This page is part of the 國家級人體生物資料庫整合平台共同資料模式實作指引(NBCT Common Data Model IG) (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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Resource Profile: Encounter LABD-就醫日期/入院年月日

此Profile用於描述檢驗檢查資料檔每日格式(LABD)的就醫日期/入院年月日

Usage:

• Use this Resource Profile: Bundle LABD
• Refer to this Resource Profile: Composition LABD, DiagnosticReport LABD、LABM-報告結果與病理發現及診斷 and Observation LABD、LABM-報告資料段
• Examples for this Resource Profile: Encounter/enc-LABD

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	TWCoreEncounter	提供病人服務的一種互動 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	1..1	Identifier	此就醫事件的識別碼 ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual ｜ official ｜ temp ｜ secondary ｜ old （如果知道） Binding: IdentifierUse (required): 如果知道，請說明此識別碼的用途；應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	識別碼（identifier）的命名空間（namespace） ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	就醫序號。[LABD.h7] ele-1: All FHIR elements must have a @value or children Example General: 123456
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): 就醫現況的代碼；應填入所綁定值集中的其中一個代碼 ele-1: All FHIR elements must have a @value or children
class	S	1..1	CodingTW	病人就醫的分類 Binding: ActEncounterCode (extensible): 就醫的分類；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。 ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
serviceType	S	1..1	CodeableConceptTW	服務的特定型別。就醫類別，[LABD.h6] Binding: ServiceType (example): 對提供的服務進行廣泛分類；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。 ele-1: All FHIR elements must have a @value or children
Slices for coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:system ele-1: All FHIR elements must have a @value or children
coding:TWMedicalDepartmentSCT	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 對應至 SNOMED CT之就醫科別 + 診療科別值集 (required) ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children Required Pattern: http://snomed.info/sct
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:TWMedicalConsultationDepartment	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署就醫科別值集 (required) ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:TWMedicalTreatmentDepartment	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署診療科別值集 (required) ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-nhi-tw
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:MedicalDepartmentCDM	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 就醫科別值集 (required): 就醫科別；應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children Required Pattern: https://www.ghd.tw/cdm-fhir/CodeSystem/FuncType
code	SΣ	1..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	就醫類別。[LABD.h6] ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(TW Core Patient | Group | Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)	在場就醫的病人或實體集合（Group） ele-1: All FHIR elements must have a @value or children
reference	SΣC	1..1	string	患者Resource Link ele-1: All FHIR elements must have a @value or children
participant	SΣ	0..*	BackboneElement	參與就醫的健康照護服務提供者之名單 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	S	0..*	CodeableConceptTW	參與者在病人就醫事件中的角色 Binding: ParticipantType (extensible): 參與者在病人就醫事件中的角色；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。 ele-1: All FHIR elements must have a @value or children
period	S	0..1	Period	參與者在病人就醫期間參與的時段 ele-1: All FHIR elements must have a @value or children
individual	SΣ	0..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson)	除病人外，參與病人就醫事件的人。 ele-1: All FHIR elements must have a @value or children
period	S	1..1	Period	就醫日期或入住院日期，無則填入健保卡刷卡日期。(優先填入"入住院日期") ele-1: All FHIR elements must have a @value or children
start	SΣC	1..1	dateTime	就醫日期、健保卡刷卡日期或入院年月日。[LABD.h5/LABD.h11/LABD.h13]，如為健保卡刷卡日期：依保險對象持健保卡就醫當日刷卡由讀卡機自動產生就診日期時間；如為代檢驗案件請填入收到檢體日期時間。(優先填入"入住院日期") ele-1: All FHIR elements must have a @value or children
end	SΣC	0..1	dateTime	治療結束日期或出院年月日。[LABD.h12/LABD.h14] ele-1: All FHIR elements must have a @value or children
