼。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
24. Condition.category
Definition | 指定此病情、問題或診斷的類別
Short | problem-list-item | encounter-diagnosis ，指定病情、問題或診斷的類別。
Comments | 這種分類往往具有很強的情境性，在其他情境下可能顯得區分度不高，或沒有什麼用處。
Control | 1..1 This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from ConditionCategoryCodes (extensible to `http://hl7.org/fhir/ValueSet/condition-category` ) 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
26. Condition.severity
Definition | 臨床醫生對病情、問題或診斷嚴重程度的主觀評估
Short | 病情、問題或診斷的主觀嚴重程度
Comments | 如有可能，最好用專門術語對嚴重程度進行編碼。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from Condition/DiagnosisSeverity (extensible to `http://hl7.org/fhir/ValueSet/condition-severity` ) 臨床醫生對病情、問題或診斷嚴重程度的主觀評價；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
28. Condition.code
Definition | 病情、問題或診斷的識別
Short | 病情、問題或診斷的識別。[應填入國際疾病分類代碼ICD Code(International Classification of Diseases)]
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Control | 1..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see Condition/Problem/DiagnosisCodes (example to `http://hl7.org/fhir/ValueSet/condition-code` ) 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。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Requirements | 0..1，主要用於說明敘述性resource。
Alternate Names | type
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
30. Condition.code.id
Definition | resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。
Short | 唯一可識別ID，以供資料項目間相互參照。
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
32. Condition.code.extension
Definition | 擴充的資料項目
Short | 擴充的資料項目
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Condition.code.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
34. Condition.code.coding
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。
Short | 由專門術語系統（terminology system）定義的代碼。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。
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，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。
Control | 1..* This element is affected by the following invariants: ele-1
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許使用者在不知道識別碼系統的情況下利用識別碼
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `Condition.code.coding`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ $this
36. Condition.code.coding:icd10-cm-2023
Slice Name | icd10-cm-2023
Definition | 由專門術語系統（terminology system）所定義之代碼的參照
Short | 由專門術語系統（terminology system）定義的代碼
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 1..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from 臺灣健保署2023年中文版ICD-10-CM值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2023-tw` )
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
38. Condition.code.coding:icd10-cm-2021
Slice Name | icd10-cm-2021
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。
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。
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，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。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from 臺灣健保署2021年中文版ICD-10-CM值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2021-tw` ) 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許使用者在不知道識別碼系統的情況下利用識別碼
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. Condition.code.coding:icd10-cm-2014
Slice Name | icd10-cm-2014
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。
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。
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，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。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from 臺灣健保署2014年中文版ICD-10-CM值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw` ) 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許使用者在不知道識別碼系統的情況下利用識別碼
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. Condition.code.coding:icd9-cm-2001
Slice Name | icd9-cm-2001
Definition | 由專門術語系統（terminology system）所定義之代碼的參照
Short | 由專門術語系統（terminology system）定義的代碼
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from 臺灣健保署2001年中文版ICD-9-CM值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-9-cm-2001-tw` )
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
44. Condition.code.coding:absentOrUnknownProblem
Slice Name | absentOrUnknownProblem
Definition | 表示「absent problem」或「problems unknown」的代碼
Short | 不存在的問題或未知問題的代碼
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，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。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from Absent or Unknown Problems - IPS (required to `http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips` ) 應填入所綁定值集中的其中一個代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許使用者在不知道識別碼系統的情況下利用識別碼
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. Condition.code.coding:sct
Slice Name | sct
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。
Short | 此為SNOMED CT診斷代碼，若機構已有購買相關授權，亦可使用。
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，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。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from SNOMED CT診斷代碼值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw` ) 應填入所綁定值集中的其中一個代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許使用者在不知道識別碼系統的情況下利用識別碼
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
48. Condition.code.text
Definition | 輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。
Short | 概念的文字表示法
Comments | 很多時候，此文字表述與其中一個代碼的顯示名稱相同。
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. Condition.bodySite
Definition | 此病情、問題或診斷表現出來的解剖位置
Short | 如果相關請填寫解剖位置
