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Packagetw.vgh.stroke
Resource TypeStructureDefinition
IdStructureDefinition-medication-recording-context.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/SitatechCo/TWVGHStroke_IG_Build/StructureDefinition-medication-recording-context.html
URLhttp://vgh-stroke-ig.fhir.tw/StructureDefinition/medication-recording-context
Version0.1.0
Statusdraft
Date2026-10-07T16:40:32+00:00
NameStrokeMedicationRecordingContext
Title腦中風-用藥紀錄時窗
Realmtw
Description此 Extension 記錄 MedicationStatement 所屬的用藥時窗,例如住院前、住院中、離院時或 EVT 後 24 小時內,說明紀錄出自哪個階段。
TypeExtension
Kindcomplex-type

Resources that use this resource

StructureDefinition
tw.vgh.stroke#currentStrokeMedicationStatement腦中風-用藥紀錄

Resources that this resource uses

ValueSet
tw.vgh.stroke#currentmedication-recording-context腦中風-用藥紀錄時窗值集

Examples of Use for Extension

ResourceVersion
tw.vgh.stroke#current:Bundle/stroke-bundle-evt-exampleR4
tw.vgh.stroke#current:Bundle/stroke-bundle-ncva-exampleR4
tw.vgh.stroke#current:MedicationStatement/stroke-medstatement-apixaban-discharge-exampleR4
tw.vgh.stroke#current:MedicationStatement/stroke-medstatement-aspirin-inpatient-exampleR4
tw.vgh.stroke#current:MedicationStatement/stroke-medstatement-statin-pre-admission-exampleR4

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: StructureDefinition medication-recording-context

NameFlagsCard.TypeDescription & Constraintsdoco
Extension 0..*Extension用藥紀錄時窗
Extension.extension 0..0Extension
Extension.url 1..1uri"http://vgh-stroke-ig.fhir.tw/StructureDefinition/medication-recording-context"
Extension.value[x] S This element must be supported. 1..1code用藥時窗代碼。[應填入 pre-admission/inpatient/discharge/first-24h]
Binding: 腦中風-用藥紀錄時窗值集 (required)

doco Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "medication-recording-context",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://vgh-stroke-ig.fhir.tw/StructureDefinition/medication-recording-context",
  "version": "0.1.0",
  "name": "StrokeMedicationRecordingContext",
  "title": "腦中風-用藥紀錄時窗",
  "status": "draft",
  "experimental": false,
  "date": "2026-10-07T16:40:32+00:00",
  "publisher": "高雄榮民總醫院 (VGHKS)",
  "contact": [
    {
      "name": "高雄榮民總醫院 (VGHKS)",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.vghks.gov.tw/"
        }
      ]
    }
  ],
  "description": "此 Extension 記錄 MedicationStatement 所屬的用藥時窗,例如住院前、住院中、離院時或 EVT 後 24 小時內,說明紀錄出自哪個階段。",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "complex-type",
  "abstract": false,
  "context": [
    {
      "type": "element",
      "expression": "MedicationStatement"
    }
  ],
  "type": "Extension",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation": "constraint",
  "snapshot": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
        "valueString": "4.0.1"
      }
    ],
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "用藥紀錄時窗",
        "definition": "記錄用藥所屬時窗。藥品代碼不含時窗資訊,同一藥品在不同時窗各建一筆 MedicationStatement。",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension",
          "min": 0,
          "max": "*"
        },
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false
      },
      {
        "id": "Extension.id",
        "path": "Extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "http://vgh-stroke-ig.fhir.tw/StructureDefinition/medication-recording-context",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "short": "用藥時窗代碼。[應填入 pre-admission/inpatient/discharge/first-24h]",
        "definition": "可填 pre-admission(住院前)、inpatient(住院中)、discharge(離院時)或 first-24h(EVT 後 24 小時內)。若有實際用藥時間,另填 MedicationStatement.effective[x]。",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "required",
          "valueSet": "http://vgh-stroke-ig.fhir.tw/ValueSet/medication-recording-context"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "用藥紀錄時窗",
        "definition": "記錄用藥所屬時窗。藥品代碼不含時窗資訊,同一藥品在不同時窗各建一筆 MedicationStatement。"
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "max": "0"
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "fixedUri": "http://vgh-stroke-ig.fhir.tw/StructureDefinition/medication-recording-context"
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "short": "用藥時窗代碼。[應填入 pre-admission/inpatient/discharge/first-24h]",
        "definition": "可填 pre-admission(住院前)、inpatient(住院中)、discharge(離院時)或 first-24h(EVT 後 24 小時內)。若有實際用藥時間,另填 MedicationStatement.effective[x]。",
        "min": 1,
        "type": [
          {
            "code": "code"
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://vgh-stroke-ig.fhir.tw/ValueSet/medication-recording-context"
        }
      }
    ]
  }
}