reasonCode	S	0..*	CodeableConceptTW	就醫發生的編碼原因 Binding: EncounterReasonCodes (preferred): 發生此就醫事件的原因；鼓勵使用所綁定值集中的代碼，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。 ele-1: All FHIR elements must have a @value or children
hospitalization	S	0..1	BackboneElement	關於入院接受健康照護服務的細節 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
dischargeDisposition	S	0..1	CodeableConceptTW	出院後的地點類別或種類 Binding: DischargeDisposition (example): 出院處置；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 ele-1: All FHIR elements must have a @value or children
location	S	0..*	BackboneElement	病人曾去過的一個或多個地點 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
location	S	1..1	Reference(TW Core Location)	就醫發生的地點 ele-1: All FHIR elements must have a @value or children
serviceProvider	S	0..1	Reference(TW Core Organization)	負責這次就醫的機構 ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Encounter.serviceType.coding:TWMedicalDepartmentSCT	required	TWMedicalDepartmentSCT https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-department-sct-tw
Encounter.serviceType.coding:TWMedicalConsultationDepartment	required	TWMedicalConsultationDepartment https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-consultation-department-tw
Encounter.serviceType.coding:TWMedicalTreatmentDepartment	required	TWMedicalTreatmentDepartment https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-treatment-department-tw
Encounter.serviceType.coding:MedicalDepartmentCDM	required	FuncType (a valid code from 就醫科別) https://www.ghd.tw/cdm-fhir/ValueSet/FuncType from this IG
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Encounter.hospitalization.dischargeDisposition	example	DischargeDisposition http://hl7.org/fhir/ValueSet/encounter-discharge-disposition from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	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	error	Encounter	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	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from TWCoreEncounter

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	TWCoreEncounter	提供病人服務的一種互動
identifier		1..1	Identifier	此就醫事件的識別碼
value		1..1	string	就醫序號。[LABD.h7]
class
system		1..1	uri	專門術語系統（terminology system）的識別
code		1..1	code	系統定義的語法之符號
serviceType		1..1	CodeableConceptTW	服務的特定型別。就醫類別，[LABD.h6]
Slices for coding				Content/Rules for all slices
coding:MedicalDepartmentCDM		0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 就醫科別值集 (required): 就醫科別；應填入所綁定值集中的其中一個代碼。
system		1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: https://www.ghd.tw/cdm-fhir/CodeSystem/FuncType
code		1..1	code	系統定義的語法之符號
text		0..1	string	就醫類別。[LABD.h6]
subject		1..1	Reference(TW Core Patient | Group | Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)	在場就醫的病人或實體集合（Group）
reference	S	1..1	string	患者Resource Link
period		1..1	Period	就醫日期或入住院日期，無則填入健保卡刷卡日期。(優先填入"入住院日期")
start	S	1..1	dateTime	就醫日期、健保卡刷卡日期或入院年月日。[LABD.h5/LABD.h11/LABD.h13]，如為健保卡刷卡日期：依保險對象持健保卡就醫當日刷卡由讀卡機自動產生就診日期時間；如為代檢驗案件請填入收到檢體日期時間。(優先填入"入住院日期")
end	S	0..1	dateTime	治療結束日期或出院年月日。[LABD.h12/LABD.h14]
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.serviceType.coding:MedicalDepartmentCDM	required	FuncType (a valid code from 就醫科別) https://www.ghd.tw/cdm-fhir/ValueSet/FuncType from this IG

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	TWCoreEncounter	提供病人服務的一種互動
id	Σ	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的Encounter紀錄，通常又稱為邏輯性ID。
meta	Σ	0..1	Meta	此Encounter Resource的metadata
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
language		0..1	code	用以表述Encounter Resource內容的語言。 Binding: CommonLanguages (preferred): 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 Example Value: zh-TW
text		0..1	Narrative	Encounter Resource之內容摘要以供人閱讀
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	此就醫事件的識別碼
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual ｜ official ｜ temp ｜ secondary ｜ old （如果知道） Binding: IdentifierUse (required): 如果知道，請說明此識別碼的用途；應填入所綁定值集中的其中一個代碼。
type		0..1	CodeableConceptTW	識別碼（identifier）的型別說明 Binding: Identifier Type Codes (extensible): 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。