Comments | 只有在Condition.code中找到的代碼未隱含此資料項目概念時才使用。如果使用案例（use-case）要求將BodySite作為一個單獨的resource來處理（例如：識別和追踪），那麼就使用標準的資料項目擴充方式來擴充bodySite。可以是一個摘要代碼，也可以是對一個非常精確位置定義的參照，或者兩者都是。
Control | 0..* This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from SNOMEDCTBodyStructures (extensible to `http://hl7.org/fhir/ValueSet/body-site` ) 描述解剖位置的代碼。可包括側面；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
52. Condition.subject
Definition | 表示與此病情、問題或診斷紀錄相關的病人或實體集合（Group resource）
Short | 誰有此病情、問題或診斷？
Control | 1..1
Type | Reference(TW Core Patient, Group)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Requirements | 實體集合（Group resource）通常用於獸醫或公共衛生的案例
Alternate Names | patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. Condition.encounter
Definition | 此病情、問題或診斷記載在哪次的「就醫（Encounter）」紀錄或者與此病情、問題或診斷紀錄密切相關的「就醫（Encounter）」紀錄
Short | 作為病情、問題或診斷紀錄的一部分的就醫（Encounter）紀錄
Comments | 通常是此病情、問題或診斷發生的就醫事件，雖然有些活動可能在就醫結束之前或之後開始，但仍與就醫事件的情境有關。這筆紀錄表明與此病情、問題或診斷紀錄相關的就醫事件（Encounter）。「新的」診斷的情況下，反映病情、問題或診斷的持續/修訂資訊可能與首次就醫所知道的病情、問題或診斷不同。
Control | 0..1
Type | Reference(TW Core Encounter)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
56. Condition.onset[x]
Definition | 醫師認為此病情、問題或診斷之推估或實際發生時間或日期時間等
Short | 估計的或實際的日期、日期—時間或年齡。
Comments | onsetAge通常是指病人說明病情何時開始發生的年齡
Control | 0..1
Type | Choice of: dateTime, Age, Period, Range, string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Must Support Types | dateTime
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
58. Condition.abatement[x]
Definition | 病情、問題或診斷緩解或開始緩解的日期或估計日期。因為與「緩解（remissio）」或 「解決（resolution）」相關的許多過多含義—病情、問題或診斷不會真正解決，但它們可以緩解，所以稱為「緩解 （abatement）」，
Short | 何時解決/緩解
Comments | 解決（resolution）和緩解（remission）之間沒有明確的區別，因為在許多情況下，兩者的區別並不明顯。當病人說明病情、問題或診斷緩解的年齡時，一般使用onsetAge。如果沒有abatement這個資料項目，就不知道狀況是否已經解決或緩解；應用程式和使用者一般應假定病情、問題或診斷仍存在。當abatementString存在時，它意味著病情、問題或診斷已緩解。
Control | 0..1 This element is affected by the following invariants: con-4
Type | Choice of: dateTime, Age, Period, Range, string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Must Support Types | dateTime
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
60. Condition.recordedDate
Definition | recordedDate表述此Condition記錄何時於系統中建立，這通常是系統產生的日期。
Short | 記錄的日期
Control | 0..1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
62. Condition.recorder
Definition | 記錄病情、問題或診斷內容並對其內容負責的個人
Short | 誰記錄此病情、問題或診斷
Control | 0..1
Type | Reference(TW Core Practitioner, TW Core PractitionerRole, TW Core Patient, TW Core RelatedPerson)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. Condition.asserter
Definition | 提出此病情、問題或診斷說明的人
Short | 聲稱有此病情、問題或診斷的人
Control | 0..1
Type | Reference(TW Core Practitioner, TW Core PractitionerRole, TW Core Patient, TW Core RelatedPerson)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
66. Condition.stage
Definition | 病情、問題或診斷的臨床分期或分級，可能包括正式的嚴重程度評估。
Short | 分期（stage）／分級（grade），通常是正式的評估。
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | con-1: Stage SHALL have summary or assessment (`summary.exists() or assessment.exists()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. Condition.stage.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
70. Condition.stage.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
72. Condition.stage.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
74. Condition.stage.summary
Definition | 對分期的簡單摘要，如「第3期」。針對特定疾病的分期測定。
Short | 簡單的摘要（特定疾病）。
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from ConditionStage (extensible to `http://hl7.org/fhir/ValueSet/condition-stage` ) 描述病情、問題或診斷分期的代碼（例如：癌症分期）。應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
76. Condition.stage.assessment
Definition | 分期評估所依據的證據之正式記錄
Short | 正式的評估記錄
Control | 0..* This element is affected by the following invariants: con-1
Type | Reference(ClinicalImpression, TW Core DiagnosticReport, TW Core Observation Laboratory Result, TW Core Observation Vital Signs)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
78. Condition.stage.type
Definition | 分期的種類，如病理分期或臨床分期。
Short | 分期的種類
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from ConditionStageType (extensible to `http://hl7.org/fhir/ValueSet/condition-stage-type` ) 病情、問題或診斷分期種類的代碼（如臨床或病理）；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
80. Condition.evidence
Definition | 作為病情、問題或診斷驗證狀態基礎的支持證據／臨床表現，如證實或反駁病情、問題或診斷的證據。
Short | 支持的證據
Comments | 證據可以是一個簡單的編碼症狀／臨床表現的清單，或參考檢驗檢查或者正式評估，或者兩者都是。
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | con-2: evidence SHALL have code or details (`code.exists() or detail.exists()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. Condition.evidence.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
84. Condition.evidence.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
86. Condition.evidence.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
88. Condition.evidence.code
Definition | 導致記錄此病情、問題或診斷的表現或症狀
Short | 表現／症狀
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Control | 0..* This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from ManifestationAndSymptomCodes (extensible to `http://hl7.org/fhir/ValueSet/manifestation-or-symptom` ) 病情、問題或診斷的表現或症狀之代碼；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
90. Condition.evidence.detail
Definition | 其他相關資訊的連接，包括病理報告。
Short | 在其他地方找到的支持資訊
Control | 0..* This element is affected by the following invariants: con-2
Type | Reference(Resource)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
92. Condition.note
Definition | 關於此Condition的附加資訊。這是一個一般的註釋／意見紀錄，用於描述病情、問題或診斷、其診斷和預後。
Short | 關於此Condition的附加資訊。[應填入部分負擔代碼/醫療評估內容註記]。至少須包含部分負擔代碼。
Control | 1..*
Type | Annotation
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)