system	SΣ	1..1	uri	識別碼（identifier）的命名空間（namespace） Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	就醫序號。[LABD.h7] Example General: 123456
period	Σ	0..1	Period	此就醫事件識別碼（identifier）的使用效期
assigner	Σ	0..1	Reference(TW Core Organization)	簽發identifier的機構（可以只是文字表述）
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): 就醫現況的代碼；應填入所綁定值集中的其中一個代碼
statusHistory		0..*	BackboneElement	過去的就醫狀態清單
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): 就醫現狀的代碼；應填入所綁定值集中的其中一個代碼
period		1..1	Period	該事件處於特定狀態的時間
class	S	1..1	CodingTW	病人就醫的分類 Binding: ActEncounterCode (extensible): 就醫的分類；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。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	1..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
classHistory		0..*	BackboneElement	過去就醫類別的列表
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
class		1..1	Coding	inpatient ｜ outpatient ｜ ambulatory ｜ emergency + Binding: ActEncounterCode (extensible): 就醫類別；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。
period		1..1	Period	此就醫事件處於特定類別的時間
type		0..*	CodeableConceptTW	就醫的特定型別 Binding: EncounterType (example): 就醫的型別；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
serviceType	S	1..1	CodeableConceptTW	服務的特定型別。就醫類別，[LABD.h6] Binding: ServiceType (example): 對提供的服務進行廣泛分類；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。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Slices for coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:system
coding:TWMedicalDepartmentSCT	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 對應至 SNOMED CT之就醫科別 + 診療科別值集 (required)
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:TWMedicalConsultationDepartment	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署就醫科別值集 (required)
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:TWMedicalTreatmentDepartment	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署診療科別值集 (required)
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-nhi-tw
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:MedicalDepartmentCDM	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 就醫科別值集 (required): 就醫科別；應填入所綁定值集中的其中一個代碼。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: https://www.ghd.tw/cdm-fhir/CodeSystem/FuncType
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	1..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	就醫類別。[LABD.h6]
priority		0..1	CodeableConceptTW	表明就醫的急迫性 Binding: ActPriority (example): 表明就醫的迫切性；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
subject	SΣ	1..1	Reference(TW Core Patient | Group | Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)	在場就醫的病人或實體集合（Group）
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	患者Resource Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	此次就醫應記錄的照護事件
basedOn		0..*	Reference(ServiceRequest)	開始此次就醫的服務請求（ServiceRequest）
participant	SΣ	0..*	BackboneElement	參與就醫的健康照護服務提供者之名單
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	S	0..*	CodeableConceptTW	參與者在病人就醫事件中的角色 Binding: ParticipantType (extensible): 參與者在病人就醫事件中的角色；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。
period	S	0..1	Period	參與者在病人就醫期間參與的時段
individual	SΣ	0..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson)	除病人外，參與病人就醫事件的人。
appointment	Σ	0..*	Reference(Appointment)	這次就醫的預約紀錄
period	S	1..1	Period	就醫日期或入住院日期，無則填入健保卡刷卡日期。(優先填入"入住院日期")
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	就醫日期、健保卡刷卡日期或入院年月日。[LABD.h5/LABD.h11/LABD.h13]，如為健保卡刷卡日期：依保險對象持健保卡就醫當日刷卡由讀卡機自動產生就診日期時間；如為代檢驗案件請填入收到檢體日期時間。(優先填入"入住院日期")
end	SΣC	0..1	dateTime	治療結束日期或出院年月日。[LABD.h12/LABD.h14]
length		0..1	Duration	就醫持續的時間（扣除缺席時間）
reasonCode	S	0..*	CodeableConceptTW	就醫發生的編碼原因 Binding: EncounterReasonCodes (preferred): 發生此就醫事件的原因；鼓勵使用所綁定值集中的代碼，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。
reasonReference	Σ	0..*	Reference(TW Core Condition | TW Core Procedure | TW Core Observation Laboratory Result | ImmunizationRecommendation)	就醫發生的原因（參照）
diagnosis	Σ	0..*	BackboneElement	與此就醫相關的診斷清單
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(TW Core Condition | TW Core Procedure)	與就醫事件相關的診斷或處置
use		0..1	CodeableConceptTW	此診斷在病人就醫事件中的作用（例如：住院、收費、出院...）。 Binding: DiagnosisRole (preferred): 此情況所代表的診斷型別；鼓勵使用所綁定值集中的代碼，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。
rank		0..1	positiveInt	診斷的排序（針對每個角色型別）
account		0..*	Reference(Account)	可用於為此病人就醫事件計費的一組帳戶
hospitalization	S	0..1	BackboneElement	關於入院接受健康照護服務的細節
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	住院前識別碼
origin		0..1	Reference(TW Core Organization | TW Core Location)	病人住院前來自的地點／機構
admitSource		0..1	CodeableConceptTW	病人從哪裡住院（醫生轉介、轉院）？ Binding: AdmitSource (preferred): 病人從哪裡住院；鼓勵使用所綁定值集中的代碼，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。
reAdmission		0..1	CodeableConceptTW	已發生的醫院再入院型別（如果有的話）。如果該值不存在，則不被認定為再入院。 Binding: hl7VS-re-admissionIndicator (example): 這次住院就醫的再入院原因；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
dietPreference		0..*	CodeableConceptTW	病人報告的飲食偏好 Binding: Diet (example): 醫療、文化或道德方面的食物偏好，以幫助滿足飲食要求；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
specialCourtesy		0..*	CodeableConceptTW	特別禮遇（貴賓、董事會成員） Binding: SpecialCourtesy (preferred): 特別禮遇；鼓勵使用所綁定值集中的代碼，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。
specialArrangement		0..*	CodeableConceptTW	輪椅、翻譯人員、擔架等。 Binding: SpecialArrangements (preferred): 特殊安排；鼓勵使用所綁定值集中的代碼，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。
destination		0..1	Reference(TW Core Location | TW Core Organization)	病人出院地點／機構
dischargeDisposition	S	0..1	CodeableConceptTW	出院後的地點類別或種類 Binding: DischargeDisposition (example): 出院處置；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
location	S	0..*	BackboneElement	病人曾去過的一個或多個地點
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(TW Core Location)	就醫發生的地點
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): 就醫地點的狀態；應填入所綁定值集中的其中一個代碼。
physicalType		0..1	CodeableConceptTW	地點的實體型別（通常是地點的層級—床位、房間、病房等）。 Binding: LocationType (example): 地點的實體型別；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
period		0..1	Period	病人出現在此地點的時段
serviceProvider	S	0..1	Reference(TW Core Organization)	負責這次就醫的機構
partOf		0..1	Reference(TW Core Encounter)	此就醫是哪次就醫的一部份？
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Encounter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	example	EncounterType http://hl7.org/fhir/ValueSet/encounter-type from the FHIR Standard
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Encounter.serviceType.coding:TWMedicalDepartmentSCT	required	TWMedicalDepartmentSCT https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-department-sct-tw
Encounter.serviceType.coding:TWMedicalConsultationDepartment	required	TWMedicalConsultationDepartment https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-consultation-department-tw
Encounter.serviceType.coding:TWMedicalTreatmentDepartment	required	TWMedicalTreatmentDepartment https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-treatment-department-tw
Encounter.serviceType.coding:MedicalDepartmentCDM	required	FuncType (a valid code from 就醫科別) https://www.ghd.tw/cdm-fhir/ValueSet/FuncType from this IG
Encounter.priority	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Encounter.diagnosis.use	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard
Encounter.hospitalization.admitSource	preferred	AdmitSource http://hl7.org/fhir/ValueSet/encounter-admit-source from the FHIR Standard
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreference	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard
Encounter.hospitalization.dischargeDisposition	example	DischargeDisposition http://hl7.org/fhir/ValueSet/encounter-discharge-disposition from the FHIR Standard
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard
Encounter.location.physicalType	example	LocationType http://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	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	error	Encounter	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	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from TWCoreEncounter

Summary

Mandatory: 8 elements(2 nested mandatory elements)
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• TW Core Patient (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore)
• Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料 (https://www.ghd.tw/cdm-fhir/StructureDefinition/PatientCDM)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	TWCoreEncounter	提供病人服務的一種互動 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	1..1	Identifier	此就醫事件的識別碼 ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual ｜ official ｜ temp ｜ secondary ｜ old （如果知道） Binding: IdentifierUse (required): 如果知道，請說明此識別碼的用途；應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	識別碼（identifier）的命名空間（namespace） ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	就醫序號。[LABD.h7] ele-1: All FHIR elements must have a @value or children Example General: 123456
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): 就醫現況的代碼；應填入所綁定值集中的其中一個代碼 ele-1: All FHIR elements must have a @value or children
class	S	1..1	CodingTW	病人就醫的分類 Binding: ActEncounterCode (extensible): 就醫的分類；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。 ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
serviceType	S	1..1	CodeableConceptTW	服務的特定型別。就醫類別，[LABD.h6] Binding: ServiceType (example): 對提供的服務進行廣泛分類；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。 ele-1: All FHIR elements must have a @value or children
Slices for coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:system ele-1: All FHIR elements must have a @value or children
coding:TWMedicalDepartmentSCT	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 對應至 SNOMED CT之就醫科別 + 診療科別值集 (required) ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children Required Pattern: http://snomed.info/sct
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:TWMedicalConsultationDepartment	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署就醫科別值集 (required) ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:TWMedicalTreatmentDepartment	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署診療科別值集 (required) ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-nhi-tw
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:MedicalDepartmentCDM	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 就醫科別值集 (required): 就醫科別；應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children Required Pattern: https://www.ghd.tw/cdm-fhir/CodeSystem/FuncType
code	SΣ	1..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	就醫類別。[LABD.h6] ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(TW Core Patient | Group | Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)	在場就醫的病人或實體集合（Group） ele-1: All FHIR elements must have a @value or children
reference	SΣC	1..1	string	患者Resource Link ele-1: All FHIR elements must have a @value or children
participant	SΣ	0..*	BackboneElement	參與就醫的健康照護服務提供者之名單 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	S	0..*	CodeableConceptTW	參與者在病人就醫事件中的角色 Binding: ParticipantType (extensible): 參與者在病人就醫事件中的角色；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。 ele-1: All FHIR elements must have a @value or children
period	S	0..1	Period	參與者在病人就醫期間參與的時段 ele-1: All FHIR elements must have a @value or children
individual	SΣ	0..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson)	除病人外，參與病人就醫事件的人。 ele-1: All FHIR elements must have a @value or children
period	S	1..1	Period	就醫日期或入住院日期，無則填入健保卡刷卡日期。(優先填入"入住院日期") ele-1: All FHIR elements must have a @value or children
start	SΣC	1..1	dateTime	就醫日期、健保卡刷卡日期或入院年月日。[LABD.h5/LABD.h11/LABD.h13]，如為健保卡刷卡日期：依保險對象持健保卡就醫當日刷卡由讀卡機自動產生就診日期時間；如為代檢驗案件請填入收到檢體日期時間。(優先填入"入住院日期") ele-1: All FHIR elements must have a @value or children
end	SΣC	0..1	dateTime	治療結束日期或出院年月日。[LABD.h12/LABD.h14] ele-1: All FHIR elements must have a @value or children
reasonCode	S	0..*	CodeableConceptTW	就醫發生的編碼原因 Binding: EncounterReasonCodes (preferred): 發生此就醫事件的原因；鼓勵使用所綁定值集中的代碼，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。 ele-1: All FHIR elements must have a @value or children
hospitalization	S	0..1	BackboneElement	關於入院接受健康照護服務的細節 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
dischargeDisposition	S	0..1	CodeableConceptTW	出院後的地點類別或種類 Binding: DischargeDisposition (example): 出院處置；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 ele-1: All FHIR elements must have a @value or children
location	S	0..*	BackboneElement	病人曾去過的一個或多個地點 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
location	S	1..1	Reference(TW Core Location)	就醫發生的地點 ele-1: All FHIR elements must have a @value or children
serviceProvider	S	0..1	Reference(TW Core Organization)	負責這次就醫的機構 ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Encounter.serviceType.coding:TWMedicalDepartmentSCT	required	TWMedicalDepartmentSCT https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-department-sct-tw
Encounter.serviceType.coding:TWMedicalConsultationDepartment	required	TWMedicalConsultationDepartment https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-consultation-department-tw
Encounter.serviceType.coding:TWMedicalTreatmentDepartment	required	TWMedicalTreatmentDepartment https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-treatment-department-tw
Encounter.serviceType.coding:MedicalDepartmentCDM	required	FuncType (a valid code from 就醫科別) https://www.ghd.tw/cdm-fhir/ValueSet/FuncType from this IG
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Encounter.hospitalization.dischargeDisposition	example	DischargeDisposition http://hl7.org/fhir/ValueSet/encounter-discharge-disposition from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	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	error	Encounter	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	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from TWCoreEncounter

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	TWCoreEncounter	提供病人服務的一種互動
identifier		1..1	Identifier	此就醫事件的識別碼
value		1..1	string	就醫序號。[LABD.h7]
class
system		1..1	uri	專門術語系統（terminology system）的識別
code		1..1	code	系統定義的語法之符號
serviceType		1..1	CodeableConceptTW	服務的特定型別。就醫類別，[LABD.h6]
Slices for coding				Content/Rules for all slices
coding:MedicalDepartmentCDM		0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 就醫科別值集 (required): 就醫科別；應填入所綁定值集中的其中一個代碼。
system		1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: https://www.ghd.tw/cdm-fhir/CodeSystem/FuncType
code		1..1	code	系統定義的語法之符號
text		0..1	string	就醫類別。[LABD.h6]
subject		1..1	Reference(TW Core Patient | Group | Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)	在場就醫的病人或實體集合（Group）
reference	S	1..1	string	患者Resource Link
period		1..1	Period	就醫日期或入住院日期，無則填入健保卡刷卡日期。(優先填入"入住院日期")
start	S	1..1	dateTime	就醫日期、健保卡刷卡日期或入院年月日。[LABD.h5/LABD.h11/LABD.h13]，如為健保卡刷卡日期：依保險對象持健保卡就醫當日刷卡由讀卡機自動產生就診日期時間；如為代檢驗案件請填入收到檢體日期時間。(優先填入"入住院日期")
end	S	0..1	dateTime	治療結束日期或出院年月日。[LABD.h12/LABD.h14]
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.serviceType.coding:MedicalDepartmentCDM	required	FuncType (a valid code from 就醫科別) https://www.ghd.tw/cdm-fhir/ValueSet/FuncType from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	TWCoreEncounter	提供病人服務的一種互動
id	Σ	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的Encounter紀錄，通常又稱為邏輯性ID。
meta	Σ	0..1	Meta	此Encounter Resource的metadata
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
language		0..1	code	用以表述Encounter Resource內容的語言。 Binding: CommonLanguages (preferred): 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 Example Value: zh-TW
text		0..1	Narrative	Encounter Resource之內容摘要以供人閱讀
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	此就醫事件的識別碼
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual ｜ official ｜ temp ｜ secondary ｜ old （如果知道） Binding: IdentifierUse (required): 如果知道，請說明此識別碼的用途；應填入所綁定值集中的其中一個代碼。
type		0..1	CodeableConceptTW	識別碼（identifier）的型別說明 Binding: Identifier Type Codes (extensible): 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。
system	SΣ	1..1	uri	識別碼（identifier）的命名空間（namespace） Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	就醫序號。[LABD.h7] Example General: 123456
period	Σ	0..1	Period	此就醫事件識別碼（identifier）的使用效期
assigner	Σ	0..1	Reference(TW Core Organization)	簽發identifier的機構（可以只是文字表述）
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): 就醫現況的代碼；應填入所綁定值集中的其中一個代碼
statusHistory		0..*	BackboneElement	過去的就醫狀態清單
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): 就醫現狀的代碼；應填入所綁定值集中的其中一個代碼
period		1..1	Period	該事件處於特定狀態的時間
class	S	1..1	CodingTW	病人就醫的分類 Binding: ActEncounterCode (extensible): 就醫的分類；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。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	1..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
classHistory		0..*	BackboneElement	過去就醫類別的列表
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
class		1..1	Coding	inpatient ｜ outpatient ｜ ambulatory ｜ emergency + Binding: ActEncounterCode (extensible): 就醫類別；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。
period		1..1	Period	此就醫事件處於特定類別的時間
type		0..*	CodeableConceptTW	就醫的特定型別 Binding: EncounterType (example): 就醫的型別；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
serviceType	S	1..1	CodeableConceptTW	服務的特定型別。就醫類別，[LABD.h6] Binding: ServiceType (example): 對提供的服務進行廣泛分類；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。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Slices for coding	S	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:system
coding:TWMedicalDepartmentSCT	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 對應至 SNOMED CT之就醫科別 + 診療科別值集 (required)
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:TWMedicalConsultationDepartment	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署就醫科別值集 (required)
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:TWMedicalTreatmentDepartment	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 無法對應至SNOMED CT之臺灣健保署診療科別值集 (required)
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-nhi-tw
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:MedicalDepartmentCDM	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 就醫科別值集 (required): 就醫科別；應填入所綁定值集中的其中一個代碼。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: https://www.ghd.tw/cdm-fhir/CodeSystem/FuncType
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	1..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	就醫類別。[LABD.h6]
priority		0..1	CodeableConceptTW	表明就醫的急迫性 Binding: ActPriority (example): 表明就醫的迫切性；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
subject	SΣ	1..1	Reference(TW Core Patient | Group | Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)	在場就醫的病人或實體集合（Group）
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	患者Resource Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	此次就醫應記錄的照護事件
basedOn		0..*	Reference(ServiceRequest)	開始此次就醫的服務請求（ServiceRequest）
participant	SΣ	0..*	BackboneElement	參與就醫的健康照護服務提供者之名單
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	S	0..*	CodeableConceptTW	參與者在病人就醫事件中的角色 Binding: ParticipantType (extensible): 參與者在病人就醫事件中的角色；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。
period	S	0..1	Period	參與者在病人就醫期間參與的時段
individual	SΣ	0..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson)	除病人外，參與病人就醫事件的人。
appointment	Σ	0..*	Reference(Appointment)	這次就醫的預約紀錄
period	S	1..1	Period	就醫日期或入住院日期，無則填入健保卡刷卡日期。(優先填入"入住院日期")
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	就醫日期、健保卡刷卡日期或入院年月日。[LABD.h5/LABD.h11/LABD.h13]，如為健保卡刷卡日期：依保險對象持健保卡就醫當日刷卡由讀卡機自動產生就診日期時間；如為代檢驗案件請填入收到檢體日期時間。(優先填入"入住院日期")
end	SΣC	0..1	dateTime	治療結束日期或出院年月日。[LABD.h12/LABD.h14]
length		0..1	Duration	就醫持續的時間（扣除缺席時間）
reasonCode	S	0..*	CodeableConceptTW	就醫發生的編碼原因 Binding: EncounterReasonCodes (preferred): 發生此就醫事件的原因；鼓勵使用所綁定值集中的代碼，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。
reasonReference	Σ	0..*	Reference(TW Core Condition | TW Core Procedure | TW Core Observation Laboratory Result | ImmunizationRecommendation)	就醫發生的原因（參照）
diagnosis	Σ	0..*	BackboneElement	與此就醫相關的診斷清單
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(TW Core Condition | TW Core Procedure)	與就醫事件相關的診斷或處置
use		0..1	CodeableConceptTW	此診斷在病人就醫事件中的作用（例如：住院、收費、出院...）。 Binding: DiagnosisRole (preferred): 此情況所代表的診斷型別；鼓勵使用所綁定值集中的代碼，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。
rank		0..1	positiveInt	診斷的排序（針對每個角色型別）
account		0..*	Reference(Account)	可用於為此病人就醫事件計費的一組帳戶
hospitalization	S	0..1	BackboneElement	關於入院接受健康照護服務的細節
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	住院前識別碼
origin		0..1	Reference(TW Core Organization | TW Core Location)	病人住院前來自的地點／機構
admitSource		0..1	CodeableConceptTW	病人從哪裡住院（醫生轉介、轉院）？ Binding: AdmitSource (preferred): 病人從哪裡住院；鼓勵使用所綁定值集中的代碼，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。
reAdmission		0..1	CodeableConceptTW	已發生的醫院再入院型別（如果有的話）。如果該值不存在，則不被認定為再入院。 Binding: hl7VS-re-admissionIndicator (example): 這次住院就醫的再入院原因；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
dietPreference		0..*	CodeableConceptTW	病人報告的飲食偏好 Binding: Diet (example): 醫療、文化或道德方面的食物偏好，以幫助滿足飲食要求；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
specialCourtesy		0..*	CodeableConceptTW	特別禮遇（貴賓、董事會成員） Binding: SpecialCourtesy (preferred): 特別禮遇；鼓勵使用所綁定值集中的代碼，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。
specialArrangement		0..*	CodeableConceptTW	輪椅、翻譯人員、擔架等。 Binding: SpecialArrangements (preferred): 特殊安排；鼓勵使用所綁定值集中的代碼，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。
destination		0..1	Reference(TW Core Location | TW Core Organization)	病人出院地點／機構
dischargeDisposition	S	0..1	CodeableConceptTW	出院後的地點類別或種類 Binding: DischargeDisposition (example): 出院處置；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
location	S	0..*	BackboneElement	病人曾去過的一個或多個地點
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(TW Core Location)	就醫發生的地點
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): 就醫地點的狀態；應填入所綁定值集中的其中一個代碼。
physicalType		0..1	CodeableConceptTW	地點的實體型別（通常是地點的層級—床位、房間、病房等）。 Binding: LocationType (example): 地點的實體型別；可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
period		0..1	Period	病人出現在此地點的時段
serviceProvider	S	0..1	Reference(TW Core Organization)	負責這次就醫的機構
partOf		0..1	Reference(TW Core Encounter)	此就醫是哪次就醫的一部份？
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Encounter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	example	EncounterType http://hl7.org/fhir/ValueSet/encounter-type from the FHIR Standard
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Encounter.serviceType.coding:TWMedicalDepartmentSCT	required	TWMedicalDepartmentSCT https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-department-sct-tw
Encounter.serviceType.coding:TWMedicalConsultationDepartment	required	TWMedicalConsultationDepartment https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-consultation-department-tw
Encounter.serviceType.coding:TWMedicalTreatmentDepartment	required	TWMedicalTreatmentDepartment https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-treatment-department-tw
Encounter.serviceType.coding:MedicalDepartmentCDM	required	FuncType (a valid code from 就醫科別) https://www.ghd.tw/cdm-fhir/ValueSet/FuncType from this IG
Encounter.priority	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Encounter.diagnosis.use	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard
Encounter.hospitalization.admitSource	preferred	AdmitSource http://hl7.org/fhir/ValueSet/encounter-admit-source from the FHIR Standard
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreference	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard
Encounter.hospitalization.dischargeDisposition	example	DischargeDisposition http://hl7.org/fhir/ValueSet/encounter-discharge-disposition from the FHIR Standard
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard
Encounter.location.physicalType	example	LocationType http://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	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	error	Encounter	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	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from TWCoreEncounter

Summary

Mandatory: 8 elements(2 nested mandatory elements)
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• TW Core Patient (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore)
• Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料 (https://www.ghd.tw/cdm-fhir/StructureDefinition/PatientCDM)